Ngezinye izikhathi kungenzeka ukuthi uke waphawula ukuthi izandla nezinyawo zengane yakho encane seziphenduke zaba luhlaza okwesibhakabhaka. Noma izindebe zibukeka ziluhlaza okwesibhakabhaka. Kujwayelekile kakhulu ukuthi umama noma ubaba azizwe esaba futhi ekhathazekile kancane uma ebona lokhu. "Ingabe ingane yami iyagula?" Ungase ucabange. Kodwa lokhu akuyona into okufanele uyesabe ngaso sonke isikhathi. Namuhla, ake sixoxe ngalo mbala wesikhumba oluhlaza okwesibhakabhaka, okuyisimo esisibiza ngokuthi i-cyanosis ngokwezokwelapha.
Iyini ngempela i-cyanosis?
Kalula nje, i-cyanosis ilapho inani lomoya-mpilo egazini lethu lehla, okubangela izindawo ezifana nesikhumba, izindebe, nezinzipho ukuba zibe nombala oluhlaza okwesibhakabhaka noma onsomi.
Ake sithi sinezinhlobo ezimbili zegazi. Elinye igazi "elibomvu", eligcwele umoya-mpilo . Leli gazi lihamba lisuka enhliziyweni yethu liye kuzo zonke izingxenye zomzimba wethu futhi linike izitho zethu amandla eziwadingayo ukuze ziphile, okungukuthi, umoya-mpilo. Ngemva kokuba izitho zisebenzisa lowo moya-mpilo, lelo gazi liphenduka igazi "eliluhlaza okwesibhakabhaka", eline-oxygen encane . Bese leli gazi eliluhlaza okwesibhakabhaka libuyela enhliziyweni, liye emaphashini, liphinde lithathe umoya-mpilo, bese liphenduka libe bomvu. Lo mjikelezo uyaqhubeka.
Ngakho-ke, uma ngesizathu esithile lo mjikelezo uphazamiseka futhi igazi eliluhlaza okwesibhakabhaka, elingenawo umoya-mpilo lijikeleza emzimbeni, lowo mbala oluhlaza okwesibhakabhaka uzobonakala ezindaweni ezincane zesikhumba sethu. Into ebalulekile ukuthi i-cyanosis ayisona isifo, kodwa uphawu lwesinye isifo esiyisisekelo.
Yini ebangela ukuba isikhumba sengane siphenduke sibe luhlaza okwesibhakabhaka?
Izimbangela eziyinhloko zesikhumba esiluhlaza okwesibhakabhaka ezinganeni izinkinga zamaphaphu noma zenhliziyo. Kodwa-ke, kungaba nezinye izimbangela ezivamile. Ake sibheke lezi ngasinye ngasinye.
1. Izinkinga ezihlobene namaphaphu
Amaphaphu yilapho sifaka khona umoya-mpilo egazini ngokuphefumula esikuthathayo. Ngakho-ke uma kunenkinga ngamaphaphu, le nqubo iyaphazamiseka.
- Ukuvaleka komoya: Njengasesimweni esifana nokuqunjelwa, imigudu yomoya iyavuvukala futhi ivaleke, okunciphisa inani lomoya-mpilo ofinyelela emaphashini. Ngezinye izikhathi, ingane ingagwinya into efana nethoyizi bese ivaleka.
- Ukutheleleka kwamaphaphu: Ukutheleleka okufana ne-pneumonia kanye ne-bronchiolitis kuphazamisa ukusebenza kwamaphaphu futhi kunciphisa inani lomoya-mpilo egazini.
- Isifuba somoya: Lesi simo singase senzeke nalapho isifuba somoya siba sibi kakhulu.
- Ukuhogela amagesi anobuthi: Ukuhogela amagesi anobuthi njenge-carbon monoxide noma intuthu enkulu nakho kunciphisa inani lomoya-mpilo umzimba owutholayo.
