I-Blue Baby Syndrome

-Delile

• Yini ebangela i-blue baby syndrome?
• I-Tetralogy of Fallot (TOF)
• I-Methemoglobinemia
• Okunye ukukhubazeka kwenhliziyo okuzelwe
• Ziyini izimpawu?
• Kutholakala kanjani?
• Ilashwa kanjani?
• Ngingavimbela kanjani i-blue baby syndrome?
• Uyini umbono wezingane ezinalesi simo?

Ukubuka konke

I-Blue baby syndrome yisimo ezinye izingane ezizalwa nazo noma ezikhula zisencane. Kubonakala ngombala wesikhumba jikelele onombala oluhlaza okwesibhakabhaka noma onsomi, obizwa nge-cyanosis.

Lokhu kubonakala okuluhlaza okwesibhakabhaka kubonakala kakhulu lapho isikhumba sincane, njengezindebe, izindlebe, nemibhede yezipikili. I-Blue baby syndrome, yize ingajwayelekile, ingenzeka ngenxa yokuzalwa okuningi (okusho ukuthi kukhona lapho kuzalwa) ukukhubazeka kwenhliziyo noma izici zemvelo noma zofuzo.

Yini ebangela i-blue baby syndrome?

Ingane ithatha umbala ohlaza okwesibhakabhaka ngenxa yegazi elingenawo umoya-mpilo. Ngokuvamile, igazi limpompwa lisuka enhliziyweni liye emaphashini, lapho lithola khona umoya-mpilo. Igazi lisakazwa libuyele enhliziyweni bese lihanjiswa emzimbeni wonke.

Uma kunenkinga ngenhliziyo, amaphaphu, noma igazi, igazi kungenzeka lingafakwa umoya-mpilo ngendlela efanele. Lokhu kudala ukuthi isikhumba sithathe umbala oluhlaza okwesibhakabhaka. Ukuntuleka komoya-mpilo kungenzeka ngezizathu eziningi.

I-Tetralogy of Fallot (TOF)

Ngenkathi ukukhubazeka kwenhliziyo okungajwayelekile kokuzalwa, i-TOF iyimbangela eyinhloko ye-blue baby syndrome. Empeleni kuyinhlanganisela yezinkinga zenhliziyo ezine ezinganciphisa ukugeleza kwegazi liye emaphashini futhi zivumele igazi elingenayo i-oxygen ukuba liphumele emzimbeni.

I-TOF ifaka izimo ezifana nokuba nomgodi odongeni ohlukanisa imigoqo engakwesokunxele nangakwesokudla yenhliziyo kanye nemisipha evimba ukugeleza kwegazi lisuka ku-ventricle elifanele liye emithanjeni yamaphaphu, noma yamaphaphu.

I-Methemoglobinemia

Lesi simo sivela kubuthi be-nitrate. Kungenzeka ezinganeni ezondliwa ifomula lezinsana elihlanganiswe namanzi kahle noma ukudla okwenziwe ekhaya okwenziwe ngokudla okune-nitrate, njengesipinashi noma ama-beet.

Isimo sitholakala kakhulu ezinganeni ezingaphansi kwezinyanga eziyisithupha ubudala. Lapho lokhu kusencane, izingane zinamapheshana emathunjini abucayi futhi angathuthuki kakhulu, okungenzeka ukuthi aguqule i-nitrate ibe yi-nitrite. Njengoba i-nitrite ijikeleza emzimbeni, ikhiqiza i-methemoglobin. Ngenkathi i-methemoglobin icebile oksijini, ayiyikhiphi leyo oksijini egazini. Lokhu kunikeza izingane ezinesimo umbala wazo oluhlaza okwesibhakabhaka.

I-Methemoglobinemia nayo ayivamile ukuba izalwe.

Okunye ukukhubazeka kwenhliziyo okuzelwe

Izakhi zofuzo zidala ukukhubazeka kwenhliziyo okuzalwa kakhulu. Isibonelo, izingane ezizalwa zine-Down syndrome zivame ukuba nezinkinga zenhliziyo.

Izinkinga ezinempilo yomama, njengesifo sikashukela esingaphansi nesingalawulwa kahle, nazo zingaholela ekubeni ingane ikhule ibe nezinkinga zenhliziyo.

Okunye ukukhubazeka kwenhliziyo nakho kubangelwa ngaphandle kwesizathu. Iziphambeko zenhliziyo ezimbalwa kuphela ezibangela i-cyanosis.

