Ngenxa yalokho okwenza i-cerebral palsy?
Abesifazane abaningi abaye bezwa ngalezi zifo, ngenkathi besakhulelwe, bayazibuza ukuthi kungani abantwana bezalwa benesifo sofuba.
Isizathu esiyinhloko salesi sifo ukufa noma ukukhubazeka kwentuthuko yendawo ethize yobuchopho, eqala esemncane noma ngaphambi kokuzalwa.
Ngokuphelele, odokotela baveza izici ezingaphezu kwezingu-100 zokuthuthukiswa kwalesi sifo, okuholela ekuthuthukiseni i-CNS pathology yengane esanda kuzalwa. Zonke zihlangene zibe amaqembu amakhulu amathathu:
- ehambisana nenkambo yokukhulelwa;
- ukubeletha;
- isikhathi sokuthi ingane ivumelane nezimo zendawo yangaphandle (amasonto amane okuqala).
Ngokwezibalo, cishe isigamu sazo zonke izingane ezine-cerebral palsy zivela ngaphambi kosuku olufanele. Izinsana ezinjalo zisengozini ikakhulu ngoba babe nokuthuthukiswa kwezitho nezinhlelo. Leli qiniso landisa kuphela ingozi yokuthuthukisa i-hypoxia.
I-Asphyxia, njengenye yezizathu zokuthi kungani abantwana benesifo sokukhubazeka kwe-cerebral palsy, kubandakanya cishe u-10% wazo zonke izimo zokuthuthukiswa kwalesi sifo. Kodwa-ke, umthelela omkhulu ekuthuthukisweni kwesiyaluyalu unesifo esiphelele kumama, esinomthelela onobuchopho ebuchosheni bomntwana.
Ngaphezu kwezizathu ezingenhla, futhi ukuthuthukiswa kwalesi sifo kuphethwe ngqo yizici ezifana nalezi:
- isithelo esikhulu;
- Ukubekwa okungalungile kwe-fetus esibelethweni;
- inqola ngaphambi kwesikhathi se-placenta;
- isikhumba esincane somama okhulelwe;
- I-Rhesus-impikiswano;
- inqubo yokukhiqiza engapheli;
- ukuvuselelwa kwezidakamizwa zokubeletha.
Iziphi izimbangela ezibangela ukukhubazeka kwe-cerebral emva kokuzalwa?
Naphezu kweqiniso lokuthi ezimweni eziningi, ukukhubazeka kwesiberethri kwenzeka ngisho nasesiteshini sokubeletha, kukhona amathuba okuthuthukiswa kwesifo ngemuva kokuzalwa kwengane. Ngakho-ke, uma sikhuluma ukuthi kungani izingane ezisanda kuzalwa zihlakulela ukukhubazeka kwengqondo, ke, okokuqala, lokhu:
- ukutheleleka (i-encephalitis, i-meningitis, ukutheleleka okukhulu kwe-herpetic);
- ukulimala kobuchopho;
- izici eziholela ku-hypoxia (ukuvinjelwa kokudla kokuphefumula, izinto zangaphandle, njll).