Iimvavanyo zegesi zegesi zingatshela ugqirha wengane yakho malunga nempilo yengane yakho
Igazi yegazi yonyango lwegazi elijongene ne-asidi kunye ne-base balance and oxygenation level kwigazi elitsha. Igazi liphazamisa ezinye zeemvavanyo zegazi eziqhelekileyo ezisetyenziswa kwi- NICU , njengoko zipakisha itoni yenkcazelo malunga nempilo yengane yakho kwiingxenyana ezimbalwa zegazi.
Kwi-NICU, unokuva ukuphazamiseka kwegazi kuthiwa ngamagama amaninzi ahlukeneyo. Uvavanyo lwegesi yegazi lunokuthiwa yi-ABG, ngenxa yegesi yegazi; i-CBG, yegesi yegazi yamanzi; okanye nje igesi.
Ezinye i-NICU ingaba nelinye isigama.
Abasebenzi be-NICU baqokelela igazi ngegesi yegazi ngeendlela ezahlukeneyo. Ukuba umntwana wakho une- catheter ye-artery (UAC) , igazi lingathathwa kwi-UAC ngaphandle kokunyanzela umntwana wakho. Igazi legazi liyakuthi liqokelelwe kunye nesithende esithintekayo okanye ngokufaka inaliti kwelinye lamathambo omntwana okanye imivilini.
Ukuqonda iziphumo zabantwana bakho
Xa umntwana wakho enegesi yegazi, abasebenzi be-NICU bangafunda ezininzi kwiziphumo. Ezi ziphumo zingabandakanya:
- pH: Ibhalansi yakho ye-asidi kunye nesiseko isilinganiswa yi-pH. I-pH ephantsi ithetha ukuba igazi legazi lakho liyi-acidotic, kanti i-pH ephezulu ithetha ukuba igazi labo li-alkaline. Zombini iimeko zingabungozi.
- I-carbon dioxide: I- carbon dioxide ingakha kwigazi lomntwana wakho xa umntwana wakho engaphefumli kakuhle, oko kungabangela i-acidosis. Oogqirha banokunciphisa amanqanaba e-carbon dioxide ngokuqinisekisa ukuba umntwana ovulekileyo uyavuleka okanye ukwandisa inkxaso yokuphefumula. Ngokomzekelo, umntwana ophethe i-carbon dioxide ephezulu unokufuna ukuba abekwe kwi- CPAP okanye ukuba izicwangciso zabo zentshukumo zitshintshwe.
- I-Bicarbonate: I- bicarbonate, okanye i-bicarb emfutshane, imilinganiselo yokusebenza komntwana wakho. I-bicarb ephakamileyo okanye ephantsi ingabangelwa yi-sepsis; ukungabi nako oksijini; okanye iingxaki ngentliziyo, izintso, okanye intamo.
- Ukufakelwa kwe-oksijeni: Igazi legazi elijongene negazi lilinganisa ubunjani be-oksijini egazini lomntwana wakho. Igazi eligxininiswayo elisuka kwimvini okanye esithendeni esithendekileyo akuyiyo imilinganiselo emihle yomoya-mpilo.
Yonke igazi igxininisa ukujonga imilinganiselo echazwe ngasentla, nangona kunjalo, ezinye iimvavanyo zingabonakala kwezinye iindlela zokwenza impilo yengane yakho kwisampuli yegazi kuquka ne-glucose level, i-electrolytes, kunye ne-hematocrit.
Kutheni Kufuneka Iintshaba Zidinga Amaninzi Egazi?
Ukuba umntwana wakho useNICU, unokufumanisa ukhathazeka malunga nokuba uninzi lweemvavanyo zegazi umntwana wakho ufumana. Oogqirha kunye nabongikazi bakhathazekile ngabo! Uninzi lweemvavanyo zegazi lunokubangela i-anemia, ingakumbi kwiintshaba ezinegazi eliphantsi, ukuqala.
Igazi legazi eliqhelekileyo liqhelekile kwiNICU, kodwa ngenxa yezizathu ezifanelekileyo. Kubalulekile ukuqinisekisa ukuba iintsana zifumana inkxaso engcono kakhulu yokuphefumula, ingakumbi kuba iintshaba zithinteka kakhulu kwiinguqu ezincinci kwisimo se-ventilator namazinga oksijini. Igalelo legazi aliyi kulimaza umntwana wakho ukuba unayo i-arterial line catheter okanye umgca wendlela. Ukuba igazi liyachithwa kufuneka lithathwe ngenduku yesithende, abasebenzi be-NICU baya kuba bumnene kwaye baya kudibanisa iimvavanyo zegazi ukwenzela ukunciphisa inani lezinto ezibuhlungu iintsana zenu ezifuna.
Imithombo
- Inkonzo yezoThutho zeNtsana. "Ukuchazwa kweGesi yeGesi." Handon Handbook .
- UKarlen, K. (2006) UMqulu weNkqubo yokuFunda wabafundi (5th ed).
- Isibhedlele sezingane ze-UCSF. (2004) "I-Balid Base Balance." Incwadi Yomsebenzi Wabahlengikazi Basekhaya Abahlengikazi .