Ingaba umntwana wakho usemngciphekweni? Masithethe nge-Fetal Hydantoin Syndrome.

Ukuba ukhulelwe okanye uceba ukuba ngumama kungekudala, kubalulekile ukuba uqaphele amayeza owasebenzisayo. Ingakumbi ukuba usebenzisa amayeza esifo esifana nesifo sokuwa (ukuxhuzula), usenokuba nexhala lokuba ingaba amayeza aya kuyichaphazela na intsana yakho engakazalwa. Ngoko ke, namhlanje siza kuthetha ngeemeko ezithile ezinokwenzeka kumntwana ngenxa yamayeza athile athathwa ngexesha lokukhulelwa.

Yintoni i-Fetal Hydantoin Syndrome?

Ngamafutshane, i-Fetal Hydantoin Syndrome yingqokelela yeempawu ezinokubakho kwiintsana ezichatshazelwe ngamayeza athile okuxhuzula athathwa ngumama ngexesha lokukhulelwa, ngakumbi iPhenytoin (igama eliyi-brand Dilantin®) . Oogqirha babiza la mayeza ngokuba yi-teratogens , oko kuthetha ukuba zizinto ezinokuphazamisana nophuhliso oluqhelekileyo lomntwana ongekazalwa.

Ezinye zeempawu zesi sifo zinokubonakala xa umntwana ezalwa. Umzekelo, ezinye iingxaki zokuzalwa zinokubonakala ebusweni bomntwana, entloko, nakwiminwe yakhe.

Nangona kunjalo, ezinye iimpawu zisenokungabonakali ngoko nangoko. Ukulibaziseka kokukhula kunye nokukhubazeka kwengqondo kusenokungabonakali de kube kamva. Ke ngoko, oogqirha kunye namalungu osapho kufuneka basebenzisane ukuze bafumane unobangela weso simo kwaye banike umntwana unyango olufunekayo kunye nenkxaso.

Kubalulekile ukuqaphela, nangona kunjalo, ukuba ayingomntwana wonke ochatshazelwa ngala mayeza aya kuba ne-Fetal Hydantoin Syndrome. Kwiimeko ezininzi, ayizukuba nayo. Nangona kunjalo, ngenxa yokuba kukho iingozi ezithile, ugqirha wakho uya kukubeka esweni ngokusondeleyo kulo lonke ixesha lokukhulelwa kwakho. Amayeza akho anokufuna ukutshintshwa.

Kubaluleke kakhulu ukuba ungaze uyeke ukuthatha amayeza akho ngaphandle kwengcebiso kagqirha wakho. Ukwenza njalo kunokuba yingozi kuwe nakumntwana wakho ongekazalwa. Ugqirha wakho uya kunciphisa umthamo wamayeza akho njengoko kufuneka, okanye akutshintshele kwenye iyeza. Ngoko ke, landela imiyalelo kagqirha wakho ngokuchanekileyo. Buza ukuba kukho into ongayiqondiyo.

Ixhaphake kangakanani le meko?

Ngokwezibalo, phakathi kwe-5% kunye ne-11% yeemveku ezisandul’ ukuzalwa ezichatshazelwe liyeza iPhenytoin zinokuba neFetal Hydantoin Syndrome.

Nangona kunjalo, akulunganga ukusekela izigqibo kula manani kuphela. Oogqirha badla ngokujonga impembelelo iyonke yamayeza alwa nokuqina ngexesha lokukhulelwa. Oko kukuthi, oogqirha baxhalabile ngayo yonke imiphumo enokubakho yamayeza alwa nokuqina – kokubini xa esetyenziswa eyedwa naxa esetyenziswa kunye – endaweni yokuba isifo esithile siqheleke kangakanani.

Umzekelo, ukuthatha amayeza angaphezu kwelinye okuxhuzula ngaxeshanye kunokuba yingozi ngakumbi kunokuthatha elinye kuphela. Kwakhona, amanye amayeza (afana neemveliso eziqulethe i-valproate) anokubangela iziphumo ebezingalindelekanga ezibi kakhulu kunezinye.

Ugqirha wakho angakuchazela ngokuthe ngqo indlela amayeza owasebenzisayo anokuchaphazela ngayo ukukhulelwa kwakho. Baza kuvavanya umngcipheko wakho baze bakunike iingcebiso ngokufanelekileyo.

Zithini iimpawu ze-fetal hydantoin syndrome?

Ezinye zeempawu ze-Fetal Hydantoin Syndrome ezinokubonwa xa umntwana ezalwa ziquka:

• Amehlo aqhelene kakhulu kunesiqhelo (ngokwezonyango abizwa ngokuba yi-hypertelorism ).
• Amehlo anqamlezileyo (strabismus) .
• Umlomo oqhekekileyo kunye/okanye incakuba eqhekekileyo .
• Ibhuloho yempumlo ithe tyaba okanye ibanzi kunesiqhelo.
• Incinci kunobukhulu obuqhelekileyo bentloko (i-microcephaly) .
• Iinzipho zeminwe nezeenyawo azikhuli kakuhle okanye zikhubazekile.

