Njengoba kutholakala ukuthi " insephalopathy ye-perinatal " (PEP), abazali abaningi banamuhla babhekana nengane. Futhi nakuba leli gama elihunyushwe ngesiGreki lisho ukuthi "isifo sobuchopho", ngokuvamile kaningi ngokunakekelwa kahle akusikho okulandelanayo. Lokhu kuthuthukiswa ngokuqhubekayo ngekhono elimangalisayo lomzimba wengane ukuziphilisa nokubuyisela. Ngakho-ke, uma ufunde ngokuxilongwa kwe-PEP enganeni yakho, ungesabi. Ngokuphambene nalokho, abazali manje sekuyisikhathi sokugcina ukuthula kwengqondo - lokhu kuvame ukunikeza ithuba lokubuyisela imvuthu.
I-PEP ebantwaneni: izimbangela nemiphumela
I-encephalopathy ngesikhathi sokubeletha (okungukuthi, kusukela emavikini angu-28 okukhulelwa kuya kwezinsuku ezingu-7 emva kokuzalwa) inemvelaphi ehlukile:
- i-hypox (eyabangelwa yi-oksijeni yindlala ngesikhathi sokuthuthukiswa kwe-intrauterine);
- utshwala (ngenxa yoketshezi utshwala noma izidakamizwa, ikakhulukazi ngesikhathi sokukhulelwa);
- i-bilirubin (ukuphazamiseka ebuchosheni ngenxa yamazinga aphezulu we-bilirubin egazini);
- ischemic (okubangelwa ukujikeleza okungekho emqondweni ebuchosheni bomntwana);
- Isifo sikashukela ("umphumela ohlangothini" wesifo sikashukela).
Ukuqhubeka kulokhu, izimbangela eziyinhloko ze-PEP zicacile: izifo ezingapheli kanye nezifo, indlela engafanele yokuphila komama ozayo, ukukhubazeka kokukhulelwa nokubeletha (toxicosis, usongo lokuphazanyiswa, umsebenzi ophuthumayo noma ophuthumayo, ukuhlukunyezwa kokubeletha, njll). Eqinisweni, ukukhathazeka ngokweqile kungumqondo ongenangqondo kakhulu, kuyisifo sobuchopho, futhi yiziphi izidakamizwa okufanele zicacise futhi zihlukanise, ngokususelwa ekubambeni okuvela kuwo. Ngaphezu kwalokho, kufanele kuqashelwe ukuthi i-neonatologists kanye neurologists bavame ukwenza amaphutha ngokuxilongwa kwe-PEP ezinsana, kusukela ezinsukwini zokuqala ezingu-7 zokuphila kunzima kakhulu ukukwahlulela ngokuqiniseka isimo sompilo wengane, okungukuthi, ngaphandle kokukhala, akunakusho lutho. Ngakho-ke, izingane eziningi ekhadini lokuphulukiswa kweziguli zinezikhombo mayelana nokutholakala esikhathini sokubeletha kwezimpawu zePEP, empeleni, akufanelekile. Odokotela bavele baphinde baqinisekiswe, bahlolisise ukukhathazeka kwengane ezinganeni, ezidlula ngaphandle kokulandelela kakade ezinyangeni ezimbalwa zokuqala zokuphila kweziqu, noma zazingekho ekuqaleni.
Kodwa ngesikhathi esifanayo ukwazi ngemiphumela engenzeka yalesi sifo esibuhlungu kuyadingeka ukuze ukwazi ukubona izimpawu eziyingozi ngesikhathi futhi kuvimbele ukuthuthukiswa kwezinkinga kusuka ohlelweni lwezinzwa. Ngakho-ke, ukuxilongwa kwe-perinatal isifo esiyingozi ngemiphumela enjalo:
- izifo ezivela ohlelweni oluyisisekelo senzwa;
- ukubambezeleka ekuthuthukiseni ingane (ikakhulukazi, isifo sengqondo nokukhuluma);
- ukuthumba ezinganeni ;
- ukwephula emsebenzini wezitho zangaphakathi;
- kungenakwenzeka isikhathi eside ukugxila ukunakwa, ukungabi khona kwama-assiduity.
Izimpawu ze-PET enganeni
Inkambo ye-PEP ihilela isikhathi esiphuthumayo nesokuphumula. Owokuqala uqala kusukela ekuzaleni kuya enyangeni eyodwa, okwesibili - kusuka enyangeni eyodwa kuya ku-1 ngonyaka (noma kuze kube seminyaka engu-2 enganeni engaphambi kwesikhathi). Izimpawu zesifo salezi zikhathi ezimbili zihlukile.
Ngesikhathi esiyinkimbinkimbi, ama-syndromes of oppression ohlelweni lwezinzwa (ukungahambi kahle, ukubuthakathaka kwemisipha, ukuguquka kwezingqondo), ukuxubana, ukwanda kwe-excitability ye-nervous, i-hydrocephalus, i-coma syndrome yizici.
Isikhathi sokutakula sibonakala izimpawu ezifana nokulibaziseka ekuthuthukiseni ingane, ukuphazamiseka kwemoto, ukuphazamiseka emsebenzini wezitho zangaphakathi, isifo sofuba.
Ukwelashwa kwe-PET enganeni
Imibono yabodokotela bezwe lethu mayelana ne-PEP yahlukaniswa yaba ngamaqembu amabili. Abanye bakholelwa ukuthi i-pap yisifo esibucayi esidinga ukwelashwa ngokwemithi, futhi ekuqaleni, kungcono. Abanye bakholelwa ukuthi izilwane zezingane ezimweni eziningi ziyakwazi ukubhekana nale nkinga ngokwayo, futhi lapha kuyadingeka indlela yokulinda nokubona.
Izincwadi zezokwelapha zithi i-PEP idinga ukwelashwa ngezidakamizwa kuphela ngesikhathi esibucayi, ekubuyiseleni, ayisebenzi futhi ingane idinga kuphela ukusikhipha umzimba, physiotherapy, phytotherapy, ukulungiswa kombuso wonyaka. Kunoma yikuphi, indlela yokwelapha inqunywe yi-neurologist esekelwe ubunzima besimiso sesimiso sezinzwa.