Ngaphandle kwe-PKU Test
Ingane yakho esanda kuzalwa isifinyelele. Leli hora, eliyigugu, ihora legolide liphezu kwakho. Kwenzekani manje? Ochwepheshe abaningi bazokuvumela ukuba umntwana abekwa ngokuqondile esiswini noma esifubeni sakho. Izindwangu ezifudumele noma izingubo zizofakwa phezu kwakho kokubili ukusiza ingane yakho igubhe. Lesi sikhathi sokubambisana ezibhedlela eziningi nasezikhungweni zokuzalwa kunqunyelwe ehoreni lokuqala , nakuba lokhu kungashintsha ezindaweni ngezindawo nangesicelo sakho.
Uma wena kanye nengane yakho sesilungile, kunezivivinyo ezithile ezilinganiselwe ezenziwa cishe zonke izingane, kuhlanganise nalabo abazalelwe ekhaya.
Ukuhlolwa okushasha kuyinto ebalulekile yokucabanga ngaphambi kokusebenza. Ngesikhathi sokukhulelwa sigxila kakhulu ekuzilungiseleleni kwangempela ukubeletha thina asizinikeli isikhathi esanele kwezinye izihloko, kubandakanya ukuhlolwa okushawa. Ngizogxila ezinsukwini ezimbalwa zokuqala zokuphila kwengane yakho nokuthi yiziphi izivivinyo ezivame ukwenza.
Isisindo Sokuzalwa Nesidala
Isisindo nobude nazo zenziwa njalo ezindaweni zonke, nakuba lezi zivivinyo zenziwa ziyahlukahluka ngezindawo. Ezinye izibhedlela zizosusa ngokushesha ingane yakho bese ziqala ukuhlolwa kokuqala. Ochwepheshe abaningi bakholelwa ukuthi lo mqondo omubi ngoba ingane inewindi elifushane kakhulu lesimo sokuqapha esithulile lapho ungaxhuma khona ngempela nabazali ngaphambi kokungena esimweni esijulile sokulala. Abazali abaningi bacela izinhlelo zabo zokuzalwa ukuthi lezi zinqubo ziphuze kuze kufike emva kwehora lokuqala lokuphila.
Uma ubeletha esikhungweni sokuzalwa noma ekhaya, lezi zinqubo ziguquguquka kakhulu. Khuluma nodokotela noma umbelethisi wakho mayelana neprotocol ejwayelekile bese ubona ukuthi kuhambisana kanjani nemibono yakho.
Izinsana Zesisu Esandazalwa
Amaconsi e-Eye ashintshwe muva nje emazweni amaningi. Esikhathini esidlule se-Silver Nitrate sasetshenziswa njalo futhi lokhu kwakushisa amehlo omntwana ngesikhathi bezama ukuvimbela ukutheleleka.
Manje, ngokuvamile uzothola u-erythromycin osetshenzisiwe. Qiniseka ukuthi ubuza.
Nalapha, lokhu kuyinto ongafisa ukubambezeleka kuze kufike emva kwehora lokuqala lokuphila. Nakuba imishanguzo emisha ingashisi amehlo omntanakho kuzokwenza kube nzima ukubona, futhi izinsana zingabona. Kunemithetho yezwe elawula ukusetshenziswa kwamaconsi eso . Iningi lamazwe anemithetho echaza ukuthi kunomsebenzi ozohlinzeka ngamaconsi eso, kungekho sikhathi esithile esibonisiwe. Thola ukuthi umthetho wakho wombuso uthini.
I-Vitamin K
Lokhu ngokuvamile umjovo owenziwe ngemuva kokuzalwa. Ingane yakho ayizalwanga ngezingqinamba zokuqhaqhazela. Lokhu kwaqala ukuba yinto evamile futhi ibe ngumthetho lapho ukukhishwa kwe-forceps kuvamile kakhulu, ukusiza ukuvimbela ukuphuma kwegazi ebuchosheni ngenxa yengozi engaphezulu kwekhanda lomntwana. Namuhla sisasasebenzisa lo mthetho wombuso futhi sinika izingane vithamini K njalo, naphezu kokuthi ukukhishwa kwe-forceps kushintshile futhi kwenzeka kaningi kangako ngoba kusekhona izinzuzo ezinganeni. Amanye amazwe anezinqubomgomo ezintsha zesikhathi sokunikeza i-vitamin K ngokuphambene nokwenza njalo.
Ezinye imindeni zicela ukuthi i-vitamin K inikezwe ngomlomo. Nakuba singaqiniseki ukuthi lokhu kusebenza kahle kangakanani izingane eziningi zivuma lokhu.
Xoxa ngalezi zinkinga nodokotela wezingane zakho.
I-Screening entsha ne-PKU
Ukuhlola okusanda kuzalwa kuyisikhathi esiyisebenzisayo ukuchaza isethi yokuhlolwa okwenzelwe ukubuka ingane yakho ngezifo ezihlukahlukene kuhlanganise ne-Phenylketonuria, ebizwa ngokuthi i-PKU. Nakuba omama abaningi bangase bathi basuke behlola ukuhlolwa kwe-PKU, bahlolwa ngempela ngezinkinga eziningi ngesikhathi esisodwa. Yikuphi ngempela ukuhlolwa okuhlukahluka yizwe.
I-Phenylketonuria (i-PKU) isifo se-genetic. Kuvivinywa njalo phakathi nezinsuku ezimbalwa zokuqala zokuphila. Ezimweni eziningi, ukuhlolwa kuyadingeka futhi kuvame ukuqhutshwa ngokuhlanganyela nezinye izivivinyo eziningana, njengeGalactosemia, iThalassemia, njll.
Lokhu kuhlolwa kuhilela ukunamathela unyawo lomntwana ngegazi. Kuyinto enembile lapho ingane yakho ithola ukudla okuqukethe i-phenylalanine, kokubili ubisi lomuntu kanye namafomula okufakelwa, isikhathi esingamahora angu-24. Ngenxa yalesi sizathu, umntwana oncelisayo akufanele ahlolwe kuze kube yilapho ngolunye usuku ngemuva kokuzalwa. Uma isibhedlela sakho noma udokotela uzama ukukhuthaza umama wokubeletha ukuthi athathe lokhu kuhlolwa ngaphambi kwalokho, imiphumela ngeke isebenze. Izindawo eziningi zenza uvivinyo ngaphambi kokuba usuke esibhedlela bese ucela ukuthi ubuyele ngesonto elilodwa ukuze uphinde uhlole. Lokhu kuvame ukuba kube lula ukuqiniseka ukuthi okungenani unesivivinyo esisodwa kumarekhodi abo, nakuba kungavumelekile. Khuluma nodokotela wakho wezingane mayelana nokuthi lokhu kwenziwe kuphela kanye kuphela, kodwa-ke, cishe emazweni ayishumi, kuyadingeka ukuthi iphindwe. Udokotela wakho wezingane uzokuqondisa noma ungabheka isimo ngokufakwa ohlwini kobuso.
I-Hepatitis Vaccine
Lo mgomo manje uyadingeka emazweni amaningi. Unokukhetha okubili lapho uqala khona ukugoma kwesifo sofuba , lapho uzalwa noma enyangeni ezimbili uhlola. Uma ukhetha ukuba nalo mgomo, ngiyakhuthaza ukuba uhlole ingozi yakho yesifo sofuba ngaphambi kokunquma ukuthi uzokwenzelwa nini lo mgomo.
Khuluma nodokotela wakho mayelana nokusetshenziswa nokuphepha kwalokhu nanoma yikuphi ukugoma.
APGAR
I- APGAR "ukuhlolwa kokuqala kwengane" yakho. Ezindaweni eziningi, kwenziwa ngaphandle kokuba abazali baqaphele ngoba kuwukuhlola nje indlela ingane yakho ibukeka ngayo futhi izwakala.
Amaphuzu anikezwa uphawu ngalunye ngomzuzu owodwa nemizuzu emihlanu emva kokuzalwa. Uma kunezinkinga ezinganeni, amaphuzu engeziwe atholakala emaminithini angu-10. Amaphesenti angu-7-10 kubhekwa njengokwejwayelekile, ngenkathi i-4-7 ingadinga izinyathelo zokuvuselela, futhi ingane ene-APGAR Score ye-3 nangaphansi idinga ukuvuselelwa ngokushesha.
Naphezu kwalokho abazali abazokutshela lokhu akuhambisani nezikolo ze-SAT yengane yakho kamuva ekuphileni. Eqinisweni, kwezinye imibuthano, lo vivinyo lugxeka ngokungabi usizo kakhulu. Isibonelo, ingane ngokusobala ekuhluphekeni ngeke ishiywe yodwa kuze kube yilapho umzuzu owodwa i-APGAR ithi badinga usizo. Kuzo zonke, lokhu kuyilingo elingenangqondo ukuthi abazali abaningi balangazelela ukuzwa amaphuzu wengane yabo.
APGAR Amaphuzu
| Uphawu | Amaphuzu angu-0 | 1 iphuzu | Amaphoyinti amabili | |
| A | Umsebenzi (Muscle Tone) | Akukho lutho | Izikhali kanye Nemigqa Yathintekile | Ukuhamba okusebenzayo |
| P | Pulse | Akukho lutho | Ngaphansi kwe-BPM eyi-100 | Ngaphezulu kwe-BPM engu-100 |
| G | I-Grimace (i-Reflex Irritability) | Ayikho impendulo | I-Grimace | Snezeze, ukukhwehlela, ususa |
| A | Ukubukeka (Umbala Wesikhumba) | Okuhlaza okwesibhakabhaka, okuphaphathekile konke | Okuvamile, ngaphandle kwezinguquko | Ejwayelekile phezu komzimba wonke |
| R | Ukuphefumula | Akukho lutho | Ihle kancane, engavamile | Kuhle, ukukhala |
Abanye
Kunezinto eziningi ezingenziwa noma isenzo noma isimiso esijwayelekile, kuhlanganise nokuhlolwa kokuzwa, ukuhlolwa kweshukela egazi, i-ultrasound, njll.
Qiniseka ukuthi unolwazi olwengeziwe oludingekayo ukuze wenze isinqumo esinolwazi mayelana nokunakekelwa kwengane yakho-njengoba nje wenza ngesikhathi sokukhulelwa.
> Imithombo:
> Costich JF, Durst AL. Umthelela Womthetho Wokunakekelwa Onganakekelwayo Ngezimali Zezinsizakalo Zokuhlolwa Zisanda Kuzalwa. Impendulo yezempilo yomphakathi . 2016; 131 (1): 160-6.
> Dekker R. Ubufakazi be-Vitamin K Shot. Ukuzalwa Okufakazela Ubufakazi . 2014. http://evidencebasedbirth.com/evidence-for-the-vitamin-k-shot-in-newborns/
> Isimo Sokuhlola Isimo Sokuzalwa Kwesizwe Esisha. I-Newborn Screening ne-Global Resource Centre. 2014. http://genes-r-us.uthscsa.edu/sites/genes-r-us/files/nbsdisorders.pdf
> Izinsana zokuhlola ukuzalwa okusha kwezingane zakho. March we-Dimes. Mashi 2015.