Nhungamiro yeRopa Rakanaka Shura muVavengi
Vavengi vanotarisana nematambudziko mazhinji. Chimwe chezvinhu zvinowanzoitwa nevana vasati vasvika vanofanira kutarisana neshuga shoma yeropa. Apo preemie ine shuga yepasi shoma, inonzi neonatal hypoglycemia.
Ropa shuga ndiro chidimbu cheshuga, kana glucose, inopararira muropa. Ropa rega shuga rinokosha nokuti muviri uye uropi zvinoshandisa glucose simba uye kukura. Kana huwandu hwehuga muropa hwakanyanya kuderera kwenguva refu, hunogona kuva nengozi.
Chii Chine Ropa Rakadzama Zvokudya Muzvokutanga Vacheche?
Apo chirwere cheglucose cheropa chinowira pasi pe 40 mg / dl, inowanzotorwa souga hweropa shoma kana hypoglycemia. Zvisinei, vanachiremba, zvipatara, uye nyanzvi havasi vose vanobvumirana nhamba chaiyo yega shuga yega yega inofanira kunge isina kunzi hypoglycemia uye inoda kurapwa. Nokudaro, nhamba yega yega haina kutsanangura shuga yepasi shoma. Zvimwe zvinhu zvakadai semakore ekugadzirisa emwana, nguva yakareba sei kubvira pakaberekwa mwana, uye zviratidzo zvemwana zvinoshandiswawo pakufunga kana kuongorora uye kurapwa kwehuga hwepasi shoma mumwana asati azvarwa. Heano mhemberero yakawanda yeononatal hypoglycemia inobva pamigumisiro ye laboratory yeplasma glucose test .
Mwana asati aberekwa akaberekwa pakati pevhiki nesvondo makumi matatu nemaviri:
- Chero chero mwana ane zviratidzo chero chipi zvacho: pasi pe 40 mg / dl
- Kubvira pakuberekwa kusvika maawa mana asina zviratidzo: pasi pe 40 mg / dl
- Kubvira pamakore mana kusvika maawa makumi maviri nemaviri asina zviratidzo: pasi pe 45 mg / dl
Mwana asati azvarwa asati aberekwa mavhiki makumi matatu nemasere:
- Kunyange zvazvo pasina humwe hutungamiri hwevatungamiri vakaberekerwa musati mavhiki makumi matatu nemana, hypoglycemia inogona kutaridzwa neine ropa glucose iri pasi pe 45 mg / dl (inenge inogona kuva pakati pe 40 mg / dl- 50 mg / dl).
Muvengi uye Hypoglycemia
Panguva yekuzvitakura, amai vanopfupa shuga kumwana wavo.
Kusvikira kumagumo ekudzivirira, mwana achachengetedza zvimwe zvehuga kuti ashandise mumazuva mushure mokuberekwa. Kana vana vakaberekwa venguva dzose vakashandisa glucose yavo yakachengetwa, vanogona kuwana zvakawanda nekuyamwisa kana kutora bhodhoro. Nguva dzose kugoverwa kwemukaka wemucheche kana mukaka wemucheche kunopa vana vanozvarwa kwenguva yakazara nevanoda kuti varambe vane utano hwehutano hwakanaka.
Asi, kana mwana akazvarwa nokukurumidza, kuwanda kweshuga yakavakwa uye kuchengetwa yakaderera zvikuru kana mwana akazvarwa panguva yakazara. Uyezve, vazhinji vanopikisa havagoni kutora mishonga kuburikidza nekudyisa pakarepo. Izvo zvinoita kuti vacheche vasati vasvika pangozi yakakura yekuita shuga shoma shoma mumaawa nemazuva mushure mokuberekwa kwavo.
