Ingabe ingane yakho encane ikhala njalo ngenxa yobuhlungu besisu? Ingabe izizwa sengathi igcwele? Ingabe ngezinye izikhathi ihlanza ukuhlanza okuluhlaza? Njengomama noma ubaba, kuyinto evamile ukuzizwa ukhathazekile kakhulu ngezikhathi ezinjengalezi. Nakuba sivame ukucabanga ukuthi lokhu kumane kuyibuhlungu besisu obuvamile, ngezinye izikhathi kungase kube nesizathu salokhu okufanele sikhathazeke kakhulu ngaso. Ngakho-ke, isimo esisodwa okufanele sisiqaphele ngokuqinisekile ukugoba kwamathumbu, noma ngokwezokwelapha, `(Ukuphazamiseka Kwesisu)`.
Kalula nje, kuyini ukubola kwamathumbu?
Lokhu kungase kuzwakale njengegama eliyinkimbinkimbi, kodwa empeleni kulula kakhulu ukuliqonda. `Ukungakhuli kahle kwesisu` kuyisimo sokuzalwa . Okusho ukuthi, kwenzeka ngesikhathi umntwana esesesibelethweni.
Cabanga ngakho, lapho izingxenye zomzimba zomntwana zakhiwa, amathumbu ayakhiwa kuqala, bese kudingeka ajijeke kahle futhi angene ezindaweni zawo ezifanele ngaphakathi esiswini. Yilokhu okuvame ukwenzeka.
Kodwa-ke, uma kwenzeka i-'Malrotation', amathumbu awasonteki kahle, kodwa abekwe ngendlela engafanele. Uma sikhuluma iqiniso, amathumbu awabekwe kahle ngaphakathi kwesisu. Ngenxa yalokhu, amathumbu awanamathele kahle odongeni lwesisu. Lokhu yilokho esikubiza ngokuthi 'Malrotation'. Lokhu akubangelwa yiphutha lengane noma abazali.
Into ebalulekile ukuthi izingane eziningi ezinalesi simo zidinga ukuhlinzwa ukuze kulungiswe amathumbu azo. Uma lokho sekwenziwe, ingane ingaphila impilo evamile.
Yisiphi isimo esiyingozi esibizwa ngokuthi 'iVolvulus'?
Uma sikhuluma nge-'Malrotation', enye inkinga eyingozi kakhulu okudingeka siyazi yi-'Volvulus'. Lena ingozi enkulu ye-'Malrotation'. Kalula nje, lokhu kusho ukuthi amathumbu ayasonteka futhi abambeke .
Cabanga ngepayipi lamanzi. Kwenzekani uma ipayipi ligobeka futhi lijijeke endaweni ethile? Ukugeleza kwamanzi kuvinjiwe, akunjalo? Yilokho okwenzekayo nalapha.
Ukungalungi kahle komzimba kuyisimo lapho amathumbu engakabekwa kahle ngaphakathi esiswini, ukuze ahlangane kalula. Uma lokhu kwenzeka, kuvela izinkinga ezimbili ezinkulu:
1. Ukuvaleka kwamathumbu: Ukuhamba kokudla okugayiwe emathunjini kuvimbekile ngokuphelele. Lokhu kubizwa ngokuthi ``ukuvaleka kwamathumbu``.
2. Ukuphazamiseka kokugeleza kwegazi: Okuyingozi nakakhulu ukuthi imithambo yegazi ehambisa igazi emathunjini nayo ibanjwa kulokhu kugoba. Ngemuva kwalokho, leyo ngxenye yamathumbu ayitholi igazi elanele, bese leyo ngxenye iqala ukufa.
Lesi simo esibizwa ngokuthi 'iVolvulus' siyisimo esidinga ukuhlinzwa okuphuthumayo.`(isimo esiphuthumayo sokuhlinzwa)`. Ngoba uma kungelashwa, kungavela izinkinga ezinkulu ezisongela ukuphila njengokufa kwamathumbu, ukubhoboka, i-peritonitis, i-sepsis, kanye nokushaqeka.
Ziyini izimpawu zalesi simo? Sizibona kanjani?
Ezinye izingane zingase zingabonisi zimpawu uma zine-'malrotation' kuphela. Kodwa-ke, izimpawu zivela ngokuzumayo lapho kuvela i-'volvulus'. Lezi zimpawu zivame kakhulu ezinganeni ezingaphansi kweminyaka emi-5 ubudala, ikakhulukazi phakathi nenyanga yokuqala yokuphila.
