Xa ugqirha ekuxelela ukuba umntwana wakho ongekazalwa unesiphako sokuzalwa, intlungu noloyiko oluviwa ngumama alunakuchazwa. Kodwa ngenxa yenkqubela phambili kwezonyango namhlanje, kukho izisombululo ezithembisayo. Esinye sazo lutyando losana olungekazalwa. Nangona le yingongoma enzima, masithethe ngayo ngokulula nangendlela onokuyiqonda.
Ngamafutshane, yintoni utyando lomntwana ongekazalwa?
Utyando losana olusandul’ ukuzalwa lutyando olwenziwa kumntwana wakho ngelixa esakhula ngaphakathi esibelekweni sakho. Ngamanye amaxesha olu tyando lubizwa ngokuba ‘lutyando olungaphakathi kwesibeleko’. Cinga ngalo njengemoto enengxaki yenjini yayo, kodwa endaweni yokuyikhupha emotweni, bayayilungisa ngelixa isengaphakathi. Kule meko, oogqirha botyando banyanga ingxaki yomntwana ngelixa esengaphakathi esibelekweni.
Oku kuneenjongo ezimbini eziphambili. Enye kukusindisa ubomi bomntwana ngokulungisa into esongela ubomi bomntwana. Enye kukunciphisa ukukhubazeka okunzulu okunokwenzeka emva kokuzalwa nokunika umntwana ithuba lokuphila ubomi obuhle .
Kutheni kufuneka wenze olu tyando?
Ezinye iziphene zokuzalwa zinokuba nemiphumo emibi kakhulu kumntwana ngelixa esesesibelekweni.
Umzekelo, khawucinge ukuba kukho ithumba elikhulu eliye lenzeka emaphashini omntwana. Njengoko likhula, intliziyo encinci yomntwana iqala ukubetha. Ukuba oko kuyenzeka, intliziyo iya kungasebenzi, kwaye umntwana usenokufa.
Kukho ezinye iimeko, nangona zingasongeli ubomi ngoko nangoko, ezinokubangela ukukhubazeka ubomi bonke emva kokuzalwa. Umzekelo yi-spina bifida, imeko yomqolo. Oku kudla ngokuphathwa emva kokuba umntwana ezelwe. Nangona kunjalo, ukuba olu tyando lwenziwa ngelixa umntwana esesesibelekweni, umonakalo kwinkqubo yemithambo-luvo ungancitshiswa kakhulu. Oku kuthetha ukuba umntwana uya kukwazi ukuhamba nokwenza izinto ngokwakhe emva kokuzalwa.
Into ebalulekileyo kukuba olu tyando alwenziwa kuzo zonke iziphene zokuzalwa. Lugqitywa liqela loogqirha abaziingcali emva kokuhlola ngononophelo imeko kamama nomntwana.
Zenziwa njani ezi ntlobo zotyando? Zeziphi iindlela eziphambili?
Kukho iindlela ezintathu eziphambili zokwenza utyando losana olungekazalwa. Oogqirha bakhetha enye yezi ndlela ngokuxhomekeke kwimeko yomntwana kunye nempilo yakhe.
| Indlela yotyando | Indlela elula yokwenza oko | Izihlandlo ezisetyenziswa rhoqo |
|---|---|---|
| Utyando Oluvulekileyo | Kule meko, unikwa i-anesthesia, kwaye isisu sakho siyasikwa, kanye njengotyando lotyando, kwaye isibeleko sakho siyasuswa. Emva koko, isibeleko sakho siyasikwa, kwaye umntwana uyatyandwa ngelixa esengaphakathi. Emva koko, isibeleko kunye nesisu ziyavalwa kwakhona, okuvumela umntwana ukuba aqhubeke nokukhula. | Kwiimeko ezinzima ezifana ne-Spine Bifida. |
| Utyando lwe-Fetoscopic | Olu lutyando "lwe-keyhole". Olu tyando lwenziwa ngokwenza imingxunya emincinci kakhulu esiswini nasesibelekweni, kunye nokufaka ikhamera (i-fetoscope) kunye nezixhobo ezithambileyo kakhulu. Imingxunya mincinci kakhulu. | Iimeko ezifana neTwin-to-Twin Transfusion Syndrome kunye neCongenital Diaphragmatic Hernia, ezenzeka phakathi kwamawele. |
| Utyando olwenziwe ngexesha lokubeleka (Inkqubo yokuPhuma) | Le yinkqubo ekhethekileyo. Njengotyando lotyando, isibeleko siyavulwa kwaye inxalenye yomntwana, njengentloko namagxa, isuswa ngaphandle kokususwa ngokupheleleyo komntwana. Ngelixa intambo yesisu isanamathele kwi-placenta, umntwana unikwa naluphi na unyango olufunekayo (umz., ukucoca indlela yomoya), kwaye kuphela emva koko intambo yesisu iyanqunyulwa kwaye umntwana wahlulwe ngokupheleleyo. | Xa uziva ngathi unengxaki yokuphefumla ngenxa yethumba elikhulu entanyeni yakho. |
Zeziphi iimeko ezinyangwa ngolu tyando?