Njengoko umntwana wakho ekhula, unokubona iimpawu zokulibaziseka kokukhula . Ukulibaziseka kokukhula kuxa umntwana wakho efika kade kwimigangatho ethile yokukhula xa kuthelekiswa nabanye abantwana abaneminyaka yakhe. Umzekelo, ukuncuma okokuqala, ukuqengqeleka, okanye ukuthatha amanyathelo akhe okuqala.

Usenokubona neempawu zokukhubazeka kwengqondo . Ukukhubazeka kwengqondo yinto echaphazela indlela umntwana wakho afunda ngayo kwaye asebenzisana ngayo nehlabathi elimngqongileyo. Umzekelo, umntwana wakho usenokungakwazi ukuziqeqesha kwindlu yangasese okanye ukwenza imisebenzi yokuzinyamekela ngokukhawuleza njengoko ubungathanda. Okanye, banokuba nengxaki yokuqonda iingcamango ezifana nemali kunye nolawulo lwexesha.

Yintoni isizathu soku?

Eyona nto ibangela i-Fetal Hydantoin Syndrome kukudluliselwa kwamayeza anikwa umntwana ongekazalwa nge -placenta ngexesha lokukhulelwa.

Abaphandi abakayiqondi ngokupheleleyo indlela la mayeza abangela ngayo olu tshintsho kunye nolunye utshintsho. Bakholelwa ukuba ezinye izinto, ezifana ne -genetics, zinokudlala indima. Umzekelo, utshintsho oluthile kwi-genes lunokuchaphazela indlela umzimba wakho ochitha ngayo iziyobisi. Oko kusenokuba sisizathu sokuba iziyobisi zinokukuchaphazela ngexesha lokukhulelwa.

Kuthenjwa ukuba uphando oluzayo luza kutyhila ulwazi oluthe kratya malunga nendlela esi sifo esikhula ngayo kunye nokuba ngubani osengozini enkulu.

Oogqirha bayibona njani le meko?

Oogqirha baxilonga i-Fetal Hydantoin Syndrome nokuba kukuzalwa okanye ebuntwaneni xa usana lubonisa iimpawu eziqhelekileyo zeso simo. Imbali yezonyango kamama (kuquka amayeza) ikwanceda ekwenzeni uxilongo. Akukho vavanyo luthile loxilongo lwe-Fetal Hydantoin Syndrome.

Ngokufanayo, akukho vavanyo luthile oluqinisekisa ukuba kukho i-Fetal Hydantoin Syndrome ngexesha lokukhulelwa. Nangona kunjalo, oogqirha banokukrokrela ukuba le syndrome isekelwe kwiziphene ezithile zokuzalwa ezibonwe ngexesha lovavanyo olufana neeskeni.

Zithini iindlela zonyango?

Oogqirha baza kunyanga umntwana wakho ngokweempawu zakhe ezithile kunye neemfuno zakhe. Olu nyango lunokutshintsha njengoko umntwana wakho ekhula. Ezinye zeendlela zonyango ezinokusetyenziswa ziquka:

• Utyando: Umzekelo, utyando lokulungisa umlomo nenkalakahla eziqhekekileyo.
• Amayeza.
• Ulungiso lwenyama.
• Unyango lomsebenzi.

Umntwana wakho usenokufuna uncedo olongezelelekileyo lokufunda. Iqela lezonyango lomntwana wakho liza kusebenzisana nawe ukwenza iSicwangciso seNkonzo yoSapho esiHlangeneyo (IFSP) . Olu luxwebhu olulungiselelwe iimfuno zomntwana wakho. Lucwangcisa iinkonzo umntwana wakho anokuzifuna, ezifana netekhnoloji yokuncedisa kunye nonyango lokuthetha .

Oogqirha kunye neengcali zonyango ezisebenzisanayo ukunyamekela umntwana wakho zingabandakanya:

• Iingcali zezingane.
• Iingcali zotyando lweplastiki.
• Iingcali zotyando lwe-Maxillofacial.
• Iingcali zengqondo zabantwana.
• Iingcali ze-neurological zabantwana.
• Iingcali zonyango emsebenzini.
• Iingcali zonyango lwentetho.

Yintoni endimele ndiyilindele ukuba umntwana wam unale meko?

Iqela lezonyango lomntwana wakho liza kukuxelela into omawuyilindele ngokusekelwe kwiimpawu zomntwana wakho. Umntwana wakho usenokufuna utyando kwasebuntwaneni bakhe, kunye neenkonzo ezithile, ezinje ngoncedo lokufunda, njengoko ekhula.

Musa ukukhathazeka ngayo yonke into ngaxeshanye. Thatha inyathelo elinye ngexesha. Ukuba uziva uxinezelekile okanye uxinezelekile kakhulu, bonana nogqirha wengqondo . Banokukuxelela ngeemvakalelo zakho baze bakuncede ufumane iindlela eziphilileyo zokulawula uxinzelelo lwakho.

Ngaba i-Fetal Hydantoin Syndrome ingathintelwa?

