Umntwana uhamba ngokukhala - yintoni omele ukwenze, indlela yokuzola?

Abazali bayethusa njani xa umntwana wabo ehamba ngokukhala! Ewe, kwaye akumangalisi. Ingane iphephe ngokuphefumula ize iwele kwindawo ephosakeleyo ... Akunakwenzeka ukuba kube nexhala apha.

Ubume bokuba kwenzeka kuhlaselo lokuphefumula

Njengoko sele sele kucacile kwigama ngokwalo, eli lizwe lidibaniswa nexhala elikhulu leentlanzi, kunye nesilathiso esibi. Ukuhlaselwa ngokuqhelekileyo kwenzeka xa umntwana ekhala kakhulu .

I-baby sobbing ngexesha lokufumana amava angamaqhinga amaninzi ihamba kunye ne-spasm ebukhali yemisipha ye-larynx emva kokuphuma komzimba. Ngenxa yokulibaziseka ekuphefumla, ukunikezelwa kwe-oksijini kwingqondo kuyayeka. I-ARP ifana ne-laryngospasm ngokudibanisa ne-syncope.

Enyanisweni, ukulahlekelwa kwengqondo kukuphendula ngokuzimela komzimba ngokusweleka kwe-oxygen. Emva kwayo yonke into, xa umntu esesigxina, ukusetyenziswa kwe-oksijini kuninzi kuncitshiswa. Yaye ngelixa umntwana engakwazi ukuphefumula, akayi kuphuma kulo mhlaba ongenalwazi.

Ngokuqhelekileyo izihlunu ze-larynx zisuswe ngaphandle kokuphazamiseka kwangaphandle. Ngenxa yokulibazisa ukuphefumla, i-oksijini ayifaki emzimbeni, iqokelela i-carbon dioxide. Yiyo imeko yokuphazamiseka kwengqondo echaphazela ingqondo, eyithumela isignali ukuba ikhuphe ukukhupha isistim se-larynx. Usana lububula, kwaye ukuqonda kuyabuyela kuye.

Ngumuphi umntwana othobelekile kwi-ARP?

Oogqirha baqaphele ukuba abantwana abaneempawu ezibonakalayo zixhomekeke ngakumbi kwiimeko ezinjalo. Ngokomzekelo, umntwana onokusilela kwekhalsiyamu, amaninzi ngokuphindaphindiweyo kunalowo unakho konke kule cwangciso. Emva koko, ukungabikho kwekhalsiyamu kunceda ekuhlaleni i-larynx.

Uninzi oogqirha bavuma ukuba ukuvela kweentlungu zolu hlobo kubangelwa ukuzaliswa kwemvelo, oko kukuthi, into ebizwa ngokuba yi-heredity.

Ngokwahlukileyo, kufuneka kugxininiswe ukuba abantwana banentlonelo, ngokunyuka okukhulu, ukunyamekela ngokugqithiseleyo ngokulila ngokuphindaphindiweyo kunabantwana abahlala bezolile, abangenakukhathazeka okanye abathandekayo. Kwinqanaba labo baxhomekeke kwi-ARP kukubandakanya abantwana abaphangiweyo kwaye bahlaziye.

Nangona kunjalo, phakathi kwabantwana abanokulinganisela, ababelekileyo banobakho bodwa, ubuncinane kanye, kodwa baqoqa belila.

Ukuyeka ukuphefumula komntwana ngexesha lokulila isifo?

Njengoko izibalo zibonisa, ukuhlasela okuphefumulayo-ukuphefumula kwabantwana-into engeyonto inqabile. Kwesahlulo sesine senani lazo zonke abantwana, kwaye ziphilile, kubandakanye kanye kanye.

Kuphawula ukuba ngokuqhelekileyo imeko xa umntwana ekhulayo xa ekhala ngexesha lokuvalelwa kweemvakalelo ezinamandla, ngokuqhelekileyo kwenzeka ukuba abe kanye. Kuphela i-5% yeentsana ezi ziphinda ziphindwe. Ngoko ke, ukuqinisekisile ngokuqinisekileyo ngokuqinisekileyo ukuba xa umntwana ekhuphuka xa ekhala, ngoko ulungele ukugula kwesinye isifo, akunakwenzeka.