Ezi ziimeko ezingaqhelekanga kodwa zinzima kakhulu. Eminye imizekelo yile:
- Iingxaki zamawele e-monochorionic
- I-Spine Bifida (`i-Spina Bifida` okanye i-`myelomeningocele`)
- Ukukhubazeka kwemiphunga ezelwe
- I-hernia ye-diaphragmatic yokuzalwa
- I-Sacrococcygeal teratoma (ithumba elivela kwinxalenye esezantsi yomqolo)
- Ukuvaleka komchamo okusezantsi
Kwenzeka ntoni ngexesha lohambo? Ngaphambi nasemva kotyando
Ukuba umntwana wakho ufunyaniswe enesinye sezi ziphene zokuzalwa, lixesha elinzima kakhulu. Iqela lezonyango liza kukubeka esweni wena nomntwana wakho ngokusondeleyo.
Ngaphambi kotyando:
- Uxilongo: Okokuqala, iingcali zisebenzisa iiskeni kunye nezinye iimvavanyo ukuze zifumanise ukuba imeko yomntwana injani kanye kanye nokuba imbi kangakanani.
- Ingxoxo: Emva koko, iqela lezonyango liza kuthetha nawe nosapho lwakho malunga neendlela onokukhetha kuzo, oko kuya kwenzeka xa utyando, oko kuya kwenzeka xa ungenzi njalo, kunye nazo zonke iingozi kunye neenzuzo. Oku kuya kukunceda wenze isigqibo.
- Ukulungiselela: Ukuba ugqiba ekubeni wenze utyando, uza kwenza onke amalungiselelo afunekayo.
Emva kotyando:
- Ukulaliswa esibhedlele: Ngokuxhomekeke kuhlobo lotyando, kunokufuneka uhlale esibhedlele iintsuku ezimbalwa. Oogqirha kunye nabahlengikazi baya kuqhubeka bekhathalela wena nomntwana wakho.
- Ukuzalwa ngaphambi kwexesha: Ngamanye amaxesha olu tyando lunokubangela ukuba umntwana azalwe ngaphambi komhla wokuzalwa (`ukubeletha ngaphambi kwexesha`). Oogqirha banika amayeza okumisa oku, kodwa akusoloko kuphumelela.
- Utyando lotyando: Ukuba kwenziwe utyando lomntwana ongekazalwa, umntwana kuya kufuneka azalwe ngotyando lotyando (`utyando lwe-C`) kuba kukho ukunqunyulwa kwesibeleko.
- Ukhathalelo olukhethekileyo kumntwana: Emva kokuzalwa, ezinye iintsana zinokufuna unyango kwiyunithi yokhathalelo oluphezulu lweentsana ezisandul’ ukuzalwa (i-NICU).
Zithini iingenelo kunye neengozi?
Ekubeni esi sisigqibo esikhulu, omabini amacala kufuneka aqondwe kakuhle.
Eyona nzuzo iphambili kukuba inokusindisa ubomi bomntwana okanye inciphise kakhulu amathuba okuba angakwazi ukukhubazeka kwixesha elizayo. Ingakumbi kwiimeko ezifana ne-'Spina Bifida', utyando lwasekuqaleni lonyusa amathuba okuba umntwana akwazi ukuhamba.
Nangona kunjalo, kukwakho neengozi . Ezi zinokuchaphazela umama nomntwana.
| Iingozi kumama | Iingozi ezinokubakho kumntwana |
|---|---|
| Iziphumo ebezingalindelekanga ezibangelwa yi-anesthesia. | Ukuzala kwangaphambi kwexesha. |
| Ukopha kakhulu ngexesha lotyando. | Ukuqhawuka kwe-placenta. |
| Ukuncitshiswa okanye ukuvuleka komlomo wesibeleko. | Usulelo lwe-amniotic fluid esibelekweni (aluqhelekanga). |
| Ukukhulelwa kwangoku nokwexesha elizayo kunokufuna utyando lotyando. | Ukwahlulwa kwe-membrane ye-Chorioamniotic. |
Xa kukho ukukhulelwa okunzima ngolu hlobo, uxinzelelo kunye nexhala kunokuba nzima kakhulu. Ukwenza izigqibo kunokuba nzima kuwe nakusapho lwakho. Ufuna iziphumo ezilungileyo kuwe nakumntwana wakho. Oogqirha bakho bafuna okufanayo. Ngoko ke, ungoyiki ukubuza ugqirha wakho nayiphi na imibuzo onayo. Baza kukunika lonke ulwazi oludingayo kwaye bakuxhase ekwenzeni isigqibo.
Umyalezo Wokuya Ekhaya
- Utyando lwe-Fetal luyinkqubo yotyando ephucukileyo kakhulu enyanga iziphene ezininzi zokuzalwa ngelixa umntwana esesesibelekweni.
- Oku kwenzelwa ukusindisa ubomi bosana okanye ukunciphisa ukukhubazeka okukhulu okunokwenzeka emva kokuzalwa.
- Le yinkqubo enzima kakhulu, kwaye kukho iingozi ezinkulu kumama nakumntwana.
- Esi sisigqibo esinobuzaza kakhulu nesinzima ukusenza. Xoxa nogqirha wakho ngayo yonke into onayo engqondweni, uloyiko lwakho, amathandabuzo akho, kunye nemibuzo.
- Kwimeko enjalo, kubalulekile ukufuna iingcebiso kwiingcali ezifanelekileyo nakwisibhedlele esenza utyando olunjalo.
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