Lapho nje umntwana ezalwa, uhlolwe odokotela. I-PEP ezisanda kuzalwa ingenye yezifo ezivame kakhulu namuhla. Ngokuvamile lo mbhalo ubonakala ekhadini lomntwana, kodwa abazali abatholi incazelo efanele okufanele bakwenze.
Kuyini i-PEP?
Isifinyezo se-PEP sisho ukuxilongwa kwe-perinatal encephalopathy . Uma uhumusha igama kusukela olimini lwesayensi ukuya olimini olulula, kuvela ukuthi ingane inezinkinga zobuchopho ezenzeka ngesikhathi sokuthuthukiswa esibelethweni noma ekuzalweni. Kodwa incazelo ecacile yokuthi lokhu kuphulwa kwatholakala kanjani, futhi uhlobo luni lomlingiswa abanalo, ukuxilongwa okunjalo akusho. Ngaphansi kwegama le-PEP angakwazi ukufihla njengesifo esibi kakhulu sesimiso sezinzwa, futhi isifiso esilula sokuba udokotela wezingane aphinde aqinisekiswe.
Ngokuvamile ukunqotshwa kwesimiso sezinzwa zomntwana kwenzeka ngenxa yokuphefumula kwe-oxygen yobuchopho noma ukunikezwa kwegazi okungalungile. Futhi, ukuphulwa kungenzeka ngenxa yokulimala ngesikhathi sokubeletha.
Ukuxilongwa kwe-PET ezinsana kuvame ukwenziwa udokotela wezingane ngesisekelo sezimpawu zomtholampilo:
- ukuziphatha okukhubazekile: ukuphelelwa ngokweqile, noma, ngokuphambene, umsebenzi;
- ejwayelekile, eqinile, ehlala isikhathi eside ekhala ngenxa yesizathu esicacile;
- ukuphindaphindiwe nokuvame ukuphindaphindiwe, ngokuvamile umthombo, ngezinye izikhathi ngaphambi kokudla, okungeke kuchazwe ngokudla okulula okulula;
- ukulahlekelwa kwesisindo;
- ukuguqulwa kokuqala;
- izinkinga ngesikhathi sokukhulelwa (i-anemia, ukungena komthambo wezintambo noma i-knot, ukutheleleka kwe-intrauterine, njll);
- ukuhlukunyezwa ngesikhathi sokubeletha;
- ukwephulwa kwemisebenzi yesigcawu semathunjini;
- ukuthuthumela komkhuhlane.
Abazali abasha kufanele bakhumbule ukuthi izimpawu zibalulekile uma ziphindaphindiwe. Lokhu kungukuthi, uma ingane ingenye vyrgnul noma i-pokapriznichal encane - lokhu cishe akusona isizathu sokukhathazeka. Kodwa uma izimpawu zihlelekile, kubalulekile ukuthi utshele udokotela.
Ngemva kokuba udokotela wezingane ebone ingozi ye- PEP esemntwaneni , uthumela umntwana ukuba ahlole isazi sezinzwa. Ngaphezu kwalokho, udokotela ubeka izinqubo, futhi ngezinye izikhathi imithi.
Ukwelashwa kwe-PET ezinsana ezisanda kuzalwa
In encephalopathy yezifo ezintathu eziyinhloko ziyahlukaniswa:
- Isikhathi esibucayi (kusukela ekuzaleni kuya enyangeni eyodwa).
- Isikhathi sokuphumula (kusukela enyangeni eyodwa kuya kweyesi-2 ukuya ezinsana ezisencane kuze kufike ku-1 ngonyaka ngezinsana ezisesikhathini).
- Umphumela wesifo.
Ukwelashwa kuncike esigabeni se-PET. Ngenyanga yokuqala, ukwelashwa kuyasebenza, esigabeni sesibili i-physiotherapy isetshenziswa kaningi. Ukuzibulala nge-PEP ezisanda kuzalwa kungenye yezindlela eziphumelelayo kakhulu zokubuyisela isimiso sezinzwa. Kodwa kufanele kwenziwe ngumsebenzi osebenzisa amasu akhethekile.
Futhi, ukusebenzisa imithi kanye nezinqubo kuxhomeke ekuguleni okuqondile kwengane. I-PEP ingumqondo oqoqwe, uhlanganisa ukuhlukunyezwa okuningi okuhlukene, akuzona zonke eziyingozi ngempela.
Kukhona iqembu eliyingozi le-PEP ezinsana ezisanda kuzalwa, kubandakanya izingane ezinenkinga ngesikhathi sokuzalwa. Azikho isikhathi esinqunyiwe sokuphelelwa yikhomba yocingo, okubangela izinkinga. Kwenzeka ukuthi odokotela bangena ekuxilongweni kwengane ekhadini lomntwana ngoba ingane isengozini, ngisho noma ingane ingenayo izimpawu ezibonakalayo.
Imiphumela ye-PET ezinsana
Uma ukuxilongwa kwesifo sokubeletha kutholakala ngesikhathi futhi ukwelashwa okufanelekile, kungase kube nemiphumela esikhathini esizayo. Ngokwelashwa okungagunyaziwe, kungenzeka kube nokulibaziseka ekukhulumeni nasekuthuthukisweni kwezimoto, ukungahloniphi,
I-PEP iyichungechunge elingaqondakali kahle, lingase lifihle izifo ezihlukahlukene, ngakho udokotela oqeqeshiwe kufanele anikeze ukwelashwa. Ngokuvamile, odokotela abagijimeli ukuchazela abazali ukuthi yikuphi: I-PEP ezinsana ezisanda kuzalwa, okubangela ukuba omama nabazali abasha bathuke. Ungasheshi ukuthukuthela, mhlawumbe ingane yakho idinga iseluleko esengeziwe esivela ku-neurologist ofanelekayo. Into eyinhloko ukuthi abazali baseduze komntwana futhi balungele ukumsiza, okusho ukuthi ndawonye bangakwazi ukubhekana nalesi sifo.