Uvuyo oluviwa ngumama okanye ngutata xa benomntwana omtsha alunakuchazwa ngamazwi, akunjalo? Kwangaxeshanye, nezinto ezincinci zinokubangela uloyiko olukhulu. Nabani na angakoyika ukuba ubona umzimba womntwana wakhe kunye namehlo amhlophe anombala otyheli kancinci. Oku sikubiza ngokuba yi-'Jaundice'. Le meko ixhaphake kakhulu phakathi kweentsana ezincanciswa ibele kuphela. Ke namhlanje, masithethe ngale jaundice eyenzeka ngexesha lokuncancisa , oko kukuthi, 'iJaundice yobisi lwebele' .
Yintoni kanye kanye i-jaundice?
Ngamafutshane, i-jaundice ayisosifo, luphawu lwesifo. Le meko yenzeka xa kukho ukwanda kwe-pigment emthubi ebizwa ngokuba yi-bilirubin egazini lethu.
Cinga nje, iiseli ezibomvu zegazi emzimbeni wethu nazo zinobomi obuthile. Xa ezi seli zisifa, xa ziqhekeka, kuveliswa into ebizwa ngokuba yi-bilirubin. Le yinkqubo eqhelekileyo. Emva koko isibindi sethu sithatha le bilirubin size siyicubungule ngendlela yokuba ikhutshwe emzimbeni. Emva koko ishiya umzimba unendle.
Kodwa isibindi somntwana osandul’ ukuzalwa asikakhuli ngokupheleleyo. Ngoko ke ngamanye amaxesha asikwazi ukuyicoca ngokukhawuleza le bilirubin size siyikhuphe emzimbeni. Emva koko loo bilirubin imthubi iqokelelana egazini ize ihlale kwiindawo ezifana nolusu lomntwana kunye namehlo amhlophe. Yiloo nto siyibiza ngokuba yi-jaundice.
Kuqhelekile ukuba iintsana ezisandul’ ukuzalwa ezimalunga ne-6 ukuya kwi-8 kwi-10 zibe nezinga elithile le-jaundice. Oku kubizwa ngokuba yi-'Physiologic Jaundice'. Iya kuphela kwiintsuku ezimbalwa.
Eyona nto ibalulekileyo kukuba ungayeki ukuncancisa umntwana wakho kuba nje enesifo senyongo. Isondlo kunye nokufuma okufumaneka kubisi lwebele kuya kunceda kakhulu ekuncedeni umntwana wakho ukuba aphile kwesi sifo.
Zithini izizathu ze-Breast Milk Jaundice?
Isizathu esichanekileyo soku asikaziwa okwangoku, kodwa oogqirha bakholelwa ukuba into ebisi lukanina iyawucothisa amandla esibindi somntwana okuqhekeza i-bilirubin. Isenokuba yimfuza, oko kuthetha ukuba idluliselwa kwizizukulwana ngezizukulwana.
Kufuneka siqaphele iintlobo ezimbini ze-jaundice ezenzeka kwiintsana ezincanciswayo.
| Uhlobo lwe-jaundice | Inkcazo |
|---|---|
| Ukuncancisa ibele I-Jaundice (ngenxa yobisi lwebele olunganeleyo) | Oku kwenzeka xa umntwana engafumani ubisi lwebele olwaneleyo, ingakumbi kwiintsuku zokuqala. Xa ubisi luncinci, umntwana uba neentshukumo ezimbalwa zamathumbu. Emva koko i-bilirubin ifunxwa kwakhona egazini endaweni yokuba ikhutshwe. Oku kwenzeka rhoqo kwiveki yokuqala emva kokuzalwa. |
| I-Jaundice yobisi lwebele (ngenxa yenxalenye yobisi lwebele) | Oku kwenzeka xa into esebisini lebele inciphisa ukuqhekeka kwe-bilirubin. Oku kudla ngokuqala malunga neveki emva kokuba umntwana ezelwe, kwaye kunokuhlala iiveki ezi-3 ukuya kwezi-4, okanye iinyanga ezi-2 ukuya kwezi-3 . Esi asiyongxaki. |
Ezinye izinto ezonyusa umngcipheko we-jaundice
- Ukuzalwa ngaphambi kwexesha: Iintsana ezizelwe ngaphambi kwexesha zinamandla aphantsi okususa i-bilirubin kuba izibindi zazo azikakhuli kakuhle.
- Ukungahambelani kohlobo lwegazi phakathi komama nosana: Ukuba uhlobo lwegazi lukamama luyi-O kwaye uhlobo lwegazi losana luyi-A okanye u-B, okanye ukuba umama une-Rh negative (-) kwaye umntwana une-Rh positive (+), ii-antibodies eziveliswa emzimbeni kamama zinokutshabalalisa iiseli zegazi ezibomvu zomntwana. Oku kunokubangela ukuba amanqanaba e-bilirubin anyuke.
- Ukwanda kwenani leeseli ezibomvu zegazi ekuzalweni: Okukhona zininzi iiseli ezibomvu zegazi, kokukhona kuveliswa i-bilirubin eninzi xa ziqhekeka.
- Iingxaki zemfuza: Ezinye iimeko zemfuza zibangela ukuba iiseli ezibomvu zegazi ziqhekeke lula (zibuthathaka).
Zithini iimpawu zoku? Uzibona njani?
Uphawu oluphambili nolucacileyo kukutyheli kolusu kunye namehlo amhlophe. Oku kutyheli kuqala ebusweni kuze kudlulele esifubeni , esiswini, kwaye ekugqibeleni emilenzeni.
Njengoko amanqanaba e-bilirubin esanda ngakumbi, ezinye iimpawu zinokuvela:
- Ubonisa ukozela kakhulu kunesiqhelo.
