Dzimwe nguva ungave wakaona kuti maoko netsoka dzemwana wako mudiki zvachinja kuita bhuruu. Kana kuti miromo yacho inoita sebhuruu. Zvakajairika kuti amai kana baba vanzwe kutya uye kunetseka pavanenge vachiona izvi. "Mwana wangu ari kurwara here?" Ungafunga. Asi izvi hazvisi zvinhu zvekutya nguva dzose. Nhasi, ngatitaurei nezveruvara rweganda iri rebhuruu, iro ratinoti cyanosis .
Chii chinonzi cyanosis chaizvo?
Zvichitaurwa zviri nyore, cyanosis inguva apo huwandu hweokisijeni muropa redu hunoderera, zvichiita kuti nzvimbo dzakadai seganda, miromo, nenzara dzive neruvara rwebhuruu kana rwepepuru.
Fungidzira kuti tine marudzi maviri eropa. Rimwe iropa "dzvuku", iro rakazara neokisijeni . Ropa iri rinofamba kubva pamwoyo wedu kuenda kunhengo dzese dzemuviri wedu uye rinopa nhengo dzedu simba radzinoda kuti dzirarame, kureva okisijeni. Mushure mekunge nhengo dzashandisa okisijeni iyoyo, ropa iroro rinoshanduka kuita ropa "rebhuruu", iro rine okisijeni shoma . Zvadaro ropa iri rebhuruu rinodzokera kumoyo, rinoenda kumapapu, rinotora okisijeni zvakare, uye rinoshanduka kuva dzvuku. Kutenderera uku kunoenderera mberi.
Saka, kana nekuda kwechimwe chikonzero kutenderera uku kukakanganiswa uye ropa rebhuruu, risina okisijeni yakawanda richifamba mumuviri, ruvara irworwo rwebhuruu ruchaonekwa munzvimbo dzakatetepa dzeganda redu. Chinhu chakakosha ndechekuti cyanosis haisi chirwere, asi chiratidzo chechimwe chirwere chiripo.
Chii chinoita kuti ganda remwana riite bhuruu?
Zvikonzero zvikuru zveganda rebhuruu muvana matambudziko emapapu kana emwoyo. Zvisinei, panogona kunge paine zvimwe zvikonzero zvakajairika. Ngatizvitarise chimwe nechimwe.
1. Matambudziko ane chekuita nemapapu
Mapapu ndipo patinowedzera okisijeni muropa kuburikidza nekufema kwatinotora. Saka kana paine dambudziko nemapapu, maitiro aya anokanganiswa.
- Kuvharika kwemhepo: Sekunge pachirwere chakaita secroup, nzira dzekufema dzinozvimba uye dzinovharika, zvichiita kuti huwandu hweokisijeni husvike mumapapu huderere. Dzimwe nguva, mwana anogona kutomedza chimwe chinhu chakaita sechitoyi ovharika.
- Utachiona hwemapapu: Utachiona hwakadai sepneumonia nebronchiolitis hunokanganisa mashandiro emapapu uye hunoderedza huwandu hweokisijeni muropa.
- Asthma: Chirwere ichi chinogonawo kuitika kana asthma yanyanya.
- Kufema magasi ane chepfu: Kufema magasi ane chepfu akadai secarbon monoxide kana utsi hwakawanda kunoderedzawo huwandu hweokisijeni hunogamuchirwa nemuviri.
2. Matambudziko emwoyo (chirwere chemwoyo chekuzvarwa nacho)
Vamwe vana vanogona kunge vaine matambudziko emwoyo avanozvarwa nawo. Izvi zvinonzi chirwere chemwoyo chinonzi cyanotic. Uku kukanganisa kuri muchimiro chemwoyo kunoita kuti ropa rebhuruu, iro rine oxygen shoma, ripinzwe zvakananga mumuviri pachinzvimbo chekuenda kumapapu kunotora oxygen, kana kuti risanganiswe neropa dzvuku rine oxygen ropinzwe mumuviri.
Heano mimwe mienzaniso yemamiriro ezvinhu akadaro:
- Tetralogy yeFallot
- Dambudziko raEbstein
- Kutetepa kana kusavapo kwemavharuvhu emwoyo
- Truncus arteriosus
Izvi zvinganzwika zvakaoma kwauri nekuti mazwi ekurapa. Asi chaunofanira kunzwisisa ndechekuti chirwere chekuzvarwa nacho mumoyo chinogona kukonzera kudzikira kwehuwandu hweokisijeni muropa uye ganda riite bhuruu.
3. Zvimwe zvikonzero zvinowanzoonekwa
Kuwedzera kune zvikonzero izvi zvakakomba, dzimwe nguva zvinhu zvezuva nezuva zvinogonawo kukonzera kuti ganda riite sebhuruu.
| Chikonzero | Tsananguro |
|---|---|
| Zviratidzo zvekuzvarwa | Mamwe mavara ekuzvarwa ebhuruu/grey anogona kutorwa se cyanosis. |
| Chikafu chine ruvara rwebhuruu | Kudya ice cream yebhuruu kana lollipop kunogona kukonzera kuti rurimi rwako nemiromo zviite bhuruu. Izvi zvinopera mushure mechinguva. |
| Mimwe mishonga | Mimwe mishonga, yakaita seamiodarone, inogona kukonzera ruvara rwegrey-blue paganda. |
| Madhayi ari muzvipfeko | Dhayi iri padhirezi idzva rebhuruu dzimwe nguva inogona kunyungudika mudikita uye kusvibisa ganda. |
Ruvara rwebhuruu rwese rune njodzi here? Ngatidzidzei nezve 'Acrocyanosis'
Ichi ndicho chikamu chakakosha icho vabereki vazhinji vanofanira kuziva.Kana zvanza zvemwana wako, tsoka dzake, uye miromo yake zviri zvebhuruu chete, pamwe harisi dambudziko rakakura. Izvi zvinonzi acrocyanosis .
Izvi zvinowanzoitika muvana vachangoberekwa mumaawa mashoma ekutanga ehupenyu hwavo. Izvi zvinodaro nekuti panguva iyoyo, muviri wemwana unonyanya kukoshesa kutenderera kweropa kunhengo dzakakosha, uropi nemapapu, uye kuyerera kweropa mumaoko netsoka kunoderedza zvishoma.
Uyewo, vana vadiki, uye dzimwe nguva vakuru, vanogona kuona maoko netsoka dzebhuruu kana vachinge vabatwa nechando chakanyanya. Izvi zvinopera zvega mushure mechinguva uye kana muviri wava kudziya.
Asi yeukai! Kana chiso chemwana wenyu, rurimi, kana nhengo dzepakati pemuviri, dzakadai sechiso, rurimi, kana dumbu, dzichigara dzakaita sebhuruu/pepuru, zvinogona kunge zviri chirwere chakakomba. Haisi Acrocyanosis.
Unoona sei izvi, Chiremba?
Kana mukaenda nemwana wenyu kuna chiremba, iye anotanga aongorora mwana zvakanaka uye obvunza mibvunzo. Zvinogona kuoma kuona cyanosis muvana vane ganda dema. Panguva dzakadaro, chiremba anonyatsoongorora miromo yemwana, rurimi, matadza, uye pasi penzara.
Bvunzo inonyanya kukosha inofanira kuitwa mushure meizvozvo ndeyekuyera oxygen saturation .
- Izvi zvinosanganisira kubatanidza mudziyo mudiki wakaita seclip (Pulse Oximeter) pamunwe kana chigunwe chemwana kwemaminitsi mashoma.
- Izvi hazvikuvadzi.
- Mudziyo uyu unogona kuona nemazvo kana huwandu hweokisijeni muropa remwana hwakajairwa kana kuti hwakaderera.
Kana huwandu hweokisijeni muropa hukaonekwa kuti hwaderera, bvunzo dzakawanda dzingangodiwa kuti paonekwe chikonzero chacho.
- X-ray yechipfuva
- Echocardiogram (bvunzo yekuongorora mashandiro emwoyo)
- Miedzo yekushanda kwemapupa
- Kuongororwa kwakakosha kwakadai sekugadziriswa kwemwoyo (cardiac catheterization)
Inorapwa sei?
Nzira yekurapa inoenderana zvachose nemamiriro ezvinhu akaita kuti ganda riite bhuruu.
- Kune acrocyanosis: Ichi chirwere chinowanzoitika uye hachidi kurapwa. Chinozopera chega kana mwana angochengetwa achidziya zvishoma.
- Kune zvimwe zvikonzero: Kana chikonzero chiri chemwoyo kana hutachiona hwemapapu, kurapwa ndicho chinhu chakakosha. Vamwe vana vangangoda kupihwa okisijeni, kubatanidzwa nemuchina wekufema, kupihwa mishonga, kana kutovhiyiwa. Kana chirwere chacho chikarapwa, ruvara rwebhuruu rweganda runopera uye ruchadzokera kune zvarwakaita.
Chekupedzisira, chinhu chinonyanya kukosha ndechekuti kana chiso chemwana wako, rurimi, kana chipfuva/dumbu rake zvakagara zvakaita sebhuruu/pepuru, kana achiita seanonetseka kufema, kana kuti asinganyatsonzwa zvakanaka, zvinogona kunge zviri chirwere chakakomba. Kana zvakadaro, usanonoka kwekanguva wobva waendesa mwana wako kuchipatara chiri pedyo neEmergency Department (ETU).
Mharidzo Yekuenda Nayo Kumba
- Cyanosis haisi chirwere. Ichi chiratidzo chekuti ropa harina okisijeni yakakwana.
- Acrocyanosis, iyo inoitika kana maoko netsoka dzevacheche nevana vachangobva kuzvarwa chete dzichiita bhuruu kana dzichibatwa nechando, kazhinji haisi chirwere chine njodzi.
- Chiso chemwana, rurimi, kana chipfuva/dumbu zvichishanduka kuita bhuruu uye zvichiomera kufema idambudziko. Enda kuchipatara kuEmergency Department (ETU) nekukasika.
- Kurapwa kunoenderana nechirwere chiri kukonzera cyanosis. Kana chirwere chacho chikarapwa, ruvara rweganda runodzokera pakuva rwakajairika.
- Kana muine kusava nechokwadi kana kunetseka nezveruvara rweganda remwana wenyu, iva nechokwadi chekubvunza chiremba wemhuri yenyu (chiremba) kuti akupei mazano.
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