Xa oogqirha bekuxelela ukuba umntwana wakho osandul’ ukuzalwa unesifo sentliziyo esintsonkothileyo, kunzima ukuchaza uloyiko noloyiko oluvayo njengomzali. Kwelinye icala, uziva ulusizi kwaye uyoyika umntwana wakho. Kwelinye icala, uziva ngathi awuqondi nelilodwa igama elithethwa ngoogqirha okanye amagama amayeza. Ngamaxesha anjalo, elinye lamagama aqhelekileyo oza kuwava yi-'Alprostadil.' Ke namhlanje, masithethe ngokulula nangokuzola malunga nokuba yintoni le yeza, kutheni linikwa iintsana, kunye noko kufuneka ukwazi ngalo.
Kutheni le nto eli yeza linikwa umntwana? Masiqale siqonde oku.
Ngaphambi kokuba sithethe ngale mithi, kufuneka siqonde kancinci. Cinga ngayo, xa umntwana esesiswini sikanina, imiphunga yakhe ayisebenzi, akunjalo? Ufumana ioksijini ayifunayo kwi-umbilical cord. Ngoko ke ngeli xesha, kukho unxibelelwano oluncinci, njengendlela 'yokudlula', phakathi komthambo wegazi othwala igazi ukusuka entliziyweni ukuya emiphungeni (i-Pulmonary Artery), kunye nomthambo wegazi oyintloko othwala igazi ukuya emzimbeni (i-Aorta). Oku sikubiza ngokuba yi-Ductus Arteriosus . Xa umntwana ezalwa aze aqale ukuphefumla ngokwakhe, le ndlela 'yokudlula' ayisafuneki. Ngoko ke ivala ngokwayo kwiiyure ezimbalwa. Leyo yinkqubo eqhelekileyo.
Nangona kunjalo, abanye abantwana bazalwa beneziphene zentliziyo ezinzima kakhulu (Congenital Heart Defects). Umzekelo, umthambo wegazi othwala igazi ukuya emiphungeni usenokungakheki kakuhle, okanye kunokubakho umahluko kwindlela imithambo yegazi ephambili edibene ngayo. Kwimeko enjalo, ukuba indlela 'yokudlula' esithethe ngayo ngaphambili ebizwa ngokuba yiDuctus Arteriosus iyavaleka, umzimba womntwana kunye nemiphunga ayizukufumana igazi elaneleyo elineoksijini. Oku kuyingozi kakhulu kubomi bomntwana.
Kulapho ke oogqirha kufuneka benze utyando ukuze kugcinwe indlela 'yokudlula', i-ductus arteriosus, ivuliwe ngokwenziwa de ingxaki yentliziyo ilungiswe. Iyeza elisindisa ubomi elinikwa oku libizwa ngokuba yi-alprostadil.
Ngoko ke, yintoni kanye kanye iAlprostadil?
Ngamafutshane, i-alprostadil sisiyobisi esenziwe ngokwenziwa esifana nekhemikhali ebizwa ngokuba yi-'Prostaglandin' eveliswa ngokwendalo emizimbeni yethu. Isetyenziswa kakhulu kwilizwe lethu phantsi kwegama leProstin VR .
Umsebenzi ophambili woku kukuthintela i-ductus arteriosus ukuba ingavaleki kwaye ihlale ivuliwe. Kufana nokubeka intonga encinci phakathi kocango ukuze ihlale ivuliwe. Eli yeza ligcina umzimba womntwana unikwa igazi alidingayo de kube lutyando lwentliziyo. Ngoko ke eli liyeza elibaluleke kakhulu, njengebhulorho yexeshana .
Umnika njani umntwana eli yeza?
Eli asiloyeza lokusetyenziswa ekhaya. I-Alprostadil inikwa esibhedlele, ingakumbi kwiYunithi yoKhathalelo oluNzulu lweZifo eziSandulelayo (NICU) okanye kwiYunithi yoKhathalelo oluNzulu lweZifo eziSandulelayo (PICU).
Oku kungenxa yokuba eli yeza kufuneka linikwe ngqo emthanjeni, njengesisombululo setyuwa (i-intravenous infusion) , ngononophelo olukhulu, rhoqo. Kwakhona, ngelixa eli yeza linikwa, izinto ezifana nokubetha kwentliziyo yomntwana, uxinzelelo lwegazi, kunye namanqanaba eoksijini zijongwa ngononophelo ngoogqirha kunye nabasebenzi babongikazi iiyure ezingama-24 ngosuku ngezixhobo ezikhethekileyo. Ngoko khumbula ukuba umntwana wakho ukhuselekile kakhulu.
