Ngamanye amaxesha usenokuba uqaphele ukuba izandla neenyawo zomntwana wakho omncinci zijike zaba luhlaza okwesibhakabhaka. Okanye imilebe ijongeka iluhlaza okwesibhakabhaka. Kuqhelekile ukuba umama okanye utata azive esoyika kwaye ekhathazekile xa ebona oku. "Ingaba umntwana wam uyagula?" Unokucinga. Kodwa oku akusoloko kuyinto yokoyika. Namhlanje, masithethe ngalo mbala wesikhumba oluhlaza okwesibhakabhaka, okwimeko esiyibiza ngokuba yi-cyanosis ngokwezonyango.
Yintoni kanye kanye i-cyanosis?
Ngamafutshane, i-cyanosis iyenzeka xa ubuninzi beoksijini egazini lethu buncipha, nto leyo ebangela ukuba iindawo ezifana nolusu, imilebe, kunye nezinzipho zibe nombala oluhlaza okwesibhakabhaka okanye omfusa.
Khawucinge ukuba sineentlobo ezimbini zegazi. Elinye ligazi "elibomvu", elizele yioksijini . Eli gazi lihamba lisuka entliziyweni yethu liye kuzo zonke iindawo zomzimba wethu kwaye linika amalungu ethu amandla afunekayo ukuze aphile, oko kukuthi, ioksijini. Emva kokuba amalungu esebenzise loo oksijini, elo gazi lijika libe ligazi "eliluhlaza okwesibhakabhaka", elineoksijini encinci . Emva koko eli gazi liluhlaza okwesibhakabhaka libuyela entliziyweni, liye emiphungeni, liphinde lithathe ioksijini, lize lijike libe bomvu. Lo mjikelo uyaqhubeka.
Ngoko ke, ukuba ngesizathu esithile lo mjikelo uyaphazamiseka kwaye igazi eliluhlaza okwesibhakabhaka, elingenaoksijini lijikeleza emzimbeni, loo mbala uluhlaza okwesibhakabhaka uya kubonakala kwiindawo ezincinci zolusu lwethu. Into ebalulekileyo kukuba i-cyanosis ayisosifo, kodwa luphawu lwesinye isifo esisisiseko.
Yintoni ebangela ukuba ulusu lomntwana lujike lube luhlaza okwesibhakabhaka?
Izizathu eziphambili zolusu oluluhlaza okwesibhakabhaka ebantwaneni ziingxaki zemiphunga okanye zentliziyo. Nangona kunjalo, zinokubakho nezinye izizathu eziqhelekileyo. Masizijonge nganye nganye.
1. Iingxaki ezinxulumene nemiphunga
Imiphunga kulapho songeza khona ioksijini egazini ngokuphefumla esikuthathayo. Ngoko ke ukuba kukho ingxaki emiphungeni, le nkqubo iyaphazamiseka.
- Ukuvaleka komoya: Njengakwimeko efana ne-croup, iindlela zomoya ziyadumba kwaye zivaleke, nto leyo enciphisa ubungakanani beoksijini efikelela emiphungeni. Ngamanye amaxesha, umntwana unokuginya into efana nethoyi aze avaleke.
- Usulelo lwemiphunga: Usulelo olufana ne-pneumonia kunye ne-bronchiolitis luphazamisa ukusebenza kwemiphunga kwaye lunciphisa ubungakanani beoksijini egazini.
- Isifuba somoya: Le meko inokwenzeka naxa isifuba somoya sibi kakhulu.
- Ukuphefumla iigesi ezinobuthi: Ukuphefumla iigesi ezinobuthi ezifana ne-carbon monoxide okanye umsi omninzi kukwanciphisa ubungakanani beoksijini efunyanwa ngumzimba.
