Blue Baby Syndrome: Zomwe Zimayambitsa, Zizindikiro, Chithandizo ndi Kupewa

Mayina Abwino Kwa Ana

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Kubwerera ku 2018, malipoti azovuta zam'madzi ku Gaza anali ponseponse, ndikuwonetsa kuchuluka kwa kuipitsidwa kwamadzi kwa 85% kukwera mpaka 97%. Kuphatikiza pa nkhaniyi, kubuka kwa matenda a buluu a khanda, matenda omwe amakhudza ana adanenedwa ^[1] . Malinga ndi kafukufuku wa 2005, panali vuto limodzi kapena awiri a matenda a buluu wakhanda, koma popita nthawi, ziwerengerozi zakwera kwambiri. Ndipo kuyambira pano, matenda a buluu a ana adanenedwa m'maiko ena, makamaka omwe ali ndi chitetezo chochepa cha madzi.

Chifukwa chake, Kodi Blue Baby Syndrome Ndi Chiyani?

Amadziwikanso kuti methemoglobinemia ya khanda, matenda amwana wabuluu omwe amachititsa khungu la mwana kutembenukira kubuluu. Ana ena amabadwa ndi vutoli, ena amakonda kukhala nawo. Matendawa amachititsa khungu kukhala ndi utoto wofiirira kapena wabuluu (cyanosis).

Hemoglobin, mapuloteni amwazi ndiwo amachititsa mayendedwe a mpweya mthupi lanu lonse. Pomwe magazi sangatengere mpweyawo, zimayambitsa kusowa kwa mpweya -kukula pakhungu la mwana lomwe limasanduka lamtambo. Mtundu wa bluish umawonekera kwambiri pamagawo okhala ndi khungu lowonda monga milomo, mabedi amisomali ndi ma earlobes ^{[ziwiri] [3]} .

Vutoli silimanenedwa kawirikawiri m'maiko otukuka komanso otukuka ndipo limapezeka kwambiri kumayiko akumidzi ndi omwe akutukuka makamaka m'maiko omwe alibe madzi ^[4] .

Zomwe Zimayambitsa Blue Baby Syndrome

Chifukwa chachikulu cha vutoli ndi magazi opanda mpweya wabwino ^[5] .

Chimodzi mwazinthu zazikulu zomwe zimayambitsa matenda amwana wamtambo ndi kuipitsidwa kwa nitrate m'madzi. Ndiye kuti, mwana akamamwa madzi okhala ndi nitrate wambiri, thupi limasintha ma nitrate kukhala ma nitrites omwe amalumikizana ndi hemoglobin mthupi la mwana ndikusintha kukhala methemoglobin. Methemoglobin sichitha kunyamula komanso kupereka mpweya wabwino ^[6] .

Makanda ochepera zaka zitatu ali ndi chiopsezo chowonjezeka chotenga matendawa chifukwa chakumwa madzi owonongeka. Pang'ono pokha, vutoli limakhudzanso achikulire, pokhapokha nthawi zambiri. Akuluakulu omwe ali ndi chibadwa, zilonda zam'mimba kapena matenda am'mimba komanso impso zolephera kuti dialysis akhale pachiwopsezo chokhala ndi vutoli ^{[7] [8]} .

Zotsatira zake, zina zimapangitsanso kuti khanda liwoneke labuluu monga tetralogy of fallot (TOF), zovuta zapakati pa mtima ndi methemoglobinemia ^[8] .

Zizindikiro Za Blue Baby Syndrome

Kupatula mawonekedwe amtambo wabuluu pakhungu, izi ndi zizindikilo za matenda amwana wabuluu ^{[9] [10]} .

• Nkhani zachitukuko
• Kukwiya
• Kusanza
• Kulephera kunenepa
• Kugunda kwamtima mwachangu kapena kupuma
• Kukonda
• Kutsekula m'mimba
• Kuchuluka kwa mate
• Nkhani zodyetsa
• Kugwidwa
• Zadula (kapena kuzungulira) zala ndi zala

Kuzindikira Kwa Blue Baby Syndrome

Choyamba, adotolo adutsa mbiri yazachipatala ya khanda. Pambuyo pake, dotoloyu amayeza mayeso ndi mayeso angapo kuti adziwe chomwe chimayambitsa matenda amwana wabuluu ^{[khumi ndi chimodzi]} .

Mayeso omwe adachitidwa ndi matenda amwana wabuluu ndi awa ^[13] :

• Catheterisation yamtima kuti muwone m'mitsempha ya mumtima
• Electrocardiogram (EKG) kuti muwone momwe magetsi amagwirira ntchito pamtima
• Kuyesa magazi
• X-ray pachifuwa kuti mupende mapapu ndi kukula kwa mtima
• Kuyesa kokwanira kwa oxygen kuti mudziwe kuchuluka kwa mpweya womwe uli m'magazi
• Echocardiogram kuti muwone momwe mtima umakhalira

Kuchiza Kwa Blue Baby Syndrome

Kutengera zomwe zimayambitsa vutoli, njira yothandizirayi iyenera kutengedwa ndi dokotala wa ana ^[13] .