Ziyini izimpawu?

Ngaphezu kombala oluhlaza okwesibhakabhaka, ezinye izimpawu ze-blue baby syndrome zifaka:

• ukucasuka
• ukukhathala
• izingqinamba zokondla
• ukungakwazi ukukhuluphala
• izingqinamba zentuthuko
• ukushaya kwenhliziyo okusheshayo noma ukuphefumula
• iminwe nezinzwane ezine-clubbed (noma eziyindilinga)

Kutholakala kanjani?

Ngaphandle kokuthatha umlando ophelele wezokwelapha nokwenza ukuhlolwa komzimba, udokotela wezingane wengane yakho cishe uzokwenza izivivinyo eziningi. Lezi zivivinyo zizosiza ekutholeni imbangela ye-blue baby syndrome. Ukuhlolwa kungafaka:

• ukuhlolwa kwegazi
• iX-ray yesifuba ukuhlola amaphaphu nobukhulu benhliziyo
• i-electrocardiogram (EKG) ukubheka umsebenzi kagesi wenhliziyo
• i-echocardiogram ukubona ukwakheka kwenhliziyo
• i-catheterization yenhliziyo ukubona ngeso lengqondo imithambo yenhliziyo
• ukuhlolwa kokugcwaliswa komoya-mpilo ukuthola ukuthi ungakanani umoya-mpilo osegazini

Ilashwa kanjani?

Ukwelashwa kuya ngesizathu se-blue baby syndrome. Uma lesi simo sikhiqizwa ukukhubazeka kwenhliziyo okuzelwe, ingane yakho izodinga ukuhlinzwa ngesikhathi esithile.

Imithi inganconywa futhi. Lezi zincomo zisuselwa ebucayi besici. Izingane ezine-methemoglobinemia zingaguqula lesi simo ngokuthatha umuthi obizwa nge-methylene blue, onganikeza umoya-mpilo egazini. Lesi sidakamizwa sidinga incwadi kadokotela futhi sivame ukulethwa ngenaliti efakwe emthanjeni.

Ngingavimbela kanjani i-blue baby syndrome?

Ezinye izimo ze-blue baby syndrome ziyisimo semvelo futhi azikwazi ukuvinjelwa. Ezinye, noma kunjalo, zingagwenywa. Izinyathelo okufanele zithathwe zifaka:

• Ungasebenzisi amanzi omthombo. Ungalungisi ubisi lwebhodlela lwamanzi ngamanzi asemthonjeni noma unikeze izingane amanzi aphuze kahle aze abe nezinyanga ezingaphezu kwezingu-12 ubudala. Amanzi abilayo ngeke asuse ama-nitrate. Izinga lama-nitrate emanzini akufanele leqe i-10 mg / L. Umnyango wezempilo wangakini ungakunikeza imininingwane ethe xaxa yokuthi amanzi ahlolwe kahle angatholakala kuphi.
• Nciphisa ukudla okunothe nge-nitrate. Ukudla okunothile ngama-nitrate kufaka phakathi i-broccoli, isipinashi, ama-beet, kanye ne-izaqathe. Nciphisa inani ondla ngalo ingane yakho ngaphambi kokuba ibe nezinyanga eziyi-7 ubudala. Uma uzenzela okwakho ukudla kwengane futhi kufanele usebenzise le mifino, sebenzisa iqhwa kunokuba okusha.
• Gwema izidakamizwa ezingekho emthethweni, ukubhema, utshwala, nemithi ethile ngesikhathi ukhulelwe. Ukugwema lokhu kuzosiza ukuvimbela ukukhubazeka kwenhliziyo okuzelwe. Uma unesifo sikashukela, qiniseka ukuthi silawulwa kahle nokuthi ungaphansi kokunakekelwa ngudokotela.

Uyini umbono wezingane ezinalesi simo?

I-Blue baby syndrome yisifo esingajwayelekile esinezimbangela ezahlukahlukene. Udokotela wakho angakweluleka nganoma yini kusuka ekwelashweni ngokushesha kuya ekuhlinzweni. Ukuhlinzwa kungaba yingozi kakhulu lapho kwenziwa enganeni esanda kuzalwa.

Lapho imbangela isitholakele futhi yelashwa ngempumelelo, iningi lezingane ezine-blue baby syndrome zingaphila impilo ejwayelekile ngemiphumela embalwa yezempilo.