Ukutheleleka Enganeni Engakazalwa

Ingane engakabi yisikhathi ingathola izifo cishe kunoma iyiphi ingxenye yomzimba; izindawo ezivame kakhulu zibandakanya igazi, amaphaphu, ulwelwesi lobuchopho nomgogodla, isikhumba, izinso, isinye, namathumbu.

Ingane ingathola ukutheleleka esibelethweni (ngenkathi isesibelethweni) lapho amagciwane noma amagciwane edluliswa evela egazini likamama nge-placenta nentambo yenkaba.

Ukutheleleka kungabuye kutholwe ngesikhathi sokuzalwa kusuka kubhaktheriya bemvelo elihlala ezithweni zangasese, kanye namanye amabhaktheriya ayingozi namagciwane.

Okokugcina, ezinye izingane ziba nezifo ngemuva kokuzalwa, ngemuva kwezinsuku noma amasonto ku-NICU.

Akunandaba noma ngabe kutholakala kuphi ukutheleleka, ukutheleleka ezinganeni ezizalwe ngaphambi kwesikhathi kunzima ukwelapha ngezizathu ezimbili:

• Ingane engakazalwa inamasosha omzimba angakakhuli kahle (nama-antibodies ambalwa avela kunina) kunengane ephelele. Amasosha omzimba kanye namasosha omzimba yizona zinto ezivikela umzimba ekuthelelekeni.
• Ingane engakazalwa ngaphambi kwesikhathi ivame ukudinga izinqubo zokwelashwa ezibandakanya ukufakwa kolayini (IV) abasebenza emithanjeni, ama-catheters, namashubhu endotracheal futhi mhlawumbe nosizo oluvela kumshini wokuphefumula. Njalo lapho kwenziwa inqubo, kunethuba lokwethula amabhaktheriya, amagciwane, noma isikhunta ohlelweni lomntwana.

Uma ingane yakho inegciwane, ungabona ezinye noma zonke izimpawu ezilandelayo:

• ukungaqapheli noma umsebenzi;
• kunzima ukubekezelela ukuphakelwa;
• imisipha ephansi (i-floppy);
• ukungakwazi ukugcina ukushisa komzimba;
• umbala wesikhumba okhanyayo noma onamabala, noma umbala ophuzi esikhunjeni (i-jaundice);
• ukushaya kwenhliziyo okuhamba kancane; noma
• i-apnea (izikhathi lapho ingane iyeka ukuphefumula).

Lezi zimpawu zingaba mnene noma zenze amadlingozi, ngokuya ngobukhulu besifo.

Ngokushesha nje lapho kuba nokusola ukuthi ingane yakho inegciwane, abasebenzi be-NICU bathola amasampula egazi futhi, imvamisa, umchamo noketshezi lomgogodla abazowuthumela elabhorethri ukuthi iwuhlole. Kungathatha amahora angama-24 kuye kwangama-48 ngaphambi kokuthi ucwaningo lwelabhoratri lukhombise noma ibuphi ubufakazi bokutheleleka. Uma kunobufakazi bokutheleleka, ingane yakho ilashwa ngama-antibiotic; Uketshezi lwe-IV, i-oxygen, noma imishini engenisa umoya (usizo oluvela emshinini wokuphefumula) nakho kungadingeka.

Yize ezinye izifo zingaba zimbi impela, iningi liphendula kahle kuma-antibiotic. Lapho ingane yakho yelashwa ngaphambi kwesikhathi, kuba ngcono amathuba okulwa ngempumelelo nokutheleleka.