Ukunyikinywa kwesifo somntwana

Umxholo

• Ziintoni Iimpawu Zesifo Somntwana Esingcangcazelisiweyo?
• Yintoni ebangela ukuShukunyiswa kweSana Baby?
• Ichaphazeleka njani i-Shaken Baby Syndrome?
• Sinyangwa Njani Isifo Sosana Lomntwana?
• Imbonakalo yaBantwana abaShukunyiswe yiSifo soMntwana
• Unokuthintelwa njani iSyndrome Baby Syndrome?

Sifo esiShukumayo somntwana sishukunyiswa yintoni?

I-Shaken baby syndrome kukulimala kwengqondo okubangelwa kukungcangcazelisa umntwana. Amanye amagama ale meko abandakanya ukuphathwa gadalala kwentloko, isifo esishukumisayo, kunye ne-whiplash shake syndrome. I-Shaken baby syndrome yindlela yokuphathwa gadalala kwabantwana ebangela ukonakala kwengqondo. Inokubangelwa yimizuzwana nje emihlanu yokunyikima.

Iintsana zinengqondo ethambileyo kunye nezihlunu zentamo ezibuthathaka. Banemithambo yegazi ethe-ethe. Ukushukumisa usana okanye umntwana omncinci kunokubangela ukuba ingqondo yabo ibethe ngaphakathi ngaphakathi kwekhakhayi. Le mpembelelo inokubangela ukutyumka kwingqondo, ukopha kwingqondo, kunye nokudumba kwengqondo. Olunye ukonzakala kunokubandakanya amathambo aphukileyo kunye nomonakalo wamehlo osana, umqolo nentamo.

I-Shaken baby syndrome ixhaphake kakhulu kubantwana abangaphantsi kweminyaka emi-2, kodwa inokubachaphazela abantwana ukuya kwiminyaka yobudala 5. Uninzi lweziganeko zesifo sokugungqiswa kosana zivela phakathi kweentsana ezinesithuba seeveki ezi-6 ukuya kwezi-8 ubudala, kuxa abantwana bekhala kakhulu.

Ukunxibelelana nokudlala nosana, njengokubhabha usana emathangeni okanye ukuphosa umntwana phezulu emoyeni, ngekhe kubangele ukonzakala okunxulunyaniswa nesifo somntwana eshukunyisiweyo. Endaweni yoko, oku kwenzakala kuhlala kwenzeka xa umntu eshukumisa usana ngenxa yokukhathazeka okanye umsindo.

Kufuneke u soze shukumisa umntwana naphantsi kwaziphi na iimeko. Ukungcangcazela usana luhlobo olubi kwaye ngabom lokuxhatshazwa. Tsalela umnxeba ku-911 ngoko nangoko ukuba uyakholelwa ukuba umntwana wakho okanye omnye umntwana ulixhoba lesifo sengqondo somntwana. Le yimeko esongela ubomi efuna unyango kwangoko.

Ziintoni Iimpawu Zesifo Somntwana Esingcangcazelisiweyo?

Iimpawu zesifo sokushukuma kosana lusenokubandakanya:

• kunzima ukuhlala uphaphile
• ukungcangcazela komzimba
• ingxaki yokuphefumla
• ukungatyi kakuhle
• ukugabha
• ulusu olumbala
• ukuxhuzula
• ikhoma
• ukukhubazeka

Tsalela umnxeba ku-911 okanye uthathe usana lwakho uye kwigumbi likaxakeka elikufutshane kwangoko xa befumana iimpawu zesifo sengqondo somntwana. Olu hlobo lokonzakala lusongela ubomi kwaye lunokubangela ukonakala kwengqondo okungapheliyo.

Yintoni ebangela ukuShukunyiswa kweSana Baby?

I-Shaken baby syndrome yenzeka xa umntu ehlunguzela kakhulu usana okanye usana. Abantu bangangcangcazelisa usana ngenxa yokukhathazeka okanye umsindo, amaxesha amaninzi kuba umntwana engayeki ukulila. Nangona ukungcangcazela ekugqibeleni kwenza ukuba umntwana ayeke ukukhala, ngesiqhelo kukuba ukushukuma kuye konakalisa ingqondo yabo.

