Isingeniso Kwabantwana Abangaphambi Kokuqala

Zonke Mayelana Nezitha: Kusukela Ekuzalweni Kuya Ekukhunjweni Kwebhedlela

Isibungu sakho esincane senjabulo silapha futhi manje ningumzali we-premie. Siyakuhalalisela! Ngeshwa, abazali abambalwa balungele ukuba ngumzali we-premie, futhi ukuphila ku-unit neonatal yokunakekelwa okukhulu (NICU) cishe into oyibonayo ku-TV uma lokho. Yini okudingeka ukwazi kusukela ngesikhathi sokuzalwa komntwana wakho kuze kube yisikhathi sokukhishwa kwesibhedlela?

Ngenkathi inani lamasonto owawube nawo lapho ubeletha lingase lifakwe engqondweni yakho, yazi ukuthi Usuku 1 lwempilo yakho ye-preemie yisikhathi lapho yonke into ishintshile. Ngalolo suku, kungakhathaliseki ukuthi kwakungenxa yokuqala umsebenzi noma izinkinga zempilo ngawe noma ingane yakho, izwe lakho liphelele kakhulu. Kodwa ngokuphila okusha, abazali bezitha zangaphambili babhekana nobuqiniso obunzima bokuthi i-fragility yokuzalwa ngaphambi kwesikhathi. Ake sihlele kulowo mzwelo futhi sifunde ukuthi yini okufanele silindele njengoba ingane yakho isanda kukhula futhi ikhula usuku nosuku.

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Ukuqonda imizwa yakho

Ukuzalwa kwangaphambi kokuqala kuyisikhathi esibuhlungu kunoma yimuphi umndeni. Ukwesaba okujwayelekile konke okuhlangenwe nakho komzali kukhuliswa ngengozi enkulu yezinkinga zempilo ongase uzizwe ungakulungele ukubhekana nayo. Ukuba nengane ngaphambi kwesikhathi kunzima ngezindlela eziningi kangaka !

Kulungile ukuvumela ukukhala, ukuhleka, ukukhamuluka, nokuthandaza njengoba uhlala nezinkinga zokunakekela i-preemie yakho. Kunemizwelo eminingi futhi lowo obhekene nakho ungahluka ngomzuzu. Akukho mzwelo okulungile noma engalungile, futhi kuvamile ukuzwa injabulo enkulu futhi intukuthelo enkulu noma ukudabuka konke ngesikhathi esifanayo.

Sebenza ngomzwelo ngamunye ngaphandle kokuzihlulela ngokwakho, umlingani wakho, noma umndeni oseduze. Uma kunokwenzeka, khuluma kuphela nabangani nomndeni abangabe bebahle futhi bangabi namacala. Ukwamukela yonke imizwa yakho, kokubili okuhle nokubi kubalulekile ekubhekaneni nokubeletha ingane ngaphambi kwesikhathi .

Imizwelo oyizwayo ingaba namandla uma abantu behlakaniphile bebuza ukuthi yini eyabangela ukubeletha ngaphambi kwesikhathi. Lapho abantu bebuza ukuthi kungani kwenzekile, ungase uhambisane phakathi kokukhala izinyembezi futhi ufuna ukumbamba umuntu. Abantu abavami ukwenza lezi zimvo zibangele ubuhlungu. Kunalokho, iningi labantu aliqiniseki ukuthi ungathini. Uma ukhathele noma uthukuthele ngalezi zindlela, khumbuza abathandekayo bakho ngobumnandi ukuthi akekho owaziyo ukuthi kungani ukubeletha kusenesikhathi futhi uzobonga ukuthi abathandekayo bakho bakuthanda futhi bakusize ngalesi sikhathi.

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Ukubeletha ku-NICU

Ukuba ngumzali ku-NICU akuyona umsebenzi olula. Kungenzeka ungakaze ucabange ukuthi imvelo ye-NICU ingasho ukuthini wena nomntwana wakho osanda kuzalwa ngakho kuvamile ukuba uzizwe ungena endaweni futhi ungakhululekile esimweni esinjalo sokuvimbela.

Kuncike ekutheni ingane yakho isencane kangakanani, kungenzeka ukuthi useNICU izinsuku ezimbalwa noma izinyanga ezimbalwa. Indima ebaluleke kunazo zonke odlalayo ekuphileni kwe-NICU injengomzali onothando kumntanakho, futhi ummeli wengane yakho odokotela nabahlengikazi abanikeza ukunakekelwa.