Ngati vutoli limayamba chifukwa chobadwa ndi vuto la mtima, mwanayo adzafunika kuchitidwa opaleshoni. Ndipo, kutengera kukula kwa vutoli, mankhwala adzapatsidwa.

Ngati mwanayo ali ndi vuto la methemoglobinemia, vutoli limatha kusinthidwa ndikudya mankhwala omwe amatchedwa methylene buluu (omwe amapereka mpweya m'magazi).

Kuteteza Kwa Blue Baby Syndrome [h3]

Chepetsani kumwa zakudya zokhala ndi nitrate chifukwa, zakudya zokhala munkhokwe, monga broccoli, sipinachi, beets etc. siziyenera kuperekedwa kwa mwana wosakwana miyezi isanu ndi iwiri ^[14] .

Musagwiritse ntchito bwino kapena kupopera madzi. Onetsetsani kuti musagwiritse ntchito madzi owonongeka kupanga chakudya cha ana. Osapereka madzi apampopi kwa ana mpaka atakwanitsa miyezi 12.

Pewani mankhwala osokoneza bongo, kusuta fodya, kumwa mowa, komanso mankhwala ena ali ndi pakati chifukwa izi zitha kupangitsa kuti ana akhanda azikhala ndi vuto la mtima ^{[khumi ndi zisanu]} .

1. [1]Toaln, S. (2018, Okutobala 29). Madzi akumwa a Gaza amatulutsa matenda amwana wabuluu, matenda akulu. Aljazeera
2. [ziwiri]Majumdar, D. (2003). Matenda a mwana wabuluu Reonance, 8 (10), 20-30.
3. [3]Knobeloch, L., Salna, B., Hogan, A., Postle, J., & Anderson, H. (2000). Makanda abuluu ndi madzi owonongeka a nitrate. Maganizo azaumoyo, 108 (7), 675-678.
4. [4]McMullen, S. E., Casanova, J. A., Gross, L. K., & Schenck, F. J. (2005). Ion chromatographic kutsimikiza kwa nitrate ndi nitrite m'masamba ndi zipatso za ana zakudya. Journal of AOAC International, 88 (6), 1793-1796.
5. [5]Ginimuge, P. R., & Jyothi, S. D. (2010). Journal ya anaesthesiology, mankhwala azachipatala, 26 (4), 517.
6. [6]Mulholland, P., Simpson, A., & Coutts, J. (2019). P017 Blue baby blues - nkhani yokhudza zomwe amayi amasankha posankha serotonin reuptake inhibitor yogwiritsa ntchito matenda amwana mwadzidzidzi.
7. [7]Johnson, S. F. (2019). Methemoglobinemia: Makanda omwe ali pachiwopsezo Mavuto omwe ali nawo pakasamalidwe ka ana ndi achinyamata, 49 (3), 57-67.
8. [8]Ratnayake, S. Y., Ratnayake, A. K., Schild, D., Maczka, E., Jartych, E., Luetzenkirchen, J., ... & Weerasooriya, R. (2017). Kuchepetsa kwa mankhwala a nitrate ndi zerovalent iron nanoparticles yotsatsa ma radiation-olumikizidwa matrix a copolymer. Nukleonika, 62 (4), 269-275.
9. [9]Medarov, B. I., Pahwa, S., Reed, S., Blinkhorn, R., Rane, N., & Judson, M. A. (2017). Methemoglobinemia yoyambitsidwa ndi dialysis yonyamula odwala kwambiri. Mankhwala osamalira odwala, 45 (2), e232-e235.
10. [10]Chiluo, Y. (2017). Momwe Kupanga Ziweto ku Eastern Nebraska Kungakhudzire Kukhazikika Kwa Nitrate mumtsinje wa Platte.
11. [khumi ndi chimodzi]Wopanda, V. G. (2017). Kapangidwe Kake ndi Kukhazikitsidwa kwa Malo Okhazikitsa Madzi Okhazikika pa Makulitsidwe Olimba a Madzi Otentha. Economics, 5 (5), 486-491.
12. [12]Ellis, C. L., Rutledge, J. C., & Underwood, M. A. (2010). Matenda a m'matumbo a microbiota ndi matenda amwana wabuluu: mankhwala opatsirana pogwiritsa ntchito ma neonates okhala ndi matenda a mtima obadwa nawo a cyanotic.
13. [13]Dilli, D., Aydin, B., Zenciroğlu, A., Özyazici, E., Beken, S., & Okumuş, N. (2013). Zotsatira za chithandizo cha makanda omwe ali ndi cyanotic congenital matenda amtima omwe amathandizidwa ndi ma synbiotic. Matenda, 132 (4), e932-e938.
14. [14]Tooley, W. H., & Stanger, P. (1972). Mwana wabuluu-kuzungulira kapena mpweya wabwino kapena zonse ziwiri?.
15. [khumi ndi zisanu]Özdestan, Ö., & Üren, A. (2012). Zakale za Nitrate ndi Nitrite Zakudya za Ana. Academic Food Journal / Akademik GIDA, 10 (4).

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