Umntwana wakho osanda kuzalwa unombala kwaye umbala wakhe ukhulu, okanye ucinga. Kungekudala emva kokuzalwa, udokotela wezilwanyana uza kuhlola umntwana wakho nge- jaundice . Ukuba uxelelwa ukuba umntwana wakho unobungozi, imibuzo eninzi kunye nokukhathazeka kungavela ... "Yintoni na?" "Kutheni kwenzeka ntoni kum umntwana?" "Sinokuyinqamula njani na?" Kwiimeko ezininzi, i-yellowing yolusu yengane iyinto eqhelekileyo kwaye inqanaba le-jaundice liphantsi.
Nangona kunjalo, kukho amaxesha apho umntwana angenwaphuzi kakhulu kwaye adinga ukungenelela okungakumbi ukunciphisa amanqanaba e-bilirubin ngokukhawuleza. Nantsi indlela le nkqubo isebenza ngayo.
Kutheni Umntwana Ejika Ephuzi?
Izibilini zeintsana ezisandul 'ukuzalwa azidibanisi, okanye zidibanise, i-bilirubin kunye neengxaki zabantwana abadala. I-bilirubin ihlala ifomu engavumelwanga kwaye iyakhulela umntwana. I-jaundice ivela xa sibona amanqanaba aphezulu e-bilirubin, ebangela umbala obomvu kwintsana yabantwana nakumhlophe abamhlophe. Ngokuqhelekileyo, umntwana uya kuphelisa i-bilirubin ngokunyuka kwezilwanyana kunye nokunyanga okungekho mfuneko, kodwa amaxesha amaninzi amazinga e-bilirubin aphakamileyo kakhulu kwaye umntwana usenokufuna i-phototherapy nge "lights bli" ukunciphisa izinga. (I-Phototherapy ijika i-bilirubin engabonakaliyo ibe yi-lumirubin, i-molecule e-soluble yamanzi enokuthi ikhutshwe kwi-stool kunye nomchamo, okunciphisa izinga lomntwana we-jaundice).
Kubaluleke kakhulu ukuba uqhubeke uncelise njengokuba uhlala wenza kwaye uhlolisise rhoqo kunye nezingane zakuqala kwiiveki zokuqala zobomi bakho. Baza kukukhokela malunga nokuba umntwana ufanele abonakale nini.
Ziziphi izizathu zokuthi umntwana weBilirubin uya kuCoca ngokukhawuleza?
Isizathu esona siqhelekileyo kukuba umntwana akanako ukuhamba kwezilwanyana rhoqo ngokwaneleyo.
Enye yeenzuzo ze- colostrum kukuba kunceda ekucoceni amathumbu omntwana wakho. Nangona i-colostrum i-tapepoons kuphela ifanelekileyo, le "ubisi lokuqala" iya kunceda umntwana wakho abe. Ngoko ukuba uqhubeka ubeka umntwana wakho oswini, uya kufumana i-colostrum eninzi kwaye oku kuya kubangela ukunyuka kwamathumbu, okuya kunceda i-bilirubin ukuba icime ngokukhawuleza. Ukuba usondla ngokuphindaphindiweyo, kodwa umntwana usenokuba nobunzima bokuyeka, xhumana nodokotela wezilwanyana. Uya kufuna ukulawula ezinye iimeko.
Yintoni eyenzekayo xa umntwana elahlekelwe ngaphezu kwama-7 eepesenti yobunzima bakhe bokuzalwa kwaye enobumba obukhulu?
Amathuba kukuba, umntwana uya kufuna unyango lwama-phototherapy. Ugqirha uya kukuxelela ukuba umntwana ufuna iimanzi ezininzi. Ubisi lwebele lubuncedisayo, kodwa kunokuba kuyimfuneko ukunika ifomula. (Ngokuxhomekeka kobunzima, banokucebisa i-IV fluids). Ukuba ukufunyanwa esibhedlele kuyimfuneko, xubusha into yokuba uncelisa kwaye uya kufuneka uhlale nomntwana wakho. Xa ugqirha ugqiba ukuba amazinga e-bilirubin ayehlile, unyango luya kugqitywa. Ubomi buyisela kwisimo esiqhelekileyo kwaye unako ukumncelisa umntwana wakho rhoqo.
Yintoni Ongayenza Ukunciphisa Amanqanaba eBilirubin Oonyana Bakho?
- Ngokukhawuleza emva kokuzalwa, gcina ulusu loluswini lwakho ukuze ukhumbuze umntwana ukuba athathe isifuba. Gcina umntwana apho rhoqo ngangokunokwenzeka.
- Unxiliswe ngokukhawuleza emva kokuzalwa kwaye rhoqo rhoqo kuloo mihla embalwa yokuqala. Khumbula ukuba ubisi lobisi oluninzi olususayo luya kuthatha, ukunyuka kwamathumbu kuya kubakho.
- Bhengeza ubisi lwakho lwebele kwaye ungeze umntwana wakho, ukuba kuyimfuneko.
- Ukuba unomntwana olele, bonisa i-colostrum yakho kwaye uyondle ngendebe okanye ngepuni.
- Shayela umcebisi we-lactation ekuhloliseni ukunyamekela ukunyaniseka ukuqinisekisa ukuba konke kuhamba kakuhle.
- Funda izilwanyana zakho zokulamba uze uhambe nabo! Musa ukulinda ade umntwana wakho akhale ukuqala ukumondla.
- Qinisekisa ukuba ukondla okungenani ama-8 ukuya kuma-12 ngamaxesha angama-24.
- Ukuba umntwana wakho akavuki ngokwakhe kwiimpawu zeeyure ezingama-3 ukunyusa, lixesha lokungena kwaye uncede naye.
- Bamba umntwana wakho kwi-diaper ukuze uhlale uphapheme ngexesha lokutya kwaye uqinisekise ukuba usana ngokufanelekileyo
- Qhubeka ubelesa. Inkolelo yokuba amanzi aya kucima i-bilirubin.
Yiliphi Isikhathi Sokubiza Unobantwana Bakho?
- Umntwana wakho akasondli ngamaxesha angama-8 ukuya kwezi-12 ngeeyure ezingama-24.
- Ingane yakho ayinamanzi okanye ihamba ngokuhamba. Ngosuku lwe-2, kufuneka ubone ubuncinane ii-diapers ezimanzi ezi-3 kunye nezitulo ezi-3 ezimnyama (i-meconium); Usuku lwe-3, ubuncinane i-diapers ezi-3 ezimanzi kunye nohambo olu-3 oluhlaza okomhlaza olumnyama; Usuku lwe-4, ubuncinane ubuncinane be-6 diapers emanzi kunye ne-3 lwesardard yellow bowel movements. Nceda ugcine ukhumbule ukuba ezi khokelo ziyimini , kungekhona isamba ukususela ekuzalweni.
- Ingane yakho ilele kakhulu okanye i-cranky.
- Umbala wesikhumba sakho sentsana okanye amehlo atya ngakumbi ophuzi, umda we-orange. Kwakhona, umbala ungaphantsi kwinqanaba leqhosha lesisu.
I-jaundice ixhaphake kakhulu kwiintsana ezisandula. Isizathu sokukhathazeka kunye nokwenza ngokukhawuleza kukuba sifuna ukuphepha i-kernicterus. Iindaba ezilungileyo kukuba akukho nto inqabileyo ingxaki kwiintsana ezipheleleyo zentsholongwane ezingenayo intsholongwane okanye ukungahambelani kweqela legazi, kwanabo abanezinga eliphezulu kakhulu le-jaundice (20-25). Ngethuba nje umntwana ehamba kakuhle, akukho isizathu sokukhathazeka.
Umthombo:
> I- Journal of Human Lactation . Umqulu 23, Meyi 2007.