Kusinthana magazi

Kusinthana magazi ndi njira yopulumutsa moyo yomwe imachitika pofuna kuthana ndi zovuta za jaundice kapena kusintha kwa magazi chifukwa cha matenda monga sickle cell anemia.

Njirayi imaphatikizapo kuchotsa pang'onopang'ono magazi a munthuyo ndikuikapo magazi atsopano opereka kapena plasma.

Kuikidwa magazi kumafuna kuti magazi a munthuyo achotsedwe ndikusinthidwa. Nthawi zambiri, izi zimaphatikizapo kuyika kachubu kamodzi kapena angapo owonda, otchedwa catheters, mumtsuko wamagazi. Kusinthana magazi kumachitika modutsa, nthawi zambiri kumatenga mphindi zochepa.

Magazi a munthuyo amachotsedwa pang'onopang'ono (nthawi zambiri pafupifupi 5 mpaka 20 mL nthawi imodzi, kutengera kukula kwa munthuyo komanso kuopsa kwa matenda ake). Kuchuluka kofananira kwa mwazi watsopano, wokonzedweratu kapena plasma uyenda mthupi la munthu. Kuzungulira uku kumabwerezedwa mpaka kuchuluka koyenera kwa magazi kumasinthidwa.

Pambuyo pa kusinthanitsa magazi, ma catheters amatha kusiidwa m'malo mwake ngati njirayi ikuyenera kubwerezedwa.

M'matenda monga sickle cell anemia, magazi amachotsedwa ndikuikapo magazi a omwe amapereka.

M'mikhalidwe monga neonatal polycythemia, magazi amtundu wa mwana amachotsedwa ndikusinthidwa ndi madzi amchere amchere, plasma (gawo loyera lamwazi), kapena albin (yankho la mapuloteni amwazi). Izi zimachepetsa kuchuluka kwa maselo ofiira m'thupi ndipo zimapangitsa kuti magazi azitha kuyenda mthupi lonse.

Kuwonjezeka kosinthana kungafune kuchitira izi:

• Kuchuluka kwa maselo ofiira ofiira kwambiri mwa mwana wakhanda (neonatal polycythemia)
• Matenda opatsirana mwa Rh a hemolytic a mwana wakhanda
• Zovuta zazikulu zamagetsi amthupi
• Minyewa yamtundu wakhanda yomwe siyiyankha phototherapy yokhala ndi magetsi a bili
• Mavuto akulu am'manja
• Zotsatira za mankhwala osokoneza bongo

Zowopsa zonse zimafanana ndi kuthiridwa magazi kulikonse. Mavuto ena omwe angakhalepo ndi awa:

• Kuundana kwamagazi
• Zosintha zamagetsi am'magazi (potaziyamu wokwera kapena wotsika, calcium yocheperako, shuga wotsika kwambiri, kusintha kwa asidi-m'magazi)
• Mavuto amtima ndi mapapo
• Kutenga (chiopsezo chochepa kwambiri chifukwa chakuwunika mosamala magazi)
• Kusokonezeka ngati magazi osakwanira amalowetsedwa

Wodwala angafunike kuyang'aniridwa kwa masiku angapo kuchipatala atathiridwa magazi. Kutalika kwakukhala kumadalira momwe kusinthana kosinthana kunachitidwira kuti kuchiritse.

Matenda a hemolytic - kusinthana magazi

• Mwana wakhanda jaundice - kumaliseche

• Kusinthana magazi - mndandanda

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Josephson CD, Sloan SR. Mankhwala othandizira ana. Mu: Hoffman R, Benz EJ, Silberstein LE, et al, olemba. Hematology: Mfundo Zoyambira ndi Zochita. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: chap 121.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Matenda amwazi. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 124.

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.