2. Iingxaki zentliziyo (isifo sentliziyo esizalwa naso)
Abanye abantwana banokuba neziphene zentliziyo abazalelwe kuzo. Oku kubizwa ngokuba sisifo sentliziyo esibizwa ngokuba yi-cyanotic heart disease. Esi sisiphene kwisakhiwo sentliziyo esibangela ukuba igazi eliluhlaza okwesibhakabhaka, elinomoya-mpilo omncinci, lifakwe ngqo emzimbeni endaweni yokuya emiphungeni ukuze lifumane umoya-mpilo, okanye lixutywe negazi elibomvu elineoksijini lize lifakwe emzimbeni.
Nantsi eminye imizekelo yeemeko ezinjalo:
- I-Tetralogy yeFallot
- Ingxaki ka-Ebstein
- Ukuncitshiswa okanye ukungabikho kweevalvu zentliziyo
- I-Truncus arteriosus
Ezi zisenokuvakala zintsonkothile kuwe kuba zizinto ezithethwa ngoogqirha. Kodwa into ekufuneka uyiqonde kukuba isiphene sokuzalwa entliziyweni sinokubangela ukuba amanqanaba eoksijini egazini ehle kwaye ulusu lube luhlaza okwesibhakabhaka.
3. Ezinye izizathu eziqhelekileyo
Ukongeza kwezi zizathu zibalulekileyo, ngamanye amaxesha izinto zemihla ngemihla zinokubangela ukuba ulusu lubonakale luluhlaza okwesibhakabhaka.
| Isizathu | Inkcazo |
|---|---|
| Iimpawu zokuzalwa | Ezinye iimpawu zokuzalwa eziluhlaza okwesibhakabhaka/ezingwevu zinokuphambaniswa ne-cyanosis. |
| Ukutya okuluhlaza okwesibhakabhaka | Ukutya i-ayisikhrim eluhlaza okwesibhakabhaka okanye ii-lollipop kunokubangela ukuba ulwimi lwakho kunye nemilebe yakho zijike zibe luhlaza okwesibhakabhaka. Oku kuya kuphela emva kwexesha elithile. |
| Amanye amayeza | Amanye amayeza, anjenge-amiodarone, anokubangela umbala ongwevu-oluhlaza okwesibhakabhaka kulusu. |
| Iidayi ezimpahleni | Idayi ekwilokhwe entsha eluhlaza okwesibhakabhaka ngamanye amaxesha inokunyibilika kukubila kwaye ingcolise ulusu. |
Ngaba yonke into eluhlaza okwesibhakabhaka iyingozi? Masifunde nge-'Acrocyanosis'
Le yeyona nxalenye ibalulekileyo ekufuneka abazali abaninzi bayiqaphele.Ukuba iintende zezandla zomntwana wakho, iintende zeenyawo zakhe, kunye nemilebe yakhe ziluhlaza okwesibhakabhaka kuphela, mhlawumbi asiyongxaki imbi kangako. Oku kubizwa ngokuba yi -acrocyanosis .
Oku kuqheleke kakhulu kwiintsana ezisandul’ ukuzalwa kwiiyure zokuqala zobomi. Oku kungenxa yokuba ngelo xesha, umzimba womntwana ubeka phambili ukujikeleza kwegazi kwiindawo ezibalulekileyo, ingqondo nemiphunga, kwaye ukuhamba kwegazi ezandleni nasezinyaweni kuyancipha kancinci.
Kwakhona, abantwana abancinci, kwaye ngamanye amaxesha abantu abadala, banokuba nezandla neenyawo eziluhlaza okwesibhakabhaka xa bevezwa yingqele egqithisileyo. Oku kuya kuphela emva kwexesha elithile kwaye xa umzimba ufudumala.
Kodwa khumbula! Ukuba ubuso bomntwana wakho, ulwimi, okanye amalungu angaphakathi emzimbeni, njengobuso, ulwimi, okanye umzimba, zihlala ziluhlaza okwesibhakabhaka/mfusa, isenokuba yimeko embi kakhulu. Ayisiyo i-Acrocyanosis.
