Ngaba wakha waphawula ukuba ulusu losana lwakho olusandul’ ukuzalwa lutyheli kancinci? Mhlawumbi amehlo amhlophe nawo atyheli kancinci. Oku kubizwa ngokuba yi-jaundice. Iintsana ezininzi ezisandul’ ukuzalwa ziba nale meko. Ngoko ke musa ukoyika ekuqaleni. Uninzi lwexesha, oku akukubi kakhulu kwaye kuya kuba ngcono ngokwako kwiintsuku ezimbalwa. Nangona kunjalo, ngamanye amaxesha le meko inokuba nzima kwaye inokonakalisa ingqondo yomntwana. Loo meko iyingozi ibizwa ngokuba yi-'Kernicterus'. Namhlanje, siza kuthetha ngeenyaniso ekufuneka wonke umzali aziqaphele.
Kutheni abantwana befumana i-jaundice?
Ngamafutshane, xa iiseli ezibomvu zegazi emzimbeni wethu ziqhekeka ngokwemvelo, kuveliswa ikhemikhali etyheli ebizwa ngokuba yi-bilirubin. Ngokwesiqhelo, isibindi sethu siyayisusa le bilirubin emzimbeni. Kodwa isibindi sosana olusandul’ ukuzalwa asikakhuli ngokwaneleyo ukuba senze lo msebenzi ngokufanelekileyo. Ngenxa yoko, le bilirubin iqokelelana egazini lomntwana. Kulapho ulusu lomntwana namehlo akhe ajika abe tyheli. Oku sikubiza ngokuba yi-jaundice.
Khawucinge nje, le meko yenzeka kwiintsana ezimalunga nama-60% - 80% ezizalwa eSri Lanka ukuya kuthi ga kwinqanaba elithile. Ngoko ke oku kuqhelekile kakhulu. Nangona kunjalo, ukuba eli nqanaba le-bilirubin alilawuleki, oko kukuthi, ukuba alinyangwa, loo bilirubin iya engqondweni ize yonakalise iiseli zengqondo. Lo ngumonakalo wengqondo ongenakuguqulwa nonokuthintelwa obizwa ngokuba yiKernicterus. Oogqirha bakwabiza le meko ngokuthi yiBilirubin-Induced Neurologic Dysfunction, okanye i-BIND.
Lumka kakhulu ngezi mpawu!
Kubaluleke kakhulu ukwazi ukuba umntwana wakho une-jaundice na. Kwaye kubaluleke ngakumbi ukuqaphela ukuba iba mandundu na. Itheyibhile engasezantsi inokukunceda uqonde ezi mpawu ngokucacileyo.
| Uhlobo lwempawu | Oko kufuneka ukubone |
|---|---|
| Iimpawu ze-jaundice eqhelekileyo | |
| Ukutshintsha kombala wolusu | Irhashalala elimthubi okanye eliorenji eliqala ebusweni bomntwana lize liye esifubeni, esiswini, ezingalweni nasemilenzeni. Oku kunokuba nzima ukukubona kubantwana abanesikhumba esimnyama. Ngelo xesha, jonga amhlophe emehlweni. |
| Ubunzima bokuvuka | Ukozela rhoqo, ubunzima bokuvuka, okanye ukungalali ngokupheleleyo. |
| Iingxaki zokusela ubisi | Ubunzima okanye ukungabi namdla wokusela ubisi lwebele okanye ubisi oluyifomyula. |
| Ukuxhalaba okugqithisileyo | Ubuntu obungaphumliyo kunesiqhelo, obuhlala bukhala, kwaye kunzima ukuthuthuzela. |
| Inani lee-nappies ezimanzi | Inani leenapukeni ezimanzi ngosuku liphantsi kunesiqhelo. |
| Iimpawu xa imeko iba mandundu ize ibe yiKernicterus | |
| Ukulala kakhulu | Imeko yokungabi namandla, ukungabi nabomi. |
| Ukukhala okungaqhelekanga | Ukukhala okungalawulekiyo, okuhlabayo, nokuvakala kakhulu. |
| Ifiva | Umzimba womntwana uziva ushushu. |
| Utshintsho lomzimba | Umzimba wonke awusaphili (unqene) okanye, ngokuchaseneyo, umzimba uba lukhuni, izihlunu ziyaqhaqhazela. |
| Intshukumo yamehlo | Intshukumo yamehlo engaqhelekanga. |
Eyona nto ibalulekileyo kukuba, ukuba ubona naziphi na kwezi mpawu, bonana nogqirha wakho ngokukhawuleza.
Njengoko umntwana ekhula, i-kernicterus enganyangwanga inokubangela ezinye iimpawu, kuquka ukuxhuzula, iingxaki zokuhamba nokukhula, iingxaki zokuva, ukungakwazi ukujonga phezulu, kunye nokudaya kwamazinyo.
