Ingabe ingane yakho encane iyakhala ngaphandle kwesizathu? Ingabe nawe uzizwa sengathi angisakwazi ukubhekana nalokhu? Kuvamile ukuzizwa ngaleyo ndlela njengomama noma ubaba. Kodwa ungalokothi uphakamise ingane yakho uyishukumise ngamandla ngenxa yentukuthelo noma ukukhungatheka. Imizuzwana embalwa yokunganaki ingalimaza impilo yonke yengane. Namuhla sikhuluma ngaleyo ngozi ebulalayo, okungukuthi, 'i-Shaken Baby Syndrome'.
Kalula nje, iyini i-Shaken Baby Syndrome?
I-Shaken Baby Syndrome yisimo lapho ingane noma ingane encane inyakaziswa ngamandla nangobudlova, okubangela ukulimala kobuchopho. Elinye igama lalokhu 'ukuhlukumezeka ekhanda okuhlukumezayo'. Okusho ukuthi, ukulimala okuhlukumezayo ekhanda.
Cabanga ngakho, ikhanda lomntwana likhulu kakhulu futhi lisinda uma liqhathaniswa nomzimba wakhe wonke. Futhi, imisipha yentamo yakhe ayikaqini ngokwanele. Ngakho-ke uma umuntu enyakazisa umntwana kakhulu, ubuchopho obuthambile, obufana nojeli ngaphakathi kwekhanda bugxuma ngokushesha emuva naphambili. Lokhu kunyakazisa kubangela ukuthi imithambo yegazi ethambile ebuchosheni nasezindaweni ezizungezile iphuke futhi yophe igazi. Ubuchopho bungavuvukala futhi. Lesi yisimo esibi esingase senzeke ngisho nangokunyakazisa okufushane okungaba yimizuzwana emi-5 . Lo monakalo ungabeka ngisho namehlo, intamo, nomgogodla wengane engozini. Umphumela uba ukulimala kobuchopho okungapheli, ukukhubazeka okungapheli, noma ukufa.
Kungani umuntu anganyakazisa umntwana omncane kanje?
Lokhu kuvame ukwenzeka lapho umzali noma umnakekeli engakwazi ukulawula intukuthelo noma ukukhungatheka kwakhe lapho umntwana ekhala njalo. Bangase bacabange ukuthi ukunyakazisa umntwana kuzomisa ukukhala.
Imithwalo yemfanelo ehambisana nokuba ngumama noma ubaba omusha ngezinye izikhathi ingaba nzima kakhulu. Ezinye izinkinga zomndeni nezinkinga zezimali zingase zengeze ekucindezelekeni. Ngezikhathi ezinjengalezi, lapho umntwana ekhala engayeki, kungaba nzima kakhulu. Abanye abantu abaqapheli nokuthi ukunyakazisa umntwana omncane kungaba yingozi kangaka.
Into ebaluleke kakhulu yilokhu. Kuvamile ukuthi izingane zikhale. Ngezinye izikhathi aziyeki ukukhala kungakhathaliseki ukuthi wenzani. Kodwa impendulo iwukungalokothi uthuthumele, ushaye, noma uphonse ingane.
Ubani othinteka kakhulu yilesi simo?
I-Shaken Baby Syndrome iyisimo esiyingozi esingase senzeke enganeni kunoma yimuphi umndeni, kunoma yiliphi izinga lezomnotho, nakunoma yiluphi uhlanga. Ivame ukubangelwa umnakekeli oyinhloko, umama noma ubaba. Ingase yenzeke nakwabanye abanakekeli (abanakekeli bezingane) noma izihlobo.
Izingane ezingaphansi konyaka owodwa ubudala zisengozini enkulu, ikakhulukazi phakathi kwezinyanga ezimbili neziyisishiyagalombili .Izinsana yizona ezisengozini kakhulu kule ngozi. Nakuba lesi simo sivame ukungabi sivamile ezinganeni ezingaphezu kweminyaka emibili, ngezinye izikhathi izingane ezincane ezineminyaka engu-6 ubudala ziye zahlukunyezwa ngalolu hlobo.
Yimuphi umonakalo owenziwa ukuthuthumela ebuchosheni nasemzimbeni wengane?
