Izingozi zeGrey Baby Syndrome ezinganeni

-Delile

• Iyini i-grey baby syndrome?
• Izimpawu ze-grey baby syndrome
• Ungayelapha kanjani i-grey baby syndrome
• Ukushintshaniswa kwegazi
• Ukuhlolwa kweHemodialysis
• Ukuthatha

Wonke umama olindele ukuthi ingane yakhe iphile kahle. Kungakho bethola ukunakekelwa ngaphambi kokubeletha kodokotela babo futhi bathathe nezinye izindlela zokuqinisekisa ukukhulelwa okunempilo. Lezi zinyathelo zokuphepha zihlanganisa ukugcina ukudla okunempilo, ukuzivocavoca umzimba njalo, nokugwema utshwala, izidakamizwa ezingekho emthethweni nogwayi.

Kodwa noma ngabe uthatha lezi zinyathelo ezingenhla, ukuvezwa kwemithi ethile kungabeka impilo yengane yakho engcupheni. Yingakho kubalulekile ukukhuluma nodokotela wakho ngaphambi kokuthatha noma yimiphi imithi emisha uma ukhulelwe noma ucabanga ngokukhulelwa. Imithi eminingi kadokotela kanye neyezitolo iphephile ukuyiphuza ngenkathi ukhulelwe. Eminye imithi, noma kunjalo, ingadala ukukhubazeka okukhulu kokuzalwa noma izinkinga zempilo enganeni yakho. Lokho kufaka phakathi i-grey baby syndrome.

Ungahle ungazi ngalesi sifo, kepha kungaba yingozi kakhulu ezinganeni nasezinsaneni ezingakazalwa ngaphambi kwesikhathi. Kubalulekile ukuqonda izimbangela zegrey baby syndrome, kanye nezindlela zokuvikela ingane yakho.

Iyini i-grey baby syndrome?

I-Grey baby syndrome yisimo esingajwayelekile, esisongela impilo esingakhula ezinganeni nasezinganeni kuze kufike eminyakeni yobudala eyi-2. Isimo singumphumela ongaba khona we-antibiotic chloramphenicol. Lo muthi usetshenziselwa ukwelapha izifo ezahlukahlukene, njenge-bacterial meningitis. Abanye odokotela batusa lokhu kwelashwa lapho ukutheleleka kungaphenduli kwamanye ama-antibiotic, njenge-penicillin.

Le antibiotic iyingozi ezinganeni ngenxa yezinga layo eliphakeme lobuthi. Ngeshwa, izinsana nezinsana azinawo ama-enzyme wesibindi adingekayo ukulinganisa ngemithamo emikhulu yalo muthi. Njengoba imizimba yabo emincane ingakwazi ukusiphula lesi sidakamizwa, amazinga anobuthi we-antibiotic angakha lapho kuphuma khona igazi. I-Grey baby syndrome ingakhula uma i-antibiotic inikezwa ngqo ezinganeni. Bangaba sengozini yalesi simo uma i-antibiotic inikezwa umama wabo ngesikhathi sokubeletha noma ngesikhathi esithile sokukhulelwa.

I-Grey baby syndrome akuyona ukuphela komphumela ohlangothini lwe-chloramphenicol. Kubantu abadala nezingane ezindala, umuthi ungadala eminye imiphumela emibi futhi emnene, efaka:

• ukuhlanza
• imfiva
• ikhanda
• ukuqubuka komzimba

Kungadala nemiphumela emibi kakhulu, kufaka phakathi:

• ubuthakathaka obungavamile
• ukudideka
• ukungaboni kahle
• izilonda zomlomo
• ukopha okungavamile
• i-anemia (ukuncipha kwamaseli abomvu egazi)
• ukutheleleka

Kubalulekile ukwazisa udokotela wakho uma wena noma ingane yakho uhlangabezana nanoma yimiphi imiphumela emibi evela kulo muthi.

