Ingabe izitho zesisu zomntwana wakho seziphumile? Singaxoxa ngalesi simo esibizwa ngokuthi i-Omphalocele?

Kuvamile ukuthi noma yimuphi umama noma ubaba akhathazeke uma ebona ezinye zezitho esiswini somntwana wakhe ziphuma enkabeni. Ngokwezokwelapha, lesi simo sibizwa ngokuthi i-Omphalocele. Nakuba lokhu kungase kuzwakale kuyesabisa kancane, ukuqonda kahle ngakho kuzokusiza ukubhekana nakho. Ngakho-ke, ake sixoxe ngakho ngokuningiliziwe.

Kuyini i-Omphalocele? Ake sikuqonde kalula.

Kalula nje, i-omphalocele iwukukhubazeka okuzalwa nakho okwenzeka lapho kuzalwa . Kuyisimo lapho izitho okufanele zibe ngaphakathi kwesisu somntwana, njengamathumbu, ziphuma khona ngenkinobho yesisu. Kodwa-ke, lezi zitho eziphumayo zimbozwe ulwelwesi oluncane nolubonakalayo . Lolu lwelwesi lwakhiwe ulwelwesi lwesisu olubizwa ngokuthi i-peritoneum.

Lokhu kuyinto eyenzekayo ngesikhathi umntwana esesesibelethweni, okungukuthi, ngaphambi kokuzalwa. Ake sibone ukuthi lokhu kwenzeka kanjani:

• Phakathi kwamasonto ayi-6 kuya kwayi-10 okukhulelwa: Phakathi nalesi sikhathi, njengoba amathumbu omntwana ekhula, angase asunduze kancane aye enkabeni yesisu. Lokhu kuyinto evamile futhi akukho okufanele ukhathazeke ngakho.
• Emasontweni ayi-11: Ngokuvamile, amathumbu aphume kanje kufanele abuyele esiswini. Kodwa uma lokho kungenzeki, kuvela isimo se-omphalocele.

Okubalulekile, izingane ezingaphezu kwezingxenye ezimbili kwezintathu ezine- omphalocele zinayo kanye nezinye izifo. Isibonelo:

* Izinkinga zomgogodla

* Izinkinga zesistimu yokugaya ukudla

* Izinkinga zenhliziyo

* Izinkinga zesistimu yomchamo

* Izinkinga zemilenze

Kukhona elinye igama lalokhu, elithi `(exomphalos)`.

Yiziphi izinhlobo eziyinhloko ze-Omphalocele?

Lesi simo singaba sincane futhi sibe sikhulu. Ngakho-ke, kunezinhlobo ezimbili:

• I-Omphalocele Encane: Lapha, ingxenye encane yamathumbu iphuma esiswini. Usayizi walokhu kuphuma ngokuvamile ungaphansi kwamasentimitha angu-5.
• I-Omphalocele Enkulu: Lapha, izitho eziningi zesisu (njengamathumbu, isibindi, kanye ne-spleen) zivele esiswini. Lokhu kungaphezu kwamasentimitha angu-5. Odokotela babiza lokhu ngokuthi "ama-omphalocele amakhulu".

Sivame kangakanani lesi simo esibizwa ngokuthi i-Omphalocele?

Ngokwezibalo ezivela emazweni afana neMelika, cishe ingane eyodwa kwezingu-4,200 ingaba nalesi simo esibizwa ngokuthi i-Omphalocele. Sibona nezimo ezifanayo naseSri Lanka.

Kungani izingane zikhula zibe ne-omphalocele?

Njengoba sesixoxile ngaphambili, kuvamile ukuthi intambo yomlomo icindezeleke ngaphakathi njengoba amathumbu ekhula kusukela esontweni lesithupha kuya kweleshumi lokukhulelwa. Ngesonto leshumi nanye, kufanele abuyele esiswini. Uma lokhu kungenzeki kahle, kuvela i-omphalocele.

Eqinisweni, ochwepheshe abakakwazi ukusho ngokuqinisekile ukuthi kungani ezinye izingane zithola lokhu kanti ezinye azikwenzi. Futhi abazi ukuthi kukhona yini ongakwenza ukuze ukuvimbele ngesikhathi sokukhulelwa. Ngakho ungakhathazeki ngakho.

