Ðe nètsi dzi vie alo tsi dzi ɖe viwò suea ƒe gbɔgbɔ le wo dzidzi megbe ŋu kpɔa? Ɣeaɖewoɣi la, gbɔgbɔmekuxi sesẽwo ate ŋu anɔ vidzĩ siwo wodzi yeyee ŋu. Egbea míele nu ƒom tso nɔnɔme sesẽ mawo dometɔ ɖeka ŋu, gake ele vevie godoo be nànya. Woyɔa esia le atikewɔwɔ me be Vidzĩ Yeye ƒe Aklã ƒe Ʋusɔgbɔdɔ si Nɔa Anyi, alo PPHN kpuie.
Kpuie ko la, nukae nye PPHN?
Be míase esia gɔme la, ele be míase vovototo si le ale si vidzĩ gbɔgbɔna ne ele dadaa ƒe dɔme kple le edzidzi megbe la gɔme gbã.
Bu eŋu kpɔ, ne viwòa le wò vidzidɔ me la, exɔa ɔksidzin si wòhiã la tso gbɔwò to vidzidɔa me. Ɣemaɣi la, vidzĩa ƒe lãkusiwo megawɔa dɔ o. Eyata zi geɖe la, ʋuka siwo yia lãkusi me (míeyɔa wo be aklã me ʋukawo) la sesẽna eye woxena. Ʋu toa lãkusiwo ŋu zi geɖe be wòayi ŋutilãa ƒe akpa mamlɛa.
Gake ele be tɔtrɔ gã aɖe nadzɔ ne wonya dzi vidzĩa eye wògbɔ ya gbãtɔ ko . Ne ya yɔ vidzĩa ƒe lãkusiwo me la, ele be ʋuka mawo siwo xaxa tsã la naʋu. Ema ko hafi ʋua ate ŋu ayi aɖuɖɔtoewo me, axɔ ɔksidzin, eye wòatsɔ ʋu ma si yɔ fũ kple ɔksidzin ayi ŋutilã bliboa me, vevietɔ ahɔhɔ̃, dzi, kple ayiku.
Le nɔnɔme si woyɔna be PPHN me la, menye nenemae wòdzɔna o. Ne wodzi vidzĩa vɔ gɔ̃ hã la, ʋuka siwo le eƒe lãkusi me meʋuna nyuie o. Wokpɔtɔ nɔa sesẽm. Emegbe esi ʋu mesɔ gbɔ yia lãkusi me o ta la, vidzĩa ƒe ŋutinuwo mexɔa ɔksidzin si hiã o.
PPHN nye atikewɔwɔ kpata si nu sẽ ŋutɔ, si ate ŋu ade eƒe agbe afɔku me , si ate ŋu adzɔ le vidzĩ si wodzi yeyee me. Zi geɖe la, edzɔna le vidzidzi megbe kpuie.
Aleke gbegbee nɔnɔme sia bɔe?
Esia menye nɔnɔme si bɔ ŋutɔ o. Vidzidzi gbagbe 1,000 ɖesiaɖe dometɔ siwo ade eve (2) le afɔku me be woaxɔ PPHN. Ebɔ ɖe vidzĩ siwo wodzi le woƒe ɣeyiɣia me (le kwasiɖa 37 va ɖo 42 dome) kple vidzĩ siwo wodzi le kwasiɖa 42 megbe me wu. Gake ƒã hafi wòate ŋu adzɔ le vidzĩ siwo wodzi do ŋgɔ na ɣeyiɣi si woɖo na wo me.
Nukae nye PPHN ƒe dzesiwo?
