Ukuthintela iHemorrhage ye-Intraventricular (IVH) Kwiintshaba

Ukumisa IVH Ngaphambi kokuba kuqale

IVH?

I-hemorrhage, okanye i-IVH, iyinkxalabo yokubeleka kwangaphambi kokuzalwa kwangaphambili. Ku-IVH, imithwalo yegazi ephosakeleyo engqondweni ye-preemie iqalisa ukuphula okanye ukuvuza, kubangele ukuphaphaza kwiimvelo zengqondo. I-IVH ingaba yinyameko okanye inzima, kuxhomekeke ekuphumeni kwegazi. Amatyala amancinci angenayo nayiphi na imiphumo engapheliyo, kodwa i-IVH enamandla ingabangela ukukhubazeka komzimba okanye kwengqondo, kwaye iyakwazi nokuba yingozi.

Ngelishwa, akukho ndlela yokumisa i-IV xa sele iqalile. Ionyango ze-IVH zijolise iimpawu kodwa ayikwazi ukuphilisa igazi. Indlela yodwa yokukhusela iingxaki zempilo zexesha elide ezihambelana noVH kukuthintela ukuphuma kwegazi.

Ukuthintela IVH

Ngenxa yokuba iintsana ezingaphambi kwexesha zineemithwalo yegazi ephosakeleyo ebunzini babo, akukho ndlela eqinisekileyo yokukhusela onke amacala e-intraventricular hemorrhage. Ezinye izitha, kunye nokunyamekela okulungileyo, ziya kuphuma kwiibilini zazo. Nangona kunjalo, kukho ukungenelela ngoncedo lwezokwelapha kunye noluncedo olunganciphisa amathuba omntwana wokuphuhlisa i-IVH:

1. Ukuthintela ukuzalwa kwangaphambi kokuqala: Ukuqhaqhaqhaqhaqhaqha kakhulu kwimeko ebalulekileyo yengozi ye-IV, ukwenjenjalo ukuthintela ukungqungquthela yindlela efanelekileyo yokukhusela i-IVH. Uninzi lwegazi lwenzeka kwiintsana ezizalwe ngaphantsi kwamaviki angama-30 okanye ubunzima obungaphantsi kwe-1500 grams (3 lbs 5 oz). Ukunakekelwa kwangaphambi kokubeleka kwangaphambili kwanokuncedisa ukubonelela nayiphi na ingozi yokuzalwa kwangaphambi kokuzalwa ukuze oogqirha bakwazi ukucwangcisa unyango lwabo ngokufanelekileyo.

1. Nika i-steroids ngexesha lokukhulelwa: I-Steroids sele inikwe abafazi abakhulelweyo abasengozini yokuzalwa ngaphambi kokuzalwa ukuze bancede imiphunga yomntwana ikhule ngokukhawuleza. Izifundo zakutsha zibonise ukuba, ngaphezu kokunceda imiphunga yomntwana, i-steroids ngexesha lokukhulelwa kunokunceda ukunciphisa ingozi yomntwana we-IVH.
2. Sebenzisa ulondolozo lwentlalo: ezininzi iindlela zokuthintela i-IV kufuneka zenziwe ngogqirha kunye nabahlengikazi, kodwa abazali badlala inxaxheba enkulu ekuncedeni nophuhliso loluntu. Ukugcina indawo ekhulileyo, emnyama efana nesibeleko kunokwenzeka ukuba yintloko. Iingubo zobumnyama phezu kwe-incubator kunye nexesha elininzi lokulala nokukhula phakathi kokunyamekela unyango kunokunceda ukunciphisa ukukhuthazwa nokukhusela ii-IVH. Kuyinto engokwemvelo ukufuna ukusebenzisana nomntwana wakho rhoqo, kodwa ukugcina ukusebenzisana kwakho mfutshane kunye nokusabalalisa kwiintsuku zokuqala kungcono ekuphuhlisweni kwakho kwangaphambili.

1. Ukukhawuleza intambo yokubethelela intambo: Kuqhelekile ukuphoqa nokunqanda intambo yomntwana emva kokuzalwa komntwana. Nangona kunjalo, uphando olutsha lubonise inani leenzuzo zokulinda okungenani imizuzwana engama-30 phambi kokubetha intambo, kubandakanywa umngcipheko we-IVH.
2. Gcina uxinzelelo lwegazi ngokusondeleyo: I- low and high blood pressure kwiintsuku zokuqala zobomi yimiba yomngcipheko we-intraventricular hemorrhage. Kuya kuqonda ukuba ukusebenzisa imishanguzo yokuzinzisa uxinzelelo lwegazi kuya kunciphisa umngcipheko, kodwa oku akunjalo ngaso sonke isikhathi. Ukugcina iliso elisondeleyo kwixinzelelo legazi lomntwana kwaye lingenelela kuphela xa kuyimfuneko ukuba ibe yindlela engcono.
3. Gcina iintloko kwindawo engathathi hlangothi: Ukugcina intloko yengane ngokuhambelana nomzimba kunokunceda ukuqinisekisa ukuba ukuhamba kwegazi kuya kwengqondo, kwaye kunokukunceda ukukhusela i-IV kwimini yokuqala yobomi. Iintsana zinokuthi zibekwe emhlane, kwimivumbo yazo, okanye emacaleni abo, ngoxa nje iinjunu zabo zihambelana nentambo yazo.

_Imithombo:

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_{Malusky, S. & Donze, A. (2011). Ukubekwa kwetloko ezingathathi hlangothi kwiintsana ezingakabantwana ngaphambi kokungenwa kwesithintelo sokumisa isisu: Uhlolo olusekeke kwisiseko. Network Network. 30 (6), 381-390.}

_{Nist, M., Backes, C., Moorehead, P., & Wispe, J. (2012). Ukuxhaswa kwexinzelelo lwegazi kwiintsana ezisezantsi kakhulu zokuzalwa iintsana ngeveki yokuqala yobomi. Ukuphucula ukuNakekelwa kweNonatal. 12 (3): 158- 163.}

_{Ikholeji yase-American College of Obstetricians kunye neGynecologists. (2012). Isikhathi sokubamba intambo emva kokuzalwa. I-Obstetrics & Gynecology. 120 (6): 1522-1526.}