Izimbangela eziyinhloko zokufa kwezingane - kusuka ezingozini kuya ekuguleni
Siyazi okuningi manje kunanini ngaphambili ukuthi izingane zifa kanjani eMelika. Ukunakekelwa kokubeletha kanye nokwelashwa kwezingane ezithandwayo sekuye kwaba ukukhetha okuvamile phakathi kwemindeni yabantwana abagula kakhulu, kanti iphesenti labantwana abafa ekhaya liye lakhula njalo.
I-National Hospice and Palliative Care Organization (i-NHPCO) yakhipha umbiko "I-NHPCO Facts and Figures: I-Pediatric Palliative Care ne-Hospice Care eMelika" ngo-2009 eyahlola ukuthi abantwana baseMelika bafa kanjani.
Ukubuyekezwa kwamaphuzu kanye nezibalo ezinikezile kusiza ekukhanyeni ukushona kwabantwana e-United States.
Zingaki Ukufa Kwabantwana Abantwana AbaseMelika
Ngo-2005 kwaba khona ukufa kuka-53,552 kubantwana baseMelika, okwakungamaphesenti angu-2.2 abo bonke abafa kulo nyaka. Kancane kancane ingxenye engaphezu kwengu-50 yokufa kwengane ivela ebuntwaneni , kanti izingane ezizalwa kumama omnyama zivame ukufa kabili kunabantwana ababelethwe omama abamhlophe nabaseSpain.
Izimbangela Eziyinhloko Zokufa Kwezingane
Izimbangela zokufa ebuntwaneni ziyahlukahluka ezinsaneni ezinyangeni ezingu-0-12 kanye nezingane ezineminyaka engu-1-19 ubudala. Ukufa okungekho emthethweni kungavamile ezinganeni kodwa kuyimbangela ehamba phambili yokufa ezinganeni 1-19 ubudala. Ake sibheke izimbangela ezihlukahlukene zokufa ngeqembu lobudala.
Izimbangela eziyinhloko zokufa ezinganeni zibandakanya ukukhubazeka kwe-ongenital (amaphesenti angu-19.5), isisu esifushane noma ukuzala okuphansi (amaphesenti angu-16.5), i-Sudden Infant Death Syndrome (amaphesenti angu-7.4), izinkinga zomama (amaphesenti angu-6.3), izinkinga ze-placenta, intambo noma izibilini (Amaphesenti angu-4), noma izingozi noma ukulimala okungenhloso (amaphesenti angu-4).
Izingozi ziphakamisa izimbangela eziyinhloko zokufa komntwana (iminyaka engu-1-19 ubudala) kulandelwa ukuhlaselwa, ukulimala (umdlavuza), ukuzibulala, ukulimala kokuzalwa, ukukhubazeka kwe-chromosomal (Down syndrome, njll), izifo zesifo kanye nezifo zesifo somzimba . Kancane kancane ingxenye engaphezu kwengxenye yokufa ebuntwaneni ihlukaniswa njengengozi (amaphesenti angu-53).
Izimo Eziyinkimbinkimbi Eziyinkimbinkimbi Ebuntwaneni
Izimo ezingapheliyo (CCC) ebuntwaneni zingabangela umndeni ukuba ufune ukunakekelwa ngokucophelela noma ukunakekelwa kwe-hospice. Izimbangela zokufa ezivela emiphakathini engapheli zihluke futhi ezinsaneni ezihambisana nezingane ezineminyaka engu-1-19 ubudala.
Izimbangela eziyinhloko zokufa ezinganeni ezisuka eCCC zihlanganisa izimo zenhliziyo (amaphesenti angu-32), izimo zokubeletha / izakhi zofuzo (amaphesenti angu-26), izimo zokuphefumula (amaphesenti angu-17) nezimo ze-neuromuscular (amaphesenti angu-14).
Izimbangela eziyinhloko zokufa ebuntwaneni kusukela kuCCC zihlanganisa ukulimala ( umdlavuza ) (amaphesenti angu-43), izimo ze-neuromuscular (amaphesenti angu-23) nezimo zenhliziyo (amaphesenti angu-17).
Ngokuthuthuka kwezobuchwepheshe bezokwelapha kanye nezidingo zezingane, abantwana abanezimo eziyinkimbinkimbi ezinzima baphila isikhathi eside. Noma kunjalo, ucwaningo lucabanga ukuthi kunezingane eziyi-8 600 ezifanele ukunakekelwa esibhedlela nganoma yiluphi usuku olunikeziwe, kodwa inamba encane yeziguli nemindeni iyayisebenzisa ngempela.
Lapho Izingane Ziya khona
Naphezu kwedatha yomlando ebonisa ukuthi abazali abangamaphesenti angama-70 bangathanda ukuthi ingane egula noma emele ukufa ekhaya, iningi lazingane lifa esibhedlela ku-ICU setting. Iphesenti labantwana abafa ekhaya liyakhula ngokuhamba kwesikhathi, kanti nezinhlelo zokunakekelwa kwezingane zokubeletha ezikhulayo zikhula, lo mkhuba uzoqhubeka.
Ngo-2003, amaphesenti angu-18.2 wezingane ezineminyaka engama-0-19 efile ekhaya uma kuqhathaniswa namaphesenti angu-10.1 kuphela ngo-1989.
Idatha eyengeziwe ibonisa ukuthi izingane ezinamnyama nezaseSpanishi zingenakufa ekhaya kunabantwana abamhlophe. Kuvame kakhulu ukuthi izingane ezingxenyeni ezisentshonalanga yezwe zife ekhaya kunezingane ezingxenyeni ezisenyakatho-mpumalanga yezwe.
Ukunakekelwa kweSikhungo Sokunakekelwa Kwezingane
Izinhlangano eziningi zokwelapha zinikeza izinsizakalo zezingane, noma ngeqembu elikhethekile noma ngenkontileka yangaphandle. Amaphesenti angaba ngu-56,9 ama-ejensi okubhedlela aphendule isicelo sokucwaninga ayekade ehlinzekela iziguli ezitholakala ku-1-10 ngonyaka odlule.
Iphesenti elingezansi alikhathalele lutho, futhi bambalwa kakhulu abanakekela iziguli ezingaphezu kuka-10 zezingane.
Umthombo: UFriebert S. NHPCO Amanani Nezibalo: Ukunakekelwa Kwezingane Zama-Palliative and Hospice eMelika. I-Alexandria, VA: I-National Hospice ne-Palliative Care Organization, ngo-Ephreli 2009.