Ele vevie ŋutɔ be nànya dzesi siawo, elabena ne èkpɔ wo la, ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
| Dzesi si dzena | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Yagbɔgbɔ sesẽ | Nuwo abe gbɔgbɔ kabakaba ŋutɔ alo blewu, gbeɖiɖi si ɖina ne èle gbɔgbɔm, kple akɔta ƒe hehe yi eme ene. |
| Dzi ƒe tsotso ƒe dzidziɖedzi | Dzi ƒe tsotso si mesɔ o le vidzĩa me. |
| Ŋutilã ƒe amadede si trɔna blɔ/dzẽ (Cyanosis) . | Ne oxygen mesɔ gbɔ le ʋua me o la, vidzĩa ƒe ŋutigbalẽ, vevietɔ nuyi, aɖe, kple asibidɛwo ate ŋu atrɔ zu blɔ alo aŋutiɖiɖi. |
| Ʋusɔgbɔdɔ (Hypotension) . | Vidzĩa ƒe ʋu ƒe sisi ɖiɖina le mɔ si mesɔ o nu. |
| Oxygen ƒe agbɔsɔsɔ si dzi ɖe kpɔtɔ le ʋua me | Vidzĩa ƒe ʋu me ɔksidzin ƒe agbɔsɔsɔ le sue ŋutɔ ne wotsɔ atikewɔnuwo dzidzee. |
| Dzi ƒe gbeɖiɖi siwo mesɔ o (Heart Murmur) . | Gbeɖiɖi si sɔ gbɔ alo esi mebɔ o sese tso dzia me ne ɖɔktaa tsɔ nuƒomɔ̃ doe kpɔ. |
Nukae nye nusiwo gbɔ PPHN tsona kple afɔku siwo le eme?
Numekulawo mekpɔ nusi koŋ gbɔ esia tso haɖe o , gake woxɔe se be nɔnɔmea ate ŋu atso ʋuka siwo le vidzĩa ƒe lãkusi me ƒe tsitsi nyuie gbɔ, alo vidzĩa ƒe ŋutete be wòatrɔ ɖe gotagomenuwo ŋu (aʋu) le edziɣi megbe.
Togbɔ be womenya nusi tututu gbɔ wòtso o hã la, nu aɖewo ate ŋu ana PPHN xɔxɔ ƒe afɔkua nadzi ɖe edzi.
| Afɔku ƒe nusi gbɔ wòtso | Nukae dzɔna ɖe esia dzi? |
|---|---|
| Meconium ƒe Didi vevie | Aɖuɖɔ si le ɣie si le amadede dzẽ me (meconium), si nye vidzĩa ƒe aɖuɖɔ gbãtɔ, ate ŋu age ɖe vidzĩa ƒe lãkusi me. Esia ate ŋu agblẽ nu le lãkusiwo ŋu eye wòahe PPHN vɛ. |
| Dɔlékuiwo | Dɔlékui sesẽwo abe lãkusi me dɔlékuiwo abe aklãdɔ alo aɖi si le ʋu me ene. |
| Yagbɔgbɔ ƒe Nuteɖeamedzi ƒe Dɔléle (RDS) . | Zi geɖe la, gbɔgbɔtsixe tsia vidzĩ siwo wodzi do ŋgɔ na ɣeyiɣi si woɖo na wo me le esi woƒe lãkusiwo metsi bliboe o ta. |
| Vidzidzi ƒe Asphyxia | Oxygen ƒe anyimanɔmanɔ na ahɔhɔ̃ kple ŋutilã do ŋgɔ na vidzidzi alo le edziɣi. |
| Diaphragmatic Hernia ƒe Ʋuʋudedi | Do aɖe si le diaphragm (lãmeka si ma akɔta kple ƒodo dome) me na be ŋutinu siwo le ƒodoa me dona ɖe akɔta. Esia doa kplamatse lãkusiwo ƒe tsitsi. |
| Vidzidzi ƒe gbɔdzɔgbɔdzɔ bubuwo | Kuxi bubuwo abe lãkusi sue siwo wodzina alo dzitodzito ƒe ʋuka si xe ene. |
| Atike aɖewo siwo wozãna le fufɔɣi | Vevesesenutsitike aɖewo (NSAID) kple blanuilélenutsitike aɖewo (SSRI) siwo wozãna le fufɔfɔ ƒe afã mamlɛa me ate ŋu akpɔ ŋusẽ ɖe esia dzi. |
Ðe PPHN ate ŋu agblẽ nu le ame ŋu ɣeyiɣi didia?
