Okuqukethwe
Wonke umuntu lapha ubabiza ngokuthi “izisindo ezincane”. Kungakhathaliseki ukuthi zifakwe ezibelethweni zomama bakusasa noma zifakwe kuma-incubator womnyango wezinsana wesibhedlela i-Robert Debré eParis. Zincane kune-avareji, lezi zingane zihlushwa ukukhula okuqinile esibelethweni. Emaphasishi ewadi yababelethisi, uCoumba, onezinyanga eziyisishiyagalombili ekhulelwe, wayengakaze ezwe ngakho, njengoyedwa kwababili besifazane eFrance *. Kwakungesikhathi edlula i-ultrasound yesibili, ezinyangeni ezine kuphela ezedlule, lapho ezwa khona lezi zinhlamvu ezine ezithi “RCIU”: “Odokotela bavele bangichazela ukuthi ingane yami yayimncane kakhulu! “
* Inhlolovo ye-Opinionway ye-PremUp Foundation
Ukukhula kokukhubazeka esibelethweni: ku-40% wamacala, imvelaphi engachazwanga
I-RCIU ingumbono oyinkimbinkimbi: i-fetus inesisindo esingaphansi uma iqhathaniswa nesikhathi sayo sokukhulelwa (i-hypotrophy), kodwa ukuguquguquka kwejika layo lokukhula, elivamile noma elinciphisa ijubane, ngisho nokuphumula, libaluleke kakhulu ekwenzeni ukuxilongwa. ” EFrance, ingane eyodwa kweziyi-10 ithintwa yilesi sifo. Kodwa siyazi kancane, futhi kuyimbangela yokuqala yokufa kwezingane! », Kuchaza uSolwazi Baud, inhloko yomnyango wezingane ezisanda kuzalwa eRobert Debré. Lokhu kwehluleka ukukhula kuvame ukuhlotshaniswa nokukhula kwangaphambi kwesikhathi, okungenayo imiphumela ekukhuleni kwengane kwesikhathi esizayo. Ukusindisa umama noma ingane, odokotela ngezinye izikhathi bayaphoqeleka ukuthi bahole ngaphambi kwesikhathi. Lena indaba kaLætitia, owabeletha enamasonto angu-33 ingane yentombazane enesisindo esingu-1,2 kg. “Emasontweni amabili edlule udle u-20g kuphela kanti inhliziyo yakhe ibikhombisa ukuba buthakathaka ekuqapheni. Sasingenaso esinye isixazululo: wayengcono ngaphandle kunangaphakathi. “Enkonzweni yosana olusanda kuzalwa, umama osemusha ubonisa ishadi lokukhula lendodakazi yakhe ehlala eduze kwe-incubator: usana luya ngokuya lukhuluphala. U-Lætitia wafunda cishe enyangeni yakhe yesi-4 yokukhulelwa ukuthi wayenenkinga yokwakheka kwemithambo ye-placenta yakhe. Isitho esibalulekile lapho umbungu edonsa khona yonke into edingekayo ukuze ikhule. Ngakho-ke ukungasebenzi kahle kwe-placenta kubangela cishe u-30% wezigameko ze-IUGR kumama okhulelwe, ngezinye izikhathi imiphumela emibi kakhulu: umfutho wegazi ophakeme, i-pre-eclampsia ... Ziningi izimbangela zokungakhuli kahle. Sisola izifo ezingamahlalakhona - isifo sikashukela, i-anemia enamandla -, imikhiqizo - ugwayi, utshwala… kanye nezidakamizwa ezithile. Ukuguga kukamama noma ukuzaca kwakhe (BMI ngaphansi kuka-18) nakho kungaphazamisa ukukhula komntwana. Ezimweni ezingu-10% kuphela, kune-pathology ye-fetus, njengokungajwayelekile kwe-chromosomal. Kodwa zonke lezi zimbangela ezingenzeka zidinga izindlela ezingakaqondwa kahle. Futhi kuma-40% ezimweni ze-IUGR, odokotela abanancazelo.
