Matenda a Buluu a Baby

Zamkati

• Nchiyani chimayambitsa matenda a blue baby?
• Kuchita Zachiwerewere (TOF)
• Methemoglobinemia
• Matenda ena obadwa nawo amtima
• Zizindikiro zake ndi ziti?
• Kodi amapezeka bwanji?
• Amachizidwa bwanji?
• Kodi ndingapewe bwanji matenda amwana wabuluu?
• Kodi ana omwe ali ndi vutoli ndi otani?

Chidule

Matenda a Blue Baby ndi omwe ana ena amabadwa nawo kapena amakula ali aang'ono. Amadziwika ndi khungu lonse lokhala ndi mtundu wabuluu kapena wofiirira, wotchedwa cyanosis.

Maonekedwe abuluu amawonekera kwambiri pakhungu lakuonda, monga milomo, mapiko am'makutu, ndi mabedi amisomali. Matenda a buluu amwana, ngakhale si wamba, amatha kuchitika chifukwa cha kubadwa kangapo (kutanthauza pakubwera) zopindika pamtima kapena chilengedwe kapena majini.

Nchiyani chimayambitsa matenda a blue baby?

Mwana amatenga mtundu wobiriwira chifukwa cha magazi omwe alibe mpweya wabwino. Nthawi zambiri, magazi amapopedwa kuchokera kumtima kupita m'mapapu, komwe amalandira mpweya. Magazi amafalitsidwa kubwerera mumtima kenako mthupi lonse.

Pomwe pali vuto ndi mtima, mapapo, kapena magazi, magazi sangatenge mpweya wabwino moyenera. Izi zimapangitsa khungu kutenga mtundu wabuluu. Kuperewera kwa oxygenation kumatha kuchitika pazifukwa zingapo.

Kuchita Zachiwerewere (TOF)

Ngakhale matenda obadwa nawo obadwa nawo, TOF ndiye chifukwa chachikulu cha matenda amwana wabuluu. Ndizophatikizira zopindika zinayi zamtima zomwe zingachepetse magazi kupita m'mapapu ndikulola magazi opanda oxygen kutuluka mthupi.

TOF imaphatikizaponso zinthu ngati kukhala ndi bowo pakhoma lomwe limasiyanitsa ma ventricle akumanzere ndi kumanja a mtima ndi minofu yomwe imalepheretsa kutuluka kwa magazi kuchokera ku ventricle yolondola kupita m'mitsempha yam'mapapo, kapena yamapapo.

Methemoglobinemia

Matendawa amayamba chifukwa cha poyizoni wa nitrate. Zitha kuchitika kwa makanda omwe amadyetsedwa mkaka wa ana wosakanizidwa ndi madzi abwino kapena chakudya chokometsera cha ana chopangidwa ndi zakudya zokhala ndi nitrate, monga sipinachi kapena beets.

Vutoli limachitika kawirikawiri mwa ana osakwana miyezi isanu ndi umodzi. Achichepere awa, makanda amakhala ndi timapepala tating'onoting'ono tomwe timakhala m'mimba, zomwe zimatha kusintha nitrate kukhala nitrite. Pamene nitrite imayenda mthupi, imapanga methemoglobin. Ngakhale methemoglobin ili ndi okosijeni wambiri, siyimatulutsa mpweyawo m'magazi. Izi zimapatsa ana omwe ali ndi vutoli mtundu wawo wabuluu.

Methemoglobinemia amathanso kukhala obadwa nako.

Matenda ena obadwa nawo amtima

Chibadwa chimayambitsa zolakwika zambiri mumtima. Mwachitsanzo, ana obadwa ndi Down syndrome nthawi zambiri amakhala ndi mavuto amtima.

Nkhani zokhudzana ndi thanzi la amayi, monga matenda amtundu wa shuga wachiwiri komanso osawongoleredwa bwino, zitha kuchititsanso mwana kukhala ndi vuto la mtima.

Zolakwika zina zamtima zimayambitsanso popanda chifukwa chilichonse. Zofooka zochepa zokha za mtima zimayambitsa cyanosis.