- Ubunzima okanye ukungafuni ukusela ubisi.
- Ukukhala rhoqo okanye ukwenza izinto ezibonisa ukucaphuka.
- Ndiziva ndingenamdla.
Nantsi indlela yokujonga ukuba umntwana une-jaundice.
Ngamanye amaxesha kunokuba nzima kancinci ukubona umbala otyheli womntwana onolusu olumnyama. Kwiimeko ezinjalo, zama oku: Kwindawo ekhanyiswe kakuhle, chukumisa ulusu lomntwana wakho ngomnwe wakho.Zama ukucinezela isandla sakho ebunzini okanye empumlweni. Ukuba indawo ijika ibe tyheli endaweni yokuba ibe mhlophe ize ibuyele kumbala wayo wesiqhelo xa uyichukumisa, isenokuba yi-jaundice .
Ngaba udinga ukubona ugqirha?
Ubisi lwebele I-jaundice idla ngokuba ngcono ngokwayo. Nangona kunjalo, kwezinye iimeko, kuyimfuneko ukufuna ingcebiso kagqirha. Ukuba unamathandabuzo amancinci engqondweni yakho, ungathandabuzi ukubona ugqirha.
Qiniseka ukuba wazisa ugqirha kwiimeko ezilandelayo:
- Ukuba umntwana akancancisi kakuhle.
- Ukuba umntwana ubonakala okanye uziphatha njengogulayo.
- Ukuba uziva ulele kakhulu kunesiqhelo.
- Ukuba ubutyheli bubonakala busiba mandundu (umzekelo, ukuba busasazeka ukuya emilenzeni).
- Ukuba indle yomntwana imhlophe okanye umchamo umnyama mthubi/mdaka.
Ugqirha uza kumxilonga umntwana, kwaye ukuba kuyimfuneko, angayalela uvavanyo lwegazi ukujonga inqanaba le-bilirubin egazini. Ngamanye amaxesha, umatshini okhanyayo unokusetyenziswa ukulinganisa amanqanaba e-bilirubin ngokukhanyisa ukukhanya okukhethekileyo eluswini.
Iphathwa njani?
Njengoko benditshilo ngaphambili, i-jaundice yobisi lwebele idla ngokuphela ngaphandle konyango. Unyango lufuneka kuphela xa amanqanaba e-bilirubin yosana ephezulu kakhulu kunamanqanaba akhuselekileyo acetyiswa ngoogqirha.
Unyango lugqitywa ngokusekelwe kwizinto ezifana nezi:
- Ubudala bomntwana.
- Ingaba umntwana wazalwa ngaphambi kwexesha?
- Izinga lokunyuka kwamanqanaba e-bilirubin.
- Indlela yokuncancisa umntwana kunye nemeko yakhe yempilo.
Ukuba amanqanaba e-bilirubin aphezulu kakhulu, kusetyenziswa olu hlobo lonyango:
- Unyango ngeFoto: Le yeyona ndlela isetyenziswa kakhulu. Apha, umntwana uboniswa kukukhanya okuluhlaza okwesibhakabhaka okukhethekileyo, amehlo kuphela egqunywe. Olu kukhanya lunokutshintsha ulwakhiwo lweemolekyuli zebilirubin, nto leyo evumela ukuba zikhutshwe lula emzimbeni kumchamo nakwindle.
- Ukuhlala unamanzi aneleyo (iiFluids): Ukuncancisa umntwana wakho kakuhle okanye ukumnika ezinye iziselo njengoko ugqirha wakho ekuyalele, ukuba kuyimfuneko, kuya kunceda ekukhawuleziseni ukususwa kwe-bilirubin emzimbeni.
- I-Intravenous Immunoglobulin (IVIG): Le inikwa iintsana ezine-jaundice ngenxa yokungahambelani kohlobo lwegazi phakathi komama nomntwana. Le yinaliti enikwa ngemithambo yegazi.
- Ukutshintshwa kweBlood Transfusion: Le yinkqubo engaqhelekanga kakhulu. Ukuba inqanaba le-bilirubin liba phezulu kakhulu ukuba lingalawulwa, igazi lomntwana liyasuswa kancinci kancinci lize litshintshwe lifakwe igazi elihambelanayo. Oku kwenzelwa ukuthintela ukonakala kwengqondo xa kukho imeko engxamisekileyo.
Musa ukoyika xa umntu ekuxelela ukuba umntwana wakho une-jaundice. Ixhaphake kakhulu kwiintsana ezisandul’ ukuzalwa. Ngolawulo olufanelekileyo nolwalathiso lwezonyango, inokuphiliswa ngokupheleleyo. Eyona nto ibalulekileyo kukuthemba ugqirha wakho nokulandela imiyalelo yakhe.
Umyalezo Wokuya Ekhaya
- Ubisi lwebele I-jaundice yimeko eqhelekileyo, kwaye ayisiyongozi, enokwenzeka kwiintsana ezincanciswayo.
- Oku kubangelwa yinxalenye ethile kubisi lwebele, kungekhona kukuba ubisi lwebele "lubi." Musa ukuyeka ukuncancisa nangasiphi na isizathu ngaphandle kwengcebiso kagqirha.
- Ukuba i-jaundice yomntwana wakho iyanda, iyadinwa, okanye iyanciphisa ukuthathwa kobisi, qhagamshelana nogqirha wakho ngoko nangoko.
- Le meko idla ngokuphela emva kweeveki okanye iinyanga ezimbalwa ngaphandle konyango.
- Ukuba unamathandabuzo okanye uloyiko, ungaze ungathandabuzi ukuxoxa ngalo nogqirha wakho.
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