Ngesikhathi udokotela ekutshela ngemva kokuskena ukuthi ingane yakho ine-Omphalocele, kumelwe ukuthi wazizwa ukwesaba okukhulu nokushaqeka. Noma kungenzeka ukuthi wamangala ukubona into efana nale ngemva kokuzalwa kwengane futhi wawungacabangi nokuthi kwenzekeni. Kuvamile kakhulu. Kodwa ungakhathazeki. Lesi yisimo esingaphathwa ngempumelelo kwezesayensi yezokwelapha. Ngakho-ke, ake sixoxe ngakho konke kalula nangokucacile namuhla.
Iyini i-Omphalocele?
Kalula nje, i-Omphalocele yisimo esiba khona kusukela ekuzalweni. Okwenzekayo ukuthi izitho zesisu zomntwana (njengamathumbu nesibindi) ziphuma enkabeni. Kodwa lezi zitho eziphumayo azigcini lapho. Zimbozwe futhi zivikelwe ulwelwesi oluncane nolubonakalayo . Lubukeka njengesikhwama esincane, esibonakalayo esinezinye zezitho zesisu eziphumayo. Lolu lwelwelwesi lwenziwe nge-peritoneum, ulwelwesi oluhlanganisa ingaphakathi lesisu.
Kungenzeka kanjani into efana nale?
Ukuze uqonde lokhu, udinga ukwazi okuncane ngalokho okwenzekayo ezigabeni zokuqala zokukhula komntwana esibelethweni.
Cabanga nje, phakathi kwamasonto e-6 ne-10 okukhulelwa, lapho umzimba womntwana ukhula ngokushesha, amathumbu omntwana aba made kancane, ngakho-ke awanandawo eyanele esiswini futhi avele okwesikhashana aye entanjeni yesisu. Lokhu kuvamile ngokuphelele .
Okufanele kwenzeke ngokuvamile ukuthi cishe emavikini ayi-11 , isisu somntwana sizovuleka futhi amathumbu aphumile azophindela esiswini.
Kodwa-ke, uma ngesizathu esithile leli thumba lingabuyeli esiswini, khona-ke kuvela isimo esibizwa ngokuthi i-Omphalocele.
Kubalulekile ukuqaphela ukuthi lokhu akulona iphutha lakho. Lena inkinga eyenzeka ngesikhathi umntwana ekhula.
Ingabe zikhona izinhlobo ze-omphalocele?
Yebo, i-Omphalocele ingahlukaniswa ngezinhlobo ezimbili eziyinhloko ngokusekelwe kubukhulu besitho esiphumile.
| Uhlobo lwe-Omphalocele | Incazelo |
|---|---|
| I-Omphalocele Encane | Ingxenye yamathumbu kuphela ephumile. Imbobo esiswini ivame ukuba ngaphansi kwamasentimitha ama-5. |
| I-Omphalocele Enkulu | Kulesi simo, izitho eziningi zesisu (njengamathumbu, isibindi, kanye ne-spleen) kungenzeka ukuthi zivele. Imbobo inkulu kune-5 centimeters. |
Ingabe ezinye izinkinga zingavela ngalesi simo?
Yebo, cishe izingxenye ezimbili kwezintathu zezingane ezine-omphalocele zingase zibe nezinye izinkinga zempilo. Yingakho odokotela benaka kakhulu nalokhu.
- Ukukhubazeka kwe-chromosome: Lokhu kungase kuhlotshaniswe nezinye izimo zofuzo.
- Ukukhubazeka kwenhliziyo: Ingane ingase ibe nezinkinga ezithile zenhliziyo.
- Ukukhula kabi kwamaphaphu: Ngenxa yezitho zesisu eziphumayo, kungase kungabi nesikhala esanele esifubeni futhi amaphaphu angase angakhuli kahle.
- Izinkinga zesistimu yokugaya ukudla: Izinto ezifana nokungasebenzi kahle kwamathumbu zingenzeka.
- I-Beckwith-Wiedemann syndrome: Lesi yisimo esibonakala ngezimpawu ezifana nolimi olukhulu kanye namazinga aphansi kashukela egazini.
Odokotela bahlola umntwana ngokucophelela ngaphambi nangemva kokuzalwa ukuze babone ukuthi zikhona yini ezinye izinkinga ezifana nalezi.
