Debunking Eminye Ukungezwani Okuvamile Okuvamile
Izingane eziseduze zesikhathi esiseduze ziyi-Version nje encane yomntwana ogcwele isikhathi eside
Ungavumeli igama elithi "sekwephuzile" likukhohlise! Akukho lutho oluphuzile ngalezi zingane. Eqinisweni, usana olusanda kuzalwa lungumntwana ozalwa ngamasonto amathathu kuya kwamasonto ayisithupha, noma phakathi kwamasonto angama-34 no-36 agcwaliswe ukubeletha. Emasontweni ayisithupha edlule wokukhulelwa, umntwana uthola imali engamakhilogremu amathathu ngesonto, ngakho-ke abantwana abazalwa ngamasonto ambalwa ekuqaleni kuncane kakhulu kunezingane ezisanda kuzalwa, kepha akuzona nje izingane ezincane.
Izinsana zokuqala zangaphambi kwesikhathi zinezinkinga zabo zempilo eziyingqayizivele ezingahle zihlanganise nezinkinga zokuphefumula, amazinga ashukela ephansi egazi, izinkinga zokudla kanye nenkinga yokugcina izinga lokushisa komzimba. Amantombazane azalwe ngisho namaviki ambalwa nje kuphela abe nesitolo esiphansi se-calcium ne-phosphorus ngoba angaphumeleli emasontweni abalulekile okugcina ukukhulelwa lapho kwenzeka okwesithathu kokuthunjwa kwamathambo.
Ukuzalwa kwezinsana zangaphambi kwesikhathi kusengcupheni enkulu yokutheleleka ngenxa yesimiso somzimba sokuzivikela. Ama-antibodies avela kumama adluliselwa emntwaneni wakhe ongakazalwa ngokusebenzisa i-placenta ngesikhathi sokugcina sokukhulelwa. Lapho ingane izalwa kusenesikhathi, bayaphuthelwa ekutholeni la ma antibodies okwenza babe nezinkinga zokutheleleka.
Ukuzalwa kwezinsana zangaphambi kwesikhathi futhi kunesimiso sezinzwa ezincane. Ubuchopho bomntwana ozalwa emasontweni angama-35 ukubeletha kunesisindo ezimbili kuphela kwezintathu zengane ephelele.
Isistimu yezinzwa zezingane isathuthuka phakathi nezinyanga zokugcina namasonto esibelethweni. Ngalesi sikhathi ukuthi into enamafutha ebizwa ngokuthi i-myelin iqala; lokhu kuphuthuma ukudluliselwa kwemizwa yezinzwa futhi kwakha umgogodla wezintambo zomzimba. Ngenxa yesimiso sabo sezinzwa ezingapheli, izingane ezingakazalwa zisuke zithola kunzima ukuzola futhi ziduduze futhi zingadinga isikhathi esengeziwe nokunakekelwa njengoba zikhula futhi zifunda endaweni yazo entsha ngaphandle kwesisu.
Ngenkathi umntwana osanda kuzalwa anamaHiccups, kusho ukuthi bayakhula
"Umntanakho uhlasele, kumele akhule!" Lokhu ukucabanga okuvamile ngokusekelwe kumlando omdala omfazi, kodwa akude neqiniso uma kuziwa ezinganeni zangaphambi kwesikhathi.
Ngaphakathi kwesibeletho, kungenzeka ukuthi uqaphele ukuthi ingane yakho yayine-hiccups kancane, kodwa lokhu akuqali kuze kube sekupheleni kweyesithathu yokukhulelwa. Ukuzibamba esibelethweni kuphendula umntwana ogwinya amniotic fluid ngenkathi "enza ukuphefumula" ngokulungiselela impilo emva kokuzalwa. Phakathi ne-trimester yokugcina yokukhulelwa, umntwana ushaya cishe 750ml we-amniotic fluid nsuku zonke. I-Amniotic fluid inezici eziningi zokukhula, izingxenye eziphikisana nokuvuvukala, kanye neziphikisanayo ezisiza ukuvuthwa kwamanzi, ukukhukhuma nokuzilungiselela ukufakwa ubisi ngemuva kokuzalwa.
