Njengomama okanye utata, ulindela ngolangazelelo ukufika komntwana wakho emhlabeni. Kodwa ngamanye amaxesha, izinto azihambi njengoko bekucwangcisiwe. Ukuba umntwana wakho uzelwe ngaphambi kwexesha okanye unengxaki yempilo enzima ekuzalweni, kuyinto eqhelekileyo ukuba uzive uloyiko olukhulu kunye nexhala. Kodwa ungakhathazeki. Kukho ugqirha oqeqeshwe ngokukodwa ukunyamekela umntwana wakho ngeli xesha linzima. Simbiza loo gqirha ngokuba yiNeonatologist . Namhlanje, masithethe ngokuba ngubani lo gqirha kunye nento ayenzayo.
Ngubani kanye kanye ingcali yezifo ezisandul’ ukuzalwa?
Ngamafutshane, i-Neonatologist ngugqirha ogxile kwiintsana ezisandul’ ukuzalwa. Kodwa ayizizo zonke iintsana ezisandul’ ukuzalwa. Lo ngugqirha onyanga iintsana ezizelwe ngaphambi kwexesha , okanye ezo zizelwe zinesifo esinzima, ukukhubazeka kokuzalwa, okanye ezinye izinto ezinobungozi.
Khawuthelekelele ukuba umntwana wakho wazalwa ngaphambi kweeveki ezingama-37. Amalungu akhe, ingakumbi imiphunga yakhe nentliziyo, asenokungakhuli ngokupheleleyo. Okanye umntwana usenokuba nesifo sentliziyo esafunyaniswa ekuzalweni kwakhe. Kwiimeko ezinjalo, ingcali yezifo ezisandul’ ukuzalwa iya kumnyamekela umntwana.
Aba gqirha badla ngokusebenza kwiiYunithi zoNyango oluNcinci lweZifo eziNabantwana (ii-NICU) ezibhedlele. Eli ligumbi elibonelela ngononophelo olukhethekileyo lweeyure ezingama-24 kwiintsana ezigulayo okanye ezizelwe ngaphambi kwexesha. Ngamanye amaxesha, ukuba ingxaki ichongiwe ngexesha leskeni ngaphambi kokuba umntwana azalwe, ingcali yeZifo eziNabantwana isenokuba yinxalenye yokukhulelwa kwakho ukususela ngelo xesha ukuya phambili. Basenokuba bekhona kwigumbi lokubelekisa ukuze banyamekele umntwana wakho emva nje kokuzalwa.
Yintoni indima ephambili yengcali yezifo ezisandul’ ukuzalwa?
Uxanduva lwengcali yezifo ezisandul’ ukuzalwa lubanzi kakhulu. Akupheleli nje ekunikeni umntwana amayeza. Umsebenzi wabo ophambili kukulungelelanisa yonke into efunekayo ukusindisa ubomi bomntwana omncinci kakhulu onesifo esinzulu.
Masiyiqonde ngokucacileyo le theyibhile ingezantsi.
| Umsebenzi | Ingcaciso elula |
|---|---|
| Uxilongo kunye nonyango | Bafumanisa ukuba zeziphi izifo, usulelo, kunye nezinye iingxaki umntwana osandula ukuzalwa anazo, baze baqalise unyango olufunekayo. |
| Ulawulo lokhathalelo kunye nokulungelelanisa | Ukuba umntwana udinga utyando, okanye ukuba kufuneka uncedo lwabanye oogqirha, njengogqirha wentliziyo okanye ugqirha wezifo zengqondo, yonke into iyacwangciswa ukuqinisekisa ukuba umntwana ufumana unyango olungcono. |
| Ukuqhuba iimvavanyo | Uvavanyo olufana novavanyo lwegazi, ii-X-ray, ii-echocardiograms, okanye ii-ultrasound ziyalelwe ukuba zijonge imeko yomntwana. |
| Uqinisekiso lwesondlo | Usana olugulayo lusenokungakwazi ukuncancisa ngokufanelekileyo. Ngoko ke, siyaqinisekisa ukuba umntwana ufumana isondlo esifanelekileyo. Ukuba kuyimfuneko, singasebenzisa neetyhubhu zokutyisa. |
| Abazali abaxhasayo | Abazali baxinezeleka kakhulu xa umntwana wabo ekwi-NICU. Ngoko ke, ngumsebenzi obalulekileyo waba gqirha ukwazisa abazali ngemeko yomntwana kunye nonyango lwakhe, nokubanika inkxaso yengqondo abayidingayo. |
Udinga nini uncedo lwe-Neonatologist?
Amaxesha amaninzi, kufuneka ugqirha weentsana ezisanda kuzalwa ngequbuliso nangokungalindelekanga. Nangona kunjalo, kwezinye iimeko, uncedo lwengcali enjalo lunokufuneka ngexesha lokukhulelwa.
Nazi ezinye zeemeko ezinjalo:
- Ukuba ukukhulelwa kwakho kusemngciphekweni omkhulu: Ukuba uneengxaki zempilo ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu, umntwana unokuchaphazeleka.
- Ukuba kukho ithuba elikhulu lokuba umntwana azalwe ngaphambi kwexesha: Ukuba oogqirha bakufumanise oku kwangaphambili, ungacela uncedo kugqirha weentsana ezisanda kuzalwa.
- Ukuba umntwana osesiswini ufunyaniswa ukuba unesifo sokuzalwa:Ukuba iiskeni zifumanisa ingxaki entliziyweni yomntwana, engqondweni, okanye kwelinye ilungu lomzimba, ugqirha weentsana ezisanda kuzalwa uya kwenza izicwangciso ngaphambi kokuba umntwana azalwe.
- Ukuba umntwana uzelwe ngaphambi komhla wokuzalwa.
