Ingabe ungumama ozayo? Wake waya ephathini noma emshadweni womngane wakho, futhi wonke umuntu ephuza ingilazi yewayini, futhi uke wazibuza, "Kulungile yini uma nami ngiphuza kancane?" Mhlawumbe omunye wabangane bakho uzothi, "O, ngiphuze ubhiya omncane ngesikhathi ngikhulelwe, futhi kulungile enganeni yami." Ngesikhathi esifanayo, omunye umuntu uzothi, "O, lokho ukuthatha ingozi engadingekile." Empeleni lokhu kuyinkinga edidayo kakhulu. Ngakho ake sixoxe ngakho namuhla.
Abacwaningi sebenamashumi eminyaka bazi ukuthi ukuphuza utshwala obuningi ngesikhathi sokukhulelwa kungabangela ukukhubazeka kokuzalwa . Kodwa akukacaci ukuthi ngisho nokuphuza utshwala obuncane kakhulu, noma ukuphuza utshwala ngezikhathi ezithile, kungathinta kanjani ingane ekhulayo. Ngenxa yalokhu kungaqiniseki, odokotela eSri Lanka nasemhlabeni wonke banemibono ehlukene ngale ndaba.
Kubiza malini ukuphuza 'okweqile'?
Inkinga enkulu ngale nkinga ukuthi asikho isilinganiso sotshwala esiqinisekiswe ngokwesayensi esiphephile ukuphuza ngesikhathi sokukhulelwa. Abanye odokotela bathi kulungile ukuphuza kancane ngezikhathi ezithile, kanti abanye bathi ungaphuzi nhlobo.
Kungani kunemibono ehlukene kangaka? Isizathu siwukuthi noma uphuza inani elifanayo lotshwala, lithinta umzimba womuntu ngamunye ngendlela ehlukile. Kalula nje, imizimba yethu ineprotheni ekhethekile, noma i-enzyme, ephula utshwala, okungukuthi, ebugayayo. Abanye omama abakhulelwe banomsebenzi omncane kule enzyme. Khona-ke, noma bephuza inani elincane, cishe lihlala emzimbeni isikhathi eside futhi lidlule kwi -placenta liye emzimbeni womntwana futhi libangele umonakalo.
Yingakho izinhlangano ezinkulu ezifana ne-CDC, i-US Surgeon General, kanye ne-American College of Obstetricians and Gynecologists zonke zithi ngazwi linye omama abakhulelwe kufanele bagweme utshwala ngokuphelele.
Ingozi enkulu abayikhombayo yisimo esibizwa ngokuthi i-Fetal Alcohol Spectrum Disorder (FASD) . Lesi akusona isifo esisodwa, kodwa yiqembu lezimo ezisukela ezinkingeni ezincane kuya ezimweni ezimbi kakhulu.
| Izinkinga ezingase zivele ngenxa ye-Fetal Alcohol Spectrum Disorder (FASD) | |
|---|---|
| Umkhakha othintekile | Izinkinga ezingaba khona |
| Ukubukeka kobuso | Izici ezithile njengekhanda elincane, ibanga elihlukayo phakathi kwamehlo, kanye nodebe olungaphezulu oluncane kakhulu. |
| Ukukhula | Isisindo nokuphakama okungaphansi kwamazinga ajwayelekile ekuzalweni kanye nangesikhathi sokuthuthukiswa okulandelayo. |
| Izinkinga zobuchopho kanye nesistimu yezinzwa | Ukukhubazeka kokufunda, izinkinga zenkumbulo, ubunzima bokugxilisa ingqondo, ukubambezeleka kwenkulumo nolimi, kanye nezinkinga zokuziphatha. |
| Izitho zangaphakathi | Ingozi yezinkinga ezahlukahlukene enhliziyweni, ezinso, kanye nasesimisweni samathambo. |
Kunemibono ehlukene ngisho naphakathi kodokotela...
