Kana vanachiremba vakakuudza kuti mwana wako achangoberekwa ane chirwere chemwoyo chakaoma, zvakaoma kutaura kutya nekuvhunduka kwaunonzwa semubereki. Kune rumwe rutivi, unonzwa kusuruvara uye kutya mwana wako. Kune rumwe rutivi, unonzwa sekunge haunzwisisi kana shoko rimwe chete riri kutaurwa navanachiremba kana mazita emishonga. Panguva dzakadaro, rimwe remazita anozivikanwa auchanzwa ndi'Alprostadil.' Saka nhasi, ngatitaurei zviri nyore uye zvine hunhu nezvemushonga uyu, kuti sei uchipiwa vacheche, uye zvaunoda kuziva nezvawo.
Sei mushonga uyu uchipiwa mwana? Ngatitangei tanzwisisa izvi.
Tisati tataura nezvemushonga uyu, tinofanira kunzwisisa zvishoma. Funga nezvazvo, kana mwana ari mudumbu raamai, mapapu ake haashande, handiti? Anowana okisijeni yaanoda kubva murukuvhute. Saka panguva ino, pane kubatana kudiki, senge nzira 'yekupfuura', pakati petsinga yeropa inotakura ropa kubva pamoyo kuenda kumapapu (Pulmonary Artery), netsinga huru yeropa inotakura ropa kuenda kumuviri (Aorta). Izvi ndizvo zvatinodaidza kuti Ductus Arteriosus . Kana mwana aberekwa otanga kufema ega, nzira iyi 'yekupfuura' haichadiwi. Saka inovhara yega mukati memaawa mashoma. Ndiyo nzira yakajairika.
Zvisinei, vamwe vacheche vanozvarwa vaine zvikanganiso zvemwoyo zvakaoma (Congenital Heart Defects). Semuenzaniso, tsinga yeropa inotakura ropa kuenda kumapapu inogona kusagadzirwa zvakanaka, kana kuti pangave nemusiyano munzira iyo tsinga huru dzeropa dzakabatana. Muchiitiko ichi, kana nzira 'yekupfuura' yatakataura nezvayo kare inonzi Ductus Arteriosus ikavharika, muviri wemwana nemapapu hazvizogamuchire ropa rakakwana rine oxygen. Izvi zvine njodzi zvikuru kuhupenyu hwemwana.
Ndipo panoda vanachiremba kuvhiya kuti nzira ye "bypass", iyo ductus arteriosus, irambe yakavhurika kusvika dambudziko remwoyo ragadziriswa. Mushonga unoponesa hupenyu unopiwa nekuda kweizvi unonzi alprostadil.
Saka, chii chaizvo chinonzi Alprostadil?
Zvichitaurwa zviri nyore, alprostadil mushonga wekugadzira wakafanana nekemikari inonzi 'Prostaglandin' inogadzirwa mumuviri wedu. Inonyanya kushandiswa munyika medu pasi pezita rekuti Prostin VR .
Basa guru reizvi nderekumisa ductus arteriosus kuti isavharwe uye kuti irambe yakavhurika. Zvakafanana nekuisa kamuti kadiki pakati pemusuwo kuti urambe wakavhurika. Mushonga uyu unochengetedza muviri wemwana uine ropa raanoda kusvika pakuvhiyiwa kwemoyo. Saka uyu mushonga unokosha zvikuru, sebhiriji renguva pfupi .
Mushonga uyu unopihwa sei kumwana?
Uyu mushonga hausi wekushandisa kumba. Alprostadil inopihwa muchipatara, kunyanya muNeonatal Intensive Care Unit (NICU) kana Pediatric Intensive Care Unit (PICU).
Izvi zvinodaro nekuti mushonga uyu unofanirwa kupihwa zvakananga mutsinga, senge saline solution (intravenous infusion) , nokungwarira, nguva dzose. Uyewo, panguva iyo mushonga uyu uri kupihwa, zvinhu zvakaita sekurova kwemoyo wemwana, BP, uye mwero weokisijeni zvinotariswa zvakanyanya navanachiremba nevashandi vanochengeta vana maawa makumi maviri nemana pazuva vachishandisa michina yakakosha. Saka yeuka kuti mwana wako akachengeteka zvikuru.