Zizindikiro zake ndi ziti?

Kuphatikiza pa mtundu wabuluu wakhungu, zizindikilo zina zamatenda amwana wabuluu ndi awa:

• kupsa mtima
• ulesi
• nkhani zodyetsa
• kulephera kunenepa
• nkhani zachitukuko
• kugunda kwamtima mwachangu kapena kupuma
• zala ndi zala zakuphazi (kapena zozungulira)

Kodi amapezeka bwanji?

Kuwonjezera pa kutenga mbiri yakale ya zamankhwala ndi kuyezetsa thupi, dokotala wa ana a mwana wanu angayese mayeso angapo. Kuyesaku kukuthandizani kudziwa chifukwa cha matenda amwana wamtambo. Mayeso atha kuphatikiza:

• kuyesa magazi
• X-ray pachifuwa kuti awone mapapu ndi kukula kwa mtima
• electrocardiogram (EKG) kuti muwone zochitika zamagetsi pamtima
• echocardiogram kuti muwone momwe mtima umakhalira
• catheterization yamtima kuti muwone m'mitsempha ya mumtima
• kuyezetsa magazi kuti mudziwe kuchuluka kwa mpweya wamagazi

Amachizidwa bwanji?

Chithandizo chimadalira chifukwa cha matenda amwana wamtambo. Ngati vutoli limapangidwa ndi vuto lobadwa nalo la mtima, mwana wanu adzafunika kuchitidwa opaleshoni nthawi ina.

Mankhwala angalimbikitsidwenso. Malangizowa akutengera kukula kwa chilemacho. Ana omwe ali ndi methemoglobinemia amatha kusintha vutoli potenga mankhwala otchedwa methylene buluu, omwe amatha kupereka mpweya m'magazi. Mankhwalawa amafunikira mankhwala ndipo nthawi zambiri amaperekedwa kudzera mu singano yolowetsedwa mumtsempha.

Kodi ndingapewe bwanji matenda amwana wabuluu?

Milandu ina yamatenda amwana wamtambo imakhala yamkuntho mwachilengedwe ndipo siyingapeweke. Zina, komabe, zitha kupewedwa. Zomwe mungachite ndi izi:

• Musagwiritse ntchito madzi abwino. Osakonza mkaka wa ana ndi madzi abwino kapena kupatsa ana madzi abwino akumwa mpaka atakwanitsa miyezi 12. Madzi otentha sangachotse nitrate. Magawo a nitrate m'madzi sayenera kupitirira 10 mg / L. Dipatimenti ya zaumoyo yakwanuko ikhoza kukupatsirani zambiri zakomwe mungayesere madzi abwino.
• Chepetsani zakudya zokhala ndi nitrate. Zakudya zokhala ndi nitrate monga broccoli, sipinachi, beets, ndi kaloti. Malire omwe mumadyetsa mwana wanu asanakwanitse miyezi 7. Ngati mumadzipangira mwana wanu chakudya ndipo muyenera kugwiritsa ntchito ndiwo zamasamba, gwiritsani ntchito mazira m'malo mwatsopano.
• Pewani mankhwala osokoneza bongo, kusuta fodya, mowa, ndi mankhwala ena panthawi yapakati. Kupewa izi kumathandizira kupewa kupunduka kwa mtima wobadwa nako. Ngati muli ndi matenda ashuga, onetsetsani kuti mukuwongoleredwa bwino komanso kuti mukusamalidwa ndi adotolo.

Kodi ana omwe ali ndi vutoli ndi otani?

Matenda a ana a buluu ndimatenda osowa omwe amakhala ndi zifukwa zosiyanasiyana. Dokotala wanu akhoza kulangiza chilichonse kuchokera kuchipatala popanda kuchipatala. Kuchita opaleshoni kumatha kukhala koopsa kwambiri mukamachita khanda.

Vutoli likazindikira ndikuthandizidwa bwino, ana ambiri omwe ali ndi matenda amtambo wamtambo amatha kukhala ndi moyo wabwinobwino osakhala ndi zotsatira zochepa zathanzi.