BLUE BABY SYNDROME: LISOSA, MATŠOAO, PHEKOLO LE THIBELO

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E tlameha ho shebella

Se ke oa Lahleha

Lapeng Bokhachane boimana Lesea Baby oi-Amritha K By Amritha K. ka Phupu 8, 2019

Morao koana ka 2018, litlaleho tsa mathata a Gaza a mathata a metsi li ne li atile haholo, ho supa maemo a ts'ilafalo ea metsi a liperesente tsa 85 a nyolohela ho liperesente tse tšosang tsa 97. Hammoho le litaba tseo, ho ile ha tlalehoa lefu la masea a maputsoa, lefu le amang masea ^[1] . Ho ea ka phuputso ea 2005, ho bile le ketsahalo e le 'ngoe kapa tse peli tsa blue baby syndrome, empa ha nako e ntse e ea, lipalo li se li nyolohile haholo. Ho tloha hajoale, lefu la masea a maputsoa le tlalehiloe le linaheng tse ling, haholoholo tse nang le ts'ireletso e tlase ea metsi.

Joale, Blue Baby Syndrome ke eng?

E tsejoang hape e le masehemoglobinemia ea masea, lefu la masea a maputsoa le etsang hore letlalo la lesea le be putsoa. Bana ba bang ba tsoaloa ba na le bothata bona, ba bang ba tloaetse ho bo holisa. Boemo bona bo etsa hore letlalo le be le pherese kapa 'mala o moputsoa (cyanosis).

Hemoglobin, protheine ea mali e ikarabella bakeng sa ho tsamaisa oksijene 'meleng oohle oa hau. Ha mali a sa khone ho tsamaisa oksijene, e baka khaello ea oksijene - e ka hlahang letlalong la lesea le fetoha le putsoa. Mmala o boputswa o bonahala haholo dikarolong tse nang le letlalo le lesesane jwalo ka melomo, diphate tsa manala le di-earlobes ^[pedi] ^[3] .

Boemo bona ha bo tlalehiloe hangata linaheng tse tsoetseng pele le tse tsoetseng pele indastering mme hangata bo bonoa linaheng tsa mahaeng le tse tsoelang pele haholoholo linaheng tse nang le phepelo e fokolang ea metsi ^[4] .

Lisosa tsa Blue Baby Syndrome

Lebaka le ka sehloohong la boemo ke mali a nang le oksijene e fokolang ^[5] .

E 'ngoe ea lisosa tse kholo tsa lefu la masea a maputsoa ke tšilafalo ea nitrate ka metsing. Ka mantsoe a mang, ha lesea le noa metsi a nang le nitrate e phahameng, 'mele o fetola li-nitrate hore e be li-nitrite tse tlamang ka hemoglobin' meleng oa lesea ebe li fetohela ho methemoglobin. Methemoglobin ha e na bokhoni ba ho jara le ho fana ka oksijene ^[6] .

Masea a ka tlase ho lilemo tse tharo ke kotsi e eketsehileng ea ho tšoaetsoa boemo ke ho noa metsi a silafetseng. Tlalehong e nyane, boemo bona bo ka ama le batho ba baholo, feela maemong a sa tloaelehang haholo. Batho ba baholo ba nang le tlhaho ea lefutso, lisosa kapa gastritis le ho hloleha ha liphio tse hlokang dialysis ba kotsing ea ho ba le boemo bona ^[7] ^[8] .

Ka lebaka leo, maemo a mang a mang a ka etsa hore lesea le bonahale le putsoa joalo ka tetralogy of fallot (TOF), pelo e tsoaloang e sa tloaelehang le methemoglobinemia ^[8] .

Matšoao a Blue Baby Syndrome

Ntle le letlalo le leputsoa letlalong, tse latelang ke matšoao le matšoao a lefu la lesea le leputsoa ^[9] ^[10] .

Litaba tsa nts'etsopele
Ho teneha
Ho hlatsa
Ho hloleha ho nona
Ho otla ha pelo kapele kapa ho hema
Lethargy
Letšollo
Ho eketsa salivation
Litaba tsa ho fepa
Ho oa
Menoana le menoana e menoang (kapa e chitja)

Tlhahlobo ea Blue Baby Syndrome

Pele, ngaka e tla bala nalane ea bongaka ea lesea. Kamora moo, ngaka ea bana e tla etsa liteko tsa 'mele le liteko tse' maloa ho fumana sesosa sa lefu la lesea le leputsoa ^{[leshome le motso o mong]} .

Liteko tse entsoeng bakeng sa lefu la masea a maputsoa ke tse latelang ^[13] :

Catheterisation ea pelo ho bona methapo ea pelo
Electrocardiogram (EKG) ho lekola tšebetso ea motlakase ea pelo
Liteko tsa mali
X-ray sefubeng ho hlahloba matšoafo le boholo ba pelo
Teko ea phepelo ea oksijene ho bona hore na oksijene e kae maling
Echocardiogram ho bona sebōpeho sa pelo

Kalafo Bakeng sa Blue Baby Syndrome

Ho ipapisitse le sesosa sa boemo, mokhoa o khethiloeng oa kalafo o tla sebelisoa ke ngaka ea bana ^[13] .

