I-Blue Baby Syndrome: oonobangela, iimpawu, unyango kunye nothintelo

Amagama Aphezulu Ebantwaneni

Umgangatho:

Umhla Wokuzalwa:

Thumela

Ndithumele Nge-Imeyile Veza Kwindawo

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Emuva e2018, iingxelo ngemicimbi yeengxaki zamanzi eGaza zazixhaphakile, zalatha iipesenti ezingama-85 zongcoliseko lwamanzi ezihamba zisiya kwiipesenti ezingama-97 ezothusayo. Kunye nezo ndaba, uqhambuko lwe-blue baby syndrome, isifo esichaphazela iintsana sixelwe ^[1] . Ngokophando olwenziwe ngo-2005, bekukho imeko enye okanye ezimbini zesifo se-blue baby syndrome, kodwa ekuhambeni kwexesha, la manani anyuke kakhulu. Kwaye ukuza kuthi ga ngoku, i-blue baby syndrome ixeliwe nakwamanye amazwe, ngakumbi lawo anokhuseleko lwamanzi oluphantsi.

Ke, Yintoni iBlue Baby Syndrome?

Ikwabizwa ngokuba yi-baby methemoglobinemia, iblue baby syndrome ebangela ukuba ulusu lomntwana lujike lube luhlaza okwesibhakabhaka. Abanye abantwana bazalwa benayo le meko, abanye bathambekele ekuyiphuhliseni. Imeko ibangela ukuba ulusu lube nemfusa okanye luhlaza okwesibhakabhaka (i-cyanosis).

IHemoglobin, iprotein yegazi inoxanduva lokuhambisa ioksijini emzimbeni wakho. Kwimeko apho igazi lingakwaziyo ukuphatha ioksijini, libangela ukunqongophala kweoksijini-kubangela kulusu lomntwana olujika luhlaza. I-bluish tinge ibonakala ngakumbi kwiindawo ezinesikhumba esibhityileyo esifana nemilebe, iibhedi zesikhonkwane kunye neendlebe ^{[Mbini] [3]} .

Le meko kunqabile ukuba ichazwe kumazwe ahambele phambili kunye nasele ehambele phambili kwaye ibonwa ikakhulu kumazwe asemaphandleni nasakhasayo ngakumbi kumazwe anamanzi amabi ^[4] .

Izizathu zeBlue Baby Syndrome

Esona sizathu siphambili sale meko ligazi elingena oxygen ^[5] .

Esinye sezizathu eziphambili zesifo se-blue baby syndrome kukungcola kwe-nitrate emanzini. Oko kukuthi, xa usana lusela amanzi ngamanqanaba aphezulu e-nitrate, umzimba uguqula ii-nitrate zibe zii-nitrites ezibopha nge-hemoglobin emzimbeni womntwana zize ziguqulwe zibe yi-methemoglobin. I-Methemoglobin ayinakho ukuthwala kunye nokubonelela ngeoksijini ^[6] .

Iintsana ezingaphantsi kweminyaka emithathu zinomngcipheko okhulayo wokufumana le meko ngokusela amanzi angcolileyo. Kwinqaku elincinci, le meko inokuchaphazela nabantu abadala, kuphela kwiimeko ezinqabileyo kakhulu. Abantu abadala abanofuzo, izilonda okanye isisu kunye nokusilela kwezintso okufuna ukuba i-dialysis isemngciphekweni wokukhulisa imeko. ^{[7] [8]} .

Ngenxa yoko, ezinye iimeko zinokubangela ukuba usana lubonakale luhlaza okwesibhakabhaka njenge-tetralogy of fallot (TOF), intliziyo engaqhelekanga kunye nokuchaphazeleka kwentliziyo kunye ne-methemoglobinemia ^[8] .

Iimpawu zeBlue Baby Syndrome

Ngaphandle kombala oluhlaza okwesibhakabhaka kulusu, ezi zinto zilandelayo ziimpawu kunye neempawu zesifo se-blue baby ^{[9] [10]} .

• Imiba yophuhliso
• Ukucaphuka
• Ukuhlanza
• Ukungakwazi ukufumana ubunzima
• Ukubetha kwentliziyo okukhawulezayo okanye ukuphefumla
• Ukuhamba
• Urhudo
• Ukwanda kwamathe
• Imiba yokondla
• Ukuxhuzula
• Iminwe kunye neenzwane ezihlikihliweyo (okanye ezijikeleziweyo)

Ukuchongwa kweBlue Baby Syndrome

Kuqala, ugqirha uza kuhamba nembali yezonyango yosana. Emva koko, ugqirha wabantwana uya kwenza iimviwo zomzimba kunye novavanyo oluninzi lokufumanisa unobangela wesifo se-blue baby ^{[Shumi elinanye]} .

Iimvavanyo ezenzelwe i-blue baby syndrome zezi zilandelayo ^[13] :

• I-catheterisation ye-Cardiac yokujonga imithambo yentliziyo
• I-Electrocardiogram (EKG) yokujonga umbane wentliziyo
• Uvavanyo lwegazi
• I-x-ray yesifuba yokuvavanya imiphunga kunye nobukhulu bentliziyo
• Uvavanyo lokugcwalisa ioksijini ukumisela ukuba ingakanani ioksijini esegazini
• I-Echocardiogram ukubona imeko yentliziyo

Unyango lweBlue Baby Syndrome

Kuxhomekeka kwisizathu esibangela le meko, unyango olukhethiweyo luya kwamkelwa ngugqirha wabantwana ^[13] .

Ukuba imeko ibangelwe sisiphene sentliziyo, umntwana uya kufuna utyando. Kwaye, ngokusekwe kubukrakra bale meko, amayeza aya kumiselwa.

Ukuba umntwana uphethwe yi-methemoglobinemia, imeko inokubuyiselwa umva ngokuthatha iyeza elibizwa ngokuba yi-methylene blue (enika ioksijini egazini).

Uthintelo lweBlue Baby Syndrome [h3]

Nciphisa ukutyiwa okune-nitrate ngenxa yokuba, ukutya okutyebileyo kwikhompawundi, njenge-broccoli, isipinatshi, ii-beet njl. Akufuneki kunikwe umntwana ongaphantsi kweenyanga ezisi-7 ubudala ^[14] .

Sukusebenzisa kakuhle okanye ucofe amanzi. Qinisekisa ukuba awusebenzisi amanzi angcolileyo ukwenza ukutya kweentsana. Musa ukuwanika amanzi etephu iintsana de zibe neenyanga ezili-12 ubudala.

Gwema iziyobisi ezingekho mthethweni, ukutshaya, utywala, kunye namanye amayeza ngexesha lokukhulelwa kuba ezi zinto zinokubangela ekuphuhliseni ukukhubazeka kwentliziyo yokuzalwa kwintsana ^{[Shumi elinantlanu]} .

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7. [7]UJohnson, S. F. (2019). I-Methemoglobinemia: Iintsana ezisemngciphekweni Iingxaki ezikhoyo ngoku kukhathalelo lwempilo yabantwana nakwishumi elivisayo, 49 (3), 57-67.
8. [8]URatnayake, S. Y., Ratnayake, A. K., Schild, D., Maczka, E., Jartych, E., Luetzenkirchen, J., ... kunye no-Weerasooriya, R. (2017). Ukuncitshiswa kwemichiza kwe-nitrate yi-zerovalent iron nanoparticles adsorbed radiation-graft copolymer matrix.Nukleonika, 62 (4), 269-275.
9. [9]IMedarov, B. I., Pahwa, S., Reed, S., Blinkhorn, R., Rane, N., kunye noJudson, M. A. (2017). I-Methemoglobinemia ebangelwa yi-dialysis ephathekayo kwizigulana ezinobungozi. Unyango olunonophelo olubalulekileyo, i-45 (2), e232-e235.
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11. [Shumi elinanye]Iyer, V. G. (2017). Uyilo kunye noPhuhliso lweZityalo eziGcinwayo zoNyango lwaManzi Amdaka kuLawulo loPhuhliso oluZinzileyo lwamanzi amdaka. Uqoqosho, 5 (5), 486-491.
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