Ukubambezeleka Kokukhula (Ukukhula Okubambezelekile)

-Delile

• Izimpawu Zokubambezeleka Kokukhula
• Ngabe Izingane Zikukhulisa Kanjani Ukubambezeleka Kokukhula?
• Izici Zomama
• Izici Zengane
• Izici ze-Intrauterine
• Ukuhlonza Ukubambezeleka Kokukhula
• Ingabe Ukwephuza Ukukhula Kuyelapheka?
• Ukwandisa Ukudla Okunezakhamzimba
• Ukuphumula kombhede
• Ukulethwa Okwenziwayo
• Izinkinga ezivela ku-Growth Retardation
• Ngingayigcina Kanjani Ingane Yami Ekuthuthukiseni Ukukhula Kokukhula?

Ukubambezeleka kokukhula kwenzeka lapho umbungu wakho ungakhuli ngezinga elijwayelekile. Kubizwa kabanzi ngokuthi ukuvinjelwa kokukhula kwe-intrauterine (IUGR). Igama elithi intrauterine grow retardation lisetshenzisiwe futhi.

Izimbungu ezine-IUGR zincane kakhulu kunezinye izibungu ezineminyaka yobudala efanayo yokukhulelwa. Leli gama lisetshenziselwa izingane zesikhathi esigcwele ezinesisindo esingaphansi kwamakhilogremu ama-5, ama-ounces ayi-8 lapho zizalwa.

Kunezinhlobo ezimbili zokubambezeleka kokukhula: okulinganayo nokulinganayo. Izingane ezine-IUGR ehambisanayo zinomzimba ohlukaniswe ngokujwayelekile, zincane nje kunezingane eziningi zeminyaka yazo yokukhulelwa. Izingane ezine-IUGR engalingani zinenhloko ejwayelekile ejwayelekile. Noma kunjalo, umzimba wabo mncane kakhulu kunalokho obekufanele ube yikho. Ku-ultrasound, ikhanda labo libonakala likhulu kakhulu kunomzimba wabo.

Izimpawu Zokubambezeleka Kokukhula

Ungahle ungaboni zimpawu zokuthi umbungu wakho unokubambezeleka kokukhula. Abesifazane abaningi abasazi lesi simo kuze kube yilapho betshelwa ngaso ngesikhathi se-ultrasound. Abanye abatholi kuze kube ngemuva kokubeletha.

Izingane ezizalwe nge-IUGR zisengozini enkulu yezinkinga eziningana, kufaka phakathi:

• izinga eliphansi le-oxygen
• ushukela wegazi ophansi
• amangqamuzana egazi abomvu amaningi kakhulu
• ukwehluleka ukugcina ukushisa komzimba okujwayelekile
• amaphuzu aphansi e-Apgar, okuyisilinganiso sempilo yabo lapho bezalwa
• izinkinga ukondla
• izinkinga zezinzwa

Ngabe Izingane Zikukhulisa Kanjani Ukubambezeleka Kokukhula?

IUGR ivela ngezizathu eziningi. Ingane yakho ingahle ibe nokungajwayelekile okuzuze njengefa kumaseli noma kwizicubu zayo. Kungenzeka ukuthi bahlushwa ukungondleki noma ukudla oksijini okuphansi. Wena, noma umama wokuzalwa wengane yakho, ningaba nezinkinga zempilo eziholela ku-IUGR.

IUGR ingaqala kunoma yisiphi isigaba sokukhulelwa. Kunezici eziningana ezandisa ingozi ye-IUGR yengane yakho. Lezi zinto zihlukaniswe izigaba ezintathu: izici zomama, izici zombungu, kanye nezici zesibeletho / zeplasenti. Izici zesibeletho / zeplacenta nazo zibizwa njengezici ze-intrauterine.

Izici Zomama

Izici zomama yizimo zezempilo wena, noma umama wokuzalwa wengane yakho, ongaba nazo ezandisa ingozi ye-IUGR. Kubandakanya:

• izifo ezingalapheki, njengesifo esingapheliyo sezinso, isifo sikashukela, isifo senhliziyo, nesifo sokuphefumula
• umfutho wegazi ophakeme
• ukungondleki
• i-anemia
• izifo ezithile
• ukusetshenziswa kabi kwezidakamizwa
• ukubhema

Izici Zengane

Izici ze-Fetal yizimo zezempilo ingane yakho engaba nazo eziphakamisa ubungozi be-IUGR. Kubandakanya:

• ukutheleleka
• ukukhubazeka kokuzalwa
• ukungajwayelekile kwe-chromosome
• ukukhulelwa okuningi

Izici ze-Intrauterine

Izici ze-intrauterine yizimo ezingakhula esibelethweni sakho eziphakamisa ubungozi be-IUGR, kufaka phakathi:

• kwehle ukugeleza kwegazi lesibeletho
• ukwehla kokugeleza kwegazi ku-placenta yakho
• izifo ezithweni ezizungeze umbungu wakho

Isimo esaziwa njenge-placenta previa naso singadala i-IUGR. I-Placenta previa yenzeka lapho i-placenta yakho inamathela kakhulu esibelethweni sakho.

