Ubungozi beGrey Baby Syndrome kwiintsana

Umxholo

• Yintoni i-grey baby syndrome?
• Iimpawu zegrey baby syndrome
• Ungayinyanga njani i-grey baby syndrome
• Ukutshintshiselwa igazi
• Uhlalutyo lweHemodialysis
• Ukuthatha

Wonke umama olindeleyo ufuna ukuba umntwana wakhe aphile. Kungenxa yesi sizathu le nto befumana unonophelo lwangaphambi kokubeleka koogqirha babo kwaye bathathe amanye amanyathelo okuthintela ukukhulelwa okusempilweni. Ezi zilumkiso zibandakanya ukugcina ukutya okusempilweni, ukuzilolonga rhoqo, ukuthintela utywala, iziyobisi ezingekho mthethweni kunye necuba.

Kodwa nokuba uthatha la manyathelo angentla, ukubhencwa kumayeza athile kunokubeka impilo yomntwana wakho emngciphekweni. Kungenxa yoko le nto kubalulekile ukuba uthethe nogqirha wakho ngaphambi kokuba uthathe naliphi na iyeza elitsha ukuba ukhulelwe okanye ucinga ngokukhulelwa. Amayeza amaninzi kunye neyeza-counter-counter zikhuselekile ukuthatha ngelixa ukhulelwe. Olunye unyango, nangona kunjalo, kunokubangela ukukhubazeka okukhulu kokuzalwa okanye iingxaki zempilo kumntwana wakho. Oku kubandakanya i-grey baby syndrome.

Usenokuba awuqhelananga nesi sifo, kodwa kunokuba yingozi kakhulu kwiintsana kunye neentsana ezizelwe ngaphambi kwexesha. Kubalulekile ukuqonda oonobangela besifo esingwevu sosana, kunye neendlela zokukhusela umntwana wakho.

Yintoni i-grey baby syndrome?

I-Grey baby syndrome yinto enqabileyo, esongela ubomi enokuvela kwiintsana nakubantwana ukuya kwiminyaka eyi-2. Eli yeza lisetyenziselwa ukunyanga izifo ezahlukeneyo, ezinjenge-bacterial meningitis. Abanye oogqirha bancomela olu nyango xa usulelo lungaphenduli kwamanye amayeza okubulala iintsholongwane, njengepenicillin.

Le ntsholongwane iyingozi kwiintsana ngenxa yokuba inetyhefu ephezulu. Ngelishwa, iintsana kunye neentsana azinazo ii-enzymes zesibindi ezifunekayo ukuze zilungelelanise iidosi ezinkulu zeliyeza. Kuba imizimba yabo emincinci ayinakho ukulichitha ichiza, amanqanaba anetyhefu ye-antibiotic anokuzakhela kwigazi labo. I-Grey baby syndrome inokukhula ukuba i-antibiotiki inikwe ngqo kwiintsana. Banokuba semngciphekweni wale meko ukuba i-antibiotiki inikwa umama wabo ngexesha lokubeleka okanye ngexesha lokukhulelwa.

I-Grey baby syndrome ayisiyiyo kuphela impembelelo yecala le-chloramphenicol. Kubantu abadala nakubantwana abadala, amayeza anokubangela ezinye iziphumo ebezingalindelekanga ezinobuzaza nezithambileyo, kubandakanya:

• ukugabha
• ifiva
• intloko ebuhlungu
• Irhashalala yomzimba

Inokubangela nemiphumela emibi kakhulu, kubandakanya:

• ubuthathaka obungaqhelekanga
• ukudideka
• ukungaboni kakuhle
• izilonda zomlomo
• ukopha okungaqhelekanga
• i-anemia (ukunciphisa iiseli ezibomvu zegazi)
• usulelo

Kubalulekile ukwazisa ugqirha wakho ukuba wena okanye umntwana wakho unazo naziphi na iziphumo ezivela kweli yeza.

