Umkhawulo wokukhula kwe-intrauterine

Ukuvinjelwa kokukhula kwe-intrauterine (IUGR) kubhekisa ekukhuleni okuncane kwengane ngenkathi isesiswini sikamama ngesikhathi sokukhulelwa.

Izinto eziningi ezahlukahlukene zingaholela ku-IUGR. Ingane engakazalwa kungenzeka ingatholi i-oxygen eyanele kanye nokudla okunomsoco kusuka ku-placenta ngesikhathi sokukhulelwa ngenxa ye:

• Ukuphakama okuphezulu
• Ukukhulelwa okuningi, njengamawele noma amawele amathathu
• Izinkinga zeplacenta
• IPreeclampsia noma i-eclampsia

Izinkinga ngesikhathi sokuzalwa (ukungajwayelekile kokuzalwa) noma izinkinga ze-chromosome zivame ukuhlotshaniswa nesisindo esingaphansi kwesijwayelekile. Ukutheleleka ngesikhathi sokukhulelwa nakho kungathinta isisindo sengane ekhulayo. Lokhu kufaka phakathi:

• I-Cytomegalovirus
• URubella
• Ugcunsula
• I-Toxoplasmosis

Izici zobungozi kumama ezingafaka isandla ku-IUGR zifaka:

• Ukuphuza ngokweqile
• Ukubhema
• Umlutha wezidakamizwa
• Izinkinga zokuvala
• Umfutho wegazi ophakeme noma isifo senhliziyo
• Isifo sikashukela
• Isifo sezinso
• Ukungondleki kahle
• Esinye isifo esingelapheki

Uma umama emncane, kungajwayelekile ukuthi ingane yakhe ibe ncane, kepha lokhu akubangelwa i-IUGR.

Ngokuya ngesizathu se-IUGR, ingane ekhulayo ingaba ncanyana yonke indawo. Noma, ikhanda lengane lingaba usayizi ojwayelekile ngenkathi wonke umzimba umncane.

Owesifazane okhulelwe angase abe nomuzwa wokuthi ingane yakhe ayimikhulu ngendlela efanele. Isilinganiso esisuka ethanjeni likamama lokushicilela siye phezulu kwesibeletho sizoba sincane kunokulindelekile eminyakeni yobudala bokukhulelwa kwengane. Lesi silinganiso sibizwa ngokuthi yi-uterine fundal height.

IUGR ingasolwa uma ubukhulu besibeletho sowesifazane okhulelwe buncane. Isimo sivame ukuqinisekiswa yi-ultrasound.

Ukuhlolwa okuningi kungadingeka ukuvivinya ukutheleleka noma izinkinga zofuzo uma kusolwa i-IUGR.

I-IUGR inyusa ingozi yokuthi ingane izofela ngaphakathi esibelethweni ngaphambi kokuzalwa. Uma umhlinzeki wakho wezempilo ecabanga ukuthi ungaba ne-IUGR, uzobhekwa ngeso elibukhali. Lokhu kuzobandakanya ukukhulelwa okuvamile kwama-ultrasound ukukala ukukhula kwengane, ukunyakaza, ukuhamba kwegazi, noketshezi oluzungeze ingane.

Ukuhlolwa kwengcindezi nakho kuzokwenziwa. Lokhu kubandakanya ukulalela ukushaya kwenhliziyo kwengane isikhathi esiyimizuzu engama-20 kuya kwengu-30.

Ngokuya ngemiphumela yalezi zivivinyo, ingane yakho ingadinga ukulethwa kusenesikhathi.

Ngemuva kokubeletha, ukukhula nentuthuko yengane esanda kuzalwa kuncike ebukhulwini nasembangela ye-IUGR. Xoxa ngombono wengane nabahlinzeki bakho.

IUGR inyusa ingozi yokukhulelwa kanye nezinkinga ezisanda kuzalwa, kuya ngesizathu. Izingane ezinokukhawulelwa ukukhula zivame ukuba nengcindezi enkulu ngesikhathi sokubeletha futhi zidinga ukulethwa kwe-C-section.

Xhumana nomhlinzeki wakho khona manjalo uma ukhulelwe futhi uqaphele ukuthi ingane ihamba kancane kunokujwayelekile.

Ngemuva kokubeletha, shayela umhlinzeki wakho uma usana lwakho noma ingane yakho ingabonakali ikhula noma ikhula ngendlela ejwayelekile.

Ukulandela le mihlahlandlela kuzosiza ukuvimbela i-IUGR:

• Ungaphuzi utshwala, ungabhemi, noma usebenzise izidakamizwa zokuzijabulisa.
• Yidla ukudla okunempilo.
• Thola ukunakekelwa njalo ngaphambi kokubeletha.
• Uma unesimo esingelapheki sezempilo noma uthatha imithi enqunyiwe njalo, bheka umhlinzeki wakho ngaphambi kokukhulelwa. Lokhu kungasiza ekunciphiseni izingozi ekukhulelweni kwakho nasenganeni.

Ukubambezeleka kokukhula kwesisu; IUGR; Ukukhulelwa - IUGR

• I-Ultrasound, umbungu ovamile - izilinganiso zesisu
• I-Ultrasound, umbungu ovamile - ingalo nemilenze
• I-Ultrasound, umbungu ovamile - ubuso
• I-Ultrasound, umbungu ovamile - isilinganiso se-femur
• I-Ultrasound, umbungu ovamile - unyawo
• I-Ultrasound, ukukalwa kombungu okujwayelekile - ikhanda
• I-Ultrasound, umbungu ovamile - izingalo nemilenze
• I-Ultrasound, umbungu ovamile - ukubuka kwephrofayili
• I-Ultrasound, umbungu ovamile - umgogodla nezimbambo
• I-Ultrasound, umbungu ovamile - ama-ventricles obuchopho

IBaschat AA, iGalan HL. Umkhawulo wokukhula kwe-intrauterine. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 33.

UCarlo WA. Usana olusengozini enkulu. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ama-eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 97.