2. Izinkinga zenhliziyo (isifo senhliziyo esizalwa naso)
Abanye abantwana bangase babe nezinkinga zenhliziyo ezizalwa nazo. Lokhu kubizwa ngokuthi isifo senhliziyo esibizwa ngokuthi i-cyanotic. Lokhu kuyiphutha esakhiweni senhliziyo elibangela igazi eliluhlaza okwesibhakabhaka, elinomoya-mpilo ophansi, ukuthi limpompelwe ngqo emzimbeni esikhundleni sokuya emaphashini ukuze lithole umoya-mpilo, noma lihlanganiswe negazi elibomvu elinomoya-mpilo bese limpompelwa emzimbeni.
Nazi ezinye zezibonelo zezimo ezinjalo:
- I-Tetralogy ye-Fallot
- I-Ebstein's anomaly
- Ukuncipha noma ukungabikho kwama-valve enhliziyo
- I-Truncus arteriosus
Lokhu kungase kuzwakale kuyinkimbinkimbi kuwe ngoba kungamagama ezokwelapha. Kodwa okudingeka ukuqonde ukuthi ukukhubazeka kokuzalwa enhliziyweni kungabangela ukuthi amazinga omoya-mpilo egazini ehle futhi isikhumba siphenduke sibe luhlaza okwesibhakabhaka.
3. Ezinye izimbangela ezivamile
Ngaphezu kwalezi zimbangela ezinkulu, ngezinye izikhathi izinto zansuku zonke zingabangela nokuthi isikhumba sibonakale siluhlaza okwesibhakabhaka.
| Isizathu | Incazelo |
|---|---|
| Izimpawu zokuzalwa | Ezinye izimpawu zokuzalwa eziluhlaza okwesibhakabhaka/ezimpunga zingaphambaniswa ne-cyanosis. |
| Ukudla okunombala oluhlaza okwesibhakabhaka | Ukudla i-ayisikhilimu eluhlaza okwesibhakabhaka noma ama-lollipop kungabangela ulimi lwakho nezindebe zakho ukuba zibe luhlaza okwesibhakabhaka. Lokhu kuzophela ngemva kwesikhathi esithile. |
| Eminye imithi | Eminye imithi, njenge-amiodarone, ingabangela umbala ompunga-oluhlaza okwesibhakabhaka esikhumbeni. |
| Amadayi ezingutsheni | Idayi engutsheni entsha eluhlaza okwesibhakabhaka ngezinye izikhathi ingancibilika ngokujuluka futhi ingcolise isikhumba. |
Ingabe konke okuluhlaza okwesibhakabhaka kuyingozi? Ake sifunde nge-'Acrocyanosis'
Lena yingxenye ebaluleke kakhulu abazali abaningi okudingeka bayiqaphele.Uma izintende zezandla zengane yakho, amathe, kanye nezindebe ezizungezile kuluhlaza okwesibhakabhaka kuphela, cishe akuyona inkinga enkulu. Lokhu kubizwa ngokuthi i-acrocyanosis .
Lokhu kuvame kakhulu ezinganeni ezisanda kuzalwa emahoreni ambalwa okuqala okuphila. Lokhu kungenxa yokuthi ngaleso sikhathi, umzimba womntwana ubeka phambili ukujikeleza kwegazi ezithweni ezibaluleke kakhulu, ubuchopho namaphaphu, futhi ukugeleza kwegazi ezandleni nasezinyaweni kuyancipha kancane.
Futhi, izingane ezincane, futhi ngezinye izikhathi abantu abadala, bangase babe nezandla nezinyawo eziluhlaza okwesibhakabhaka lapho bebhekene nokubanda okukhulu. Lokhu kuzophela ngokwako ngemva kwesikhashana nalapho umzimba ufudumala.
Kodwa khumbula! Uma ubuso bomntwana wakho, ulimi, noma izingxenye zomzimba eziphakathi, njengobuso, ulimi, noma umzimba, zihlala ziluhlaza okwesibhakabhaka/zinsomi, kungaba yisimo esibi kakhulu. Akuyona i-Acrocyanosis.