Zvinokonzerwa neHoro Ropa Chino muVavengi
Tsukatari iyo vana vanozvichengeta vasati vaberekwa inogona kuwanikwa muropa. Sezvo vavengi vaine chiropa chisina kuchena, havana huwandu hwakaenzana hwekuchengetedza glucose sevana venguva refu. Mwana asati azvarwa anogona kukurumidza kushandisa svata shoma yakachengetwa uye inovandudza hypoglycemia kana:
- Kusuruvara kwakaoma mushure mokuberekwa
- Izvo zvakaoma kuti urambe uine utano hwehutano hwakanaka
- Pane utachiona huripo
- Zvokudya zvemukaka wemucheche kana chimiro che preemie zvakanonoka nekuda kwekurwara uye kusatidzika
- Pane insulin yakawanda mumuviri wemwana nokuti amai vane chirwere cheshuga panguva yekuzvitakura
- Mwana anozvarwa ane hutano hunokonzera shuga shoma yeropa
Zviratidzo nezviratidzo zveNeonatal Hypoglycemia
Dzimwe nguva hapana zviratidzo kana zviratidzo zve shuga shoma. Asi, kana zviratidzo zvikaonekwa, zvinogona kusanganisira:
- Jitters uye kudengenyeka
- Lethargy (kushaya simba uye kuderera simba)
- Hazvina maturo toni tone
- Kuporesa kunetseka
- Bara rakachena kana bluish
- Kupisa kwemuviri kwakadzika
- Murombo anoyamwa uye kudya
- Inzwi risina simba kana rakakwirira
Sezvo zvizhinji zvezviratidzo izvi uye zviratidzo zvinobatanidzwawo nehutachiona uye mamwe mamiriro ekuzvarwa, zvakaoma kutaurira kana vakabva kune shuga yepasi shoma kana chimwe chinhu.
Ichi ndicho chimwe chezvikonzero nei zvakakosha kuongorora vose vana vanogona kunge vari pangozi.
Kuedzwa kweAvhapa Yechepa Shuga
Vanachiremba vanotarisa shuga yeropa rega nekuedza ropa. Kuti uone mwana wako nehana ye hypoglycemia, mukoti anowanzotora doro reropa kubva parutivi rwetsitsinho rwomwana wako ndokuisa panzvimbo yechirongwa chekuedza muchengeti weropa glucose monitor. Mhedha yeghedhi glucometers inyanzvi yekushandisa kuongorora, asi mhedzisiro haisi yakarurama se laboratory. Saka, kana kutarisa kweglucose kunoratidza hutachiwana hwehushu hwakadzika, hunofanirwa kusimbiswa nokukurumidza sezvinobvira. Imwe samupa yeropa ichakweverwa zvakananga kubva mumhino yemwana wako kana mutsetse wakanga wakabatanidzwa kumucheche wakadai semakatilical catheter kana PICC mutsara. Ichaiswa panzvimbo yekuunganidza ropa uye inotumirwa ku laboratory kuti ive nechokwadi.
Maitiro Anowanzova Vavengi Vanongedzwa Sei Kuderera Ropa?
Apo mwana wako anotanga kusvika muNICU kana chikwata chekuchengetedza zvakanyanya, kuongororwa kwehuga yeropa kunogona kutorwa pakarepo uye zvakare kazhinji semawa maviri ose. Kana mwana wako achigona kutora feedings, shuga yeropa inowanzoongororwa vasati vadya. Kana kamwe shuga yeropa iri yakasimba, kuedza kuchaitika kashoma. Uye, chokwadi, chero mwana anoratidza zviratidzo zve hypoglycemia achaongororwa pakarepo.
Kune Hypoglycemia Inokuvadza Here?
Kazhinji yenguva, hypoglycemia ndeyechinguva chiduku chinogara kwemazuva mashomanana kana masvondo. Inowanzobatwa uye inobatwa isati yava dambudziko. Zvisinei, pane zvimwe zvisingawaniki hormonal uye genetic zvinogona kuitika mwana anogona kuberekwa nezvo zvinogona kukonzera nhaurwa dzenguva refu yehuga yega. Kana ikasaitirwe kwenguva yakareba, hutachiwana hwehuga hwehuga hunogona kukonzera zvinetso zvakakomba zvinokonzera kukanganisa kwehupi, kudzidzira kudzidzira, kugumburwa, zvinetso zvekuona, uye kuora mwoyo kweperesi .
