Bazi ubungozi besifo sokuwa xa ukhulelwe

Umxholo

• Ukukhathazeka nini
• Unyango njani
• Uncancisa njani

Ngexesha lokukhulelwa, ukuxhuzula kungancipha okanye kunyuke, kodwa kuhlala kuxhaphakile, ngakumbi kwikota yesithathu yokukhulelwa nasekusondele ekubelekeni.

Ukwanda kokubanjwa ikakhulu ngenxa yotshintsho oluqhelekileyo kwesi sigaba sobomi, njengokufumana ubunzima, utshintsho lwehomoni kunye nokwanda kwemetabolism. Ukongeza, ukubakho kwesi sifo rhoqo kunokubakho ngenxa yokuba umfazi okhulelweyo eyeka ukusetyenziswa kwamayeza, ngenxa yokoyika ukuchaphazela impilo yomntwana.

Ubukho bokuxhuzula ngexesha lokukhulelwa kwandisa amathuba kwezi ngxaki zilandelayo:

• Ukuqhomfa okuzenzekelayo;
• Ukuzalwa ngaphambi kwexesha;
• Ukufa komntwana emva kokuzalwa;
• Ukulibaziseka kophuhliso;
• Ukukhubazeka kwemfuza, njengeengxaki zentliziyo, imilebe yomlebe kunye nomqolo womqolo;
• Ubunzima obuphantsi ngexesha lokuzalwa;
• Pre eclampsia;
• Ukopha kwilungu lobufazi.

Nangona kunjalo, akukaziwa ukuba ukwanda komngcipheko weengxaki kungenxa yesifo ngokwaso okanye kunyango kusetyenziswa amayeza anticonvulsant.

Ukukhathazeka nini

Ngokubanzi, ukuxhuzula okulula, ukungabanjwa, zinto ezo apho umntu ephulukana nokuqonda okwethuba elifutshane, kunye nokuxhuzula kwe-myoclonic, okubonakaliswa kukuphazamiseka kwemisipha ngokufutshane njengothuko lombane, akubeki mngcipheko ekukhulelweni. Jonga indlela yokuchonga nokunyanga imeko yokungabikho.

Nangona kunjalo, abasetyhini ebebenobunzima ekulawuleni iingxaki ngaphambili okanye abo bahlasele i-tonic-clonic seizures, apho kukho ukulahleka kwengqondo kunye nokuqina kwemisipha ngokubanzi, kunokwenzeka ukuba babangele umonakalo, njengokunqongophala kweoksijini emntwaneni kwaye ukubetha kwentliziyo.

Unyango njani

Unyango lwenziwa ngohlobo kunye nokuxhaphaka kokuxhuzula okubonisiweyo, kwaye kwabasetyhini abangakhange baxhuzule ngaphezulu kweminyaka emi-2, ugqirha unokuvavanya ukumiswa kweyeza kokubini ngexesha lokucwangciswa kokukhulelwa kunye nasebudeni bekota yokuqala yokukhulelwa. .

Phakathi kwamayeza asetyenzisiweyo, iValproate yeyona inxulumene kakhulu namathuba aphezulu okukhubazeka kosana olungekazalwa, kwaye ukunciphisa esi siphumo, kuyinto eqhelekileyo ukuba ichazwe neCarbamazepine.

Nangona kunjalo, kubalulekile ukulandela unyango olumiselweyo, kwaye ukusetyenziswa kwamayeza akufuneki kuyekwe ngaphandle kwengcebiso yezonyango, nokuba azikho iingxaki okanye iingxaki ziye zanda ngamayeza.

Uncancisa njani

Abasetyhini abanesathuthwane banokuncancisa umntwana usana, kodwa amanye amayeza asetyenziselwa ukunyanga le meko kunokubangela ukurhawuzela kunye nokozela abantwana.

Umntwana kufuneka ancanciswe emva kweyure e-1 yokuthatha amayeza, kwaye kuyacetyiswa ukuba ukuncancisa kwenziwe ngelixa umama ehleli phantsi, esitulweni okanye elele ebhedini ukunqanda iingozi, njengoko ukuxhuzula kunokuvela ngexesha lokuncancisa.

Ukuthintela iingxaki, yazi ukuba wenzeni kwintlekele yokuxhuzula.