IBlue Baby Syndrome

Umxholo

• Yintoni ebangela i-blue baby syndrome?
• I-Tetralogy ye-Fallot (TOF)
• Imethemoglobinemia
• Ezinye iziphene zentliziyo yokuzalwa
• Ziintoni iimpawu?
• Kufunyaniswa njani?
• Inyangwa njani?
• Ndingayithintela njani i-blue baby syndrome?
• Yintoni imbonakalo yeentsana ezinale meko?

Ushwankathelo

I-Blue baby syndrome yimeko yokuba ezinye iintsana zizalwe nazo okanye zikhule kwasekuqaleni ebomini. Iphawuleka ngombala wolusu ngokubanzi ngombala oluhlaza okwesibhakabhaka okanye omfusa, obizwa ngokuba yicyanosis.

Ukubonakala okuluhlaza kubonakala kakhulu apho ulusu lucekeceke, njengemilebe, iindlebe, kunye neebhedi zezikhonkwane. I-Blue baby syndrome, ngelixa ingaqhelekanga, inokwenzeka ngenxa yokuzalwa (okuthetha ukubakho ekuzalweni) iziphene zentliziyo okanye imeko yendalo okanye yemfuza.

Yintoni ebangela i-blue baby syndrome?

Usana luthatha umbala oluhlaza okwesibhakabhaka ngenxa yegazi elingena oxygen. Ngokwesiqhelo, igazi lichazwa lisuka entliziyweni liye emiphungeni, apho lifumana ioksijini. Igazi lijikeleza libuyela entliziyweni nasemva komzimba.

Xa kukho ingxaki ngentliziyo, imiphunga, okanye igazi, igazi alinakukhutshwa ioksijini ngokufanelekileyo. Oku kubangela ukuba ulusu luthathe umbala oluhlaza. Ukunqongophala kweoksijini kunokwenzeka ngezizathu ezininzi.

I-Tetralogy ye-Fallot (TOF)

Ngelixa intsholongwane yenhliziyo enqabileyo, i-TOF ingunobangela ophambili wesifo se-blue baby. Ngokwenene kukudityaniswa kweziphene zentliziyo ezine ezinokunciphisa ukuhamba kwegazi emiphungeni kwaye zivumele igazi elingenayo ioksijini ukuba liphume liye emzimbeni.

I-TOF ibandakanya iimeko ezinje ngokuba nomngxuma eludongeni olwahlula i-ventricle yasekhohlo kunye nasekunene kwentliziyo kunye nesihlunu esiphazamisa ukuhamba kwegazi ukusuka kwi-ventricle yasekunene iye kwi-pulmonary, okanye imiphunga, umthambo.

Imethemoglobinemia

Le meko ibangelwa yityhefu ye-nitrate. Kuyenzeka kwiintsana ezityiswa ubisi olungumgubo lweentsana oluxutywe namanzi kakuhle okanye ukutya okwenziwe umntwana okwenziwe ngokutya okune-nitrate, njengesipinatshi okanye ii-beet.

Imeko yenzeka rhoqo kwiintsana ezingaphantsi kweenyanga ezintandathu ubudala. Xa oku kuncinci, iintsana zineephecana zesisu ezibuthathaka kwaye ezingaphuhliswanga, ezinokuthi ziguqule i-nitrate kwi-nitrite. Njengoko i-nitrite ijikeleza emzimbeni, ivelisa i-methemoglobin. Ngelixa i-methemoglobin ityebile nge-oxygen, ayiyikhuphi loo oksijini yangena egazini. Oku kunika iintsana ezinemeko yokuba ziluhlaza okomhlaza.

I-Methemoglobinemia nayo ayinakufane izalwe.

Ezinye iziphene zentliziyo yokuzalwa

Imfuza ibangela ukusilela kwentliziyo yokubeleka. Umzekelo, iintsana ezizalwe zine-Down syndrome zihlala zinengxaki yentliziyo.

Imicimbi enempilo yoomama, enje ngesifo seswekile esingaphantsi nesilawulwa ngendlela engalunganga, nayo inokubangela ukuba umntwana abe nengxaki yentliziyo.

Ezinye iziphene zentliziyo zikwabangelwa ngaphandle kwesizathu. Kuphela ziziphene zentliziyo yokuzalwa ezizalwa zizinto ezibangela icyanosis.