Iintsana zinemisipha yentamo ebuthathaka kwaye zihlala zinobunzima bokuxhasa iintloko zazo. Xa usana lushukunyiswa ngamandla, iintloko zalo zihamba ngokungalawuleki. Intshukumo yobundlobongela iphosa ukuphindaphinda kwengqondo yomntwana ngaphakathi ngaphakathi kolukakayi, ibangela ukugoba, ukudumba, kunye nokopha.

Ichaphazeleka njani i-Shaken Baby Syndrome?

Ukwenza uxilongo, ugqirha uya kujonga iimeko ezintathu ezihlala zibonisa isifo se-baby syndrome. Zezi:

• i-encephalopathy, okanye ukudumba kwengqondo
• ukopha okungaphantsi, okanye ukopha kwingqondo
• Ukopha kwimithambo (retinal hemorrhage), okanye ukopha kwinxalenye yamehlo ekuthiwa yirtina

Ugqirha uya kuyalela iimvavanyo ezahlukeneyo ukukhangela iimpawu zokonakala kwengqondo kunye nokunceda ukuqinisekisa isifo. Olu vavanyo lunokubandakanya:

• Iskena seMRI, esisebenzisa iimagnethi ezinamandla kunye namaza erediyo ukuvelisa imifanekiso eneenkcukacha zobuchopho
• Iskena se-CT, esenza imifanekiso ecacileyo, enqamlezileyo yobuchopho
• I-X-ray yamathambo, etyhila umqolo, ubambo, kunye nokhakhayi
• Uvavanyo lwamehlo, olujonga ukonzakala kwamehlo nokopha emehlweni

Phambi kokuqinisekisa ukuba umntwana unesifo esinyikimisiweyo, ugqirha uya kuyalela uvavanyo lwegazi ukulawula ezinye izizathu ezinokubakho. Ezinye iimpawu zesifo sokushukuma kosana ziyafana nezo zezinye iimeko. Oku kubandakanya ukuphazamiseka kokopha kunye nokuphazamiseka okuthile kwemfuza, njenge-osteogenesis imperfecta. Uvavanyo lwegazi luya kugqiba ukuba ngaba enye imeko ibangela iimpawu zomntwana wakho.

Sinyangwa Njani Isifo Sosana Lomntwana?

Tsalela umnxeba ku-911 kwangoko ukuba ukrokrela ukuba umntwana wakho ushukumisile isifo somntwana. Abanye abantwana baya kuyeka ukuphefumla emva kokushukunyiswa. Ukuba oku kuyenzeka, i-CPR inokugcina umntwana ephefumla ngelixa ulinde ukuba kufike abasebenzi bezonyango.

I-American Red Cross icebisa la manyathelo alandelayo ukwenza i-CPR:

• Unonophelo ubeke umntwana emqolo. Ukuba ukrokrela ukulimala komqolo, kungcono ukuba abantu ababini bahambise umntwana ngobunono ukuze intloko nentamo zingaphambuki.
• Cwangcisa indawo yakho. Ukuba usana lwakho lungaphantsi kweminyaka eyi-1, beka iminwe emibini embindini wesifuba. Ukuba umntwana wakho ungaphezulu kweminyaka yobudala e-1, beka isandla esinye embindini wesifuba sesifuba. Beka esinye isandla sakho ebunzini lomntwana ukugcina intloko ithambile emva. Ukulimala komqolo okrokrelwayo, tsala umhlathi phambili endaweni yokuthambekisa intloko, kwaye ungawuvumeli umlomo uvale.
• Yenza uxinzelelo lwesifuba. Cinezela phantsi kwithambo lesifuba kwaye ucofe malunga nesiqingatha esifubeni. Nika izingxinano zesifuba ezingama-30 ngaphandle kokunqumama ngelixa ubala ngokuvakalayo. Ukunyanzelwa kufuneka kuqine kwaye kukhawuleze.
• Nika umoya wokuhlangula. Jonga ukuphefumla emva koxinzelelo. Ukuba akukho phawu lokuphefumla, vala ngokuqinileyo umlomo kunye nempumlo yomntwana ngomlomo wakho. Qinisekisa ukuba indlela yomoya ivulekile kwaye unike imiphefumlo emibini. Umphefumlo ngamnye kufuneka uhlale malunga nomzuzwana ukwenza isifuba sinyuke.
• Qhubeka neCPR. Qhubeka nomjikelo wokucinezelwa okungama-30 kunye nemiphefumlo emibini yokuhlangula de kufike uncedo. Qiniseka ukuba uqhubeka nokujonga ukuba uphefumla kakuhle na.

