Blue Pōpō Syndrome: Nā kumu, nā ʻōuli, ka mālama ʻana a me ka pale ʻana

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Ma hope i ka makahiki 2018, ua laha nā hōʻike e pili ana i nā pilikia pilikia o ka wai o Gaza, e kuhikuhi ana i ka 85 pākēneka wai e piʻi ana i kahi 97 mau keneta weliweli. Me ia nūhou, ua laha ʻia kahi maʻi polū pēpē polū, ua hōʻike ʻia kahi maʻi e hoʻopili ana i nā pēpē ^[1] . Wahi a kahi noiʻi 2005, aia hoʻokahi a ʻelua paha mau hihia o ka maʻi polū pēpē polū, akā me ka manawa, piʻi nui nā helu. A i kēia manawa, ua hōʻike ʻia ka maʻi polū polū ma nā ʻāina ʻē pū kekahi, keu hoʻi me nā wai haʻahaʻa.

No laila, He aha ka Blue Baby Syndrome?

ʻIʻike pū ʻia kekahi me ka methemoglobinemia pēpē, ka maʻi polū polū e hoʻohuli i ka ʻili o ka pēpē e uliuli. Hānau ʻia kekahi pēpē me ke ʻano, hoʻomōhala kekahi. ʻO ke ʻano ke kumu o ka ʻili i ka poni a i ʻole ka uliuli tinge (cyanosis).

ʻO Hemoglobin, he protein protein ke kuleana no ka lawe ʻana o ka oxygen ma loko o kou kino. I ka hanana o ke koko i hiki ʻole ke hāpai i ka oxygen, kumu ia i ka ʻole o ka oxygen - e hopena ana i ka ʻili o ka pēpē e uliuli ana. ʻIke hou ʻia ke kani bluish ma nā ʻāpana me ka ʻili lahilahi e like me nā lehelehe, nā moena kui a me nā earlobes ^{[elua] [3]} .

ʻAʻole hōʻike iki ʻia ke ʻano i nā ʻāina kūkulu a me nā ʻoihana hana a ʻike nui ʻia ma nā ʻāina kaiāulu a me nā ʻāina e ulu ana ma nā ʻāina me ka lako ʻole o ka wai ^[4] .

pehea e paʻa ai koʻu umauma

Kumu o Blue Baby Syndrome

ʻO ke kumu waena ma hope o ke ʻano he koko oxygenated maikaʻi ʻole ^[5] .

ʻO kekahi o nā kumu nui o ka maʻi polū pēpē polū ka haumia nitrate i ka wai. ʻO ia, ke inu ka pēpē i ka wai me nā kiʻekiʻe o ka nitrate, hoʻololi ke kino i nā nitrates i nitrites a laila hoʻopaʻa ʻia me hemoglobin i ke kino o ka pēpē a hoʻohuli i methemoglobin. ʻAʻohe o Methemoglobin ka hiki ke hāpai a hāʻawi i ka oxygen ^[6] .

ʻO nā pēpē ma lalo o ka makahiki he ʻekolu ka nui o ka makaʻu o ka ʻaelike ʻana i ke ʻano mai ka inu ʻana i ka wai haumia. Ma kahi kahakaha liʻiliʻi, hiki i ke ʻano ke hoʻopili i nā mākua, i nā manawa maʻamau wale nō. Nā mākua me ka genetis predisposition, ulcer a gastritis a me nā konāhua hoʻokō pono e pono dialysis mea i ka makaʻu o ka ulu ʻana i ke ʻano. ^{[7] [8]} .

No laila, hiki i kekahi mau ʻano ʻē aʻe ke kumu i ka polū o ke pēpē e like me ka tetralogy o fallot (TOF), nā maʻi puʻuwai congenital a me ka methemoglobinemia ^[8] .