Uyifumana njani le nto, Gqirha?
Amanqanaba eBilirubin adla ngokuba phezulu phakathi kweentsuku ezi-3-5 emva kokuzalwa. Yiyo loo nto oogqirha kunye nabongikazi behlola umntwana wakho ukuba akanayo na i-jaundice rhoqo emva kweeyure ezi-8-12 ngelixa esesibhedlele. Bakwayijonga nangaphambi kokuba ugoduke esibhedlele.
Ngoku, ungafumana umbono ongeyonyani wenqanaba le-bilirubin yakho usebenzisa isixhobo sokulinganisa esincinci esibekwe eluswini lwakho. Ukuba ukrokrela ukuba izinga lakho liphezulu, uvavanyo lwegazi yeyona ndlela yokwazi ngokuqinisekileyo. Leyo yindlela echanekileyo.
Ukuba inqanaba le-bilirubin yomntwana wakho liphezulu, ugqirha wakho uya kugqiba ngonyango ngokusekelwe kwinani leeyure umntwana wakho azelwe ngazo kunye nokuba umntwana wakho unezinye izinto ezinobungozi. Kwanasemva kokuba unyango luqalile, uvavanyo lwegazi oluninzi lunokufuneka ukuze kubonwe ukuba inqanaba le-bilirubin libuyela kwisiqhelo na.
Zithini iindlela zonyango zoku?
Uninzi lwexesha, i-jaundice encinci ayifuni unyango. Nangona kunjalo, ukuba inqanaba le-bilirubin liphezulu, okanye ukuba kukho izinto ezinobungozi, njengokuzalwa komntwana ngaphambi kwexesha, unyango luyimfuneko.
1. Yondla kakuhle.
Ukuba umntwana akafumani ubisi lwebele olwaneleyo okanye ubisi lwebele olwaneleyo, i-bilirubin eqokelelana emzimbeni ayikhutshwa ngomchamo kunye nendle. Usana olusandul’ ukuzalwa kufuneka lufumane ubuncinane iinabukeni ezimanzi ezi-6 ngosuku. Kwakhona, indle yakhe kufuneka itshintshe ukusuka kuluhlaza okomnyama ibe tyheli. Ezi ziimpawu zokuba umntwana ufumana izondlo ezaneleyo.
2. I-Phototherapy - oko kuthetha ukuvezwa ekukhanyeni
Oku kuquka ukukhanyisa ulusu lomntwana ngokukhanya okuluhlaza okwesibhakabhaka okukhethekileyo. Oku kungenziwa esibhedlele okanye nasekhaya. Oku kukhanya kuqhekeza amasuntswana e-bilirubin kwaye kuvumele ukuba akhutshwe lula emzimbeni. Nangona ngaphambili kwakucingwa ukuba ukuvezwa elangeni kulungile, akusacetyiswa kuba kunokutshisa ulusu lomntwana. I-Phototherapy yindlela ekhuselekileyo kakhulu. Ngamanye amaxesha, umntwana unokufumana iziphumo ebezingalindelekanga ezincinci, njengokuphuma ebhedini.
3. Ukunika ulwelo
Kubaluleke kakhulu ukuba umntwana wakho afumane ulwelo oluninzi ngelixa uselukhanyisweni. Ufanele uqhubeke nokuncancisa okanye uncancise ibhotile. Ukuba umntwana wakho uphelelwe ngamanzi emzimbeni kakhulu, kunokufuneka umnike ulwelo lwe-IV.
4. Utofelo-gazi
Oku akwenzeki rhoqo. Kusetyenziswa kuphela ukwehlisa amanqanaba e-bilirubin ngequbuliso ukuba umntwana akaphenduli kwezinye iindlela zonyango kwaye ubonisa iimpawu zokonakala kwengqondo.
Umyalezo Wokuya Ekhaya
- I-jaundice ixhaphakile kwiintsana ezisandul’ ukuzalwa, kodwa ungayithathi lula. Ukuba ubona umbala otyheli eluswini okanye emehlweni omntwana wakho , bonana nogqirha ngokukhawuleza.
- Ukuba amanqanaba e-bilirubin aphezulu kakhulu, oko kunokukhokelela kwimeko eyingozi ebizwa ngokuba yi-'kernicterus', eyonakalisa ingqondo.
- Soloko uqaphela iimpawu ezinjengobunzima bokuncancisa, ukozela kakhulu, kunye nokukhala kakhulu.
- Unyango olunikwa ngugqirha, ingakumbi i-phototherapy, lubalulekile kwimpilo-ntle yomntwana. Ungaze uyeke unyango ngaphandle kwengcebiso kagqirha.
- Ukuba unamathandabuzo okanye uloyiko, thetha nogqirha wakho ngalo mba ngokukhululekileyo. Akukho mibuzo ingenamsebenzi, ingakumbi xa kuziwa kumntwana wakho.
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