Ɛ̃. Esia nye nɔnɔme sesẽ aɖe, elabena ate ŋu agblẽ nu le ame ŋu ɣeyiɣi didi le oxygen ƒe anyimanɔmanɔ na ahɔhɔ̃a kple ŋutinu bubuwo ta. Vidzĩ siwo ade 1 le 4 ɖesiaɖe me (25%) siwo tsi agbe le PPHN me la axɔ nuwɔametɔ ƒomevi aɖe.
Woawoe nye:
- Tsitsi ƒe megbetsitsi
- Tosese ƒe kuxi alo tokunɔnyenye
- Nusɔsrɔ̃ ƒe kuxiwo
- Ŋutete si le ame si be wòawɔ kamedede dzi ɖe kpɔtɔ
Aleke wowɔna dea dzesi PPHN?
Ne ɖɔktawo susui be dɔléle sia le vidzĩ aɖe ŋu la, woawɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi.
| Dodokpɔ | Nukae nèkpɔ le esia me? |
|---|---|
| Ʋu Xexlẽme Blibo (CBC) . | Ʋumenugbagbevi ɣiwo, ʋumenugbagbevi dzĩwo, kple ʋumenugbagbevi dzĩwo ƒe xexlẽme dzidzedze le ʋua me. Esia ate ŋu akpe ɖe ŋuwò nànya ne dɔlékui aɖe le ame ŋu. |
| Pulse Oximetry (Nyitsu ƒe Ʋuʋudedi) . | Wotsɔa mɔ̃ sue aɖe dea vidzĩa ƒe asibidɛ alo afɔ ŋu eye wòdzidzea oxygen ƒe agbɔsɔsɔ si le ʋua me ɣesiaɣi. |
| Ʋukawo me Ʋu ƒe Ya (ABG) . | Ðe ʋu eye nàdzidze oxygen kple carbon dioxide ƒe agbɔsɔsɔ si le eme pɛpɛpɛ. |
| Akɔta ƒe X-ray | Be woakpɔe ɖa be dzia lolo alo nenye be lãkusi ƒe dɔléle bubu aɖewo li hã. |
| Echocardiogram (Echo) ƒe dzesi . | Esia nye dzia ƒe fotoɖeɖe. Ele vevie be woada ʋu ƒe sisi yi dzi kple lãkusiwo me akpɔ eye woaɖo kpe PPHN ƒe nɔnɔmea dzi. |
| Ta ƒe Ultrasound (ta ƒe fotoɖeɖe) . | Ʋu le dodom le ahɔhɔ̃a me le oxygen ƒe anyimanɔmanɔ na ahɔhɔ̃a ta. |
Aleke wowɔa atike na PPHN?
Taɖodzinu vevitɔ si le PPHN dɔdamɔnu ŋue nye be woadzi oxygen si ɖoa vidzĩa ƒe ŋutinuwo gbɔ ɖe edzi . Esia ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe kuxi sesẽwo nu. Wozãa atikewɔwɔmɔnu vovovowo na esia.
| Atikewɔwɔ ƒe mɔnu | Nukae dzɔna ɖe esia dzi? |
|---|---|
| Oxygen nana | Oxygen 100% nana vidzĩa to mɔ̃ sue aɖe si wotsɔ bla ɖe ŋɔti ŋu, ametakpɔnu, alo oxygen hood dzi. |
| Mɔ̃ɖaŋununya ƒe Yaƒoƒo | Wodea mɔ̃ aɖe vidzĩa ƒe yaƒoƒomɔ̃ me eye wozãa yagbɔgbɔmɔ̃ tsɔ gbɔa ya na vidzĩa. |
| Atike siwo woatsɔ aɖu ʋu ƒe sisi dzi | Atike nana be ʋu ƒe sisi nagaɖo ame ŋu to saline (IV) dzi. |
| Nitric Oxide ƒe dɔwɔwɔ | Esia nye gas. Ga sia nana to yagbɔgbɔmɔ̃ dzi kpena ɖe ame ŋu be ʋuka siwo xaxa le lãkusia me la kekena ɖe enu. |
| ECMO (Oxygenation si le lãmekawo godo) . | Esia nye atikewɔwɔ si sesẽ ŋutɔ si wozãna abe mɔnu mamlɛtɔ ene. Ne vidzĩa ƒe dzi kple aɖuwo mete ŋu gblẽ o la, ECMO-mɔ̃a ɖea ʋu le ŋutilãa me, tsɔa oxygen dea eme, eye wòtrɔna yia ŋutilãa me. Ele abe dzi kple lãkusi si le gota ene. |
Ɣeyiɣi didi kae wòxɔna hafi vidzĩa haya?
