Usana oluzelwe kwiiveki ezingama-29 lufikelele kwisahlulo sokuqala sekota yesithathu kwaye luya kuba nethuba elihle lokusinda xa luziswe kwangoko. Inkqubo ye- Ireyithi yama-29 yeeveki zokuphila kwangaphambili iphakathi kwama-90 ukuya kuma-95 epesenti kwaye isifo somntwana sigqwesile.
Ukuphuhliswa komntwana ozelwe kwiiveki ezingama-29
Ikhalenda yokukhulelwa elandelela ukukhula komntwana yindawo elungileyo ukuqala ukuba unomdla wokwazi ngamathuba okusinda komntwana ozelwe kwiiveki ezingama-29. Olu lwazi lunokufumaneka kwi BabyCenter.com Obe sisixhobo esithembekileyo ekudala sikho kwabasetyhini abalindeleyo ngokubhekisele ekukhulelweni nakwimeko yophuhliso lolwazi. Indawo inika ikhalenda eneenkcukacha kwiveki nganyeukukhula komntwana. Ezinye izinto zokwazi zibandakanya:
- Ngokwengqikelelo yokukhula kweBabyCenter yosana kuyo Iveki ye-29 yokukhulelwa, ubunzima bomntwana bumalunga neepawundi ezi-2.5 kwaye unyamezele lonke eli xesha lokukhulelwa ngeenjongo zokufumana ubunzima kunye nokuvumela amalungu akhe ukuba akhule ngakumbi.
- Ukuphela kwekota yesibini yesibini, imveku engekazalwa inamalungu ayo omzimba kunye neenkqubo zomzimba ezihambelanayo kwaye, ngoncedo lwetekhnoloji yale mihla yokuzalwa, ingasinda ekuzalweni iiveki ezingama-23 okanye ezingama-24.
- Ngelishwa, oku akuthethi ukuba zonke iintsana ezizalwe kwangoko ziya kuphila.
- Ngokwezibalo, linye kuphela kwiintsana ezilishumi ezizalwe malunga neeveki ezingama-23 ezinokuphila.
- Iintsana kweli nqanaba lokukhula ziethe-ethe kakhulu, zithambe kangangokuba imithambo yegazi inokugqabhuka xa ijonge ukubakho ngaphandle kwesibeleko.
- Izihloko ezingama-20 zaMantombazana zaZodwa zaBantwana
- Ukuchukumisa kunye nokukhuthaza iiNqaku eziSanda kuzalwa
- Iindidi zokuValwa kweZihlalo zeMoto kwiintsana
Iya kujongeka njani iVeki yePememie yeeveki ezingama-29?
Ngelixa kukhuselekile ukuzala i-preemie ezalwe kwiiveki ezingama-29, baya kuthi bafune isixa esihle sokhathalelo kunye nokuhlala ixesha elide kwi-NICU. Okwangoko umntwana anokulindela ukugoduka ziiveki ezimbalwa ngaphambi komhla wokuqala obekiweyo. Iindaba ezimnandi nge-preemie yeeveki ezingama-29 kukuba amalungu abo akhule kakuhle kweli nqanaba kwaye imizimba yabo sele ikhulile. Ukuba uhambisa i-preemie kwiiveki ezingama-29, baya:
iziselo ezidumileyo uku-odola kwi-bar
- Ukulinganisa malunga neepawundi ze-2.5 kwaye ube phantse ii-intshi ze-16 ubude
- Unamafutha amaninzi agcinwe phantsi kolusu lwawo kodwa asemancinci kakhulu
- Jonga ngakumbi ngathi ziintsana 'zokwenyani'
- Baqala ukuphalaza i-lanugo yabo (iinwele eziphantsi ezigubungela umzimba wosana)
- Banokukwazi ukuqhwanyaza kodwa baya kuhlala bebuthathaka kwizibane eziqaqambileyo kunye nengxolo enkulu
Uninzi lwamawele azalwe kwiiveki ezingama-29 zokumitha zikwanethuba elihle lokusinda kunyango olufanelekileyo. Baya kufuna iiveki ukuya kwiinyanga kwi-NICU.
