Isikhokelo seNgcinci yeTyhukela yeGazi kwiiNtshaba
Iintshaba zijongene nemingeni emininzi. Enye yeemfuno eziqhelekileyo iintsana ezisenesikhathi esifanele zijongane neshukela eliphantsi kwegazi. Xa i-preemie ineshukela ephantsi yegazi, ibizwa ngokuba yi-hypoglycemia ye-neonatal.
Igazi legazi ushukela, okanye i-glucose, ejikeleza egazini. Igazi lesetyhu kubalulekile kuba umzimba kunye nengqondo zisebenzisa i-glucose yamandla kunye nokukhula. Ukuba izinga leswekile egazini liphantsi kakhulu ixesha elide, linokuba yingozi.
Iyintoni i-Sugar Blood Low kwiintsana eziseziqhumeni?
Xa izinga le-glucose legazi liwela ngaphasi kwe-40 mg / dl, ngokuqhelekileyo kuthathwa njengeshukela eliphantsi kwegazi okanye i-hypoglycemia. Nangona kunjalo, oogqirha, izibhedlele, kunye neengcali azivumelani nonke kwinani elithile iswekile yegazi kufuneka ibe ngaphambi kokuba ibizwe ngokuba yi-hypoglycemia kunye neemfuno zonyango. Ngoko ke, inombolo yodwa ayichazi isetyhi ephantsi yegazi. Ezinye izinto ezifana nobudala bomntwana wengqondo, kudala kangakanani na ukuba umntwana uzalwe, kwaye iimpawu zomntwana nazo ziqwalaselwa xa zigqiba ukuxilongwa kunye nokunyangwa kweeshukela eliphantsi kwegazi kwiintsana ezingekafiki. Nazi izikhokelo eziqhelekileyo ze-hypoglycemia ye-neonatal esekelwe kwiziphumo zebhubhoratri ze-plasma test glucose .
Usana olusanda kuzalwa luzalwa phakathi kweeyure ezingama-34 neye-37:
- Naliphi na umntwana olunempawu: ngaphantsi kwe-40 mg / dl
- Ukususela ekuzalweni ukuya kwiiyure ezingama-4 ubudala ngaphandle kwempawu: ngaphantsi kwama-40 mg / dl
- Ukususela kwiiyure ezingama-4 ukuya kwiiyure ezingama-24 ubudala ngaphandle kwempawu: ngezantsi kwe-45 mg / dl
Umntwana osengaphambi kokuzalwa ngaphambi kweveki ezingama-34:
- Nangona kungekho sikhokelo esithile saloo ntshaba ezizalwe phambi kweveki ezingama-34, i-hypoglycemia ingathatyathwa ngegazi nge-blood glucose engezantsi kwe-45 mg / dl (ububanzi bungaba phakathi kwama-40 mg / dl- 50 mg / dl).
Iintshaba kunye neHypoglycemia
Ngexesha lokukhulelwa, umama udlulisa iswekile kumntwana wakhe.
Ngasekupheleni kokukhulelwa, umntwana uya kugcina enye iswekile ukusebenzisa iintsuku emva kokuzalwa. Xa iintsana ezizalisekileyo zisebenzise i-glucose yazo egciniweyo, banokufumana ngakumbi xa beselisayo okanye bathabatha ibhotile. Ukuncediswa rhoqo kobisi lwebele okanye ubisi lweesana kubonelela ngeentsana ezizalisekileyo zexesha elipheleleyo kunye neento ezizidingayo ukuze kugcinwe isetyhu egazini yegazi.
Kodwa, xa usana luzalwa ngokukhawuleza, isixa seswekile esakhelwe kwaye sigcinwe siphantsi kakhulu kunokuba umntwana wazalwa ngexesha elipheleleyo. Ngaphezu koko, iintshaba ezininzi azikwazi ukuthatha izondlo ngokutya ngokukhawuleza. Oko kubeka abantwana abasenkingeni engozini enkulu yokuphucula i-sugar ephantsi yeeyure kwieyure kunye neentsuku emva kokuba bazalwe.
