Ukususwa kwepeni-ukukhutshwa komntwana

Umntwana wakho wahlinzwa ukuze asuse udakada. Ngoku ekubeni umntwana wakho egoduka, landela imiyalelo yo gqirha wotyando ngendlela yokunyamekela umntwana wakho ekhaya. Sebenzisa olu lwazi lungezantsi njengesikhumbuzo.

Udakada lomntwana wakho lwasuswa emva kokuba umntwana wakho enikwe ianesthesia ngokubanzi (ilele engenazintlungu).

• Ukuba umntwana wakho ebenotyando oluvulekileyo, ugqirha wotyando wenze ukusikwa (ukusika) esiswini somntwana wakho.
• Ukuba umntwana wakho wenze utyando lwe-laparoscopic, ugqirha wotyando wenze ukusika okuncinci oku-3 ukuya kwesine esiswini somntwana wakho.

Uninzi lwabantwana luchacha ngokukhawuleza emva kokuba ususwe udakada. Ukubuyela kwimeko yesiqhelo kutyando lwe-laparoscopic kuhlala kukhawuleza kunokuphinda kwenzeke kuphando oluvulekileyo.

Umntwana wakho unokuba nazo ezinye zeempawu. Zonke kufuneka zihambe kancinci:

• Intlungu ejikeleze ukusikwa kweentsuku ezimbalwa.
• Umqala obuhlungu kumbhobho wokuphefumla. Ukuncanca kwiitshipsi zomkhenkce okanye ukukrala (ukuba umntwana wakho umdala ngokwaneleyo ukuba angazenza ezi zinto) kunokunceda ukuthomalalisa umqala.
• Ukurhabaxa, ukuba bomvu kwesikhumba, okanye iintlungu ezijikeleze ukusika, okanye ukusika.
• Iingxaki zithatha ukuphefumla okunzulu.

Ukuba udakada lomntwana wakho lwasuswa kukuphazamiseka kwegazi okanye i-lymphoma, umntwana wakho unokufuna unyango olungaphezulu kuxhomekeke kwisifo.

Xa uphakamisa umntwana wakho, zixhase zombini intloko kunye nezantsi kwiiveki zokuqala ezi-4 ukuya kwezi-6 emva kotyando.

Abantwana abasafikayo kunye nabadala kunabo bonke baya kuyeka nawuphina umsebenzi xa bediniwe. MUSA ukubacinezela ukuba benze okungaphezulu ukuba babonakala bediniwe.

Umboneleli wakho wezempilo uya kukuxelela xa kulungile ukuba umntwana wakho abuyele esikolweni okanye kukhathalelo lwemini. Oku kunokuba kwiveki eyi-1 ukuya kwezi-2 emva kotyando.

Izithintelo zomsebenzi womntwana wakho ziya kuxhomekeka:

• Uhlobo loqhaqho (oluvulekileyo okanye lwe-laparoscopic)
• Iminyaka yomntwana wakho
• Isizathu sokusebenza

Buza ugqirha wakho malunga nemiyalelo ethile yomsebenzi kunye nokusikelwa umda.

Ngokubanzi, ukuhamba nokunyuka ngezinyuko kulungile.

Ungamnika umntwana wakho i-acetaminophen (iTylenol) yentlungu. Ugqirha unokuyalela amanye amayeza eentlungu ukuba awasebenzise ekhaya ukuba umntwana wakho uyawafuna.

Ugqirha wakho uya kukuxelela ukuba uzisuse nini izinto zokunxiba zomntwana wakho. Khathalela ukusikwa njengoko kuyalelwe. Gcina indawo yokusika icocekile kwaye yomile. Yihlambe kuphela xa uyalelwe ngugqirha.

Unako ukususa i-incision dressings (bandage) ukunika umntwana wakho ishawa. Ukuba imitya yeteyiphu okanye iglu yotyando yayisetyenziselwa ukuvala ukusikwa:

• Gubungela ukusikwa ngeplastiki ngaphambi kokuba uhlambe kwiveki yokuqala.
• SUKUZAMA ukuhlamba iiteyiphu okanye iglu. Baya kuwa malunga neveki.

Umntwana wakho akufuneki afakwe ebhafini okanye kwibhafu eshushu okanye ayokuqubha de ugqirha wakho athi kulungile.

Uninzi lwabantu luphila ubomi obuqhelekileyo obusebenzayo ngaphandle kwepeni, kodwa kusoloko kukho umngcipheko wokufumana usulelo. Kungenxa yokuba udakada yinxalenye yenkqubo yomzimba yokuzikhusela, ekuncedeni ukulwa izifo ezithile.

