Indlela iMacrosomia ekuchaphazela ngayo ukukhulelwa

Umxholo

• Oonobangela kunye nemingcipheko
• Iimpawu
• Kufunyaniswa njani?
• Kukuchaphazela njani ukuhanjiswa?
• Iingxaki
• Imibuzo ebalulekileyo yokubuza ugqirha wakho
• Imbonakalo

Ushwankathelo

IMacrosomia ligama elichaza usana oluzelwe lukhulu kakhulu kunomyinge wobudala bokuthwala, elo linani leeveki esibelekweni. Iintsana ezine-macrosomia zinobunzima obungaphezu kweepawundi eziyi-8, ii-ounces ezili-13.

Ngokomndilili, iintsana zinobunzima obuphakathi kweepawundi ezi-5, ii-ounces eziyi-2,500 (ii-2,500 grams) kunye nee-8 zeepawundi, ii-ounces ezili-13 (4,000 gram). Iintsana ezine-macrosomia zikwi-90th yeepesenti okanye ngaphezulu kubunzima beminyaka yabo yokukhulelwa ukuba bazalwe ngexesha.

IMacrosomia inokubangela ukuhanjiswa okunzima, kwaye yonyuse umngcipheko wokuhanjiswa kwe-cesarean (icandelo le-C) kunye nokulimala kosana ngexesha lokuzalwa. Iintsana ezizalwe nge-macrosomia zikwanakho ukuba neengxaki zempilo ezinje ngokutyeba kunye neswekile kamva ebomini.

Oonobangela kunye nemingcipheko

Phantse iipesenti ezili-9 zabo bonke abantwana bazalwa nge-macrosomia.

Izizathu zale meko zibandakanya:

• isifo seswekile kunina
• ukutyeba kakhulu kunina
• yemfuza
• imeko yonyango elusaneni

Kungenzeka ukuba ube nosana olunemacrosomia ukuba:

• unesifo seswekile ngaphambi kokuba ukhulelwe, okanye usiphuhlise xa ukhulelwe (isifo seswekile)
• qalisa ukukhulelwa kwakho ngokutyeba kakhulu
• uzuze ubunzima kakhulu ngelixa ukhulelwe
• ukuba noxinzelelo lwegazi xa ukhulelwe
• ndinomntwana owandulelayo onemacrosomia
• ngaphezulu kweeveki ezimbini udlulileyo umhla obekiweyo
• ungaphezulu kweminyaka engama-35 ubudala

Iimpawu

Olona phawu luphambili lwe-macrosomia bubunzima bokuzalwa obungaphezulu kweepawundi eziyi-8, ii-ounces ezili-13- ​​nokuba umntwana uzelwe kwangoko, ngexesha, okanye emva kwexesha.

Kufunyaniswa njani?

Ugqirha wakho uya kubuza malunga nembali yakho yezonyango kunye nokukhulelwa kwangaphambili. Banokujonga ubungakanani bomntwana wakho ngexesha lokukhulelwa, nangona kunjalo le milinganiselo ayisoloko ichanekile.

Iindlela zokujonga ubungakanani bomntwana zibandakanya:

• Ukulinganisa ukuphakama kwengxowa-mali. Ingxowa-mali ubude ukusuka phezulu kwisibeleko sikamama ukuya kwithambo lakhe le-pubic. Ukuphakama okungaphezulu kokuqhelekileyo kwengxowa-mali kunokuba ngumqondiso we-macrosomia.
• I-Ultrasound. Olu vavanyo lusebenzisa amaza esandi ukujonga umfanekiso wosana olusesibelekweni. Nangona ingachanekanga ngokupheleleyo ekuqikeleleni ubunzima bokuzalwa, inokuqikelela ukuba ingaba umntwana mkhulu kakhulu esibelekweni.
• Jonga inqanaba le-amniotic fluid. Amniotic fluid kakhulu ngumqondiso wokuba umntwana uvelisa umchamo ogqithisileyo. Iintsana ezinkulu zivelisa umchamo ongaphezulu.
• Uvavanyo lwe-nonstress. Olu vavanyo lulinganisa ukubetha kwentliziyo yomntwana wakho xa ehamba.
• Iprofayile yezinto eziphilayo. Olu vavanyo ludibanisa uvavanyo lwe-nonstress kunye ne-ultrasound ukujonga iintshukumo zomntwana wakho, ukuphefumla, kunye nenqanaba le-amniotic fluid.

Kukuchaphazela njani ukuhanjiswa?