Iingxaki zePhepha leGazi elisezantsi kwiiNtshaba
Ushukela olusondeza iintsana ngaphambi kokuba luzalwe lufumaneka kwisibindi. Ekubeni iintshaba ziba nesibindi esilula, asinaso isixa esifanayo sokugcina i-glucose njengentsana epheleleyo. Umntwana osengaphambi kwangoko unokusebenzisa ngokukhawuleza isetyhu egcinwe kunye nokuphuhlisa i-hypoglycemia ukuba:
- Ukuphefumula kunzima emva kokuzalwa
- Umzabalazo wokugcina ubushushu bomzimba obuphilileyo
- Kukho isifo esikhoyo
- Ukutyiswa kobisi lwebele okanye ifomula ye-preemie ilibazisekile ngenxa yokugula kunye nokuhamba kwangaphambili
- Kukho i-insulin kakhulu emzimbeni womntwana kuba umama unesifo sikashukela ngexesha lokukhulelwa
- Usana luzalwa luneemeko zempilo ezibangelwa ushukela ophantsi wegazi
Iimpawu kunye nezibonakaliso ze-Hypoglycemia ye-Neonatal
Ngamanye amaxesha akukho zibonakaliso okanye iimpawu zeshukela eliphantsi kwegazi. Kodwa, xa iimpawu zibonakala, zingabandakanya:
- Jitters kunye neentshukumo
- I-Lethargy (ubuthathaka kunye namandla aphantsi)
- Iphutha elimnyama lomsindo
- Uxinzelelo lokuphefumula
- Umbala obalaphayo okanye obunqabileyo
- Iqondo lobushushu obuphantsi
- Ukunyamekela nokunyusa
- Ukukhala okubuthakathaka okanye okuphakamileyo
Ekubeni uninzi lweempawu kunye neempawu zidibaniswa nobunzima bokuqala kunye nezinye iimeko ezisandul 'ukuzalwa, kunzima ukuxelela ukuba zivela kwishukela eliphantsi kwegazi okanye enye into.
Enye yezizathu kuba kubaluleke kakhulu ukukhenkcela zonke iintsana ezisenokuba yingozi.
Ukuvavanywa kweTyhuphu yeGazi ephantsi
Oogqirha bajonga i-sugar level level by testing the blood. Ukukhenkxa umntwana wakho nge-hypoglycemia, umongikazi uya kuthatha ukuhla kwegazi ukusuka ecaleni lesithende sakho somntwana kwaye uyifake kwisiqwenga sokuvavanya kwi-monitor yeglucose ye-bloodside glucose. I-gsidecometers ye-Bedside iyona sixhobo esihle kakhulu sokuhlola, kodwa isiphumo asikho into echanekileyo njengeliphumo lebhubhoratri. Ngoko ke, ukuba umgcini we-glucose ubonisa izinga eliphantsi lokushukela kwegazi, kufuneka liqinisekiswe ngokukhawuleza. Olunye isampuli segazi luya kutsalwa ngqo ukusuka emthanjeni wengane yakho okanye umgca sele uqhotyoshelwe kwintsana efana ne-catheter embilical okanye umgca we-PICC. Kuya kufakwa kwi-coal yokuqokelela igazi kwaye ithunyelwe kwi-laboratory ukuqinisekisa.
Zingaphi iiNtshutshiso ezivivinywe kwiCafe Blood Low?
Xa umntwana wakho efika kuqala kwi-NICU okanye kwiyunithi yokunyamekela okhethekileyo, uvavanyo lweeshukela lwegazi lungathatyathwa ngokukhawuleza kwaye rhoqo rhoqo ngeeyure ezimbini. Ukuba umntwana wakho angathatha ukutya, iswekile yegazi isoloko ihlolwe ngaphambi kokutya. Xa amaqondo eeshukela egazini azinzile, uvavanyo luya kwenzeka kangangoko. Kwaye, ewe, naliphi na umntwana olubonisa iimpawu ze-hypoglycemia ziya kuhlolwa ngokukhawuleza.
Ngaba Hypoglycemia Inobungozi?
Uninzi lwexesha, i-hypoglycemia yimeko yesikhashana ehlala kuphela iintsuku okanye iiveki ezimbalwa. Ngokuqhelekileyo ibanjwe kwaye iphathwe ngaphambi kokuba ibe yingozi. Nangona kunjalo, kukho iimeko ezingabonakaliyo ze-hormonal kunye nemfuza yokuzalwa yintsana enokuzalwa kunye nale nto inokubangela i-long-term low sugar content issues. Ukuba ayiphathwa unyango ixesha elide, amazinga aphantsi egazini legazi angabangela iingxaki ezinzulu ezibangele umonakalo wengqondo, ukukhubazeka kokufunda, ukuthinteka, iingxaki zombono, kunye nokukhubazeka kwengqondo .