Enye into ukuba le nto ayilona icala. Ngoko ke, abazali, abanomntwana okhulayo xa bekhala rhoqo, kubalulekile ukuvakala i-alamu. Ukuba oku kwenzeka kuphela kanye (okanye okokuqala ngqa), ngoko akukho sizathu sokukhathazeka ngokukodwa. Kodwa, ngokungathandabuzekiyo, kuyimfuneko ukuvakala i-alamu nakwezo ziganeko xa ukuphefumula ngexesha le-sobs ezinamandla kubakho rhoqo, ngaphezu kwesinye ngeveki okanye, nangakumbi ngokuxhalabisa, amaxesha amaninzi ngosuku.

Ngokukodwa kubalulekile ukuba ukhathazeke ukuba inkwenkwe okanye intombazana idanduluka ngaphezu kweminyaka engama-6. Emva koko, ngokuqhelekileyo ngeli xesha ukuhlaselwa kolu hlobo aluyi kwenzeka.

Kutheni kunokubakho i-ARP emva kwemihla engama-6?

Lo mbuzo kunzima ukuphendula. Kungenzeka ukuba umntwana uyagula kakhulu. Kwaye kuphela ukuqeshwa nodokotela kunokunceda ukuxilonga ngokuchanekileyo.

Izifo ze-cardiogenic, oko kukuthi, ezihambelana nokuphulwa kwesigxina se-muscle yehliziyo, kunokubangela ukuphelelwa yimilomo eluhlaza. Yaye nangona ukulahleka kokuqonda akuhambelani ngqo nokukhala kwaye kungenzeka ngaphandle kokudabuka, kungenzeka ukuba kwenzeka kwaye ngexesha lokuxhatshazeka okukhulu.

Uninzi lwezifo zengqondo zinesifo esifanayo. Le ngxaki iArnold-Chiari, i-vyslaya disautonomy, i- Rett's syndrome. Oku kubandakanya ukuhlaselwa nokulahlekelwa kwengqondo kubantwana abanegazi (pathology blood), erythroblastopenia).

Kwaye kubalulekile ukukhumbula ukuhluthwa. Esi sifo sihamba kunye nokuhlutha. Udokotela onamava uyakwazi ukwahlula ngokucacileyo ukuthintela-ukuphefumula kwabantwana ekuthinjeni. Kodwa ngamnye umzali kufuneka abone umehluko, ukuze angaphuthelwa iimpawu zesifo esibi.

Ngaba kukho ukuhlasela-ukuphefumula kwintsana?

Ngokuqhelekileyo imeko ngokukhawuleza umntwana oqoqwe xa ekhala kwaye ephelile ukuphefumula wabonwa kuqala kwiinyanga ezintandathu. Emva koko, negama likarhulumente, njengoko sele likhankanywe ngasentla, lubonisa ukuba umntwana ngaloo mzuzwana kwimeko echaphazelayo-into enokukhathazeka kakhulu. Abantwana beminyaka yobudala abangekho ukulungele ukuva iimvakalelo ezinamandla, kuba ukuqonda kwabo akukabikwa ngokwaneleyo.

Ukuba umntwana osanda kuzalwa uyakhala kakhulu kangangokuthi kuqhutywe, ngoko kuyimfuneko ukuba udibane nodokotela. Imvakalelo enamandla enjengomsindo, ukuphelelwa lithemba, intukuthelo yecala le minyaka ayifumaneki. Ukukhala kwintsana kunika umqondiso wokuphazamiseka ngokomzimba, indlala okanye intlungu. Yaye ukuba isana esandayo singakhange siyeke, silahlekelwe ngumphefumlo kwaye kungekho sizathu esicacileyo, mhlawumbi sinento into embi kakhulu. Mhlawumbi umntwana uyagula kakhulu.

Iyintoni ingozi ngokuyeka ukuphefumula ngexesha lokukhala?