Ake sibone ukuthi lezi zici zihluke kanjani ezinganeni nasezinganeni ezindala.
| Izimpawu ezibonakala ezinganeni | |
|---|---|
| Isibonakaliso | Incazelo |
| Ukuhlanza | Ukuhlanza njalo. Ikakhulukazi, ukuhlanza okuluhlaza okotshani noma okuphuzi-oluhlaza okotshani . Lokhu kubangelwa ukuvuvukala kwenyongo ngenxa yokuvaleka kwamathumbu. Lokhu kuyisibonakaliso sesimo esiphuthumayo! |
| Ubuhlungu besisu kanye nokuqunjelwa | Isisu sigcwele, futhi kuzwakala ubuhlungu lapho isandla sibanjwa. Ingane inobuhlungu obukhulu be-colic. |
| Iphethini yokukhala | Ingane ikhala kakhulu, ibambe imilenze yayo iye esiswini isikhathi eside. Ngemva kokuzola cishe imizuzu eyi-10-15, ngokuzumayo iqala ukukhala ngobuhlungu futhi. |
| Izinguquko esitulweni | Igazi elisendle noma ukuphuma kwegazi endulwini. |
Izici zezingane ezingaphezu konyaka owodwa ubudala
Izimpawu ezinganeni ezindala zingase zihluke kancane. Ezinye izifundo zibonise ukuthi izingane ezingaphezu kweminyaka emibili ubudala azivamile ukuhlanza okuluhlaza. Ngokuvamile ziba nobuhlungu besisu obuphindaphindayo kanye nokuhlanza okuwumbala ojwayelekile.
| Izici zezingane ezingaphezu konyaka owodwa ubudala | |
|---|---|
| Ubuhlungu besisu | Ubuhlungu besisu obuphindaphindayo. |
| Ukuhlanza kanye nesicanucanu | Ukucanuzela nokuhlanza okuvamile (ngokuvamile okunombala ojwayelekile). |
| Izinkinga zesistimu yokugaya ukudla | Uhudo noma ukuqunjelwa. |
| Izinkinga zokukhula | Ukwehluleka ukuchuma. |
| Ezinye izici | Ukuvuvukala nokuphuma kwegazi ngendle. |
Kungani lokhu kwenzeka? Iyini imbangela?
Eqinisweni, abacwaningi abakayazi imbangela eqondile yalokhu. Esikwaziyo nje ukuthi kuyisimo sokuzalwa. Amathumbu engane esanda kuzalwa aqala ukwakheka cishe ngesonto le-10 lokukhulelwa. Ngakho-ke ngesizathu esithile phakathi nale nqubo, la mathumbu awakheki kahle. Ucwaningo lusaqhubeka ukuthola imbangela eqondile.
Odokotela bakuthola kanjani lesi simo?
Uma ingane yakho inezimpawu ezingenhla, uma uya kudokotela, uzoqala ayihlole ingane ngokucophelela. Uzozwa isisu sengane bese ehlola ukuthi ayinaso yini isivuvu noma ubuhlungu.
Ngemuva kwalokho, ukuqinisekisa ukuxilongwa, kuhlelwa ukuhlolwa okuningana okungathatha izithombe zengaphakathi lesisu. Okuyinhloko yile:
- Ukuskena kwe-ultrasound yesisu
- Ama-X-ray asebenzisa into ekhanyayo (umehluko)
Lezi zivivinyo zingabona ngokucacile indawo yamathumbu nokuthi kukhona yini ukuvinjelwa epayipini lokudla.
Ilashwa kanjani? Ingabe ukuhlinzwa kuyadingeka?
Yebo, izingane ezine-'Malrotation' zivame ukuhlinzwa. Umgomo oyinhloko walokhu kuhlinzwa ukukhipha amathumbu asontekile bese uwabeka kabusha ezindaweni ezifanele ngaphakathi kwesisu.
Kunezindlela ezimbili eziyinhloko zokuhlinzwa ezisetshenziswa kulokhu:
1. Inqubo kaLadd: Lena inqubo evame ukusetshenziswa kakhulu. Kule nqubo, udokotela ohlinzayo usika izibopho zezicubu ezingavamile ezibamba amathumbu ndawonye. Amathumbu asontekile abese ekhululwa futhi abekwe kabusha. Le nqubo ingenziwa njengokuhlinzwa okuvulekile noma nge-laparoscopically. Kodwa-ke, kunengozi engavamile kakhulu yokuthi amathumbu aphinde asonte (i-recurrent volvulus) ngemva kwale nqubo.
2. Inqubo kaKareem: Lena inqubo entsha kakhulu. Kule nqubo, amathumbu ajikeleziswa ngokuphelele endaweni efanele futhi aboshwe odongeni lwesisu. Lokhu kucatshangwa ukuthi kunciphisa ingozi yokujikisa amathumbu kabusha.
Ithimba lezokwelapha lizoxoxa nawe ngenqubo yokuhlinzwa efaneleke kakhulu yesimo sengane yakho.
