Ukuhlolwa kwegazi gazi kungatshela udokotela wengane yakho okuningi ngempilo yengane yakho
Igazi legazi lingukuhlolwa kwegazi elibheke izinga le-acid nesisekelo kanye ne-oxygenation ezingeni legazi elisha. Igazi ligaxa ezinye zezinto ezivame ukuhlolwa kwegazi ezisetshenziselwa i- NICU , njengoba ziphethe ithani lwazi ngolwazi lwezempilo yengane yakho zibe ngamaconsi amancane nje egazi.
Ku-NICU, ungase uzwe igazi liphelelwa ngokuthi libizwa ngamagama amaningi ahlukene. Ukuhlolwa kwegesi yegazi kungabizwa nge-ABG, ngenxa yegesi egazini legazi; i-CBG, i-capillary blood gas; noma nje igesi.
Amanye ama-NICU angase abe namanye amagama.
Abasebenzi be-NICU baqoqa igazi ngegazi legazi ngezindlela ezahlukene. Uma ingane yakho ine- catheter ye-artery (UAC) , igazi lingadonsela ku-UAC ngaphandle kokuthi lithinte ingane yakho. Igazi legazi liphinde liqoqwe ngesithende esithintekayo noma ngokufaka inaliti kwelinye lamathambo omntanakho noma emithanjeni.
Ukuqonda Imiphumela Yengane Yakho
Lapho ingane yakho inegesi legazi, abasebenzi be-NICU bangafunda okuningi emiphumeleni. Le miphumela ingafaka:
- i-pH: Ibhalansi yakho ye-asidi nesisekelo sakho isilinganiswa nge-pH. I-pH ephansi kusho ukuthi igazi lomntanakho li-acidotic, kanti i-pH ephezulu kusho ukuthi igazi labo li-alkaline. Zombili izimo zingaba yingozi.
- I-carbon dioxide: I- Carbon dioxide ingakha egazini lomntanakho lapho ingane yakho ingaphefumuli kahle, okungabangela i-acidosis. Odokotela banganciphisa amazinga e-carbon dioxide ngokuqinisekisa ukuthi ingane yakho ivulekile noma ikhulise ukwesekwa kokuphefumula. Isibonelo, ingane ene-carbon dioxide ephezulu ingahle idingeke ibekwe ku- CPAP noma izilungiselelo zazo zomoya ziguquliwe.
- I-Bicarbonate: I- Bicarbonate, noma i-bicarb emfishane, iyisilinganiso sokusebenza komntanakho kokusebenza komzimba. I-bicarb ephakeme noma ephansi ingabangelwa yi-sepsis; ukungabi khona kwe-oksijeni isikhathi eside; noma izinkinga ezinenhliziyo, izinso, noma ugesi.
- Ukufakelwa kwe-oksijeni: Igesi egazini legazi likala ukuthi ingakanani i-oksijeni egazini lomntwana wakho. Igazi elivuthayo elisuka emthanjeni noma esithende esithende akuzona izinyathelo ezinhle zokuphefumula.
Yonke igazi igxila ukubheka izinyathelo ezibalwe ngenhla, kodwa, ezinye izivivinyo zingase zibuke ezinye izinyathelo zempilo yengane yakho kwisampula yegazi kuhlanganise nezinga le-glucose, i-electrolytes, ne-hematocrit.
Kungani Izidakamizwa Zidinga Igazi Elikhulu Kangaka?
Uma ingane yakho ikhona ku-NICU, ungase uzithole ukhathazeka ngokuhlolwa okungakanani kwegazi ingane yakho ithola. Odokotela nabahlengikazi bakhathazeka ngakho! Ukuhlolwa okuningi kwegazi kungabangela i-anemia, ikakhulukazi ezithaselweni ezinegazi elincane, ukuqala.
Ukuvama kwegazi njalo kuvamile eNICU, kodwa ngezizathu ezinhle. Kubalulekile ukuqinisekisa ukuthi izingane zithola ukwesekwa okuphefumulayo kakhulu, ikakhulukazi njengoba izitha zizwela kakhulu ngisho nezinguquko ezincane ezilungiselelweni ze-ventilator namazinga e-oxygen. Igazi elidonsa ngeke lilimaze ingane yakho uma inomshini we-artery cube noma umugqa ohambisana nawo. Uma igazi liphazamiseka kumele lidonswe ngenduku yesithende, abasebenzi be-NICU bazoba mnene kakhulu futhi bayohlanganisa ukuhlolwa kwegazi ukunciphisa inani lezinqubo ezibuhlungu ingane yakho edingayo.
Imithombo
- Isevisi yokuThuthukiswa kweNtsha ephuthumayo. "Ukuhunyushwa kweGesi yeGesi." I-Neonatal Handbook .
- UKarlesen, K. (2006) Umqulu Wabafundi Wenqubo Ehleliwe (5th ed).
- Isibhedlela sezingane se-UCSF. (2004) "I-Acid Base Balance." Ukunakekelwa Okunakekelwa Kwamabhilidi House Umsebenzi Wabasebenzi .