Ukutshintshiselwa igazi

Utshintshiselwano lotofelo yinkqubo enokusindisa ubomi eyenziwayo ukulwa nefuthe elibi le-jaundice okanye utshintsho kwigazi ngenxa yezifo ezinjengearheng cell anemia.

Inkqubo ibandakanya ukususa kancinci igazi lomntu kwaye endaweni yalo kufakwe igazi lomnikeli okanye iplasma.

Utshintshiselwano lotofelo-gazi lufuna ukuba igazi lomntu lisuswe kwaye kufakwe elinye endaweni yalo. Kwiimeko ezininzi, oku kubandakanya ukubeka ityhubhu enye okanye ezingaphezulu, ezibizwa ngokuba ziicatheters, kwisitya segazi. Utshintshiselwano lotshintshiselwano lwenziwa kwimijikelo, nganye nganye ihlala ihlala imizuzu embalwa.

Igazi lomntu liyacothwa kancinci (amaxesha amaninzi malunga ne-5 ukuya kwi-20 mL ngexesha, kuxhomekeke kubungakanani bomntu kunye nobunzima bokugula). Inani elilinganayo legazi elitsha, elishushu ngaphambili okanye iplasma engena emzimbeni womntu. Lo mjikelo uyaphindaphindwa de kufakwe umthamo olungileyo wegazi endaweni yawo.

Emva kotshintshiselwano ngegazi, iicatheters zinokushiyeka endaweni kwimeko apho inkqubo ifuna ukuphindwa.

Kwizifo ezinjengearheng cell anemia, igazi liyasuswa kuze kufakwe igazi lomnikeli.

Kwiimeko ezifana ne-necyatal polycythemia, inani elithile legazi lomntwana liyasuswa kuze kutshintshwe isisombululo esiqhelekileyo se-saline, iplasma (ulwelo olucacileyo gazi), okanye i-albin (isisombululo seeproteni zegazi). Oku kunciphisa inani elipheleleyo leeseli ezibomvu emzimbeni kwaye lenze kube lula ukuba igazi lihambe emzimbeni.

Unyango lotshintshiselwano lunokufuneka ukunyanga le miqathango ilandelayo:

• Kuyingozi ukuba kubalwe iiseli ezibomvu zegazi kwiintsana (neonatal polycythemia)
• Isifo se-hemolytic esibangelwa yi-Rh sosana olusandul 'ukuzalwa
• Ukuphazamiseka okukhulu kwi-chemistry yomzimba
• Isifo sejaundice esisandul 'ukuzalwa esingaphenduliyo kunyango lwezibane ze-bili
• Ingxaki enkulu yeseli
• Iziphumo ezinobungozi zamachiza athile

Imingcipheko ngokubanzi iyafana njengalo naluphi na utofelo-gazi. Ezinye iingxaki ezinokubakho zibandakanya:

• Amahlwili egazi
• Utshintsho kwikhemistry yegazi (ipotasiyam ephezulu okanye esezantsi, ikhalsiyam esezantsi, iswekile esezantsi, utshintsho kubhalansi weasidi egazini)
• Iingxaki zentliziyo nemiphunga
• Usulelo (umngcipheko ophantsi kakhulu ngenxa yokujonga ngenyameko igazi)
• Umothuko ukuba alonelanga igazi lithathelwe indawo

Isigulana kusenokufuneka sigadwe kangangeentsuku ezininzi esibhedlele emva kotofelo-gazi. Ubungakanani bokuhlala buxhomekeke kwimeko apho utshintsho lotshintshiselwano lwenziwe ukunyanga.

Isifo seHemolytic - ukutshintshiselwa kwegazi

• Isifo senyongo esanda kuzalwa - ukubhobhoza

• Utshintshiselwano lotshintshiselwano- uthotho

ICosta K. Hematology. Ku: Hughes HK, Kahl LK, ii-eds. Isibhedlele saseJohns Hopkins: Incwadana yeHarriet Lane. Umhla wama-21. IPhiladelphia, PA: Elsevier; I-2018: isahluko 14.

Icwecwe likaJosephson, iSloan SR. Unyango lotyando lwabantwana. Ku: Hoffman R, Benz EJ, Silberstein LE, et al, ii-eds. I-Hematology: Imigaqo esisiseko kunye nokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 121.

IKliegman RM, iSt. Geme JW, iBlum NJ, i-Shah SS, iTasker RC, uWilson KM. Ukuphazamiseka kwegazi. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 124.

Bukela uJF. I-hyperbilirubinemia engathanga ngqo kunye ne-kernicterus. Ku: Gleason CA, Juul SE, ii-eds. Izifo zika-Avery Zomntwana osandul 'ukuzalwa. Ngomhla we-10. IPhiladelphia, PA: Elsevier; 2018: isahl. 84.