Ngemuva kokubeletha, igama elisanda kuzalwa lingase liqhubekele ukuqhubeka njalo, futhi lingase liboshwe ekudleni. Ama-hiccups abangelwa ukuphazamiseka okungazelelwe kwe-diaphragm okubangelwa ukucasuka kwe-muscle nokuvuselelwa kwe-vagus nerve-inzwa ehlanganisa ubuchopho bakho esiswini sakho. Ama-hiccups ajwayelekile kakhulu ezinsana ezisanda kuzalwa futhi okwenzekayo ngokuvamile ziphela phakathi kwamasonto ambalwa okuqala ngemva kokuzalwa.
Ngomntwana ongakabi yisikhathi , i-hiccup iningi lempendulo ye-physiologic kunokuba imbangela yangempela. Isistimu yezinzwa zezingane ezingakapheli isanda futhi iyophendula ngokucindezeleka ngokuhlukile ngenxa yalo. Ubuchopho bulawula imisebenzi yomzimba njengezinga lenhliziyo, izinga lokuphefumula, ukucindezeleka kwegazi, nokushisa. Ingane engakazalwa isenesikhathi esingaphansi kwesigungu esilawulekile esilawulwa isimiso sezinzwa esingafaki, esingabangela izimpendulo zokucindezeleka ngokomzimba ukuthi zenzeke uma ingane ikhukhumeza noma ingalungiswa ekuziphatheni kwayo. Ezinye zalezi zinkinga zokucindezeleka zokuziphatha zithungula, zishaya, zihlupha futhi zixhuma.
Kubalulekile ukufunda ukucindezeleka kwengane yakho kanye nezici eziqinile ukuze ukwazi ukuphendula nokududuza ingane yakho ngendlela enhle kangako njengoba zikhula futhi zithuthuke ezweni le-NICU yangaphandle.
Akunandaba Ngempela Yiluphi Uhlobo Lokomama i-Preemie elutholayo noma Luluphi Konke ukudla nokukhalori kuyiKhalori
Ngokucwaninga, ukuthuthukiswa kwezokwelapha, kanye nesayensi sesifikile kakhulu ezweni lokunakekelwa kwe-preemie. Kodwa-ke, kungakhathaliseki ukuthi kuthuthuke kangakanani, i-NICU ingazama ukuphinda iphendule ukuthi imiphi imvelo eyenza okungcono kunazo zonke esibelethweni, ukukhula nokuthuthukiswa kwengane. Lokhu kuyiqiniso futhi uma kuziwa ngezidingo zokudla okunomsoco wengane esanda kuzalwa. Izinkampani ze-Formula ziye zakwazi ukudala ubisi obuqondile kubantwana abangaphambi kwesikhathi abadinga ukudla okunomsoco nokukhula. Kodwa-ke, ngeke bakwazi ukwenza ukuthi imvelo iyini engcono kakhulu, ikakhulukazi uma kuziwa ezidingo ezikhethekile kakhulu zezinsana ezisanda kuzalwa zamasosha omzimba kanye namathumbu.
Ubisi lwabantu lunama-oligosaccharide angaphezulu kuka-130, ama-prebiotics, nama-probiotics aqondile ebisi lomuntu. Lawa ma-bacteria amahle asiza ukukolisa igundane lomntwana ongakafiki ngaphambi kokuba amantombazane abe nobungane, anempilo aphilayo aphile namagciwane. Lezi zinselo zomzimba zisiza ukukhula ama-pathogens ahlanzekile kanye nokuvikela ukulwa nokuvuvukala kwamathumbu emathunjini kanye nokutheleleka okubizwa nge-Necrotizing Enterocolitis (NEC) okungaba yingozi kakhulu kumntwana ongakabi yisikhathi.
