Ropa rega rega rinogona kuudza chiremba mwana wako nezvehutano hwemwana wako
Ropa rega inopa kuongorora ropa iro rinotarisa asiyiti uye nheyo yepamusoro uye yeyerojinijeni muropa rechecheche. Ropa rinopisa ndiyo imwe yeropa rakajairika rinowanzoshandiswa muNICU , sezvavanotakura tani yemashoko pamusoro pehutano hwemwana wenyu mumangwanani mashomanana eropa.
Mune NICU, unganzwa kuwedzerwa ropa kunonzi mazita mazhinji akasiyana. Ropa rekuisira ropa rinogona kunzi "ABG", nokuda kwegeriyamu yeropa; CBG, yepa capillary blood gas; kana kungova gasi.
Mamwe maNICU anogona kunge ane mamwe mazwi.
Vashandi veNICU vanounganidza ropa neropa rega mune nzira dzakasiyana. Kana mwana wako ane umbilical arathe catheter (UAC) , ropa rinogona kutorwa kubva kuUAC pasina kutora mwana wako. Ropa rinopisa rinogonawo kuunganidzwa nechitsinho chinotapira kana nekuisa nenyuchi mune imwe yemishonga yemwana wako kana mitsetse.
Kunzwisisa Zvinowanikwa Nevana Vako
Apo mwana wako ane gazi reropa, vashandi veNICU vanogona kudzidza zvakawanda kubva pamigumisiro. Izvi zvinogona kusanganisira:
- pH: Asiri yemwana wako uye nheyo yepamusoro inotarwa ne pH. A low pH zvinoreva kuti ropa rechecheche yako inonzi acidotic, asi pH yakakwirira inoreva kuti ropa ravo ndeyakari. Zvose zviri zviviri zvinogona kuva nengozi.
- Carbon dioxide: Carbon dioxide inogona kuvaka muropa remwana wako kana mwana wako asina kufema zvakanaka, izvo zvinogona kukonzera acidosis. Vanachiremba vanokwanisa kuderedza carbon dioxide maitiro nekuita chokwadi kuti mwana wenyu ari munzira yakazaruka kana kuwedzerwa kubatsirwa kwekufema. Somuenzaniso, mwana ane kabhoni dioxide angada kuiswa paCAPAP kana kuti ventilator yavo ishanduke.
- Bicarbonate: Bicarbonate, kana bicarb kwenguva pfupi, chiyero chekuita kwemishonga yemwana wako. Bicarb yakakwirira kana yakadzika inogona kukonzerwa nechepisi; kushayikwa kweokisijeni kwenguva refu; kana zvinetso nemwoyo, itsvo, kana mumatumbo.
- Oxygen saturation: An arterial blood gas anoyera kuti yakawanda sei mumhepo yeropa rako. Ropa rinokonzerwa kubva mune mutsinga kana kubva pasitsitsinho zvakanyanya haisi maitiro akanaka eomweyaji.
Ropa rose rinotarisa kutarisa matanho ari pamusoro apa, zvisinei, zvimwe zviedzo zvinogona kutarisa zvimwe zviyero zvehutano hwemwana wako muropa remuropa rinosanganisira yeglucose level, electrolytes, uye hematocrit.
Sei Vavengi Vanoda Saka Ropa Rakawanda Rinopera?
Kana mwana wako ari muNICU, ungazviwana uchizvidya mwoyo pamusoro pematambudziko akawanda emwana wako ari kuwana. Vanachiremba uye vanamukoti vanonetseka nezvayo zvakare! Kuwanda kweropa rekuyera kunogona kukonzera chirwere chemahyamu, kunyanya muvanomani vane ropa shoma, kutanga.
Kakawanda kuwedzerwa ropa kunowanikwa muNICU, asi nokuda kwezvikonzero zvakanaka. Zvakakosha kuve nechokwadi chokuti vana vari kuwana zvakanakisisa kuporesa kubatsirwa, kunyanya sezvo vavengi vari kunyanya kufarira kunyange zvishoma kuchinja kweventilator nezvirongwa zve okisijeni. Ropa rinodhonza haringakuvadzi mwana wako kana iye ane umbilical arathe catheter kana kuti arterial line. Kana ropa rinopera rinofanira kutorwa nesimboti chetsitsinho, vashandi veNICU vachave vanyoro uye vachabatanidza kuedza kweropa kuti kuderedze nhamba yezvinorwadza zvinotarisirwa mwana wako.
Sources
- Newborn Emergency Transport Service. "Kududzirwa Gesi Ropa." Neonatal Handbook .
- Karlesen, K. (2006) The STABLE Program Student Manual (5th ed).
- UCSF Children's Hospital. (2004) "Acid Base Balance." Intensive Care Nursery House Staff Manual .