Kukhona izinto ezimbalwa ezimbi kakhulu kubazali bomntwana omusha njenge-SIDS, noma isifo sokuzalwa kosana ngokungazelelwe. Ngeshwa, ngisho nakho konke okwenziwe eminyakeni yamuva ukuqwashisa mayelana nendlela yokunciphisa izingozi ze-SIDS, asazi zonke izici eziyingozi, kanti i-SIDS iyisona esiholela phambili ekufeni kwezingane ezingaphandle kwenkathi esanda kuzalwa .
Nakuba izinga le-SIDS liwile kakhulu kusukela ekusungulweni komkhankaso we- back-to-sleep , isitatimende senqubomgomo esisha esivela ku-American Academy of Pediatrics, nakuba singabandlululo, ngokuqinisekile sizosiza ukunciphisa izinga le-SIDS ngisho nangaphezulu.
Kubuye kube nokubuyekezwa komlayezo wokuqala wokubuyela emuva ku-Sleep, oshintshe ophephile ukuze ulale ngo-2012. Umqondo manje ukugxila kokubili "izindawo zokulala eziphephile nokulala emuva njengezindlela zokunciphisa ingozi ye-SIDS nokunye ukulala- izimbangela ezihlobene nokufa kwezingane. "
Ukunciphisa Ingozi ye-SIDS
Ukuzuza okukhulu ekunciphiseni izinga lama-SIDS kuvele ekunciphiseni izinkinga eziyaziwayo, ikakhulukazi ngezincomo zonke izingane ezizolala ngazo ngemuva-umkhankaso we-Back-to-Sleep owaqala ngo-1994. Kusukela ngaleso sikhathi, izinga I-SIDS iyancipha ngamaphesenti angaba ngu-50 kodwa ihlala isilinganiselwe ngokufa kwabantu abangaba ngu-0.57 abantu abayi-1 000 abazalwa ngokuzalwa.
Esinye isizathu sokuthi i-SIDS isengenkinga ukuthi ochwepheshe abazi nje zonke izinto ezibeka ingane engozini, kodwa kukhona nezinye izinto abazali abangayenza ukuze bagweme izici ezingozini ezingenzi ngaso sonke isikhathi . Isibonelo, cishe amaphesenti angama-10 ukuya ku-20 abazali ababeka izingane zabo ukulala esiswini, kanti ezinye izikhungo zokunakekelwa kwengane aziqapheli ukubaluleka kokulala emuva.
Ama-SIDS Facts
I-SIDS, eyaziwa nangokuthi "ukufa ngokubhekwa" noma "ukukhipha ukufa," ngokuvamile ichazwa ngokuthi ukufa okungazelelwe nokungaqondakali, ngisho nangemva kokuphenywa ngokucophelela nokuphelele, kosana olungaphansi kweminyaka eyi-1 ubudala.
Ngokusho kwe-AAP, amanye amaqiniso nge-SIDS afaka ukuthi:
- akuvamile phakathi nenyanga yokuqala yokuphila kwengane
- iphakamisa lapho usana lunezinyanga ezimbili kuya kwezintathu ubudala
- ihambisana nalezi zici eziyingozi:
- esilula (isisu) sokulala
- izingane ezilele ebusweni obuphansi, kuhlanganise nokusebenzisa umcamelo, umatilasi ophansi, ukulala okuncane, njll.
- unomama owabhema ngesikhathi ekhulelwe
- unomama owayesebele noma engekho ngaphambi kokubeletha
- ukuphelelwa amandla
- ukutholakala komusi wesibhamu
- ukuzalwa ngaphambi kokuzalwa kanye / noma ukuzalwa okuphansi
- ubulili besilisa
- kuvame kakhulu kubantwana abamnyama nabamnyama baseNdiya nabakwa-Alaska
- iyinto evamile kakhulu phakathi nezinyanga ezinyakazayo zonyaka
- kungase kungavamile kakhulu ezinganeni ezisebenzisa i- pacifier
Enye into ephathelene ne-SIDS, ngokuvamile engaziwa kakhulu, yilawo wonke amadivaysi ezentengiselwano adayiswa ukunciphisa ingozi ye-SIDS, njengamakhokhethi, izikhundla zokulala, ama-mattress akhethekile, nezindawo zokulala ezikhethekile, ezingakaze zamukelwe yi-FDA ukuvimbela SIDS.
Izincomo ze-SIDS
Nakuba izincomo eziningi zokunciphisa ingozi ye-SIDS ziyaziwa isikhathi esithile, kuyathakazelisa ukubheka ukuthi iseluleko se-AAP sishintshile kanjani eminyakeni.
Ngenkathi izitatimende zenqubomgomo yase-Back Back to Sleep SIDS zagcizelela ukuthi akufanele ubeke ingane yakho ukuba ilele esiswini, akuzange kudikibala ukulala eceleni. Leyo mbiko yokuqala evela ku-AAP Task Force kwi-Infant position kanye ne-SIDS yaphuma ngo-1992 futhi yavele yabizwa ngokuthi "Ukubeka i-Positioning ne-SIDS." Kuthi ukuthi 'i-Academy itusa ukuthi izinsana ezinempilo, lapho zilele phansi ukuze zilale, zibekwe eceleni kwazo noma emuva.' Ngokuqinisekile, lo mbiko, nomkhankaso olandelayo we-Back-to-Sleep, waba nethonya elikhulu ekunciphiseni amazinga we-SIDS.