Kungaba usizo (futhi unciphise ukukhathazeka) ukuzijwayeza ezinye zezinto ozozibona ezenza umsindo owesabekayo kanye nezintambo zombili imini nobusuku. Imishini ye-NICU , kusukela emithini yamakhemikhali kuya emagqumeni kuya ku-ECMO (i-membrane yangaphandle ye-oxygenation, uhlobo lokusekelwa kokuphila olufaka i-oksijeni egazini futhi lususe i-carbon dioxide), ngokuvamile liyesabeka uma uqonda indima ethile yalezi zinsiza edlala ekusekeleni umntwana.

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Ukukhathazeka Kwezempilo Ngomntwana Wakho Okhulile

Ngokuvamile, izingane ezizalwe emavikini okuqala okukhulelwa zisengozini yezinkinga ezinkulu zezempilo ezihlobene nokuphelelwa isikhathi. Kodwa-ke, izandulela eziningi ziphilile kusukela ekuzalweni futhi zidinga ukunakekelwa kwe-NICU okwesikhashana nje ukuze zikhule zikhulu futhi ziqinile.

Kungaba ukwesaba ukuzwa ngazo zonke izinkinga ezingase zibe khona zokuqeda isimo, kodwa khumbula ukuthi izingane eziningi azihlangabezi nazo zonke lezi zinkinga. Ukuba nolwazi lwezindaba ezivamile zezempilo kubuye kusize lapho uzama ukuqonda izinqubo eziningi zokuvimbela ezenziwa ngama-premies, nokuthi kungani ezinye zezinqubo ezinzima kwi-NICU ziyadingeka. Izindaba ezivamile zihlanganisa:

• I-apnea ye-prematurity
• I-Jaundice
• I-respiratory distress syndrome (RDS)
• I-hemorrhage yangaphakathi (IVH)
• Reflux
• I-Retinopathy ye-prematurity
• I-patent ductus arteriosis (i-PDA)
• I-bronchopulmonary dysplasia (i-BPD)
• Sepsis

Uma uzibuza ukuthi yini ingane yakho okufanele isilinganise, yikuphi ukukhathazeka okuvame kakhulu esiteji esingahle kube khona, futhi uma izinto ezinjengokunakekelwa kwe-kangaroo zingase ziqaliswe, ukubheka izithombe nezincazelo zezinsana zangaphambi kwesikhathi ngesonto kungasiza ekunciphiseni ingqondo yakho.

Kukhona nezinye izindaba zesikhathi eside zezempilo ezihlobene nokuqeda isimo, kodwa ingozi yalezi zimo iye yahamba ngokuphawulekayo emashumini ambalwa eminyaka edlule.

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Ukuletha ikhaya lezingane kusuka ku-NICU

Nakuba ngabe ucabanga ukuthi uthatha ingane yakho ekhaya kaningi, lapho isikhathi sokukhishwa kwe-NICU sifikile , cishe uzozizwa ukhathazekile ( ukungahambisani nalokhu).

Ngemva kokunakekelwa ngehora, uzoba nomthwalo wemfanelo wengane yakho yedwa. Nakuba injabulo enkulu ihambisana nalesi senzakalo esibaluleke kakhulu, ungase uzithole uzizwa ungakulungele futhi ukhathazekile kakhulu ngokunakekela ingane yakho ngaphandle kokusekelwa okuthole ku-NICU. Uma uzizwa ngale ndlela, ujwayelekile. Awuwedwa!

Ungakhathazeki. Abasebenzi be-NICU ngeke bakuvumele ukuba ushiye kuze kube yilapho kuhlangatshezwa khona izinyathelo ezithile. Lokhu kufaka:

• Ingane yakho kuzodingeka ikwazi ukugcina ukushisa kwayo ngaphandle kwe-incubator (ngokuvamile lapho umntwana efinyelela cishe amapremu angu-4).
• Umntanakho uzodinga ukwazi ukuthatha konke okuphakelayo ngomlomo (noma nge tube NG noma G tube oyofundiswa ukuthi ungayisebenzisa kanjani ngokucophelela).
• Ingane yakho izodinga ukuphefumula emoyeni (noma kwezinye izimo ibe ne-oxygen) futhi ugcine amazinga okwanele oksijini.
• Ukuhlolwa kokuzalwa okusha kufanele kwenziwe ( ukuhlolwa kwe-PKU kuhluke ama-premies).

Ukunakekela ingane ngaphambi kwesikhathi kunzima kakhulu kunokunakekela ingane ephelele, ngakho-ke ngisho noma unezingane ezindala, impilo ingase ihluke ngaphesheya kweminyango ye-NICU.

Futhi ngenkathi ukunakekelwa ingane engakafiki kusuke kuhluke kancane ekunakekeleni ingane egcwele isikhathi, uzofunda ngokusekelwa kwabasebenzi be-NICU phakathi nalesi shintsho.