IMacrosomia inokubangela ezi ngxaki ngexesha lokuhanjiswa:

• igxalaba lomntwana linokuxinga kumsele wokuzalwa
• i-clavicle yomntwana okanye elinye ithambo liyaqhekeka
• Umsebenzi uthatha ixesha elide kunesiqhelo
• i-forceps okanye ukuhanjiswa kwe-vacuum kuyafuneka
• Ukuhanjiswa kwe-cearean kuyafuneka
• umntwana akafumani oksijini yaneleyo

Ukuba ugqirha wakho ucinga ukuba ubungakanani bomntwana wakho bunokubangela iingxaki ngexesha lokuhanjiswa kwesini, unokufuna ukucwangcisa ukuhanjiswa kwe-cearean.

Iingxaki

IMacrosomia inokubangela iingxaki kubo bobabini umama nosana.

Iingxaki nomama zibandakanya:

• Ukwenzakala kwilungu lobufazi. Njengokuba umntwana ehanjiswa, unokukrazula ilungu lobufazi likamama okanye izihlunu eziphakathi kwelungu lobufazi kunye ne-anus, izihlunu ezibukhali.
• Ukopha emva kokubeleka. Usana olukhulu lunokuthintela izihlunu zesibeleko ekungeneni njengoko kufanelekile emva kokubeleka. Oku kunokukhokelela ekuphumeni kwegazi.
• Ukuqhekeka kwesibeleko. Ukuba ukhe wanikezela ngexesha lokuhlinzwa okanye lokuhlinzwa kwesibeleko, isibeleko sinokukrazula ngexesha lokuhanjiswa. Le ngxaki inokusongela ubomi.

Iingxaki ngomntwana ezinokuvela zibandakanya:

• Ukutyeba kakhulu. Iintsana ezizalwe ngobunzima obunzima zisengozini yokutyeba kakhulu ebuntwaneni.
• Iswekile yegazi engaqhelekanga. Abanye abantwana bazalwa beneswekile esezantsi yegazi. Ngaphantsi kakhulu, iswekile yegazi iphezulu.

Iintsana ezizalwe zinkulu zisemngciphekweni wezi ngxaki xa zikhulile:

• isifo seswekile
• igazi elonyukayo
• ukutyeba kakhulu

Basemngciphekweni wokuphuhliswa kwesifo se-metabolic syndrome. Le klasta yeemeko ibandakanya uxinzelelo lwegazi oluphezulu, iswekile ephezulu yegazi, amanqatha amaninzi esinqeni, kunye namanqanaba angaqhelekanga e-cholesterol. Njengokuba umntwana esiya ekhula, isifo se-metabolic syndrome sinokunyusa umngcipheko weemeko ezinje ngesifo seswekile kunye nesifo sentliziyo.

Imibuzo ebalulekileyo yokubuza ugqirha wakho

Ukuba iimvavanyo ngexesha lokukhulelwa kwakho zibonisa ukuba umntwana wakho mkhulu kunesiqhelo, nantsi imibuzo embalwa ukubuza ugqirha wakho:

• Ndingenza ntoni ukuze ndihlale ndisempilweni ngexesha lokukhulelwa kwam?
• Ngaba kuya kufuneka ndenze naluphi na utshintsho kwindlela enditya ngayo okanye kwinqanaba lomsebenzi?
• Inokuchaphazela njani ukuhanjiswa kwam? Ingayichaphazela njani impilo yosana lwam?
• Ngaba ndiyakudinga ukuhanjiswa ngokutya?
• Loluphi ukhathalelo olukhethekileyo oluza kufuneka emva kokuba umntwana ezelwe?

Imbonakalo

Ugqirha wakho unokucebisa ukuhanjiswa kwe-cearean njengoko kufuneka ukuqinisekisa ukuhanjiswa okunempilo. Ukunciphisa ukusebenza ngokukhawuleza ukwenzela ukuba umntwana abelethwe ngaphambi komhla wokugqibela, engakhange abonakaliswe ukuba enze umehluko kwisiphumo.

Iintsana ezizalwe zinkulu kufuneka zijongwe kwimeko yezempilo njengokutyeba kunye neswekile njengoko bekhula. Ngokulawula iimeko ezikhoyo kunye nempilo yakho ngexesha lokukhulelwa, kunye nokubeka iliso kwimpilo yomntwana wakho ebudaleni, unokukwazi ukunceda ukuthintela iingxaki ezinokuvela kwi-macrosomia.