Okudingeka Ukwazi Nge-Bulging Fontanel

-Delile

• Ziyini izimbangela zefontianel ekhulayo?
• Ezinye Izimbangela
• Kufanele ngilufune nini usizo lwezokwelashwa?
• Yini engenzeka uma kungaphathwa i-fontanel eqhumayo?
• Yini ongayilindela esibhedlela
• Ingabe ikhona indlela yokuvimbela i-fontanel eqhumayo?
• Ukudla okudlela endlini

Yini i-fontanel enamandla?

I-fontanel, ebizwa nangokuthi i-fontanelle, yaziwa kakhulu njengendawo ethambile. Lapho umntwana ezalwa, ngokuvamile anama-fontanels amaningana lapho amathambo ogebhezi lwawo engakahlangani khona okwamanje. Usana olusanda kuzalwa lunama-fontanels phezulu, emuva, nasezinhlangothini zekhanda lawo.

Imvamisa, kungabonakala futhi kuzwakale kuphela ifontianel yangaphakathi, engaphezulu kwekhanda ngaphambili. Lona obizwa ngendawo ethambile. Kwezinye izingane, i-fontanel yangemuva, etholakala ngemuva kwekhanda, nayo ingazwakala, yize incane kakhulu.

Kubalulekile ukuthi abazali abasha baqonde ukuthi ifontianel ibukeka kanjani futhi izwakala kanjani. Indawo ethambile yengane kufanele izwakale ithambile futhi igobe ngaphakathi kakhulu.

Izinguquko ekubunjweni noma ekubukeni kungaba uphawu lwezinkinga ezinkulu zempilo. Abazali kufanele babheke izindawo ezithambile ezisontekile ngaphandle ekhanda lengane yabo futhi bazizwe beqinile kakhulu. Lokhu kwaziwa njenge-fontanel ekhuphukayo futhi kungaba luphawu lokuvuvukala kobuchopho noma ukwakheka koketshezi ebuchosheni.

I-fontanel ekhukhulayo iyisimo esiphuthumayo. Kungaba wuphawu lwengcindezi ekhuphuka ngaphakathi kogebhezi okungadala ukulimala kwengqondo ekhulayo yengane. Uma ingane yakho ibhekene nalesi sibonakaliso, funa usizo lwezokwelapha ngokushesha.

Ziyini izimbangela zefontianel ekhulayo?

Ezinye zezimbangela ezivame kakhulu ze-fontanel eqhamukayo yilezi:

• i-encephalitis, okuwukuvuvukala kobuchopho okubangelwa ukutheleleka ngegciwane noma ibhaktheriya
• i-hydrocephalus, okuwuketshezi oluningi lobuchopho olukhona lapho luzalwa noma olwenzeka ekulimaleni noma ekuthelelekeni
• i-meningitis, okuwukuvuvukala kobuchopho nezicubu zomgogodla ezibangelwa ukutheleleka ngegciwane noma ibhaktheriya
• i-hypoxic-ischemic encephalopathy, okuwukuvuvukala kobuchopho nokulimala okwenzeka lapho ubuchopho bengane yakho buphucwa umoya-mpilo isikhathi eside
• ukopha okungaphakathi emzimbeni, okuphuma igazi ebuchosheni
• ukuhlukumezeka ekhanda

Ezinye Izimbangela

I-fontanel eqhaqhazelayo ingabangelwa yimibandela eyengeziwe, kanye nezinye eziningi, njengezimbangela ezingaba khona:

• isimila ebuchosheni noma ithumba
• Isifo seLyme, okutheleleka ngamagciwane osithola kumkhaza onegciwane
• Isifo i-Addison, okuyisimo lapho izindlala zakho ze-adrenal zingenzi ama-hormone anele ukuze umzimba wakho usebenze kahle
• ukuminyanisa kwenhliziyo, okuyilapho igazi noketshezi lakhiwa ezingxenyeni zomzimba wakho ngoba inhliziyo yakho ayikwazi ukumpompa igazi elanele
• i-leukemia, okuwumdlavuza wamaseli amhlophe egazi
• ukuphazamiseka kwe-electrolyte, okuyilapho amazinga wegazi lakho lamakhemikhali athile, afana ne-sodium ne-potassium, engalingani
• hyperthyroidism, okuyilapho i-thyroid yakho yenza ama-hormone amaningi kunalokho okudingayo
• isifo se-maple syrup urine, esenzeka lapho umzimba wakho ungakwazi ukwehlukanisa kahle amaprotheni
• i-anemia, okuyisimo lapho igazi lakho lingenayo i-oxygen eyanele

Ezimweni eziningi zalezi zimo, ingane ingaba nezinye izimpawu ngaphezu kwe-fontanel ekhukhulayo futhi kungenzeka igule.

