Beractant - Amfani, Yawan Sha, Illolin da Ƙari

Beractant magani ne mai ceton rai wanda ake amfani da shi a kula da jarirai don magance ko hana cutar damuwa ta numfashi (RDS) ga jarirai da ba su kai lokacin haihuwa ba. Wannan jagorar tana ba da cikakken bayani game da amfani da shi, yawan shan sa, illolinsa, hulɗarsa, da fa'idodinsa.

Menene Beractant?

Beractant magani ne na maye gurbin surfactant wanda aka samo daga ruwan huhu na shanu (saniya). Yana taimakawa wajen dawo da sinadarin surfactant na halitta a cikin huhu, yana rage tashin hankali a saman fata da kuma hana rugujewar alveolar. Beractant yana da mahimmanci don inganta aikin huhu da kuma samar da iskar oxygen ga jarirai kafin lokacin haihuwa.

Amfani da Beractant

• Maganin Ciwon Numfashi (RDS): Ana amfani da shi don magance jarirai da ba su kai lokacin haihuwa ba tare da RDS saboda ƙarancin sinadarin surfactant.
• Rigakafin RDS: Ana ba da shi ta hanyar rigakafi ga jarirai masu ciki waɗanda ke cikin haɗarin kamuwa da cutar RDS.
• Ingantattun Oxygenation: Yana inganta musayar iskar gas da kuma bin ƙa'idodin huhu ga jarirai waɗanda ke fama da matsalar numfashi.

Yawan Beractant

Gudanarwa:

Ana ba wa Beractant magani ta hanyar intrachea (kai tsaye cikin bututun iska) ta hannun ƙwararren mai ba da sabis na kiwon lafiya a cikin sashin kulawa mai zurfi na jarirai (NICU).

Don Maganin RDS:

• Maganin farko: 4 mL/kg na nauyin haihuwa, wanda aka bayar a cikin har zuwa raka'o'i huɗu.
• Maimaita allurai (idan akwai buƙata): Za a iya ba da ƙarin allurai har guda uku a tazara ta sa'o'i 6 bisa ga amsawar asibiti da buƙatun iskar oxygen.

Don rigakafin RDS:

Ana ba da shi da wuri-wuri bayan haihuwa, zai fi kyau a cikin mintuna 15.

Hanyar:

1. Ana saka wa jaririn allurar ciki, sannan a yi wa Beractant haihuwa ta hanyar amfani da catheter ko bututun endotracheal.
2. An raba allurar zuwa aliquots, tare da sake sanya jariri a wuri ɗaya don tabbatar da daidaiton rarrabawar huhu.

Lura: Yawan da za a sha da kuma yawan da za a sha ya dogara ne da nauyin jariri da kuma yanayin da yake ciki.

Illolin Beractant

Duk da cewa Beractant gabaɗaya ba shi da haɗari idan aka yi amfani da shi yadda ya kamata, wasu illoli na iya faruwa.

Halayen Gabaɗaya gama gari:

• Rashin isashshen iskar oxygen na ɗan lokaci (raguwar matakan iskar oxygen na ɗan lokaci).
• Bradycardia (jinkirin bugun zuciya).
• Hypotension (ƙananan hawan jini).

Mummunan Tasirin Side:

• Zubar jini a cikin huhu (zubar da jini a cikin huhu).
• toshewar hanyoyin iska saboda toshewar majina ko kuma rashin isasshen rarrabawar surfactant.
• Ƙara buƙatar samun iska ta injina.

Tsanani:

Kula da iskar oxygen sosai, bugun zuciya, da hawan jini yana da matuƙar muhimmanci yayin shan magani. Tabbatar da ingantattun hanyoyin shigar da iska da kuma samun iska don rage matsaloli.

Mu'amala da Sauran Magunguna

Yawanci ana ba da Beractant a wuraren kulawa mai mahimmanci, don haka ƙwararrun ma'aikatan kiwon lafiya ne ke kula da hulɗa da wasu magunguna.

