I-Hypoglycemia ezinganeni ezisanda kuzalwa: yini eyingozi futhi yiziphi izindlela okufanele zithathwe?

Ngemuva kokuzalwa kwengane obekulindelwe isikhathi eside, abazali bamzungeza ngokunakekela nokunaka. Ezinyangeni zokuqala ngemuva kokuzalwa, kufanele baqaphele inhlala-kahle yakhe nempilo yakhe.

Iphuzu elibalulekile lizinga likashukela egazini lengane.

Kubalulekile ukuyilawula ukuze ugweme imiphumela engathandeki, engafaka ukulimala kobuchopho obukhulu. Lo mbhalo uzosiza ekuqondeni ukuthi yiluphi ushukela wegazi ophansi osanda kuzalwa olugcwele.

Izizathu

Ezinsukwini zokuqala ngemuva kokuzalwa kwengane, umama kungenzeka angakhathazeki ngempilo yakhe, ngoba ngalesi sikhathi odokotela bazobe beseduzane futhi bezokwazi ukulawula inhlala-kahle yakhe.

Okokuqala, abasebenzi bezokwelapha kufanele baqiniseke ukuthi ingane idla kahle futhi ithathe ukudla okutholile.

Kuyo yonke inkathi yokuhlala odongeni lwesikhungo sezokwelapha, udokotela ohlinzayo kuzodingeka ahlole ukugcwala kweglucose egazini lakhe. Lokhu kusiza ukubona izinkinga ngesikhathi somzimba wosana olusanda kuzalwa.

Ezinyangeni ezimbalwa zokuqala zokuphila, ingane ithola ushukela kubisi lwebele, oluthathwa njengomthombo wezinto ezinempilo nezinempilo. Njengomthetho, izinga loshukela likhuphuka ngokushesha ngemuva kokuzwa kokugcwala.

Ngemuva kokudlula inani elithile lesikhathi phakathi kokudla, kuzwakala umuzwa wendlala, ohambisana nokuncipha kokuxineka okukhulu kwe-glucose.

Ngasikhathi sinye, izinga likashukela lingalawulwa ngamahomoni, ikakhulukazi, i-insulin, ekhiqizwa yi-pancreas futhi isize amanye amaseli ukuthatha i-dextrose ukuze kugcinwe okunye.

Lapho umzimba usebenza futhi kungekho ukungasebenzi kahle, ama-hormone agcina izinga leshukela elamukelekile lingaphansi kwemingcele evamile. Uma lokhu kulinganisela kuphazamiseka, khona-ke kukhona ingozi ushukela ophansi kosana olusanda kuzalwa.

Izingane eziningi eziphilile ezingenazinkinga ezinkulu zempilo zingabekezelela amazinga amancane kashukela egazini ngokujwayelekile. Imvamisa, ingane ebancelwayo izodla kuphela uma kukhona umuzwa wendlala. Kodwa-ke, ezinye izingane zisengozini enkulu. Lokhu kusebenza kuphela kulabo omama babo abanesifo sikashukela.
Izidalwa zazo zingakhiqiza inani elikhulu le-insulin, elizenza zinqunyelwe emazingeni kashukela aphansi.

Uma usana olusanda kuzalwa lunoshukela wegazi ophansi, izizathu zalokhu zingaba ngale ndlela elandelayo:

• uzalwe ngaphambi kwesikhathi futhi unesisindo somzimba;
• wayenobunzima bokuphefumula ngesikhathi sokuzalwa kwakhe;
• wahlushwa i-hypothermia;
• unesifo esithathelwanayo.

Ushukela ophansi osanda kuzalwa: yini egcwala?

Ushukela omncane wegazi ezinsaneni ezisanda kuzalwa uyingozi ngqo ezinganeni ezisheshe zanda ezinesisindo esincane kakhulu.

Lokhu kuchazwa yukuthi ukuthi incanca yesisu isesiswini sikamama, lokho kungaguquki kakhulu empilweni yokuphila okuzimele.

Ushukela omncane wegazi kosana osanda kuzalwa ungakhombisa izinkinga ezinkulu zempilo. Uma izinga likashukela lehla lifinyelela ezingeni le-2.3 mmol ilitha ngalinye legazi, khona-ke kunesidingo esiphuthumayo sokukhala komsindo.

