Ukuhlinzwa kwentliziyo yabantwana-ukukhutshwa

Umntwana wakho uye wahlinzwa ukuze alungise iziphene zentliziyo. Ukuba umntwana wakho utyando lwentliziyo oluvulekileyo, ukusikwa kotyando kwenziwa ngethambo lesifuba okanye kwicala lesifuba. Umntwana naye unokubekwa kumatshini wokudlula kwentliziyo nemiphunga ngexesha lotyando.

Emva kotyando, umntwana wakho mhlawumbi wayekwicandelo labagula kakhulu (ICU) nakwelinye icala lesibhedlele.

Umntwana wakho uya kudinga ubuncinci iiveki ezi-3 okanye ezi-4 ngaphezulu ekhaya ukuze achache. Ukwenza utyando olukhulu, ukubuyela kwimeko yesiqhelo kungathatha iiveki ezi-6 ukuya kwezi-8. Thetha nomboneleli wezempilo womntwana wakho malunga nokuba umntwana wakho angabuyela nini esikolweni, kukhathalelo lwemini, okanye athathe inxaxheba kwezemidlalo.

Iintlungu emva kotyando ziqhelekile. Kunokubakho iintlungu ezingakumbi emva kotyando lwentliziyo oluvaliweyo kunasemva kotyando lwentliziyo oluvulekileyo. Kungenxa yokuba imithambo-luvo inokuba icatshukisiwe okanye isikiwe. Intlungu iya kuncipha emva kosuku lwesibini kwaye ngamanye amaxesha inokulawulwa nge-acetaminophen (iTylenol).

Uninzi lwabantwana luziphatha ngendlela eyahlukileyo emva kotyando lwentliziyo. Banokubambelela, bacaphuke, bamanzise ukhuko, okanye bakhale. Banokwenza ezi zinto nokuba bebengazenzi ngaphambi kotyando lwabo. Mxhase umntwana wakho ngeli xesha. Kancinci qalisa ukuseta imida ebibekwe ngaphambi kotyando.

Ngosana, gcina umntwana ekhala ixesha elide kwiiveki zokuqala ezi-3 ukuya kwezi-4. Ungamzolisa umntwana wakho ngokuhlala uzolile. Xa uphakamisa umntwana wakho, xhasa zombini intloko yomntwana kunye nezantsi kwiiveki zokuqala ezi-4 ukuya kwezi-6.

Abantwana abasafikayo kunye nabadala kunabo bonke baya kuyeka nawuphina umsebenzi xa bediniwe.

Umboneleli uya kukuxelela xa kulungile ukuba umntwana wakho abuyele esikolweni okanye kukhathalelo lwemini.

• Rhoqo, kwiiveki zokuqala ezimbalwa emva kotyando kufuneka ibe lixesha lokuphumla.
• Emva kotyelelo lokuqala olulandelayo, umboneleli uya kukuxelela into anokuyenza umntwana wakho.

Kwiiveki ezi-4 zokuqala emva kotyando, umntwana wakho akufuneki enze nawuphi na umsebenzi onokubangela ukuwa okanye ukubetha esifubeni. Umntwana wakho kufuneka aphephe ibhayisekile okanye ukukhwela ebhodini, ukutyibilika ngesikhephe, ukuqubha, nayo yonke imidlalo yokudibana de umboneleli athi kulungile.

Abantwana abaye basikwa ngamathambo esifuba kufuneka balumke malunga nendlela abazisebenzisa ngayo iingalo kunye nemizimba yabo ephezulu kwiiveki ezi-6 ukuya kwezi-8 zokuqala.

• Musa ukumtsala okanye umphakamise umntwana ngengalo okanye kummandla wekhwapha. Scoop umntwana phezulu endaweni.
• Thintela umntwana wakho ekwenzeni nayiphi na into ebandakanya ukutsala okanye ukutyhala ngeengalo.
• Zama ukugcina umntwana wakho ekuphakamiseni iingalo ngaphezulu kwentloko.
• Umntwana wakho akufuneki aphakamise nantoni na enzima kuneekhilogram ezi-2.

Gcina iliso elisondeleyo ekudleni komntwana wakho ukuqinisekisa ukuba bafumana iikhalori ezaneleyo zokuphilisa nokukhula.

Emva kotyando lwentliziyo, uninzi lweentsana kunye neentsana (ezingaphantsi kweenyanga ezili-12 ukuya kwezi-15) zinokuthatha ubisi oluninzi okanye ubisi lwebele njengoko zifuna. Ngamanye amaxesha, umboneleli unokufuna ukuba umntwana wakho aphephe ukusela kakhulu ifomula okanye ubisi lwebele. Nciphisa ixesha lokondla malunga nemizuzu engama-30. Umboneleli womntwana wakho uya kukuxelela indlela yokongeza iikhalori ezingaphezulu kwifomula ukuba kunyanzelekile.

Abantwana abasafundayo kunye nabantwana abadala kufuneka banikwe ukutya okunezondlo rhoqo. Umboneleli uya kukuxelela indlela yokuphucula ukutya komntwana emva kotyando.

Buza umboneleli womntwana wakho ukuba unemibuzo malunga nesondlo somntwana wakho.

Umboneleli wakho uya kukuyalela ngendlela yokhathalelo lokungeniswa. Jonga inxeba kwimiqondiso yosulelo, njengokubomvu, ukudumba, ukuthamba, ukufudumala, okanye umsele.

