Uma udokotela ekutshela ukuthi ingane yakho engakazalwa inesici sokuzalwa, ubuhlungu nokwesaba umama akuzwayo akunakuchazwa. Kodwa ngentuthuko kwezokwelapha namuhla, kunezixazululo ezithembisayo. Esinye sazo ukuhlinzwa kombungu. Nakuba lesi kuyisihloko esiyinkimbinkimbi, ake sixoxe ngaso kalula nangendlela ongayiqonda.
Kalula nje, kuyini ukuhlinzwa kombungu?
Ukuhlinzwa kwengane esanda kuzalwa kuwukuhlinzwa okwenziwa enganeni yakho isakhula ngaphakathi esibelethweni sakho. Lokhu ngezinye izikhathi kubizwa ngokuthi 'ukuhlinzwa kwangaphakathi kwesibeletho'. Cabanga ngakho njengemoto enenkinga ngenjini yayo, kodwa esikhundleni sokuyikhipha emotweni, bayayilungisa isengaphakathi. Kulokhu, odokotela abahlinzayo baphatha inkinga ngengane isengaphakathi esibelethweni.
Lokhu kunemigomo emibili eyinhloko. Eyokuqala ukusindisa impilo yengane ngokulungisa into esongela impilo yengane. Enye ukunciphisa ukukhubazeka okukhulu okungase kwenzeke ngemva kokuzalwa nokunikeza ingane ithuba lokuphila impilo enhle .
Kungani udinga ukwenza lokhu kuhlinzwa?
Ezinye izinkinga zokuzalwa zingaba nemiphumela emibi kakhulu enganeni isesesibelethweni.
Isibonelo, ake sithi kukhona isimila esikhulu emaphashini engane. Njengoba sikhula, inhliziyo encane yengane iqala ukushaya. Uma lokho kwenzeka, inhliziyo izohluleka, futhi ingane ingase ife.
Kunezinye izimo, nakuba zingasongeli impilo ngokushesha, ezingadala ukukhubazeka impilo yonke ngemva kokuzalwa. Isibonelo yi-spina bifida, ukukhubazeka komgogodla. Lokhu kuvame ukwelashwa ngemva kokuzalwa komntwana. Kodwa-ke, uma lokhu kuhlinzwa kwenziwa ngesikhathi umntwana esesesibelethweni, umonakalo ohlelweni lwezinzwa ungancishiswa kakhulu. Lokhu kusho ukuthi umntwana uzokwazi ukuhamba nokwenza izinto yedwa ngemva kokuzalwa.
Into ebalulekile ukuthi lokhu kuhlinzwa akwenziwa kuzo zonke izinkinga zokuzalwa. Kunqunywa yithimba lodokotela abangochwepheshe ngemuva kokuhlola ngokucophelela isimo sikamama nengane.
Lokhu kuhlinzwa kwenziwa kanjani? Yiziphi izindlela eziyinhloko?
Kunezindlela ezintathu eziyinhloko zokwenza ukuhlinzwa kombungu. Odokotela bakhetha enye yalezi zindlela ngokusekelwe esimweni somntwana kanye nempilo yakho.
| Indlela yokuhlinzwa | Indlela elula yokukwenza | Izikhathi ezivame ukusetshenziswa |
|---|---|---|
| Ukuhlinzwa Okuvulekile | Kulokhu, unikezwa i-anesthesia, bese isisu sakho sivuleka, njengokuhlinzwa, bese isibeletho sakho sisuswa. Bese, isibeletho sakho sivuleka, bese umntwana ehlinzwa esengaphakathi. Bese, isibeletho nesisu zivalwa futhi, okuvumela umntwana ukuthi aqhubeke nokukhula. | Ezimweni eziyinkimbinkimbi njenge-Spine Bifida. |
| Ukuhlinzwa Kwe-Fetoscopic | Lokhu ukuhlinzwa "kwe-keyhole". Ukuhlinzwa kwenziwa ngokwenza imigodi emincane kakhulu esiswini nasesibelethweni, bese kufakwa ikhamera (i-fetoscope) kanye nezinsimbi ezithambile kakhulu. Ukusikwa kuncane kakhulu. | Izimo ezifana ne-Twin-to-Twin Transfusion Syndrome kanye ne-Congenital Diaphragmatic Hernia, ezenzeka phakathi kwamawele. |
| Ukuhlinzwa okwenziwe ngesikhathi sokubeletha (Inqubo YOKUPHUMA) | Lena inqubo ekhethekile. Njengokuhlinzwa, isibeletho siyavulwa bese ingxenye yomntwana, njengekhanda namahlombe, isuswa ngaphandle kokususwa ngokuphelele komntwana. Ngesikhathi intambo yesisu isanamathele ku-placenta, umntwana unikezwa noma yiluphi ukwelashwa okudingekayo (isib., ukuhlanza umgudu womoya), bese kuba yilapho kuphela intambo yesisu isikwa khona bese umntwana ehlukaniswa ngokuphelele. | Uma uzizwa sengathi unenkinga yokuphefumula ngenxa yesimila esikhulu entanyeni yakho. |
Yiziphi izimo eziphathwa ngalezi zinqubo zokuhlinzwa?
