Uphawu
Isibonakaliso se-ultrasonic sondliwa ngeyona ndlela inkulu - i-fontanelle yangaphambili ekhoneni lamathambo angaphambili kunye neparietal kwaye ngokuqhelekileyo igxininiswa ngumnyaka (ezinye zivaliwe ngenyanga yesi-2-3). Yingakho i-neurosonography isifundo esenzelwe iintsana kunye neentsana. Kwiintsuku zokuqala kunye neveki zobomi, abantwana abaninzi baya kudlula kulo. I-Ultrasound idlula ngokukhululekile kwisigxina se-cerebral egcwele i-cerebrospinal fluid (i-ventricles kunye nemithombo), idlula into emhlophe, kodwa i-grey, ngokukodwa, i-convolutions ye-cortex yecerebral, kwakunye neencodus kunye ne-plexuses ze-vascular, ilibaziseka. Kodwa isithintelo esikhulu nakakhulu kwisibonda se-ultrasonic ziindawo zokuphazamiseka kwegazi, ukuphuma kwamanzi (ischemia) kwengqondo kunye nokulimala kwiiseli zalo ngenxa yokugula, ukusuleleka kwe-intrauterine okanye iiphene eziza kuphazamisa ukubunjwa kweengqondo zomntwana. Ngokukhawuleza kufumaneka, kungekudala umntu angaqala unyango kwaye ngokugcwele ngokupheleleyo inkqubo yesantya iyakwazi ukubuyela. I-Neurosonography ayifuni naluphi na ukulungiswa komntwana. Iphela ikota yeyure (ifowuni ikhipha i-ultrasound imizuzwana engama-5-6 kuphela-ixesha elizeleyo eliva, liguqulela ibe yimifanekiso) kwaye ayiyi kubangela ukuba umntwana angakhathazeki. Ingaba i-gel igcina intloko encinci ebandayo, kodwa emva kokuba inkqubo ikhutshwe ngokukhawuleza!
Kutheni umntwana engakwazi ukulala ...
- Ulambile? Amafutha aqulethwe ngobisi lukanina, asebenze njengepilisi yokulala. Ngobusuku, umxholo wabo unyuke, ubisi lugalelwe ixesha elide, kwaye ukuvakalelwa kwenyameko kwanele kude kube kusasa. Ngoko ke, iintsana ezibelethwe ngumntwana zilele kangcono.
- Bambalwa abachukumisayo? Ukuba uzama ukungathathi phantsi izandla zakho rhoqo, ukwenzela ukuba ungakhulisi i-sissy, uya kukukhumbula, kwaye esi sizathu esibalulekileyo sokuba neurosis injalo!
- Ukuxhaswa? Ukuvuselela umntwana usenokuthetha ngokukhululekile noyise obuya emsebenzini.
- Ukulala kudibene? Ukulala kunamathuba amathathu - ukulala (ukukhanga ukulala), ukulala (ukucwiliswa ebuthongweni) kunye nokulala. Ukulala ngenxa yokulala, kungabandakanyi nantoni na engayiphula.
- Ukuzincama ukulala - ngoko-ke abantwana besithi ubusuku bobubele bunyana xa evuka aze ahlalise, edlala kunye nento eya kuwela phantsi kwengalo yakhe: i-pacifier, izandla kunye neenyawo, ngegama, uyazitshintsha aze azenzele. Kancinane, uya kulala.
- Ngaba ugula? Ubusuku obungenasiphelo obandulela ukusuleleka kubanda, ukukhulelwa kwamathumbu emathumbu, ukunyanzeliswa kwe-diathesis, i-teething. Ukuba umntwana uyaqhaqhaqhazela, akhwankqisayo, akhala ephupheni, uhlala evuka aze akhale - kuthetha ukuba into engalunganga ngayo. Bonisa kulo ugqirha!
Iintsana ezizalwe kwi-pelvic presentation okanye kwi-oblique kunye nesimo esithintekayo zifuna ukubonwa kwe-neurologist. Ngoko ukuzalwa kunzima kakhulu, kuba banokuthi badibane ne-asphyxia, ukuxhwaleka kokubeleka kunye ne-parinphalopathy ye-perinatal (PEP). Xa unyango olufike ngexesha, yonke into iya kudlula kwiinyanga zokuqala zokuphila, kodwa ukuba awujongani neengxaki ze-neuroloki ngexesha elilodwa, ziya kuzalisa ezintsha, zinciphise amandla kunye neengqondo zomntwana. Ngendlela, uhlolo lukaKhesare oluqhubekayo kunyaka wokuqala luyimfuneko!