Nā ʻōuli o ka Blue Baby Syndrome

Ma waho o ka ʻalani polū ma ka ʻili, eia nā hōʻailona a me nā ʻōuli o ka polū pēpē maʻi ^{[9] [10]} .

ʻaila nui no ka ulu wikiwiki ʻana o ka lauoho

• Nā pilikia ulu
• Huhū
• ʻO ka luaʻi
• Ka hiki ʻole ke loaʻa kaupaona
• Kuʻi naʻau wikiwiki a i ʻole hanu ʻana
• Lethargy
• Pohā
• Hoʻonui i ka salivation
• Nā pilikia hānai
• Ka hopu ʻana i nā maʻi
• Nā manamana a me nā manamana wāwae i kī ʻia

Kuhi o ka Blue Baby Syndrome

ʻO ka mea mua, e hele ke kauka i ka mōʻaukala o ka pēpē. Ma hope o kēlā, e hana ka pediatrician i nā hoʻokolohua kino a me nā hōʻike he nui e hoʻoholo ai i ke kumu o ka polū pēpē polū ^{[umikumākahi]} .

nā lāʻau kūlohelohe e wehe i ka lauoho maka

ʻO nā hoʻokolohua i mālama ʻia no ka maʻi polū pēpē e like me kēia ^[13] :

• ʻO ka catheterisation Cardiac e ʻike i nā aʻa o ka puʻuwai
• Electrocardiogram (EKG) e nānā i ka hana uila o ka puʻuwai
• Nā hoʻāʻo koko
• ʻO ka x-ray umauma e nānā i nā māmā a me ka nui o ka puʻuwai
• ʻO ka hoʻāʻo saturation oxygen e hoʻoholo ai i ka nui o ka oxygen i loko o ke koko
• ʻO Echocardiogram e ʻike i ka anatomy o ka puʻuwai

Hoʻomaʻo No ka Blue Baby Syndrome

Kaukaʻi ʻia i ke kumu ma hope o ke kūlana, e lawe ʻia ke ʻano hana lapaʻau e ka pediatrician ^[13] .

Inā ke kumu i kumu ma muli o ka congenital naʻau kīnā, ke keiki e koi ʻoki kino. A, ma muli o ke koʻikoʻi o ke ʻano, e kuhikuhi ʻia nā lāʻau.

Inā ʻeha ka pēpē i ka methemoglobinemia, hiki ke hoʻohuli ʻia ke ʻano me ka loaʻa ʻana o kahi lāʻau i kapa ʻia ʻo ka methylene blue (e hāʻawi ana i ka oxygen i ke koko).

Kāohi ʻia o Blue Baby Syndrome [h3]

Palena i kāu ʻai ʻana i nā meaʻai momona-nitrate no ka mea, ʻaʻole hāʻawi ʻia nā meaʻai i loko o ka pūhui, e like me broccoli, spinach, beets a pēpē i kahi pēpē ma lalo o 7 mau mahina. ^[14] .

pehea e ulu mānoanoa ai nā maka

Mai hoʻohana maikaʻi a i ʻole ka piula wai. E nānā pono ʻaʻole e hoʻohana i ka wai i hoʻohaumia ʻia e hana i nā meaʻai no nā pēpē. Mai hāʻawi i ka wai paipa i nā pēpē a hiki i ka piha ʻana iā lākou i 12 mau makahiki.

Hōʻalo i nā lāʻau kū ʻole i ke kānāwai, ka puhī ʻana, ka wai ʻona, a me kekahi mau lāʻau i ka wā hāpai ʻana no ka mea hiki ke kōkua i ka hoʻomohala ʻana i nā maʻi puʻuwai congenital i nā pēpē ^{[umikumālima]} .