Yiziphi izici eziyingozi zokuthuthukisa i-omphalocele?

Abacwaningi basaphenya ngezinye zezinto ezingabangela lokhu. Ezinye zezinto ezingaba khona zifaka:

• Ubudala bomama bungaphezu kweminyaka engama-35.
• Ukuphuza utshwala ngesikhathi sokukhulelwa.
• Ukuchayeka kumakhemikhali athile noma ubuthi: Isibonelo, izinto ezifana nezibulala-zinambuzane noma izinyibilikisi.
• Izakhi zofuzo: Ngezinye izikhathi lesi simo singase sihambisane nemindeni. Singahlotshaniswa nokukhubazeka kwe-chromosome. Izibonelo: `(Trisomy 13)`, `(Trisomy 18)`, kanye `(Trisomy 21)`, okuyi-`(Down syndrome)`.
• Izimo zempilo yomama: Izimo ezifana nokukhuluphala komama, isifo sikashukela, kanye nomfutho wegazi ophakeme.
• Ukuntuleka kokudla okunempilo komama: Ukwehla kwezidingo zokudla okunempilo komama noma amavithamini athile ngesikhathi sokukhulelwa.
• Ukubhema.
• Ukuthatha imithi ethile: Imithi ethile ethathwa ngesikhathi sokukhulelwa, isibonelo, imithi yokucindezeleka ebizwa ngokuthi ama-SSRI noma imithi ethile yokuzala.

Lezi ezinye zezinto ezibangela ingozi ezitholakele. Kodwa-ke, kubalulekile ukukhumbula ukuthi akuwona wonke umuntu onalezi zinto ozoba nalesi simo.

Yiziphi izinkinga ezingaba khona nge-Omphalocele?

Izingane ezizalwa zine-omphalocele zivame ukuba nezinye izinkinga, okuhlanganisa:

• I-Beckwith-Wiedemann syndrome: Lokhu kubonakala ngolimi olukhulu, amazinga aphezulu e-insulin, kanye noshukela ophansi egazini.
• Ukukhubazeka kwe-chromosome.
• Ukukhubazeka kwenhliziyo.
• Inqubo yokugaya ukudla ihamba kancane.
• Amaphaphu awakhuli kahle.

Odokotela bavame ukuxilonga lesi simo ngesikhathi sokukhulelwa. Bazobe sebekhuluma nawe ngaso bese bechaza ukuthi yiluphi ukwelashwa okudingekayo ngemva kokuzalwa komntwana. Lapho nje umntwana ezelwe, ithimba lezokwelapha lizothatha izinyathelo ezidingekayo zokuvikela umntwana futhi liqale ukwelashwa.

Lesi simo esibizwa ngokuthi i-Omphalocele sitholakala kanjani?

Odokotela bavame ukukubona lokhu ngesikhathi sokuhlolwa kwe-ultrasound phakathi nezinyanga zesibili nezesithathu zokukhulelwa. Kubonisa izitho zomntwana ezikhula ngaphandle kodonga lwesibeletho. Ngemva kokutholwa kwalokhu, udokotela wakho cishe uzoyala i-fetal echocardiogram (ukuhlolwa kwe-ultrasound kwenhliziyo yomntwana) ukuze ahlole noma yikuphi ukukhubazeka.

Ngezinye izikhathi kungase kungatholakali ngesikhathi sokukhulelwa. Uma lokho kwenzeka, kuzotholakala ngokushesha ngemva kokuzalwa komntwana. Khona-ke ithimba lezokwelapha lingathatha izinyathelo ezidingekayo ngokushesha ukuvikela impilo yomntwana.

Yiziphi izivivinyo mina nomntwana wami esizodinga ukuzenza?

