Njengomama oza kuzalwa, yonke intshukumo yomntwana wakho esibelekweni sakho, yonke imifanekiso oyibonayo kwiskeni, ixabisekile. Kodwa ngamanye amaxesha, xa ugqirha ejonga iskeni aze athi, "Umntwana ubonakala enengxaki encinci," kunzima ukuchaza uloyiko kunye nexhala olivayo. Kodwa ungakhathazeki. Namhlanje, amayeza aphucuke kakhulu. Ezinye iziphene zokuzalwa kunye neemeko zonyango zinokunyangwa ngaphambi kokuba umntwana eze kweli hlabathi, oko kukuthi, ngaphakathi kwesibeleko sakho. Loo nkqubo yonyango imangalisayo yinto esiyibiza ngokuba yi "Fetal Surgery." Makhe sithethe ngale nto ngokulula.
Yintoni utyando losana olungekazalwa?
Ngamafutshane, utyando losana olungekazalwa lutyando olwenziwa kumntwana wakho ngelixa esesesibelekweni. Abanye abantu balubiza ngokuba 'lutyando lwangaphakathi kwesibeleko' okanye 'utyando lwangaphambi kokuzalwa'.
Khawucinge nje, ukuba umntwana unesiphene sokuzalwa, eso siphene sinokuba sibi kancinci kancinci njengoko sikhula ngaphakathi esibelekweni. Kodwa ngale ndlela, iqela leengcali linokunyanga esi siphene ngaphambi kokuba umntwana azalwe kwaye linciphise impembelelo yaso. Ngamanye amaxesha oku kuyimfuneko ukusindisa ubomi bomntwana nokuphucula impilo yakhe yexesha elizayo. Kwiimeko ezingezizo eziqatha , oogqirha bakwabiza oku ngokuthi "ukungenelela komntwana ongekazalwa."
Ngokuxhomekeke kwimeko yosana, olu tyando lunokwenziwa kwasekuqaleni kweeveki ezili-16. Nangona kunjalo, utyando olunzima ngakumbi ludla ngokwenziwa phakathi kweeveki ezingama-22 nezingama-26 zokukhulelwa.
Kutheni kufuneka wenze olu hlobo lotyando?
Eyona njongo iphambili yoku kukunceda umntwana akhule kakuhle. Ezinye iziphene zokuzalwa zingasongela ubomi. Ezinye, nangona zingengobungozi, zinokubangela ukuba umntwana abe nokukhubazeka okuthile emva kokuzalwa.
Ngokwesiqhelo, ezi ntlobo zezigulo zinyangwa emva kokuba umntwana ezelwe. Nangona kunjalo, kukho iimeko apho iziphumo ziba ngcono kakhulu xa zinyangwa ngelixa umntwana esesesibelekweni. Ukuzinyanga kwangethuba kunokunciphisa umonakalo kumalungu omzimba womntwana kwaye kuncede ahlale esempilweni ixesha elide.
Eli licandelo elikhethekileyo kakhulu. Isigqibo sokwenza utyando olunjalo senziwa kuphela xa oogqirha beqinisekile ukuba akukho ndlela yimbi kwaye ibaluleke kakhulu kwikamva lomntwana.
Loluphi uhlobo lweqela leengcali elenza olu tyando?
Oku akuyonto eyenziwa ngumntu omnye. Kuthatha iqela leengcali eziqeqeshwe kakhulu nezinolwazi oluninzi. Iqela lidla ngokuquka:
- Iingcali kwizonyango zoomama kunye nosana olungekazalwa (Iingcali zonyango loomama nosana ): Oogqirha abajongana ngqo nempilo kamama nomntwana.
- Oogqirha babantwana: Oogqirha abaziingcali ekuhlinzeni iintsana.
- Iingcali zokubulala iintlungu kumama nakubantwana: Banika umama nomntwana i-anesthesia ngononophelo ngexesha lotyando.
- Iingcali zentliziyo ezingekazalwa: Iingcali ezijonga iingxaki zentliziyo yomntwana.
- Iingcali zomfanekiso we-fetus: Abo bahlola imeko yomntwana ngokucacileyo besebenzisa oomatshini bokuskena abakumgangatho ophezulu.
- Abanye oogqirha abafanela iimfuno zomntwana.
Zeziphi iimeko eziphambili ezinyangwa ngolu tyando?
