Oomama abaninzi bacinga ngezinto eziliwaka xa belindele umntwana. Eyona nto ibalulekileyo kukuba umntwana uphilile kwaye ukhula kakuhle na. Kodwa ngamanye amaxesha kufuneka sifunde ngeemeko zempilo esingazange sive ngazo, kwaye ezoyikisayo kancinci. Enye yezi meko ingaqhelekanga, kodwa ngokuqinisekileyo kufanelekile ukuyazi yile meko ibizwa ngokuba yi-'Hydrops Fetalis'. Musa ukoyika xa usiva oku. Eyona nto ibalulekileyo kukwazi kakuhle oku.
Yintoni kanye kanye iHydrops Fetalis?
Ngamafutshane, oku kwenzeka xa ulwelo oluninzi luqokelelana emzimbeni womntwana osesiswini okanye kumntwana osandul’ ukuzalwa. Olu lwelo lunokuqokelelana naphi na, njengakwindawo yesisu, ejikeleze intliziyo nemiphunga, okanye phantsi kolusu. Khawucinge nje, ulwelo olongezelelweyo oluqokelelana ngale ndlela lubeka uxinzelelo olukhulu entliziyweni yomntwana nakwezinye izitho ezibalulekileyo. Kufuneka siqonde ukuba esi sisifo esibi kakhulu esinokuchaphazela nobomi bomntwana ukuba asinyangwa ngendlela efanelekileyo.
Zithini iimpawu zale meko?
Iimpawu zomntwana ngamnye zinokwahluka, kodwa kukho iimpawu eziqhelekileyo ezinokubonakala. Ezi zinokwahlulwa zibe ngamacandelo amabini: ngexesha lokukhulelwa nasemva kokuba umntwana ezelwe.
| Iimpawu ezibonwa ngexesha lokukhulelwa (nge-ultrasound) | Iimpawu ezibonakala emva kokuba umntwana ezelwe |
|---|---|
| Ubungakanani bolwelo lwe-amniotic olujikeleze umntwana esibelekweni buyanda kakhulu. | Ulusu lomntwana lumhlophe. |
| I-placenta ityebile kunesiqhelo. | Ukubila kakhulu. |
| I-spleen kunye nentliziyo yomntwana ziyakhula. | Ubunzima bokuphefumla. |
| Ukwanda kolwelo olujikeleze amalungu omzimba, intliziyo, okanye imiphunga yomntwana. | Isibindi esikhulu kunye ne-spleen. |
Kukho iintlobo ezimbini eziphambili zeHydrops Fetalis:
Le meko inokwahlulwa ibe ziintlobo ezimbini eziphambili kuxhomekeke kwindlela eyenzeka ngayo.
1. Ii-hydrops ezingenawo amajoni omzimba
Olu lolona hlobo luxhaphakileyo. Lubangela ama- 80-90 ekhulwini eemeko ezixeliweyo. Lunokubangelwa sisifo semfuza kumntwana okanye sisiphene sokuzalwa. Ngamafutshane, oku kungenxa yokuba umzimba womntwana awukwazi ukulawula kakuhle amanqanaba akhe olwelo.
2. Uhlobo olunxulumene nomzimba (ii-immuno hydrops)
Oku kunqabile kancinci. Kwenzeka xa kukho ukungangqinelani phakathi kweeseli ezibomvu zegazi kumama negazi lomntwana .
Cinga ngale ndlela: ukuba uhlobo lwegazi lukamama aluna-Rh kwaye uhlobo lwegazi lomntwana lune-Rh, inkqubo yomzimba kamama ibona iiseli zegazi ezibomvu ze-Rh zomntwana 'njengotshaba lwangaphandle.' Emva koko yenza ii-antibodies zokutshabalalisa ezo seli kwaye izithumele emzimbeni womntwana.
Xa iiseli ezibomvu zegazi ezininzi zomntwana zitshatyalaliswa ngale ndlela, umntwana uba nesifo esibizwa ngokuba yi-anemia . I-anemia ibangelwa kukungabikho kweeseli ezibomvu zegazi ezaneleyo zokuthwala ioksijini emzimbeni wonke. Ngamanye amaxesha oku kunokubangela iingxaki zempilo ezincinci kumntwana. Kodwa ukuba iba mandundu, intliziyo yomntwana inokuyeka ukusebenza (ukusilela kwentliziyo).
Zithini izizathu zeHydrops Fetalis?
