Ndizachilendo kuti mayi kapena bambo aziopa kwambiri komanso akuda nkhawa dokotala akawauza kuti mwana wawo akuvutika kupuma. Makamaka mwana asanakwane, ndiko kuti, makanda obadwa msanga akhoza kukhala ndi vuto lotere la kupuma. Lero tikulankhula za mankhwala ofunika komanso opulumutsa moyo omwe madokotala amagwiritsa ntchito pothandiza mapapu a mwana ndikupangitsa kuti kupuma kukhale kosavuta.
Mwachidule, kodi Beractant ndi chiyani?
Iyi si mankhwala omwe nthawi zambiri timamwa kapena kubaya. Iyi ndi mankhwala apadera kwambiri. Malinga ndi zamankhwala, mankhwalawa ndi a gulu lotchedwa surfactants .
Tangoganizirani, mkati mwa mapapu athu muli zinthu zazing'ono ngati mabaluni zomwe zimadzaza ndi mpweya. Timatcha matumba a mpweya awa kuti `(Alveoli)`. M'mapapo omwe akupangidwa bwino, matumba a mpweya awa amakhala ndi madzi otsetsereka mwachilengedwe mkati mwake. Ichi ndichifukwa chake tikamapuma ndi kutuluka, matumba ang'onoang'ono a mpweya awa amatseguka ndi kutseka mosavuta popanda kumamatira.
Koma chifukwa mapapo a ana obadwa msanga sakhala okhwima mokwanira, madzi achilengedwe awa sapangidwa, kapena sapangidwa mokwanira. Izi zimapangitsa kuti matumba a mpweya azigwirana pamodzi mwana akamapuma. Mwana akapumanso, mwana ayenera kugwira ntchito mwakhama kuti atsegule matumba a mpweya otsekedwa awa. Ichi ndi chomwe timachitcha kuti Respiratory Distress Syndrome (RDS) .
Choncho Beractant ndi mankhwala opangidwa omwe ali ofanana ndi madzi achilengedwe. Akabayidwa m'mapapo a mwana, amaphimba matumba a mpweya ndipo amawaletsa kuti asamamatire pamodzi. Kenako mwana amatha kupuma mosavuta komanso popanda khama lalikulu. Mankhwalawa amadziwika kwambiri ndi dzina la kampani ya `(Survanta)`.
Kodi pali chilichonse chomwe ndiyenera kuuza dokotala ndisanapereke mankhwalawa kwa mwana?
Inde, ndithudi. Ngakhale ngati mankhwala awa aperekedwa kwa mwana, ndikofunikira kwambiri kuti inu, monga kholo, mupereke chidziwitso chomwe mukudziwa kwa gulu lachipatala.
- Matenda a ziwengo: Mankhwalawa amapangidwa pogwiritsa ntchito zinthu zochokera ku nyama (nyama ya ng'ombe), choncho ndikofunikira kudziwitsa dokotala wanu ngati mwana wanu ali ndi vuto lililonse la ziwengo ndi zinthu zimenezi. Komanso, uzani dokotala wanu ngati mwana wanu ali ndi vuto lililonse la ziwengo ndi mankhwala ena, zakudya, kapena utoto.
- Mankhwala Ena: Ngati mwana wanu akumwa mankhwala ena (makamaka maantibayotiki opumira), muyenera kuuza dokotala za zimenezo.
Kawirikawiri, zilembo za mankhwala zimati muuze dokotala wanu ngati muli ndi pakati kapena mukuyamwitsa. Koma popeza mankhwalawa akuperekedwa kwa mwana wakhanda, zinthuzo sizigwira ntchito pano. Chofunika kwambiri ndikugawana zonse zomwe mukudziwa zokhudza thanzi la mwana wanu ndi gulu lachipatala.
Kodi mumapereka bwanji mankhwala awa kwa mwana?
Mankhwala awa si oti munthu atenge kunyumba. Amaperekedwa kuchipatala kokha ndi madokotala ndi anamwino omwe ali m'chipinda chosamalira odwala kwambiri (NICU/SCBU).