Futhi, kungajwayelekile kakhulu, uma kungavamile, kunoma yikuphi kwalokhu - ngaphandle kwesimila sobuchopho noma ithumba - ukudala i-fontanel ekhukhumezayo, mhlawumbe ngoba isimo asivamile ebuntwaneni noma ngoba isimo senzeka lapho siseyinsana, kepha akuvamile ukuthi sidale ukuqhuma i-fontanel.

Kufanele ngilufune nini usizo lwezokwelashwa?

Kunezici eziningana ezingenza indawo ethambile ibonakale iqhuma lapho empeleni ingekho ingozi. Izinto ezivamile izingane ezizenzayo njengokulala phansi, ukuhlanza, noma ukukhala kungaphutha ngengane yakho ene-fontanel eqhumayo.

Ukunquma ukuthi ngabe usana lwakho empeleni lune-fontanel ebabayo, qala uzame ukuzithulisa, bese uzibeka kahle ukuze ikhanda lazo liqonde. Uma uphumelela ukwenza lokhu futhi indawo ethambile isabonakala ibhebhetheka, funa ukwelashwa kwengane yakho ngokushesha.

Ungalindi ukwenza ukuqokwa kukadokotela. Iya egumbini lezimo eziphuthumayo eliseduze. Lokhu kubaluleke kakhulu uma ingane yakho inemfiva noma ibonakala ilele ngokweqile.

Uma ungenalo udokotela wezingane, ithuluzi le-Healthline FindCare lingakusiza ukuthi ulithole endaweni yangakini.

Yini engenzeka uma kungaphathwa i-fontanel eqhumayo?

Indawo ethambile ekhuphukayo ingaba uphawu lwezimo eziningana ezimbi kakhulu ezingasongela nokuphila. Isibonelo, i-encephalitis, imbangela ejwayelekile yamafonti we-bulging, ingaholela ekulimaleni unomphela kobuchopho noma ngisho nasekufeni ezimweni ezinzima.

Yini ongayilindela esibhedlela

Ngoba kungaba nezincazelo eziningi zalezi zimpawu, udokotela wakho uzoqoqa imininingwane eminingi ngangokunokwenzeka ngesimo sengane yakho.

Udokotela wakho uzohlola usana lwakho ngokomzimba futhi kungenzeka abuze:

• mayelana nomlando wezokwelapha wengane yakho kanye nanoma imiphi imithi
• ukuthi i-bulge ihlala njalo noma ibonakala ijwayelekile kwesinye isikhathi
• lapho uqala ukubona ukubukeka okungavamile kwendawo ethambile

Qiniseka ukuthi utshela udokotela wakho nganoma yiziphi ezinye izimpawu ozibonile, kufaka phakathi:

• ukozela okuphawuliwe
• izinga lokushisa eliphakeme
• ukucasuka okungaphezu kokujwayelekile enganeni yakho

Ngokuya ngezimpendulo ozinikezayo nezinye izimpawu ezingaba khona, udokotela wakho angalawula ukuhlolwa okukodwa noma okungaphezulu, okufana ne-MRI noma i-CT scan, ukuze kutholakale ukuxilongwa.

Ukubhoboza i-Lumbar, noma umpompi womgogodla, nawo ungenziwa. Lokhu kuhilela ukuthatha isampula loketshezi lwe-cerebrospinal kusuka emgogodleni ophansi wengane yakho ukuhlola izifo nokutheleleka ohlelweni lwazo lwezinzwa.

Ukwelashwa kuzoya ngesizathu esiyimbangela yezimpawu zengane yakho.

Ingabe ikhona indlela yokuvimbela i-fontanel eqhumayo?

Ayikho indlela ecacile yokuvimbela ama-fontanels ekuqhumeni. Lokhu kungenxa yokuthi lesi sifo sinezimbangela eziningi ezingaba khona.

Ngemininingwane etholakalayo, abazali nabanye abanakekeli bangasiqonda kangcono lesi sibonakaliso. Isibonelo, kungabasiza bahlukanise phakathi kwendawo ethambile ebonakala sengathi iyaqhuma okwesikhashana naleyo ephumayo.

Kodwa-ke, noma imininingwane itholakala, kubalulekile ukuthi abazali nabanye abanakekeli baxhumane nodokotela wengane yabo uma benemibuzo noma ukukhathazeka mayelana ne-fontanel ebabazekayo.

Ukudla okudlela endlini

I-fontanel eqhamukayo yisimo esiphuthumayo sezokwelapha esidinga ukuvakashelwa esibhedlela. Lapho usukhona, udokotela wakho anganquma izimbangela ezingaba khona kanye nezindlela ezifanele zokwelashwa.

Ngenkathi i-fontanel ekhuphukayo inezici ezithile, shayela udokotela wezingane wengane yakho uma unokungabaza.