Umbiko olandelayo we-SIDS waphuma ngo-2000 futhi waphawula ukwehla okukhulu ngesilinganiso se-SIDS, ngaphezu kwamaphesenti angu-40, ngenxa yeziqondiso zangaphambilini.
Kodwa-ke, ngoba "i-SIDS iyisona sizathu esiphezulu sokufa kwezingane ngaphezu kwesikhathi sokubeletha," senze izincomo mayelana nezinye izinto eziyingozi, kubandakanya ukulala okuncane nokulala, ukushisa nokubhema komama. Umbiko we-SIDS ka-2000 wabuye wathi ukulala emuva kwakunconywa ngaphezu kokulala eceleni nokuthi ukulala noma ukulala ngokulala kungaba yingozi.
Umbiko we-2005 we-SIDS ovela ku-AAP, "I-Changing Concept of Sudden Child Influence Syndrome: Ukuguquka KwamaCoding, Ukuphikisana Ngokuphathelene Nokulala, Nezinguquko Ezintsha Okucatshangelwa Ukunciphisa Ingozi, Isiphakamiso esisha saba ukuthi izinsana kufanele zilale ngokuphelele emhlane wazo. Ezinye izincomo ezintsha zafaka umqondo wokuthi abadlali be-pacifiers banganciphisa ingozi ye-SIDS kanye nomqondo wokuthi "indawo yokulala ehlukene kodwa ehamba eduze," lapho abantwana kufanele balele egumbini elifanayo njengalowo unina, kodwa esikhungweni se-crib, bassinet, esikhundleni sokubeka umbhede womama.
Izincomo zamuva ze-SIDS
Yini eshintshiwe kumbiko wamuva, ka-2011 we-SIDS kusuka ku-AAP?
Umehluko omkhulu wukuthi isitatimende senqubomgomo sigxile ezindaweni zokulala eziphephile, ngaphezu kokukhuluma nge-SIDS. Ngakho ngaphezu kokuqhubeka nokuncoma "ukulala ubuthongo bonke abokulala," isitatimende senqubomgomo entsha siphinde sithi abazali kufanele:
- sebenzisa indawo yokulala eqinile ku-crib, bassinet, noma egcekeni lokudlala eliphathekayo
- yenza ukwabelana ngekamelo ngaphandle kokwabelana kombhede
- gcina izinto ezithambile kanye nokulala okuxekethile (sebenzisa ishidi elifakiwe) ngaphandle kwesikhala
- gwema ukushisa
Lezi zincomo azizona ezintsha, noma kunjalo. Iseluleko sokuqhubeka nabo njalo kuze kube yilapho izinsana zinezinyanga ezingu-12 ubudala zisha.
Okunye okusha kulo mbiko kuyinconywa ehlelekile yokuncelisa . Indima yokuzivikela yokuncelisa ikhulunywe kusukela ekuqaleni kombiko we-SIDS ka-1992, kodwa lokhu kuyisitatimende senqubomgomo yokuqala ye-SIDS esho ukuthi 'ukuncelisa kunconywa' ngenxa yengozi enciphise ye-SIDS kumama abancancisayo.
Ukunconywa ukuthi izinsana zigonywe futhi zithole ukunakekelwa kwezingane kahle njalo kuyinto entsha, nakuba imibiko yangaphambilini ikhulume ngokuntuleka kobufakazi bokuxhumanisa imithi yokugoma kanye ne-SIDS ndawonye.
Ezinye izincomo zihlanganisa ukuthi:
- Abesifazane abakhulelwe kufanele bathole ukunakekelwa njalo ngaphambi kokubeletha futhi kufanele bagweme ukutholakala kwentuthu, utshwala, nokusetshenziswa kwezidakamizwa ezingekho emthethweni ngesikhathi sokukhulelwa nangemva kokubeletha
- omama kufanele bacabangele ukunikeza izingane zabo i-pacifier ngesikhathi sokulala kanye nesikhathi sokulala
- abaqaphi be-cardiorespiratory namadivaysi ezentengiselwano, njengezikhundla zokulala, akufanele zisetshenziselwe ukuzama ukunciphisa ingozi ye-SIDS
Sethemba ukuthi lezi zincomo ezintsha zizosiza ukuthola ama-SIDS amazinga aphinde aphinde aphinde aphule amazinga wokugubha amandla, i-asphyxia, nokuhlanganiswa, okwenyuka ngempela.
Imithombo:
Umbiko wezobuchwepheshe we-American Academy of Pediatrics: I-SIDS kanye nokunye Ukufa Kwezingane Ezihlobene Nokulala: Ukwandiswa Kwezindinganiso Zomntwana Ophephile Wokulala. Izingane zokwelapha 2011; 128: 5 e1341-e1367.
Isitatimende Senqubomgomo Sase-American Academy of Pediatrics: I-SIDS nokunye Ukufa Kwezingane Ezihlobene Nokulala: Ukwandiswa Kwezindinganiso Zomntwana Ophephile Wokulala. Izingane zokwelapha 2011; 128: 5 1030-1039.