Tallafin Numfashi Mai Haɗaka:

Ana amfani da Beractant tare da iskar gas ta injina ko kuma ci gaba da matsin lamba na iska mai kyau (CPAP).

Magunguna ga jarirai:

Hulɗa da wasu magungunan jarirai (misali, maganin rigakafi, magungunan diuretics) ba zai yi tasiri ga ingancin Beractant ba.

steroids:

Amfani da corticosteroids na uwa kafin haihuwa na iya rage buƙatar Beractant amma ba ya hulɗa kai tsaye.

Amfanin Beractant

• Ceton Rai ga Jarirai Masu Haihuwa: Yana rage mace-mace da rikice-rikicen da ke tattare da RDS.
• Yana Inganta Aikin Huhu: Yana dawo da daidaiton yanayin huhu da kuma haɓaka musayar iskar oxygen.
• Yana hana Matsalolin Na Dogon Lokaci: Yana rage haɗarin kamuwa da cututtukan huhu na yau da kullun da sauran matsalolin numfashi ga jarirai kafin lokacin haihuwa.
• Saurin Fara Aiki: Yana inganta iskar oxygen da kuma samun iska jim kaɗan bayan an yi amfani da shi.
• Tabbatar da Tsaro: An yi nazari sosai kuma ana amfani da shi tsawon shekaru da dama a kula da jarirai tare da ingantaccen bayanin tsaro.

Tambayoyi da Amsoshi Game da Beractant

• Menene amfani da Beractant? Ana amfani da Beractant don magance ko hana cutar damuwa ta numfashi (RDS) ga jarirai da ba su kai lokacin haihuwa ba.
• Ta yaya Beractant ke aiki? Yana maye gurbin sinadarin surfactant da ya ɓace ko kuma bai isa ba a cikin huhu, yana rage tashin hankali a saman fata da kuma hana rugujewar alveolar.
• Yaushe ake ba da Beractant? Ana ba da shi jim kaɗan bayan haihuwa ga jarirai waɗanda ba su kai shekara biyar ba waɗanda ke fuskantar haɗarin kamuwa da cutar RDS ko kuma bayan bayyanar alamun cutar RDS.
• Mene ne illolin Beractant da aka saba gani? Illolin da aka saba gani sun haɗa da raguwar iskar oxygen a jiki, bradycardia, da kuma ƙarancin hawan jini.
• Za a iya amfani da Beractant ga jarirai na cikakken lokaci? Yawanci ana amfani da shi ga jarirai kafin a haife su amma ana iya la'akari da shi ga jarirai masu cikakken lokaci waɗanda ke da matsanancin yanayin numfashi.
• Shin Beractant ba shi da lafiya? Eh, idan kwararrun likitoci suka ba da maganin, ana ɗaukar Beractant a matsayin mai lafiya kuma mai tasiri.
• Yaya ake yin allurar Beractant? Ana isar da shi kai tsaye zuwa cikin huhu ta hanyar bututun endotracheal a cikin saitin NICU.
• Yaya Beractant yake aiki da sauri? Sau da yawa ana ganin ingantaccen iskar oxygen da kuma iskar shaƙa cikin 'yan mintuna bayan an sha.
• Za a iya maimaita Beractant? Eh, za a iya ba da ƙarin allurai har guda uku a tazara ta sa'o'i 6 idan aka nuna a asibiti.
• Me zai faru idan Beractant bai samu ba? Ana iya amfani da wasu hanyoyin maye gurbin surfactant, kamar poractant alfa ko calfactant, a matsayin madadin.

Sunayen Alamun Beractant

Survanta?

Kammalawa

Beractant magani ne mai matuƙar muhimmanci a kula da jarirai, yana ba da magani mai ceton rai ga jarirai masu fama da matsalar numfashi. Ikonsa na dawo da aikin huhu da rage matsaloli ya sanya shi ginshiƙi na maganin jarirai na zamani. Gudanar da shi yadda ya kamata ta hanyar ƙwararrun ma'aikatan kiwon lafiya yana tabbatar da ingancinsa da amincinsa.