Wake waphawula ukuthi isikhumba somntwana wakho osanda kuzalwa siphuzi kancane? Mhlawumbe amehlo amhlophe nawo aphuzi kancane. Lokhu kubizwa ngokuthi i-jaundice. Izingane eziningi ezisanda kuzalwa zithola lesi simo. Ngakho ungakhathazeki ekuqaleni. Esikhathini esiningi, asibi sibi kakhulu futhi sizoba ngcono ngokwaso ezinsukwini ezimbalwa. Kodwa-ke, ngezinye izikhathi lesi simo singaba sibi kakhulu futhi singalimaza ubuchopho bomntwana. Leso simo esiyingozi sibizwa ngokuthi 'i-Kernicterus'. Namuhla, sizokhuluma ngamaqiniso okufanele wonke umzali awaqaphele.
Kungani izingane zithola i-jaundice?
Kalula nje, lapho amangqamuzana abomvu egazi emzimbeni wethu ewohloka ngokwemvelo, kukhiqizwa ikhemikhali ephuzi ebizwa ngokuthi i-bilirubin. Ngokuvamile, isibindi sethu sisusa le-bilirubin emzimbeni. Kodwa isibindi somntwana osanda kuzalwa asikakhuli ngokwanele ukwenza lo msebenzi ngendlela efanele. Ngakho-ke, le-bilirubin iqoqana egazini lomntwana. Yilapho isikhumba namehlo omntwana ephenduka abe phuzi. Yilokhu esikubiza ngokuthi i-jaundice.
Cabanga nje, lesi simo senzeka cishe ku-60% - 80% wezingane ezizalwa eSri Lanka ngezinga elithile. Ngakho-ke lokhu kuvame kakhulu. Kodwa-ke, uma leli zinga le-bilirubin lingalawuleki, okungukuthi, uma lingelashwa, i-bilirubin iya ebuchosheni futhi yonakalise amangqamuzana obuchopho. Lokhu kuwumonakalo wobuchopho ongenakuguqulwa futhi ongavinjelwa obizwa ngokuthi i-Kernicterus. Odokotela babiza lesi simo ngokuthi i-Bilirubin-Induced Neurologic Dysfunction, noma i-BIND.
Qaphela kakhulu ngalezi zimpawu!
Kubaluleke kakhulu ukwazi ukuthi ingane yakho ine-jaundice yini. Futhi kubaluleke kakhulu ukuqaphela ukuthi iba yingozi kakhulu. Ithebula elingezansi lingakusiza ukuthi uqonde lezi zimpawu ngokucacile.
| Uhlobo lwesibonakaliso | Okufanele ukubone |
|---|---|
| Izimpawu ze-jaundice evamile | |
| Ukushintsha kombala wesikhumba | Ubomvu obuphuzi noma obuphuzi obuqala ebusweni bomntwana bugeleze esifubeni, esiswini, ezingalweni nasemilenzeni. Lokhu kungaba nzima ukukubona ezinganeni ezinesikhumba esimnyama. Ngaleso sikhathi, bheka amhlophe emehlweni. |
| Ubunzima bokuvuka | Ukozela njalo, ubunzima bokuvuka, noma ukungalali ngokuphelele. |
| Izinkinga ngokuphuza ubisi | Ubunzima noma ukungabi nasithakazelo ekuphuzeni ubisi lwebele noma ubisi lwebhodlela. |
| Ukukhathazeka ngokweqile | Ubuntu obungenakuthula kakhulu kunokujwayelekile, ohlala ekhala, futhi okunzima ukumduduza. |
| Inani lama-nappies amanzi | Inani lama-nappies amanzi ngosuku liphansi kunejwayelekile. |
| Izimpawu lapho isimo siba sibi kakhulu futhi siphenduka i-Kernicterus | |
| Ukulala ngokweqile | Isimo sokungabi namandla, ukungabi nampilo nhlobo. |
| Ukukhala okungavamile | Ukukhala okungalawuleki, okuhlabayo, okuphakeme. |
| Imfiva | Umzimba womntwana uzizwa ushisa. |
| Izinguquko zomzimba | Umzimba wonke uba yize (ubuvila) noma, ngokuphambene nalokho, umzimba uba lukhuni, imisipha iyanyakaza. |
| Ukunyakaza kwamehlo | Ukunyakaza kwamehlo okungavamile. |
Into ebaluleke kakhulu ukuthi, uma ubona noma yiziphi zalezi zimpawu, bona udokotela wakho ngokushesha.
Njengoba ingane ikhula, i-kernicterus engelashwanga ingabangela ezinye izimpawu, okuhlanganisa ukuquleka, izinkinga zokunyakaza nokukhula, izinkinga zokuzwa, ukungakwazi ukubheka phezulu, kanye nokungcola kwamazinyo.