Abasebenzi bakho be-NICU bazokufundisa ngokucophelela indlela yokunakekela ingane yakho ngaphambi kwesikhathi ekhaya .

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Ukuvimbela Ukuzalwa Kwangaphambi Kwesikhathi Esizayo

Uma usenomntwana osanda kuzalwa, ungase ube nokwesaba noma ukwesaba kakhulu lapho ucabanga ukuthi ukukhulelwa okunye kuzokuletha enye ukuzalwa kwangaphambi kwesikhathi .

Ukufunda izinto eziyingozi zokubeletha ngaphambi kwesikhathi kanye nokuthi yini ongase ukwazi ukuyenza ukuvimbela ukuzalwa okuzayo ngaphambi kwesikhathi kubalulekile izingxoxo ezibalulekile, ngisho noma into egcina engqondweni yakho iphinda ikhulelwe futhi.

Abantu abaningi bayaqhubeka nokuzalwa ngokugcwele ngemva kwe-premie. Ukuxoxa ngokucophelela nodokotela wakho noma udokotela onjenge-perinatologist obhekene nokubeletha kwangaphambi kokubeletha, kungaba usizo kakhulu ekusizeni ukwenza isinqumo esinolwazi uma uhlela olunye ukukhulelwa.

Ngezansi Ngomntwana Wakho Okhulile

Ukuba nomntwana ongakabi yisikhathi ngokuvamile kuza njengokumangala okuphelele, futhi abantu abaningi baye bahlushwa kancane izibani kanye nomsindo we-NICU esebenzayo.

Imizwelo ingakwazi ukuhlola umthamo, futhi ucabange ukuthi le mizwelo ingeziwe "evamile yokubambisana," ukuguquka kokuba nengane ku-NICU kunzima kakhulu. Ukuba nesimiso esihle sokusekela kubalulekile. Lesi yisikhathi sokubizela kumalungu omndeni wakho asekelayo, ongenamacala nabangani futhi ushiye abangane abanobuthi ngemuva. Udinga labo abasesikhundleni sokukusekela ukuthi kube ngemuva kwakho amaphesenti angu-100.

Kungasiza ekufundeni ngeminye imishini kanye nezinkinga ezingase zivele, kodwa khumbula ukuthi iningi lezingane alidingi yonke le mishini noma uhlangabezana nazo zonke izinkinga. Kukhona umugqa omuhle phakathi kokuzifundisa nokuzikhukhumeza, futhi nguwe kuphela owazi ukuthi ungayithola kuphi.

Ungase uzithole uphupha ngosuku usuku lwakho ingane oluzokwazi ukuya ngayo ekhaya, kodwa ngesikhathi esisodwa besaba umthwalo wokunakekela ingane yokuqala. Ngenhlanhla, abasebenzi be-NICU bavame ukuphutha eceleni kokushiya ukulungele ngokweqile, kodwa ungase uphazamiseke nalokhu.

Okokugcina, emva kokuzalwa kokuqala, into yokugcina oyifunayo ukuzwa ukuthi unganciphisa kanjani ingozi yakho yokwenzeka futhi. Futhi nomndeni nabangane, izingxoxo zezizathu kufanele zibe yimingcele. Esikhundleni salokho, khuluma nodokotela bakho mayelana nokwesaba kwakho, futhi ugcine noma iyiphi ingxoxo nabathandekayo kamuva. Uma unomngane noma ilunga lomndeni ongakhuthaza lokhu okuthandayo, konke kungcono. Uma usalokhu unzima, kungase kudingeke ukuba ukhumbuze ngobumnene abantu ukuthi yini oyidingayo kuleli phuzu yisekelo ekunakekeleni ingane yakho yokuqala, hhayi ingxoxo yokuthi kungani efika ekuseni.

> Imithombo:

> Cherok, I., McCrone, S., Parker, D., noN. Leslie. Ukubukezwa Kwezingenelelo Zokunciphisa Ukucindezeleka Phakathi KwalabaMama Ezinganeni eNicU. Intuthuko Ekunakekelweni Kwangasese . 2014. 14 (1): 30-7.

> Cunningham, F. Gary., NoJohn Whitridge Williams. Williams Obstetrics. ENew York: McGraw-Hill Medical Medical, 2014. Phrinta.

> Lipner, H., noR. Huron. Ukunakekelwa Kwezokuthuthukiswa Nezidingo Zengane Yengane Yokuqala: I-Neonatal Care Care Intensive Through Up-Up Childhood Monitoring. Imitholampilo yabantwana baseNyakatho Melika . 2018. 65 (1): 135-141.