Ngokuvamile kuyicala elikhethekile, kodwa awudingi ukubika inkinga enkulu lapho umntwana ephenduka abe nesikhumba esiphuzi. Izingane eziningi sezivele zizalwa zinalo mphumela futhi ngisho nezinye ngemva kwezinsuku ezimbalwa ziba ne- iphimbo eliphezulu kakhulu. Sizogxila ekuhlaziyeni kungani izingane ziphenduka zibe phuzi nokuthi zenzeni ngakho
Lesi sikhumba sivame ukubizwa ngokuthi i-jaundice ye-physiological futhi ayivamisile ukubika noma iyiphi inkinga ngoba ngokuvamile iyanyamalala ngemva kwamasonto ambalwa. Kuyiqiniso elingenakubonwa futhi uchwepheshe uzophendula ngokuhlolwa kanye nokwelashwa okungcono kakhulu.
kungani abantwana bephuzi
Kunezimo eziningana lapho izingane zine a umbala ophuzi esikhumbeni. Ezinganeni eziningi kwenzeka lapho zizalwa futhi ngenxa a ukugcwala okuphezulu kwamangqamuzana egazi noma amaseli abomvu egazi.
Ukuze uwasuse udinga a ukugcwala okuphezulu kwe-bilirubin futhi ikwenza kube imbangela yokukhiqiza le tonality. I-pigment ephuzi izocutshungulwa yisibindi futhi izokhishwa ngomchamo nangendle, kodwa ngezinye izikhathi le nqubo iyabiza. Izingane eziningi ezizalwa ngaphambi kwesikhathi azikwazi ukucubungula lokhu kwehla kwesithunzi, ngakho ziyethula amazinga aphansi we-bilirubin.
Kwezinye izimo, kukhona izingane thatha isikhathi sokukhipha i-meconium phakathi namahora okuqala angu-24 kuya kwangu-48 okuphila. Kulokhu, i-bilirubin ibuyela ekujikelezeni kwegazi, okwandisa ingozi ye-jaundice.
Cishe kuwo wonke la maqiniso, le nkinga Ngokuvamile ixazululwa ngenxa yokuncelisa ibele. Kodwa futhi kwenzeka ukuthi umntwana akondli ngendlela efanele phakathi nezinsuku zokuqala futhi bonisa isimo se-jaundice. Izinhlobo ezimbili ze-jaundice zingenzeka ezinganeni ezisanda kuzalwa ezincelisayo:
- Ukuba khona kwe-jaundice ezinganeni ezincela ibele phakathi nesonto lokuqala lokuphila. Kodwa leli cala livame ukwethulwa njengoba sishilo imigqa edlule. Kungenzeka ukuthi kungenxa yokuthi ubisi lwebele alwanele noma luyindlala.
- Olunye uhlobo lwe-jaundice yilapho umntwana encela futhi evela ngemva kwezinsuku ezingu-7 zokuphila futhi bafinyelela umvuthwandaba evikini labo lesibili kuya kwelesithathu lokuphila. Lokhu kwenzeka ngoba izinto ezisobisini lwebele zithinta ukuwohloka kwe-bilirubin esibindini.
Umntwana kufanele ayiswe nini kudokotela?
Kulokhu futhi phambi kwethoni ephuzi esikhumbeni, njalo uthintane nodokotela noma udokotela wezingane. Kulezi zimo, umntwana uvame ukuvunyelwa ukuba asebenzise isimiso sakhe ngokwemvelo, kodwa kwezinye izimo sibona ukuthi ithoni yakhe iyakhula.
- Uma inombala omningi elikhanyayo futhi eliqine nakakhulu.
- Uma ngemva kokubuyekezwa kwezokwelapha ngisho sekudlule amaviki angaphezu kwama-2.
- Nini amathe ezinyawo nawo aphenduka abe nombala ophuzi.
Indlela yokwelapha i-jaundice?
i-jaundice ezinganeni ezisanda kuzalwa Ngokuvamile iyanyamalala ngemva kwamasonto ambalwa. Isixazululo esingcono kakhulu siwukudla kwakho. Umzimba wakhe izosusa i-bilirubin ngokweqile ngokwemvelo. Uma ubisi lunganikezwa ngebele, ubisi lwefomula luyotuswa.
Kuyalulekwa beka umntwana ekukhanyeni kwelanga, kodwa hhayi ngokuqondile ukuze angabangeli ukusha. Ukukhanya kuzokusiza ukuthi uphule i-bilirubin kangcono kakhulu futhi ngaleyo ndlela ukwazi ukuyikhipha ngomchamo.
Ezimweni ezibucayi kakhulu, izosetshenziswa izikhathi ze-phototherapy. Lokhu kwelashwa kuhlanganisa ukuveza ingane ngaphansi kwezibani ezikhethekile ezizokwenza ukuthi i-bilirubin yehle kakhulu.
“I-Exchange Transfusion” kungenye inqubo esetshenziswa esimweni esiphuthumayo. Lapho umntwana engakwazi ukubuyela emthunzini wakho ngoba akukho lutho olusebenzayo, a ukumpontshelwa igazi ukwehlisa ngokushesha ukugcwala kwe-bilirubin.
Enye indlela yokwelapha esetshenziswa esimweni esikhethekile "I-immunoglobulin ye-intravenous". Iqukethe inqubo yokwelapha ezigulini ezinokuntuleka kwamasosha omzimba. Lesi simo senzeka lapho kunamasosha omzimba amaningi ahlasela amangqamuzana egazi abomvu lapho ebona iqembu legazi elingahambisani.