Uyifumana njani le nto, Gqirha?
Xa usisa umntwana wakho kugqirha, uza kuqala amhlole umntwana ngononophelo aze akubuze imibuzo. Kunokuba nzima ukuchonga i-cyanosis kubantwana abanesikhumba esimnyama. Ngamaxesha anjalo, ugqirha uza kuhlola ngononophelo imilebe yomntwana, ulwimi, iintsini zakhe, kunye naphantsi kwezipikili.
Uvavanyo olubalulekileyo oluza kwenziwa emva koko kukulinganisa ukugcwala kweoksijini .
- Oku kuquka ukuncamathisela isixhobo esincinci esifana nekliphu (iPulse Oximeter) kumnwe okanye kuzwane lomntwana imizuzu embalwa.
- Oku akubuhlungu.
- Esi sixhobo sinokumisela ngokuchanekileyo ukuba ubungakanani beoksijini egazini lomntwana buqhelekile okanye buphantsi.
Ukuba amanqanaba e-oksijini ephantsi egazini aqinisekisiwe, kunokufuneka uvavanyo olongezelelekileyo ukuze kuchongwe unobangela.
- I-X-reyi yesifuba
- I-Echocardiogram (uvavanyo lwe-echo lokujonga ukusebenza kwentliziyo)
- Uvavanyo lomsebenzi wemiphunga
- Uvavanyo olukhethekileyo olufana nokuxinwa kwentliziyo
Iphathwa njani?
Indlela yonyango ixhomekeke ngokupheleleyo kwimeko engaphantsi ebangele ukuba ulusu lube luhlaza okwesibhakabhaka.
- Nge-acrocyanosis: Le yimeko eqhelekileyo kwaye ayifuni naluphi na unyango. Iya kuphela yodwa xa umntwana egcinwe efudumele kancinci.
- Kwezinye izizathu: Ukuba unobangela oyintloko sisifo sentliziyo okanye usulelo lwemiphunga, unyango lolona lubalulekileyo. Abanye abantwana banokufuna ukunikwa ioksijini, badityaniswe nomatshini wokuphefumla, banikwe amayeza, okanye bade batyandwe. Xa imeko engundoqo inyangwa, umbala oluhlaza okwesibhakabhaka wolusu uyanyamalala kwaye ubuyele esiqhelweni.
Okokugqibela, eyona nto ibalulekileyo kukuba ukuba ubuso bomntwana wakho, ulwimi, okanye isifuba/isisu sakhe sihlala siluhlaza okwesibhakabhaka/mfusa, ukuba kubonakala ngathi unengxaki yokuphefumla, okanye ukuba akakhululekanga kakhulu, oko kungaba yimeko embi kakhulu. Kwimeko enjalo, ungalibazisi umzuzwana kwaye mthathe umntwana wakho umse kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane.
Umyalezo Wokuya Ekhaya
- I-Cyanosis ayisosifo. Luphawu lokuba ioksijini incinci egazini.
- I-Acrocyanosis, eyenzeka xa izandla neenyawo zeentsana ezisandul’ ukuzalwa kunye nabantwana zijika zibe luhlaza okwesibhakabhaka xa zibekwe emakhazeni, ayisoloko iyingozi.
- Ubuso bomntwana, ulwimi, okanye isifuba/isisu sakhe sitshintsha sibe luhlaza okwesibhakabhaka kwaye kunzima ukuphefumla yingxamiseko. Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngokukhawuleza.
- Unyango luxhomekeke kwimeko ebangela i-cyanosis. Xa imeko inyangwa, umbala wolusu ubuyela kwisiqhelo.
- Ukuba unamathandabuzo okanye uxhalabile malunga nombala wolusu lomntwana wakho, qiniseka ukuba uqhagamshelana nogqirha wosapho lwakho ukuze akunike ingcebiso.
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