PPHN ƒe dɔléle akpa gãtɔ nu tsona le kwasiɖa ɖeka alo eve me, gake vidzĩ aɖewo ate ŋu axɔ ɣleti geɖe hafi ahaya keŋkeŋ. Le ɣeyiɣi sia me la, ele vevie be nàkpɔ viwòa ta tso dzamezã, dzamezã, kple dɔlékui bubuwo me.
- Klɔ asi nyuie.
- Ƒo asa na vidzĩa kplɔkplɔ yi teƒe siwo amewo sɔ gbɔ ɖo.
- Na vidzĩa nate ɖa tso ame siwo le dɔ lém gbɔ.
- Ele be amesiame si le aƒea me naxɔ ƒe sia ƒe ƒe dzamezã ƒe atike.
Azɔ hã, ele vevie be woayi atikewɔƒewo le ŋkeke siwo woɖo ɖi dzi akpɔe ɖa be vidzĩa ƒe tsitsi kple tsitsi sɔ hã.
Ɣekaɣie wòle be makpɔ ɖɔkta?
Ne viwòa tso kɔdzi gbɔ va aƒeme vɔ la, ele be nàɖɔ ŋu ɖo vevie. Ne ède dzesi dzesi siwo gbɔna dometɔ aɖe la, yi atikewɔƒe enumake. Kplɔ viwòa yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU).
- Ne vidzĩa xɔ asrã.
- Ne mèle notsi nom wòsɔ gbɔ o.
- Ne wohe wò akɔta ne èle gbɔgbɔm alo ne èle gbɔgbɔm kple wò ŋɔtiwo ʋuʋu.
- Ne èse ʋuʋudedi alo hũɖeɖe ƒe gbeɖiɖi ne èle gbɔgbɔm.
- Ne vidzĩa ƒe ŋutigbalẽ gadze blɔ alo ɣie.
Ne èva nya be PPHN le viwòa ŋu la, àte ŋu ase seselelãme geɖe, abe blanuiléle, vɔvɔ̃, dziku, kple tɔtɔ ene. Esia sɔ. Nu nyuitɔ si nàte ŋu awɔe nye be nàsrɔ̃ nu geɖe tso nɔnɔmea ŋu alesi nàte ŋui tso ɖɔktawo kple dɔnɔdzikpɔla siwo le viwòa dam gbɔ. Esia akpe ɖe ŋuwò nàse nɔnɔmea gɔme nyuie wu. Le ɣeyiɣi aɖe megbe la, àva zu wò ŋutɔ wò vidzĩa ƒe nɔnɔme ŋuti nunyala bibi. Àse le ɖokuiwò me be kakaɖedzi anɔ ye si be yele nusianu si yeate ŋui wɔm na viwòa.
Gbedasi si Wotsɔ Yi Aƒeme
- PPHN nye gbɔgbɔtsixetsixe sesẽ aɖe si le vidzĩ yeyewo ŋu, gake woate ŋu adae.
- Esia nye atikewɔwɔ kpata si bia be woaxɔ ame ɖe kɔdzi enumake ahawɔ atike nɛ.
- Nɔ ŋudzɔ ɣesiaɣi ɖe nuxlɔ̃amedzesiwo abe viwòa ƒe ŋutigbalẽ ƒe blɔ kple gbɔgbɔ kabakaba ene ŋu.
- Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be wòana ya si sɔ na vidzĩa ƒe ahɔhɔ̃ kple ŋutinu bubuwo.
- Ne vidzĩa haya gɔ̃ hã la, ele vevie ŋutɔ be nànɔ kadodo me kple ɖɔktaa edziedzi be wòalé ŋku ɖe eƒe tsitsi ɣeyiɣi didi ŋu.
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