Njengomama okhulelwe, yonke intshukumo yengane yakho esibelethweni sakho, yonke isithombe osibonayo ku-scan, iyigugu. Kodwa ngezinye izikhathi, lapho udokotela ebheka i-scan bese ethi, "Ingane ibonakala inenkinga encane," kunzima ukusho ngamazwi ukwesaba nokukhathazeka okuzwayo. Kodwa ungakhathazeki. Namuhla, ezokwelapha sezithuthuke kakhulu. Ezinye izinkinga zokuzalwa kanye nezimo zezokwelapha zingelashwa ngaphambi kokuba ingane ifike kuleli zwe, okungukuthi, ngaphakathi kwesibeletho sakho. Leyo nqubo yezokwelapha emangalisayo yilokho esikubiza ngokuthi "Ukuhlinzwa Kwengane Esanda Kuzalwa." Ake sixoxe ngalokhu kalula.
Kuyini Ukuhlinzwa Kwengane Esanda Kuzalwa?
Kalula nje, ukuhlinzwa kombungu kuwukuhlinzwa okwenziwa enganeni yakho isesesibelethweni. Abanye abantu bakubiza nangokuthi `ukuhlinzwa kwangaphakathi kwesibeletho` noma `ukuhlinzwa kwangaphambi kokubeletha`.
Cabanga nje, uma ingane inesici sokuzalwa, leso sici singaba sibi kancane kancane njengoba sikhula ngaphakathi esibelethweni. Kodwa ngale ndlela, ithimba lochwepheshe lingayiphatha leso sici ngaphambi kokuba ingane izalwe futhi linciphise umthelela wayo. Ngezinye izikhathi lokhu kuyadingeka ukuze kusindiswe impilo yengane futhi kuthuthukiswe impilo yayo yesikhathi esizayo. Ezimweni ezingembi kangako, odokotela babiza lokhu ngokuthi "ukungenelela kwengane."
Kuye ngesimo somntwana, lokhu kuhlinzwa kuvame ukwenziwa emavikini angu-16. Kodwa-ke, ukuhlinzwa okuyinkimbinkimbi kakhulu kuvame ukwenziwa phakathi kwamasonto angu-22 nama-26 okukhulelwa.
Kungani udinga ukwenza lolu hlobo lokuhlinzwa?
Umgomo oyinhloko walokhu ukusiza ingane ikhule kahle. Ezinye izinkinga zokuzalwa zingaba yingozi empilweni. Ezinye, nakuba zingaba yingozi empilweni, zingabangela ingane ukuba ibe nokukhubazeka okuthile ngemva kokuzalwa.
Ngokuvamile, lezi zinhlobo zezimo ziyalashwa ngemva kokuzalwa komntwana. Kodwa-ke, kunezimo ezithile lapho imiphumela iba ngcono kakhulu uma yelashwa ngesikhathi umntwana esesesibelethweni. Ukuzelapha kusenesikhathi kunganciphisa umonakalo ezithweni zomntwana futhi kumsize ahlale ephilile ngokuhamba kwesikhathi.
Lona umkhakha okhethekile kakhulu. Isinqumo sokwenza ukuhlinzwa okunjalo senziwa kuphela uma odokotela beqiniseka ukuthi ayikho enye indlela nokuthi kubaluleke kakhulu ekusaseni lomntwana.
Hlobo luni lweqembu lochwepheshe elenza lokhu kuhlinzwa?
Lokhu akuyona into eyenziwa ngumuntu oyedwa. Kudinga iqembu lochwepheshe abaqeqeshwe kahle nabanolwazi oluhlukahlukene. Iqembu livame ukufaka:
- Ochwepheshe Kwezokwelapha Kwabesifazane Nabantwana Abasesibelethweni (Ochwepheshe bezokwelapha komama nomntwana ): Odokotela abanakekela ngqo impilo kamama nengane.
- Odokotela abahlinzayo bezingane: Odokotela abangochwepheshe ekuhlinzeni izingane.
- Odokotela bokubulala izinzwa komama nezingane: Banikeza umama nomntwana umuthi wokubulala izinzwa ngokucophelela ngesikhathi sokuhlinzwa.
- Odokotela Benhliziyo Bengane Esanda Kuzalwa: Ochwepheshe abahlola izinkinga zenhliziyo yengane.
- Ochwepheshe bezithombe zengane: Labo abahlola isimo somntwana ngokucacile besebenzisa imishini yokuskena yesimanje.
- Abanye odokotela abahlinzayo abafanela izidingo zomntwana.
Yiziphi izimo eziyinhloko eziphathwa ngalezi zinqubo zokuhlinzwa?
