Xa iqondo lobushushu liphantsi emntwaneni kwaye kufuneka enze ntoni

Umxholo

• Indlela yokuchonga ukuba umntwana unehypothermia
• Kwenziwe ntoni
• Unxiba njani umntwana ngokufanelekileyo

Xa ubushushu bomzimba womntwana bungaphantsi kwama-36.5ºC, ithathwa njengemeko eyaziwa ngokuba yi-hypothermia, exhaphake kakhulu kwiintsana, ngakumbi iintsana ezizelwe ngaphambi kwexesha, kuba umzimba womzimba ngokunxulumene nobunzima bawo uphakame kakhulu, uququzelela ubushushu bokulahleka komzimba, ngakumbi xa kubanda. Oku kungalingani phakathi kokuphulukana nobushushu kunye nokusikelwa umda ekuveliseni ubushushu sesona sizathu siphambili sehypothermia kwiintsana ezisempilweni.

Kubalulekile ukuba i-hypothermia yomntwana ichongwe kwaye inyangwe ngokwesikhokelo sikagqirha, kuba ngale ndlela kunokwenzeka ukunqanda iingxaki ezinje nge-hypoglycemia, i-asidi ephezulu yegazi kunye notshintsho lokuphefumla, olunokuthi lubeke ubomi bosana emngciphekweni. Ke, kubalulekile ukuba iintsana ezisandul 'ukuzalwa zigcinwe zifudumele kungekudala emva kokuzalwa.

Indlela yokuchonga ukuba umntwana unehypothermia

Kuyenzeka ukuba uchonge i-hypothermia elusaneni ngokujonga ezinye iimpawu kunye neempawu, ezinje ngesikhumba esibandayo, hayi ezandleni nasezinyaweni kuphela, kodwa nasebusweni, ezingalweni nasemilenzeni, ukongeza kutshintsho kumbala wolusu lomntwana, ezinokuthi zibe luhlaza okomhlaza ngakumbi ngenxa yokwehla komthamo wegazi. Ukongeza, oko kunokubonwa kwezinye iimeko, ukwehla ikhaliphe, ukugabha, hypoglycemia, ukunciphisa umchamo eveliswe emini.

Ukongeza ekuqwalaseleni iimpawu kunye neempawu zehypothermia, kubalulekile ukulinganisa ubushushu bomzimba womntwana usebenzisa ithemometha ekufuneka ibekwe ekhwapheni lomntwana. IHypothermia engaphantsi kwama-36.5ºC ithathelwa ingqalelo, kwaye inokuhlelwa ngokobushushu obufana nob:

• Ubushushu behypothermia: 36 - 36.4ºC
• I-hypothermia ephakathi: 32 - 35.9ºC
• Ubunzima behypothermia: ngaphantsi kwama-32ºC

Kwakamsinya nje xa kubonakaliswa ukwehla kobushushu bomzimba womntwana, kubalulekile ukuba unxibe iimpahla ezifanelekileyo, ukuzama ukumisa ubushushu bomzimba, ukongeza ekuboneni kugqirha wabantwana ukuze kunyangwe olona nyango kwaye iingxaki zinokubakho. iphetshwe.

Ukuba i-hypothermia ayichongwanga okanye ayinyangwa, umntwana angahlakulela iingxaki ezinokusongela ubomi, ezinje ngokusilela kokuphefumla, ukutshintsha kwenqanaba lentliziyo kunye nokunyusa iasidi yegazi.

Kwenziwe ntoni

Xa ujonga ukuba umntwana uneqondo lobushushu elingaphantsi kwelilungileyo, kufuneka kufunwe izicwangciso zokufudumeza umntwana, ngeempahla ezifanelekileyo, umnqwazi kunye nengubo. Usana kufuneka lusiwe esibhedlele ukuze luqale unyango ngokukhawuleza, ukuba umntwana akafudumali okanye unobunzima bokuncanca, ukuncipha kokuhamba, ukungcangcazela okanye imiphetho ebluish.

Ugqirha wabantwana kufuneka avavanye usana kwaye achonge unobangela wokwehla kweqondo lobushushu, elinokuthi lihambelane nendawo ebandayo kunye nezambatho ezingonelanga, i-hypoglycemia okanye ezinye iingxaki zokutya, iingxaki ze-neurological okanye zentliziyo.

Unyango lubandakanya ukufudumeza umntwana ngeempahla ezifanelekileyo, iqondo lobushushu kwigumbi elimnandi, kwaye kwezinye iimeko kunokuba yimfuneko ukubeka umntwana kwisifukamisi ngokukhanya ngokuthe ngqo ukunyusa ubushushu bomzimba. Xa ubushushu bomzimba obuphantsi benzeka ngenxa yengxaki yezempilo, kufuneka isonjululwe ngokukhawuleza.

Unxiba njani umntwana ngokufanelekileyo

Ukuthintela usana ekufumaneni i-hypothermia, kuyacetyiswa ukuba unxibe iimpahla ezifanelekileyo kwimeko-bume, kodwa usana olusandul 'ukuzalwa luphulukana nobushushu ngokukhawuleza, ngoko ke kufuneka ahlale enxibe iimpahla ezinemikhono emide, ibhulukhwe ende, umnqwazi kunye neekawusi. Iiglavu ziyafuneka xa ubushushu bemo engaphantsi kwe-17ºC, kodwa kufuneka kukhathalelwe ukungafaki iimpahla ezininzi emntwaneni kwaye kubangele nobushushu, okuyingozi ngokulinganayo kwimpilo yabantwana.

Ke indlela elungileyo yokufumanisa ukuba umntwana unxibe iimpahla ezifanelekileyo kukubeka umva wesandla sakho entanyeni nasesifubeni somntwana. Ukuba kukho imiqondiso yokubila, ungasusa umaleko wengubo, kwaye ukuba iingalo okanye imilenze iyabanda, kuya kufuneka wongeze omnye umaleko wengubo.