Njengoba sishilo ekuqaleni, kunemibono ehlukene phakathi kodokotela ngale ndaba. Abanye odokotela bakholelwa ukuthi utshwala obuncane obuphuzwa ngezikhathi ezithile, njengokuphuza ingilazi yewayini ephathini, cishe ngeke bubangele umonakalo omkhulu. Bathi akuwona umqondo omuhle ukukhathazeka noma ukucindezeleka ngakho ngokungadingekile.
Nokho, odokotela abaningi banombono ohluke kakhulu. Yile ndlela abawubona ngayo.
"Awusoze wanikeza ingane enezinyanga ezimbili ingilazi yewayini, akunjalo? Pho kungani unganikeza ingane ezwelayo esibelethweni sakho utshwala?"
Lena inkinga engathi sína kakhulu, akunjalo? Ubuchopho bomntwana buhlala bukhula phakathi nokukhulelwa, hhayi nje ezinyangeni ezintathu zokuqala, kodwa kuze kube yinyanga yokugcina. Utshwala luyinto engathinta ngqo amangqamuzana obuchopho. Ngakho-ke , kungakhathaliseki ukuthi umthamo mncane kangakanani, asikwazi ukusho ngokuqinisekile ukuthi uzothinta kanjani ukukhula kobuchopho bomntwana.
Ake sibheke ukuphepha njengento ebaluleke kakhulu, akunjalo?
Ekugcineni, lesi yisinqumo sakho siqu okufanele usenze. Kodwa ngaphambi kokwenza leso sinqumo, kubalulekile ukukhuluma nodokotela wakho futhi uqaphele konke lokhu.
Umuntu onquma ukuyeka utshwala ngokuphelele angase azizwe edabukile kancane ngokulahlekelwa yithuba lokuphuza nabangani. Kodwa cabanga ngakho, ukwenza lokhu isikhathi esifushane, njengezinyanga ezingu-9. Kodwa ngokwenza lowo mhlatshelo, unikeza ingane yakho isipho sekusasa elinempilo impilo yayo yonke.
"Uma ubheka impilo yakho kanye nempilo yengane yakho, lezi zinyanga ezingu-9 ziyisikhathi esifushane kakhulu. Lo mhlatshelo awulutho uma uqhathaniswa neminye imihlatshelo oyenzayo lapho ukhulisa ingane. Kubaluleke kakhulu ukunakekela into enhle kangaka nenhle kangaka."
Labo okudingeka baqaphele kakhulu
Kwabanye abantu, ingozi iphakeme nakakhulu. Uma unezinye zezimo ezilandelayo, kungcono ukugwema ukuphuza utshwala nhlobo.
- Uma unesifo sesibindi.
- Uma unomlando wokulutheka kotshwala.
- Uma uphuza imithi yezinye izifo, ikakhulukazi izifo zengqondo ezifana nokucindezeleka.
Uma ukuthola kunzima ukulawula ukuphuza kwakho utshwala, hhayi ngesikhathi sokukhulelwa kuphela, kodwa nganoma yisiphi isikhathi, sicela ukhulume ngokukhululekile nodokotela wakho. Ungabi namahloni noma wesabe ukukhuluma ngakho. Uzokwazi ukukudlulisela ekwelulekweni noma ekwelashweni okufanele.
Umlayezo Wokuya Nawe Ekhaya
- Akukho tshwala obuningi obuqinisekisiwe ukuthi buphephile ngesikhathi sokukhulelwa.
- Ngisho notshwala obuncane obuphuzayo bungadlula i-placenta buthinte ubuchopho nomzimba wengane yakho esakhula.
- Isifo Sohlobo Lotshwala Lwengane Esanda Kuzalwa (i-FASD) siyisimo esibucayi nesivinjelwayo esingathinta impilo yowesifazane. Indlela engcono kakhulu yokusivimbela ukuyeka utshwala ngokuphelele ngesikhathi sokukhulelwa.
- Lo mhlatshelo omncane owenziwe phakathi nalezi zinyanga ezingu-9 uwutshalomali olubaluleke kakhulu uma kuqhathaniswa nokuphila okunempilo ingane yakho ezokuba nakho.
- Uma unemibuzo, ukungabaza, noma ukwesaba ngalokhu, qiniseka ukuthi ukhuluma nodokotela wakho ngakho.
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