Unyango lwe-Hypoglycemia kwiintsana ezandulela
Xa kuziwa ku-hypoglycemia, zonke iintsana ziphathwa ngabanye. Oogqirha banquma malunga nendlela yokusingatha imeko nganye ngokuxhomekeka kwinqanaba legazi leshukela, ukuba umntwana wazalwa njani, iimpawu, kunye nempilo yonke yomntwana.
Nazi ezinye iindlela iindlela oogqirha abaphatha ngayo ushukela ophantsi wegazi kwiintshaba:
- Ukuba umntwana unako ukunyamezela ukunyusa, unokuncelisa, athabathe ibhotile okanye abe nesondlo sesibhubhu (ubisi lwebele okanye ifomula ye-preemie ifakwe kwi-tube encinci, eguquguqukayo, enjengomquba ophuma kwimpumlo okanye emlonyeni ukuya esiswini). Iswekile ebisi lwebele okanye i-formula ingabakho konke umntwana kufuneka adlulise izinga lokushukela ngegazi.
- Ingane inokudinga umgca we-intravenous (IV) ukufumana ama-fluid aqukethe ishukela elongezelelweyo. Ishukela elongezelelweyo lihamba ngqo kwigazi lomntwana.
- Ukuba kuyimfuneko, kukho imishanguzo enjenge-steroids enokunikwa umntwana ukuba kwandiswe amanqanaba eshukela.
- Kwiimeko ezinzima, ezinzima kakhulu, umntwana usenokufuna ukuhlinzwa. I-pancreas iyilungu elenza i-hormone insulin kwaye ilawula amanqanaba eshukela egazini emzimbeni. Kodwa, ukuba kukho i-insulin kakhulu, ukususwa kwenxalenye okanye zonke i-pancreas kunokufuneka.
ILizwi
Kungenwabisayo kwaye kunzima ukuva ukuba umntwana wakho une-hypoglycemia okanye nayiphi enye imeko yezokwelapha kuloo mbandela. Kodwa, u-hypoglycemia yenye yezinto eziqhelekileyo ezijongana neentsana ezingaphambi kwexesha. Ngombulelo, kuba kukho ukubeka iliso oluqhubekayo kunye nokuvavanya kwi-NICU kunye nommandla wokunyamekela okhethekileyo, ishukela eliphantsi kwegazi kwiintshaba zihlala zichongwa kwaye ziphathwa ngokukhawuleza.
Ukuba umntwana wakho unecala elincinci lokushukela kwegazi kwi-NICU ephathwa ngokukhawuleza, akufanele ikhokele kuyo nayiphi na ingxaki ezayo. Emva kokuba uthathe umntwana wakho ekhaya kwaye udla kakuhle, u-hypoglycemia akufanele abuyele. Ukuba umntwana wakho ozalwa enempilo yempilo ekhokelela kwimicimbi yangexesha elide ne-hypoglycemia, kuya kuba ngumngeni omncinci, kodwa kuya kulungile. Uya kufunda indlela yokunyamekela umntwana wakho, kunye nosana lwakho luya kuqhubeka lufumana unonophelo olulandelayo lokunyanga emva kokuba ushiye esibhedlele.
> Imithombo:
> Adamkin DH. I-homeostasis ye-glucose yase-post -atal kwi-preterm kunye neentsana zexesha. Pediatrics. 2011 uMar 1; 127 (3): 575-9.
> Gomella TL, Cunningham MD, Eyal FG. I-Neonatology: uLawulo, iNkqubo, ii-Call, iingxaki, izifo kunye neDrugs. Mc Graw Hill & Lange. 2013: 409-410; 427-436.
> Goode RH, Rettiganti M, Li J, Lyle RE, Whiteside-Mansell L, Barrett KW, Casey PH. Iziphumo eziphuhlisayo zentsana ezisengaphambi kwe-hypoglycemia. Pediatrics. Ngo-2016 Ngomhla woku-1; 138 (6): e20161424.
> Lee BS. I-Glucose Homeostasis Iintlupheko Kwiintsana Zasekuqaleni. I-Medicine ye-Neonatal. 2015 Aug 1; 22 (3): 133-41.