Umntwana wakho uya kuba nakho ukufumana usulelo ngaphandle kwepeni.

• Umngcipheko wosulelo uphezulu kwiminyaka emi-2 yokuqala emva kotyando, okanye ade umntwana abe neminyaka emi-5 okanye emi-6 ubudala.
• Soloko uxelela ugqirha womntwana wakho ukuba umntwana wakho unefiva, umqala obuhlungu, intloko ebuhlungu, iintlungu esiswini, okanye urhudo, okanye ukwenzakala okuphula ulusu. Uninzi lwexesha, iingxaki ezinje azizukubanzima. Kodwa, ngamanye amaxesha kunokukhokelela kusulelo olukhulu.

Kwiveki yokuqala emva kotyando, jonga ubushushu bomntwana wakho yonke imihla.

Buza ugqirha womntwana wakho ukuba umntwana wakho kufuneka (okanye sele enayo) ezi zitofu:

• Ukukrala kwemiphunga
• Meningococcal
• Haemophilus
• I-Flu shot (minyaka le)

Umntwana wakho unokufuna ukuthatha i-antibiotics yonke imihla kwithuba elithile. Xelela ugqirha womntwana wakho ukuba iyeza libangela umntwana wakho naziphi na iingxaki. SUKUYEKE ukunika ii-antibiotics ngaphambi kokujonga ugqirha womntwana wakho.

Ezi zinto ziya kunceda ukuthintela usulelo emntwaneni wakho:

• Fundisa umntwana wakho ukuhlamba izandla rhoqo ngesepha namanzi. Amalungu osapho kufuneka enze okufanayo.
• Yenza umntwana wakho anyangwe nakuphi na ukulunywa, ngakumbi ukulunywa yinja, kwangoko.
• Yazisa ugqirha womntwana wakho ukuba umntwana wakho uza kuhamba ngaphandle kwelizwe. Umntwana wakho kungafuneka aphathe i-antibiotics engaphezulu, athathe amanyathelo okhuseleko kwi-malaria, kwaye aqinisekise ukuba ugonyo luhlaziyiwe.
• Xelela bonke ababoneleli ngempilo yomntwana wakho (ugqirha wamazinyo, oogqirha, abongikazi, okanye iingcali zabongikazi) ukuba umntwana wakho akanalo udakada.
• Buza umboneleli womntwana wakho malunga nesongo esikhethekileyo sokuba umntwana wakho anxibe esithi umntwana wakho akanalo udakada.

Emva kotyando, uninzi lweentsana kunye neentsana (ezingaphantsi kweenyanga ezili-12 ukuya kwezi-15) zinokuthatha ubisi olungumgubo okanye ubisi lwebele njengoko zifuna njalo. Buza ugqirha womntwana wakho kuqala ukuba oku kulungele umntwana wakho. Umboneleli womntwana wakho unokukuxelela indlela yokongeza iikhalori ezongezelelweyo kwifomula.

Nika abantwana abasabhadazayo nabantwana abadala ukutya okusempilweni rhoqo. Umboneleli uya kukuxelela ngalo naluphi na utshintsho ekufuneka ulwenzile.

Fowunela umboneleli wakho wezempilo ukuba:

• Ubushushu bomntwana wakho ngu-101 ° F (38.3 ° C) okanye ngaphezulu.
• Amanxeba otyando ayopha, abomvu okanye ashushu ekuchukumeni, okanye anomjelo omdaka, otyheli, oluhlaza, okanye ubisi.
• Umntwana wakho uneentlungu ezingancedwa ngamayeza eentlungu.
• Kunzima ukuphefumla komntwana wakho.
• Umntwana wakho unesikhohlela esingapheliyo.
• Umntwana wakho akanakusela okanye atye.
• Umntwana wakho akanamandla njengesiqhelo, akatyi, kwaye ubonakala egula.

Splenectomy - ukukhutshwa komntwana; Ukususwa kwepeni-ukukhutshwa komntwana

IBrandow AM, iCamitta BM. I-Hyposplenism, splenic trauma, kunye ne-splenectomy. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 487.

Ukuhlaziya iFJ. Iimeko Splenic. Ku: Holcomb GW, Murphy JP, Ostlie DJ, ii-eds. Utyando lwabantwana luka-Ashcraft. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2014: isahluko 47.

• Ukususwa kwepeni

• Ukutya iikhalori ezongezelelweyo xa ugula - abantwana
• Unonophelo lwenxeba lotyando - luvulekile

• Izifo zesisu