Mwanayo akhoza kulumikizidwa ndi makina opumira mpweya chifukwa cha vuto la kupuma. Madokotala amapereka mankhwalawa mwachindunji m'mapapo kudzera mu chubu cholumikizidwa ndi chubu chopumira mpweya (endotracheal tube).
Pa nthawi ya opaleshoniyi komanso pambuyo pake, chilichonse kuyambira kugunda kwa mtima wa mwana, kuchuluka kwa mpweya, ndi kuthamanga kwa magazi zimayang'aniridwa mosamala ndi makina ndi gulu lachipatala. Choncho mwanayo amakhala wotetezeka kwambiri.
Nanga chimachitika ndi chiyani ngati mlingo wa mankhwalawo wawonjezeka?
Popeza izi zimachitika kuchipatala, moyang'aniridwa ndi madokotala apadera, mwayi woti munthu agwiritse ntchito molakwika mankhwalawa ndi wochepa kwambiri. Mlingo wolondola kwambiri umawerengedwa kutengera kulemera kwa mwana.
Komabe, ndi bwino kudziwa chochita ngati mwamwa mankhwala opitirira muyeso. Nthawi zambiri, pazochitika zotere, timapempha upangiri ku National Poisons Information Centre ku Colombo National Hospital kapena ku Emergency Treatment Unit (ETU) yapafupi.
Koma ngati mukukayikira chilichonse pamene mukupereka mankhwala kwa mwana m'chipatala chonga ichi, chinthu chabwino komanso chachangu kwambiri choti muchite ndikulankhula ndi dokotala kapena namwino yemwe ali pomwepo nthawi yomweyo.
Kodi pali zotsatirapo zilizonse zomwe muyenera kuzisamala nazo?
Inde, monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Koma musadandaule, gulu lachipatala lomwe limasamalira mwana wanu nthawi zonse limayang'anitsitsa zizindikirozi. Monga kholo, ndi bwino kuti inunso muzidziwa izi.
| Zotsatirapo zomwe zingatheke | Zimene muyenera kuchita |
|---|---|
| Matenda Oopsa a Thupi Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. | Izi zitha kuchitika mwachangu kwambiri. Uzani dokotala wanu kapena namwino nthawi yomweyo. |
| Zizindikiro za kutuluka magazi mu ubongo Kusintha kwa kapumidwe, kulira mokweza kosalekeza, kutupa kapena kutukumuka kwa malo ofewa pamwamba pa mutu, ndi khunyu. | Imeneyi ikhoza kukhala vuto lalikulu. Uzani gulu lachipatala nthawi yomweyo. |
| Kugunda pang'onopang'ono kapena kuthamanga kwa magazi pang'onopang'ono Khungu kapena milomo ya mwana imasanduka yotumbululuka, yabuluu kapena yofiirira, yofooka kwambiri, komanso manja ndi mapazi ozizira. | Gulu la azachipatala likuyang'anira izi ndi makina, koma ngati muwona kusintha kulikonse, chonde tidziwitseni nthawi yomweyo. |
Mndandandawu uli ndi zinthu zomwe zimachitika kawirikawiri. Kuphatikiza apo, ngati muwona china chilichonse chachilendo pa thupi la mwana wanu, musaope kufunsa dokotala wanu za izi.
Uthenga Wopita Nawo Kunyumba
- Beractant ndi mankhwala ofunikira kwambiri omwe amathandiza mapapo a ana osakwana nthawi yobereka komanso amapangitsa kupuma kukhala kosavuta.
- Mankhwalawa amaperekedwa kuchipatala kokha, moyang'aniridwa ndi madokotala. Mankhwalawa si oti munthu atenge kunyumba.
- Mwana wanu adzayang'aniridwa mosamala ndi gulu lachipatala maola 24 patsiku, panthawi yopereka mankhwala komanso pambuyo pake.
- Musamaope kufunsa dokotala kapena namwino mafunso kapena nkhawa zilizonse zomwe mungakhale nazo zokhudza matenda a mwana wanu kapena chithandizo chomwe chikuperekedwa.
- Chithandizochi ndi mwayi wabwino kwa mwana wanu wamng'ono kuti ayambe moyo wathanzi, kupuma bwino.
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