Ngezinye izikhathi, kuye ngokuthi umonakalo ungakanani emathunjini, kungase kudingeke kuthathwe izinyathelo ezengeziwe ngaphezu kokuhlinzwa.
- Ukususwa kwengxenye yamathumbu eyonakele.
- Imbobo yesikhashana noma ehlala njalo esiswini ukuze kudlule indle (i-Colostomy).
- Ukususwa kwe-appendix (ngoba indawo yamathumbu iyashintsha, okwenza kube nzima ukuthola i-appendicitis esikhathini esizayo).
Kuyiqiniso ukuthi ukuhlinzwa okuphuthumayo kungaba yinto eyesabekayo kakhulu kumama noma kubaba. Kodwa khumbula, ingane yakho isezandleni zethimba lezokwelapha elinekhono. Khuluma nabo nganoma yimiphi imibuzo noma ukukhathazeka onakho. Bazokuchazela konke.
Kufanele siye nini kudokotela? Kufanele siye nini ku-ETU?
Lena yingxenye ebaluleke kakhulu. Uma unokungabaza okuncane ngento ethile ngomntwana wakho, ungalindi uthi, "Lokhu kuzomane kube ngcono." Ikakhulukazi ezimweni ezifana ne-'Malrotation', ukungenelela kusenesikhathi kungasindisa impilo yomntwana.
Isikhathi sokubona udokotela wakho:
Uma ingane yakho inezimpawu ezilandelayo, bheka udokotela wezingane.
- Ukuhlanza okuphindaphindiwe (noma ngabe kujwayelekile ngombala).
- Uma uhlala ukhuluma ngobuhlungu besisu.
- Uma ingane ingakhuli kahle.
Khumbula, lezi zimpawu azibangelwa njalo yi-'Malrotation'. Kungase futhi kubangelwe esinye isimo, njenge-'Reflux'. Kungakhathaliseki ukuthi imbangela iyini, kungcono ukuhlolwa udokotela.
Isikhathi sokuya e-Emergency Treatment Unit (ETU) ngokushesha:
Uma kukhona noma yiziphi izimpawu ezilandelayo, yisa ingane esibhedlela esiseduze noMnyango Wezimo Eziphuthumayo (ETU) ngokushesha . Lezi zingaba izimpawu eziyingozi zesimo esibizwa ngokuthi 'iVolvulus'.
| Izimpawu eziphuthumayo - iya ku-ETU ngokushesha! |
|---|
| 🟢 Ukuhlanza okuluhlaza noma okuphuzi-oluhlaza - lesi yisibonakaliso esiyinhloko sesixwayiso! |
| 💨 Ukuphefumula okusheshayo okungajwayelekile. |
| ❤️ Ukushaya kwenhliziyo okukhuphukile. |
| 😵 Ukudideka noma ukulahlekelwa ukwazi. |
| 😨 Isikhumba siyabanda, sibe manzi, futhi sibe mhlophe. |
| 😖 Ukuqunjelwa kwesisu okubangela ubuhlungu obukhulu esiswini. |
Ingabe lesi simo asinakuvinjelwa?
Njengoba 'i-Malrotation' iyisimo sokuzalwa futhi imbangela eqondile ingaziwa, ayikho indlela yokusivimbela. Futhi, isimo 'se-Volvulus' esibangelwa yiso asinakuvinjelwa.
Kodwa-ke, into engcono kakhulu esingayenza ukuthatha isinyathelo ngokushesha nje lapho kuvela izimpawu . Lokhu kunganciphisa kakhulu ingozi yezinkinga ezinkulu.
Umlayezo Wokuya Nawe Ekhaya
- `Ukungalungi` kuyiphutha lokuzalwa elenzeka lapho amathumbu omntwana engajikelezi kahle ngesikhathi esesibelethweni.Akulona iphutha labazali.
- Uma ingane yakho ihlanza okuluhlaza okotshani noma okuphuzi-oluhlaza okotshani , kuyisimo esiphuthumayo. Yiya egumbini lezimo eziphuthumayo lesibhedlela (ETU) ngokushesha.
- I-'Volvulus' ukusonteka kwamathumbu okuvimba ukugeleza kwegazi. Lokhu kungaba yingozi empilweni futhi kudinga ukuhlinzwa okusheshayo.
- Ukwelashwa kwalesi simo ukuhlinzwa. Uma kutholakale futhi kwelashwa kusenesikhathi, izingane zingaphila impilo evamile nenempilo.
- Uma unezinsolo ezincane mayelana nobuhlungu besisu sengane yakho, ukuhlanza, noma ezinye izimpawu ezingavamile, ungacabangi nje ukuthi, "Kulungile." Khuluma nodokotela wakho. Kubalulekile futhi ukuyeka ukwesaba kwakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho