Neonatal hypoglycemia: kuyini, izimpawu nokuthi kufanele welashwe kanjani

-Delile
I-Neonatal hypoglycemia ifana nokwehla kwamazinga eglucose egazini lengane elingabonwa phakathi kwamahora angama-24 nama-72 ngemuva kokuzalwa. Lesi simo sivame ukwenzeka ezinganeni ezizalwe ngaphambi kwesikhathi, ezinkulu noma ezincane zeminyaka yokukhulelwa noma omama bazo abenomsoco onganele ngesikhathi sokukhulelwa.
Neonatal hypoglycemia ibhekwa lapho:
- Ishukela sinjalo ngaphansi kwama-40 mg / dL ezinganeni ezizalwe ngesikhathi, okungukuthi, ngesikhathi esifanele;
- Ishukela sinjalo ngaphansi kuka-30 mg / dL ezinganeni ezizalwe ngaphambi kwesikhathi.
Ukuxilongwa kwe-neonatal hypoglycemia kwenziwa kungakapheli amahora angama-72 ngemuva kokuzalwa ngokulinganisa ukugcwala kwe-glucose yengane. Kubalulekile ukuthi ukuxilongwa kwenziwe ngokushesha okukhulu ukuze kuqale ukwelashwa, ngakho-ke, izinkinga zingagwenywa, njengokulimala unomphela kobuchopho ngisho nokufa.

Izimpawu nezimpawu
Izimpawu nezimpawu ezethulwe ngumntwana osanda kuzalwa futhi ezingakhombisa ukuthi i-neogatal hypoglycemia yilezi:
- Ukulala ngokweqile;
- I-cyanosis, lapho isikhumba somntwana siphenduka sibe luhlaza okwesibhakabhaka;
- Shintsha ekushayeni kwenhliziyo;
- Ubuthakathaka;
- Ushintsho lokuphefumula.
Ngaphezu kwalokho, uma i-hypoglycemia ye-neonatal ingalawulwa, kungenzeka ukuthi kube nezinkinga ezithile, njenge-coma, ukukhubazeka kobuchopho, ubunzima bokufunda futhi okuholele nasekufeni. Ngakho-ke, kubalulekile ukuthi ukuxilongwa kwenziwe emahoreni okuqala ngemuva kokuzalwa futhi, uma kungenziwanga kepha izimpawu zivele ngemuva kwezinsuku ezimbalwa zokuzalwa, kubalulekile ukuya kudokotela wezingane ukuyokwenza ukuxilongwa bese uqala ukwelashwa . Thola ukuthi iyini imiphumela ye-hypoglycemia.
Izimbangela ze-neonatal hypoglycemia
Izimbangela ze-neonatal hypoglycemia zihlobene nemikhuba kamama nesimo sakhe sempilo.Ingane inamathuba amaningi okuthi ibe ne-hypoglycemia lapho umama wayo enesifo sikashukela sokukhulelwa, esebenzisa utshwala noma umuthi othile ngesikhathi ekhulelwe, engenaso isifo sikashukela esilawulwayo futhi enokudla okunganele, ngokwesibonelo.
Ngaphezu kwalokho, ingane ingaba nokutholakala kwe-glycogen ephansi noma ukukhiqizwa kwe-insulin ngokweqile, okuvame kakhulu ezinganeni ezisanda kuzalwa zomama abanesifo sikashukela, futhi ukondla kufanele kwenzeke njalo emahoreni amabili noma amathathu ngokusho kwesincomo sikadokotela wezingane.
Yelashwa kanjani
Ukwelashwa kwe-neonatal hypoglycemia kusungulwa ngudokotela wezingane futhi ukuncelisa ibele kuvame ukukhonjiswa njalo emahoreni amathathu, futhi ingane kufanele ivuswe uma kunesidingo, ukuze amazinga e-glucose alawulwe kalula. Uma ukuncelisa ibele kunganele ukulawula amazinga kashukela kasana, kungadingeka ukufaka i-glucose ngqo emthanjeni.