Lezi yizimo ezingavamile kakhulu kodwa ezibucayi. Ezinye izibonelo yilezi:
- Izinkinga zamawele e-monochorionic
- I-Spine Bifida (`I-Spina Bifida` noma `i-myelomeningocele`)
- Ukukhubazeka kwamaphaphu azalwa nawo
- I-hernia ye-diaphragmatic yokuzalwa
- I-Sacrococcygeal teratoma (isimila esenzeka engxenyeni ephansi yomgogodla)
- Ukuvinjelwa komgudu womchamo ophansi
Kwenzekani phakathi nalolu hambo? Ngaphambi nangemva kokuhlinzwa
Uma ingane yakho itholakala inesinye salezi ziphazamiso zokuzalwa, yisikhathi esibucayi kakhulu. Ithimba lezokwelapha lizokuqapha wena nengane yakho eduze kakhulu.
Ngaphambi kokuhlinzwa:
- Ukuxilongwa: Okokuqala, ochwepheshe basebenzisa ama-scan nezinye izivivinyo ukuze bathole ukuthi isimo somntwana siyini nokuthi sibucayi kangakanani.
- Ukubonisana: Ngemva kwalokho, ithimba lezokwelapha lizokhuluma nawe nomndeni wakho ngezinketho zakho, ukuthi kuzokwenzekani uma uhlinzwa, ukuthi kuzokwenzekani uma ungahlinzwa, kanye nazo zonke izingozi nezinzuzo. Lokhu kuzokusiza ukuthi wenze isinqumo.
- Ukulungiselela: Uma unquma ukuhlinzwa, uzokwenza wonke amalungiselelo adingekayo.
Ngemva kokuhlinzwa:
- Ukulaliswa esibhedlela: Kuye ngohlobo lokuhlinzwa, kungadingeka uhlale esibhedlela izinsuku ezimbalwa. Odokotela nabahlengikazi bazoqhubeka nokunakekela wena nomntwana wakho.
- Ukubeletha ngaphambi kwesikhathi: Ngezinye izikhathi lokhu kuhlinzwa kungabangela ukuthi umntwana azalwe ngaphambi kosuku lokuzalwa (`ukubeletha ngaphambi kwesikhathi`). Odokotela banikeza imithi yokukuvimba, kodwa akuphumeleli ngaso sonke isikhathi.
- Ukuhlinzwa Kwesibeletho: Uma kwenziwa ukuhlinzwa kombungu, umntwana kuzodingeka abelethwe ngokuhlinzwa kwesisu (`ukuhlinzwa kwesisu`) ngoba kukhona ukusikwa esibelethweni.
- Ukunakekelwa okukhethekile komntwana: Ngemva kokuzalwa, ezinye izingane zingadinga ukwelashwa egunjini lokunakekelwa okujulile kwezinsana ezisanda kuzalwa (i-NICU).
Yiziphi izinzuzo nezingozi?
Njengoba lesi kuyisinqumo esikhulu, izinhlangothi zombili zidinga ukuqondwa kahle.
Inzuzo eyinhloko ukuthi kungasindisa impilo yengane noma kunciphise kakhulu amathuba okukhubazeka esikhathini esizayo. Ikakhulukazi ezimweni ezifana ne-'Spina Bifida', ukuhlinzwa kusenesikhathi kwandisa amathuba okuthi ingane izokwazi ukuhamba.
Kodwa-ke, kunezingozi futhi. Lokhu kungathinta umama kanye nengane.
| Izingozi kumama | Izingozi ezingaba khona enganeni |
|---|---|
| Imiphumela emibi ebangelwa ukubulala izinzwa. | Ukubeletha ngaphambi kwesikhathi. |
| Ukopha ngokweqile ngesikhathi sokuhlinzwa. | Ukuphazamiseka kwe-placenta. |
| Ukuncipha noma ukuvuleka komlomo wesibeletho. | Ukutheleleka koketshezi lwe-amniotic esibelethweni (okungavamile). |
| Ukukhulelwa kwamanje nokwesikhathi esizayo kungadinga ukuhlinzwa. | Ukuhlukaniswa kwe-membrane ye-Chorioamniotic. |
Ngokukhulelwa okuyinkimbinkimbi kanje, ukucindezeleka nokukhathazeka kungaba nzima kakhulu. Ukwenza izinqumo kungaba nzima kuwe nomndeni wakho. Ufuna umphumela omuhle kakhulu kuwe nakumntwana wakho. Odokotela bakho bafuna okufanayo. Ngakho-ke, ungesabi ukubuza udokotela wakho noma yimiphi imibuzo onayo. Bazokunikeza lonke ulwazi oludingayo futhi bakusekele ekwenzeni isinqumo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa Kwengane Esanda Kuzalwa kuyindlela yokuhlinzwa esezingeni eliphezulu kakhulu elapha izinkinga eziningana zokuzalwa ngesikhathi ingane isesesibelethweni.
- Lokhu kwenzelwa ukusindisa impilo yomntwana noma ukunciphisa ukukhubazeka okukhulu okungase kwenzeke ngemva kokuzalwa.
- Lena inqubo eyinkimbinkimbi kakhulu, futhi kunezingozi ezinkulu kumama kanye nengane.
- Lesi yisinqumo esibucayi kakhulu nesinzima ukusenza. Xoxa ngakho konke okucabangayo, ukwesaba kwakho, ukungabaza, nemibuzo, nodokotela wakho.
- Esimweni esinjalo, kubalulekile ukufuna iseluleko kochwepheshe abafanele kanye nesibhedlela esenza ukuhlinzwa okunjalo.
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