Ukuhlonza Ukubambezeleka Kokukhula

IUGR ivame ukutholakala ngesikhathi sokuhlolwa okujwayelekile kwe-ultrasound. Ama-Ultrasound asebenzisa amaza omsindo ukuhlola ukukhula kombungu wakho nesibeletho sakho. Uma ingane yakho incane kunokujwayelekile, udokotela wakho angasola i-IUGR.

Umbungu omncane kunokujwayelekile ungahle ungabi yisizathu sokukhathazeka ekukhulelweni kwasekuqaleni. Abesifazane abaningi abaqiniseki ngesikhathi sabo sokugcina sokuya esikhathini. Ngakho-ke, iminyaka yakho yokukhulelwa ingase ingabi enembile. Umbungu ungabonakala umncane uma empeleni usayizi ofanele.

Lapho i-IUGR isolwa ekukhulelweni kwasekuqaleni, udokotela wakho uzoqapha ukukhula kombungu wakho ngama-ultrasound avamile. Uma ingane yakho ihluleka ukukhula kahle, udokotela wakho angathola i-IUGR.

Kungaphakanyiswa ukuhlolwa kwe-amniocentesis uma udokotela wakho esola i-IUGR. Kulesi sivivinyo, udokotela wakho uzofaka inaliti ende engenalutho esiswini sakho esikhwameni sakho se-amniotic. Ngemuva kwalokho udokotela wakho uzothatha isampula loketshezi. Lesi sampuli sihlolelwa izimpawu zokungajwayelekile.

Ingabe Ukwephuza Ukukhula Kuyelapheka?

Ngokuya ngesizathu, i-IUGR ingahle ibuyele emuva.

Ngaphambi kokunikeza ukwelashwa, udokotela wakho angaqapha umbungu wakho usebenzisa:

• i-ultrasound, ukubona ukuthi izitho zabo zikhula kanjani nokuhlola ukunyakaza okujwayelekile
• ukuqapha izinga lokushaya kwenhliziyo, ukuqiniseka ukuthi izinga lokushaya kwenhliziyo yabo liyakhuphuka njengoba lihamba
• Izifundo zokugeleza kwe-Doppler, ukwenza isiqiniseko sokuthi igazi labo ligeleza kahle

Ukwelashwa kuzogxila ekubhekaneni nembangela eyisisekelo ye-IUGR. Ngokuya ngesizathu, enye yezindlela zokwelashwa ezilandelayo ingaba wusizo:

Ukwandisa Ukudla Okunezakhamzimba

Lokhu kuqinisekisa ukuthi umbungu wakho uthola ukudla okwanele. Uma ungadlanga ngokwanele, ingane yakho kungenzeka ingabi nezakhi ezanele zokukhula.

Ukuphumula kombhede

Ungahle ubeke ukuphumula embhedeni ukusiza ukuthuthukisa ukusakazwa kombungu wakho.

Ukulethwa Okwenziwayo

Ezimweni ezinzima, ukulethwa ngaphambi kwesikhathi kungadingeka. Lokhu kuvumela udokotela wakho ukuthi angenelele ngaphambi kokuba umonakalo odalwe yi-IUGR ube sibi kakhulu. Ukulethwa okwenziwe ngokuvamile kudingeka kuphela uma umbungu wakho eyeke ukukhula ngokuphelele noma unezinkinga ezinkulu zezokwelapha. Ngokuvamile, udokotela wakho uzokhetha ukukuvumela ukuba kukhule isikhathi eside ngangokunokwenzeka ngaphambi kokubeletha.

Izinkinga ezivela ku-Growth Retardation

Izingane ezinesimo esibi se-IUGR zingafa esibelethweni noma ngesikhathi sokuzalwa. Izingane ezinefomu elibi kakhulu le-IUGR nazo zingaba nezinkinga.

Izingane ezinesisindo esiphansi sokuzalwa zinengozi eyengeziwe yoku:

• ukukhubazeka ekufundeni
• ukubambezeleka kokuthuthukiswa kwezimoto nezenhlalo
• izifo

Ngingayigcina Kanjani Ingane Yami Ekuthuthukiseni Ukukhula Kokukhula?

Azikho izindlela ezaziwayo zokuvimbela i-IUGR. Kodwa-ke, kunezindlela zokunciphisa ingozi yengane yakho.

Kubandakanya:

• ukudla ukudla okunempilo
• ukuthatha amavithamini akho okubeletha, ane-folic acid
• ukugwema izindlela zokuphila ezingenampilo, njengokusebenzisa izidakamizwa, ukusetshenziswa kotshwala nokubhema ugwayi