Iingxaki ezinokubakho ezinxulunyaniswa nosana oluzelwe kwiiveki ezingama-29
Ngexesha umntu ongekazalwa efikelela kwiiveki ezingama-29, umzimba wakhe usuke usomelele kakhulu. Nangona kunjalo, iingxaki zisenokuvela ezibandakanya:
Iingxaki zokuphefumla
Kwiiveki ezimbalwa ezizayo ezikhokelela ekuhanjisweni kwexesha elipheleleyo, umntwana uya kuba nethuba lokuba imiphunga yakhe ikhule kwaye yomelele ukuze ikwazi ukuphefumla ngokuzimeleyo emva kokuzalwa. Iintsana ezizalwe kwiiveki ezimbalwa ngaphambi kwexesha ziya kuhlala zifuna uncedo lomoya wokuphefumla. Oomama abaninzi abalindele ukuhambisa ngaphambi kwexesha, ikakhulu ngenxa yokuphazamiseka okuthile kwezonyango, baya kufumana inaliti ye-steroid ukukhawulezisa ukukhula kwemiphunga yeentsana zabo. Iintsana ezizalwe kwangoko ngesiqhelo ziya kukhutshelwa kwigumbi labantwana abancinci ukuba bondle kwaye baphefumle.
Iingxaki Zentliziyo
Ezona ngxaki zixhaphakileyo zentliziyo patent ductus arteriosus (PDA) engumngxuma phakathi kwe-aorta kunye ne-pulmonary artery edla ngokuzivalela. Ukuba ayenzi njalo, inokukhokelela kwezinye iingxaki ezinje ngokumbombozela kwentliziyo kunye nokusilela kwentliziyo. Enye ingxaki yentliziyo enxulunyaniswa ne-preemie luxinzelelo lwegazi (hypotension) enokufuna uhlengahlengiso kunyango, iv ulwelo okanye utofelo-gazi olunokwenzeka.
Ukungakwazi Ukugcina Ubushushu Bomzimba
Iintshaba azinamafutha omzimba agciniweyo okwangoku ukuze zibambe ubushushu bomzimba. Banokuphulukana nobushushu bomzimba wabo ngokukhawuleza kwaye ukuba ubushushu bomzimba womntwana busezantsi kakhulu, i-hypothermia (ubushushu obuphantsi bomzimba) inokwenzeka. Ukuba i-hypothermia iyenzeka, inokukhokelela kwiingxaki zokuphefumla kunye neswekile esezantsi yegazi. Umntwana ngaphambi kwexesha unokusebenzisa onke amandla afunyenwe ekondleni ukuze afudumale. Esi sizathu sokuba umntwana omncinci ngaphambi kwexesha angadinga ubushushu obongezelelekileyo kwishushu okanye i-incubator de babe nako ukugcina ubushushu bomzimba wabo bebodwa.
Iingxaki zegazi
I-anemia kunye ne-jaundice esandula kuzalwa inxulunyaniswa neentsana ezizelwe ngaphambi kwexesha. I-anemia yimeko eyenzeka xa umzimba wosana ungenayo iiseli ezibomvu zegazi ezaneleyo. I-jaundice esandul 'ukuzalwa kuxa igazi lomntwana line-bilirubin eninzi kwaye ibangela umbala omthubi kulusu lwamehlo nosana.
Iingxaki zeBongo
Ekuqaleni i-preemie izalwa, umngcipheko wokuba ukuphuma kwegazi kwingqondo kwenzeke. Oku kwaziwa njenge-hemorrhage yangaphakathi. Uninzi lweehemorrhages zincinci kwaye zisombulule ngokwazo. Nangona kunjalo, ezinye iintsana zinokuba negazi elikhulu kwingqondo elinokubangela ukwenzakala kwengqondo okungapheliyo.
indlela yokusebenzisa inja isikhonkwane grinder
Iingxaki zesisu
Akuqhelekanga ukuba iintsana ezizalwe ngaphambi kwexesha zibe nenkqubo yokugcoba isisu. Emva kokuba umntwana eqale ukondla, imeko enzima inokuthi yenzeke apho iiseli ezikumtya wamathumbu zenzakeleyo. Oku kubizwa ngokuba yi-necrotizing enterocolitis (NEC). Kukho amathuba asezantsi kakhulu okuba iintsana ezizelwe ngaphambi kwexesha ziphuhlise i-NEC ukuba zifumana ubisi lwebele kuphela.