Kunezimo eziningana ezingelashwa ngokuhlinzwa kombungu . Ithebula elingezansi libonisa ezinye zazo kanye nencazelo elula yazo.
| Isimo | Incazelo elula |
|---|---|
| I-Spine Bifida | Umgogodla womntwana kanye nomgogodla kuhlala kuvulekile ngaphandle kokuvala kahle. |
| I-Twin-to-twin transfusion syndrome (TTTS) | Ukunikezwa kwegazi okungalingani kwe-placenta phakathi kwamawele. Ingane eyodwa ithola igazi eliningi kanti enye ithola igazi elincane. |
| I-Congenital Diaphragmatic Hernia (CDH) | Imbobo ku-diaphragm ehlukanisa isifuba nesisu, okwenza izitho ezisesiswini ziphumele esifubeni. |
| I-Sacrococcygeal Teratoma (SCT) | Isimila esakheka endaweni ephansi kakhulu yomgogodla wengane (endaweni yezinqe). |
| Ukuvimbela Indlela Yomchamo Ephansi (LUTO) | Ukuvaleka kwendlela yokuchama yengane kungabangela ukwanda kwesinyi kanye nomonakalo ezinso. |
Yiziphi izindlela zokwenza ukuhlinzwa?
Kuye ngempilo yakho neyengane yakho, udokotela wakho ohlinzayo uzokhetha indlela efanele kakhulu. Kunezindlela ezintathu eziyinhloko.
1. Ukuhlinzwa Kwe-Fetoscopic
Lokhu kufana "nokuhlinzwa kwe-keyhole." Udokotela ufaka ikhamera encane (i-fetoscope) kanye namathuluzi okuhlinza ngokusebenzisa imbobo encane kakhulu esibelethweni sakho. Lokhu kushiya izibazi ezimbalwa futhi kunciphisa isikhathi sokuphulukiswa.
2. Ukuhlinzwa Okuvulekile
Kulokhu, uzonikezwa i-anesthesia ejwayelekile. Ngemuva kwalokho, udokotela ohlinzayo uzosika isisu sakho kanye nesibeletho sakho aye lapho umntwana ekhona. Okubalulekile, umntwana uzohlala ngaphakathi kwesibeletho ngesikhathi sokuhlinzwa. Ngemva kokuhlinzwa, isibeletho kanye nesisu kuzophinde kuvalwe ngokucophelela, futhi ukukhulelwa kuzoqhubeka njengokujwayelekile.
3. Ukuhlinzwa okwenziwa ngesikhathi sokubeletha (Izinqubo ZOKUPHUMA)
Lena inqubo ekhethekile kakhulu. Ukuhlinzwa kwenziwa ngesikhathi sokuhlinzwa. Unikezwa i-anesthesia bese isibeletho sakho siphumule. Ngemuva kwalokho, isibeletho siyavulwa bese umntwana engasuswa ngokuphelele, kodwa kancane. Ngaphambi kokusikwa kwe-umbilical cord, uma indlela yokuphefumula yomntwana ivaliwe, iyalungiswa, noma into efana nesimila esikhulu isuswa. Kuphela ngemva kokuba umntwana esezinzile lapho i-umbilical cord iyasikwa khona bese umntwana ezalwa ngokugcwele.
Ziyini izingozi zalolu hlobo lokuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, ukuhlinzwa kombungu kunezingozi ezithile. Lezi zingozi zingathinta umama kanye nomntwana. Kubalulekile ukuvuleleka nokwaziswa ngazo.
| Izingozi zokuhlinzwa | |
|---|---|
| Izingozi kumama | |
| • | Lo mntwana kanye nezingane zesikhathi esizayo kuzodingeka zibelethwe ngokuhlinzwa. |
| • | Ukuphoqeleka ukunikela ngegazi ngenxa yokopha ngokweqile. |
| • | Isibazi sesibeletho singancipha noma siphinde sivuleke, okungaba yingozi ekukhulelweni kwesikhathi esizayo. |
| Izingozi ezingaba khona enganeni | |
| • | Ukuqhekeka kwe-placenta kungavimbela umntwana ekutholeni ukudla akudingayo. |
| • | Ingozi yokuzalwa ngaphambi kwesikhathi (ukubeletha ngaphambi kwesikhathi) ngenxa yokuhlinzwa. |
| • | I-Chorioamnionitis (ukutheleleka koketshezi lwe-amniotic) (lokhu akuvamile kakhulu). |
Ukwenza isinqumo mayelana nokuhlinzwa okunjalo kuyinkimbinkimbi kakhulu. Kudinga ukucabangela okujulile impilo kamama nengane. Kubalulekile ukuxoxa ngesinqumo ngasinye ngokucophelela nethimba lakho lezokwelapha.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwengane esanda kuzalwa kuyindlela ekhethekile yokwelapha izinkinga zokuzalwa esibelethweni, ngaphambi kokuba umntwana azalwe.
- Umgomo oyinhloko ukusindisa impilo yengane nokuthuthukisa impilo yayo yesikhathi eside.
- Lokhu akwenziwa udokotela oyedwa, kodwa yithimba lochwepheshe bezokwelapha abaqeqeshwe kahle emikhakheni eyahlukene.
- Kunezindlela eziningana zokwenza ukuhlinzwa (imbobo yokhiye, evulekile, nangesikhathi sokubeletha), futhi indlela efanele kakhulu inqunywa odokotela.
- Njengakuzo zonke izinhlobo zokuhlinzwa, kunezingozi kumama nakumntwana. Ngakho-ke, zonke izinqumo kufanele zixoxwe ngokucophelela nodokotela wakho kanye nethimba lezokwelapha.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho