Ukudodobala kokukhula (Ukulibaziseka kokuKhula)

Umxholo

• Iimpawu zoKhula kwexesha
• Ngaba abantwana bakukhulisa njani ukudodobala koKhula?
• Izinto zoMama
• Izinto eziSisiphumo
• Izinto zangaphakathi
• Ukuchonga ukukhula kwexesha
• Ngaba ukunyanzeliswa kokukhula kuyanyangeka?
• Ukwandisa ukuTya kwakho okunesondlo
• Ukuphumla kwebhedi
• Ukuhanjiswa okucwangcisiweyo
• Iingxaki ezivela ekukhuleni kwexesha
• Ndilugcina njani usana lwam ekukhuleni kokuLibala?

Ukudodobala kokukhula kwenzeka xa usana lwakho olungekazalwa lungakhuli ngokwesiqhelo. Kubizwa ngokubanzi njenge-intrauterine yokuthintela ukukhula (IUGR). Igama elithi intrauterine lokukhula kwexesha likwasetyenziswa.

Iimbungu ezine-IUGR zincinci kakhulu kunezinye iimveku ezineminyaka yobudala efanayo. Eli gama lisetyenziselwa abantwana bexesha elipheleleyo abanobunzima obungaphantsi kweepawundi ezi-5, ii-ounces ezi-8 xa bezalwa.

Zimbini iindlela zokudodobala kokukhula: ulingano kunye nokungalingani. Abantwana abane-IUGR ehambelanayo banomzimba oqhelekileyo, bancinci kunabantwana abaninzi kwiminyaka yabo yokukhulelwa. Abantwana abane-asymmetrical IUGR baneentloko eziqhelekileyo. Nangona kunjalo, imizimba yabo incinci kakhulu kunokuba kufanelekile. Kwi-ultrasound, intloko yabo ibonakala inkulu kakhulu kunemizimba yabo.

Iimpawu zoKhula kwexesha

Awunakuqaphela naziphi na iimpawu zokuba usana lwakho olungekazalwa lunokudodobala kokukhula. Uninzi lwabasetyhini aluyazi le meko de baxelelwe ngayo ngexesha le-ultrasound. Abanye abafumani de kube semva kokubeleka.

Abantwana abazalwe nge-IUGR basemngciphekweni omkhulu weengxaki ezininzi, kubandakanya:

• inqanaba leoksijini ephantsi
• iswekile esezantsi yegazi
• iiseli ezibomvu ezininzi kakhulu
• ukusilela ukugcina ubushushu bomzimba obuqhelekileyo
• amanqaku aphantsi e-Apgar, elingumlinganiselo wempilo yabo ekuzalweni
• iingxaki zokondla
• iingxaki zemithambo-luvo

Ngaba abantwana bakukhulisa njani ukudodobala koKhula?

IUGR yenzeka ngenxa yezizathu ezininzi. Umntwana wakho unokufumana ilifa elingaqhelekanga kwiiseli okanye kwizicwili zakhe. Banokuba benengxaki yokungondleki okanye ukutya oksijini okuphantsi. Wena, okanye umama wokuzalwa komntwana wakho, unokuba neengxaki zempilo ezikhokelela kwi-IUGR.

IUGR ingaqala nakweliphi na inqanaba lokukhulelwa. Zininzi izinto ezonyusa umngcipheko we-IUGR yomntwana wakho. Ezi zinto zahlulwe zangamacandelo amathathu: izinto zoomama, izinto ezingekazalwa, kunye neempawu zesibeleko / zeplastikhi. Iimpawu zesibeleko / zeplacenta zikwabizwa ngokuba zizinto zangaphakathi.

Izinto zoMama

Izinto zoomama ziimeko zempilo ukuba wena, okanye umama wokuzalwa komntwana wakho, unokuba nokonyusa umngcipheko we-IUGR. Ziquka:

• izifo ezinganyangekiyo, ezinje ngesifo sezintso esinganyangekiyo, isifo seswekile, isifo sentliziyo, kunye nesifo sokuphefumla
• igazi elonyukayo
• ukungondleki
• ianemia
• usulelo oluthile
• ukuhlukunyezwa kwesiyobisi
• ukutshaya

Izinto eziSisiphumo

Izinto ze-Fetal ziimeko zempilo ukuba umntwana wakho angaba nayo ephakamisa umngcipheko we-IUGR. Ziquka:

• usulelo
• iziphene zokuzalwa
• chromosome engaqhelekanga
• ukukhulelwa okuninzi

Izinto zangaphakathi

Izinto ze-Intrauterine ziimeko ezinokuthi zikhule kwisibeleko sakho eziphakamisa umngcipheko we-IUGR, kubandakanya:

• ukunciphisa ukuhamba kwegazi kwesibeleko
• ukunciphisa ukuhamba kwegazi kwi-placenta yakho
• usulelo kwimisipha ejikeleze umbungu wakho

Imeko eyaziwa njenge-placenta previa nayo inokubangela i-IUGR. I-Placenta previa yenzeka xa i-placenta yakho incamathele kakhulu kwisibeleko sakho.

Ukuchonga ukukhula kwexesha

IUGR ihlala ichongwa ngexesha lokuvavanywa kwe-ultrasound esemgangathweni. I-Ultrasound isebenzisa amaza esandi ukujonga ukukhula komntwana wakho kunye nesibeleko sakho. Ukuba umbungu wakho mncinci kunesiqhelo, ugqirha wakho unokurhanela i-IUGR.

Umntwana omncinci kunesiqhelo usenokungabi sisizathu sokukhathazeka ekukhulelweni kwasekuqaleni. Abasetyhini abaninzi abaqinisekanga ngexesha labo lokugqibela lokuya esikhathini. Ke ngoko, ixesha lokukhulelwa komntwana wakho lisenokungachaneki. Umbungu usenokubonakala umncinci xa eneneni ubungakanani obuchanekileyo.

Xa i-IUGR ikrokrelwa ekukhulelweni kwasekuqaleni, ugqirha wakho uya kubeka esweni ukukhula komntwana wakho ngokusebenzisa ii-ultrasound eziqhelekileyo. Ukuba umntwana wakho uhluleka ukukhula kakuhle, ugqirha wakho unokuchonga i-IUGR.

Uvavanyo lwe-amniocentesis lunokucetyiswa ukuba ugqirha wakho ukrokrela i-IUGR. Kolu vavanyo, ugqirha wakho uya kufaka inaliti ende, engenanto ngaphakathi kwesisu sakho kwisangqa sakho se-amniotic. Emva koko ugqirha wakho uya kuthatha isampuli yolwelo. Le sampuli ivavanyelwa iimpawu zokungaqheleki.

Ngaba ukunyanzeliswa kokukhula kuyanyangeka?

Kuxhomekeka kwisizathu, i-IUGR inokuphinda ibuye.

Ngaphambi kokuba unikeze unyango, ugqirha wakho unokujonga esibelekweni sakho usebenzisa:

• i-ultrasound, ukubona ukuba amalungu abo akhula njani kwaye bajonge iintshukumo eziqhelekileyo
• ukubeka esweni ukubetha kwentliziyo, ukuqiniseka ukubetha kwentliziyo yabo xa kunyuka
• Izifundo zokuhamba kweDoppler, Ukuqinisekisa ukuba igazi labo lihamba ngokufanelekileyo

Unyango luya kugxila ekuqwalaseleni oyena nobangela we-IUGR. Kuxhomekeka kwisizathu, enye yezi ndlela zonyango zingaluncedo:

Ukwandisa ukuTya kwakho okunesondlo

Oku kuqinisekisa ukuba umntwana wakho ufumana ukutya okwaneleyo. Ukuba khange utye ngokwaneleyo, usana lwakho lusenokungabikho izondlo ezaneleyo ukuze lukhule.

Ukuphumla kwebhedi

Unokufakwa ekuphumleni kombhede ukuze uncede ukuphucula ukujikeleza komntwana wakho.

Ukuhanjiswa okucwangcisiweyo

Kwiimeko ezinzima, ukuhanjiswa kwangethuba kunokuba yimfuneko. Oku kuvumela ugqirha wakho ukuba angenelele ngaphambi kokuba umonakalo obangelwe yi-IUGR uye usiba mandundu. Ukuhanjiswa okunyanzelekileyo kuhlala kuyimfuneko kuphela ukuba umntwana wakho uyekile ukukhula ngokupheleleyo okanye uneengxaki zonyango. Ngokubanzi, ugqirha wakho uya kukhetha ukuyivumela ukuba ikhule ixesha elide ngaphambi kokuhanjiswa.

Iingxaki ezivela ekukhuleni kwexesha

Abantwana abanesimo esibi se-IUGR banokufa esibelekweni okanye ngexesha lokuzalwa. Abantwana abanefom engaphantsi kakhulu ye-IUGR banokuba neengxaki.

Abantwana abanesisindo sokuzalwa esiphantsi banomngcipheko okhulayo woku:

• ukukhubazeka ekufundeni
• Ukulibaziseka kweemoto kunye nophuhliso lwentlalo
• usulelo

Ndilugcina njani usana lwam ekukhuleni kokuLibala?

Akukho ndlela zaziwayo zokuthintela i-IUGR. Nangona kunjalo, kukho iindlela zokunciphisa umngcipheko womntwana wakho.

Ziquka:

• ukutya ukutya okusempilweni
• ukuthatha iivithamini zakho zokubeleka, kunye nefolic acid
• ukunqanda indlela yokuphila engenampilo, njengokusebenzisa iziyobisi, ukusebenzisa utywala, kunye nokutshaya icuba