Lena yingxenye ebaluleke kakhulu okudingeka siyiqonde sonke. Kunezimo eziningi ezimbi ezingabangelwa ukunyakazisa umntwana kakhulu.
| Umonakalo obangelwe | Incazelo elula |
|---|---|
| I-hematoma engaphansi kwe-subdural | Iqoqo legazi phakathi kobuso bobuchopho kanye nolwelwesi olumboza lona. Lokhu kwenzeka lapho imithambo yegazi ebucayi iqhuma ngesikhathi sokuxhuzula. |
| Ukopha kwe-Subarachnoid | Ukopha phakathi kobuchopho kanye nolwelwesi olufana nesicabucabu oluzungezile. |
| Ukulimala kobuchopho okuqondile | Ubuchopho buchotshozwa futhi bulimele ngenxa yokushaya okusheshayo kobuchopho ngaphakathi kwekhanda. |
| Ukopha kwe-retinal | Ukopha ku-retina ngemuva kweso. Lolu uphawu oluyinhloko lwe-Shaken Baby Syndrome. |
| Ukulimala kobuchopho ngenxa yokuntuleka komoya-mpilo | Uma umntwana eyeka ukuphefumula ngesikhathi ethuthumela, ubuchopho bungalahlekelwa umoya-mpilo futhi amangqamuzana obuchopho angafa. |
| Ukulimala entanyeni nasemhlane | Imisipha yentamo ebuthakathaka kanye namathambo omgogodla kungalimala, okubangela umonakalo ezinzwa zomgogodla. |
| Ukuphuka kwamathambo | Ukuphuka kungenzeka ekhanda, ezimbanjeni, entanyeni, ezingalweni nasemilenzeni. |
Ziyini izimpawu zalesi simo?
Ezinye izimpawu zingase zivele ngokushesha ngemva kokuzalwa komntwana. Ezinye zingase zifinyelele esicongweni phakathi kwamahora angu-4 kuya kwangu-6. Futhi, ezinye izimpawu ezibangelwa umonakalo (izinkinga zokuziphatha, ukukhubazeka kokufunda) zingase zivele kamuva ekuphileni.
Izimpawu ezibucayi nezisheshayo
- Ukulahlekelwa ingqondo
- Ukuquleka
- Ukushaqeka
Ezinye izimpawu ezivamile
- Ukumamatheka, ukungakhulumi.
- Ukucasuka kakhulu, ukukhala njalo
- Ukuhlanza
- Ukulahlekelwa yisifiso sokudla, ukwenqaba ukuphuza ubisi
- Ubunzima bokuphefumula
- Ukudinwa, isimo sokulala njalo, kanye nokungakwazi ukuvuka
- Isikhumba esikhanyayo noma esiluhlaza okwesibhakabhaka
- Ukulimala ezingalweni noma esifubeni
- Ikhanda elikhulu noma ibunzi elibukeka ngendlela engavamile
- Indawo ebucayi phezulu kwekhanda (ukwakheka kwebunzi) iyavuvukala.
- Ukungakwazi ukubamba intamo kahle
- Abafundi abavulekile
- Ukungakwazi ukugxila amehlo endaweni eyodwa, ukungakwazi ukubuka izinto ezihambayo
- Ukuthuthumela
- Ukungena e-coma
Ngezinye izikhathi, kungase kungabikho ukulimala kwangaphandle okubonakalayo noma imihuzuko emzimbeni womntwana. Ngakho-ke, umuntu ongazi ukuthi umntwana uthuthumele angacabanga ukuthi lesi yisifo esivamile esibangelwa amagciwane njengomkhuhlane. Yilokho okuyingozi kakhulu lapha.
Udokotela uhlonza kanjani lokhu?
Lesi simo ngezinye izikhathi kunzima ukusibona. Ngoba,
- Umuntu olethe umntwana angase angamtsheli udokotela iqiniso ngokunyakazisa umntwana.
- Ingane ayikwazi ukubona ukuthi ibuhlungu kuphi noma ukuthi kwenzekeni.
- Izimpawu ezifana nokuhlanza nokucasuka yizimpawu ezivamile zezinye izifo.
Ngakho-ke, udokotela uhlola ingane ngokucophelela futhi, uma kudingeka, wenza izivivinyo eziningana ezikhethekile.
- Ukuhlolwa kwamehlo: Ukuhlolwa kokuphuma kwegazi e-retina.
- Ama-X-ray: Hlola ukuthi awekho yini amanxeba ekhanda, ezimbanjeni, noma ezithweni.
- I-CT scan (i-Computed Tomography scans): Lokhu kuhlolwa kubaluleke kakhulu ukuthola ukuvuvukala, ukopha, kanye neminye imonakalo ebuchosheni.
- Ukuskena kwe-MRI (Ukuskena kwe-Magnetic Resonance Imaging): Ngisho nomonakalo wobuchopho ongabonakali ungabonakala kahle kakhulu.
