Yakazununguswa mucheche chirwere

Shaken baby syndrome inzira yakakomba yekushungurudzwa kwevana inokonzerwa nekuzunza zvine chisimba mucheche kana mwana.

Kuzununguswa kweana syndrome kunogona kuitika kubva padiki semasekonzi mashanu ekuzunza.

Kukuvadzwa kwevana kukuvara kazhinji kunoitika muvana vadiki pane makore maviri ekuberekwa, asi kunogona kuonekwa muvana vanosvika makore mashanu.

Kana mucheche kana mwana mudiki achizunzwa, huropi hunorovera kumashure nekudzoka kurwisa dehenya. Izvi zvinogona kukonzera kupwanya kwehuropi (cerebral contusion), kuzvimba, kumanikidza, uye kubuda ropa muuropi. Tsinga hombe pamwe nekunze kwehuropi dzinogona kubvaruka, zvichitungamira mukuwedzera kubuda ropa, kuzvimba, uye kuwedzera kumanikidza. Izvi zvinogona kukonzera kukuvara kwehuropi zvachose kana kufa.

Kuzunza mwana kana mwana mudiki kunogona kukonzera kumwe kukuvara, sekukuvara kumutsipa, musana uye maziso.

Kazhinji, mubereki akatsamwa kana muchengeti anozunza mwana kuti arange kana kunyararidza mwana. Kuzunungusa kwakadaro kunowanzoitika kana mucheche achichema zvisinganyaradze uye muchengeti anoshungurudzika anotadza kuzvidzora. Nguva zhinji muchengeti anga asingadi kukuvadza mwana. Zvakadaro, imhando yekushungurudzwa kwevana.

Kukuvara kunowanzoitika kana mwana achizunzwa uyezve musoro wemwana uchirova chimwe chinhu. Kunyangwe kurova chinhu chakapfava, chakadai semetiresi kana mutsago, zvinogona kukwana kukuvadza vacheche uye vacheche vadiki. Uropi hwevana hwakapfava, mitsipa yavo yemutsipa uye mitsipa haina kusimba, uye misoro yavo yakakura uye inorema zvinoenderana nemiviri yavo. Mhedzisiro yacho mhando ye whiplash, yakafanana nezvinoitika mune dzimwe tsaona dzemotokari.

Kuzununguswa kweana syndrome hakukonzere kubva pakuramba zvinyoronyoro, kutamba uchimhanyisa kana kukanda mwana mudenga, kana kumhanya nemwana. Izvo zvakare hazvigoneke kuitika kubva mutsaona dzakadai sekudonha pazvigaro kana pasi masitepisi, kana netsaona kudonhedzwa kubva pamaoko emuchengeti. Mapfupi kudonha anogona kukonzera mamwe marudzi ekukuvara mumusoro, kunyangwe izvi zvinowanzo kuve zvidiki.

Zviratidzo zvinogona kusiyana, kubva pakapfava kusvika pakakomba. Zvinogona kusanganisira:

• Kushungurudzika (kugumburwa)
• Kuderedza kusvinura
• Kunyanya kugumbuka kana kumwe kuchinja muhunhu
• Kunonoka, kurara, kwete kunyemwerera
• Kurasikirwa kwekuziva
• Kurasikirwa kwemaonero
• Hapana kufema
• Pale kana bhuruu ganda
• Kudya zvakashata, kushaya nzara
• Kusvipa

Panogona kusave nezviratidzo zvemuviri zvekukuvara, senge kupwanya, kubuda ropa, kana kuzvimba. Mune zvimwe zviitiko, mamiriro acho anogona kunge akaoma kuongorora uye angasawanikwa panguva yekushanya kwehofisi. Nekudaro, mbabvu dzakatsemuka dzakajairika uye dzinogona kuonekwa pane x-ray.

