Ukuba ubukela umntwana elele, uya kubona utshintsho oluninzi lwesigqi ebusuku. Ingcamango yokuba iintsana zilala ngokuthula ubusuku bonke yintsomi efuna ukuchithwa. «Umntwana wam uphefumlela phezulu xa elele«, chaza oomama abaninzi ngokubonisana nodokotela wabantwana. Yinto eqhelekileyo?
Indlela yokulala yabantwana iyimfihlakalo kubazali abaninzi kwaye kungenxa yoko uloyiko kunye nokuphelelwa lithemba kubonakala. Kuqhelekile ukuva ukuba ebusuku iintsana ziyangcangcazela okanye zibambe umoya, zinokukhupha izandi ezithile. Ukuphonononga ukulala komntwana kunokwenzeka ukwazi imiba ethile.
Ukuphefumla nzima emntwaneni
Zingaphi nje ubusuku sivukile sibona nje ukuba umntwana uphefumla ngokuzolileyo. Ukufa ngequbuliso sisiporho kubazali abaninzi abalawula imeko yelizwe ukulala komntwana. Inkxalabo iphinda ibonakale xa abantwana benempumlo evuzayo, umkhuhlane okanye bekwimeko efana nomkhuhlane. Emva koko ukuphefumla kwabo kuyachaphazeleka, banokubamba umoya okanye bangaphefumli kakuhle. Njengokukhula okudibeneyo komntwana, ukuphefumla kunye nokulala nazo zinenkqubo yazo yokukhula.
Iintsana ezisandul’ ukuzalwa zinokuphefumlela phezulu kwiiyure ezimbalwa zokuqala zobomi. Ibizwa ngokuba yi-transient tachypnea kwaye ikhawuleza kakhulu okanye iphelelwa ngumsebenzi kwiiyure zokuqala zobomi. Imeko ithatha malunga neeyure ze-24 kwaye yonke into ibonisa ukuba umfanekiso ulungelelanisa iiyure kamva ngaphandle kokushiya ulandelelwano. Ngakolunye uhlangothi, abantwana abasandul 'ukuzalwa baphefumla kuphela ngeempumlo zabo, kodwa kwezinye iimeko banokuphefumla ngenye indlela, ngoko ke kuyimfuneko ukubonisana nodokotela wabantwana.
Ukuba umntwana uphefumla ngeempumlo kunye nomlomo ovaliweyo ngaphandle kokurhona, uyenza ngokufanelekileyo. Xa ukuphefumla kusempumlweni, imilebe iyavaleka kwaye ulwimi lubekwe phambili nangaphezulu emlonyeni, lubambe uphahla lomlomo. Ngoko ke sinokuthi a phefumla umntwana ngokuchanekileyo.
Kwenzeka ntoni ukuba umntwana wam uphefumla nzima xa elele?
Ukuphefumla okungaqhelekanga kusana kuqhelekile yaye oku kungenxa yokuba inkqubo yalo yokuphefumla ayikakhuli ngokwaneleyo. Unokuqaphela ukuba i umntwana uphefumla nzima xa elele okanye ukuba, ngokuchaseneyo, ukuphefumla kwakhe kucotha kakhulu. Oku kuqhelekile kuba ukuphefumla kunokwahluka ngenxa yokungavuthwa kwenkqubo ngokwayo. Oku kunokuqhubeka de babe neenyanga ezintandathu ubudala ekubeni inkalakahla yabo isathambile ngoko ke baphefumla ngeempumlo kuphela. Ukususela kuloo minyaka, inkqubo yakhe yokuphefumla iyavuthwa kwaye yiyo loo nto uya kuqalisa ukuphefumla ngomlomo wakhe.
Abantwana abasandul’ ukuzalwa banokuphefumla nzima ukuya kuthi ga kwi-40/50 ngomzuzu emini kunye nama-20. ngokuhlwa. Okanye yiba nqumama ekuphefumleni kwakho imizuzwana emi-5 ukuya kweli-10. Into engaqhelekanga kukuba umntwana ayeke ukuphefumla ngaphezu kwemizuzwana eyi-10. Kwimeko apho, yenza ukubonisana kwabantwana okuhambelanayo.
Ukuba uqaphela ukuba umntwana wakho uphefumla ngomlomo wakhe ovulekileyo kwaye uyarhona, kukwasisizathu sokubonisana njengoko inokuba yingxaki yomzimba. Kule meko, ulwimi lunokuba ngaphantsi kwaye lubheke ngasemva komlomo. Oku kunokubangela ukubuyela umva komoya emiphungeni, nto leyo enokuthi ekugqibeleni ichaphazele ukukhula komntwana kwiminyaka yamva.
Izifo zokuphefumla
Xa usana luhamba ngesifo sokuphefumla njenge-bronchiolitis, i-bronchospasm okanye i-laryngitis, kunokwenzeka ukuba uqaphele utshintsho ekuphefumleni kwabo. Iqhelekile into yokuba umntwana aphefumle ngokukhawuleza xa elele ngenxa yomfimfi anawo. Ukubonakala kokukhwehlela kwetywina, uphawu olulindele iingxaki emqaleni kunye nephecana eliphezulu okanye eliphantsi lokuphefumula, liqhelekileyo.
Ukuba ubona nakuphi na ukungahambi kakuhle okanye into ethimba ingqalelo yakho, ungalibazisi ukuya kunogada wezonyango kuba kubalulekile ukuyibona kwangethuba ukuze izinga le-oxygen yomntwana lingawi.