Kwezinye iimeko, umntwana unokugabha emva kokugungqiswa. Ukuthintela ukukrwitshwa, mqengqe ngobunono umntwana kwicala labo. Qiniseka ukuba uqengqa umzimba wabo wonke ngaxeshanye. Ukuba kukho ukwenzakala kwethambo lomqolo, le ndlela yokuqengqeleka inciphisa umngcipheko womonakalo ongaphezulu emqolo. Kubalulekile ukuba ungaluthathi usana okanye unike umntwana ukutya okanye amanzi.

Akukho mayeza anyanga isifo somntwana eshukunyisiweyo. Kwiimeko ezinzima, utyando lunokufuneka ukunyanga ukopha kwingqondo. Oku kunokubandakanya ukubekwa kwe-shunt, okanye ityhubhu ebhityileyo, ukunciphisa uxinzelelo okanye ukukhupha igazi elininzi kunye nolwelo. Utyando lwamehlo lusenokufuneka ukususa naliphi na igazi ngaphambi kokuba lichaphazele isigxina umbono.

Imbonakalo yaBantwana abaShukunyiswe yiSifo soMntwana

Umonakalo wobuchopho ongenakulungiseka ovela kwisifo somntwana oshukunyisiweyo unokwenzeka kwimizuzwana nje. Uninzi lweentsana luneengxaki, kubandakanya:

• ukulahleka kombono ngokusisigxina (ngokungaphelelanga okanye ngokupheleleyo)
• ukungeva kakuhle
• iingxaki zokubanjwa
• ukulibaziseka kophuhliso
• ukukhubazeka kwengqondo
• i-cerebral palsy, ingxaki echaphazela ukulungelelaniswa kwemisipha kunye nentetho

Unokuthintelwa njani iSyndrome Baby Syndrome?

I-Shaken baby syndrome iyathinteleka. Unokukuphepha ukwenzakalisa umntwana wakho ngokungabashukumisi phantsi kwazo naziphi na iimeko. Kulula ukukhathazeka xa ungakwazi ukwenza ukuba umntwana wakho ayeke ukukhala. Nangona kunjalo, ukukhala yinto eqhelekileyo kwiintsana, kwaye ukungcangcazela akuyiyo impendulo efanelekileyo.

Kubalulekile ukuba ufumane iindlela zokuphelisa uxinzelelo xa umntwana wakho ekhala ixesha elide. Ukutsalela umnxeba ilungu losapho okanye umhlobo ngenkxaso kunokunceda xa uziva uphulukana nolawulo. Kukho ezinye iinkqubo ezisekwe esibhedlele ezinokukufundisa indlela yokuphendula xa abantwana belila kunye nendlela yokulawula uxinzelelo lokuba ngumzali. Ezi nkqubo zinokukunceda ekuchongeni nasekuthinteleni ukwenzakala okunxulunyaniswa nesifo sosana olushukunyisiweyo. Qiniseka ukuba amalungu osapho kunye nabanakekeli bakho bayabazi ubungozi besifo sengqondo somntwana.

Ukuba ukrokrela ukuba umntwana ulixhoba lokuxhatshazwa komntwana, sukuyityeshela loo ngxaki. Tsalela umnxeba amapolisa endawo okanye umnxeba kule nombolo ilandelayo: 1-800-4-A-UMNTWANA.