Kumathuluzi okuhlola ukukhula kokukhubazeka kwesibeletho
Elele embhedeni wokuhlolwa, u-Coumba ngokuzithoba ugoba ekurekhodweni kwamasonto onke kwenhliziyo yomntanakhe. Ngemva kwalokho uzobe ebonana nombelethisi ukuze ahlolwe, futhi uzobuya ngemva kwezinsuku ezintathu ezothola enye i-ultrasound. Kodwa uCoumba ukhathazekile. Lena ingane yakhe yokuqala futhi akasindi kakhulu. Cishe u-2 kg ezinyangeni eziyisishiyagalombili zokukhulelwa futhi ngaphezu kwakho konke, wathatha lokhu ngesonto eledlule kuphela ama-20 g. Umama ozozala uhambisa isandla esiswini sakhe esincane esiminyene kanye nama-grimaces, akukhulu ngokwanele ukunambitha. Ukuqinisekisa ukuthi umntwana ukhula kahle, odokotela bathembele kule nkomba, nesilinganiso sobude besibeletho.. Kwenziwe kusukela enyangeni yesi-4 yokukhulelwa, kusetshenziswa itheyiphu yomthungi kala ibanga phakathi kwe-fundus ne-pubic symphysis. Le datha ebikwe esigabeni sokukhulelwa, okungukuthi i-16 cm ezinyangeni ezi-4 ngokwesibonelo, ihlelwa ngejika lereferensi, efana naleyo evela kurekhodi lempilo yengane. Isilinganiso esivumela ukuthi ngokuhamba kwesikhathi kusungulwe ijika ukuze kutholwe ukwehla okungase kube khona ekukhuleni kwengane. "Kuyithuluzi lokuhlola elilula, elingahlaseli futhi elingabizi, kuyilapho lihlala linembe ngokufanele", kuqinisekisa uPr Jean-François Oury., inhloko yomnyango we-gyneco-obstetrics. Kodwa lokhu kuhlolwa komtholampilo kunemingcele yakho. Ikhomba kuphela ingxenye yama-IUGR. I-Ultrasound ihlala iyindlela yokuzikhethela. Eseshini ngayinye, udokotela uthatha izilinganiso zombungu: ububanzi be-biparietal (kusuka kwelinye ithempeli kuye kwelinye) kanye nepherimitha ye-cephalic, kokubili okubonisa ukukhula kobuchopho, ukujikeleza kwesisu okubonisa isimo sayo somsoco kanye nobude be-femur ukuhlola ubukhulu bayo. . Lezi zilinganiso ezihlanganiswe nama-algorithms afundiwe zinikeza isilinganiso sesisindo se-fetus, ne-margin yephutha engaba ngu-10%. Kubikwe kwijika eliyireferensi, kwenza kube nokwenzeka ukuthola ngokunembile i-RCIU (umdwebo ophambene). Uma ukuxilongwa sekutholakele, umama wakusasa ube esehlolwa ibhethri ukuze athole imbangela.
Ukukhubazeka kokukhula esibelethweni: ukwelashwa okumbalwa kakhulu
Kodwa ngaphandle kweseluleko senhlanzeko, njengokuyeka ukubhema nokudla kahle, ngokuvamile akukho okuningi ongakwenza., ngaphandle kokuqapha izinga lokukhula nokugeleza kwegazi okuvamile enkabeni ukuze kuvinjelwe izinkinga futhi kubangele ukuzalwa uma kudingekile. Njengesixwayiso, umama okhulelwe ngokuvamile uphumula ekhaya ngokuvakashela ewodini lababeletha ukuze ahlole isimo isonto nesonto. Uvame ukulaliswa esibhedlela ngaphambi kokubeletha ukuze alungiselele ingane yakhe impilo yayo entsha ngaphandle. Ikakhulukazi, ngokusheshisa inqubo yokuvuthwa kwamaphaphu akhe. “Asinazo izindlela zokwelapha zokuvimbela i-IUGR esigulini esingayivezi into eyingozi ekuqaleni,” kuzikhalela uSolwazi Oury. Singakwazi nje, uma kunomlando we-IUGR yemvelaphi ye-placenta, simnikeze ukwelashwa okusekelwe ku-aspirin ngokukhulelwa kwakhe okulandelayo. Iyasebenza impela. "Phezulu, osanda kuzalwa, uSolwazi Baud naye uyazabalaza ukukhulisa" izisindo zakhe ezincane ”ngokusemandleni akhe. Njengoba zifakwe kuma-incubator, lezi zingane zifukanyelwa yiqembu lonke. Ziyizixazululo eziphakelwayo ezinomsoco futhi zibhekwe eduze ukuze kugwenywe izinkinga. Uyazisola. Ukuze usindise lezi zingane nabazali bazo iziteshi ezinde zeSiphambano, uProf. Baud uhileleke ku I-PremUp Foundation, okuhlanganisa inethiwekhi yodokotela nabacwaningi abangaphezu kuka-200 kulo lonke elaseYurophu. Isekelwa uMnyango Wezokucwaninga Ne-Inserm waseFrance, lesi Sisekelo esakhiwe eminyakeni emihlanu edlule sizinike umgomo wokuvimbela impilo yomama nezingane. “Kulo nyaka sifuna ukwethula uhlelo olubanzi locwaningo nge-IUGR. Inhloso yethu? Yakha omaka bebhayoloji ukuze bathole omama bakusasa kusenesikhathi, ukuze kuncishiswe imiphumela yalokhu kuncipha kokukhula. Ziqonde kangcono izindlela zale pathology ukuthuthukisa ukwelashwa. Ukuze wenze le phrojekthi futhi uzame ukuzala izingane ezinempilo, isisekelo se-PremUp sidinga ukukhulisa i-450 €. “Ngakho-ke asihlangane ukuze kuhanjwe iBaby Walk!” », Wethula uSolwazi Baud.
