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Kudzoka mu2018, mishumo yezvinetso zvemvura zveGaza zvainge zvapararira, zvichinongedzera 85 muzana yemvura yakasvibisa nhanho dzichikwira kuenda kune chinotyisa 97 muzana. Pamwe chete nenhau idzodzo, kuputika kweblue baby syndrome, chirwere chinokanganisa vacheche chakataurwa [1] . Sekureva kwechidzidzo cha2005, pakanga paine imwechete kana maviri kesi dzeblue baby syndrome, asi nekufamba kwenguva, huwandu hwacho hwakakwira zvakanyanya. Uye kubva ikozvino, iyo yebhuruu mucheche chirwere yakataurwa mune dzimwe nyika zvakare, kunyanya dziya dzine yakadzika mvura chengetedzo.
Saka, Chii chinonzi Blue Baby Syndrome?
Iyo inozivikanwa zvakare seyecheche methemoglobinemia, bhuruu mucheche chirwere chinokonzeresa kuti ganda remwana riite bhuruu. Vamwe vacheche vanozvarwa vaine chirwere, vamwe vanowanzochikurira. Mamiriro acho anoita kuti ganda riite yepepuru kana yebhuruu tinge (cyanosis).
Hemoglobin, protein yeropa inoitisa kutakura okisijeni mumuviri wako wese. Kana ropa risingakwanise kutakura okisijeni, rinokonzeresa kushomeka kweoksijeni -kukonzeresa paganda remwana achishanduka kuita bhuruu. Iyo yebluish tinge inonyanya kuoneka pazvikamu zvine ganda rakatetepa senge miromo, mibhedha yezvipikiri uye nzeve [piri] [3] .
Mamiriro acho haawanzo kutaurwa munyika dzakabudirira uye dzakasimukira uye anoonekwa zvakanyanya mumaruwa uye nyika dzichiri kusimukira kunyanya munyika dzine mvura shoma [4] .
Zvinokonzera Blue Baby Syndrome
Chikonzero chepakati chiri kumashure kwechimiro ichi chine ropa risina mweya [5] .
Chimwe chezvikonzero zvikuru zveblue baby syndrome is nitrate kusvibiswa mumvura. Ndokunge, kana mucheche achinwa mvura ine huwandu hwakawanda hwe nitrate, muviri unoshandura iyo nitrate kuita nitrites iyo inosunga iyo hemoglobin mumuviri wemwana ndokushandukira kuita methemoglobin. Methemoglobin haina kugona kutakura uye kuendesa oxygen [6] .
Vacheche vari pazasi pemakore matatu inguva yekuwedzera yekutapurirana mamiriro kubva kunwa mvura yakasviba. Pane katsamba kadiki, mamiriro acho anogona kukanganisa vanhu vakuru, chete mune zvisingawanzoitika zviitiko. Vakuru vane chibereko, maronda kana gastritis uye itsvo kukundikana inoda dialysis vari panjodzi yekuvandudza mamiriro [7] [8] .
Nekudaro, mamwe mamiriro ezvinhu anogona zvakare kukonzera kuti mucheche aite sebhuruu senge tetralogy ye fallot (TOF), kuberekwa kwemoyo kusagadzikana uye methemoglobinemia [8] .
Zviratidzo zveBlue Baby Syndrome
Kunze kwebhuruu tinge paganda, zvinotevera zviratidzo nezviratidzo zvebhuruu mucheche chirwere [9] [10] .
- Nyaya dzekuvandudza
- Kushatirwa
- Kusvipa
- Kusakwanisa kuwedzera uremu
- Kukurumidza kurova kwemoyo kana kufema
- Lethargy
- Manyoka
- Kuwedzera salivation
- Nyaya dzekudyisa
- Kufenda
- Yakagezwa (kana kutenderera) minwe nezvigunwe
Kuongororwa kweBlue Baby Syndrome
Chekutanga, chiremba anozopfuudza nhoroondo yekurapa yemucheche. Mushure meizvozvo, chiremba wevana achaita bvunzo dzepanyama uye bvunzo dzinoverengeka kuti aone chinokonzera bhuruu mwana chirwere [gumi neimwe] .
Iyo bvunzo dzakaitirwa yeblue baby syndrome zvinotevera [13] :
- Catheterisation yemoyo yekufungidzira arteri yemoyo
- Electrocardiogram (EKG) kutarisa mashandiro emagetsi emoyo
- Kuongororwa kweropa
- Chest x-ray kuongorora mapapu uye kukura kwemoyo
- Oxygen saturation test kuti uone kuti yakawanda sei oxygen iri muropa
- Echocardiogram kuti uone maitiro emoyo
Kurapa kweBlue Baby Syndrome
Zvichienderana nechakonzera mamiriro acho, iyo nzira yekurapa inosarudzwa ichatorwa nachiremba wevana [13] .