Usulelo kunye neMicimbi yeNkqubo yokuKhusela iiMzimba
Ukungasebenzi kakuhle komzimba yingxaki eqhelekileyo kwiintsana ezizelwe ngaphambi kwexesha njengoko imizimba yabo ingekabi namandla ngokwaneleyo ukuba ingathatha izinto zendalo. I-thrush yomlomo kunye nosulelo oluqhelekileyo lunokukhathaza iminyaka yokuqala yobomi bomntwana ukuba uye wazalwa ngaphambi kwexesha. Njengokuba umntwana ekhula, inkqubo yakhe inokuqinisa ukoyisa iingxaki ezinjalo, kodwa abazali bosana olungekazalwa kufuneka bathathe iintlungu ezinkulu ukuqinisekisa ukuba ukutya kwabantwana babo kunye nendlela abaphila ngayo ifanelekile kwimpilo edlamkileyo ukukhusela ezo ngxaki.
Ukubaluleka kobisi lwebele lweentshaba
AbantwanaHealth.org upapashe inqaku elichaza iingxaki ezinokubakho kwiintsana ezizelwe ngaphambi kwexesha. Eli nqaku likwagxininisa ukubaluleka kobisi lwebele kwiintshaba ezondlayo kunye nokomeleza amajoni abo omzimba. Iintshaba zichaphazeleka kakhulu kusulelo lwamathumbu, kwaye ubisi lwebele ngumthombo wendalo weeprobiotic bacteria ukongeza kwiintsholongwane ezininzi ezinokulwa nezifo ezithile. Iintsana ezizalwe malunga neeveki ezingama-29 zihlala zibuthathaka kakhulu ukuba zingancancisa, kungoko oomama abaninzi kuya kufuneka bampompe ubisi lwabo ukuze banike iintsana zabo ngombhobho wokutyisa. Le nkqubo, ewe, ayizukuhlala naphakade, kwaye njengoko usana lusomelela, kunokwenzeka ukuba kufezekiswe indlela yesiqhelo yokuncancisa xa sele umntwana ephumile esibhedlele. Musa ukumangaliswa nangona kunjalo ukuba i-preemie yakho yeeveki ezingama-29 ifuna ubisi lwebele luqiniswe ngolunye uhlobo loncedo lwesondlo. Iintsana ezizalwe ekuqaleni kwangoko zihlala zinengxaki yokungabikho kwesondlo, ngenxa yoko indlela eyomeleleyo yentsimbi kunokuba yimfuneko ukuzisa umntwana wakho empilweni.
izinto ezintle onokuzithetha komnye umntu
Ukuqinisekisa kwakhona uMama
Oomama abaninzi abakhulelweyo bayaphazamiseka kwiveki nganye yokukhulelwa, bekhupha umoya wokuqinisekisa nje ukuba umntwana wabo sele edlulile kwiveki enye yokukhulelwa. Kuyinyani ukuba ukuzalwa ngaphambi kwexesha kuqhelekile eUnited States, kodwa amayeza kunye netekhnoloji yenze ukuba uninzi lweentsana ezizalwe ngaphambi kwexesha malunga neeveki ezingama-29 ziya kwenza kakuhle, kwaye lipesenti elincinci kuphela kwezi ntsana eliza kunyamezela iingxaki zempilo ubomi babo bonke ngenxa ukuya kuphuhliso olungonelanga.
Izinto ezongeziweyo zokusinda
Ixesha lokuzala apho umntwana wakho azalwe lixela kakhulu kumathuba akhe okusinda kunye nempilo iyonke. Nangona kunjalo, enye into ebalulekileyo ekumiseleni impilo yosana lwakho ngexesha lokuhanjiswa kwalo sesona sizathu ngoba olu sana luziswe kwangoko. Usana oluzelwe kwiiveki ezingama-30 ngenxa yokungalawulwa ngumamaisifo seswekileunokubonisa imeko yempilo eyahlukileyo kunaleyo yosana oluhanjiswa kwiiveki ezingama-30 ngenxa yomsebenzi ongachazwanga wangaphambi kwexesha. Kubalulekile ukuba oomama abakhulelweyo babeke esweni impilo yabo ngugqirha okanye umbelekisi ngexesha lokukhulelwa kwabo ukuze iimeko zempilo ezikhokelela ekusebenzeni ngaphambi kwexesha zinokuchongwa kwaye ziphathwe ngokukhawuleza.
