Ii-blood oxygen probe esanda kuzalwaisetshenziselwa ukuqapha izinga lokugcwala kwe-oksijini egazini losana olusanda kuzalwa, olungaqondisa ngempumelelo isimo sempilo esivamile somntwana.
Iningi lezingane ezisanda kuzalwa zizalwa zinezinhliziyo ezinempilo nomoya-mpilo owanele egazini lazo.Nokho, cishe ingane eyodwa kweziyikhulu esanda kuzalwa inesifo senhliziyo esizalwa nayo (i-CHD), futhi u-25% wayo uyoba nesifo esibi kakhulu senhliziyo esizalwa nayo (CCHD).
Izingane ezisanda kuzalwa ezinesifo esinzima senhliziyo zinezinga eliphansi le-oksijini futhi ngokuvamile zidinga ukuhlinzwa noma ezinye izinqubo onyakeni wazo wokuqala wokuphila.Ngezinye izikhathi ukungenelela okuphuthumayo kuyadingeka ezinsukwini zokuqala noma amasonto okuphila komntwana osanda kuzalwa.Ezinye izibonelo zesifo senhliziyo esibi kakhulu zifaka phakathi ukuminyaniswa kwe-aorta, ukuguqulwa kwemithambo emikhulu, i-hypoplastic left heart syndrome, kanye ne-tetralogy ye-Fallot.
Ezinye izinhlobo ze-CCHD zibangela amazinga omoya-mpilo aphansi kunokuvamile egazini futhi angatholwa nge-oximeter esanda kuzalwa ngisho nangaphambi kokuba usana olusanda kuzalwa lugule, ngaleyo ndlela lunikeze ukutholwa kusenesikhathi nokwelashwa okufanele, futhi ngokunokwenzeka kuthuthukise ukubikezela kwazo.
I-American Academy of Pediatrics (AAP) incoma i-pulse oximetry kukho konke ukuhlolwa okusanda kuzalwa ukuze kutholakale i-CCHD.Kusukela ngo-2018, zonke izifundazwe zase-US zisebenzisa izinqubomgomo zokuhlola izingane ezisanda kuzalwa.
I-Fetal ultrasound yenhliziyo ayikwazi ukubona zonke izinhlobo zokukhubazeka kwenhliziyo
Nakuba izinkinga eziningi zenhliziyo yengane manje zingatholwa nge-fetus ultrasonography, futhi imindeni ingadluliselwa kusenesikhathi kudokotela wezifo zenhliziyo yezingane ukuze bathole ukunakekelwa okwengeziwe, zisekhona ezinye izimo ze-CHD ezingase ziphuthelwe.
Izimpawu nezimpawu ze-CCHD, njengebala eliluhlaza okwesibhakabhaka noma ukuphelelwa umoya ngemva kokuzalwa, zibonakala ezinganeni eziningi ezisanda kuzalwa ezixilongwa futhi zelashwe ngaphambi kokuba zikhishwe esibhedlela.Kodwa-ke, ezinye izingane ezisanda kuzalwa ezinohlobo oluthile lwe-CCHD ezibonakala ziphilile futhi eziziphatha ngendlela evamile ezinsukwini ezimbalwa ezedlule zivele zigule kakhulu ekhaya.
Ukuhlunga kanjani?
Ithambile encane inzwaugoqa isandla sokudla somntwana osanda kuzalwa kanye nonyawo olulodwa.Inzwa ixhunywe kumonitha cishe imizuzu emi-5 futhi ikala izinga le-oxygen egazini kanye nokushaya kwenhliziyo.Ukuqapha okusanda kuzalwa kwe-oksijeni yegazi kuyashesha, kulula futhi akulimazi.Ukuhlolwa kwe-Pulse oximetry emahoreni angama-24 ngemva kokuzalwa kuvumela inhliziyo namaphaphu osana olusanda kuzalwa ukuba azivumelanise ngokugcwele nokuphila ngaphandle kukamama.Ngemva kokuqedwa kokuhlolwa, udokotela noma umhlengikazi uzobuyekeza ukufundwa nabazali bosana olusanda kuzalwa.
Uma kunezinkinga ngokufundwa kokuhlolwa kokuhlolwa, okunye ukuhlola okuhlola isifo senhliziyo noma ezinye izimbangela ze-hypoxia kungase kudingeke ngaphambi kokuba usana olusanda kuzalwa lukhishwe esibhedlela.
Ukuhlola kungase kuhlanganise i-X-ray yesifuba nomsebenzi wegazi.Udokotela wezifo zenhliziyo zezingane uzokwenza ukuhlola okuphelele kwenhliziyo yosana olusanda kuzalwa, okubizwa ngokuthi i-echocardiogram.I-echo izohlola zonke izakhiwo nemisebenzi yenhliziyo yosana ngokuningiliziwe.Uma ama-echoes embula noma yikuphi ukukhathazeka, ithimba labo lezokwelapha lizoxoxa ngezinyathelo ezilandelayo ngokuningiliziwe nabazali.
Qaphela: Njenganoma yikuphi ukuhlolwa kokuhlola, ngezinye izikhathi ukuhlolwa kokuhlolwa kwe-pulse oximetry kungase kungabi nembayo.Izimpawu ezingamanga zingenzeka ngezinye izikhathi, okusho ukuthi nakuba isikrini se-pulse oximetry sibonisa inkinga, i-ultrasound inganikeza isiqinisekiso sokuthi inhliziyo yosana olusanda kuzalwa ijwayelekile.Ukwehluleka kwabo ukuphumelela ukuhlolwa kokuhlolwa kwe-pulse oximetry akusho ukuthi kukhona ukukhubazeka kwenhliziyo.Bangase babe nezinye izimo ezinamazinga aphansi komoyampilo, njengezifo noma isifo samaphaphu.Ngokufanayo, ezinye izingane ezisanda kuzalwa ezinempilo zinenhliziyo namaphaphu azo esimweni sokulungisa ngemva kokuzalwa, ngakho ukufundwa kwe-pulse oximetry kungase kube phansi.
Isikhathi sokuthumela: Nov-02-2022