Intambo yovavanyo lwegazi

Igazi lentambo libhekisa kwisampulu yegazi eqokelelwe kwimbambo yomntwana xa kuzalwa usana. Intambo yesambatho yintambo edibanisa umntwana kwisibeleko sikanina.

Ukuvavanywa kwegazi ngentambo kunokwenziwa ukuvavanya impilo yosana olusandul 'ukuzalwa.

Ngokukhawuleza emva kokuzalwa komntwana wakho, intambo yesikhombisi ixinekile kwaye isikwe. Ukuba kufuneka kutsalwe igazi lentambo, elinye ibamba libekwa kwii-intshi ezi-8 ukuya kwezi-10 (iisentimitha ezingama-20 ukuya kwezingama-25) ukusuka kwelokuqala. Icandelo eliphakathi kwamasango lisikiwe kwaye isampulu yegazi iqokelelwa kwityhubhu yomzekelo.

Akukho manyathelo akhethekileyo afunekayo ukulungiselela olu vavanyo.

Awuyi kuva nantoni na ngaphaya kwenkqubo yesiqhelo yokubeleka.

Ukuvavanywa kwegazi ngentambo kwenziwa ukulinganisa oku kulandelayo kwigazi lomntwana wakho:

• Inqanaba leBilirubin
• Inkcubeko yegazi (ukuba kurhanelwa usulelo)
• Iigesi zegazi (kubandakanya ioksijini, icarbon dioxide, kunye namanqanaba e-pH)
• Inqanaba leswekile yegazi
• Uhlobo lwegazi kunye neRh
• Gcwalisa ubalo lwegazi (CBC)
• Ubalo lweplatelet

Amaxabiso aqhelekileyo athetha ukuba zonke izinto ezihloliweyo zikuluhlu oluqhelekileyo.

I-pH esezantsi (engaphantsi kwe-7.04 ukuya kwi-7.10) kuthetha ukuba kukho amanqanaba aphezulu eeacidi kwigazi lomntwana. Oku kunokwenzeka xa umntwana engafumani oksijini yaneleyo ngexesha lokubeleka. Isizathu esinye soku inokuba intambo yenkaba yayicinezelwe ngexesha lomsebenzi okanye lokuhambisa.

Inkcubeko yegazi elungileyo kwiibhaktheriya kuthetha ukuba umntwana wakho unesifo segazi.

Inqanaba eliphezulu leswekile yegazi (iswekile) kwigazi lentambo linokufunyanwa ukuba umama unesifo seswekile. Usana olusandul 'ukuzalwa luya kujongwa kwi-hypoglycemia (iswekile esezantsi yegazi) emva kokubeleka.

Inqanaba eliphezulu le-bilirubin kusana olusandul 'ukuzalwa lunezizathu ezininzi, ezinokubangelwa zizifo umntwana azifumanayo.

Qaphela: Uluhlu lwamaxabiso aqhelekileyo luyahluka kancinci phakathi kweelebhu ezahlukeneyo. Thetha nogqirha wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Uninzi lwezibhedlele zihlala ziqokelela intambo yegazi kuvavanyo xa luzalwa. Inkqubo ilula ngokulula kwaye lelona xesha kuphela apho olu hlobo lwesampulu yegazi lunokuqokelelwa.

Unokuthatha isigqibo sokubhankisha okanye ukunikela ngegazi lentambo ngexesha lokuhambisa kwakho. Intambo yegazi ingasetyenziselwa ukunyanga iintlobo ezithile zomhlaza onxulumene nomongo wethambo. Abanye abazali banokukhetha ukugcina (ebhankini) igazi lentambo lomntwana ukulungiselela oku kunye nezinye iinjongo zonyango ezizayo.

Intambo zebhanki yegazi yokusetyenziswa buqu zenziwa ngamabhanki egazi kunye neenkampani zabucala. Kukho intlawulo ngenkonzo ukuba usebenzisa inkonzo yabucala. Ukuba ukhetha ukubhankisha intambo yegazi yosana lwakho, kuya kufuneka uthethe nomboneleli wakho wezempilo malunga neenzuzo kunye nezinto ezimbi onokukhetha kuzo.

Ikholeji yaseMelika yoNyango kunye neeGynecologists. Uluvo lwekomiti ye-ACOG hayi. I-771: intambo yebhanki yegazi ebhankini. IGynecol ebambekayo. 2019; 133 (3): e249-e253. IINKCUKACHA: 30801478 pubmed.ncbi.nlm.nih.gov/30801478/.

I-Greco NJ, i-Elkins M. Tissue yebhanki kunye neeseli zenzala. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; Ngo-2017: isahluko 38.

IWaldorf KMA. I-immunology yoomama abakhulelweyo. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ii-eds. Ii-Obstetrics zikaGabbe: Ukukhulelwa okuqhelekileyo kunye neengxaki. Ngomhla we-8. IPhiladelphia, PA: Elsevier; 2021: isahluko 4.