Ukushona kwe-Perinatal

Ngamagama athi "ukushona komuntu ngamunye" ekudleni, kuyisiko ukuqonda isibonakaliso esibonisa inani lezingane ezifile, kusukela ngeviki lama-28 lokukhulelwa ngosuku lwama-7 empilweni yabo. Lesi sibonakaliso ngokuvamile sihlanganisa ukufa kokubeletha kanye nokushona kwezingane ezingelapheki (ukufa ngemva kokuzalwa).

Inkomba enjalo, njengokufa kwe-perinatal, ivame ukuboniswa nge-ppm. Lapho ulibala, inani lezingane ezizalwa lifile kanye nenani lalabo abafa ezinsukwini zokuqala ezingu-7 zokuphila zicatshangelwa. Isamba esitholiwe sihlukaniswe inani eliphelele labantwana abazalwa futhi izinga lokushona kwe-perinatal litholakala.

Yini ebangela ukushona kwe-perinatal?

Izimbangela eziyinhloko zokufa kwe-perinatal kukhona:

• i-asphyxia yesisu (kufika kumacala angu-60%);
• ukuhlukunyezwa kokuzalwa (10-12%);
• ukukhubazeka kokuzalwa komuntu (7-8%);
• i-pneumonia (5-6%);
• isifo se-hemolytic of the newborns (kufika ku-3%).

Kumele kuqashelwe ukuthi cishe isigamu sezingane ezifile zinganeni zakudala. Ngaphezu kwezizathu ezingenhla, umama wengane nemikhuba emibi (ukubhema, ukuphuza ngokweqile) kuthinta ngokuqondile ukufa komuntu ngamunye.

Yiziphi izindlela zokunciphisa ukushona kokubeletha nokubeletha komama?

Ungakhohlwa ukuthi kanye ne-perinatal, kukhona nokufa komama. Kodwa-ke, ngenxa yezinga eliphakeme lokuthuthukiswa kwemithi, namuhla izinto ezinjalo zibhekwa ngokungajwayelekile, kodwa zinezindawo okufanele zibe khona.

Okubaluleke kakhulu ekuvimbeleni ukulimala nokubeleka komama kokubeletha nokubeletha kuhlolwa ngesikhathi esifanele. Indlela evame ukusetshenziswa kakhulu ye-neurosonography, okukuvumela ukuba uhlukanise phakathi kokuzalwa okungenayo futhi okutholakele ngesikhathi sokubeletha, ehlukile ekuhlaleni nasebandleni, ukulimala komqondo: i-edema, ischemia, i-hydrocephalus, i-hemorrhages, i-atrophy.

Kubalulekile futhi ukucabangela iqiniso lokuthi ukuze kuvinjelwe iningi lezifo kanye nezifo eziholela ekufweni kwe-fetus, ukuvikelwa kokubeletha kokubeletha, ukuphathwa kahle kwabasebenzi, ukubuka okujulile nokuphathwa kwezinsana ezisengozini kubaluleke kakhulu. Lezi zimbangela zenze ukwehla kwezinga lokushona kwabantu abathintekayo, okuyinto ngo-2014 eRussian Federation yayingu-7.4%, kanti e-Ukraine, ngesikhathi esifanayo, inani lalingu-7.8%.