Eyona nto ibalulekileyo ekufuneka uyiqonde kukuba iHydrops Fetalis ayisosifo sinye. Luphawu oluvela ngenxa yesinye isifo esingabonakaliyo. Kukho izizathu ezininzi eziphambili ezinokubangela oku.
- Isifo se-Hemolytic somntwana osandul’ ukuzalwa: Oku kwenzeka ngenxa yokungahambelani kweentlobo zegazi likamama nosana, njengoko besixoxile ngaphambili.
- I-anemia enzulu: Le meko, ebangelwa kukuncipha kweeseli ezibomvu zegazi, inokuba yimbangela enkulu ye-hydrops.
- Usulelo: Ukuba umntwana unesulelo ngexesha lokuzalwa, oko kunokukhokelela kule meko.
- Iziphene zentliziyo nemiphunga: Ukuba intliziyo okanye imiphunga yomntwana ayikhulanga kakuhle, oko kungaba yimbangela.
- Ezinye iziphene zokuzalwa kunye nokungahambi kakuhle kokuzalwakunye ne-anomalies yokuzalwa): Ezinye iziphene zokuzalwa nazo ziyandisa umngcipheko wale meko.
- Isifo sesibindi: Ukuba kukho ingxaki kwisibindi somntwana, inokubangela neHydrops Fetalis.
Ungayibona njani le meko?
Ugqirha wakho uhlala efumanisa le meko ngexesha lovavanyo lwe-ultrasound oluqhelekileyo ngaphambi kokukhulelwa. Ukuba umntwana wakho unomlinganiselo ongaqhelekanga wolwelo kwiindawo ezimbini okanye ngaphezulu, unokurhanela ukuba i-hydrops fetalis ikwindawo enye. Ugqirha uya kujonga nomlinganiselo wolwelo, ubukhulu be-placenta, kunye nokuba amalungu omntwana, njengentliziyo nesibindi, akhulisiwe na.
Le meko ingafunyanwa nangovavanyo lwegazi ukuze kubonwe ukuba kukho na ukungangqinelani phakathi kwegazi likamama nomntwana.
Iphathwa njani?
Le yimeko enzima kancinci, ngoko ke iindlela zonyango zixhomekeke kwisizathu esiyintloko kunye nobunzima bemeko.
Ukuba oku kufunyenwe ngexesha lokukhulelwa, kusenokungabi lula ukunyanga. Ngamanye amaxesha, oogqirha banokugqiba ekubeni babelethe umntwana kwangethuba (ukuqala kokubeleka).
Ukuba umntwana uzelwe ene-Hydrops Fetalis, umntwana uya kufuna unyango olukhethekileyo .
- Umntwana usenokufuna ukuqhagamshelwa kumatshini (i-ventilator) ukuze amncede aphefumle.
- Ulwelo olongezelelekileyo oluqokelelene entliziyweni yomntwana, emaphaphu nasesiswini lusenokufuna ukususwa kusetyenziswa inaliti.
Umntwana kuya kufuneka agcinwe phantsi kweliso elibukhali leqela lezonyango esibhedlele de imeko engaphantsi ilawulwe. Eyona nto ingcono onokuyenza kwimeko enjalo kukuthetha nogqirha wakho rhoqo uze ulandele imiyalelo yakhe ngokuchanekileyo.
Umyalezo Wokuya Ekhaya
- I-Hydrops Fetalis kukuqokelelana okungaqhelekanga kolwelo emzimbeni wosana olusandul’ ukuzalwa okanye usana olusandul’ ukuzalwa. Le yimeko enzulu.
- Esi asisosifo esahlukileyo, kodwa luphawu lwenye imeko yezonyango (umz. i-anemia, usulelo, iziphene zokuzalwa).
- Oku kudla ngokuchongwa ngexesha lokuhlolwa kwe-ultrasound ngexesha lokukhulelwa.
- Esinye isizathu soku kusenokuba ziintlobo zegazi likamama nelomntwana ezingahambelaniyo (ingakumbi i-Rh factor).
- Unyango luxhomekeke kwisizathu esiyintloko. Unyango olukhethekileyo lwasesibhedlele lunokufuneka emva kokuba umntwana ezelwe.
- Ukuba unamathandabuzo okanye uloyiko malunga noku, thetha nogqirha wakho ngoko nangoko. Leyo yeyona nto ibalulekileyo.
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