Ziintoni iimpawu?

Ukongeza kumbala oluhlaza okwesibhakabhaka, ezinye iimpawu zesifo se-blue baby syndrome zibandakanya:

• ukucaphuka
• ukungakhathali
• imiba yokondla
• ukungakwazi ukutyeba
• imiba yophuhliso
• ukubetha kwentliziyo okukhawulezayo okanye ukuphefumla
• iminwe kunye neenzwane eziklabhu (okanye ezijikeleziweyo)

Kufunyaniswa njani?

Ngaphandle kokuthatha imbali yezonyango kunye nokwenza uvavanyo lomzimba, ugqirha wabantwana bakho uya kwenza uvavanyo oluninzi. Ezi mvavanyo ziya kunceda ukumisela unobangela we-blue baby syndrome. Uvavanyo lunokubandakanya:

• iimvavanyo zegazi
• X-ray yesifuba yokuvavanya imiphunga kunye nobukhulu bentliziyo
• i-electrocardiogram (EKG) ukujonga umsebenzi wombane wentliziyo
• i-echocardiogram ukubona imeko yentliziyo
• i-catheterization yentliziyo ukujonga kakuhle imithambo yentliziyo
• Uvavanyo lokugcwalisa ioksijini ukumisela ukuba ingakanani ioksijini esegazini

Inyangwa njani?

Unyango luxhomekeke kwisizathu se-blue baby syndrome. Ukuba imeko iveliswa sisiphene sentliziyo, umntwana wakho uya kufuna utyando ngaxa lithile.

Amayeza anokucetyiswa nawo. Ezi ngcebiso zisekwe kubukrakra besiphene. Iintsana ezine-methemoglobinemia zingayiguqula imeko ngokuthatha ichiza elibizwa ngokuba yi-methylene blue, enokunika ioksijini egazini. Eli chiza lifuna amayeza kwaye lihlala lihanjiswa ngenaliti efakwe emthanjeni.

Ndingayithintela njani i-blue baby syndrome?

Ezinye iimeko ze-blue baby syndrome ziintshulube zendalo kwaye azinakuthintelwa. Ezinye, nangona kunjalo, zinokuphetshwa. Amanyathelo okuthatha abandakanya:

• Sukusebenzisa amanzi emithombo. Sukulungiselela ubisi olungumgubo lwamanzi ngamanzi equla okanye unike abantwana amanzi okusela kakuhle de babe ngaphezulu kweenyanga ezili-12 ubudala. Amanzi abilayo akazukususa iitrate. Amanqanaba enitrate emanzini akufuneki adlule kwi-10 mg / L. Isebe lezempilo ekuhlaleni lingakunika ulwazi oluthe kratya malunga nokuba ungalufumana phi uvavanyo lwamanzi.
• Nciphisa ukutya okune-nitrate. Ukutya okunotye kwii-nitrate kubandakanya i-broccoli, isipinatshi, ii-beet, kunye neekherothi. Nciphisa isixa osondla ngaso umntwana wakho ngaphambi kokuba abeneenyanga ezisixhenxe ubudala. Ukuba uzenzela ngokwakho ukutya kosana lwakho kwaye kufuneka usebenzise le mifuno, sebenzisa umkhenkce kunokuba ube mtsha.
• Gwema iziyobisi ezingekho mthethweni, ukutshaya, utywala, kunye namanye amayeza ngexesha lokukhulelwa. Ukuphepha oku kuya kunceda ukukhusela ukukhubazeka kwentliziyo. Ukuba unesifo seswekile, qiniseka ukuba silawulwa kakuhle kwaye uphantsi kweliso likagqirha.

Yintoni imbonakalo yeentsana ezinale meko?

I-Blue baby syndrome sisifo esinqabileyo esinezizathu ezahlukeneyo. Ugqirha wakho unokucebisa nantoni na ngaphandle kokonyango kwangoko ukuya kutyando. Utyando lunokuba yingozi xa lusenziwa kusana olusandul 'ukuzalwa.

Nje ukuba unobangela uchongwe kwaye uphathwe ngempumelelo, uninzi lwabantwana abane-blue baby syndrome banokuphila ubomi obuqhelekileyo ngeziphumo ezimbalwa zempilo.