Ukuvimbela Ukubhujiswa Kwesikhashana (IVH) Ezenzweni

Ukumisa IVH Ngaphambi Kokuqala

Kuyini i-IV?

Ukuzibulala ngokwemvelo, noma IVH, kuyinkimbinkimbi yokubeletha ngaphambi kwesikhathi okungaba yingozi kakhulu. Ku-IVH, izitsha zegazi ezibuthakathaka ebuchosheni be-preemie ziqala ukuphuka noma ukuvuza, okubangelwa ukuphuma kwegazi ezingxenyeni zobuchopho. IVH ingaba mnene noma inzima, kuye ngokuthi kungakanani ukuphuma kwegazi okwamanje. Amacala amancane angase abe nemiphumela ehlala njalo, kodwa IVH enamandla ingabangela ukukhubazeka komzimba noma kwengqondo impilo yonke, futhi ingaba yingozi.

Ngeshwa, ayikho indlela yokumisa i-IV uma iqalile. Ukwelashwa kwe-IVH kuhlose izimpawu kodwa awukwazi ukuphulukisa igazi. Indlela kuphela yokuvimbela izinkinga zempilo yesikhathi eside ezihlobene ne-IVH ukuvimbela ukuphuma kwegazi ngokwayo.

Ukuvimbela IVH

Ngenxa yokuthi izingane ezingakafiki zisenemithwalo yegazi enesibindi ebuchosheni babo, ayikho indlela eqinisekile yokuvimbela wonke amacala wegazi elibangelwa yi-intraventricular hemorrhage. Ezinye izitha, ngisho nokunakekelwa okuhle, zizophuma ezinhliziyweni zazo. Kodwa-ke, kukhona ukungenelela kwezokwelapha nokwelapha okunganciphisa amathuba omntwana wokuthuthukisa i-IVH:

1. Vimbela ukubeletha ngaphambi kwesikhathi: Ukuqeda isimo sokuqeda ngokweqile kuyona engozini enkulu engozini ye-IVH, ngakho ukuvimbela ukuguqulwa kwemvelo kuyindlela engcono kakhulu yokuvimbela i-IVH. Iningi legazi lenzeke ezinganeni ezingezansi kwamasonto angama-30 isisu noma isisindo esingaphansi kuka-1500 amagremu (3 lbs 5 oz). Ukunakekelwa kokubeletha okuqala nokujwayelekile kuzokusiza ukubona ukuthi yiziphi izinto eziyingozi zokubeletha ngaphambi kwesikhathi ukuze odokotela bakwazi ukuhlela imithi yabo ngendlela efanele.

1. Nika i-steroids ngesikhathi sokukhulelwa: Sekuyisikhathi eside i-Steroids inikezwa kwabesifazane abakhulelwe abasengozini yokuzalwa ngaphambi kwesikhathi ukusiza amaphaphu omntwana ukuba avuthwe ngokushesha. Ucwaningo lwamuva luye lwabonisa ukuthi, ngaphezu kokusiza amaphaphu wengane, i-steroids ngesikhathi sokukhulelwa kungasiza ukunciphisa ingozi yengane ye-IVH.
2. Sebenzisa ukunakekelwa kwentuthuko: Iningi lamanyathelo okuvimbela i-IV kufanele lenziwe odokotela nabahlengikazi, kodwa abazali badlala indima enkulu ekusizeni ukunakekelwa kwentuthuko. Ukulondoloza indawo enokuthula, eyimnyama efana nesibeletho ngangokunokwenzeka yisihluthulelo. Ama-blank blankets phezu kwe-incubator kanye nesikhathi esiningi sokulala nokukhula phakathi kokunakekelwa kwezokwelapha kungasiza ukunciphisa ukugqugquzela nokuvimbela IVH. Kungokwemvelo ukuthi ufuna ukuxhumana nomntanakho kaningi, kodwa ukugcina ukusebenzisana kwakho kufushane futhi kuhlukaniswe ezinsukwini zokuqala kungcono ukuthuthukiswa kwakho kwe-preemie.

1. Ukudambisa umgudu wokugwedla umlomo: Kuvame ukuphoqa futhi ukusika umntanami ngemuva kokuzalwa kwengane. Noma kunjalo, ucwaningo olusha luye lwabonisa izinzuzo eziningana zokulinda okungenani amasekhondi angu-30 ngaphambi kokubopha intambo, kuhlanganise nengozi encane ye-IVH.
2. Ukuqapha ukucindezeleka kwegazi eduze: Ukucindezeleka kwegazi okuphansi futhi okuphakeme ezinsukwini zokuqala zokuphila yizinto zombili ezingozini zokungena kwegazi. Kungaba kuhle ukuthi ukusebenzisa imishanguzo yokuqiniswa kwengcindezi yegazi kunganciphisa ingozi, kodwa lokhu akusiyo njalo njalo. Ukubheka iso lokucindezela kwegazi lomntwana futhi kungenele kuphela lapho kudingeke kube yindlela engcono kakhulu.
3. Gcina izinhloko endaweni yokungathathi hlangothi: Ukugcina ikhanda lomntwana ngokuvumelana nomzimba kungasiza ukuqinisekisa ukuthi ngisho nokugeleza kwegazi kuya ebuchosheni, futhi kungasiza ukuvimbela IVH ezinsukwini zokuqala zokuphila. Amantombazane angase abekwe emhlane, emithonjeni yabo, noma ezinhlangothini zawo, uma nje isikhumba sabo sihambisana nomsindo wabo.

_Imithombo:

_{Bassan, H. (2009). Ukwehla kwesisu emntwaneni ongaphambi kokuzalwa: Ukuyiqonda, ukuyivimbela. Imitholampilo e-Perinatology. 36 (4): 737-62.}

_{Malusky, S. & Donze, A. (2011). Ukubekwa kwekhanda elingathathi hlangothi ezinganeni ezingakabiphi isikhathi sokuvimbela ukuvimbela isisu: Ukubuyekezwa okusekelwe ebufakazini. Inethiwekhi ye-Neonatal. 30 (6), 381-390.}

_{Nist, M., Backes, C., Moorehead, P., & Wispe, J. (2012). Ukuxhaswa kwengcindezi yegazi emncintiswaneni ophansi kakhulu wokubeletha phakathi nesonto lokuqala lokuphila. Intuthuko Ekunakekelweni Kwangasese. 12 (3): 158- 163.}

_{Ikhomishana YaseMelika Yezinambuzane Nezazi ZamaGynecologists. (2012). Isikhathi senkambo yomgogodla ukuphoqa ngemuva kokuzalwa. I-Obstetrics & Gynecology. 120 (6): 1522-1526.}