Kucacile ukuba ukuba umntwana (oneminyaka emi-2 ubudala) uqhubela ukukhala, kodwa akwenzeki ngokuphindaphindiweyo, abazali abanaso isizathu sokufaka oogqirha malunga nalokhu. Ewe, i-apnea - ukulibaziseka kwe-episodic ekuphefumla - ayincedi umzimba, ekubeni ingqondo ngexesha lo mzuzu ilahlwe yomoya-mpilo. Kodwa i-short-term loss of consciousness ehamba nale nkqubo, yanciphise ingozi kulo. Emva koko, kwiimeko ezingenalwazi, ingqondo ifuna ubuncinane be-oxygen.

Nangona kunjalo, kufuneka ubeke ingqalelo kwimeko yengane ngeli xesha. Ukuba ukuhlaselwa akupheli emva komzuzu okanye kwenzeka njalo, amaxesha amaninzi ngeveki, kufuneka uhambe kwiklinikhi ukuze ubone ugqirha. Kwakhona, abazali kufuneka batshintshe ukuziphatha kwabo ngeli xesha.

Iindidi ezimbini zokuhlasela kwe-ARP

Kukho imimiselo emibini yomntwana, eqhubekayo ngexesha lokulila. Ukuba i-crumb ibuhlungu buhlungu, apho ifa khona, ngoko ngokuqhelekileyo ngexesha lokulibaziseka ngokukhawuleza ekuphefumuleni, iya kuba yicala. Kukho ukuphuculwa okubukhali kwe-pulse ngeli xesha. Ngamanye amaxesha unokuba ngumtshini okanye upheleke ngexesha elifutshane.

Ukuba umntwana uyayibhakabhaka ngokukhala, ukuhlaselwa okunje kubakho ngenxa yefuthe elichaphazelekayo. Ngethuba le, unokwazi ukubona i-cyanosis echazwe ngumntwana, ukulahlekelwa kwengqondo, ukulibaziseka ekuphefumuleni. Ngexesha elide, intombazana okanye intombazana ibonakala ihlambulukile, kwaye ngamanye amaxesha, ngokuchaseneyo, iqala ukugqithisa ngesithintelo.

Ingaba umntwana angayikhupha i-ARP ngokuzithandela?

Uninzi oogqirha abangekho. Baqiniseke ukuba ukuyeka ukuphefumla kwenzeka ngokucokisekileyo, kungakhathaliseki ukuba umnqweno womntwana.

Nangona kunjalo, nangona iingxelo ezinjalo ngamagqirha ahloniphekileyo, abo bantu "njengabantwana" baqhekeza "ngexesha lokulila, khumbula ukuba ngamanye amaxesha aphelile amandla. Kwenzekile ngexesha lokuxhalabisa ngokwenene, xa umntwana okhwazayo ngokukhawuleza waphawula ukuba abantu abadala abaphendulanga nonke kwizenzo zakhe.

Ukukhumbula ukuba wonke umntu wayezungezile emva kokuhlaselwa kwesinye, ukukhathazeka nokukhathazeka, umntwana usenza ukugweba abantu abadala. Udla ngesibongo ngexesha lokulila aze athathe umphefumlo omfutshane. Kwiimeko ezili-9 kwezi-10 oku kusebenza-umntwana ngomzamo wakhe ulahla ingqondo yakhe ye-oksijini aze alahleke ingqalelo. Oku kuvuselela ukuhlaselwa akufani ncam. Iqhubeka nempawu ezifanayo.

Enye inguqu yendlela yokulinganisa inokwenzeka, xa abantwana bebukele ukuziphatha kweontanga zabo, zama ukudlala. Iimeko ezinjalo zenzeka. Kodwa abantu abadala bayakuvakalelwa kukuba umntwana "uyadlala", kuba umbala kunye nemilomo kulo mzekelo uhlala uqhelekileyo, kwaye ukuphefumla akupheli.

Umntu omdala kufuneka aziphathe njani ngexesha lokuhlaselwa?

