Ukuchonga nokunyanga intambo yesifo esosulelekileyo

Umxholo

• Imifanekiso yesifo esingafakwanga ntsholongwane
• Ungaluchonga njani usulelo lwentambo
• Ufuna nini uncedo
• Zeziphi iindlela zonyango ezikhoyo?
• Kuthatha ixesha elingakanani ukubuyela kwimeko yesiqhelo?
• Ungasinyamekela njani isiphunzi somzimba
• Yintoni imbonakalo?

Intambo yomtya yintambo eqinileyo, eguqukayo ephethe izondlo kunye negazi ukusuka kumama wokuzalwa ukuya kusana ngexesha lokukhulelwa. Emva kokuzalwa, intambo, engenazo iziphelo zemithambo-luvo, iyabotshwa (ukunqanda ukopha) kwaye isikwe kufutshane nenkaba, ishiye isitovu. Isiqu siwela kwiveki enye ukuya kwezintathu emva kokuzalwa.

Ngexesha lokuzalwa kunye nokucofa kunye nenkqubo yokusika, iintsholongwane zinokuhlasela intambo kwaye zibangele usulelo. Usulelo lwesiphunzi sentambo lubizwa ngokuba yi-omphalitis.

Omphalitis eUnited States, United Kingdom, nakwamanye amazwe apho abantu banokufikelela ngokulula ezibhedlele.

Funda ukuze ufunde indlela yokuchonga nokunyanga usulelo lwentambo.

Imifanekiso yesifo esingafakwanga ntsholongwane

Ungaluchonga njani usulelo lwentambo

Kuqhelekile ukuba intambo evalelweyo iphuhlise ukhwekhwe ekupheleni kwayo. Kusenokwenzeka nokuba wophe kancinane, ingakumbi xa ujikeleze isiseko sesiphunzi xa sele sikulungele ukuwa. Kodwa ukopha kufuneka kube lula kwaye kuyeke ngokukhawuleza xa ufaka uxinzelelo olungephi.

Ngelixa ukopha kancinci kuyinto eqhelekileyo kwaye kuhlala kungekho nto inokukhathazeka ngayo, iimpawu zosulelo zinokubandakanya:

• obomvu, ukudumba, ukufudumala, okanye ulusu olufudumeleyo olujikeleze intambo
• ubofu (ulwelo oluhlaza satyheli) ophuma eluswini ujikeleze intambo
• livumba elibi eliphuma entanjeni
• ifiva
• usana olunxungupheleyo, olungonwabisiyo, okanye olulalayo

Ufuna nini uncedo

Umtya we-umbilical unokufikelela ngokuthe ngqo kwigazi, ngoko ke nosulelo olungephi kunokuba nzima ngokukhawuleza. Xa usulelo lungena egazini kwaye lusasazeka (olubizwa ngokuba yi-sepsis), kunokubangela ukoyikisela ubomi kumalungu omzimba nakwizicubu zomzimba.

Nxibelelana nogqirha wabantwana womntwana wakho ngokukhawuleza ukuba uphawula nayiphi na le miqondiso ingasentla yosulelo lwentambo. Usulelo lwe-umbilical cord luyabulala ukuya kuthi ga kwiintsana ezinesifo sentambo, ke oko kuthathwa njengonyango olungxamisekileyo.

Iintsana ezizelwe ngaphambi kwexesha zisengozini yokufumana iingxaki ezivela kolu hlobo losulelo kuba sele zinamajoni omzimba abuthathaka.

Zeziphi iindlela zonyango ezikhoyo?

Ukuchonga olona nyango lufanelekileyo losulelo lomntwana wakho, ugqirha wezonyango uhlala ethatha indawo yommandla osulelekileyo. Le swab inokuvavanywa kwilebhu ukuze kuchongwe eyona ntsholongwane ibangela usulelo. Xa oogqirha besazi ukuba yeyiphi intsholongwane eyiyo, banokukhomba ngcono isibulali-zintsholongwane esifanelekileyo sokulwa naso.

Nje ukuba kubonakaliswe unobangela weempawu zonyango, ubukhulu becala unyango luxhomekeke kubungakanani bosulelo.

Usulelo oluncinci, ugqirha womntwana wakho unokucebisa ukuba usebenzise ioyile yokubulala iintsholongwane amaxesha ambalwa ngemini kulusu olujikeleze intambo. Umzekelo wosulelo oluncinci ukuba kukho inani elincinci lobofu, kodwa umntwana wakho ngenye indlela ubonakala elungile.

Usulelo oluncinci lunokuba mandundu ngakumbi xa luyekwanga lunganyangwa, nangona kunjalo, kubalulekile ukuba ubonane nogqirha nanini na xa kurhanelwa usulelo lwe-umbilical cord.

Usulelo olubi kakhulu, umntwana wakho kuya kufuneka alaliswe esibhedlele kwaye anikwe amayeza okubulala iintsholongwane ukuze alwe nosulelo. Amayeza okubulala iintsholongwane athunyelwa ngenaliti efakwe emthanjeni. Umntwana wakho angathi usesibhedlele iintsuku ezininzi ngelixa efumana i-antibiotics.

Iintsana ezinikwa imithambo-luvo zifakwa ngaphakathi kangangeentsuku ezili-10. Banokuthi banikwe ii-antibiotics ezongezelelweyo ngemilomo yabo.