Kaningi, izingane ezinale ukugula esibelethweni zazo zimane zife lapho zizala. Kungenxa yalesi sizathu le nto eyisihluthulelo phakathi kwezinye izimbangela zokufa kokuqala kwezingane ezisanda kuzalwa. Esimweni lapho kutholakala khona ukuthi une-diagnostic, kufanele uqale ngokushesha ukwelashwa okufanele.
Uma ungathathi izinyathelo zokwelapha i-hypoglycemia, khona-ke kungaba nemiphumela emibi kakhulu. Enye yazo i-cerebral palsy.

Kukhona nengozi yokubuyiselwa emuva ekukhuleni kwengqondo nangokomzimba, okubonakala kakhulu ngemuva kokudlula kwesikhathi esithile.

Ukuze unqande ukugula, abazali kanye nengane kuyodingeka babhekane nobunzima obuthile obuzovela endleleni enqubekweni yokwelashwa ngamasu amasha.

Izimpawu

Izimbangela zikashukela ophansi zisho ubulukhuni balesi sifo.

Ngokuqondene nezimpawu, okuphinyiselwe kakhulu kungabizwa:

• iminyakazo nokuqhaqhazela;
• ukujuluka kanye ne-palpitations.
• ukozela nendlala.

Imininingwane Yokuphazamiseka

Ushukela omncane wegazi osanda kuzalwa ungandiswa ngokusebenzisa izindlela ezaziwayo. Imininingwane ejwayelekile ngale ndaba:

1. ukuncelisa ibele kuyindlela efakazelwe yokuvikela ukuthuthukiswa kwalesi sifo. Njengoba wazi, izinhlanganisela ezidumile ezingathengwa emakhemisi azizona ezikhundleni zekhwalithi yobisi lukamama. Ngakho-ke, akufanele ukhawulele ingane ekutholeni izakhi zomzimba womama;
2. uma ushukela wegazi osanda kuzalwa uphansi, ukuthintana kwesikhumba esikhunjeni phakathi kosanda kuzalwa kanye nomama kusuka ngemizuzwana yokuqala ngemuva kokubeletha kugcina izinga le-glucose lisezingeni elifanele;
3. okwamanje akukho ntengo ethile kashukela ophansi ezinsaneni, okukhombisa ukuba khona kwe-hypoglycemia kuye. Ezikhungweni eziningi zezokwelapha, umkhawulo ophansi wamazinga kashukela owamukelekayo ubhekwa njenge-3.3 mmol / L (60 mg%);
4. ushukela wegazi ezinganeni ezisanda kuzalwa ungalinganiswa kuphela ezimweni zelebhu. Yile ndlela eyiqiniso kunazo zonke;
5. I-hypoglycemia akuyona imbangela eyisisekelo yezinkinga ezakhiweni zobuchopho bengane. Njengoba uyazi, ivikelekile ngokuthembekile emiphumeleni emibi yemizimba ye-ketone, ama-lactic namafutha acid. Izingane ezinceliswa amabele zinezinga eliphakeme lokuqukethwe kwalezi zinhlanganisela ezibalulekile. Kepha izingane ezikudlayo okungekhona okwenziwe ngezinto noma okuxutshwe nalokhu -
6. izingane ezizalwe ngenxa yenkambo evamile yokukhulelwa nokubeletha ngaphandle kwezinkinga ngesikhathi, ukuba nesisindo somzimba esijwayelekile, akudingeki ukuthi kuhlolwe ushukela egazini;
7. ukwehla ushukela kungenzeka emahoreni ambalwa ngemuva kokuzalwa kwengane. Lokhu kuyinto ejwayelekile. Akufanele uthathe izindlela ezengeziwe zokuphakamisa izinga lazo ngobuciko, ngoba kulokhu kuyinto emnandi kakhulu. Ukuqunjelwa kwe-glucose kungashintshashintsha - lokhu kuyamukeleka emahoreni okuqala emva kokuzalwa;
8. ingane ezelwe inesisindo somzimba esingaphezu kwamakhilogremu amahlanu ayisiyona ingxenye yeqembu eliyingozi ye-hypoglycemia kuphela uma umama wakhe engenaso isifo sikashukela;
9. ukuze ulondoloze ushukela ojwayelekile ezinganeni ezinesisindo esincane somzimba ezizalwe ngesikhathi, udinga ukubanikeza ubisi lwebele.

