Zolemba za umbilical

Placenta ndi ulalo pakati pa mayi ndi mwana panthawi yoyembekezera. Mitsempha iwiri ndi mtsempha umodzi mumchombo umanyamula magazi mobwerera. Ngati mwana wakhanda akudwala atangobadwa kumene, atha kuyikapo catheter.

Catheter ndi chubu lalitali, lofewa, lopanda pake. Catheter ya umbilical artery catheter (UAC) imalola kuti magazi atengeke kwa khanda munthawi zosiyanasiyana, popanda ndodo za singano mobwerezabwereza. Itha kugwiritsidwanso ntchito poyang'anira kuthamanga kwa magazi kwa mwana.

Catheter ya umbilical artery imagwiritsidwa ntchito kwambiri ngati:

• Khanda limafuna thandizo la kupuma.
• Mwanayo amafunikira mpweya wamagazi ndikuyang'aniridwa ndi kuthamanga kwa magazi.
• Khanda limafuna mankhwala amphamvu kuti magazi azithamanga.

Catheter ya umbilical venous catheter (UVC) imalola kuti madzi ndi mankhwala aperekedwe popanda kusintha m'malo mwa intravenous (IV) mzere.

Catheter ya umbilical venous itha kugwiritsidwa ntchito ngati:

• Mwanayo sanakhwime msanga.
• Mwanayo ali ndi mavuto amatumbo omwe amalepheretsa kudyetsa.
• Mwana amafunika mankhwala amphamvu kwambiri.
• Mwanayo amafunika kuthiridwa magazi.

KODI MABANGO AMAKHALIDWE AMAKHALA MOTANI?

Nthawi zambiri mumakhala mitsempha iwiri komanso umbilical m'mitsempha. Chingwe cha umbilical chikadadulidwa, wothandizira zaumoyo amatha kupeza mitsempha yamagazi imeneyi. Ma catheters amayikidwa mumtsuko wamagazi, ndipo x-ray imatengedwa kuti izindikire malo omaliza. Catheters ikakhala pamalo oyenera, imakhala m'malo mwake ndi ulusi wa silika. Nthawi zina, ma catheters amalumikizidwa kumimba kwa mwana.

KODI NDI CHIYANI CHOOPSA CHA MABATI A UMBILICAL?

Zovuta zimaphatikizapo:

• Kusokonezeka kwa magazi kupita ku chiwalo (matumbo, impso, chiwindi) kapena chiwalo (mwendo kapena kumapeto)
• Kuundana kwamagazi m'mbali mwa catheter
• Matenda

Kutuluka kwamagazi ndi mavuto am'magazi kumatha kuopseza moyo ndipo zimafunikira kuchotsedwa kwa UAC. Anamwino a NICU amayang'anira mwana wanu mosamala pamavutowa.

UAC; UVC

• Catheter ya umbilical

Miller JH, Moake M. Njira. Mu: Chipatala cha Johns Hopkins; Hughes HK, Kahl LK, okonza. Chipatala cha Johns Hopkins: Harriet Lane Handbook. Wolemba 21. Philadelphia, PA: Elsevier; 2018: mutu 3.

Santillanes G, Claudius I. Kufikira kwamankhwala opatsirana mwa ana ndi njira zosankhira magazi. Mu: Roberts JR, Custalow CB, Thomsen TW, eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: mutu 19.

Zotsatira whiting CH. Catheterization ya chotengera cha umbilical. Mu: Fowler GC, mkonzi. Njira za Pfenninger ndi Fowler Zoyang'anira Poyamba. Wolemba 4. Philadelphia, PA: Elsevier; 2020: chap 165.