Noma ubani owela enhlekeleleni engafaneleki yokulahlekelwa usana cishe uvela kulolu phiko njengomuntu ohlukile. Emithonjeni yezindaba, ubona izindaba eziningi mayelana nesifo sokuzalwa kwezinsana ngokuzumayo (SIDS), kodwa kancane kakhulu ngezinhlobo ezijwayelekile zokulahlekelwa usana ezingenzeka ngenyanga yokuqala yokuphila komntwana.
Ngenxa yokuthi lezi zilahleko zivame ukuvela ngenxa yezizathu ezihlobene nokukhulelwa kukaMama, njengokubeletha kusenesikhathi, abanye abantu bacabanga ukuthi ukufa kokubeletha kuyindlela yokukhulelwa.
Okusho Ukufa Kwezingane Zingane
Ukufa kwesifo sokubeletha okungukubeletha ukulahlekelwa kwengane engaphansi kwezinsuku ezingu-28 ubudala. I-SIDS kanye nezinye ukulahlekelwa kwezinsana ezindala (ezihlukaniswe njengokufa komntwana emva kokuzalwa kwezingane) azikho ngaphansi kwalesi sihloko, okuzogxila ekulahlekelweni kwezinsana nje emva kokuzalwa noma emva kokucindezeleka okubangelwa ukuqala kokuqala.
Ukubulawa Kwesifo Sokuzalwa Kwangasese Kusuka Ekuqaleni Kwengqondo
Isizathu esivame ukwanda kokubeletha kwezingane ngaphambi kokubeletha kungukuzalwa ngaphambi kwesikhathi. Nakuba isayensi yezokwelapha iye yathuthuka kakhulu eminyakeni eyishumi eyedlule, odokotela ngokuvamile abakwazi ukusindisa izingane ezizalwa ngaphambi kwamasonto angu-23 noma angu-24 okukhulelwa. Nakuba izinsana zingazalwa ziphila ezinyathelweni zokuqala zokukhulelwa, ngokudabukisayo umphakathi wezokwelapha awusatholi indlela yokulondoloza lezi zingane.
Izinsana ezizalwe ngasekupheleni kwe-trimester yesibili zingadinga izinyanga zokunakekelwa okukhulu kwezokwelapha ukuze zithole ithuba lokusinda. Amantombazane azalwa emavikini angu-24 kuya kwangu-25 anesilinganiso sokusinda okungu-50%, futhi lezi zingane zingase zibe nokukhubazeka ngokomzimba noma ekufundeni.
Ezinye Izimbangela Zokulahlekelwa Kwezingane Zengane
Ukukhubazeka kokuzalwa kwangasese, noma izinkinga ze-chromosomal, yimbangela yesibili yokulahleka ekuzalweni. Ezinye zalezi zimo "azihambisani nokuphila," okusho ukuthi ingane ayikwazi ukusinda ngaphezu kwezinsuku ezimbalwa noma (ezimweni ezingavamile) eminyakeni embalwa ngaphandle kokukhubazeka okukhulu.
Izibonelo zifaka i-trisomy 18, i-trisomy 13, noma i- anencephaly (uhlobo olunzima lwe-spina bifida).
Kwezinye izimo, izinkinga zokukhulelwa ezifana nokuvimbela ukukhula kwe-intrauterine noma i- hydrops fetalis zingabangela ingane enenkinga enkulu yokwelashwa ngesikhathi sokuzalwa. Izifo zingabangela nokulahleka kwezingane, njengoba kungenakuphunyuka oksijini ngaphambi noma ngesikhathi sokubeletha.
Yini Ongayibheka Ngayo Ngendlela Yokubhedlela
Abazali kumele banqume ukuthi bayobamba yini ingane ngemuva kokufa noma bagcine imicos, njengezinyawo noma ukukhiya izinwele. Ukubamba ingane kungasiza noma kugweme inqubo yokulila abantu abahlukene, futhi izintandokazi ziyahlukahluka. Ukubheja okuphephile kakhulu ukugcina i-mementos - akudingeki uyibuke uma ungafuni, kodwa uma uthanda, uyojabula ukuba nawo.
Odokotela bangase bafise ukwenza i-autopsy ngemuva kokufa kokuzalwa kwezingane. Lokhu kungasiza ekuvaleni noma ngokuhlela ukukhulelwa esikhathini esizayo. Noma kunjalo, abanye abazali bangase bangakwazi ukusingatha lo mbono, noma kunjalo udokotela angase athole lolu lwazi ngezinye izindlela ngezinye izikhathi.
Ukubhekana nokulahlekelwa kwezingane ezisanda kuzalwa
Njengoba amaqembu amaningi ekhomba, ukubhekana nanoma yiluphi uhlobo lokulahlekelwa kokukhulelwa akusona umcimbi owodwa kodwa inqubo engaphila impilo yonke. Abazali ababhekene nokulahlekelwa yi-neonatal kungadingeka ukuthi baqhubekele ukuqhutshwa komzwelo womzwelo ohambisana nokubeletha umntwana ophilayo futhi bangase babone ukuthi umzabalazo wengane wokuphila eNICU amasonto noma izinyanga.
Kungenzeka ukuthi abazali babhekana nokuthatha isinqumo sokungaphishekeli ukungenelela ngokweqile ngemuva kokubeletha lapho odokotela banikeza ingane ithuba lokusondeza okungenasisindo sokuphila. Uma ngabe ulesi simo, kungokwemvelo ukubhekana necala futhi "kuthiwani uma" mayelana nalokho okwenzekile esibhedlela. Ngaphezu kwalokho, omama bangase babhekane nemizwa ephathelene nokubhekana nezici zokubeletha - ukubuyisela ekubelethweni, ukukhiqiza ubisi lwebele kanye namazinga e-hormone eguquguqukayo - okungase kukhulise usizi lokulahlekelwa ingane.
Kungakhathaliseki isimo sakho, khumbula ukuthi ubhekana nesenzakalo esibuhlungu empilweni yakho.
Ungazicindezeli kakhulu noma ulindele ukukwazi ukukufinyelela ngokushesha (futhi ungamlaleli noma ubani othi kufanele "uqhubeke nje" ngaphambi kokuthi ulungele). Cabanga ngokuthola iqembu lokusekela, kungaba ku-intanethi noma kumuntu, ukukhuluma nokucubungula imizwa yakho ngokulahlekelwa ngumntanakho.
Uma ufuna ukuzama futhi ukukhulelwa okunye , khuluma nodokotela wakho mayelana nokuphephile ukuzama ukukhulelwa futhi. Ngeke uzizwe ulungele ukuzama futhi isikhathi eside, uma kwenzeka, futhi kulungile. Uma ufisa ukuzama, noma kunjalo, isikhathi esifanele cishe siyohluka ngesimo kanye nemizwa yakho yokulungela. Udokotela wakho angase afune ukuthi ube nokuvakashelwa okungaphezulu kokubeletha nokuqapha kokukhulelwa kwakho okulandelayo, ngakho qiniseka ukuthi usebenza nodokotela wakho ukuthuthukisa uhlelo.
Imithombo
NgoMashi we-Dimes, "Ukufa Kwesifo Sezingane." Izikhombo Ze-Quick and Fact Sheets Mar 2006. Ukutholakala ngo-31 Jan 2008.
March of Dimes, "Ukuzalwa Ngaphambi Kokuzalwa." Izikhombo Ezisheshayo namaSpredishithi Eqinisweni Feb 2007. Kufinyelelwe ngo-31 Jan 2008.