I-Colostrum inephrofayili yezingxenye ezilwa nokuvuvukala neziphikisayo ezifana kakhulu ne-amniotic fluid. Ukondla ubisi lomuntu kanye nokudla okuyi-colostrum ezinsukwini zakuqala kushukumisa ukukhula okusheshayo kwendlela yamathumbu namathumbu okusiza ukuvuthwa nokuyivikela njengamanje i-amniotic fluid ngenkathi umntwana e-utero. Ubisi lwabantu lwakhulela umkhuhlane futhi luvikela ingane engakafiki ngaphambi kokutheleleka nezifo.
Ubisi Bomuntu lungaphezu nje kokudla! Izinzuzo eziningi ezinamandla ezisiza ingane yokuqala ukuba ikhule futhi iqhubeke kodwa ikhule eNICU. Ubisi lwabantu lusiza ukunciphisa ezinye izinkinga ezinkulu ngaphambi kwesikhathi futhi kufanele kubhekwe njengengxenye ebalulekile yokunakekela izingane. Ubisi lomuntu yiyona nqubo yegolide ekunakekelweni kwezingane zokubeletha futhi kumele kubhekwe njalo njengemithi yokonga impilo yezingane ezinengqondo.
I-Baby Premature isilungele ukukhishwa ku-NICU Uma ifinyelela ama-5 Amakhilogremu
Lapho ingane yakho engakafiki ishaya amapremu angu-5, kuyisenzakalo esibaluleke kakhulu sokugubha, kodwa kungase kungasho ukuthi ingane yakho manje ingasuswa ku-NICU futhi ilungele ukubuyela ekhaya.
Ukususwa ekunakekeleni kwe-Neonatal Intensive kuncike ezintweni ezibalulekile, futhi ingane engakafiki kufanele ihlangabezane nalezi zindlela ezilandelayo ngaphambi kokuba zilungele ukubuyela ekhaya:
- Ukwazi ukubamba ukushisa kwabo (ngaphakathi kobubanzi obujwayelekile) bonke bebodwa esikhungweni esivulekile ngaphandle kwesihlangu noma izindebe ezengeziwe.
- Ungakwazi ukudla konke ukudla kwabo ngomlomo kalula uma uthatha inamba ewanele yamakorikhi.
- Ukuthola isisindo esanele.
- Ukuphefumula ngokwabo. Iningi lezingane liphephile i-oxygen uma likhishwa ku-NICU, kodwa ezinye izinsana zingadinga oksijini okwengeziwe isikhathi eside futhi zingathunyelwa ekhaya ngaleli gciwane.
- Awunayo "iziqephu" ze-apnea (ukuyeka ukuphefumula) ne-bradycardia (izinga lentliziyo elincane) noma ukuguquka kombala. Ungakwazi ukuthatha ingane yakho ekhaya kumqapha uma baneziqephu ezincane zokuzixazulula izinto ezingadingi noma yikuphi ukungenelela.
Ngaphambi kokukhipha, ingane yakho ingadinga futhi isifundo somhlalo wemoto noma ukuhlola, isikrini sokuzwa, ukuqokwa okubalulekile okwenziwe, futhi ungase udinge imfundo ethile ku-CPR, ukulala okuphephile nokunakekelwa kwezingane. Qala ukuhlela kusenesikhathi ukuze ingane yakho isilungele ukuya ekhaya, nawe!
Njengoba zonke izingane zihlukile, futhi uhambo lwabo luhluka kusukela ezinsukwini ezimbalwa kuya ezinyangeni eziningi, kunzima ukusho lapho ingane yakho izoshaya zonke lezi zici futhi zilungele ukukhishwa. Gcina inqubekela phambili yentuthuko yengane yakho ngokuqala iphephandaba noma uhlu lokuhlola, nokugubha lezi zindabuko njengoba kwenzeka.
