Ngaphandle kwePKU Test
Ingane yakho esanda kuzalwa isifikile. Eli lililo, elixabisekileyo, ihora legolide liphezu kwakho. Kwenzeka ntoni ngoku? Iingcali ezininzi ziya kukuvumela ukuba usana lubekwe ngqo kwisisu sakho okanye esifubeni. Iingubo ezifudumele okanye iingubo ziza kufakwa phezu kokubini ukuba uncede ukugcina umntwana wakho efudumele. Eli xesha lokubambisana kwizibhedlele ezininzi nakwiziko lokuzalwa lilinganiselwe kwiyure yokuqala , nangona le nto ingahluka ukusuka kwindawo ukuya kwindawo kunye nesicelo sakho.
Xa wena kunye nosana lwakho ulungele, kukho imvavanyo yemigangatho eyenziwa phantse zonke iintsana, kuquka abo bazalwa ekhaya.
Uvavanyo olutsha luyinto ebalulekileyo ukucinga ngayo ngaphambi kokusebenza. Ngexesha lokukhulelwa sigxininisa kakhulu kwixesha lokulungiselela ukubeleka kwangoku, asiyikuchitha ixesha elaneleyo kwezinye izihloko, kubandakanya ukuhlola okutsha. Ndiya kugxila kwiintsuku ezimbalwa zokuqala zobomi bentsana yakho kwaye zeziphi iimvavanyo zenziwa rhoqo.
Ubunzima bokuzalwa kunye nobude
Ubuninzi nobude benziwa rhoqo kwiindawo zonke, nangona xa ezi mvavanyo zenziwa ziyahluka ukusuka kwindawo ukuya kwindawo. Ezinye izibhedlele ziya kususa umntwana wakho ngokukhawuleza kwaye ziqale uvavanyo lokuqala. Iingcali ezininzi zikholelwa ukuba le ngcamango embi kuba umntwana unesithuba esifutshane seemeko zokulumkisa apho udibanise khona nabazali ngaphambi kokungena kwiqondo elilele lokulala. Abazali abaninzi bacela kwizicwangciso zabo zokuzalwa ukuba ezi nkqubo zilibazisekile kude kube emva kweyure yokuqala yokuphila.
Ukuba uzalisa kwisiko lokuzalwa okanye ekhaya, le nkqubo iguquguquka. Thetha nogqirha okanye umbelethisi malunga nomgaqo-nkqubo oqhelekileyo uze ubone indlela ehambelana ngayo neengcamango zakho.
Iintsana zeNtsana ezisanda kuzalwa
Amaconsi aseJiz ashintshile kutshanje kumazwe amaninzi. Kwixesha elidlulileyo leSiliva leNetrate lisetyenziswe rhoqo kwaye litshisa iliso lomntwana ngelixa lizama ukukhusela usulelo.
Ngoku, ngokuqhelekileyo uza kufumana i-erythromycin esetyenziswayo. Qiniseka ukuba ubuza.
Kwakhona, le nto ungayifisa ukulibaziseka kude kube yileyure yokuqala yokuphila. Nangona iyeza elitsha litshintshi amehlo akho umntwana luya kunzima ukubona, kwaye iintsana ziyakwazi ukubona. Kukho imithetho yaseburhulumenteni elawula ukusetyenziswa kweelahla . Uninzi lwawo luneemithetho elithetha ukuba lugqirha ukuba linike i-eye drops, kungekho xesha elithile elibonisiweyo. Fumana oko umyalelo wakho welizwe utsho.
Vitamin K
Oku kudla ngokuba ngumjovo owenziwe emva kokuzalwa. Ingane yakho ayizalwanga ngezinto ezinqabileyo. Le nto yaqala ukuba yinto eqhelekileyo kwaye ibe ngumthetho xa iifolda zokukhupha zihamba ngokuqhelekileyo, ukukunceda ukukhusela ukuphuma kwintsholongwane ngenxa yengozi eyongeziweyo kwintloko yentombazana. Namhlanje sisasebenzisa le mithetho karhulumente kwaye sinika iintsholongwane ze-vitamin K rhoqo, nangona ukuba ukunyanzelisa iindleko ezitshintshileyo zitshintshile kwaye zenzeke kangangoko ngenxa yokuba inika inzuzo kubantwana. Amanye amazwe anemigaqo-nkqubo emitsha yexesha lokubonelela nge-vitamin K ngokuchasene nokuyenza rhoqo.
Ezinye iintsapho zicela ukuba i-vitamin K inikezwe ngomlomo. Ngelixa singaqinisekanga ukuba le nto isebenza njani abaninzi abaninzi abantwana bayavumelana nale ndlela.
Xoxa ngemiba kunye nezingane zakudala.
Ukuzalwa kweNewborn & PKU
Ukuhlolwa kwesandul ' usana kukusetyenziswa kweso sifundo esenzelwe ukukhenkceza umntwana wakho kwizifo ezahlukahlukeneyo kuquka iPhenylketonuria, ebizwa ngokuba yiPKU. Ngelixa amaninzi amanina asenokuthi baye bahlola i-PKU, bavavanywa ngokwenene ngeengxaki ezininzi ngexesha elinye. Yintoni echanekileyo yokuvavanya iimeko ezahlukeneyo zikarhulumente.
I-Phenylketonuria (PKU) yintlupheko yesifo. Kuhlolwe rhoqo kwiintsuku zokuqala zokuphila. Kwiindawo ezininzi, uvavanyo luyafuneka kwaye luqhutywa rhoqo ngokubambisana nezinye iimvavanyo eziliqela, njengeGalactosemia, iThalassemia, njl.
Olu vavanyo lubandakanya ukunyathela unyawo lomntwana ngegazi. Kuchanekile xa umntwana wakho efumana ukutya okuqukethe i-phenylalanine, kubisi yobisi kunye namafomula engenziwayo, kwixesha leeyure ezingama-24. Ngenxa yesi sizathu, umntwana osetyayo akufanele ahlolwe kuze kube ngumhla omnye emva kokuzalwa. Ukuba isibhedlele okanye ugqirha uzama ukukhuthaza umama wokunyamezela ukuba athathe olu vavanyo ngaphambi koko, iziphumo aziyi kusebenza. Iindawo ezininzi zenza uvavanyo ngaphambi kokuba uhambe esibhedlele kwaye ucele ukuba ubuyele kwiveki enye ukuba uphinde uvavanyo. Oku kudla ngokuba lula kwabo ukuqinisekisa ukuba ubuncinane bavavanywa omnye kwiirekhodi zabo, nangona kungabalulekanga. Ncokola nodokotela wakho wezingane malunga nokukwenza oku kanye kuphela, nangona kunjalo, malunga nama-10 athi, kufuneka ukuba iphinde iphindwe. Udokotela wakho wezilwanyana uya kukukhokela okanye unokwenza uhlolisise urhulumente ngoluhlu lwamazwe.
Isifo Sobungozi be-Hepatitis
Esi sigodlo ngoku siyimfuneko kwiindawo ezininzi. Unokuzikhethela ezimbini xa uqala ukugonywa kwesifo se- hepatitis , ngexesha lokuzalwa okanye kwiinyanga ezimbini uhlolisise. Ukuba ukhetha ukufumana le gonyolo, ndikukhuthaza ukuba uhlolisise umngcipheko we-hepatitis ngaphambi kokuba unqume ukuba nini ukukhutshwa kwesi sitofu.
Thetha notyholo lwakho malunga nokusetyenziswa kunye nokukhuselwa kwesi sikhokelo naso nasiphi na isitofu.
APGAR
I- APGAR "uvavanyo lokuqala" lomntwana wakho. Kwiindawo ezininzi, zenziwa ngaphandle kokuba ziphawulwe ngabazali kuba nje kuhlolisiswa kwindlela umntwana wakho abukeka ngayo kwaye uyandila.
Amanqaku anikezelwa uphawu ngalunye ngomzuzu omnye kunye nemizuzu emihlanu emva kokuzalwa. Ukuba kukho iingxaki kumntwana, amanqaku angaphezulu anikwa ngemizuzu eyi-10. Amanqaku angama-7-10 athathwa njengesiqhelo, ngelixa i-4-7 ingadinga ukunyuswa kwamanyathelo, kwaye umntwana ophethe i-APGAR Score ye-3 nangaphantsi ufuna ukuhlaziywa ngokukhawuleza.
Nangona bazali bakuxelela ntoni oku akuhambisani neempawu ze-SAT zomntwana kamva ebomini. Enyanisweni, kwezinye iindidi, lo vavanyo lugxekwa ngokungabi luncedo kakhulu. Ngokomzekelo, umntwana ngokucacileyo ekuhluphekeni akayi kushiywa yedwa kuze kufike umzuzu owodwa u-APGAR uthi badinga uncedo. Kuyo yonke into, lo luvavanyo olungenakulimala kubazali abaninzi banomdla wokuva amanqaku omntwana wabo.
I-APGAR Ukulinganisa
| Uphawu | 0 Amaphupha | 1 Point | 2 Amaphupha | |
| A | Umsebenzi (I-Tone Tone) | Akukho nto | Iimpahla kunye nemilenze ehluthayo | Uhambo olusebenzayo |
| P | Pulse | Akukho nto | Ngaphantsi kwe-100 BPM | Ngaphezulu kwe-100 BPM |
| G | I-Grimace (Reflex Irritability) | Akukho mpendulo | Igranti | Sneeze, ukukhwehlela, ususa |
| A | Ukubonakala (Umbala Wesikhumba) | I-Blue-grey, ibalahle yonke | Eziqhelekileyo, ngaphandle kwemida | Eqhelekileyo phezu komzimba wonke |
| R | Ukuphefumula | Akukho nto | Ncipha, ayiqhelekanga | Kuhle, Ukukhala |
Abanye
Kukho izinto ezininzi ezinokuthi zenziwe ngokuqhelekileyo okanye kungekho njalo, kuquka ukuhlolwa kweendlebe, ukuhlolwa kweeshukela zegazi, i-ultrasound, njl.
Qinisekisa ukuba unayo yonke inkcazelo ebalulekileyo ukuze wenze isigqibo esinolwazi malunga nokunyamekela kwengane yakho-njengoko wenzayo ngexesha lokukhulelwa.
> Imithombo:
> Costich JF, Durst AL. Impembelelo yoMthetho woNonophelo ojongene noNcedo kwiNkxaso yeeNtshontsho zoNyaka. UkuPhathwa kwezeMpilo kaRhulumente . 2016; 131 (1): 160-6.
> Dekker R. Ubufakazi be-Vitamin K Shot. Ubungqina obuzalwayo . 2014. http://evidencebasedbirth.com/evidence-for-the-vitamin-k-shot-in-newborns/
> Ingxelo yeNkcazo yeNkcazo yeNtsha. Uvavanyo lweNtshontsho kaZwelonke kunye neZiko loLuntu lweZibonelelo. 2014. http://genes-r-us.uthscsa.edu/sites/genes-r-us/files/nbsdisorders.pdf
> Iimvavanyo zokuzalwa zeNtsana ezisanda kuzalwa. Matshi weDimes. Matshi 2015.