Izimpawu ze-grey baby syndrome

Uma amazinga anobuthi we-chloramphenicol enqwabelana egazini lengane yakho futhi ingane yakho iba ne-grey baby syndrome, izimpawu zivame ukukhombisa ezinsukwini ezimbili kuya kweziyisishiyagalolunye zokwelashwa kokuqala. Izimpawu zingahluka, kepha ungaqaphela:

• ukuhlanza
• umbala wesikhumba ompunga
• Umzimba oxegayo
• umfutho wegazi ophansi
• izindebe eziluhlaza okwesibhakabhaka nesikhumba
• i-hypothermia (ukushisa komzimba okuphansi)
• ukuvuvukala kwesisu
• indle eluhlaza
• ukushaya kwenhliziyo okungajwayelekile
• ukuphefumula kanzima

Uma ingane yakho inezimpawu ze-grey baby syndrome ngemuva kokuchayeka ku-chloramphenicol, funa usizo lwezokwelapha ngokushesha. Uma ishiywe ingalashwa, i-grey baby syndrome ingadala ukufa kungakapheli amahora.

Ungayelapha kanjani i-grey baby syndrome

Izindaba ezimnandi ukuthi i-grey baby syndrome iyelapheka uma ufuna ukwelashwa ngophawu lokuqala lokugula. Inkambo yokuqala yokwelashwa ukuyeka ukunika ingane yakho umuthi. Uma uthatha umuthi wokutheleleka, kuzodingeka uyeke ukuncelisa.

Udokotela wengane yakho angakwazi ukuxilonga i-grey baby syndrome ngemuva kokuhlolwa komzimba nokubona izimpawu zalesi simo, njengesikhumba esimpunga nezindebe eziluhlaza okwesibhakabhaka. Udokotela wakho futhi angabuza ukuthi ngabe wena noma ingane yakho nivezwe i-chloramphenicol.

Qonda ukuthi ingane yakho izolaliswa esibhedlela ngemuva kokutholakala ukuthi ine-grey baby syndrome. Lokhu kuyadingeka ukuze odokotela bakwazi ukuqapha eduze isimo sengane yakho.

Ngemuva kokuyeka ukusebenzisa i-chloramphenicol, udokotela wengane yakho angancoma izindlela zokwelashwa ezahlukahlukene.

Ukushintshaniswa kwegazi

Le nqubo esindisa impilo ihilela ukukhipha elinye igazi lengane yakho bese ufaka lelo igazi elisanda kunikelwa noma iplasma. Inqubo isiphothulwe kusetshenziswa i-catheter.

Ukuhlolwa kweHemodialysis

Le nqubo isebenzisa umshini we-dialysis ukuhlanza ubuthi egazini lengane yakho. Iphinde ibhalansise amazinga e-potassium ne-sodium futhi isize ukulawula umfutho wegazi wengane yakho.

Ngaphezu kwalezi zindlela zokwelapha ezingenhla, ingane yakho inganikezwa i-oxygen therapy ukuze ithuthukise ukuphefumula kanye nokulethwa komoya emzimbeni. Udokotela wengane yakho angaphinde ancoma i-hemoperfusion. Lokhu kwelashwa kufana ne-dialysis futhi kusiza ukususa ubuthi egazini. Igazi lengane yakho lizobhekwa ngesikhathi sokwelashwa.

Ukuthatha

I-Grey baby syndrome iyavikeleka. Indlela engcono yokugwema le nkinga ukungayiniki le mithi ezinganeni ezingakafiki ezinganeni ezingaphansi kweminyaka engu-2.

Kubalulekile futhi ukulindela nokuncelisa omama ukugwema le mithi. I-chloramphenicol ingadlula ubisi lwebele. Ngamanani aphansi, le antibiotic kungenzeka ingabi nomthelela onobuthi ezinganeni. Kodwa kungcono ukuphepha kunokuzisola. Uma udokotela wakho esikisela lesi sidakamizwa wena noma ingane yakho, cela i-antibiotic ephephile.

Uma ingane yakho inokutheleleka okungaphenduli kwezinye izinhlobo zama-antibiotic, ukusetshenziswa kwe-chloramphenicol kungahle kungadingeki. Uma kunjalo, lo muthi kufanele unikezwe kuphela izingane kanye nezingane ezincane ngaphansi kweso elibukhali likadokotela, futhi akufanele kube ukwelashwa okuyinhloko. I-Grey baby syndrome ivame ukugwenywa lapho i-chloramphenicol inikezwa ngamanani aphansi nalapho kubhekwa amazinga egazi. Uma ukhulelwe noma uncelisa futhi uthatha i-chloramphenicol, udokotela uzoqapha izinga legazi lakho.