Magetsi a Bili

Magetsi a Bili ndi mtundu wa mankhwala opepuka (phototherapy) omwe amagwiritsidwa ntchito pochizira matenda am'mimba a wakhanda. Jaundice ndi utoto wachikopa pakhungu ndi m'maso. Amayamba chifukwa cha zinthu zachikasu zotchedwa bilirubin. Bilirubin imapangidwa pomwe thupi limalowa m'malo mwa maselo ofiira akale ndi atsopano.

Phototherapy imaphatikizapo kuwala kwa fulorosenti kuchokera ku magetsi a bili pakhungu lopanda kanthu. Kuwala kwapadera kumatha kuwononga bilirubin kukhala mawonekedwe omwe thupi limatha kutulutsa mkodzo ndi mipando. Kuwala kumawoneka buluu.

• Mwana wakhanda amaikidwa pansi pa magetsi popanda zovala kapena atangovala thewera.
• Maso amaphimbidwa kuti awateteze ku kuwala kowala.
• Mwanayo amatembenuzidwa mobwerezabwereza.

Gulu lazachipatala limazindikira mosamala kutentha kwa khanda, zizindikilo zofunika, ndi mayankho ake pakuwala. Amanenanso kuti mankhwalawa adatenga nthawi yayitali bwanji komanso momwe mababu amagetsi alili.

Mwana atha kusowa madzi m'thupi chifukwa cha magetsi. Madzi amatha kuperekedwa kudzera mumitsempha panthawi yachipatala.

Kuyezetsa magazi kumachitika kuti muwone kuchuluka kwa bilirubin. Magawo akatsika mokwanira, phototherapy yatha.

Ana ena amalandila chithunzi kunyumba. Poterepa, namwino amayendera tsiku ndi tsiku ndikukoka magazi kuti ayesedwe.

Chithandizo chimadalira zinthu zitatu:

• Msinkhu wamiyendo
• Mulingo wa Bilirubin m'magazi
• Zaka za wakhanda (m'maola)

Pakakhala zovuta za kuchuluka kwa bilirubin, m'malo mwake mutha kuthiridwa magazi.

Phototherapy ya jaundice; Bilirubin - magetsi a bili; Neonatal care - bili magetsi; Chisamaliro chatsopano - magetsi a bili

• Mwana wakhanda jaundice - kumaliseche

• Magetsi a Bili

Kaplan M, Wong RJ, Burgis JC, Sibley E, Stevenson DK. Matenda a neonatal jaundice ndi matenda a chiwindi. Mu: Martin RJ, Fanaroff AA, Walsh MC, olemba., Eds. Fanaroff ndi Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 91.

[Adasankhidwa] Marcdante KJ, Kliegman RM. Kuchepa kwa magazi ndi hyperbilirubinemia. Mu: Marcdante KJ, Kliegman RM, olemba. Nelson Zofunikira pa Matenda a Ana. 8th ed. Zowonjezera; 2019: mutu 62.

Watchko JF. Neonatal indirect hyperbilirubinemia ndi kernicterus. Mu: Gleason CA, Juul SE, olemba. Matenda a Avery a Mwana Wongobadwa kumene. 10th ed. Philadelphia, PA: Elsevier; 2018: mutu 84.