Kana mamiriro acho achikonzerwa nekuda kwekuzvarwa kwemoyo hurema, mwana anozoda kuvhiyiwa. Uye, zvichibva pakukundikana kwemamiriro acho, mishonga ichaiswa.
Kana mwana achirwara nehemhemoglobinemia, mamiriro acho anogona kudzoserwa nekumwa kwemushonga unonzi methylene bhuruu (iyo inopa oxygen kuropa).
Kudzivirira KweBlue Baby Syndrome [h3]
Deredza mashandisiro ako ezvokudya zvine nitrate nekuti, chikafu chakapfuma mukomboni, senge broccoli, sipinashi, beet nezvimwe hazvifanirwe kupihwa mwana ari pasi pemwedzi minomwe. [14] .
Usashandise zvakanaka kana kupomba mvura. Ita shuwa kuti usashandise mvura inogona kunge yakasviba kugadzira chikafu chevana. Usape mvura yemupombi kuvacheche kudzamara vasvitsa mwedzi gumi nemiviri.
Dzivisa zvisiri pamutemo zvinodhaka, kusvuta, doro, uye mimwe mishonga panguva yekuzvitakura nekuti izvi zvinogona kubatsira mukukudziridza kuberekwa kwemoyo hurema muvacheche [gumi neshanu] .
Wona Chinyorwa Mareferenzi- [1]Toaln, S. (2018, Gumiguru 29). Mvura yekunwa yaGaza inosimudzira bhuruu mwana chirwere, zvakakomba zvirwere. Aljazeera
- [piri]Majumdar, D. (2003). Iyo yeblue bhebhi chirwere Reasonance, 8 (10), 20-30.
- [3]Knobeloch, L., Salna, B., Hogan, A., Postle, J., & Anderson, H. (2000). Vacheche vacheche uye nitrate-yakasviba tsime remvura Maitiro ehutano enharaunda, 108 (7), 675-678.
- [4]McMullen, S. E., Casanova, J. A., Gross, L.K, & Schenck, F. J. (2005). Ion chromatographic kutsunga kwe nitrate uye nitrite mumiriwo uye michero yekudya kwevana. Journal of AOAC International, 88 (6), 1793-1796.
- [5]Ginimuge, P. R., & Jyothi, S. D. (2010). Methylene bhuruu: yakadzokororwa Journal of anaesthesiology, clinical pharmacology, 26 (4), 517.
- [6]Mulholland, P., Simpson, A., & Coutts, J. (2019). P017 Bhuruu mucheche bhuruu- nyaya yenyaya inoreva zvinoitwa nemadzimai anosarudza serotonin reuptake inhibitor kushandiswa kwechimbichimbi kufa kwevana chirwere.
- [7]Johnson, S.F (2019). Methemoglobinemia: Vacheche vari panjodzi.Current matambudziko muhutano hwevana nevechiri kuyaruka, 49 (3), 57-67.
- [8]Ratnayake, S. Y., Ratnayake, A. K., Schild, D., Maczka, E., Jartych, E., Luetzenkirchen, J., ... & Weerasooriya, R. (2017). Chemical kuderedzwa kwe nitrate ne zerovalent iron nanoparticles adsorbed radiation-yakabatanidzwa copolymer matrix. Nukleonika, 62 (4), 269-275.
- [9]Medarov, B. I., Pahwa, S., Reed, S., Blinkhorn, R., Rane, N., & Judson, M. A. (2017). Methemoglobinemia inokonzerwa neinotakurika dialysis mune inorwara zvakanyanya. Inokosha mishonga yekurapa, 45 (2), e232-e235.
- [10]Luo, Y. (2017). Maitiro Ekupfuya Mombe kuEastern Nebraska Inogona Kukanganisa Nitrate Kusungwa muPlatte Rwizi.
- [gumi neimwe]Iyer, V. G. (2017). Dhizaini uye Kugadziridza kweSustainable Wastewater Treatment Plant Yekuchengetedza Sustainable Development Management yeMvura Yakasviba. Ehupfumi, 5 (5), 486-491.
- [12]Ellis, C. L., Rutledge, J. C., & Underwood, M. A. (2010). Intestinal microbiota uye bhuruu mucheche chirwere: probiotic kurapa kwenguva yakareba necyanotic congenital chirwere chemoyo Gut microbes, 1 (6), 359-366.
- [13]Dilli, D., Aydin, B., Zenciroğlu, A., Özyazici, E., Beken, S., & Okumuş, N. (2013). Kurapa mhedzisiro yevacheche vane cyanotic inobereka chirwere chemoyo chakarapwa nema synbiotic. Pediatrics, 132 (4), e932-e938.
- [14]Tooley, W.H, & Stanger, P. (1972). Mwana webhuruu-kutenderera kana kufefetedza kana zvese zviri zviviri?.
- [gumi neshanu]Özdestan, Ö., & Üren, A. (2012). Nitrate uye Nitrite Zviri Mukati meVacheche Zvekudya. Academic Chikafu Chinyorwa / Akademik GIDA, 10 (4).