The Treatment of Hypoglycemia in Premature Infants
Kana zvasvika kune hypoglycemia, mwana wese anotapwa mumwe nomumwe. Vanachiremba vanosarudza kuti vangaita sei imwe neimwe nyaya zvichienderana neiyi shuga yeropa, iyo yakatanga sei kuberekwa, zviratidzo, uye hutano hwehutano hwemwana.
Heano mamwe maitiro ayo vanachiremba vanobata shuga shoma shoma mumashure:
- Kana mwana achigona kubvumira kudya, anokwanisa kunwisa, kutora bhodhoro, kana kuti ave nehuku yekudya (mukaka wamazamu kana kuti preemie fomu iri kuiswa mumuto, kushanduka, tsvina-seyimbi inobva mumhino kana muromo mudumbu). Iyo shuga mumukaka wemvere kana kuti mazamu angave iyo mwana wose anoda kuunza chirwere cheshuga yepamusoro.
- Mwana anogona kudikanwa mumugwagwa unobata (IV) kugamuchira mvura inosuruvara ine shuga yakawedzerwa. Iyo shuga inowedzera inopinda muropa remwana.
- Kana zvakakosha, kune mishonga yakadai steroid inogona kupiwa kumwana kuwedzera shuga mazinga.
- Mumatambudziko akakura, akaoma zvikuru, mwana angada kuvhiyiwa. Iyo panikresi inhengo inogadzira hormone insulin uye inoronga mazinga ega shuga mumuviri. Asi, kana pane insulin yakawandisa, kubviswa kwechikamu kana zvose zvepakresi zvingadikanwa.
Shoko Rinobva
Zvinogona kuva zvinotyisa uye zvinotyisa kuti unzwe kuti mwana wako ane hypoglycemia kana chero imwe mamiriro ezvinhu ehutano ezvo nyaya. Asi, kushaya glycemia chimwe chezvinhu zvinowanzosangana nevana vasati vasangana. Ndinofara, sezvo pane kuenderera mberi nekuongororwa muNICU uye nzvimbo yekuchengetedza yakakwana, shuga yakaderera yeropa muvatongi inowanzozivikanwa uye inorapwa zvakakurumidza.
Kana mwana wako ane chirwere chinyoro cheshuga yakaderera ropa muNICU iyo inorapwa pakarepo, haifaniri kutungamirira kune zvinetso zvemangwana. Kana ukatora mwana wako kumba uye ari kudya zvakanaka, hypoglycemia haifaniri kudzoka. Kana mwana wako akaberekwa ane hutano hunoenda kune dzimwe nguva kwenguva refu ne hypoglycemia, zvichange zvichinyanya kuoma, asi zvichava zvakanaka. Iwe uchadzidzira kuchengetedza mwana wako, uye mwana wako acharamba achiwana rubatsiro rwekutevera nekurapa mushure mokubva iwe muchipatara.
> Sources:
> Adamkin DH. Mushure mekushaya glucose homeostasis munguva yekupedzisira-preterm nevana vacheche. Pediatrics. 2011 Mar 1; 127 (3): 575-9.
> Gomella TL, Cunningham MD, Eyal FG. Neonatology: Kutungamira, Nzira, Nheyo-Dambudziko, Matambudziko, Zvirwere, uye Zvinodhaka. Mc Graw Hill & Lange. 2013: 409-410; 427-436.
> Goode RH, Rettiganti M, Li J, Lyle RE, Whiteside-Mansell L, Barrett KW, Casey PH. Kubudirira kwehutano hwevana vanotangira neanaatalatal hypoglycemia. Pediatrics. 2016 Dec 1; 138 (6): e20161424.
> Lee BS. Glucose Homeostasis Kushungurudzika Muzvisikwa Zviduku. Neonatal Medicine. 2015 Aug 1; 22 (3): 133-41.