Ngamanye amaxesha, ingakumbi ukuba iyeza libalulekile kwimpilo yakho, akunakwenzeka rhoqo ukuthintela iyeza ekubeni lonakalise umntwana wakho ongekazalwa. Nangona kunjalo, ugqirha wakho angasebenzisana nawe ukunceda ukunciphisa umngcipheko we-fetal hydantoin syndrome. Umzekelo, banokuthi:

• Ukutshintsha amayeza akho ngaphambi nangexesha lokukhulelwa. Oku kunokubandakanya ukunciphisa inani lamayeza owasebenzisayo ngosuku. Okanye, ukutshintshela kwamanye amayeza angenakwenzakalisa umntwana ongekazalwa.
• Cebisa abafazi ukuba bathathe izongezo ze-folic acid ngaphambi nangexesha lokukhulelwa ukunceda ukukhusela kwiziphene zokuzalwa.

Ugqirha wakho uza kukubeka esweni ngokusondeleyo kulo lonke ixesha lokukhulelwa kwakho aze enze naluphi na utshintsho olufunekayo kumayeza akho. Ngoko ke, qiniseka ukuba uyawagcina amadinga akho kwaye wabelane ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo nogqirha wakho.

Ufanele ufune nini ingcebiso kagqirha?

Ukuba uthatha amayeza okukunceda uhlale usempilweni kwaye uyakwazi ukukhulelwa, okanye uceba ukukhulelwa, qiniseka ukuba uthetha nogqirha wakho. Baza kuhlola amayeza akho baze bagqibe ukuba kukho naluphi na utshintsho ekufuneka lwenziwe.

Ukuba sele ukhulelwe kwaye usela amayeza okufumana isifo sokuwa, landela ishedyuli yokubonana nogqirha wakho ngokuchanekileyo. Ezi ntlanganiso zibaluleke kakhulu kuba kulapho ugqirha wakho anokujonga khona ukukhulelwa kwakho aze alungise amayeza akho njengoko kufuneka. Baza kwenza konke okusemandleni abo ukukunceda uthintele isifo sokuwa ngelixa benciphisa nawuphi na umonakalo kumntwana wakho.

Ndingayibuza yiphi imibuzo ugqirha?

Eminye imibuzo onokuthi uyibuze ngaphambi kokuba ukhulelwe:

• Ingaba kukhuselekile ukuba ndikhulelwe?
• Zeziphi iinguqu ekufuneka ndizenze kumayeza am?
• Lingakanani ithuba lokuba amayeza am aza kuchaphazela ukukhula komntwana ongekazalwa?
• Ndingabuya nini ndize kukubona kwakhona?

Imibuzo omawuyibuze ukuba umntwana wakho ufunyaniswe ene-Fetal Hydantoin Syndrome:

• Le meko iza kumchaphazela njani umntwana wam?
• Loluphi unyango olucebisayo, kwaye luqala nini?
• Ndingamnyamekela njani umntwana wam ekhaya?
• Le meko iza kuyichaphazela njani inkqubela phambili okanye amandla okuqonda omntwana wam?
• Yintoni endimele ndiyilindele njengoko umntwana wam ekhula?

Ukukhulelwa lixesha apho izinto ezininzi zingaziwayo. Kwakhona, ukuba unemeko efuna ukuba usele amayeza, usenokuba uzibuza ukuba loo mayeza aza kuyichaphazela njani intsana yakho. Ukusela amayeza acetyisiweyo ngexesha lokukhulelwa kunokubangela i-fetal hydantoin syndrome okanye ezinye iziphumo ezingafunekiyo. Nangona kunjalo,Kusenokwenzeka ukuba amayeza awayi kuchaphazela ukukhulelwa kwakho – yiloo meko inokwenzeka kakhulu. Ugqirha wakho angakuxelela okungakumbi malunga noko unokukulindela aze akuxhase inyathelo ngalinye.

Umyalezo Wokuya Ekhaya

I-Fetal Hydantoin Syndrome, esithethe ngayo namhlanje, yimeko enokwenzeka kwiintsana ngenxa yamayeza okuxhuzula afana nePhenytoin asetyenziswa ngumama ngexesha lokukhulelwa. Oku akwenzeki kuwo wonke umntu , kodwa kukho umngcipheko.

Eyona nto ibalulekileyo kukuthetha nogqirha wakho ukuba usebenzisa amayeza okulungeleyo kwaye ucinga ngokukhulelwa, okanye sele ukhulelwe. Ungaze uyeke ukusebenzisa amayeza akho ngaphandle kwengcebiso kagqirha wakho. Ugqirha wakho uza kukunceda ulawule amayeza akho ngendlela ekhuselekileyo kuwe nakumntwana wakho.

Ukuba umntwana wakho unale meko, ungoyiki, funa ingcebiso kagqirha kwaye ufumane unyango olufunekayo kunye nenkxaso. Khumbula, awuwedwa, kukho oogqirha, abagqirha bezonyango, kunye namalungu osapho ukukunceda.

I- Fetal hydantoin syndrome, amayeza ngexesha lokukhulelwa, i-phenytoin, isifo sokuwa kunye nokukhulelwa, iziphene zokuzalwa, ukulibaziseka kokukhula, i-Dilantin