Iimpawu zegrey baby syndrome

Ukuba amanqanaba ayityhefu e-chloramphenicol aqokelelana kwigazi lomntwana wakho kwaye umntwana wakho uba ne-grey syndrome yomntwana, iimpawu zibonisa ngaphakathi kweentsuku ezimbini ukuya kwezisi-9 zokuqala unyango. Iimpawu ziyahluka, kodwa ungaqaphela:

• ukugabha
• umbala wesikhumba ongwevu
• Umzimba oqhwalelayo
• uxinzelelo lwegazi oluphantsi
• imilebe eblowu nolusu
• hypothermia (ubushushu bomzimba obuphantsi)
• ukudumba kwesisu
• ilindle eliluhlaza
• ukubetha kwentliziyo ngokungaqhelekanga
• ubunzima bokuphefumla

Ukuba umntwana wakho unayo nayiphi na impawu yesifo esingwevu sosana emva kokuvezwa yi-chloramphenicol, funa unyango kwangoko. Ukuba ayinyangwa, i-grey baby syndrome inokubangela ukufa ngaphakathi kweeyure.

Ungayinyanga njani i-grey baby syndrome

Iindaba ezimnandi zezokuba i-grey baby syndrome iyanyangeka ukuba ngaba ufuna unyango ngophawu lokuqala lokugula. Inkqubo yokuqala yonyango kukuyeka ukunika umntwana wakho amayeza. Ukuba uthatha iyeza losulelo, kuya kufuneka uyeke ukuncancisa.

Ugqirha wosana lwakho unokuchonga isifo esingwevu sosana emva kovavanyo lomzimba kunye nokujonga iimpawu zeso simo, njengesikhumba esimdaka ngombala kunye nemilebe eluhlaza okwesibhakabhaka. Ugqirha wakho usenokubuza ukuba ingaba wena okanye umntwana wakho nivelisiwe kwi-chloramphenicol.

Qonda ukuba umntwana wakho uya kulaliswa esibhedlele emva kokufumanisa ukuba une-grey baby syndrome. Oku kuyimfuneko ukuze oogqirha bakwazi ukujonga imeko yomntwana wakho ngokusondeleyo.

Emva kokuyeka ukusebenzisa i-chloramphenicol, ugqirha womntwana wakho unokucebisa ngeendlela ezahlukeneyo zonyango.

Ukutshintshiselwa igazi

Le nkqubo yokusindisa ubomi ibandakanya ukususa elinye igazi lomntwana wakho nokufaka elinye endaweni yegazi elisanda kunikelwa okanye iplasma. Inkqubo igqityiwe kusetyenziswa i-catheter.

Uhlalutyo lweHemodialysis

Le nkqubo isebenzisa umatshini we-dialysis ukucoca iityhefu kwigazi lomntwana wakho. Ikwalinganisa i-potassium kunye nenqanaba le-sodium kwaye inceda ukulawula uxinzelelo lwegazi lomntwana wakho.

Ukongeza kolu nyango lungentla, umntwana wakho unokunikwa unyango lweoksijini ukuphucula ukuphefumla kunye nokuhanjiswa kweoksijini emzimbeni. Ugqirha womntwana wakho usenokucebisa nge-hemoperfusion. Olu nyango lufana ne-dialysis kwaye lunceda ekususeni ityhefu egazini. Igazi lomntwana wakho liya kujongwa ngexesha lonyango.

Ukuthatha

I-Grey baby syndrome iyathintelwa. Eyona ndlela yokuthintela le ngxaki kukunganiki la mayeza iintsana ezingaphambi kwexesha kunye nabantwana abangaphantsi kweminyaka emi-2.

Kwakhona kubalulekile ukuba ulindele kwaye uncelise oomama ukuphepha le mayeza. I-chloramphenicol inokudlula kubisi lwebele. Kwiidosi ezisezantsi, le ntsholongwane isenokungabinayo ityhefu kwiintsana. Kodwa kungcono ukukhuseleka kunokuba nosizi. Ukuba ugqirha ucebisa eli chiza kuwe okanye kusana lwakho, cela i-antibiotic ekhuselekileyo.

Ukuba umntwana wakho unesifo esingaphenduliyo kwezinye iintlobo ze-antibiotics, ukusetyenziswa kwe-chloramphenicol kunqabile ukuba kube yimfuneko. Ukuba kunjalo, eli yeza kufuneka linikwe kuphela abantwana kunye nabantwana abancinci phantsi kweliso elibukhali likagqirha, kwaye akufuneki ibe lunyango lokuqala. I-Grey baby syndrome inokuthintelwa xa i-chloramphenicol ilawulwa ngeedosi ezisezantsi kwaye xa kubekwe iliso kumanqanaba egazi. Ukuba ukhulelwe okanye uncancisa kwaye uthatha i-chloramphenicol, ugqirha uya kujonga inqanaba legazi lakho.