Kukho iimeko ezahlukeneyo ezinokunyangwa ngotyando losana olungekazalwa . Le theyibhile ingezantsi ibonisa ezinye zazo kunye nengcaciso elula yazo.
| Imeko | Ingcaciso elula |
|---|---|
| I-Spin Bifida | Umqolo womntwana kunye nomqolo zihlala zivulekile ngaphandle kokuvala kakuhle. |
| I-Twin-to-twin transfusion syndrome (TTTS) | Ukunikezelwa kwegazi elingalinganiyo kwi-placenta phakathi kwamawele. Omnye umntwana ufumana igazi elingakumbi kwaye omnye ufumana igazi elincinci. |
| I-Congenital Diaphragmatic Hernia (CDH) | Umngxuma kwi-diaphragm owahlula isifuba nesisu, nto leyo ebangela ukuba amalungu asesiswini aphume aye esifubeni. |
| I-Sacrococcygeal Teratoma (SCT) | Ithumba elenzeka kwindawo esezantsi yomqolo womntwana (kwindawo yeempundu). |
| Ukuthintelwa koMchamo osezantsi (LUTO) | Ukuvaleka kwendlela yokuchama yomntwana kunokubangela ukwanda kwesinyi kunye nomonakalo kwizintso. |
Ziziphi iindlela zokwenza utyando?
Ngokuxhomekeke kwimpilo yakho neyomntwana wakho, ugqirha wakho uza kukhetha eyona ndlela ifanelekileyo. Kukho iindlela ezintathu eziphambili.
1. Utyando lwe-Fetoscopic
Oku kufana "notyando lwe-keyhole." Ugqirha ufaka ikhamera encinci (i-fetoscope) kunye nezixhobo zotyando ngesithuba esincinci kakhulu esibelekweni sakho. Oku kushiya amanxeba amancinci kwaye kunciphisa ixesha lokuphiliswa.
2. Utyando Oluvulekileyo
Kule meko, uza kunikwa i-anesthesia eqhelekileyo. Emva koko, ugqirha uza kunqumla isisu sakho kunye nesibeleko aze aye apho umntwana akhoyo. Okubalulekileyo kukuba, umntwana uza kuhlala ngaphakathi kwesibeleko ngexesha lotyando. Emva kotyando, isibeleko kunye nesisu ziya kuvalwa ngononophelo kwakhona, kwaye ukukhulelwa kuya kuqhubeka njengesiqhelo.
3. Utyando olwenziwe ngexesha lokubeleka (Iinkqubo zokuPhuma)
Le yinkqubo ekhethekileyo kakhulu. Utyando lwenziwa ngexesha lotyando lwe-cesarean. Unikwa i-anesthesia kwaye isibeleko sakho siyakhululeka. Emva koko, isibeleko siyavulwa kwaye umntwana akasuswa ngokupheleleyo, kodwa kancinci. Ngaphambi kokunqumla i-umbilical cord, ukuba indlela yomoya yomntwana ivaliwe, iyalungiswa, okanye into efana nethumba elikhulu iyasuswa. Kuphela emva kokuba umntwana ezinzile apho i-umbilical cord iyasikwa kwaye umntwana uzalwe ngokupheleleyo.
Zithini iingozi zolu hlobo lotyando?
Njengalo naluphi na utyando, utyando lomntwana ongekazalwa lunezinye iingozi. Ezi ngozi zinokuchaphazela umama nomntwana. Kubalulekile ukuba uzive ukhululekile kwaye unolwazi ngazo.
| Iingozi zotyando | |
|---|---|
| Iingozi kumama | |
| • | Lo mntwana kunye nabantwana abazayo kuya kufuneka bazalwe ngotyando. |
| • | Ukufuneka unikele ngegazi ngenxa yokopha kakhulu. |
| • | Isilonda sesibeleko sisenokubhitya okanye siphinde sivuleke, nto leyo enokubangela umngcipheko wokukhulelwa kwixesha elizayo. |
| Iingozi ezinokubakho kumntwana | |
| • | Ukuqhekeka kwe-placenta kunokuthintela umntwana ekufumaneni izondlo azifunayo. |
| • | Umngcipheko wokuzalwa ngaphambi kwexesha (ukubeletha ngaphambi kwexesha) ngenxa yotyando. |
| • | I-Chorioamnionitis (usulelo lwe-amniotic fluid) (oku kunqabile kakhulu). |
Ukwenza isigqibo ngotyando olunjalo kunzima kakhulu. Kufuna ukuqwalaselwa nzulu ngempilo kamama nomntwana. Kubalulekile ukuxoxa ngesigqibo ngasinye ngononophelo neqela lakho lezonyango.
Umyalezo Wokuya Ekhaya
- Utyando losana olusandul’ ukuzalwa lutyando olukhethekileyo olunyanga iziphene zokuzalwa esibelekweni, ngaphambi kokuba umntwana azalwe.
- Injongo ephambili kukusindisa ubomi bomntwana nokuphucula impilo yakhe yexesha elide.
- Oku akwenziwa ngugqirha omnye, kodwa liqela leengcali zonyango eziqeqeshwe kakhulu kwiinkalo ezahlukeneyo.
- Kukho iindlela ezahlukeneyo zokwenza utyando (umgodi wokuvula, ovulekileyo, nangexesha lokubeleka), kwaye eyona ndlela ifanelekileyo imiselwa ngoogqirha.
- Njengakwezinye iintlobo zotyando, kukho iingozi kumama nakumntwana. Ngoko ke, zonke izigqibo kufuneka zixoxwe ngononophelo nogqirha wakho kunye neqela lezonyango.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho