Isifo somntwana eshukunyisiweyo

I-Shaken baby syndrome luhlobo oluqatha lokuxhatshazwa kwabantwana olubangelwa kukungcangcazelisa usana okanye umntwana.

I-Shaken baby syndrome inokwenzeka ukuba ivele kwimizuzwana emi-5 yokushukuma.

Ukulimala kosana okuhlukumezekileyo kuhlala kwenzeka kubantwana abangaphantsi kweminyaka emi-2 ubudala, kodwa kunokubonwa kubantwana ukuya kuthi ga kwiminyaka emi-5 ubudala.

Xa usana okanye usana lushukunyiswa, ingqondo igxuma yabuya yaya kulukakayi. Oku kunokubangela ukutyumka kwengqondo (ukudibana kobuchopho), ukudumba, uxinzelelo kunye nokopha kwingqondo. Iimvumba ezinkulu ezingaphandle kwengqondo zinokukrazuka, zikhokelele ekuphumeni kwegazi, ukudumba, kunye noxinzelelo olonyukayo. Oku kunokubangela ukonakala kwengqondo okusisigxina okanye ukufa.

Ukushukumisa usana okanye umntwana omncinci kunokubangela okunye ukwenzakala, njengokulimala kwentamo, umqolo kunye namehlo.

Kwiimeko ezininzi, umzali okanye umntu okhathalelayo onomsindo uyangcangcazelisa usana ukohlwaya okanye lokuthula umntwana. Ukungcangcazela okunje kwenzeka kakhulu xa usana lukhala lungathuthuzeleki kwaye umntu okhathalelayo okhathazekileyo ophulukene nolawulo. Amaxesha amaninzi umntu okhathalelayo ebengenanjongo zokonzakalisa umntwana. Okwangoku, luhlobo lokuxhatshazwa kwabantwana.

Ukonzakala kunokwenzeka kakhulu xa usana lushukunyiswa kwaye emva koko intloko yomntwana ibetha into. Nokuba ukubetha into ethambileyo, efana noomatrasi okanye umqamelo, kunokuba nakho ukulimaza iintsana ezisanda kuzalwa kunye neentsana. Iingqondo zabantwana zithambile, izihlunu zentamo kunye nemisipha zibuthathaka, kwaye iintloko zazo zinkulu kwaye zinzima ngokomlinganiso wemizimba yazo. Isiphumo luhlobo lwe-whiplash, efanayo naleyo yenzeka kwezinye iingozi zemoto.

I-Shaken baby syndrome ayibangelwa kukungxola ngokuthambileyo, ukujija ukudlala okanye ukuphosa umntwana emoyeni, okanye ukubaleka nomntwana. Kananjalo akunakulindeleka ukuba kwenzeke kwiingozi ezinje ngokuwa kwizitulo okanye ezantsi kwizitepsi, okanye ngempazamo ukuwisa phantsi kweengalo zomkhathaleli. Ukuwa okufutshane kunokubangela ezinye iintlobo zokulimala kwentloko, nangona ezi zihlala zincinci.

Iimpawu ziyahluka, ukusuka kumnene ukuya kubunzima. Banokubandakanya:

• Ukuxhuzula (ukuxhuzula)
• Ukuhla kwesilumkiso
• Ukucaphuka kakhulu okanye olunye utshintsho kwindlela yokuziphatha
• Ukuyeka, ukozela, ukungancumi
• Ukuphulukana nokuqonda
• Ukuphulukana nombono
• Akukho kuphefumla
• Isikhumba esimnyama okanye esiluhlaza
• Ukutya okungalunganga, ukungabikho komdla wokutya
• Ukuhlanza

Kungangabikho mpawu zokwenzakala emzimbeni, njengokugruzuka, ukopha okanye ukudumba. Kwezinye iimeko, le meko kunokuba nzima ukuyifumanisa kwaye ayinakufumaneka ngexesha lotyelelo eofisini. Nangona kunjalo, ukuqhekeka kweembambo kuqhelekile kwaye kunokubonwa kwi-ray-ray.

