Ezinye izingane ezisanda kuzalwa zinombala ophuzi esikhumbeni sazo ngisho nabamhlophe bamehlo azo. Lokhu kwenzeka lapho kwenzeka inani elikhulu le-bilirubin, into ephuzi okuvela ekuwohlokeni okujwayelekile kwamangqamuzana egazi abomvu, kepha kungani ingane yakho iphuzi?
Izingane ezisanda kuzalwa zingakuthola lokhu amazinga aphezulu ezinsukwini zokuqala zokuzalwa ngaphandle kokubaluleka kakhulu. Kwenzeka ngoba kungathatha izinsuku ezimbalwa ukuthi isibindi sengane size funda ukuthi ungayisusa kanjani i-bilirubin. Le pigment ingalinganiswa kusetshenziswa umshini obizwa nge-bilirubinometer, ozocacisa ukuthi uphakeme yini kunokujwayelekile. Yilapho udokotela wezingane ezohlola ukuthi ingane ine-jaundice nokuthi idinga ukunakekelwa okukhethekile yini.
Ingane yami iphuzi, yiziphi izimpawu?
Izimpawu zokuqala ezivela umbala ophuzi wesikhumba, lapho ingaqala khona ukuzibonakalisa ebusweni kubandakanya abamhlophe bamehlo. Ngokuhamba kwesikhathi izodlulela maphakathi nomzimba bese iya emaphethelweni aphansi. I-jaundice kunzima ukuyibona ezinganeni ezinesikhumba esimnyama, ukuthola ukuthi uyakwazi ngokucindezela umunwe ebunzini noma ekhaleni lengane futhi lapho uyiphakamisa, kufanele kubonwe ingemuva lombala osele.
Iningi lezingane livame ukuba ne-jaundice elincane futhi liba yingozi. Kepha ngokuhlushwa okuphezulu kwe-bilirubin bangaba nobuthongo obukhulu, kubonakala sengathi bayagula, azidli kahle futhi azinayo imisipha. Kuleli qophelo kufanele uye kudokotela wezingane ngokushesha, ngoba izinga eliphakeme lingadala ukulimala kwengqondo.
Imbangela ye-jaundice ezinganeni
Izingane lapho zizalwa zinakho ukuhlangana okuphezulu kwamaseli egazi noma amaseli abomvu egazi ukuthi abantu abadala futhi bakwazi ukuwaqeda badinga ukwenza inani elikhulu le-bilirubin. Le pigment ephuzi izocutshungulwa isibindi futhi izokhishwa ngomchamo nangendle, kodwa kunezikhathi lapho la mazinga e-bilirubin enyuka ngamanani amakhulu kakhulu kunokujwayelekile adala ithoni ephuzi esikhumbeni.
Izingane ezizalwe ngaphambi kwesikhathi abalungele ukukwazi ukucubungula lokhu kululazeka futhi eziningi zazo zinamazinga aphansi e-bilirubin. Amanye amacala lapho kubonakala khona ukuthi nini Ingane ithatha isikhathi ukukhipha i-meconium phakathi namahora ayo angama-24-48 yokuphila. Uma leli qiniso libambezeleka kulapho i-bilirubin ibuyela ekujikelezeni kwegazi futhi inyuse ubungozi be-jaundice. Leli cala lixazululwa ngokusiza ukuxosha i-meconium ngokushesha okukhulu sibonga ukuncelisa.
I-jaundice evela 'ekunceliseni ibele' nayo iyenzeka lapho ingane awondli kahle ngokuncelisa phakathi nezinsuku zabo zokuqala zokuphila. Kungenzeka ukuthi ayincelisi ibele kahle noma ngoba ubisi lukamama alukhuphuki, kulokhu kufanele umsize.
Amanye amacala angaba nini iqembu legazi lengane lihlukile kunelikamamaKulokhu, umama wenza amasosha omzimba ahlasela amangqamuzana egazi abomvu engane. Noma lapho baby unenkinga yofuzo okwenza amangqamuzana abomvu egazi abe ntekenteke kakhudlwana. Kungaleso sikhathi lapho bezokwehlisa isithunzi kalula kubangele ezinye izinkinga zempilo.
Yelashwa kanjani i-jaundice?
Ezimweni eziningi i-jaundice ivame ukuba mnene futhi inyamalala ngemuva kwamasonto ambalwa. Ungethuki ngoba kuyindaba yokulinda umzimba wakho omncane ukuqeda i-bilirubin eyeqile egazini. Uma kubangelwa ukungondleki okwanele kuzonikezwa ukudla okuningi ngesifuba noma ngefomula enconywe udokotela.
Ezimweni ezibucayi kakhulu kusetshenziswa i-phototherapy, ukwelashwa lapho izingane zibekwa ngaphansi kwezibani ezikhethekile ukuze isikhumba sazo sibonakale ekukhanyeni okwenza i-bilirubin ikhishwe kangcono kakhulu.
'Ukumpontshelwa igazi' kungenye inqubo ephuthumayo esetshenziswa uma kungekho okunye okungenhla okusebenzayo. Kulokhu, igazi lengane lithathelwa indawo yilowo onikelayo ukuze ehlise masinyane i-bilirubin concentration.
I-immunoglobulin efakwa ngaphakathi kungenye indlela yokwelashwa evimbela amasosha omzimba ekuhlaseleni amaseli abomvu egazi lapho enegazi elingahambisani neqembu legazi. Lokhu kwelashwa kusebenza kahle futhi kuvimbela ukumpontshelwa.
Lapho icala le-jaundice limnene futhi lingadingi ukwelashwa okukhethekile, kuhle ukuthi usana olusanda kuzalwa ukukhanya kwelanga, Noma kungaqondile ngenxa yokusha okungenzeka, lokhu kuzosiza ukwehliswa kwe-bilirubin futhi kuzoxoshwa ngomchamo. Uma ufuna ukwazi okuningi ngokunakekelwa kwesikhumba kwengane esanda kuzalwa vakashela isixhumanisi sethu lapha