Uma udokotela wakho ethola ukuthi ingane yakho engakazalwa inalesi simo, kungadingeka ukuthi wenze ukuhlolwa okuningana phakathi nesikhathi sokukhulelwa kwakho. Isibonelo:

• I-Amniocentesis: Lokhu kuhilela ukuthatha isampula yoketshezi lwe-amniotic ngaphakathi kwesibeletho sakho bese uluhlola ukuze uthole izinkinga ze-chromosome.
• Ukuhlolwa kwegazi: Igazi lakho lizohlolwa amazinga aphezulu eprotheni ebizwa ngokuthi i-alpha-fetoprotein. Le protheni yenziwa esibindini somntwana bese idlulela egazini lakho. Uma amazinga ephezulu, kusho ukuthi ingane yakho idinga ukuhlolwa okwengeziwe.
• I-MRI (Magnetic Resonance Imaging) Scan: Lokhu kuhlolwa kungenziwa futhi ukuze kubhekwe inhliziyo yengane, amaphaphu, kanye nezinye izitho zomzimba.
• Ukuskena nge-ultrasound: Ukuskena nge-ultrasound kwenziwa njalo ukuhlola ukuthi umntwana ukhula kanjani.

Ngemva kokuzalwa kwengane yakho, udokotela uzohlola ngokucophelela i-omphalocele bese eyalela ukuhlolwa okwengeziwe uma kudingeka.

Iphathwa kanjani i-Omphalocele?

Indlela lokhu okuphathwa ngayo incike ezintweni eziningana, okungukuthi:

• Ubudala bokukhulelwa yisonto lokukhulelwa lapho umntwana azalwa khona.
• Impilo yomntwana iyonke.
• Ubunzima besimo.
• Usayizi we-omphalocele.
• I-Omphalocele: Ukuthi ulwelwesi oluzungeze umbilicus aluzange luqhume yini.

Indlela yokwelapha i-omphalocele encane

Ku-omphalocele encane, odokotela abahlinzayo bazokwenza ukuhlinzwa ngemva nje kokuzalwa komntwana. Lokhu kuhlinzwa kuhilela ukubuyisela izitho ezivele ngaphakathi esiswini somntwana nokuvala imbobo odongeni lwesisu. Lokhu kungasiza ekuvimbeleni ukutheleleka kanye nokulimala kwezicubu.

Indlela yokwelapha i-omphalocele enkulu

Uma ingane yakho ine-omphalocele enkulu, lapho izitho eziningi zivele khona, odokotela abahlinzayo bavame ukwenza ukuhlinzwa ngezigaba. Kancane kancane babuyisela izitho ngaphakathi esiswini somntwana esikhathini esiyizinsuku noma amasonto. Phakathi nalesi sikhathi, izitho zimbozwa ngeshidi elihlanzekile ukuze zivikeleke ekuthelelekeni.

Kungani lokhu kwenziwa ngezigaba eziningana? Lena yindlela ephephile kakhulu ye-omphalocele enkulu. Ngoba isisu somntwana asisikhulu ngokwanele ukubamba zonke izitho ngesikhathi esisodwa, futhi asikakhuli kahle. Uma izitho zifakwa zonke ngesikhathi esisodwa, ngeke zithole ukugeleza kwegazi ezikudingayo. Ngemva kwesikhathi esithile, isisu somntwana sizokhula. Ezimweni eziningi, kwenziwa ukuhlinzwa kwesibili zingakapheli amasonto amabili ukuze sijwayeleke.

Ngezinye izikhathi udokotela ohlinzayo kungadingeka adonse isikhumba esiswini ukuze avale imbobo. Kwezinye izimo, i-skin flap ingasetshenziswa ukuvala imbobo. Lokhu kusho ukuthi isikhumba sithathwa engxenyeni ethile yomzimba bese sitshalwa kwenye.

Izingane ezine-omphalocele, lapho isisu singakakhuli kahle khona, zingase zibe nobunzima bokuphefumula . Kungase kudingeke zixhunywe kumshini wokuphefumula ukuze ziphefumule kuze kube yilapho sezikwazi ukuphefumula zodwa.

Ingabe ingane yami izodla ngemva kokuhlinzwa?

Ngesikhathi ingane yakho isilungele ukuya ekhaya, ivame ukudla kahle. Kodwa-ke, uma inezinye izinkinga, njengezinkinga zenhliziyo noma zamaphaphu, ingadinga ipayipi lokuncelisa. Kodwa-ke, izingane eziningi azidingi lolu sizo.