Zonke iziqinisekiso zoogqirha ukuba i-ARP ayilona isifo esibi, kwaye ukulahlekelwa ngumntwana ngexesha lokukhala akuyingozi, - inqaku elingenanto kubazali abanothando. Ngokwemvelo, abafuni ukuhlala bebukhali kwaye babukele iimvuthu zabo ziphendukele eziluhlaza kunye neplatile phantsi. Kodwa bambalwa kakhulu abantu bayazi ukuba benzeni xa umntwana ehamba.

Into ebaluleke kakhulu kulo mzuzwana kukunceda umntwana aphinde aphefumlelwe. Ukwenza oku, unokuwubetha ngokukhawuleza ehlathini, uhlambe iindlebe zakho, intamo kunye nesifuba. Iingcali zicebisa ngexesha lokuhlaselwa kwe-APP ebusweni bomntwana okanye umtshini kuyo kunye nephephandaba, uqondise umlambo womdlali.

Ngokukhawuleza kunceda ukubuyisela ukuphefumla kungenjalo xa ufafaza umntwana ngomanzi. Kwakulungile ukuba usule ubuso ngetayilisi emanzi ngamanzi abandayo. Abanye abantu basebenzisa i-tickling ukuze babuyise umntwana ngokukhawuleza.

I-Ammonia utywala ngokuqhelekileyo ayinakusetyenziswa kule meko. Ukukhawuleza inkqubo yokubuyisela ukuphefumula akuncedi ukuvumba, kodwa ngexesha lokuphuma komntwana kwiimeko ezingenazi zinto kunokusongela. Ngokukodwa akufunanga, ukuba i-ARP yenzeka kwabantwana abangaphantsi kweminyaka emithathu. Emva koko, uninzi lwabo aluqondi into eyenzekayo kubo. Kwaye kaninzi akhumbuli nokuba yiyiphi into ebangela ukuguga, zeziphi izizathu zokukhala.

Emva kokuba umntwana eze kuye, uziva ediniwe, ufuna ukulala. Musa ukuphazamisa kule nto. Emva kokulala okubuyiselwayo, okuya kufikelela kwiiyure ezingama-2-3, abantwana bavame ukuziva kakuhle.

Uncedo lweengqondo kumntwana ophethe i-ARP

Ukuba ukuhlaselwa kwenzeka kanye okanye kuphindaphindiwe, kodwa ngaphantsi kwesinye ngenyanga, ngoko kukulungele ukuba ungagxininisa kulo. Umntwana akafanele abe nomuvo wokuthi abantu abadala bakhathazeke ngokuziphatha kwakhe. Ngaphandle koko, uqala ukukhathazeka, kwaye ukutshatyalaliswa kunokusasazeka.

Kodwa ukuba izimo eziphazamisayo - imeko ezisoloko zanele umntwana, kufanelekile ukubonisana nengcali yengqondo, i-neuropathologist, yengqondo yengqondo yomntwana. Mhlawumbi, udokotela wezilwanyana wendawo uza kunika uviwo kwi-cardiologist, i-endocrinologist. Emva koko, ukwanda kweentlanzi ngamanye amaxesha kubangelwa ukusetyenziswa kakubi kwegciwane le-thyroid.

Kodwa, njengokuba umkhuba ubonisa, ngokuqhelekileyo abantu abadala badala ukuphazamiseka kwabantwana . Ngokukodwa oku kusebenza kwiintsapho apho ubudlelwane phakathi kwabazali akuphelelanga. Kwaye kubonakala nje ukuba umntwana uyakhala ngenxa yokuba akazange athenge le nto okanye leyo nto yokudlala. Umntwana okhulayo engenalo uyise okanye umzali wakhe oyedwa onobunxila, ngokwenene, uzive ephosakeleyo, engahlelelekanga. Ngamaqhinga akhe, ubangalisa umdla, uzama ukukhulula umphefumlo wakhe ngezinyembezi.

