N'zovuta kufotokoza m'mawu nkhawa ndi mantha omwe mayi kapena abambo amamva mwana wosakwana nthawi yake akabadwa. Zimakhala zopweteka kwambiri makamaka madokotala akawauza kuti mwana akuvutika kupuma bwino. Chifukwa chake, lero tikulankhula za mankhwala apadera omwe madokotala amagwiritsa ntchito nthawi ngati izi ndipo amathandiza kupulumutsa miyoyo ya makanda ambiri. Ndi Calfactant .
Mwachidule, kodi Calfactant iyi ndi chiyani?
Tangoganizirani, mapapo a mwana wosakwana nthawi yake sakhala okhwima mokwanira, kunena zoona. Monga duwa lomwe limakula msanga. Chifukwa chake, zimakhala zovuta kuti mapapo amenewo agwire bwino ntchito yopuma okha. M'mawu azachipatala, timatcha vutoli Respiratory Distress Syndrome (RDS) .
Tsopano, taonani, mwana wathanzi komanso wobereka nthawi zonse amakhala ndi madzi m'mapapo mwake. Izi zimatchedwa surfactant . Ntchito yake ndikusunga timatumba tating'onoting'ono ta mpweya m'mapapo, alveoli , tomwe tili ngati mabaluni ang'onoang'ono, otseguka ndipo osamamatirana tikamapuma. Surfactant iyi ndi yomwe imatithandiza kupuma mosavuta.
Koma m'makanda obadwa msanga, mapapo amapanga chinthu chotchedwa surfactant chochepa kwambiri kapena sapanganso chilichonse. Pamenepo ndi pamene timatumba tating'onoting'ono ta mpweya m'mapapo timalumikizana, zomwe zimapangitsa kuti mwana asamapume bwino.
Choncho, Calfactant ndi mankhwala opangidwa ndi zinthu zopangidwa ndi anthu omwe amaperekedwa kunja kwa thupi m'malo mwa mankhwala osakhala achilengedwe. Akaperekedwa mwachindunji m'mapapo a mwana, zimathandiza kuti matumba a mpweya akhale otseguka. Choncho zimathandiza kuti mwana apume mosavuta.
Mankhwalawa nthawi zambiri amapangidwa kuchokera ku zinthu zachilengedwe zosungunulira (monga ng'ombe, ng'ombe yotulutsa m'mapapo), ndichifukwa chake amagwira ntchito bwino kwambiri.
Kodi tingamupatse bwanji mwana mankhwala awa? Kodi ife monga makolo, tiyenera kuchita mantha?
Ili ndiye vuto lalikulu lomwe makolo ambiri ali nalo. Ndikofunikira kukumbukira izi:
- Mankhwala a Calfactant amaperekedwa kwa makanda okha m'chipatala, makamaka m'chipinda chosamalira odwala omwe ali ndi matenda a Neonatal Intensive Care Unit (NICU).
- Uwu si mankhwala oti munthu atenge kunyumba n’kupatsa makolo ake.
- Izi zaperekedwa ndi PediatricsNdi madokotala apadera komanso ogwira ntchito yophunzitsa anamwino ophunzitsidwa bwino.
Njira yoperekera mankhwala ndi iyi: Mankhwala amadzimadzi awa amalowetsedwa mwachindunji m'mapapo kudzera mu chubu cha endotracheal chomwe chimayikidwa kuti chithandize mwana kupuma. Panthawiyi, gulu lachipatala limayang'anira mosamala chilichonse kuyambira kugunda kwa mtima wa mwana, kuchuluka kwa mpweya, ndi momwe amapumira. Kotero mwana wanu ali m'manja otetezeka kwambiri. Simuyenera kuda nkhawa nazo.
Kodi zotsatirapo zake zingakhale zotani chifukwa chomwa mankhwalawo?
Monga mankhwala ena aliwonse, pali zotsatirapo zina zomwe zingachitike. Koma kumbukirani, ubwino wa mwana wanu chifukwa chomwa mankhwalawa ndi woposa zoopsa zake. Ndicho chifukwa chake gulu lachipatala nthawi zonse limayang'anitsitsa zotsatirapozi. Ali okonzeka kuchiza kusintha kulikonse ngati kukuchitika.