Kwezinye iimeko, intsholongwane ingadinga ukucocwa.

Ukuba usulelo lubangele ukuba kusweleke izicwili, umntwana wakho unokufuna utyando lokususa ezo seli zifileyo.

Kuthatha ixesha elingakanani ukubuyela kwimeko yesiqhelo?

Xa usulelo olukhulu lubanjiwe kwangethuba, uninzi lweentsana luyachacha ngokupheleleyo kwiiveki nje ezimbalwa. Kodwa bahlala bedinga ukuhlala esibhedlele ngelixa bafumana i-antibiotics efakwa ngaphakathi.

Ukuba umntwana wakho uye wahlinzwa ukuze kususwe usulelo, ukuvulwa kungenzeka ukuba "bekugcwele" nge-gauze. I-gauze iya kugcina ukusikwa kuvulekile kwaye ivumele u-pus ukuba aphume. Xa ukuyekisa kuyekile, i-gauze iyasuswa kwaye inxeba liya kuphola ukusuka ezantsi ukuya phezulu.

Ungasinyamekela njani isiphunzi somzimba

Kwiminyaka nje embalwa edlulileyo, izibhedlele bezihlala zisigquma isiphunzi sentambo somntwana ngesibulali-ntsholongwane (ikhemikhali ebulala iintsholongwane) emva kokuba icinezelwe yaza yasikwa. Kule mihla, nangona kunjalo, uninzi lwezibhedlele kunye noogqirha babantwana bacebisa "ukomelela okungafunekiyo" kweentambo.

Ukukhathalela okomileyo kubandakanya ukugcina intambo yomile kwaye uyiveze emoyeni ukuyinceda ihlale ingenasulelo. Ngokophando olupapashwe kwiphephancwadi iMedicine, ukhathalelo lwentambo eyomileyo (xa kuthelekiswa nokusebenzisa i-antiseptic) yindlela ekhuselekileyo, elula nefanelekileyo yokunceda ukuthintela usulelo lwentambo kwiintsana ezisempilweni ezizalwe ezibhedlele kwiindawo eziphuhlileyo.

Iingcebiso zokhathalelo lwentambo eyomileyo:

• Coca izandla zakho ngaphambi kokuba uchukumise indawo yentambo yomntwana.
• Kuphephe ukufumana isiphunzi esimanzi kangangoko kunokwenzeka. Sebenzisa iibhafu zesiponji ukucoca umntwana wakho de isiphunzi siwe, kwaye uphephe ukuwutshiza ummandla ojikeleze isiphunzi. Ukuba isiphunzi siye sibe manzi, ngobumnene sibambe ngomile ngetawuli ecocekileyo, ethambileyo.
• Gcina ilweyile lomntwana wakho lisongelwe phantsi kwesiphunzi lize liwe endaweni yokubeka ibhendi ye-diaper esiqwini sayo. Oku kuyakuvumela umoya ukuba ujikeleze kwaye uncede ukomisa isiphunzi.
• Nciphisa ngokukhawuleza nayiphi na i-pee okanye i-poop eqokelela malunga nesiqu kunye ne-gauze yamanzi. Vumela umoya wommandla wome.

Ngelixa iingcebiso zingakhathalelwanga ngese, ezinye iindlela ezinokunceda ekunciphiseni umngcipheko wosulelo lwentambo, njengokunxibelelana nolusu nolusu okanye ukuncancisa usana lwakho.

Ngokubeka umntwana wakho ongenasifuba esifubeni sakho esifubeni sakho, eyaziwa ngokuba kukunxibelelana nolusu nolusu, unokumveza umntwana wakho kwiibhaktheriya eziqhelekileyo zolusu. Ngokophando olwenziwa ngo-2006 lweentsana ezisanda kuzalwa zaseNepal ezapapashwa kwiAmerican Journal of Epidemiology, iintsana ezafumana ulusu nesikhumba zazingaphantsi ngamashumi amathathu anesithandathu eepesenti zokufumana ukosuleleka kwembambo kunabantwana abangenalo olu hlobo lokuvezwa kolusu.

Ukuncancisa kukuvumela ukuba udlulise ii-antibodies (izinto ezinokunceda ukulwa nezifo) kusana lwakho, ezinokunceda amajoni omzimba ukuba aphuhle kwaye omeleze.

Yintoni imbonakalo?

E-United States, e-United Kingdom, nakwamanye amazwe amaninzi, usulelo lwe-umbilical cord lunqabile kubantwana abasempilweni, abasisigxina abazelwe ezibhedlele. Kodwa usulelo lwentambo lunokwenzeka, kwaye xa lusenzeka, banokuba sengozini yobomi xa bengabanjwanga kwaye banyangwe kwangoko.

Nxibelelana nogqirha wakho kwangoko ukuba ubona umbala obomvu, isikhumba sethenda ejikeleze intambo okanye ubofu etsala kwisiphunzi. Kuya kufuneka unxibelelane nogqirha ukuba umntwana wakho uba nomkhuhlane okanye ezinye iimpawu zosulelo. Usana lwakho lunokudubula ngokugqwesileyo ukuze luphile ngokupheleleyo ukuba unyango luqaliswe ngokukhawuleza.