I-Shaken baby syndrome

I-Shaken baby syndrome iyindlela ebucayi yokuhlukunyezwa kwengane ebangelwa ukuxukuza ngonya usana noma ingane.

I-Shaken baby syndrome ingenzeka kusuka kwimizuzwana nje emi-5 yokuzamazama.

Ukulimala kwengane okunyakazisiwe kuvame ukwenzeka ezinganeni ezingaphansi kweminyaka engu-2 ubudala, kepha kungabonakala ezinganeni ezineminyaka engama-5 ubudala.

Lapho usana noma usana luntengantengiswa, ubuchopho buya buya bungaphambili nokhakhayi. Lokhu kungadala ukulinyazwa kobuchopho (ukudideka kobuchopho), ukuvuvukala, ingcindezi nokopha ebuchosheni. Imithambo emikhulu engaphandle kobuchopho ingadabuka, okuholele ekuphumeni kwegazi okuqhubekayo, ukuvuvukala, kanye nengcindezi eyengeziwe. Lokhu kungadala ukulimala okungapheli kobuchopho noma ukufa.

Ukuhlukumeza usana noma ingane encane kungadala okunye ukulimala, njengokulimala entanyeni, umgogodla namehlo.

Ezimweni eziningi, umzali othukuthele noma umnakekeli unyakazisa ingane ukuze ijezise noma ithule ingane. Ukuzamazama okunjalo kuvame ukwenzeka lapho usana likhala ngokungaduduzeki futhi umnakekeli okhungathekile ehluleka ukuzibamba. Izikhathi eziningi umnakekeli wayengahlosile ukulimaza ingane. Noma kunjalo, kuyindlela yokuhlukumeza izingane.

Ukulimala kungenzeka kakhulu uma ingane inyakaziswa bese ikhanda lengane lishaya okuthile. Ngisho nokushaya into ethambile, njengomsamo noma umcamelo, kunganele ukulimaza izinsana nezinsana ezincane. Ubuchopho bezingane buthambile, imisipha yabo yentamo nemisipha ibuthakathaka, futhi amakhanda abo makhulu futhi asindayo ngokulingana nemizimba yabo. Umphumela wuhlobo lwe-whiplash, olufana nalokho okwenzeka kwezinye izingozi zemoto.

I-Shaken baby syndrome ayibangelwa ukuqhuma okuncane, ukudlala ngokujikijela noma ukuphonsa ingane emoyeni, noma ukugijima nengane. Kungenzeka futhi ukuthi kwenzeke ezingozini ezifana nokuwa ezihlalweni noma ezitebhisini ezansi, noma ukwehliswa ngengozi ezandleni zomnakekeli. Ukuwa okufishane kungadala ezinye izinhlobo zokulimala ekhanda, yize lokhu kuvame ukuba kuncane.

Izimpawu zingahluka, kusuka komoya kuya kokubi. Zingafaka:

• Ukudlikizela (ukuqubuka)
• Ukwehla kokuqapha
• Ukucasuka okukhulu noma ezinye izinguquko ekuziphatheni
• Ukukhathazeka, ukulala, hhayi ukumomotheka
• Ukulahlekelwa ukwazi
• Ukulahleka kombono
• Akukho ukuphefumula
• Isikhumba esiphaphathekile noma esiluhlaza okwesibhakabhaka
• Ukungondli kahle, ukungakuthandi ukudla
• Ukuhlanza

Kungase kungabikho zimpawu zomzimba zokulimala, njengokulimala, ukuphuma kwegazi, noma ukuvuvukala. Kwezinye izimo, isimo singaba nzima ukusithola futhi singatholakali ngesikhathi sokuvakasha kwehhovisi. Kodwa-ke, ukuhlukana kwezimbambo kuvamile futhi kungabonakala kuma-x-ray.

Udokotela wamehlo angathola ukopha ngemuva kweso lomntwana noma iqoqo le-retinal. Kukhona, noma kunjalo, ezinye izimbangela zokopha ngemuva kweso futhi kufanele zikhishwe ngaphambi kokuthola isifo se-baby shaken. Kufanele kubhekwe nezinye izinto.

