Kudzivirira Intraventricular Hemorrhage (IVH) MuVavengi

Kuchengeta IVH Usati Watanga

Chii chinonzi IVH?

Intraventricular hemorrhage, kana IVH, inobatanidza kuberekwa kusati kwaitika kunogona kuva kwakakomba zvikuru. MuchiHIV, mishonga yeropa isina simba iri muuropi ye preemie inotanga kuputsa kana kuvhara, zvichikonzera kubuda ropa mumhepo yeuropi. IVH inogona kuva yanyoro kana yakaoma, zvichienderana nekuwanda kweropa kuripo. Mhosva dzakaoma dzingasava nemigumisiro yekusingaperi, asi IVH yakaoma inogona kukonzera kushaya muviri kwese kwenyama kana kwepfungwa, uye inogona kuuraya.

Zvinosuruvarisa, hapana nzira yokumisa huwandu hweHIV kana ikatanga. Mishonga yeHH inotarisa zviratidzo asi haigone kurapa ropa. Nzira imwechete yekudzivirira matambudziko ehutano kwenguva refu akaenzana neHH ndeyokudzivirira kubuda pachake.

Kudzivirira IVH

Nemhaka yokuti vana vasati vasvika vane mishonga yeropa isina simba muhutano hwavo, hapana nzira yakakwana yekudzivirira matambudziko ose e-intraventricular hemorrhage. Vamwe vanotengesa, kunyange nekutarisira kwakanakisisa, vachabuda muhuro hwavo. Zvisinei, kune mamwe mazano ekurapa uye ekuyamwisa anokwanisa kuderedza mikana yevana yekuvandudza IVH:

1. Kudzivirira nguva isati yasvika: Kunyanya kunetseka ndiko kunonyanya kukonzerwa neHIV, saka kudzivirira kusati kwasvika ndiyo nzira yakanakisisa yekudzivirira IVH. Mazhinji ropa rinoitika mumwana anoberekwa mushure memasvondo makumi matatu (30) gestation kana kuti inorema kudarika 1500 gm (3 lbs 5 oz). Kuchengetwa kwepabonde uye nguva dzose kunobatsira kuona chero njodzi dzinokonzerwa nekuberekwa nguva isati yasvika saka vanachiremba vanokwanisa kuronga kurapa kwavo zvakakodzera.

1. Ipa steroid panguva yekuzvitakura: Steroids yakapiwa nguva refu kuvakadzi vane pamuviri vari pangozi yekuti vasati vaberekwa kuti vabatsire mapapu emwana kuti akurumidze kukura. Zvidzidzo zvenguva pfupi zvakaratidza kuti, kunze kwekubatsira mapapu emwana, steroid panguva yekuzvitakura kunogona kubatsira kuderedza ngozi yevana yeHIV.
2. Shandisa kubatsirwa kwekukudziridza : Maitiro akawanda ekudzivirira IVH anofanirwa kuitwa navanachiremba uye vanamukoti, asi vabereki vanoita chikamu chikuru mukubatsira nekutariswa kwekuita. Kuchengetedza nzvimbo yakanyarara, yakasviba iyo yakaita sechizvaro sezvinobvira ikakosha. Zvirongo zvemahombe pamusoro pemubatanidzwa uye nguva yakawanda yekurara uye kukura pakati pekurapa kunogona kubatsira kuderedza kukurudzira uye kudzivirira IVH. Zviripo zvekuda kubatana nemwana wako kazhinji, asi kuchengetedza kushamwaridzana kwako kwakapfupika uye kuparadzaniswa mumazuva ekutanga zviri nani pakuchengeta kwako preemie.

1. Kurara kwembilical cord clamping: Zvakajairika kupindira nekucheka mwana wembilical cord kamwe mushure mokunge mwana aberekwa. Zvisinei, kutsvakurudza kutsva kwakaratidza huwandu hwezvakanaka zvekumirira kwemaawa makumi matatu masere vasati vavhara tambo, kusanganisira panjodzi yakaderera yeHH.
2. Chengetedza ropa rinowirirana zvakanyanya: Kuderera uye kukwirira kweropa mukati mekutanga mazuva ehupenyu zvose zvinokonzera ngozi ye intraventricular hemorrhage. Zvingava zvine musoro kuti kushandisa mishonga yekudzivirira kugadzikana kweropa kunoderedza ngozi, asi izvi hazvisi nguva dzose. Kuchengetedza zveropa rekuchechera kwevana nekupindira chete kana pazvinenge zvichidikanwa zvingava nzira iri nani.
3. Chengetedza misoro munzvimbo yakasarura: kuchengetedza musoro wemwana maererano nemuviri kunogona kubatsira kuvona kunyange ropa richiyerera kuuropi, uye rinogona kubatsira kudzivirira IV mumazuva ekutanga ehupenyu. Vacheche vangave vakamira pamasana avo, pamakumbo avo, kana kumativi avo, chero bedzi chidiki chavo chichienderana nemutsara wavo.

_Sources:

_{Bassan, H. (2009). Kuchengetedza kurwisa kwemvura mukutanga kwechecheche: Kunzwisisa, kuchidzivirira. Makliniki muPerinatology. 36 (4): 737-62.}

_{Malusky, S. & Donze, A. (2011). Kusarerekera musoro kutarisa mucheche asati avapo nokuda kwekuchengetedza kwemapapiro ekudzivirira: Kuongorora kwakagadziriswa. Neonatal Network. 30 (6), 381-390.}

_{Nist, M., Backes, C., Moorehead, P., & Wispe, J. (2012). Ropa rutsigiro rutsigiro muchecheche kwazvo kuberekwa kwecheche mucheche muvhiki yekutanga yeupenyu. Kufambira Mberi Mukurera Neonatal. 12 (3): 158- 163.}

_{American College yezvipfeko uye Gynecologists. (2012). Nguva yeumbilical cord kupindira mushure mokuberekwa. Obstetrics & Gynecology. 120 (6): 1522-1526.}