Ingabe kukhona imikhawulo emisebenzini ngemva kokuhlinzwa?

Ingane yakho ingenza imisebenzi efanele iminyaka yayo kanye nezinga layo lokukhula . Odokotela bazokweluleka ngalokhu.

Ingabe i-Omphalocele ingavinjelwa?

Abacwaningi basafuna izindlela zokuvimbela lesi simo ukuthi singenzeki. Akukacaci ukuthi kukhona yini okuqondile ongakwenza ukuze usivimbele ngesikhathi sokukhulelwa.

Kodwa ngokuvamile, ungazama lezi zinto ukunciphisa ingozi yezinkinga ngesikhathi sokukhulelwa kwakho kanye nengane yakho engakazalwa:

• Gwema ukuphuza utshwala.
• Yeka ukubhema.
• Gcina isisindo esinempilo esikufanele.

Iyini inhloso yabantwana abane-omphalocele?

Umbono uncike ngobukhulu be-omphalocele nokuthi ingane inezinye izinkinga zempilo yini.

Uma inkinga yezempilo kuphela kuyi-omphalocele, ingane yakho cishe izolulama ngokuphelele. Kodwa-ke, i-omphalocele ivame ukuhambisana nezinye izinkinga zokuzalwa. Lezi zimo zingaba nemiphumela ehlala njalo empilweni yengane futhi zibangele izinkinga kamuva ekuphileni. Udokotela wakho uzoxoxa nawe ngalokhu ngokuningiliziwe.

Ingakanani isikhathi sokuphila kwengane ene-omphalocele?

Sekukonke, ama-95% ezinsana ezizalwa zine-omphalocele ziyasinda. Kodwa-ke, kunezici eziningana ezithinta lezi zibalo. Isibonelo, ukuthi ingane inezinye izinkinga zempilo nokuthi yiziphi izinhlelo zomzimba lezo zinkinga ezithinta zona.

Ithimba lakho lezokwelapha lilapha ukuzokusiza. Bangabantu abangcono kakhulu abangakusiza uqonde isimo sakho.

Ubeletha kanjani umntwana one-omphalocele?

Kungcono ukubeletha ingane yakho esibhedlela nochwepheshe nemishini edingekayo, nokuhlinzeka ngokunakekelwa okusheshayo. Udokotela wakho uzoxoxa nawe ngezinketho zakho zokubeletha. Kungadingeka ukuthi wenze ukuhlinzwa kwe-C-section, ikakhulukazi uma ingane yakho ine-omphalocele enkulu.

Kufanele ngishayele nini udokotela wengane yami ucingo ngemva kokuhlinzwa?

Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha:

• Uma into efana nobomvu iphuma esilondeni.
• Imfiva.
• Ukuhlanza, ikakhulukazi uma kuluhlaza (lokhu kungase kubonise ukuvaleka kwamathumbu).
• Uma inxeba libomvu.

Ingabe i-omphalocele ingaziphilisa ngokwayo?

Akuvamile kakhulu ukuthi ama-omphalocele amancane kakhulu azivalele ngokwawo. Kodwa-ke, iningi lezingane ezinalesi simo lizodinga ukuhlinzwa.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kuvamile ukuzizwa wesaba futhi ukhungathekile lapho uthola ukuthi ingane yakho inesifo sokuzalwa esifana ne-omphalocele. Ukungaqiniseki ngalokho okuzokwenzeka kunganezela ekucindezelekeni kokukhulelwa.

Kodwa ungakhohlwa, ithimba lakho lezokwelapha lihlala linawe. Ungangabazi ukubabuza imibuzo futhi ucele ukwesekwa kwabo. Bazokuchazela konke, kusukela kulokho ongakulindela lapho ubeletha nokuthi uhlelo lokunakekela ingane yakho luzoba yini ngemva kwalokho. Awuwedwa, sonke sinawe.

I-Omphalocele , ukukhubazeka kokuzalwa, isisu somntwana esiphumayo, inkaba, izitho zesisu, ukuhlinzwa kwezingane