Shayela ku-911 noma inombolo yakho ephuthumayo yasendaweni. Ukwelashwa okuphuthumayo ngokushesha kuyadingeka.

Uma ingane iyeka ukuphefumula ngaphambi kokuba usizo oluphuthumayo lufike, qala i-CPR.

Uma ingane ihlanza:

• Futhi awucabangi ukuthi kukhona ukulimala komgogodla, phendulela ikhanda lengane kolunye uhlangothi ukuvimbela ingane ekuminyaneni nasekuphefumuleni ekuhlanzweni kuya emaphashini (ukufisa).
• Futhi ucabanga ukuthi kukhona ukulimala komgogodla, gingqa ngokucophelela umzimba wonke wengane ohlangothini olulodwa ngasikhathi sinye (njengokungathi ugoqa ugodo) ngenkathi uvikela intamo ukuvimbela ukuminyana nokufisa.

• Ungayiphakamisi noma unyakazise ingane ukuyivusa.
• Ungazami ukunika ingane noma yini ngomlomo.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma ingane inanoma iyiphi yalezi zimpawu ezingenhla noma izimpawu, kungakhathalekile ukuthi imnene noma inzima kangakanani. Fonela futhi uma ucabanga ukuthi ingane isinyakazisile isifo sengane.

Uma ucabanga ukuthi ingane isengozini ngokushesha ngenxa yokunganakwa, kufanele ushayele ku-911. Uma usola ukuthi ingane iyahlukunyezwa, bika ngaso leso sikhathi. Iningi lamazwe linenombolo yocingo lokuhlukumeza izingane. Ungasebenzisa futhi Inombolo yocingo Kazwelonke Yokuhlukunyezwa Kwezingane e-Childhelp ku-1-800-4-A-Child (1-800-422-4453).

Lezi zinyathelo zingasiza ekunciphiseni ubungozi besifo sengane esinyakazisiwe:

• Ungalokothi unyakazise ingane noma ingane lapho udlala noma ngentukuthelo. Ngisho nokuzamazama ngobumnene kungaba ukuzamazama okunamandla lapho uthukuthele.
• Ungayibambi ingane yakho ngesikhathi sokuxabana.
• Uma uzithola ucasulwa noma uthukuthele ngengane yakho, faka ingane embhedeni wabo bese uphuma ekamelweni. Zama ukwehlisa umoya. Shayela othile ukuze akusekele.
• Shayela umngani noma isihlobo ukuthi sizohlala nengane uma uzizwa ungalawuleki.
• Xhumana nenombolo yocingo yasendaweni ebhekene nezinkinga noma inombolo yocingo yokuhlukumeza izingane ukuze uthole usizo nokuholwa
• Funa usizo lomeluleki futhi uye emakilasini okuba ngumzali.
• Ungazizibi izimpawu uma usola ukuhlukunyezwa kwezingane ekhaya lakho noma ekhaya lomuntu omaziyo.

I-Shaken impact syndrome; Usana lwe-whiplash - olunyakazisiwe; Ukuhlukunyezwa kwengane - ingane ezanyazanyiswayo

• Izimpawu zengane ezinyakazisiwe

ICarrasco MM, iWoldford JE. Ukuhlukunyezwa nokunganakwa kwezingane. Ku: Zitelli, BJ, McIntire SC, Nowalk AJ, ama-eds. UZitelli noDavis ’Atlas of Pediatric Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2018: isahluko 6.

UDubowitz H, uLane WG. Izingane ezihlukunyezwayo nezinganakiwe. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ama-eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 40.

UMazur PM, uHernan LJ, Maiyegun S, Wilson H. Ukuhlukunyezwa kwezingane. Ku: Fuhrman BP, Zimmerman JJ, ama-eds. Ukunakekelwa Okubalulekile Kwezingane. Umhlaka 5. IPhiladelphia, PA: Elsevier; I-2017: isahluko 122.