Umntwana wakho kufuneka athathe ishawa kuphela okanye ibhafu yesiponji ade umboneleli wakho athethe ngenye indlela. I-Steri-Strips akufuneki ifakwe emanzini. Baya kuqala ukukhupha emva kweveki yokuqala. Kulungile ukubasusa xa beqala ukukhupha.

Ngalo lonke ixesha ubomvu ubonakala ngathi upinki, qiniseka ukuba ugqunywe yimpahla okanye ibhandeshi xa umntwana wakho eselangeni.

Buza umboneleli womntwana wakho ngaphambi kokufumana nakuphi na ukugonywa iinyanga ezi-2 ukuya kwezi-3 emva kotyando. Emva koko, umntwana wakho kufuneka abenomkhuhlane odutyulwa minyaka le.

Uninzi lwabantwana abaye benza utyando lwentliziyo kufuneka bathathe i-antibiotics ngaphambili, kwaye ngamanye amaxesha emva koko, babe nawo nawuphi na umsebenzi wamazinyo. Qinisekisa ukuba unemiyalelo ecacileyo evela kumboneleli wentliziyo yomntwana wakho malunga nokuba umntwana wakho ufuna nini i-antibiotics. Kusabaluleke kakhulu ukuba amazinyo omntwana wakho acocwe rhoqo.

Umntwana wakho kungafuneka athathe amayeza xa egoduswa. Oku kunokubandakanya i-diuretics (iipilisi zamanzi) kunye namanye amayeza entliziyo. Qiniseka ukuba unika umntwana wakho idosi echanekileyo. Landela umboneleli wakho emva kweeveki ezi-1 ukuya kwezi-2 emva kokuba umntwana emkile esibhedlele okanye njengoko kuyalelwe.

Fowunela umnikezeli ukuba umntwana wakho:

• Umkhuhlane, isicaphucaphu, okanye ukugabha
• Intlungu yesifuba, okanye enye intlungu
• Ubomvu, ukuvuvukala, okanye umjelo kwilonda
• Ukuphefumla nzima okanye ukuphefumla kancinci
• Amehlo akhukhumeleyo okanye ubuso
• Ukudinwa ngalo lonke ixesha
• Iluhlaza okwesibhakabhaka okanye ongwevu
• Ukuba nesiyezi, ukuphelelwa ngamandla, okanye ukubetha kwentliziyo
• Iingxaki zokondla okanye ukunciphisa ukutya

Uqhaqho lwentliziyo lokuzalwa - ukukhutshwa; Ipatent ductus arteriosus ligation - ukukhutshwa; Ukulungiswa kwentliziyo ekhohlo Hypoplastic - ukukhutshwa; I-Tetralogy yokulungiswa kweFallot-ukukhutshwa; Ukulungelelaniswa kokulungiswa kwe-aorta - ukukhutshwa; Utyando lwentliziyo yabantwana - ukukhutshwa; Ukulungiswa kwesiphene se-Atrial - ukukhutshwa; Ukulungiswa kwesiphene se-Ventricular septal - ukukhutshwa; Ukulungiswa kweTruncus arteriosus - ukukhutshwa; Ukulungiswa kwemithambo engalunganga iyonke - ukukhutshwa; Ukutshintshwa kwezinto ezinkulu zokulungiswa kweenqanawa - ukukhutshwa; Ukulungiswa kwetricuspid atresia - ukukhutshwa; Ukulungiswa kwe-VSD - ukukhutshwa; Ukulungiswa kwe-ASD - ukukhupha; I-PDA ligation - ukukhutshwa; Ukufumana isifo senhliziyo - ukukhutshwa; Utyando lwevalvu yentliziyo - abantwana - ukukhutshwa; Utyando lwentliziyo - lwabantwana - ukukhutshwa; Ukufakelwa kwentliziyo-yabantwana-ukukhutshwa

• Usana oluvulekileyo lwentliziyo

UArnaoutakis DJ, uLillehei CW, uMenard MT. Ubuchule obukhethekileyo kutyando lwemithambo yabantwana. Ku: Sidawy AN, Perler BA, ii-eds. Utshintsho lukaRutherford lweeVascular and Therapy ze-Endovascular Therapy. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2019: isahluko 186.

U-Beerman LB, uKreutzer J, uAllada V. Cardiology. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ii-eds. UZitelli no-Davis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 5.

U-Bernstein D. Imigaqo ngokubanzi yonyango lwesifo sentliziyo. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 461.

I-Fraser CD, iKane LC. Isifo sentliziyo. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 58.

• Utyando lwevalvu yeAortic -ungena kancinci
• Utyando lwe-aortic valve-luvulekile
• Isiphene se-Atrial septal (ASD)
• Ukudibanisa i-aorta
• Isiphene sentliziyo yento yokuzalwa - utyando lokulungisa
• Ipatent ductus arteriosus
• Utyando lwentliziyo yabantwana
• Tetralogy yoBuxoki
• Ukutshintshwa kwemithambo enkulu
• Truncus arteriosus
• Isiphene se-Ventricular septal

• Ukhuseleko kwigumbi lokuhlambela - abantwana
• Ukuzisa umntwana wakho ukuba atyelele umntakwabo ogula kakhulu
• Ukhuseleko lweoksijini
• Unonophelo lwenxeba lotyando - luvulekile
• Sebenzisa ioksijini ekhaya

• Iziphene zentliziyo yengqondo
• Utyando lwentliziyo