Ubufakazi bukaSylvie, oneminyaka engama-43, umama kaMélanie, oneminyaka engama-20, uThéo, oneminyaka engu-14, uLouna noZoé, onenyanga eyodwa ubudala.
“Senginezingane ezimbili esezikhulile kodwa sesinqume nozakwethu omusha ukuthi sandise umndeni. Ku-ultrasound yokuqala, odokotela basitshela ukuthi ayikho ingane eyodwa, kodwa ezimbili! Ngokumangala kancane ekuqaleni, sawujwayela ngokushesha lo mbono. Ikakhulukazi kusukela ezinyangeni ezintathu zokuqala zokukhulelwa kwahamba kahle, nakuba ngihlushwa umfutho wegazi ophezulu. Kodwa ngenyanga yesi-4, ngaqala ukuzwa ukusikwa. Ngenhlanhla, ku-ultrasound, ayikho inkinga ukubika ama-binoculars. Nganikezwa ukwelashwa, kanye nokuphumula ekhaya nge-echo yanyanga zonke. Enyangeni yesi-5, isexwayiso esisha: Ijika lokukhula lika-Louna liqala ukwehla. Akukho okwesabisayo, unesisindo esingaphansi kukadadewabo ngo-50g. Ngenyanga elandelayo, igebe liyakhula: 200 g ngaphansi. Futhi ngenyanga yesi-7, isimo siyawohloka. Ukufinyela kuphinde kuvele. Egunjini labezimo eziphuthumayo, ngafakwa i-drip ukuze ngiyeke ukusebenza. Ngiphinde ngithole imijovo ye-corticosteroid ukuze ngilungise amaphaphu ezingane. Izingane zami zibambelele! Emuva ekhaya, nginombono owodwa kuphela engqondweni: bambelela ngangokunokwenzeka futhi ukhuthaze amadodakazi ami. I-echo yokugcina ilinganisela isisindo sika-Zoe ku-1,8 kg, kanti i-Louna ingu-1,4 kg. Ukuze kuthuthukiswe ukushintshaniswa kwe-placenta, ngihlala ngilala ngohlangothi lwami lwesobunxele. Ekudleni kwami, ngikhetha imikhiqizo ecebile ngamakhalori nezakhi. Ngithathe i-9 kg kuphela, ngaphandle kokuzincisha. Ngiya ewodini yababeletha njalo ngeviki: umfutho wegazi, ukuhlolwa komchamo, kunanela, ukuqapha… U-Zoe ukhula kahle, kodwa uLouna uyazabalaza. Sikhathazeke kakhulu ngokuthi ukungeza ukukhula kwangaphambi kwesikhathi okukhulu ekukhuleni kwakhe okumile kungenza izinto zibe zimbi nakakhulu. Umuntu kufanele agcine! Umaki wezinyanga eziyi-8 weqe ngandlela thize, ngoba sengiqala ukuba nama-edema. Ngitholakala ngine-preeclampsia. Ukulethwa kunqunywa ngosuku olulandelayo. Ngaphansi komzila we-epidural kanye ne-vaginal. U-Zoe wazalwa ngo-16:31 pm: 2,480 kg ngo-46 cm. Yinhle ingane. Ngemva kwemizuzu engu-3, uLouna uyafika: 1,675 kg ngo-40 cm. I-chip encane, ngokushesha idluliselwe ekunakekelweni okukhulu. Odokotela bayasiqinisekisa: “Konke kuhamba kahle, kuyisisindo esincane nje!” »I-Louna izohlala izinsuku eziyi-15 izelwe. Usanda kufika ekhaya. Unesisindo esingaphezudlwana kuka-2 kg kuyilapho u-Zoe edlule ku-3 kg. Ngokusho kodokotela, uzokhula ngesivinini sakhe futhi unawo wonke amathuba okuba ahlangane nodadewabo. Sikholelwa kakhulu kubo, kodwa asikwazi ukusiza kodwa ukuziqhathanisa njalo. Ngokuphambanisa iminwe yakho. “
Kuvidiyo: "Umbungu wami mncane kakhulu, ingabe ubucayi?"
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