Phapanyetsano ea mali

Tšelo ea phapanyetsano ke mokhoa o ka bolokang bophelo o etsoang ho loants'a litlamorao tsa jaundice e mpe kapa liphetoho maling ka lebaka la mafu a kang anemia ea sickle cell.

Mokhoa ona o kenyelletsa ho tlosa butle-butle mali a motho eo ebe o e nkela mali a macha a mofani kapa lero la mali.

Tšelo ea phapanyetsano e hloka hore mali a motho eo a tlosoe le ho nkeloa sebaka. Maemong a mangata, sena se kenyelletsa ho kenya methapo e le 'ngoe kapa tse' maloa tse tšesaane, tse bitsoang li-catheters, ka sejaneng sa mali. Phallo ea phapanyetsano e etsoa ka lipotoloho, hangata e nka metsotso e 'maloa.

Mali a motho eo a ntšoa butle-butle (hangata e ka bang limililithara tse 5 ho isa ho tse 20 ka nako, ho latela boholo ba motho le ho teba ha bokuli). Palo e lekanang ea mali a hloekileng, a khathollang esale pele kapa lero la mali le phallela 'meleng oa motho. Potoloho ena e phetoa ho fihlela molumo o nepahetseng oa mali o nkile sebaka.

Kamora phallo ea phapanyetsano, li-catheters li ka sala li le teng haeba mohato o hloka ho phetoa.

Ho mafu a kang sickle cell anemia, mali aa tlosoa ebe ho nkeloa sebaka ke mali a mofani.

Maemong a kang neonatal polycythemia, mali a ngoana a itseng aa tlosoa ebe ho nkeloa sebaka ka tharollo e tloaelehileng ea letsoai, lero la mali (karolo e metsi e hlakileng ea mali), kapa albumin (tharollo ea liprotheine tsa mali). Sena se fokotsa palo ea lisele tse khubelu tsa mali 'meleng mme se nolofalletsa mali ho phalla' meleng.

Tšelo ea phapanyetsano e ka hlokahala ho sebetsana le maemo a latelang:

• Palo e phahameng ea lisele tse khubelu tsa mali ho lesea le sa tsoa tsoaloa (neonatal polycythemia)
• Rh-e bakoang ke hemolytic lefu la lesea le sa tsoa tsoaloa
• Litšitiso tse matla k'hemistri ea 'mele
• Jaundice e sa tsoa tsoaloa e sa arabeleng phototherapy ka mabone a bili
• Mathata a matla a sele ea sekele
• Liphello tse chefo tsa lithethefatsi tse ling

Likotsi tse akaretsang li tšoana le ka tšelo ea mali. Mathata a mang a ka bang teng a kenyelletsa:

• Ho koala mali
• Liphetoho k'hemistri ea mali (potasiamo e phahameng kapa e tlase, khalsiamo e tlase, tsoekere e tlase, phetoho ea tekanyo ea acid-maling maling)
• Mathata a pelo le matšoafo
• Tšoaetso (kotsi e tlase haholo ka lebaka la ho hlahloba mali ka hloko)
• Ho makatsa haeba ho se na mali a lekaneng a nkeloang sebaka

Mokuli a ka hloka ho beoa leihlo ka matsatsi a 'maloa sepetlele kamora tšelo ea mali. Nako ea ho lula e latela hore na tšelo ea phapanyetsano e entsoe ho phekola boemo bofe.

Hemolytic lefu - phapanyetsano ea tšelo ea mali

• Lefu la masea le sa tsoa tsoaloa - ho tsoa

• Phapanyetsano ea phapanyetsano - letoto la lihlooho

Costa K. Hematology. Ka: Hughes HK, Kahl LK, bahlophisi. Sepetlele sa Johns Hopkins: Harriet Lane Handbook. La 21 Ed. Philadelphia, PA: Elsevier; 2018: khaolo ea 14.

CD ea Josephson, Sloan SR. Meriana ea ho tšela bana. Ka: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Melao-motheo le Tloaelo ea Motheo. La 7th. Philadelphia, PA: Elsevier; 2018: khaolo ea 121.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Mathata a mali. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 124.

Shebella JF. Neonatal e sa tobang hyperbilirubinemia le kernicterus. Ka: Gleason CA, Juul SE, lingoliloeng. Mafu a Avery a lesea le sa tsoa tsoaloa. 10th ed. Philadelphia, PA: Elsevier; 2018: khaolo ea 84.