Tiyeni tifotokoze bwino izi ndi tebulo ili m'munsimu.
| Zotsatirapo/zizindikiro | Zimene muyenera kudziwa ndi zomwe gulu lachipatala limachita |
|---|---|
| Mavuto akuluakulu omwe amafunika chisamaliro chachangu | |
| Matenda a ziwengo (Kukwiya pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime) | Izi ndi zochitika zosachitika kawirikawiri. Ngati gulu lachipatala liwona zizindikiro zilizonsezi, nthawi yomweyo amasiya kumwa mankhwalawo ndikuyamba kulandira chithandizo chofunikira. |
| Kuchepa kwa kugunda kwa mtima kapena kuthamanga kwa magazi (Khungu la mwana likusintha kukhala labuluu/lofiirira, loyera kwambiri, manja ndi mapazi ozizira) | Kugunda kwa mtima wa mwana ndi kuchuluka kwa mpweya m'thupi lake zimawunikidwa nthawi zonse pamene akupatsidwa mankhwala. Ngati pali kusintha kulikonse, mankhwalawo amasiya kwakanthawi kenako n’kuyambiranso mwanayo akachira. |
| Kutuluka magazi mu ubongo (Kusintha kwa kapumidwe, kulira mokweza, kutupa kapena kutukumuka kwa mawanga ofewa (fontanelles) m'chigaza) | Chiwopsezochi chimapezeka kwambiri mwa makanda obadwa msanga. N'zovuta kunena ngati izi zimachitika chifukwa cha mankhwalawa. Komabe, gulu lachipatala nthawi zonse limayang'ana zizindikiro ngati izi. |
Zinthu zimenezi zingakhale zoopsa kuziona. Koma zoona zake n'zakuti, mukapatsa mwana wanu mankhwala awa, madokotala ndi anamwino amasamala kwambiri zizindikiro zonsezi kuposa inu. Choncho musadandaule.
Kodi udindo wathu monga makolo ndi wotani?
Mungamve ngati mulibe chochita mwana wanu akakhala m'chipinda chosamalira odwala kwambiri, koma pali zinthu zofunika zomwe mungachite.
1. Funsani mafunso: Funsani dokotala wanu kapena ogwira ntchito ya unamwino mafunso kapena nkhawa zilizonse zomwe muli nazo zokhudza mankhwala awa kapena matenda a mwana wanu. Adzakufotokozerani zonse m'mawu osavuta.
2. Perekani chidziwitso: Uzani dokotala ngati wina aliyense m'banjamo ali ndi vuto lililonse la ziwengo, makamaka nyama ya ng'ombe. Uzaninso dokotalayo ngati mwana akumwa mankhwala ena aliwonse.
3. Khalani ndi chiyembekezo: Mphamvu zanu zamaganizo ndizofunikira kwambiri panthawiyi. Khulupirirani kuti gulu lachipatala likuchita zonse zomwe lingathe.
Kodi mankhwalawa angagwirizane ndi mankhwala ena?
Pakhoza kukhala kuyanjana kwina ndi maantibayotiki ena opumira. Koma simuyenera kuda nkhawa ndi izi. Popeza mankhwala onse omwe amaperekedwa kwa mwana ku NICU amayang'aniridwa ndi madokotala, iwo amasamalira. Chomwe muyenera kuchita ndikupatsa dokotala wanu tsatanetsatane wa chithandizo chilichonse chomwe mwana wanu akulandira kwina.
Kodi chimachitika ndi chiyani ngati mlingo wa mankhwala wawonjezeka?
Izi zimaperekedwa kuchipatala, motsogozedwa kwambiri, kotero mwayi woti zimenezo zichitike ndi wochepa kwambiri . Mlingo woyenera umawerengedwa kutengera kulemera kwa mwana ndi momwe alili. Koma ngati zoterezi zitachitika, gulu lachipatala lidzachitapo kanthu kofunikira.
Kawirikawiri, ngati tikukayikira kuti pali poizoni wa mankhwala osokoneza bongo, timayimbira foni ku National Poisons Information Center ku Colombo National Hospital . Ndipo timapita ku Emergency Treatment Unit (ETU) yapafupi. Koma ndi mankhwalawa, makolo sayenera kuchita izi, chifukwa chilichonse chimachitika mkati mwa chipatala motsogozedwa ndi dokotala.
Uthenga Wopita Nawo Kunyumba
- Calfactant ndi mankhwala opulumutsa moyo komanso ofunikira omwe amaperekedwa kwa ana osakwana nthawi chifukwa cha matenda opuma (RDS).
- Izi zimachitika popereka mankhwala ochokera kunja kwa mapapu a mwana otchedwa surfactant, omwe mwachibadwa amakhala ochepa m'mapapo.
- Mankhwalawa amaperekedwa m'chipinda chosamalira ana aang'ono okha (NICU) cha chipatalachi. Si mankhwala oti munthu atenge kunyumba.
- Munthawi ya kumwa mankhwala komanso mutatha kumwa mankhwala, mwana wanu adzayang'aniridwa mosamala kwambiri ndi gulu lachipatala.
- Ngakhale kuti zotsatirapo zake n’zotheka, gulu lachipatala nthawi zonse limakhala lokonzeka kuzithetsa.
- Mphamvu yanu yaikulu monga kholo ndikukhala omasuka ndi dokotala wanu komanso gulu lachipatala. Musaope kufunsa mafunso ndikugawana zomwe zili m'maganizo mwanu.
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