Zvinhu zvakakosha zvekuzivisa chiremba
Usati watanga mushonga uyu, zvakakosha zvikuru kukurukura ruzivo urwu nezvemwana wako nechikwata chako chekurapa. Kazhinji, vanachiremba vanokubvunza izvi, asi zvakanaka kuti uzivewo nezvazvo.
- Kana mwana aine dambudziko rekubuda ropa (semuenzaniso, chirwere chekuti ropa harigwambi nyore).
- Kana mwana achinetseka kufema .
- Kana wakamboratidza kusawirirana nemishonga kana chikafu.
- Kana uine chimwe chirwere.
Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?
Kufanana nemishonga chero ipi zvayo, alprostadil inogona kukonzera mimwe migumisiro yakaipa. Asi musazvidya mwoyo, nekuti mwana ari muchikamu chevarwere vakanyanya, vashandi vakagadzirira kuziva nekurapa chero chipi zvacho cheizvi nekukasika.
| Mhedzisiro Yepadivi | Zvekuziva |
|---|---|
| Zvinhu zvekutaurira chiremba kana vashandi vekuchengeta vakwegura nekukasika | |
| Kusawirirana neAllergy | Mapundu paganda, kuvaviwa, kuzvimba kwemiromo/rurimi/kumeso. |
| Kuchinja kwekufema | Kumira kufema kwenguva pfupi (Apnea), kudzikira kana kuwedzera kwekufema. |
| Kuchinja kwekurova kwemoyo kana kumanikidzwa kweropa | Kurova kwemoyo kwakaderera kana kwakawedzera, BP yakaderera. |
| Kupindwa nechando | Kupisa muviri kwakanyanya. |
| Kubatwa nepfari | Kudedera kwemuviri kana kugwinha. |
| Kushambadza | Kutsvuka kweganda. |
| Zvinhu zvekuzivisa chiremba kana akaramba achienderera mberi | |
| Marwadzo emudumbu | Manyoka. |
| Marwadzo panopiwa mushonga | Kuzvimba kana kutsvuka apo mushonga wakapihwa mutsinga. |
Yeukai kuti runyorwa urwu haruna migumisiro yese inogona kuitika. Saka kana mukaona shanduko dzisiri dzenguva dzose mumaitiro kana chitarisiko chemwana wenyu, kana kuti kana muine zvinokunetsai, taurirai chiremba kana mukoti nekukasika.
Chii chekuita kana mushonga wacho wakawedzerwa?
Izvi zvinopihwa muchipatara, nevashandi vezvehutano vakadzidziswa, vachishandisa michina yakakosha (mapombi emushonga), saka mukana wekuti mushonga uyu upfuure mwero wakaderera. Zvisinei, kana muine kusava nechokwadi, taurai nachiremba kana nesi ari kutarisira mwana wenyu nekukasika. Kuti muwane ruzivo rwakawanda nezvemushonga chero upi zvawo kana chepfu, munogona kufonera National Poisons Information Centre kuColombo National Hospital . Kana paine emergency, munofanira kuenda zvakananga kuEmergency Treatment Unit (ETU) yechipatara.
Mharidzo Yekuenda Nayo Kumba
- Alprostadil mushonga wenguva pfupi, unoponesa hupenyu unopiwa vacheche vachangobva kuzvarwa nawo vane chirwere chemwoyo.
- Basa rayo guru nderekuchengetedza tsinga yeropa inonzi Ductus Arteriosus yakavhurika kusvika moyo wemwana wavhiyiwa.
- Mushonga uyu unopihwa muchikamu chevarwere vanorwara zvakanyanya muchipatara, uchitarisirwa zvizere navanachiremba nevanamukoti . Saka musazvidya mwoyo nezvekuchengetedzeka kwemwana.
- Kana ukaona zviratidzo zvisingawanzoitika mumwana wako (zvakaita sefivha, kunetseka kufema, kuchinja kweganda) paunenge uchimupa mushonga, zivisa vashandi vekurapa nekukasika .
- Mushonga uyu hausi mushonga wekusingaperi wedambudziko remwoyo wemwana. Zvisinei, ibhiriji rakakosha kwazvo rinogadzirira mwana kuvhiyiwa, iro riri mushonga wekusingaperi.
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