- Ukuba umntwana wenzakele ngexesha lokubeleka.
- Ukuba umntwana uzelwe enesifo okanye enesifo.
- Ukuba kuvela naziphi na iingxaki ezingalindelekanga ngexesha okanye emva kokubeleka.
Eyona nto ibalulekileyo kukwazi ukuba awuwedwa kule meko. Khumbula ukuba uneqela lezonyango elinobuchule elinokubonelela ngononophelo olungcono kumntwana wakho.
Iimeko eziqhelekileyo ezinyangwa yingcali yeentsana ezisanda kuzalwa
Ingcali ye-neonatologist iphatha izifo ezahlukeneyo ezinzima, kuquka:
- Ukukhula ngaphambi kwexesha: Oku kubangela iingxaki kumalungu omzimba (ingakumbi imiphunga) angakakhuli ngokupheleleyo.
- Ubunzima obuphantsi bokuzalwa: Umntwana onobunzima obungaphantsi kwama-2500 grams okanye umlinganiselo wokukhula komntwana ongekazalwa.
- Iingxaki zokuzalwa: Iimeko ezikhoyo ekuzalweni, ezifana nemingxunya entliziyweni (iingxaki zeseptal), iingxaki zenkqubo yemithambo-luvo.
- Iingxaki zokuphefumla: Umntwana unengxaki yokuphefumla yedwa.
- Isifo sentliziyo: Iimeko ezifana nokubetha kwentliziyo okungahambelaniyo (bradycardia) okanye ukungasebenzi kakuhle kwentliziyo.
- Iingxaki zobuchopho: Iimeko ezinzulu ezifana nokuxhuzula okanye ukopha engqondweni.
- Amanqanaba aphantsi eswekile egazini (iHypoglycemia).
- I-Jaundice: Yimeko eqhelekileyo kodwa ngamanye amaxesha imbi kakhulu kwiintsana ezisandul’ ukuzalwa.
- Ukulimala kokuzalwa.
Yintoni umahluko phakathi kwe-neonatologist kunye ne-doctor of bantwana?
Le yinto edida abantu abaninzi. Ngamafutshane, yonke iNeonatologist ekuqaleni yiPediatrician.
Cinga ngale ndlela. Ugqirha wezingane ngugqirha onyanga zonke izifo zomntwana, amnike imijovo, aze ajonge ukukhula kwakhe ukususela ngomhla wokuzalwa kwakhe ukuya kuthi ga kwiminyaka eli-18 ubudala. Nguye "ugqirha womntwana" wakho.
Kodwa i-Neonatologist ngugqirha wabantwana ochithe iminyaka eliqela egxile kwiintsana ezisandul’ ukuzalwa, ingakumbi ezo zineengxaki zempilo ezinzulu. Ingqwalasela yabo ikukunyangela iimeko ezisongela ubomi ezenzeka kwiintsuku zokuqala okanye kwiiveki ezimbalwa zobomi bomntwana. Nje ukuba umntwana wakho aphile aze abuyele ekhaya evela kwi-NICU, ugqirha wakho wezingane oqhelekileyo uya kuthatha ukhathalelo lomntwana wakho.
Zeziphi iindlela zonyango ezinikezelwa yingcali yezifo ezisandul’ ukuzalwa?
I-NICU yindawo enezixhobo zanamhlanje. Ingcali yezifo ezisandul’ ukuzalwa isebenzisa ezi zixhobo kunye nonyango olwahlukeneyo ukunceda ukusindisa ubomi bomntwana wakho.
| Indlela yonyango | Ingcaciso elula |
|---|---|
| Ukunceda ukuphefumla | Izixhobo ezifana neCPAP kunye ne-ventilator zisetyenziselwa ukunceda umntwana aphefumle. |
| Ulawulo lobushushu bomzimba | Iintsana ezisandul’ ukuzalwa zinobunzima bokulawula ubushushu bomzimba wazo, ngoko ke zifakwa kwizixhobo ezifudumeleyo ezifana nee-incubator. |
| Unyango olukhanyayo | Iintsana ezine-jaundice zinyangwa ngokuzibeka kukukhanya okuluhlaza okwesibhakabhaka okukhethekileyo. |
| Unyango lwe-IV | Umntwana unikwa ulwelo, amayeza okubulala iintsholongwane, kunye neminye imithi ngetyuwa. Utofelo-gazi nalo lwenziwa ukuba kuyimfuneko. |
Ukuba umntwana wakho udinga unyango oluvela kwingcali yezifo ezisandul’ ukuzalwa, ugqirha uza kukuchazela yonke into malunga nemeko yomntwana wakho, unyango olunikwayo, kunye nemingcipheko yawo. Zive ukhululekile ukubuza ugqirha nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Lilungelo lakho.
Umyalezo Wokuya Ekhaya
- Ingcali yeentsana ngugqirha oqeqeshwe ngokukhethekileyo kwiintsana ezisandul’ ukuzalwa, ingakumbi ezo zizelwe ngaphambi kwexesha okanye ezineemeko zonyango ezinzima.
- Ukuba umntwana wakho ufuna unyango kwi-NICU, umntwana uya kunyanyekelwa liqela lezonyango elikhokelwa yi-Neonatologist.
- Aba gqirha balawula ukuxilongwa komntwana, unyango, ukutya okunesondlo, kunye nokhathalelo olupheleleyo.
- Zive ukhululekile ukubuza ugqirha wakho nayiphi na imibuzo onayo malunga nemeko okanye unyango lomntwana wakho. Lilungelo lakho ukufumana ulwazi olucacileyo.
- Ingcali yezifo ezisandul’ ukuzalwa ngumntu ozinikele ekunikeni umntwana wakho ubomi obusempilweni. Ngoko ke thembela iqela lezonyango.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho