Ukusukela ngeentsuku zokuqala xa kwabhaqwa i-coronavirus e-China, kuye kwaba yinkxalabo ukwazi ukuba intsholongwane inokosulela kumama isiya emntwaneni, ngexesha lokukhulelwa okanye ngexesha lokuzalwa. Emva kweenyanga ezingaphezulu kwesithathu ndiphila ne-COVID-19, uphando olwahlukeneyo luyayingqina loo nto Usulelo olusuka kumama luye kusana ngexesha lokukhulelwa akunakwenzeka. Abaphandi kwiYunivesithi yaseNottingham banobuganga bokuchaza njengento enqabileyo.
Kodwa oku akukhululi ekuthobeleni a Iprothokholi ukuba umntwana ozelweyo uvela kumfazi owosulelwe yi-coronavirus, nokuba i-asymptomatic. Esinye sezikhokelo ekufuneka silandelwe kukunika umntwana iimvavanyo zentsholongwane egazini kunye nolandelelo lwezonyango.
Ukosuleleka komntwana nge-coronavirus kunqabile
Ukususela ekuqaleni, i Umbutho waseSpain weNeonatology (seNeo) wenze ubhaliso lwesizwe kwintsholongwane ye-SARS-CoV-2 kwiintsana ezisanda kuzalwa kunye noomama bazo ukuze bafumane idatha ebavumele ukuba bahlalutye ifuthe lobhubhane kweli qela.
Kule database ibhalisiwe ngaphezu kwama-500 oomama abane-Covid-19 kunye neentsana zabo ezisanda kuzalwa. Ezi datha zigqitywe kunye nezo zolunye uphando lwamazwe ngamazwe. Ngombulelo kubo, kuqinisekiswa ukuba akukho mngcipheko wokudluliselwa ngokuthe nkqo, okanye ukuba akunakwenzeka kakhulu. Iimeko ezimbalwa ze-COVID-19 ezenzeke kwiintsana zoomama abane-coronavirus yayiziziphumo ezingeyonyani okanye iimeko zosulelo olusemva kokubeleka.
Ngokukodwa, eSpain, ngokutsho kwe-seNeo, kuye kwakho iimeko ezingama-40 zeentsana ezinoomama abane-coronavirus kwaye bosulelwa emva kokubeleka. Iintsana ezisandula ukuzalwa ziye zavavanywa ukuba zinentsholongwane, ubukhulu becala, asymptomatic. Kwaye abanye baye baba nayo ukubandakanyeka okuncinci kwaye ngaphandle kwesequelae. Olona phawu lwakhe luphambili ibe ngumkhuhlane ophezulu okwethutyana kunye nokugabha okanye ukukhohlela. Awona matyala mabi kakhulu enzeka kubantwana abasandula ukufika ngaphambi kwexesha ababene-pathologies yangaphambili.
Preeclapsia kunye ne-coronavirus
Uphononongo lufumanise ukuba i-62,5% yabasetyhini abakhulelweyo abaneempawu ezinzima ze-COVID-19 baba sisifo ngokweklinikhi iyafana ne-preeclampsia. Olu phononongo luphuhliswe yiYunithi ye-Placental Insufficiency Unit yeSibhedlele seYunivesithi yase-Vall d'Hebron kunye nabaphandi abavela kwiqela le-Maternal and Fetal Medicine.
I-Preeclampsia yingxaki yokukhulelwa, ngokuqhelekileyo ibonakala emva kwayo Iveki yama-20 yokumitha. Oku kunokubeka ubomi bukamama nosana esichengeni. Ibonakaliswa ngoxinzelelo lwegazi oluphezulu kwaye inokuhamba kunye nokuncipha kweeplatelet kunye nokuphakama kwee-enzyme zesibindi.
Yintoni olu phando lufuna ukuyicacisa kukuba i-COVID-19 kunye ne-preeclampsia zineempawu ezihambelanayo zekliniki ukwenza ukuxilongwa kube nzima kwaye kwezinye iimeko ukuxilongwa kwakungachanekanga. Oku kukuphepha ukwenza izigqibo ngokungxama kunye nokuzalwa ngaphambi kwexesha. Masithi kukho iimpawu ezifanayo, kodwa izizathu ezizibangela zahlukile kwaye ngoko ke unyango lunokwahluka.
Ngaba ndingaluncancisa umntwana wam ukuba ndine-coronavirus?
Ukuba umama uvavanyiwe ukuba unayo i-COVID-19, nokuba akanazimpawu, ngaba kufuneka anike ubisi lwebele emntwaneni? Ngokubanzi, kuyalandela Ukucebisa la ukuncelisa ngenxa yeenzuzo ezinkulu ezinalo nje kuphela iimeko zezempilo zomama, kunye nosana, zivumela. EKhanada naseJamani, iimeko zobukho bentsholongwane kubisi lukamama ziye zafunyaniswa.
Izifundo ezahlukeneyo, eziye zaqhutywa kwiinyanga ezidlulileyo, zikwaqinisekisile ukuba amathuba okuba umntwana osulelwe yi-COVID-19 akakhulu ukuba uzalwe ngelungu lobufazi, ukuba uncanciswa okanye udibene nomama. emva kokubeleka. UMphathiswa wezeMpilo uye wacebisa, nanini na kunokwenzeka, ukuba indawo yokuhlala edibeneyo, ukuphepha ukwahlukana komama nomntwana.
Ezi zigqibo ziyachasana ne i ngcebiso ezenziwe ekuqaleni kobhubhane, malunga nokulula ukwenza icandelo lotyando kubasetyhini abane-coronavirus, kunye nokugcina umama kunye nosana bodwa, ngaphandle kokunxibelelana phakathi kwabo.