Ukwelashwa kanye nemiphumela yesikhathi eside
Uma ingane yakho inanoma yiziphi zalezi zimpawu, kufanele uyiyise ngokushesha e-Emergency Treatment Unit (ETU) yesibhedlela . Lesi akusona isifo esingelashwa ekhaya.
Ukwelashwa kuncike ebunzimeni bomonakalo enganeni. Unganikwa imithi futhi ugcinwe esibhedlela ukuze ubhekwe. Ezimweni ezimbi kakhulu, kungase kudingeke ukuhlinzwa okusindisa impilo. Kungase kudingeke ukuhlinzwa ukuze kumiswe ukopha ebuchosheni futhi kuncishiswe ukuvuvukala.
Imiphumela yesikhathi eside yalesi simo ayimihle kangako.
- Cishe ama-25% ezinsana ezihlushwa yilesi simo ziyafa .
- Cishe ama-80% alabo abasindayo bazoba nezinkinga ezinkulu zezinzwa kanye nokukhubazeka impilo yabo yonke.
Ezinye zezinkinga ezingapheli ezingabangelwa yilokhu yilezi:
- Ukukhubazeka kokukhuluma nokufunda
- Ukulahlekelwa umbono noma ubumpumputhe
- Ukulahlekelwa ngokuphelele kokuzwa
- Ukukhubazeka Kwengqondo
- Isifo Sokuxhuzula
- Ukuquleka okuvamile
- Ukukhubazeka
Singakuvimbela kanjani lokhu kubhidlika?
Lena yingxenye ebaluleke kakhulu. I-Shaken Baby Syndrome ingavinjelwa ngokuphelele . Kuvamile ukuzizwa ucasukile futhi ucindezelekile lapho umntwana ekhala. Okubalulekile ukuthi sikusingatha kanjani.
Uma uzizwa sengathi ungaphansi kwengcindezi enkulu kakhulu, zama lezi zinto:
1. Okokuqala, hlola izidingo eziyisisekelo zomntwana: Ingabe inabukeni lomntwana limanzi? Ingabe ulambile? Ingabe uyabanda? Ingabe unezimpawu zokugula, njengomkhuhlane noma ukuvuvukala? Ingabe unezinhlungu emzimbeni wakhe.
2. Zama ukuthulisa ingane:
- Cula ingoma, khuluma nomntwana.
- Dlala umculo othambile. Ezinye izingane ziyakuthanda nomsindo womshini wokuhlanza noma wokomisa izinwele.
- Nikeza i-pacifier.
- Mgoqe umntwana ngendwangu (i-swaddle).
- Yibeke kahle esihlalweni semoto bese uhamba ibanga elifushane.
- Yifake esitulweni sengane bese uhambahamba.
3. Cela usizo: Lena yinto engcono kakhulu ongayenza. Uma ukhathele noma uthukuthele, cela umngane omethembayo, isihlobo, noma umakhelwane ukuthi aqaphe umntwana imizuzu embalwa. Akukho namahloni okucela usizo.
4. Indlela yokugcina: Uma kungekho muntu otholakalayo ukusiza, shiya umntwana endaweni ephephile, njengebhedi lakhe, bese uphuma ekamelweni . Yiya kwelinye igumbi imizuzu emi-5-10 ukuze wehlise umoya. Phefumula kakhulu. Bese ubuyela enganeni.
Ukukhala komntwana ngeke kumlimaze, kodwa uma ethuthumela, kungadala umonakalo omkhulu.
Futhi, uma unikeza ingane yakho komunye umuntu (umnakekeli wengane, umzanyana), mkhethe ngokucophelela. Qiniseka ukuthi unolwazi olucacile ngezingozi ze-Shaken Baby Syndrome. Ungalokothi ushiye ingane yakho nomuntu ongamethembi ngokugcwele.
Umlayezo Wokuya Nawe Ekhaya
- I-Shaken Baby Syndrome iwukulimala okukhulu kobuchopho okubangelwa ukunyakazisa umntwana ngamandla.
- Ngenxa yokuthi izinsana zinezintamo ezibuthakathaka namakhanda amakhulu uma kuqhathaniswa nemizimba yazo, kulula ukuthi zibhekane nale ngozi.
- Kuvamile ukuzizwa ukhungathekile futhi uthukuthele lapho ingane yakho ikhala njalo. Kodwa kubalulekile ukulawula leyo mizwa.
- Uma uzizwa sengathi awukwazi ukulawula isimo, beka umntwana endaweni ephephile bese uhamba isikhashana ukuze uzole. Ungalokothi unqikaze ukucela usizo.
- Lesi simo singavinjelwa ngokuphelele. Ukuqaphela kwakho kanye nokubekezela kwakho kuzosindisa impilo yengane yakho.
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