Nangona kunjalo, kufuneka ucinge ngendlela yokuqinisekisa umntwana xa ekhala. Ukuba umntwana usemncinci, kungcono ukumphazamisa: vula iTV okanye "Vidik" kunye nekartoon yakho oyintandokazi, fumana incwadi enomdla kwaye uqale ukuyifunda ngokuvakalayo okanye uzame ukudlala ibali leenkwenkwezi kunye namathoyizi.

Ukuba umntwana sele sele ekhulile ngokwaneleyo, iminyaka engama-4-6, ke ezi ndlela zingenakunceda. Ukulila ngokukhawuleza kufanele kuqaphele abantu abadala ababandakanyekayo ekukhuliseni kwendoda encinane. Kwaye ukuba ngaba baqikelele oku, mhlawumbi kufuneka uthethe ngentliziyo ephakanyayo entliziyweni, ekubeni uqinisekise umntwana xa ekhala, kule meko-esi akusisisombululo kwinkinga, kodwa kuphela inzuzo yexesha. Isizathu asipheliswa, ngoko, ukuphazamiseka kwemihlaba kuya kuphinda.

Xa umntwana ekhula kwintsapho engaphelelanga, kufanelekile ukunikela ingqalelo ngakumbi kumabali malunga nobaba okanye umama olahlekileyo. Kodwa ungabhali ibali kunye nobaba okhutheleyo okanye uxoke ngokunyaniseka ukuba yena kwindawo yokuhamba kwendiza uyazalisekisa umyalelo we-Motherland. Xa umntwana ethatha isigqibo sokuwabelana nabahlobo bakhe, banokumhlekisa. Oku kungabikho enye intlungu.

Kodwa ukunikezela ngokucacileyo unyana okanye intombi kwimbali yoqhawulo lwabazali kuya kubakho. Ungayifumana njani loo facet engafanele iwele incoko nomntwana? Kukulungele ukuphulaphula ingcebiso yesazi-psychologist ofanelekileyo. Into ebaluleke kakhulu kukugxininisa ngokubanzi kunokwenzeka ukuba umzali ongekhoyo uyathandwa okanye uyathandwa ngumntwana, kubaluleke kakhulu ekwakheni i-psyche eqinile, ukuzithemba. Kwakhona kunokuba luncedo kakhulu ukutyhila iimpawu ezilungileyo zikayise nomama, kukuzo kugxininisa kwengane.

Ukuba umntwana ukhula kwintsapho epheleleyo, apho kuvunyelwene khona imvume phakathi kwabatshatileyo, ukuphazamiseka kwemiba kunokuvela ngenxa yengcinezelo ngaphandle kwentsapho. Ngokuqhelekileyo abantwana bafihla kwiintsapho zabo iingxaki. Basenokuze babe phantsi kobundlobongela, kodwa bathethelele. Kodwa umfokazi unako ukuvula umphefumlo wakhe lula kakhulu. Ngoko ke, apha apha uncedo lwengqondo yengqondo ludlala indima ebalulekileyo.

Kodwa nangona kunjalo, kufuneka ubonise umntwana wakho uthando. I-Hugs, amagama akhuthazayo, ukufunda ngokubhaliweyo kwencwadi kuya kubonisa umntwana afunayo, siyayithanda. Nangona akudingekile ukuba uqale ukumthobela kuyo yonke into emva kokuhlaselwa kokuqala. Ngokuchaseneyo, kunye nomntwana oneminyaka engama-4-6 ubudala usenokuba uthetha ngento yokuba umsindo, ukwesaba, ukuxhalaba yiimvakalelo eziqhelekileyo abantu bonke abahlangabezana nazo. Kodwa emva kokungabikho wonk 'ubani obetha ngetekisi ephukileyo okanye ukwenqaba ekuthengeni into ethandiweyo.

Mhlawumbi ezo ngxoxo ziyakwazi ukunceda ngokukhawuleza. Kodwa ukunyamekela, ukunyamekela, ukukhathalela kunye nothando lomntwana kuya kwenza into encinci. Xa abantu abadala beka injongo ekukhuleni, abaphumelelayo kuluntu kwaye bafezekisile ngokufanelekileyo le nto, ke baya kuphumelela.