Ingaba umntwana wakho ukhula kancinci? Masithethe ngoMqathango wokukhula kweNtsana (FGR)

Ukukhulelwa lixesha elihle nelinika ithemba ebomini bomama. Nangona kunjalo, kuqhelekile ukuba noloyiko kunye nokuthandabuza. Xa usiya ekliniki aze ugqirha athi into efana nokuthi, "Ukukhula komntwana kuhamba kancinci," kufanelekile ukuziva umthwalo omkhulu entliziyweni yakho. Kodwa ungakhathazeki. Namhlanje sithetha ngento ekufuneka uyiqaphele ngexesha elinje. Oko kukuthi, ukukhawulelwa kokukhula komntwana , okanye i-FGR ngamafutshane.

Kalula nje, yintoni i-FGR?

Ngamafutshane, uThintelo lokukhula kwemveku (i-FGR) kuxa umntwana osesiswini engakhuli ngesantya esiqhelekileyo esilindelekileyo kwiveki akuyo. Oku kuthetha ukuba umntwana mncinane kunokuba bekulindelwe. Oku kwakubizwa ngokuba yi-Intrauterine Growth Restriction (IUGR) ngaphambili. Ngoku uyaqonda, akunjalo? Kufana nesityalo esincinci esingafumani izondlo ezifanelekileyo namanzi, kwaye ukukhula kwaso kuya kuncitshiswa.

Kodwa into ebalulekileyo ekufuneka uyikhumbule apha kukuba i-FGR ethambileyo ayisoloko ibangela iingxaki ezihlala ixesha elide. Uninzi lweentsana lufikelela kubude nobunzima obufanayo nabanye abantwana xa beneminyaka emibini ubudala. Kodwa i-FGR enzima inokuchaphazela umntwana esibelekweni nasemva kokuzalwa. Uhlobo lweziphumo luxhomekeke kwisizathu se-FGR, ubunzima bayo, kunye nokuba yaqala nini ngexesha lokukhulelwa.

Ziziphi iingozi ezinokubakho kumntwana ngenxa ye-FGR?

Kukho ezinye iimeko umntwana one-FGR anokujongana nazo . Kubalulekile ukuzazi ezi.

Kutheni oku kusenzeka? Izizathu ze-FGR

Kukho izizathu ezininzi ezinokubangela i-FGR. Ezi zinokwahlulwa zibe ziindidi ezintathu eziphambili.

1. Iingxaki zePlacenta

Le yeyona nto ixhaphakileyo. Uyazi ukuba yintoni i-placenta? Yila tissue edibanisa umama nomntwana. Ithwala ioksijini kunye nezondlo ezifunwa ngumntwana kwaye isusa inkunkuma yomntwana. Ngoko ke ukuba i -placenta ayisebenzi kakuhle, umntwana akayi kufumana oko akudingayo kwaye ukukhula kwakhe kuya kudodobala.

2. Iimeko zempilo kamama

Ngamanye amaxesha, ingxaki yempilo kumama inokuchaphazela ukukhula komntwana.

• Isifo seswekile esingalawulekiyo (isifo seswekile esiphucukileyo)
• Uxinzelelo lwegazi oluphezulu okanye isifo sentliziyo
• Iintsholongwane ezifana neRubella, iCytomegalovirus (CMV), iToxoplasmosis
• Isifo sezintso okanye semiphunga
• Ukungondleki kakuhle okanye i-anemia (ukungabikho kwegazi)
• Izifo zegazi ezifana ne-sickle cell anemia
• Ukutshaya, ukusela utywala, okanye ukusebenzisa iziyobisi

3. Izizathu ezinxulumene nosana

• Umntwana uneziphene ezithile kwi-chromosome .
• Ukukhulelwa okuninzi okufana namawele, amawele amathathu.
• Ihlala kwindawo ephakamileyo engaphezu kwe-5,000 iinyawo ngaphezu kolwandle.

Iingozi ezikhethekileyo zamawele

Amawele adla ngokuba mancinci kancinci kunezinye iintsana, kodwa i-FGR inokwenzeka kwi-25% yokukhulelwa kwamawele. Amawele abelana nge-placenta asengozini enkulu.