1. [1]Toaln, S. (2018, ʻOkakopa 29). Hoʻokumu ka wai inu o Kuba i ka maʻi pēpē polū, nā maʻi koʻikoʻi. Aljazeera
2. [elua]Majumdar, D. (2003). ʻO ka maʻi pēpē polū. ʻO Resonance, 8 (10), 20-30.
3. [3]Knobeloch, L., Salna, B., Hogan, A., Postle, J., & Anderson, H. (2000). ʻO nā pēpē polū a me ka wai luawai i hoʻowahāwahā ʻia e ka nitrate. Nānā i ke olakino olakino, 108 (7), 675-678.
4. [4]McMullen, S. E., Casanova, J. A., Gross, L. K., & Schenck, F. J. (2005). ʻO ka hoʻoholo chromatographic Ion o ka nitrate a me ka nitrite i nā meaʻai a me nā hua pēpē hua. Nūpepa o AOAC International, 88 (6), 1793-1796.
5. [5]Ginimuge, P. R., & Jyothi, S. D. (2010). Methylene blue: nānā hou ʻia. Ka nūpepa o ka anaesthesiology, ka lāʻau lapaʻau, 26 (4), 517.
6. [6]Mulholland, P., Simpson, A., & Coutts, J. (2019). P017 Pōlū pēpē polū – kahi hōʻike hihia pili i ka hoʻohana ʻana o ka serotonin mea hōʻemi e hoʻohana hou i ka mea kāohi hana no ka make ʻana o ka pēpē make koke.
7. [7]Johnson, S. F. (2019). Methemoglobinemia: pilikia nā pēpē. Nā pilikia i kēia manawa i ka mālama olakino pediatric a me ʻōpio, 49 (3), 57-67.
8. [8]Ratnayake, S. Y., Ratnayake, A. K., Schild, D., Maczka, E., Jartych, E., Luetzenkirchen, J., ... & Weerasooriya, R. (2017). ʻO ka hoʻoliʻiliʻi kemika o ka nitrate e nā nanoparticles hao zerovalent i hoʻolaha ʻia me ka radiation-grafted copolymer matrix. Nukleonika, 62 (4), 269-275.
9. [9]Medarov, B. I., Pahwa, S., Reed, S., Blinkhorn, R., Rane, N., & Judson, M. A. (2017). Hoʻokumu ʻia ka methemoglobinemia e ka dialysis lawe lima i nā maʻi koʻikoʻi. ʻO ka lāʻau mālama maʻi, 45 (2), e232-e235.
10. [10]Luo, Y. (2017). Pehea e hiki ai i ka hana holoholona ʻana ma Nebraska Hikina ke hoʻololi i nā Nitrate Concentrations ma Platte River.
11. [umikumākahi]Iyer, V. G. (2017). Hoʻolālā a me ke kūkulu ʻana o Sustainable Wastewater lapaʻau Plant for Sustainable Development Management of Wastewater. Economics, 5 (5), 486-491.
12. [12]ʻO Ellis, C. L., Rut knowledge, J. C., & Underwood, M. A. (2010). ʻO ka microbiota Intestinal a me ka maʻi pēpē polū: probiotic therapy no neonates term me nā maʻi puʻuwai cyanotic congenital. ʻO nā microbes, 1 (6), 359-366.
13. [13]Dilli, D., Aydin, B., Zenciroğlu, A., Özyazici, E., Beken, S., & Okumuş, N. (2013). ʻO nā hopena lapaʻau o nā pēpē me nā maʻi puʻuwai cyanotic congenital i mālama ʻia me nā synbiotics. Pediatrics, 132 (4), e932-e938.
14. [14]Tooley, W. H., & Stanger, P. (1972). ʻO ka pēpē polū — holo a i ʻole ka lele ea a i ʻole nā ​​mea ʻelua ?.
15. [umikumālima]ʻO Özdestan, Ö., & Üren, A. (2012). Nā Nitrate a me nā Nitrite Contents o nā ʻAi Pēpē. ʻO Ka ʻAiʻAiʻAiʻAiʻAiʻAiʻAiika / Akademik GIDA, 10 (4).

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