Kujwayelekile kakhulu ukuthi umama noma ubaba azizwe esaba kakhulu futhi ekhathazekile lapho udokotela ebatshela ukuthi ingane yakhe inenkinga yokuphefumula. Ikakhulukazi ngaphambi kokuba ingane igcwale, okungukuthi, izingane ezizalwa ngaphambi kwesikhathi zingaba nobunzima bokuphefumula obunjalo. Ngakho-ke namuhla sikhuluma ngomuthi owusizo, osindisa impilo osetshenziswa odokotela ukusiza amaphaphu engane nokwenza inqubo yokuphefumula ibe lula.
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Kalula nje, iyini i-Beractant?
Lona akuwona umuthi esivame ukuwuphuza noma ukuwujova. Lona umuthi okhethekile kakhulu. Ngokwezokwelapha, lo muthi ungoweqembu elibizwa ngokuthi ama-surfactants .
Cabanga nje, ngaphakathi kwamaphaphu ethu kunezakhiwo ezincane ezifana namabhaluni ezigcwala umoya. Sibiza lezi zikhwama zomoya ngokuthi (Alveoli). Emaphashini akhule kahle, lezi zikhwama zomoya zinoketshezi olushelelayo oluvela ngokwemvelo ngaphakathi kwazo. Yingakho uma siphefumula siphuma, lezi zikhwama zomoya ezincane zivuleka futhi zivale kalula ngaphandle kokunamathela.
Kodwa ngenxa yokuthi amaphaphu ezingane ezizalwa ngaphambi kwesikhathi awakhuli ngokugcwele, lolu ketshezi lwemvelo alukhiqizi, noma alukhiqizi ngobuningi obanele. Lokhu kubangela ukuthi amasaka omoya anamathele lapho umntwana ephefumula. Lapho umntwana ephefumula futhi, umntwana kufanele asebenze kanzima ukuvula lawa masaka omoya anamathele. Lokhu yilokho esikubiza ngokuthi i-Respiratory Distress Syndrome (RDS) .
Ngakho-ke i -Beractant umuthi wokwenziwa ofana noketshezi oluvela ngokwemvelo. Uma ufakwa emaphashini engane, umboza amasaka omoya bese uwavimba ukuthi anganamatheli ndawonye. Ngemuva kwalokho umntwana angaphefumula kalula futhi ngaphandle komzamo omkhulu. Lo muthi waziwa kakhulu ngegama lomkhiqizo elithi (Survanta).
Ingabe kukhona okufanele ngikutshele udokotela ngaphambi kokunikeza ingane lo muthi?
Yebo, impela. Ngisho noma lo muthi unikezwa ingane, kubaluleke kakhulu ukuthi wena, njengomzali, unikeze ithimba lezokwelapha ulwazi olwaziyo.
- Ukungezwani komzimba: Lo muthi wenziwa kusetshenziswa imikhiqizo yezilwane (imikhiqizo yenyama yenkomo), ngakho-ke kubalulekile ukwazisa udokotela wakho uma ingane yakho inanoma yikuphi ukungezwani komzimba okukhulu kule mikhiqizo. Futhi, tshela udokotela wakho uma ingane yakho inanoma yikuphi ukungezwani komzimba neminye imithi, ukudla, noma udayi.
- Eminye imithi: Uma ingane yakho okwamanje ithatha eminye imithi (ikakhulukazi ama-antibiotic aphefumulayo), kufanele nakanjani utshele udokotela ngalokho.
Ngokuvamile, amalebula emithi athi kufanele utshele udokotela wakho uma ukhulelwe noma uncelisa. Kodwa njengoba lo muthi unikezwa usana olusanda kuzalwa, lezo zinto azisebenzi lapha. Into ebaluleke kakhulu ukwabelana ngakho konke okwaziyo ngempilo yengane yakho nethimba lezokwelapha.
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Lona umuthi awuthathwa uye nawo ekhaya. Unikezwa esibhedlela kuphela odokotela kanye nabasebenzi abahlengikazi abasegunjini lokunakekelwa okujulile (i-NICU/SCBU).
