Ukukhubazeka kwemizwa ebusweni ngenxa yokuhlukumezeka kokubeletha
Ukukhubazeka kwemizwa ebusweni ngenxa yokuhlukumezeka kokubeletha ukulahleka kokunyakaza kwemisipha okulawulwayo (ngokuzithandela) ebusweni bengane ngenxa yengcindezi emsipheni wobuso ngaphambi nje noma ngesikhathi sokuzalwa.
Inzwa yobuso yosana nayo ibizwa nangokuthi i-cranial nerve yesikhombisa. Kungonakaliswa ngaphambi nje noma ngesikhathi sokulethwa.
Isikhathi esiningi imbangela ayaziwa. Kepha ukulethwa okunzima, usebenzisa noma ngaphandle kwensimbi ebizwa nge-forceps, kungaholela kulesi simo.
Ezinye izinto ezingadala ukuhlukunyezwa kokuzalwa (ukulimala) zifaka:
- Usayizi omkhulu wosana (kungabonakala uma umama enesifo sikashukela)
- Ukukhulelwa isikhathi eside noma ukubeletha
- Ukusetshenziswa kwe-anesthesia ye-epidural
- Ukusetshenziswa komuthi ukudala ukubeletha nokuqina okuqinile
Isikhathi esiningi, lezi zinto aziholeli ekukhubazekeni kwemizwa ebusweni noma ukuhlukumezeka kokuzalwa.
Indlela ejwayeleke kakhulu yokukhubazeka kwemizwa ebusweni ngenxa yokuhlukumezeka kokubeletha ifaka kuphela ingxenye engezansi yesibindi sobuso. Le ngxenye ilawula imisipha ezungeze izindebe. Ubuthakathaka bemisipha buqapheleka kakhulu lapho usana likhala.
Usana olusanda kuzalwa lungaba nalezi zimpawu ezilandelayo:
- Ijwabu leso kungenzeka lingavali ohlangothini oluthintekile
- Ubuso obungezansi (ngezansi kwamehlo) buvela ngokungalingani ngesikhathi sokukhala
- Umlomo awuhambi phansi ngendlela efanayo nhlangothi zombili ngenkathi ukhala
- Akukho ukunyakaza (ukukhubazeka) ohlangothini oluthintekile lobuso (kusuka ebunzini kuye esilevini ezimweni ezinzima)
Ukuhlolwa ngokomzimba imvamisa kuyikho konke okudingekayo ukuthola lesi simo. Ezimweni ezingavamile, kudingeka ukuhlolwa kwe-nerve conduction. Lokhu kuhlolwa kungakhomba indawo ngqo yokulimala kwemizwa.
Ukuhlolwa kwe-Brain imaging akudingeki ngaphandle kokuthi umhlinzeki wakho wezokunakekelwa kwempilo acabange ukuthi kunenye inkinga (njengesimila noma unhlangothi).
Ezimweni eziningi, usana luzobhekwa ngeso elibukhali ukubona ukuthi ukukhubazeka kuyazimela yini.
Uma iso lengane lingavali yonke indlela, kuzosetshenziswa i-eyepad ne-eyedrops ukuvikela iso.
Kungadingeka ukwelashwa ukuze unciphise ukucindezela kwe-nerve.
Izinsana ezinokukhubazeka unomphela zidinga ukwelashwa okukhethekile.
Isimo ngokuvamile sihamba sodwa ezinyangeni ezimbalwa.
Kwezinye izimo, imisipha ohlangothini oluthintekile lobuso ikhubazeka unomphela.
Umhlinzeki uzovame ukuxilonga lesi simo ngenkathi ingane isesibhedlela. Amacala amancane abandakanya udebe olungezansi nje angahle angabonwa lapho kuzalwa. Umzali, ugogo noma ugogo noma omunye umuntu angayibona inkinga ngokuhamba kwesikhathi.
Uma ukunyakaza komlomo wosana lwakho kubukeka kuhlukile ohlangothini ngalunye lapho bekhala, kufanele wenze i-aphoyintimenti nomhlinzeki wengane yakho.
Ayikho indlela eqinisekisiwe yokuvimbela ukulimala kwengcindezi enganeni engakazalwa. Ukusetshenziswa okufanele kwe-forceps nezindlela ezithuthukisiwe zokubeletha kunciphise izinga lokukhubazeka kwemizwa ebusweni.
Isikhombisa se-cranial nerve palsy ngenxa yokuhlukumezeka kokuzalwa; Ukukhubazeka ebusweni - ukuhlukumezeka kokuzalwa; Ukukhubazeka kobuso - izingane ezisanda kuzalwa; Ukukhubazeka ebusweni - usana
IBalest AL, uRiley MM, iBogen DL. I-Neonatology. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ama-eds. UZitelli noDavis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 2.
UHarbert MJ, uPardo AC. Ukuhlukumezeka kwesistimu yezinzwa ezingakazalwa. Ku: Swaiman KF, Ashwal S, Ferriero DM, et al, abahleli. I-Swaiman's Pediatric Neurology: Izimiso kanye Nokuzijwayeza. Umhlaka 6. IPhiladelphia, PA: Elsevier; I-2017: isahluko 21.
UKersten RC, uCollin R. Lids: ukungajwayelekile kokuzalwa nokuzuzwa - ukuphathwa okusebenzayo. Ku: ULambert SR, uLyons CJ, ama-eds. I-Pediatric Ophthalmology ne-Strabismus kaTaylor & Hoyt. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2017: isahluko 19.