Yiziphi izici eziyingozi zokuthuthukisa i-omphalocele?
Nakuba kungenakwenzeka ukusho ngqo ukuthi yini ebangela lokhu, ucwaningo luthole ukuthi izinto ezithile zingase zandise kancane ingozi yalesi simo.
| Isici sengozi | Incazelo elula |
|---|---|
| Iminyaka kamama | Izingane ezizalwa omama abaneminyaka engaphezu kwengu-35 zingase zibe nengozi eyengeziwe kancane. |
| Utshwala nokubhema | Ukuphuza utshwala nokubhema ngesikhathi sokukhulelwa kungaba nemiphumela emibi kakhulu. |
| Izakhi zofuzo | I-Omphalocele ingenzeka ngezimo ezithile ezingavamile ze-chromosome, njenge-Trisomy 13, 18, noma 21. |
| Izimo zempilo zikamama | Izimo ezifana nokukhuluphala kukamama, isifo sikashukela, noma umfutho wegazi ophezulu zingandisa ingozi. |
| Eminye imithi | Kunobufakazi bokuthi eminye imithi ethathwa ngaphandle kweseluleko sezokwelapha, ikakhulukazi eminye imithi yokucindezeleka (SSRIs), ingandisa ingozi. |
Odokotela bakuthola kanjani lokhu?
Lesi simo sivame ukutholakala ngaphambi kokuba umntwana azalwe, ngesikhathi sokuhlolwa kwe-ultrasound ngaphambi kokukhulelwa kwakho. Ngokuvamile, ukuhlolwa okwenziwa ku-trimester yesibili noma yesithathu kungabonisa ngokucacile izitho zomntwana ezikhula ngaphandle kwesibeletho.
Uma i-omphalocele isitholakele, udokotela uvame uku-oda ukuhlolwa okukhethekile okubizwa ngokuthi i-echocardiogram yengane ukuze kuhlolwe noma yiziphi izinkinga enhliziyweni yengane.
Ezimweni ezingavamile kakhulu, uma lokhu kungenzeki ngesikhathi sokuhlolwa, isimo sibonakala ngokushesha ngemva kokuzalwa komntwana. Uma lokhu kwenzeka, ithimba lezokwelapha lizothatha zonke izinyathelo ezidingekayo ngokushesha.
Iphathwa kanjani?
Ukwelashwa kwe-omphalocele kuwukuhlinzwa. Kodwa-ke, indlela lokhu kuhlinzwa okwenziwa ngayo incike ezintweni eziningana.
- Usayizi we-omphalocele (kungakhathaliseki ukuthi incane noma inkulu).
- Impilo yomntwana iyonke.
- Ingabe umntwana wazalwa ngesikhathi noma ngaphambi kwesikhathi?
- Hlola ukuthi ulwelwesi olumboze isitho esiphumayo luphelele yini futhi aluphukile.
Ukwelapha i-Omphalocele Encane
Uma ingane ine-omphalocele encane, odokotela abahlinzayo bazokwenza ukuhlinzwa ngokushesha ngemva kokuzalwa kwengane. Lokhu kuhilela ukubeka ngokucophelela izitho ezivelelayo esiswini nokuvala imbobo odongeni lwesisu. Lokhu kungasiza ekuvimbeleni ukutheleleka kanye nomonakalo ezithweni.
Ukwelashwa kwe-Omphalocele Enkulu
Uma umntwana ene-Omphalocele enkulu, okusho ukuthi izitho eziningi seziphumile, ukuhlinzwa akwenziwa ngesikhathi esisodwa. Kwenziwa ngezigaba eziningana .
Cabanga nje uma uzama ukufaka izinto eziningi ezinkulu esikhwameni esincane ngesikhathi esisodwa, bekungeke kube nesikhala esanele, futhi awukwazi ukufaka zonke lezi zitho esiswini esincane somntwana ngesikhathi esisodwa. Ukwenza kanjalo kunganqamula ukunikezwa kwegazi ezithweni, kwandise ingcindezi ngaphakathi esiswini, futhi kwenze kube nzima ngengane ukuphefumula.
Ngakho-ke, odokotela bacindezela kancane kancane izitho zibuyele esiswini isikhathi esiyizinsuku noma amasonto. Phakathi nalesi sikhathi, izitho ezingaphandle zimbozwa ngeshidi elihlanzekile ukuvimbela ukutheleleka. Ngemva kokuba isisu somntwana sesikhule ngokwanele ukwamukela zonke izitho, kwenziwa ukuhlinzwa kokugcina ukuze kuvalwe umgodi.
Izingane ezine-Omphalocele enkulu kangaka ngezinye izikhathi zingase zibe nobunzima bokuphefumula ngenxa yamaphaphu angakakhuli kahle. Ezimweni ezinjalo, umntwana unikezwa ukwesekwa komshini wokuphefumula kuze kube yilapho esekwazi ukuphefumula yedwa.
Lizoba njani ikusasa lomntwana?
Lona umbuzo omkhulu kunayo yonke engqondweni yawo wonke umzali.
Uma umntwana enesifo se-omphalocele kuphela, okusho ukuthi azikho ezinye izinkinga ezinkulu zempilo, ngemva kokuhlinzwa okuphumelelayo, umntwana angalulama ngokugcwele futhi aphile impilo evamile.
Kodwa-ke, njengoba sixoxile ngaphambili, uma kunezinye izinkinga ezifana nokukhubazeka kwenhliziyo noma izinkinga ze-chromosome, impilo yengane yesikhathi esizayo nayo izoncika kulezo zinto.
Sekukonke, izinga lokusinda kwezingane ezizalwa zine-omphalocele liphezulu ngamaphesenti angama-95. Kodwa-ke, lezi zibalo zingathinteka ezinye izinkinga zempilo. Udokotela wakho angachaza kangcono isimo somntwana wakho. Khuluma naye ngokukhululekile ngalokhu.
Kufanele ngikhulume nini nodokotela ngemva kokuhlinzwa?
Uma uletha ingane yakho ekhaya ngemva kokuhlinzwa, kunezinto ezimbalwa okufanele uziqaphele. Uma ubona noma yiziphi izimpawu ezingezansi, shayela udokotela wakho ngokushesha.
| Izimpawu okufanele uziqaphele | Incazelo |
|---|---|
| Imfiva | Uma izinga lokushisa lomzimba wengane yakho liphakeme kunokuvamile. |
| Ukubomvu noma ukuvuvukala kwesilonda | Uma isikhumba esizungeze indawo yokuhlinzwa sibomvu, sivuvukele, futhi sizwakala sishisa uma usithinta. |
| Okuthile okuphuma enxebeni | Uma into efana nobomvu, uketshezi, noma igazi liphuma enxebeni. |
| Ukuhlanza | Uma ingane yakho iqhubeka nokuhlanza, ikakhulukazi uma ukuhlanza kuluhlaza , kungaba uphawu lokuvaleka kwamathumbu. |
Ukwesaba, ukukhathazeka, nokungaqiniseki okuzwayo lapho uthola ukuthi ingane yakho inesici sokuzalwa esinjengalesi kuyakwesabisa. Kodwa awuwedwa. Udokotela wakho kanye nethimba lezokwelapha esibhedlela bahlala bekhona ukukusiza wena nomntwana wakho. Khuluma nabo nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Bazokuchazela konke mayelana nenqubo yokuzalwa kanye nohlelo lokwelashwa kwengane yakho ngemva kwalokho.
Umlayezo Wokuya Nawe Ekhaya
- I-Omphalocele yinkinga eyenzeka ngesikhathi sokukhula komntwana, hhayi iphutha labazali.
- Ngokuvamile, lesi simo singatholakala ngokuskena ngaphambi kokuba umntwana azalwe, okuvumela ukulungiselela kusenesikhathi ukwelashwa okudingekayo.
- Ukwelashwa kwenziwa ngokuhlinzwa, futhi indlela inqunywa ngobukhulu be-omphalocele kanye nempilo yomntwana.
- Ngaphandle kokuba kunezinye izinkinga ezinkulu zempilo, iningi lezingane liyalulama ngokuphelele futhi liphile impilo evamile ngemva kokuhlinzwa.
- Khuluma ngokukhululekile nodokotela wakho kanye nethimba lezokwelapha nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Bahlala bekulungele ukukusekela.
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