Isifo senyongo esanda kuzalwa - ukubhobhoza

Umntwana wakho uphathwe esibhedlele ngenxa ye-jaundice esanda kuzalwa. Eli nqaku likuxelela ngento ekufuneka uyazi xa umntwana wakho efika ekhaya.

Umntwana wakho une-jaundice esandul 'ukuzalwa. Le meko iqhelekileyo ibangelwa ngamanqanaba aphezulu e-bilirubin egazini. Ulusu lomntwana wakho kunye ne-sclera (abamhlophe ngamehlo akhe) ziya kujongeka tyheli.

Abanye abantwana abasandul 'ukuzalwa bafuna ukunyangwa ngaphambi kokuba baphume esibhedlele. Abanye banokufuna ukubuyela esibhedlele xa baneentsuku ezimbalwa ubudala. Unyango esibhedlele kuhlala kuhlala iintsuku ezi-1 ukuya kwezi-2. Umntwana wakho ufuna unyango xa inqanaba lakhe le-bilirubin liphezulu kakhulu okanye likhula ngokukhawuleza.

Ukunceda ukuphula i-bilirubin, umntwana wakho uya kufakwa phantsi kwezibane eziqaqambileyo (i-phototherapy) kwindawo efudumeleyo, ebiyelweyo. Usana luya kunxiba kuphela ilweyile kunye neeleta ezikhethekileyo zamehlo. Usana lwakho lunokuba nomgca we-intravenous (IV) ukuze lubanike ulwelo.

Rhoqo, usana lwakho lusenokufuna unyango olubizwa ngokuba kukuphambaniswa kwegazi. Oku kusetyenziswa xa inqanaba le-bilirubin yomntwana liphezulu kakhulu.

Ngaphandle kokuba kukho ezinye iingxaki, umntwana wakho uya kuba nakho ukondla (ngebele okanye ngebhotile) ngesiqhelo. Umntwana wakho kufuneka ondle zonke iiyure ezi-2 ukuya kwezi-2 (iiyure ezili-10 ukuya kwezili-12 ngosuku).

Umboneleli wezempilo angayeka ukufota kunye nokuthumela umntwana wakho ekhaya xa inqanaba labo le-bilirubin liphantsi ngokwaneleyo ukuba likhuseleke. Inqanaba le-bilirubin yomntwana wakho liya kudinga ukukhangelwa kwi-ofisi yomboneleli, iiyure ezingama-24 emva kokuba unyango luyekile, ukuqinisekisa ukuba inqanaba alinyuki kwakhona.

Iziphumo ebezingalindelekanga ezinokubakho zephototherapy lurhudo olunamanzi, ukomisa amanzi emzimbeni kunye nerhashalala lolusu eliya kuphela xa unyango luyekile.

Ukuba umntwana wakho wayengenayo i-jaundice ekuzalweni kodwa ngoku unayo, kufuneka ubize umnikezeli wakho. Amanqanaba eBilirubin ahlala ephezulu xa usana olusandul 'ukuzalwa luneentsuku ezi-3 ukuya kwezi-5 ubudala.

Ukuba inqanaba le-bilirubin alikho phezulu kakhulu okanye alinyuki ngokukhawuleza, ungenza i-phototherapy ekhaya ngengubo ye-fiber optic, enezibane ezincinci kuyo. Unokusebenzisa ibhedi ekhanyisa ukukhanya kumatrasi. Umongikazi uza kuza ekhayeni lakho ukuze akufundise indlela yokusebenzisa ingubo okanye ibhedi nokujonga umntwana wakho.

Umongikazi uya kubuya mihla le ukuze ajonge:

• Ubunzima
• Ukungenisa ubisi lwebele okanye ubisi olungumgubo
• Inani lamanabukeni amanzi kunye nengubo (isitulo)
• Ulusu, ukubona ukuba kude kangakanani (entloko kuzwane) umbala omthubi uhamba
• Inqanaba leBilirubin

Kuya kufuneka ugcine unyango olukhanyayo kulusu lomntwana wakho kwaye wondle umntwana wakho rhoqo kwiiyure ezimbini ukuya kwezintathu (amaxesha ali-10 ukuya kwali-12 ngosuku). Ukondla kuthintela ukomisa umzimba kwaye kunceda i-bilirubin ishiye umzimba.

Unyango luya kuqhubeka de inqanaba le-bilirubin yomntwana wakho lehle ngokwaneleyo ukuze likhuseleke. Umboneleli wakho wosana uya kufuna ukukhangela inqanaba kwakhona kwiintsuku ezi-2 ukuya kwezi-3.

Ukuba unengxaki yokuncancisa, qhagamshelana nomongikazi oncelisayo.

Fowunela umboneleli wezempilo wosana lwakho ukuba usana:

• Unombala omthubi ohambayo, kodwa emva koko ubuye emva konyango.
• Unombala omthubi ohlala ngaphezulu kweeveki ezi-2 ukuya kwezi-3

Biza umnikezeli womntwana wakho ukuba unenkxalabo, ukuba i-jaundice iya isiba mandundu, okanye umntwana:

• Ngaba i-lethargic (kunzima ukuvuka), ayiphenduli kangako, okanye iyangqubana
• Uyala ibhotile okanye isifuba ngaphezulu kokutya kwe-2 ngokulandelelana
• Ngaba ukunciphisa umzimba
• Unotyatyazo lwamanzi

Ijusi yomntwana osandul 'ukuzalwa - ukukhupha; Neonatal hyperbilirubinemia - ukubhobhoza; Ukuxiliswa kwe-jaundice - ukukhutshwa; I-Physiologic jaundice - ukukhutshwa

• Utshintshiselwano lotshintshiselwano- uthotho
• I-jaundice yabantwana

UKaplan M, uWong RJ, uSibley E, uStevenson DK. Izifo ze-jaundice kunye nezifo zesibindi. Ku: UMartin RJ, uFanaroff AA, uWalsh MC, ii-eds. UFanaroff kunye noMartin's Neonatal-Perinatal Medicine. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 100.

UMaheshwari A, uCarlo WA. Ukuphazamiseka kwenkqubo yokugaya ukutya. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla we-20. IPhiladelphia, PA: Elsevier; 2016: isahl. 102.

IRozance PJ, iRosenberg AA. Umntwana osemtsha. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, ii-eds. I-Obstetrics: Ukukhulelwa okuqhelekileyo kunye neengxaki. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 22.

• I-Biliary atresia
• Izibane zeBili
• Uvavanyo lwegazi lweBilirubin
• I-Bilirubin encephalopathy
• Ukutshintshiselwa igazi
• I-jaundice kunye nokuncelisa
• Isifo senyongo esisandul 'ukuzalwa
• Ngaphambi kokuba usana luzalwe
• Ukungahambelani kweRh

• Isifo senyongo esisandul 'ukuzalwa - yintoni ongayibuza ugqirha wakho

• Iingxaki eziqhelekileyo zosana kunye nosana olusandul 'ukuzalwa
• I-jaundice