Izinto ezibalulekileyo ekufuneka uzazise ugqirha
Ngaphambi kokuba uqalise eli yeza, kubaluleke kakhulu ukuxoxa ngolu lwazi malunga nomntwana wakho neqela lakho lezonyango. Ngokwesiqhelo, oogqirha baya kukubuza oku, kodwa kulungile ukuba nawe ukwazi oku.
- Ukuba umntwana unengxaki yokopha (umzekelo, imeko apho igazi lingajiyi lula).
- Ukuba umntwana unengxaki yokuphefumla .
- Ukuba ukhe wabonisa ukuba une-allergy kwiyeza okanye ekutyeni.
- Ukuba unayo nayiphi na enye ingxaki yempilo.
Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?
Njengayo nayiphi na imithi, i-alprostadil inokubangela ezinye iziphumo ebezingalindelekanga. Kodwa ungakhathazeki, kuba umntwana ukwiyunithi yokhathalelo oluphezulu, abasebenzi bakulungele ukuchonga nokunyanga naziphi na kwezi ngoko nangoko.
| Imiphumela | Yintoni ekufuneka uyazi |
|---|---|
| Izinto ekufuneka uzixelele ugqirha okanye abasebenzi bomongikazi ngoko nangoko | |
| Iimpendulo ze-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kwemilebe/ulwimi/ubuso. |
| Utshintsho lokuphefumla | Ukuyeka ukuphefumla okwethutyana (i-Apnea), ukuncipha okanye ukunyuka kwesantya sokuphefumla. |
| Utshintsho kwisantya sentliziyo okanye uxinzelelo lwegazi | Ukwehla okanye ukunyuka kwesantya sentliziyo, ukwehla koxinzelelo lwegazi. |
| Ifiva | Ubushushu bomzimba obunyukileyo. |
| Ukuxhuzula | Ukungcangcazela okanye ukuxhuzula komzimba. |
| Ukuhlanjwa ngamanzi | Ubomvu besikhumba. |
| Izinto ekufuneka aziswe ugqirha ukuba uyaqhubeka | |
| Isisu esibuhlungu | Urhudo. |
| Intlungu apho kunikwa khona iyeza | Ukudumba okanye ukuba bomvu apho iyeza lifakwe khona emthanjeni. |
Khumbula, olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ngoko ke ukuba ubona naluphi na utshintsho olungaqhelekanga kwindlela umntwana wakho aziphethe ngayo okanye abonakala ngayo, okanye ukuba uneengxaki, xelela ugqirha okanye umongikazi ngokukhawuleza.
Yintoni omawuyenze ukuba umthamo weyeza unyusiwe?
Oku kunikwa esibhedlele, ngabasebenzi bezonyango abaqeqeshiweyo, besebenzisa oomatshini abakhethekileyo (iipompo zokufaka), ngoko ke amathuba okuba ugqithise kakhulu aphantsi kakhulu. Nangona kunjalo, ukuba unamathandabuzo, thetha nogqirha okanye umongikazi onyamekela umntwana wakho ngokukhawuleza. Ukuze ufumane ulwazi ngokubanzi malunga nalo naliphi na iyeza okanye ityhefu, ungatsalela umnxeba iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo . Kwimeko engxamisekileyo, kufuneka uye ngqo kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele.
Umyalezo Wokuya Ekhaya
- I-Alprostadil liyeza lexeshana, elisindisa ubomi elinikwa iintsana ezisandul’ ukuzalwa ezinesifo sentliziyo.
- Umsebenzi wayo oyintloko kukugcina umthambo wegazi okhethekileyo obizwa ngokuba yiDuctus Arteriosus uvulekile de intliziyo yomntwana ityandwe.
- Eli yeza linikwa kwigumbi lonyango oluphezulu esibhedlele, phantsi kweliso elipheleleyo loogqirha nabahlengikazi . Ngoko ke ungakhathazeki ngokhuseleko lomntwana.
- Ukuba ubona naziphi na iimpawu ezingaqhelekanga kumntwana wakho (ezifana nomkhuhlane, ubunzima bokuphefumla, utshintsho lolusu) ngelixa umnika iyeza, yazisa abasebenzi bezonyango ngoko nangoko .
- Eli yeza alisosisombululo esisisigxina kwingxaki yentliziyo yomntwana. Nangona kunjalo, libhulorho elibaluleke kakhulu elilungiselela umntwana utyando, elisisisombululo esisisigxina.
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