Haeba boemo bo bakoa ka lebaka la bofokoli ba pelo bo tsoaloang, ngoana o tla hloka ho buuoa. Mme, ho ipapisitsoe le boima ba boemo boo, meriana e tla laeloa.

Haeba lesea le tšoeroe ke methemoglobinemia, boemo bo ka fetoha ka ho noa moriana o bitsoang methylene blue (e fanang ka oksijene maling).

Thibelo ea Blue Baby Syndrome [h3]

Fokotsa tšebeliso ea hau ea lijo tse nang le nitrate hobane, lijo tse nang le metsoako e mengata, joalo ka broccoli, spinach, beet jj ha ea lokela ho fuoa lesea le ka tlase ho likhoeli tse 7. ^[14] .

Se ke oa sebelisa metsi a pompo hantle. Etsa bonnete ba hore ha o sebelise metsi a nang le litšila ho etsa lijo tsa masea. Se ke oa fa masea metsi a pompo ho fihlela a le likhoeli li 12.

Qoba lithethefatsi tse seng molaong, ho tsuba, joala le meriana e meng nakong ea bokhachane hobane e ka kenya letsoho ho hlahiseng bofokoli ba pelo lipelong tsa masea ^{[leshome le metso e mehlano]} .

Sheba Litšupiso tsa Sengoloa

[1]Toaln, S. (2018, Mphalane 29). Metsi a nooang a Gaza a hlahisa lefu la masea a maputsoa, mafu a tebileng. Aljazeera
[pedi]Majumdar, D. (2003). Boloetse ba lesea le putsoa, Resonance, 8 (10), 20-30.
[3]Knobeloch, L., Salna, B., Hogan, A., Postle, J., & Anderson, H. (2000). Masea a maputsoa le metsi a silafetseng a nang le nitrate Maikutlo a tikoloho, 108 (7), 675-678.
[4]McMullen, S. E., Casanova, J. A., Gross, L. K., & Schenck, F. J. (2005). Boikemisetso ba Ion chromatographic ba nitrate le nitrite lijong tsa bana tsa meroho le litholoana. Journal ea AOAC International, 88 (6), 1793-1796.
[5]Ginimuge, P. R., & Jyothi, S. D. (2010). Methylene blue: e shebiloe hape. Koranta ea anaesthesiology, pharmacology ea bongaka, 26 (4), 517.
[6]Mulholland, P., Simpson, A., & Coutts, J. (2019). P017 Blue baby blues - tlaleho e fana ka maikutlo a ts'ebeliso ea ts'oaetso ea bo-mme ea serotonin reuptake inhibitor ts'ebeliso ea lefu la masea ka tšohanyetso.
[7]Johnson, S. F. (2019). Mathemoglobinemia: Masea a kotsing. Mathata a hona joale tlhokomelong ea bana le ea bocha, 49 (3), 57-67.
[8]Ratnayake, S. Y., Ratnayake, A. K., Schild, D., Maczka, E., Jartych, E., Luetzenkirchen, J., ... & Weerasooriya, R. (2017). Phokotso ea lik'hemik'hale ea nitrate ka zerovalent iron nanoparticles e phatlalalitse mahlaseli a kopantsoeng a radiation a hlomathisitsoeng Nukleonika, 62 (4), 269-275.
[9]Medarov, B. I., Pahwa, S., Reed, S., Blinkhorn, R., Rane, N., & Judson, M. A. (2017). Methemoglobinemia e bakoang ke dialysis e nkehang habonolo ho ba kulang haholo Meriana ea tlhokomelo ea bohlokoa, 45 (2), e232-e235.
[10]Luo, Y. (2017). Kamoo Tlhahiso ea Mehlape Nebraska e ka Bochabela e ka Amang Maikutlo a Nitrate Nokeng ea Platte.
[leshome le motso o mong]Iyer, V. G. (2017). Moralo le Nts'etsopele ea Setsi sa Phekolo ea Metsi a Lits'ila se Ts'ireletsang bakeng sa Nts'etsopele e Tsoelang Pele ea Metsi a Lits'ila Moruo, 5 (5), 486-491.
[12]Ellis, C. L., Rutledge, J. C., & Underwood, M. A. (2010). Intrinalinal microbiota le blue baby syndrome: kalafo ea li-probiotic bakeng sa li-neonate tsa nako e telele tse nang le lefu la pelo la cyanotic. 1 Likokoana-hloko, 1 (6), 359-366.
[13]Dilli, D., Aydin, B., Zenciroğlu, A., Özyazici, E., Beken, S., & Okumuş, N. (2013). Liphetho tsa kalafo ea masea a nang le lefu la pelo la cyanotic congenital le alafshoang ka li-synbiotic. Pediatrics, 132 (4), e932-e938.
[14]Tooley, W. H., & Stanger, P. (1972). Lesea le leputsoa-ho potoloha ha moea kapa moea o kenang ka moea kapa ka bobeli?
[leshome le metso e mehlano]Özdestan, Ö., & Üren, A. (2012). Litaba tsa Nitrate le Nitrite tsa Lijo tsa Bana. Akademiki ea Lijo Journal / Akademik GIDA, 10 (4).