Ukuthola kanjani lokhu, Dokotela?
Uma uyisa ingane yakho kudokotela, izoqala ngokuyihlola ngokucophelela bese ikubuza imibuzo. Kungaba nzima ukubona i-cyanosis ezinganeni ezinesikhumba esimnyama. Ngezikhathi ezinjalo, udokotela uzohlola ngokucophelela izindebe, ulimi, izinsini kanye nangaphansi kwezinzipho zengane.
Ukuhlolwa okubaluleke kakhulu okufanele kwenziwe ngemva kwalokho ukukala ukugcwala komoya-mpilo .
- Lokhu kuhilela ukunamathisela idivayisi encane efana ne-clip (i-Pulse Oximeter) emunweni noma ozwaneni lwengane imizuzu embalwa.
- Lokhu akubuhlungu.
- Le divayisi inganquma ngokunembile ukuthi inani lomoya-mpilo egazini lengane livamile noma liphansi.
Uma amazinga aphansi omoya-mpilo egazini eqinisekiswa, kungase kudingeke ukuhlolwa okwengeziwe ukuze kutholakale imbangela.
- I-X-ray yesifuba
- I-Echocardiogram (ukuhlolwa kwe-echo ukuhlola ukusebenza kwenhliziyo)
- Ukuhlolwa kokusebenza kwamaphaphu
- Ukuhlolwa okukhethekile okufana nokufakwa kwe-catheter kwenhliziyo
Iphathwa kanjani?
Indlela yokwelapha incike ngokuphelele esimweni esiyisisekelo esibangele ukuba isikhumba siphenduke sibe luhlaza okwesibhakabhaka.
- Nge-acrocyanosis: Lesi yisimo esivamile futhi asidingi ukwelashwa. Sizophela sodwa uma ingane isigcinwe ifudumele kancane.
- Ngezinye izimbangela: Uma imbangela eyisisekelo kuyisifo senhliziyo noma ukutheleleka kwamaphaphu, ukwelashwa yilokho okubaluleke kakhulu. Ezinye izingane kungadingeka zinikezwe umoya-mpilo, zixhunywe emshinini wokuphefumula, zinikezwe imithi, noma zihlinzwe. Lapho isimo esiyisisekelo selashwa, umbala oluhlaza okwesibhakabhaka wesikhumba uzonyamalala futhi ubuyele esimweni esijwayelekile.
Okokugcina, into ebaluleke kakhulu ukuthi uma ubuso bengane yakho, ulimi, noma isifuba/isisu kuhlala kuluhlaza okwesibhakabhaka/kunsomi, uma kubonakala sengathi inenkinga yokuphefumula, noma uma ingakhululekile kakhulu, kungaba yisimo esibi kakhulu. Esimweni esinjalo, ungalibali isikhashana bese uyisa ingane yakho eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- I-Cyanosis ayisona isifo. Iyisibonakaliso sokuntuleka komoya-mpilo egazini.
- I-Acrocyanosis, eyenzeka lapho izandla nezinyawo zezinsana ezisanda kuzalwa nezingane kuphela ziphenduka zibe luhlaza okwesibhakabhaka lapho zivezwa emakhazeni, ngokuvamile akuyona inkinga eyingozi.
- Ubuso bengane, ulimi, noma isifuba/isisu siphenduka sibe luhlaza okwesibhakabhaka futhi sinenkinga yokuphefumula kuyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Ukwelashwa kuncike esimweni esiyisisekelo esibangela i-cyanosis. Uma lesi simo selashwa, umbala wesikhumba ubuyela esimweni esijwayelekile.
- Uma unokungabaza noma ukukhathazeka ngombala wesikhumba sengane yakho, qiniseka ukuthi uthintana nodokotela womndeni wakho ukuze uthole iseluleko.
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