Ungakuvimbela kanjani i-hypoglycemia?

Kunezindlela eziningi zokuvimbela lo mkhuba:

1. uma umama enesifo sikashukela sohlobo 1, ingane isengozini enkulu. Okuqukethwe okwandisiwe kwe-insulin enganeni ngesikhathi sokuzalwa kwengane kungaholeli ekunciphiseni kwamazinga kashukela kuphela, kepha futhi nokwehla ekukhiqizweni kwezidumbu ze-ketone, ama-lactic namafutha acid;
2. omama kufanele bagweme imijovo esheshayo yesisombululo se-intravenous dextrose esifanele. Uma owesifazane ephula ukumuncwa kwakhe, ukuphathwa ngokushesha kungakhuphula ushukela ngokushesha bese kubangele ukwanda okufanayo kwesibeletho ngokwanda kokukhiqizwa kwe-insulin;
3. ukuhlinzeka ngoxhumana “ngesikhumba esikhunjeni,” okusiza umzimba wengane ukuba uzimele geqe ngokwanele ezingeni elifanele likashukela emzimbeni;
4. ngemuva kokuzalwa, kuyadingeka ukufaka ingane esifubeni. Lokhu kuvumela ingane ukuthi iqale ukudonsa i-colostrum. Kepha ukucindezelwa ngezikhathi ezithile kwebele lesifazane ngesikhathi sokuncelisa kunomthelela ekuhambeni kokuqala kwenani elanele le-colostrum ngqo emlonyeni wengane.

Ukwelashwa

Uma kukhona izinsolo zokushukela okuphansi kosanda kuzalwa, futhi ukuncelisa ibele akusizi ukuxazulula le nkinga, khona-ke kuyadingeka ukusebenzisa injekishini ye-intravenous ekhethekile yesisombululo se-dextrose esifanele.

Lo mcimbi osebenzayo ulunge kakhulu kunokudla okuhlanganisiwe okuthengwa esitolo esikhulu esakhiwe ngendlela enomqondo.

Kubalulekile ukuqaphela ukuthi isidingo sokwelashwa kwe-hypoglycemia akusona isizathu sokwenqatshwa okuphelele kokuncelisa ibele. Ingane ingafakwa njalo esifubeni ngisho nangesikhathi sokufakwa okufakwa ngaphakathi kwengxenye yeglucose.

Uma kutholakala ushukela ophansi emntwaneni ngemuva nje kokuzalwa kwakhe, akufanele ungesabi ngokushesha. Kusengazinza ngaphezulu kwezinsuku ezimbalwa zempilo yosana. Njengoba ezinsukwini zokuqala ngemuva kokuzalwa, umama nengane besesikhungweni sezokwelapha, khona-ke ngalesi sikhathi angahle angakhathazeki ngesimo sakhe, ngoba ngaphansi kokuqashwa kodokotela.

Amavidiyo ahlobene

Ohlelweni lokutholwa sikashukela kowesifazane okhulelwe ku-TV show "Phila kahle!" no-Elena Malysheva:

Uma ngemuva kokukhipha izimpawu zokuqala kuvela ukuthi zibonisa ukuba khona kwalesi sifo, khona lapho kufanele uvakashele udokotela wakho ngokushesha. Uzobeka zonke izivivinyo ezidingekayo futhi azithumele kohlolwa, ezizokhombisa izinkinga ezikhona futhi zisize ukuzivikela. Ungakhathazeki ngaphambi kwesikhathi, njengoba amazinga we-glucose ehlisiwe angakhuphuka ngokuhamba kwesikhathi. Uma kungekho zinguquko ezibalulekile eziya ngakolunye uhlangothi ezenzekile, kuzodingeka uvakashele ihhovisi likachwepheshe ngokushesha.