Isivivinyo singasiza ukuxilongwa kwe-Fetal Alcohol Syndrome Ekuqaleni
Nakuba iningi labesifazane abaphuza ngokuvamile liyonqunywa noma liyeke ukuphuza ngokuphelele uma likhetha ukukhulelwa noma lithole ukuthi likhulelwe, ukuphuza utshwala ngesikhathi sokukhulelwa kuye kwaba yinkinga enkulu yempilo yomphakathi.
Kulinganiselwa ukuthi bangaki abesifazane abaqhubeka bephuza ngokweqile phakathi nokukhulelwa kwabo kusuka ku-14% kuya ku-22.5%. Lezi zilinganiso zisekelwe ekuphuzeni okubikiwe ngesikhathi sokukhulelwa.
Laba besifazane abakhulelwe abaphuza ngokweqile ngesikhathi sokukhulelwa kungenzeka ukuthi leli qembu elifanayo cishe likwazi ukubika ngokunembile ukuphuza utshwala.
Kodwa-ke, kubahlengikazi kanye nabanye abahlinzeki bezempilo, kubalulekile ukwazi ukuthi zingakanani izingane ezisanda kuphuza utshwala ezitholakale esibelethweni ukuze zilungele ukungenelela ngokushesha uma umntwana ezobhekana nezimpawu zesifo se-fetal alcohol syndrome.
Ukuhlola Ukuvezwa Kokuphuza Utshwala
Ngakho-ke, izinsana zivivinywa ukuze zizame ukuthi zithole yini utshwala, ikakhulu uma umama enomlando wokusebenzisa kabi izidakamizwa noma osolakala ukuthi unesifo sokusebenzisa utshwala.
Umchamo kanye negazi lezingane ezisanda kuzalwa zingabuyekezwa kokuqukethwe kotshwala, kodwa lezo zivivinyo zinganquma kuphela ukusetshenziswa komama kotshwala phakathi nezinsuku ezimbili noma ezintathu ngaphambi kokubeletha.
Izinwele zokuhlola ezivela enganeni zingabona ukutholakala kwengane kotshwala esikhathini eside, kodwa ukuhlolwa kwezinwele kudinga amasu okuhlaziya okukhethekile futhi kubiza kakhulu.
I-Meconium Test for Newborns
Isivivinyo esakhiwe odokotela eSibhedlela saseToronto esibhedlela sezingane ezigulayo unikeze abahlinzeki bempilo ithuluzi elisha lokubona ukuthi bangakanani abomama abaphuza utshwala ngesikhathi sokukhulelwa, okuhlinzeka enye indlela yokuthola ukuhlolwa kwesifo sokubeletha kwesifo sengqondo.
Ukuhlolwa kuhilela ukuhlaziya i- meconium yomntwana - ukunyakaza kokuqala kwamathumbu wonke amantombazane amnyama, okufana ne-tar-like - okuwumphumela wokugaya amniotic fluid esibelethweni.
Bafuna amazinga e-fatty acid ethyl ester, okuyi-composic chemical etholakalayo ngemva kwe-trimester yokuqala futhi iqoqa ku-meconium njengoba umntwana ongakazalwa evezwe utshwala obuningi.
Izinkinga Ngezivivinyo Zangaphambili
Esikhathini esidlule, uma umama ecatshangwa ukuthi usebenzisa izidakamizwa, ukuhlolwa kwezinwele kungalawulwa ukuthi kunqunywe ukuthi ingane ivuliwe yini, kodwa ukuhlolwa kwezinwele akuzange kuqhutshwe njalo ukuze kunqume ukutholakala kotshwala ngaphambi kokubeletha.
Uma omama beqamba amanga ngokuphuza ngokweqile ngesikhathi sokukhulelwa, kungathatha iminyaka ngaphambi kokuba imiphumela yokuphuza yabo ibonakale emabonakalweni e-fetal alcohol syndrome ezinganeni zabo.
I-Chance for Early intervention for FAS Babies
Isivivinyo esisha sinikeza abahlinzeki bezempilo ithuba lokuhlinzeka ngezinsizakalo zokuqala zokungenelela kwengane, ongakwazi ukulimala kwengqondo nokuphulukiswa kwengqondo okungase kungabonakali kuze kube yiminyaka kamuva njengendlela yokuziphendulela nokucindezeleka kokufunda.
"Inkinga ayiyona nje indlela yokwelapha i-fetal alcohol syndrome kodwa futhi nesimo lapho ingane ibuyela khona kumama ophuza utshwala obomgomo wakhe obalulekile empilweni ukuqinisekisa ukuthi uthola utshwala okwanele. ? " UJulia Klein, umqondisi we-Motherisk fetal testory toxicology, owaqala ukuhlolwa kwe-meconium, etshela abezindaba.
"I-Meconium ifana ne-cansh," kusho uDkt Klein. "Lokho okufunyanwa yi-fetus ku-utero, futhi kuhlala khona kuze kube yilapho umntwana ezalwa, ngakho-ke kuyisidingo esihle kakhulu sokulinganisa lokho okuvezwa yi-fetus."
Ukuhlolwa kweMeconium kanjani
Amanoni amancane kuphela e-fatty acid ethyl ester atholakala ekuhambeni kokuqala kwamathumbu omntwana ozelwe owesifazane ophuza kuphela ngesikhathi sokukhulelwa, kodwa uzovela ngobuningi bezingane ezizalwa nabesifazane abaphuza njalo noma abaphuza ngokweqile.
Omunye umkhawulo wokuhlolwa kwe-meconium awukali ukulinganiswa ngaphambi kwe-trimester yesibili . Kodwa, i-meconium kulula ukuyiqoqa ngaphezu komchamo futhi inikeza iwindi lokuchayeka kwamaviki angama-20.
I-Meconium ingabuye ihlolwe ukutholakala kwezidakamizwa.
Odokotela bathi ukuhlolwa okuhle akuqinisekisi ukuthi umntwana osanda kuzalwa uzothola izimpawu ze-fetal alcohol syndrome, kodwa anganikela abahlinzeki bezempilo ukuthi baqale ukuhlinzeka ngezinsizakalo zokungenelela kulabo abathintekayo.
Imithombo:
I-Bar-Oz, B, ne-al "Ukuqhathaniswa kwe-meconium nokuhlaziywa kwezinwele ze-neonatal kokuthola ukuvezwa kokugaya izidakamizwa zokuhlukunyezwa." I-Archives of Disease ebuntwaneni Ubuningi be-Fetal & Neonatal 2003
Umthengisi, u-CF, kanye no-"Biomarkers of Use Alcohol In Pregnancy National Institute on Alcohol Abuse and Alcoholism