Ugqirha wamehlo unokufumana ukopha emva kweliso lomntwana okanye kwi-retina detachment. Kukho, nangona kunjalo, ezinye izizathu zokuphuma kwegazi emva kwamehlo kwaye kufuneka zikhutshwe ngaphandle ngaphambi kokufumanisa isifo somntwana eshukunyisiweyo. Ezinye izinto kufuneka ziqwalaselwe.

Tsalela u-911 okanye inombolo yakho yongxamiseko yasekuhlaleni. Unyango olukhawulezileyo luyimfuneko.

Ukuba umntwana uyeka ukuphefumla ngaphambi kokufika koncedo olungxamisekileyo, qala i-CPR.

Ukuba umntwana uyagabha:

• Kwaye awucingi ukuba kukho ukwenzakala komqolo, jika intloko yomntwana kwelinye icala ukunqanda ukukrwitshwa nokuphefumla komntwana kwimiphunga (umnqweno).
• Kwaye ucinga ukuba kukho ukwenzakala komqolo, qengqa ngononophelo umzimba wonke womntwana uye kwelinye icala ngaxeshanye (ngokungathi uqengqa isigodo) ngelixa ukhusela intamo ukuthintela ukukrwitshwa kunye nomnqweno.

• Musa ukumphakamisa okanye ukumshukumisa umntwana ukuze umvuse.
• Musa ukuzama ukunika umntwana nantoni na ngomlomo.

Fowunela umboneleli wakho wokhathalelo lwempilo ukuba umntwana unazo naziphi na iimpawu okanye iimpawu ezingasentla, nokuba zithambile kangakanani na. Biza kwakhona ukuba ucinga ukuba umntwana ushukumisile isifo somntwana.

Ukuba ucinga ukuba umntwana usengozini ngoko nangoko ngenxa yokungahoywa, kufuneka ubize u-911. Ukuba ukrokrela ukuba umntwana uyaxhatshazwa, xela ngoko nangoko. Uninzi lwamazwe anenombolo yomnxeba yokuxhatshazwa kwabantwana. Unokusebenzisa iNombolo yomnxeba weSizwe yoNcedo lwaBantwana ku-1-800-4-A-Umntwana (1-800-422-4453).

La manyathelo anokunceda ukunciphisa umngcipheko wesifo sengqondo somntwana:

• Ungaze ushukumise umntwana okanye umntwana xa udlala okanye unomsindo. Nokuba ungcangcazela ngobunono unokushukuma xa unomsindo.
• Musa ukulubamba usana lwakho ngexesha lengxabano.
• Ukuba ufumanisa ukuba ucaphukile okanye unomsindo ngosana lwakho, faka umntwana ebhedini yakhe kwaye uphume kwigumbi. Zama ukuzola. Tsalela umntu inkxaso.
• Biza umhlobo okanye isalamane ukuba size kuhlala nomntwana ukuba uziva ungaphaya kolawulo.
• Nxibelelana nomnxeba woncedo wengingqi wengxaki okanye inombolo yomnxeba yokuxhatshazwa kwabantwana ngoncedo nokhokelo.
• Funa uncedo lomcebisi kwaye uye kwiiklasi zokuba ngumzali.
• Sukuyityeshela imiqondiso ukuba ukrokrela ukuxhatshazwa kwabantwana ekhayeni lakho okanye kwikhaya lomntu omaziyo.

Isifo sempembelelo eshukunyisiweyo; Usana olushukunyiswa nguWhiplash; Ukuphathwa gadalala kwabantwana- umntwana oshukunyiswayo

• Iimpawu zomntwana ezishukunyiswayo

ICarrasco MM, iWoldford JE. Ukuphathwa gadalala kwabantwana kunye nokungahoywa. Ku: Zitelli, BJ, McIntire SC, Nowalk AJ, ii-eds. UZitelli no-Davis ’Atlas of Pediatric Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; I-2018: isahluko 6.

I-Dubowitz H, iNdlela yeWG. Abantwana abaphethwe gadalala nabangahoywanga. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla we-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 40.

Mazur PM, Hernan LJ, Maiyegun S, Wilson H. Ukuphathwa gadalala kwabantwana. Ku: UFuhrman BP, uZimmerman JJ, ii-eds. Inkathalo yabantwana. Umhla we-5. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 122.