Theachangoberekwa ropa oxygen probeinoshandiswa kutarisa chiyero chekuzara kweropa remucheche achangoberekwa, iyo inogona kunyatsotungamirira hutano hwehutano hwemwana.
Vazhinji vachangozvarwa vanozvarwa vaine moyo ine hutano uye neokisijeni yakakwana muropa ravo.Zvisinei, vanenge 1 muvana 100 vachangoberekwa vane chirwere chemwoyo chekuberekwa nacho (CHD), uye 25% yavo inenge iine hosha yemwoyo yakakomba (CCHD).
Vana vachangozvarwa vane chirwere chemoyo chakakomba vane mwero weokisijeni wakaderera uye vanowanzoda kuvhiyiwa kana mamwe maitiro mugore ravo rekutanga rehupenyu.Dzimwe nguva kupindira kwekukurumidzira kunokosha mumazuva ekutanga kana mavhiki ehupenyu hwemwana achangoberekwa.Mimwe mienzaniso yehosha yemoyo yakakomba inosanganisira coarctation of the aorta, transposition of the great arteries, hypoplastic left heart syndrome, uye tetralogy of Fallot.
Mamwe marudzi eCCHD anokonzera yakaderera-kupfuura-yakajairika mwero weokisijeni muropa uye anogona kuonekwa neachangozvarwa oximeter kunyange mwana achangoberekwa asati atanga kurwara, nokudaro kupa kukurumidza kuonekwa uye kurapwa kwakakodzera, uye zvichida kuvandudza kufungidzira kwavo.
IAmerican Academy of Pediatrics (AAP) inokurudzira pulse oximetry mune ese achangozvarwa kuongororwa kuti aone CCHD.Kubva muna 2018, nyika dzese dzeUS dzakaisa marongero ekuongorora vana vachangozvarwa.
Fetal ultrasound yemoyo haigone kuona marudzi ese ekuremara kwemoyo
Nepo matambudziko mazhinji emoyo we "fetus" ave kugona kuonekwa nefetus ultrasonography, uye mhuri dzichikwanisa kuendeswa mberi kuna chiremba wemwoyo wevana kuti vawedzere kutarisirwa, pachine zvimwe zviitiko zveCHD zvinogona kupotsa.
Zviratidzo nezviratidzo zveCCHD, zvakadai seruvara rwebhuruu kana kupfupika kwekufema mushure mekuberekwa, zvinoonekwa muvana vakawanda vachangoberekwa vanoongororwa uye vanorapwa vasati vabudiswa muchipatara.Zvakadaro, vamwe vana vachangozvarwa vane imwe mhando yeCCHD vanoita sevakagwinya uye vachizvibata mazuva mashoma apfuura vanongoerekana varwara kumba.
Kusefa sei?
Kanyoro kadiki sensoranoputira ruoko rworudyi rwomwana achangoberekwa netsoka imwe chete.Iyo sensor yakabatana neyekutarisa kweanenge maminetsi mashanu uye inoyera mwero weokisijeni muropa pamwe nekurova kwemoyo.Kuongororwa kweropa reokisijeni kuchangozvarwa kunokurumidza, kuri nyore uye kusiri kukuvadza.Kuongororwa kwepulse oximetry maawa makumi maviri nemana mushure mekuzvarwa kunobvumira moyo nemapapu emwana achangozvarwa kuti ajairane nehupenyu kunze kwaamai.Kana kuvhenekwa kwapera, chiremba kana mukoti anozoongorora kuverenga nevabereki vemwana achangozvarwa.
Kana paine matambudziko nekuongororwa kwebvunzo kuverengerwa, kumwe ongororo yekuongorora chirwere chemoyo kana zvimwe zvinokonzeresa hypoxia zvinogona kudikanwa mwana achangozvarwa asati aburitswa muchipatara.
Miedzo inogona kusanganisira chipfuva X-ray uye basa reropa.Chiremba wevana achaita ongororo ye ultrasound yemoyo wemwana achangoberekwa, inonzi echocardiogram.Iyo echo inoongorora zvese zvimiro uye mabasa eiyo neonatal moyo zvakadzama.Kana maungira akaburitsa zvinonetsa, timu yavo yezvechiremba inokurukura nezvematanho anotevera nevabereki.
Ongorora: Sezvakaita chero bvunzo yekuongorora, dzimwe nguva iyo pulse oximetry yekuongorora bvunzo inogona kunge isiri iyo chaiyo.Nhema dzenhema dzimwe nguva dzinogona kuitika, zvichireva kuti nepo pulse oximetry skrini inoratidza dambudziko, ultrasound inogona kupa simbiso yekuti moyo wemwana achangozvarwa wakajairika.Kutadza kwavo kupasa pulse oximetry screening test hazvireve kuti pane chirema chemoyo.Vanogona kunge vaine mamwe mamiriro ane yakaderera oksijeni mwero, senge hutachiona kana chirwere chemapapu.Saizvozvo, vamwe vana vachangozvarwa vane hutano vane moyo yavo nemapapu mumamiriro ekugadzirisa mushure mekuzvarwa, saka pulse oximetry kuverenga kungave kwakaderera.
Nguva yekutumira: Nov-02-2022