I-Preemie izothatha izinyathelo ezibalulekile ngesikhathi esifanayo kanye nesiteji njengengane ephelele
Ungalingani ingane yakho nengane yomngane wakho owazalwa ngesonto elifanayo noma umshana womakhelwane wakho owayehamba ngezinyanga eziyisishiyagalolunye ubudala. Kulula ukubanjwa kulezi ziqhathaniso ngoba, ake sibhekane nakho, abantu bathanda ukukhuluma ... futhi baziqhayise. Kodwa, kubalulekile ukukhumbula ukuthi umntwana wakho usengumuntu "preemie" uma ekhishwe esibhedlela futhi ngenxa yokuthi ushiye i-NICU akusho ukuthi ingane yakho manje ibhekwa njengengane yesikhathi esigcwele. Ingane yakho ingumntwana ongakabi yisikhathi manje oshaye isisu esigcwele. Kukhona umehluko omkhulu, ikakhulukazi uma ingane yakho iqala ukuhlukumeza nokulwa. Ingane yakho engakafiki manje isempilo futhi igxile ngokwanele ukuze iqhubeke ikhula ngaphandle kwesibhedlela. Lokho kumnandi kakhulu, kodwa sicela ukhumbule ukuthi ubheke usuku lwakho olufanele, kunokuba usuku lokuzalwa lomntanakho lapho ulandela isiqondiso esithuthukisayo sezemvelo.
Isibonelo, umntwana ozelwe ngesikhathi esigcwele uzoqala ukukhombisa izimpawu zokuxhumana zakuqala ezinyangeni ezimbili ubudala uma bethola izwi labo bese eqala ukwenza imisindo yokukhukhumeza. Lokhu kuyimpumelelo evelele yokuphumelela! Kodwa-ke, umntwana osanda kuzalwa ozalwa ezinyangeni ezimbili ekuqaleni, ezinyangeni ezimbili ezineminyaka ubudala kungenzeka ukuthi ufunde kahle umgogodla wokuphefumula-futhi manje uyakwazi ukuthatha ubisi ngomlomo. Lokhu kuyathandeka futhi, kepha kuningi endleleni, ngentuthuko, neyomntwana ozelwe ngokugcwele.
> Imithombo:
> Ukwelashwa kwe-hiccup okusebenza ngempela> AmaKhono Omkhulu KaDkt Karl eSayensi (ABC Science). Abcnetau . http://www.abc.net.au/science/article/2012/09/04/3582324.htm.
> I-American Academy of Pediatrics. Ukusekela Wena Nenkokhelo Yakho . 2008. http://www2.aap.org/sections/perinatal/PDF/preemie.pdf.
> Holmes G, Logan W, Kirkpatrick B, Meyer E. Central ukuvuthwa kwesimiso ohlelweni ekucindezelekeni ngaphambi kwesikhathi. Ama-Annal of Neurology . 1979; 6 (6): 518-522. i-doi: 10.1002 / ana.410060610. http://onlinelibrary.wiley.com/doi/10.1002/ana.410060610/abstract.
> Loftin R, Mounira H, Snyder C, Cormier C, Lewis D, DeFranco, E. Ukuhamba kwesikhathi ngaphambi kwesikhathi sokuzalwa. Ukubuyekeza ku-Obstetrics & Gynecology. 2010; 3 (1): 10-19. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2876317/.
> Mor G, Cardenas I. Isivikelo Samasosha Emzimba Ekukhulelweni: Ukuncintisana Okuyingqayizivele. I-American Journal of Immunology Yokuzala . 2010; 63 (6): 425-433. i-doi: 10.1111 / j.1600-0897.2010.00836.x. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3025805/.
> Preemie Izinyathelo. HealthyChildrenorg . 2017. https://www.healthychildren.org/English/ages-stages/baby/preemie/Pages/Preemie-Milestones.aspx.