Ukuthola kanjani lokhu, Dokotela?
Amazinga e-Bilirubin avame ukuphakama phakathi kwezinsuku ezingu-3-5 ngemva kokuzalwa. Yingakho odokotela nabahlengikazi behlola ingane yakho ukuthi ayinayo yini i-jaundice njalo emahoreni angu-8-12 ngesikhathi isesibhedlela. Baphinde bayihlole ngaphambi kokuba ubuyele ekhaya usuka esibhedlela.
Manje, ungathola umbono oqondile wezinga lakho le-bilirubin usebenzisa imitha encane yokukhanya ebekwe esikhumbeni sakho. Uma usola ukuthi izinga lakho liphezulu, ukuhlolwa kwegazi kuyindlela kuphela yokwazi ngokuqinisekile. Leyo yindlela enembile kakhulu.
Uma izinga le-bilirubin yengane yakho liphezulu, udokotela wakho uzonquma ukwelashwa ngokusekelwe emahoreni amangaki ngemva kokuzalwa kwengane yakho nokuthi ingane yakho inezinye izici eziyingozi yini. Ngisho nangemva kokuqala kokwelashwa, kungase kudingeke ukuhlolwa kwegazi okwengeziwe ukuze kubonwe ukuthi izinga le-bilirubin libuyela esimweni esijwayelekile yini.
Yiziphi izindlela zokwelapha lokhu?
Esikhathini esiningi, i-jaundice encane ayidingi ukwelashwa. Kodwa-ke, uma izinga le-bilirubin liphezulu, noma uma kunezici eziyingozi, njengokuzalwa komntwana ngaphambi kwesikhathi, ukwelashwa kuyadingeka.
1. Yondla kahle.
Uma ingane ingatholi ubisi lwebele olwanele noma ifomula, i-bilirubin enqwabelana emzimbeni ayikhishwa ngomchamo nendle. Ingane esanda kuzalwa kufanele okungenani ibe namanabukeni ayisithupha amanzi ngosuku. Futhi, indle yayo kufanele ishintshe isuke ekubeni luhlaza okotshani ibe phuzi. Lezi yizimpawu zokuthi ingane ithola ukudla okwanele.
2. Ukwelashwa nge-Phototherapy - lokho kusho ukuchayeka ekukhanyeni
Lokhu kuhilela ukukhanyisa isikhumba somntwana ngokukhanya okuluhlaza okwesibhakabhaka okukhethekile. Lokhu kungenziwa esibhedlela noma ngisho nasekhaya. Lokhu kukhanya kuphula izinhlayiya ze-bilirubin futhi kuvumele ukuthi zikhishwe kalula emzimbeni. Nakuba ngaphambili kwakucatshangwa ukuthi ukuchayeka elangeni kuhle, akusanconywa ngoba kungashisa isikhumba somntwana. I-Phototherapy iyindlela ephephile kakhulu. Ngezinye izikhathi, umntwana angase abe nemiphumela emibi emincane, njengokuphuma indle.
3. Ukunikeza uketshezi
Kubaluleke kakhulu ukuthi ingane yakho ithole uketshezi oluningi ngesikhathi usesibanini. Kufanele uqhubeke nokuncelisa noma ukuncelisa ngebhodlela. Uma ingane yakho iphelelwe amanzi emzimbeni kakhulu, kungadingeka uyinike uketshezi lwe-IV.
4. Ukumpontshelwa igazi
Lokhu akuvamile ukwenziwa. Kusetshenziswa kuphela ukwehlisa amazinga e-bilirubin ngokuzumayo uma ingane ingasabeli kwezinye izindlela zokwelapha futhi ikhombisa izimpawu zokulimala kobuchopho.
Umlayezo Wokuya Nawe Ekhaya
- I-jaundice ivame kakhulu ezinganeni ezisanda kuzalwa, kodwa ungayithathi kalula. Uma ubona umbala ophuzi esikhumbeni noma emehlweni engane yakho , bheka udokotela ngokushesha.
- Uma amazinga e-bilirubin eba phezulu kakhulu, kungaholela esimweni esiyingozi esibizwa ngokuthi 'i-kernicterus', esilimaza ubuchopho.
- Hlala uqaphile izimpawu ezinjengobunzima bokuncelisa, ukozela ngokweqile, nokukhala kakhulu.
- Ukwelashwa okunikezwa udokotela, ikakhulukazi i-phototherapy, kubalulekile enhlalakahleni yengane. Ungalokothi uyeke ukwelashwa ngaphandle kweseluleko sikadokotela.
- Uma unokungabaza noma ukwesaba, khuluma nodokotela wakho ngakho ngokukhululekile. Akukho mibuzo ewubuwula, ikakhulukazi uma kukhulunywa ngomntwana wakho.
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