Injabulo yokuba ngumama noma ubaba omusha ayichazeki, akunjalo? Kodwa ngesikhathi esifanayo, kukhona nokwesaba okuncane. Ikakhulukazi ebusuku, uma ubuka ingane yakho ilele, ubuka leso sifuba esincane siphakama futhi siwa, uzizwa ukhululekile kakhulu. Kodwa ngokuzumayo, uqaphela ukuthi ingane yakho iyeke ukuphefumula imizuzwana embalwa. Ngaleso sikhathi, inhliziyo yakho iyagxumagxuma, akunjalo? "O Nkulunkulu wami, yini esanda kwenzeka?" Uyacabanga. Ngemuva kwalokho ingane iqala ukuphefumula ngokushesha futhi, njengokungathi akukho okwenzekile. Ingabe nawe uke waba nalokhu okuhlangenwe nakho? Khona-ke ungesabi. Namuhla sikhuluma ngalokhu kubamba umoya abazali abaningi abasha abakwesabayo, kodwa ngokuvamile kuyinto evamile.
Kalula nje, kuyini ukuphefumula okuvamile?
Ukuphefumula ngezikhathi ezithile kuyindlela evamile yokuphefumula ezinganeni ezisanda kuzalwa. Kalula nje, yilapho ingane yakho iyeka ukuphefumula isikhathi esifushane kakhulu, njengemizuzwana emi-5 kuya kweyishumi, phakathi kokuphefumula ngakunye. Ngemva kwalokho, ingane iqala ukuphefumula futhi yodwa.
Kodwa ngemva kokuyeka lokhu kuphefumula bese kuqala futhi, ukuphefumula kungase kusheshe kancane kunokujwayelekile. Kwezokwelapha, lokhu sikubiza ngokuthi `(Tachypnea)`.
Cabanga ngale ndlela. Ingane yakho izophefumula isikhashana, bese ibamba umoya wayo imizuzwana embalwa, bese iphefumula ngokushesha futhi. Lo mjikelezo ungase wenzeke kathathu noma kane ilandelana. Ngemuva kwalokho ingane izoqala ukuphefumula ngendlela evamile futhi ngesigqi esifanayo. Lokhu kuvame ukwenzeka lapho ingane ilele kahle.
Lokhu akuyona into engavamile. Njengoba ingane ikhula, umzimba wayo, ikakhulukazi ubuchopho bayo namaphaphu, kufunda ukulawula ukuphefumula kwayo ngendlela efanele. Ngemuva kwalokho lo mjikelezo wokuphefumula oqhubekayo uyanyamalala kancane kancane.
Kuze kube nini ubudala lokhu kuvamile?
Lesi simo esibizwa ngokuthi ukuphefumula okuvamile sibhekwa njengesijwayelekile kuze kube yilapho umntwana esenezinyanga ezi-6 ubudala. Sivame kakhulu phakathi kwamasonto ama-2 nama-4 ngemva kokuzalwa.
Kodwa uma ingane yakho iqhubeka nokuphefumula ngale ndlela ngemva kwezinyanga eziyisithupha, kubaluleke kakhulu ukukhuluma nodokotela wakho ngakho.
Ingabe lokhu kungaba yingozi-ke?
Esikhathini esiningi, cha. Kodwa akuvamile, okungukuthi, ngamathuba amancane kakhulu, lesi simo singaba sibi kakhulu. Ngokuvamile, le nkinga yokuphefumula ingeyesikhashana, futhi umntwana uphefumula ngendlela evamile futhi.
Kodwa, ake sithi lo mjikelezo wokuphefumula uyaqhubeka, uthatha isikhathi eside kunalokho obekulindelwe. Khona-ke umzimba womntwana ungase ungakwazi ukuthola inani lomoya-mpilo olidingayo.
Uma umzimba ungatholi inani lomoya-mpilo olidingayo, izinga lomoya-mpilo egazini liyehla. Lokhu sikubiza ngokuthi `(Hypoxemia)`.Lesi yisimo esiyingozi kakhulu futhi sidinga usizo lwezokwelapha ngokushesha.
Ake sazi umehluko oqondile phakathi kokuphefumula okuvamile kanye ne-Apnea.
Njengabazali, niyesaba kakhulu lesi simo ukuthi yisimo esiyingozi esibizwa ngokuthi "i-Apnea". Kunomehluko ocacile phakathi kwalokhu okubili. Uma usuwuqondile lowo mehluko, ukwesaba kwakho kuzophela kakhulu. Ake sikubheke ngale ndlela ukuze sikuqonde kalula.
| Isici | Ukuphefumula Okuvamile Okuvamile | Isimo se-apnea esingaba yingozi |
|---|---|---|
| Isikhathi sokubamba umoya | Isikhathi esifushane. Ngokuvamile singaphansi kwemizuzwana eyi-10. | Ukuphefumula kuyama imizuzwana engama-20 noma ngaphezulu . |
| Ukushintsha kombala womzimba | Izindebe noma umbala wesikhumba somntwana ngeke kushintshe. Zizohlala zipinki. | Izindebe, iminwe, noma isikhumba somntwana siphenduka sibe luhlaza okwesibhakabhaka/obomvu, ompunga, noma sibe mhlophe . |
| Ukuziphatha komntwana | Ingane izolile futhi ilula. Ngisho noma ingasaphefumuli, kubonakala sengathi ayikhathazi. | Ingane ingase ibe nenkinga. Umzimba ungase ube nenkinga. Noma ingase ibonakale ingaphili ngokuzumayo . |
| Ezinye izici | Ayibonisi ezinye izimpawu eziyingozi. Ukuphefumula kuyayeka bese kubuyela esimweni esijwayelekile. | Isilinganiso senhliziyo singase sehle kanye nokuyeka ukuphefumula. |
| Udinga iseluleko sezokwelapha? | Lokhu ngokuvamile akudingeki. Lokhu kuyingxenye evamile yokukhula kwengane. | Kudingeka usizo lwezokwelapha ngokushesha. Lokhu kungaba uphawu lwesimo sempilo. |
I-'apnea' yisimo sezokwelapha okumele sihlolwe udokotela. Singaba nezimbangela ezahlukahlukene. Singabangelwa izifo, ukuphazamiseka kwe-metabolic, njll. Ikakhulukazi, lesi simo singavela ezinganeni ezizalwa ngaphambi kosuku lokuzalwa. Sikubiza ngokuthi `(apnea yokungavuthwa kahle)`. Isizathu salokhu ukuthi izingxenye zomzimba ezilawula ukuphefumula komntwana azikakhuli ngokugcwele.
Kodwa ukuphefumula njalo kuyinto evamile ezinganeni eziphilile. Kungenzeka kokubili ezinganeni ezizalwa ngesikhathi esigcwele kanye nezingane ezizalwa ngaphambi kwesikhathi. Ngakho-ke, ungesabi i-apnea futhi ukhathazeke ngokungadingekile ngokuphefumula njalo.
Amafulegi Abomvu adinga ukunakekelwa okusheshayo
Manje sesiyazi ukuthi isikhathi esiningi, ukuphefumula njalo akusikho okufanele sikhathazeke ngakho. Kodwa-ke, njengomzali, kubalulekile ukwazi ukuthi sidinga ukuthatha isinyathelo ngokushesha nini. Uma ingane yakho ibonisa noma yiziphi izimpawu ezilandelayo, yiyise eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngaphandle kokulibala. Noma shayela isevisi ye-ambulensi ka-1990.
- Uma ukuphefumula kuyeka imizuzwana engaphezu kweyi-10: Njengoba sishilo, ukuphefumula kuvame ukuyeka imizuzwana emi-5-10. Noma yini ende, ikakhulukazi eseduze nemizuzwana engama-20 noma ngaphezulu, iyingozi.
- Uma isikhumba nezindebe zomntwana kushintsha umbala: Lesi yisibonakaliso esibaluleke kakhulu. Lokhu kwenzeka lapho izinga lomoya-mpilo egazini lehla.
- Izingane ezinesikhumba esikhanyayo zingase zibe nezindebe, ulimi, kanye neminwe yazo ibe luhlaza okwesibhakabhaka noma onsomi .
- Lokhu kushintsha kombala okuluhlaza okwesibhakabhaka kungase kungabonakali ezinganeni ezinesikhumba esikhanyayo kancane. Ezimweni ezinjalo, bheka ngokucophelela ukuthi azikho yini izindebe, izinsini, nangaphansi kwamehlo ezimpunga, eziphuzi-mpunga, noma ezimpunga .
- Uma ungakwazi ukuvusa ingane yakho: Uma uthinta kancane futhi ukhuluma nengane yakho lapho ingaphefumuli, kodwa ingaphenduli, noma uma ivele ingabonakali ingaphili, lokho kuyisibonakaliso esiyingozi.
Khumbula, kunzima ukungesabi ngesikhathi esinjengalesi. Kodwa into ebaluleke kakhulu ukwenza into efanele ngokushesha. Futhi lokho ukufuna iseluleko sezokwelapha ngokushesha.
Themba isisu sakho.
Njengabazali abasha, nikhathazeka kakhulu ngayo yonke into encane ngengane yenu. Kuyinto evamile kakhulu. Ngemva kwesikhathi esithile, nizoqonda kahle ukuziphatha kwengane yenu okuvamile, izindlela ezivamile zokuphefumula.
Uma kwenzeka ubona into engavamile noma ehlukile ekuphefumuleni kwengane yakho, ungahlali nje ucabanga ukuthi, "Lokhu kumele kube yinto evamile." Uma unokungabaza, noma ngabe kuncane, shayela udokotela wakho ngokushesha. Akuyona neze into embi ukushayela udokotela ucingo uthole iseluleko. Akukho mibuzo engenangqondo uma kukhulunywa ngempilo yengane yakho.
Odokotela balindele ukuthi izinsana ezisanda kuzalwa zibe nezindlela zokuphefumula ezingajwayelekile kancane. Kodwa ekhaya, kungaba nzima ukubona ukuthi lokho okubonayo kuyinto evamile noma cha. Ngakho-ke, uma unenkinga, ungangabazi ukufuna usizo.
Umlayezo Wokuya Nawe Ekhaya
- Uma umntwana osanda kuzalwa eyeka ukuphefumula imizuzwana engaphansi kweyi-10 ngenkathi elele bese eqala ukuphefumula ngendlela evamile futhi, kubizwa ngokuthi ukuphefumula okuvamile.
- Lokhu kujwayelekile kakhulu futhi kulindeleke kuze kube yilapho ingane isinezinyanga eziyisithupha ubudala . Lesi simo sizophela njengoba uhlelo lwezinzwa lomntwana lukhula.
- Uma izindebe noma umbala wesikhumba somntwana ungashintshi futhi umntwana engaphathekile kahle, asikho isizathu sokukhathazeka.
- Uma ukuphefumula kuyeka imizuzwana engaphezu kweyi-10 , umbala wesikhumba somntwana uphenduka oluhlaza okwesibhakabhaka, ompunga, noma ophuzi , noma ingane ingakwazi ukuvuswa , kuyisimo esiphuthumayo. Yiya e -ETU (Emergency Treatment Unit) eseduze ngokushesha.
- Uma unokungabaza okuncane kakhulu ngokuphefumula kwengane yakho, ungakushayi indiva. Shayela udokotela wakho ngokushesha.
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