Ntughari mgbanwe

Transmịnye mgbanwe bụ usoro ịzọpụta ndụ nke nwere ike igbochi nsonazụ oke jaundice ma ọ bụ mgbanwe n'ọbara n'ihi ọrịa dịka sickle cell anaemia.

Usoro a gụnyere iji nwayọ wepụ ọbara onye ahụ wee were ọbara nyere gị ọhụụ ma ọ bụ plasma were dochie anya ya.

Transmịnye mmadụ mgbanwe chọrọ ka e wepụ ọbara onye ahụ ma dochie ya. N’ọnọdụ ka ukwuu, nke a na-agụnye itinye otu ma ọ bụ karịa tubes dị gịrịgịrị, nke a na-akpọ catheters, n’ime arịa ọbara. Ntugharị mgbanwe na-eme na okirikiri, nke ọ bụla na-ewekarị minit ole na ole.

A na - eji nwayọọ nwayọọ wepụ ọbara onye ahụ (ọ na-abụkarị ihe dịka 5 ka 20 mL n'otu oge, dabere na nha onye ahụ na ogo ọrịa). Otu nha anya nke ohuru, obara obara ma obu plasma na abanye n’ime ahu mmadu. A na-emeghachi okirikiri a ruo mgbe a gbanwere ọ̀tụ̀tụ̀ ọbara kwesịrị ekwesị.

Mgbe mmịnye mgbanwe ahụ, ndị catheter nwere ike ịhapụ n'ọnọdụ ọ bụrụ na achọrọ ịmegharị usoro ahụ ọzọ.

Na ọrịa ndị dịka sickle cell anaemia, a na-ewepụ ọbara ma jiri ọbara na-enye onyinye dochie ya.

N’ọnọdụ dịka neonatal polycythemia, a na-ewepụ otu mkpụrụ ego ọbara nwa ahụ ma dochie ya dịka saline solution, plasma (akụkụ mmiri ọbara doro anya), ma ọ bụ albumin (ihe ngwọta nke protein na ọbara). Nke a na - ebelata ọnụ ọgụgụ mkpụrụ ndụ ọbara uhie dị n’ahụ ma na - eme ka ọ dị mfe ka ọbara na-agafe n’ahụ́.

Ntugharị mgbanwe nwere ike ịdị mkpa iji mesoo ọnọdụ ndị a:

• Mkpụrụ ndụ ọbara ọbara ọbara dị egwu dị egwu na nwa amụrụ ọhụrụ (neonatal polycythemia)
• Rh na-ebute ọrịa hemolytic nke nwa amụrụ ọhụrụ
• Ọgba aghara dị na ahụ kemịkal
• Nnukwu jaundice amụrụ ọhụrụ nke na-anaghị anabata phototherapy na bili ọkụ
• Ọrịa sickle cell siri ike
• Mmetụta na-egbu egbu nke ọgwụ ụfọdụ

Ihe ize ndụ niile dị ka ịmịnye ọbara ọ bụla. Nsogbu ndị ọzọ enwere ike ịgụnye:

• Ọbara ọbara
• Mgbanwe onwu ọbara (nnukwu ma ọ bụ obere potassium, obere calcium, glucose dị ala, mgbanwe ngbanwe nke isi-ọbara n'ọbara)
• Nsogbu obi na akpa ume
• Ofufe Ọrịa (obere ihe ize ndụ n'ihi nyocha ọbara nke ọma)
• Ujo ma ọ bụrụ na ezughị ọbara edochi

Onye ọrịa ahụ nwere ike chọọ ka elebara ya anya ọtụtụ ụbọchị n ’ụlọ ọgwụ mgbe a mịnachara ya. Ogologo oge ịnọ na-adabere n'ọnọdụ ọnọdụ mgbanwe mgbanwe a mere iji gwọọ.

Hemolytic ọrịa - mgbanwe mmịnye

• Nwa ohuru jaundice - ihapu

• Ntughari mgbanwe - usoro

Ọkpụkpụ Costa Costa. Na: Hughes HK, Kahl LK, eds. Hospitallọ Ọgwụ Johns Hopkins: Akwụkwọ Nkọwa Harriet Lane. 21nke. Philadelphia, PA: Elsevier; 2018: isi 14.

Josephson CD, Sloan SR. Ọgwụ ịmịnye ụmụaka. Na: Hoffman R, Benz EJ, Silberstein LE, et al, ndị ọzọ. Hematology: ickpụrụ na Omume. Nke 7. Philadelphia, PA: Elsevier; 2018: isi 121.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Nsogbu ọbara. Na: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. 21nke. Philadelphia, PA: Elsevier; 2020: isi 124.

Watchko JF. Neonatal indirect hyperbilirubinemia na kernicterus. Na: Gleason CA, Juul SE, eds. Ọrịa Avery nke Nwa amụrụ ọhụrụ. Nke iri. Philadelphia, PA: Elsevier; 2018: isi 84.