Chiremba weziso anogona kuwana kubuda ropa kuseri kweziso recheche kana chediso retisheni. Kune, zvisinei, zvimwe zvikonzero zvekubuda ropa kuseri kweziso uye zvinofanirwa kutongwa kunze usati waongorora yakazungunuswa mucheche chirwere. Zvimwe zvinhu zvinofanirwa kutariswa.

Fonera 911 kana yako yemuno emergency emergency. Pakarepo kurapwa kwechimbichimbi kunokosha.

Kana mwana akamira kufema rubatsiro rwechimbichimbi rwusati rwasvika, tanga CPR.

Kana mwana achirutsa:

• Uye iwe haufunge kuti pane kukuvara kwemuzongoza, shandura musoro wemwana kune rimwe divi kudzivirira mwana kubva kudzipwa nekufema mumarutsi kumapapu (aspiration).
• Uye iwe unofunga kuti pane kukuvara kwemuzongoza, nyatso kumonera muviri wemwana kune rimwe divi panguva imwechete (sekunge uchimonera danda) uchidzivirira mutsipa kudzivirira kudzipwa uye kuda.

• Usasimudze kana kuzunza mwana kuti amumutse.
• Usaedze kupa mwana chero chinhu nemuromo.

Fonera wako mupi wezvehutano kana mwana aine chero ezviratidzo zviri pamusoro kana zviratidzo, zvisinei nekuti vanyoro kana zvakanyanya sei. Zvakare fona kana iwe uchifunga kuti mwana azunungusa mwana chirwere.

Kana iwe uchifunga kuti mwana ari munjodzi nekukasira nekuda kwekuregeredzwa, unofanirwa kufonera 911. Kana iwe uchifungidzira kuti mwana ari kushungurudzwa, mhan'ara ipapo. Nyika zhinji dzine nharembozha yekushungurudza vana. Iwe unogona zvakare kushandisa iyo Childhelp National Child Abuse Hotline pa1-800-4-A-Mwana (1-800-422-4453).

Aya matanho anogona kubatsira kudzikisa njodzi yekuzununguswa kweana syndrome:

• Usambofa wakazunza mwana kana mwana mukutamba kana mukutsamwa. Kunyangwe kudedera zvinyoro nyoro kunogona kuita zvechisimba kuzununguka kana iwe wakatsamwa.
• Usabata mwana wako panguva yekukakavadzana.
• Kana iwe ukazviwana uchitsamwa kana kutsamwira mwana wako, isa mwana mubhedha rake uye ubve mumba. Edza kudzikama. Fonera mumwe munhu kuti akubatsire.
• Fonera shamwari kana hama kuti iuye kuzogara nemwana kana uchinzwa kusagadzikana.
• Bata nhare yemunharaunda yedambudziko kana nhare yekushungurudza vana kuti ubatsirwe uye nhungamiro.
• Tsvaga rubatsiro rwemupi wezano uye enda kumakirasi ekurera.
• Usatarise zviratidzo kana uchifungidzira kushungurudzwa kwevana mumba mako kana mumba memumwe munhu waunoziva.

Shaken impact syndrome; Whiplash - akazununguswa mucheche; Kushungurudzwa kwevana - kuzununguswa mwana

• Kuzununguswa mucheche zviratidzo

Carrasco MM, Woldford JE. Kushungurudzwa kwevana uye kuregeredzwa. Mune: Zitelli, BJ, McIntire SC, Nowalk AJ, eds. Zitelli naDavis 'Atlas yePediatric Kuziva. 7th ed. Philadelphia, PA: Elsevier Saunders; 2018: chits.

Dubowitz H, Lane WG. Vana vanoshungurudzwa uye vasina hanya. Mune: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Chinyorwa chePediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016: chits. 40.

Mazur PM, Hernan LJ, Maiyegun S, Wilson H. Kushungurudzwa kwevana. Mune: Fuhrman BP, Zimmerman JJ, eds. Chiremba Kukosha Kuchengetedza. 5 ed. Philadelphia, PA: Elsevier; 2017: chits. 122.