Ingane ingase ixhunywe kumshini wokuphefumula ngenxa yobunzima bokuphefumula. Odokotela baletha lo muthi ngqo emaphashini ngepayipi elixhunywe kupayipi lokuphefumula (i-endotracheal tube).
Ngesikhathi nangemva kwale nqubo, konke kusukela ekushayeni kwenhliziyo yengane, amazinga omoya-mpilo, kanye nomfutho wegazi kubhekwa ngokucophelela yimishini kanye nethimba lezokwelapha. Ngakho-ke ingane iphephile kakhulu.
Kwenzekani uma umthamo womuthi ukhushulwa?
Njengoba lokhu kwenziwa esibhedlela, ngaphansi kokuqondisa kodokotela abangochwepheshe, amathuba okuphutha umuthi aphansi kakhulu. Isilinganiso esinembile kakhulu sibalwa ngokusekelwe esisindweni somntwana.
Kodwa-ke, kuhle ukwazi ukuthi yini okufanele uyenze uma uphuza umuthi ngokweqile. Ngokuvamile, ezimweni ezinjalo, sifuna iseluleko eSikhungweni Solwazi Lwezobuthi Sikazwelonke eSibhedlela Sikazwelonke saseColombo noma eSikhungweni Sokwelapha Esiphuthumayo (ETU) esiseduze.
Kodwa uma unokungabaza lapho unikeza ingane umuthi esibhedlela esinjengalesi, into engcono kakhulu nesheshayo ongayenza ukukhuluma nodokotela noma umhlengikazi okhona lapho ngokushesha.
Ingabe kukhona imiphumela emibi okufanele uyiqaphele?
Yebo, njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Kodwa ungakhathazeki, ithimba lezokwelapha elinakekela ingane yakho lihlala liqaphile ngalezi zimpawu. Njengomzali, kuhle ukuthi nawe uziqaphele lezi zimpawu.
| Imiphumela emibi engaba khona | Okudingeka ukwenze |
|---|---|
| Ukusabela Okukhulu Kokungezwani Nomzimba Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. | Lokhu kungenzeka ngokushesha okukhulu. Tshela udokotela wakho noma umhlengikazi wakho ngokushesha. |
| Izimpawu zokuphuma kwegazi ebuchosheni Ukushintsha kwendlela yokuphefumula, ukukhala okungapheli, ukuvuvukala noma ukuvuvukala kwamabala athambile phezulu ekhanda, kanye nokuxhuzula. | Lokhu kungaba yisimo esibucayi. Yazisa ithimba lezokwelapha ngokushesha. |
| Ukushaya kwenhliziyo okuhamba kancane noma umfutho wegazi ophansi Isikhumba noma izindebe zomntwana ziba mhlophe, zibe luhlaza okwesibhakabhaka noma zibe nsomi, zibe buthakathaka ngendlela engavamile, futhi izandla nezinyawo zibanda. | Ithimba lezokwelapha liqapha lokhu ngemishini, kodwa uma ubona noma yiziphi izinguquko, sicela usazise ngokushesha. |
Lolu hlu luhlanganisa izinto ezivame kakhulu ezingenzeka. Ngaphezu kwalokho, uma ubona noma yini engavamile ngomzimba wengane yakho, ungesabi ukubuza udokotela wakho ngakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Beractant umuthi obaluleke kakhulu osiza amaphaphu ezingane ezizalwa ngaphambi kwesikhathi angakhuli kahle futhi wenze ukuphefumula kube lula.
- Lomuthi unikezwa esibhedlela kuphela, ngaphansi kokuqondisa okugcwele kodokotela. Lomuthi akuwona owokuya nawo ekhaya.
- Ingane yakho izoqashwa eduze yithimba lezokwelapha amahora angama-24 ngosuku, kokubili ngesikhathi nangemva kokunikezwa kwemithi.
- Ungesabi ukubuza udokotela noma abasebenzi abahlengikazi noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho ngesimo somntwana wakho noma ukwelashwa okunikezwayo.
- Lokhu kwelashwa kuyithuba elihle kakhulu lokuthi ingane yakho encane iqale impilo yayo iphilile, iphefumula kahle.
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