• Ukusasazwa kwezondlo ngokungalinganiyo: Njengokuba izityalo ezimbini zityalwe embizeni enye, esinye sifumana izondlo ezingaphezulu kwaye esinye sibuna, umntwana omnye unokufumana igazi elingakumbi nezondlo kwaye omnye unokuba mncinci kakhulu.
• I-Twin-Twin Transfusion Syndrome (TTTS): Oku kwenzeka xa igazi lihamba ngokungalingani ukusuka kumntwana omnye ukuya komnye ngemithambo yegazi. Oku kuyingozi kakhulu kumntwana ngamnye.
• Ukuvalelwa kwentambo ye-umbilical: Ukuba abantwana ababini babelana nge-amniotic sac efanayo, intambo ye-umbilical inokuvalelwa ize ithintele ukuhamba kwegazi.

Oogqirha bayixilonga njani i-FGR?

I-FGR ayibonisi zimpawu njengoko unokulindela. Uphawu oluphambili kukuba umntwana mncinane kunokuba kufanele abe njalo . Ugqirha uza kukufumanisa oku ngexesha lovavanyo lwakho lweklinikhi.

• Ukuphakama kweFundal: Xa usiya ekliniki, ugqirha uza kulinganisa isisu sakho ngeteyipu yokulinganisa, akunjalo? Emva kweeveki ezingama-20, loo mlinganiselo (ngeesentimitha) kufuneka ulingane nenani leeveki zokukhulelwa kwakho. Ukuba loo mlinganiselo uphantsi kunokuba bekulindelwe, kucingelwa ukuba i-FGR.
• I-Ultrasound Scan: Olu lolona vavanyo lubalulekileyo. I-scan ilinganisa ubukhulu bentloko nesisu somntwana, kwaye ithelekise nobukhulu obuqhelekileyo beentsana ezikuloo minyaka ukuze kuqikelelwe ubunzima. Ikwajonga ubungakanani bolwelo lwe-amniotic olujikeleze umntwana. Ulwelo oluphantsi lunokuba luphawu lwe-FGR.
• I-Doppler Flow Scan: Olu luhlobo olukhethekileyo lwe-scan. Lulinganisa isantya kunye nobungakanani begazi elihamba ngemithambo yegazi kwi-umbilical cord nakwingqondo yomntwana. Oku kunokunceda ekuqinisekiseni ukuba umntwana ufumana igazi elaneleyo.
• Ezinye iimvavanyo: Kwezinye iimeko , i-Fetal Monitoring (CTG), ejonga indlela yokubetha kwentliziyo yomntwanaKusenokufuneka wenze uvavanyo okanye i-amniocentesis (uvavanyo oluthatha ulwelo oluncinci oluvela esibelekweni) ukuze kuhlolwe usulelo okanye ukungaqheleki kwee-chromosome. Konke oku kwenziwa ngokwemiyalelo kagqirha wakho.

Izinto onokuzenza ukunciphisa umngcipheko

Ngamanye amaxesha, i-FGR inokwenzeka nokuba umama uphilile kangakanani na. Nangona kunjalo, kukho izinto onokuzenza ukunciphisa le ngozi nokwandisa amathuba okuba nomntwana osempilweni.

• Yiya ekliniki ngexesha: Ungaphoswa yintlanganiso yeklinikhi. Kulapho ke naziphi na iingxaki zinokuchongwa ngokukhawuleza.
• Nika ingqalelo kwiintshukumo zomntwana wakho: Ukuba umntwana wakho akashukumi rhoqo, okanye ukuba ngequbuliso uyeka ukuhamba, oko kungaba luphawu lwengxaki. Ukuba ubona utshintsho kwiintshukumo zomntwana wakho , fowunela ugqirha wakho ngoko nangoko.
• Lumka ngamayeza owasebenzisayo: Ukuba usebenzisa amayeza esifo esithile, thetha nogqirha wakho ngaloo nto. Amanye amayeza anokuchaphazela ukukhula komntwana wakho.
• Yitya ukutya okunempilo nokunesondlo: Yitya ukutya okunempilo. Ukutya okunesondlo kunceda umntwana wakho akhule kakuhle.
• Phumla ngokwaneleyo: Ukuphumla kubaluleke kakhulu kuwe nakumntwana wakho. Zama ukulala ubuncinane iiyure ezisi-8 ebusuku. Kungcono nangakumbi ukuba ungathatha iyure enye okanye ezimbini zokuphumla emini.
• Lahla ngokupheleleyo imikhwa eyingozi: Ukuba utshaya, usebenzisa utywala okanye iziyobisi, yeka ukwenza ezo zinto ngokupheleleyo ngenxa yobomi obusempilweni bomntwana wakho.