Yek\u00eeneya L\u00ean\u00ear\u00eena Zirav a Neonatal \u00c7i ye Yek\u00eeneya l\u00eanih\u00ear\u00eena zirav a neonatal yek\u00eeneyek ba\u015f e ku ji bo destwerdana rast \u00fb bilez ji bo pirsgir\u00eak\u00ean muhtemel \u00ean pitik\u00ean n\u00fbb\u00fby\u00ee, z\u00eadekirina \u015fans\u00ea zind\u00eeb\u00fbn\u00ea \u00fb z\u00eadekirina r\u00eajeya serkeftin\u00ea di dema dermankirin\u00ea de t\u00ea bikar an\u00een. Yek\u00eeney\u00ean l\u00eanih\u00ear\u00eena zirav \u00ean neonatal hem\u00ee am\u00fbr\u00ean teknoloj\u00eek \u00ean ku ji bo dermankirin \u00fb l\u00eanih\u00ear\u00eena pitik hewce ne hene. Pitika n\u00fbb\u00fby\u00ee di bin \u00e7avd\u00eariya domdar de ji aliy\u00ea pispor\u00ean tenduristiy\u00ea y\u00ean ku di war\u00ea xwe de pispor in.Yek\u00eeney\u00ean l\u00eanih\u00ear\u00eena zirav \u00ean neonatal her tim bi Cerrahiya Zarokan, Kardiolojiya Zarokan, Neurolojiya Zarokan, Gastroenterolojiya Zarokan, Metabol\u00eezma Zarokan \u00fb Endokr\u00eenolojiy\u00ea re dixebitin. Xizmet\u00ean l\u00ean\u00ear\u00een\u00ea\/dermankirin\u00ea y\u00ean ku bi tes\u00ees\u00ean teknoloj\u00eek \u00ean di be\u015fa l\u00eanih\u00ear\u00eena zirav ya neonatal de t\u00eane bikar an\u00een ev in: Pi\u015ftgiriya nefes\u00ea (Ventilator): Di zarok\u00ean ku di dema zay\u00eena p\u00ea\u015fdem\u00ee de pi\u015fik\u00ean wan di astek guncaw de p\u00ea\u015fneketin de t\u00eak\u00e7\u00fbna nefes\u00ea t\u00ea d\u00eetin. Ji h\u00eala din ve, enfeksiyon\u00ean ku di dema zay\u00een\u00ea de an pi\u015ft\u00ee w\u00ea \u00e7\u00eadibin j\u00ee dikarin bibin sedema tengasiya nefes\u00ea. Ji bo rew\u015f\u00ean weha, terapiya pi\u015ftgir\u00eeya nefes\u00ea (ventilator) c\u00eehek gir\u00eeng heye. Dema ku hewce be, p\u00ea\u015fve\u00e7\u00fbna pi\u015fik\u00ea ji h\u00eala maddeya surfaktant\u00ea ve t\u00ea day\u00een ku bi riya respirasyon\u00ea ji n\u00fbb\u00fby\u00ee re t\u00ea day\u00een. P\u00eevana her\u00ee gir\u00eeng di pi\u015ftgir\u00eeya nefes\u00ea de ew e ku \u015fert \u00fb merc\u00ean ku bi t\u00eakiliyek hindik re \u00e7\u00eadibin di asteke bilind de werin \u015fopandin.Pi\u015ftgiriya Xwarin\u00ea ya Tevahiya Parenteral: Di zarok\u00ea n\u00fbb\u00fby\u00ee de xwarina damar\u00ee ji bo pirsgir\u00eak\u00ean xwarina devk\u00ee (devk\u00ee) t\u00ea bikar an\u00een. Hema ku k\u00eamxwarin\u00ee were d\u00eetin, div\u00ea demildest dermankirin were destp\u00eakirin. Derengkirina xwarin\u00ea, ku ji bo mezinb\u00fbn \u00fb p\u00ea\u015fkeftina zarok\u00ea n\u00fbb\u00fby\u00ee pir gir\u00eeng e, dikare bibe sedema pa\u015fketina mezinb\u00fbn\u00ea \u00fb nexwe\u015fiy\u00ean may\u00eende. Pi\u015ftgiriya xwarina parenteral wek\u00ee derman\u00ean temamker t\u00ea hesibandin \u00fb r\u00eaveberiya demdir\u00eaj nay\u00ea p\u00ea\u015fniyar kirin. Ji ber v\u00ea yek\u00ea, div\u00ea pirsgir\u00eaka ku dibe sedema k\u00eamxwarin\u00ea z\u00fb were kif\u015f kirin \u00fb dermankirin, \u00fb dema ku pergala digestive bi r\u00eak\u00fbp\u00eak kar bike div\u00ea xwarina devk\u00ee (entral) were domandin. L\u00eabel\u00ea, her \u00e7end ew pir k\u00eam be j\u00ee, pirsgir\u00eaka zerik\u00ea dibe sedema nexwe\u015fiy\u00ean giran. Faktor\u00ean genet\u00eek\u00ee, zay\u00eena p\u00ea\u015fwext, enfeksiyon, \u015fert \u00fb merc\u00ean hevpar \u00ean wek\u00ee k\u00eamxwarin\u00ea an hin nexwe\u015fiy\u00ean xw\u00een \u00fb kezeb\u00ea ji sedem\u00ean zerik\u00ea ne. Z\u00eadeb\u00fbna bilirubin di xw\u00eena pitika n\u00fbb\u00fby\u00ee de di \u00e7\u00eep, sp\u00eeya \u00e7avan \u00fb li seranser\u00ea \u00e7erm de kom dibe \u00fb dibe sedema xuyangek zer. Di hin rew\u015fan de, lihevneb\u00fbna xw\u00een\u00ea j\u00ee wek\u00ee sedema zerik\u00ea t\u00ea d\u00eetin. Di rew\u015f\u00ean weha de, veguher\u00eena veguher\u00een\u00ea hewce ye. Bi dan\u00fbstendina xw\u00een\u00ea, xw\u00eena ku t\u00ea de maddey\u00ean nedilxwaz ji la\u015f t\u00ea derxistin \u00fb li \u015f\u00fbna w\u00ea xw\u00eena saxlem t\u00ea girtin. Ji bo ku xw\u00eena ku were day\u00een bi xw\u00eena zarok\u00ea re hevaheng be, baldar\u00ee t\u00ea girtin.Terapiya Ronah\u00ee (Fototerap\u00ee): Armanca ronahiya terapiya ku di rew\u015fa zerik\u00ea de di zaroka n\u00fbb\u00fby\u00ee de t\u00ea kirin ew e ku meriv bilirubin\u00ea ku di nav zarok\u00ea de kom b\u00fbye were rakirin. \u00e7erm. T\u00eer\u00eaj\u00ean bi dir\u00eajahiya p\u00eal\u00ean taybet \u00ean ku ji bo v\u00ea yek\u00ea t\u00eane bikar an\u00een, di la\u015f\u00ea zarok\u00ea de t\u00eane hilan\u00een \u00fb b\u00eel\u00eerub\u00een di m\u00eez\u00ea de t\u00ea hilwe\u015fandin \u00fb j\u00ea derdixe. Di rew\u015f\u00ean ku tedawiya ronahiy\u00ea t\u00ear\u00ea nake, pevguhertina xw\u00een\u00ea t\u00ea kirin.Serpandin\u00ean katetera perkutan: Ser\u00eel\u00eadana katetera perkutan vekirina damarek damar\u00ee ya dil bi riya reh\u00ean zirav \u00ean dest \u00fb ling\u00ean zarok\u00ea n\u00fbb\u00fby\u00ee ye. Bi v\u00ee reng\u00ee, derman\u00ea xwest\u00ee ku ji xw\u00een\u00ea re were radest kirin dikare bi h\u00easan\u00ee were veguheztin. Ser\u00eel\u00eadana katetera perkutan ji h\u00eala bij\u00eejk\u00ean pispor ve li yek\u00eeney\u00ean l\u00eanih\u00ear\u00eena zirav a neonatal\u00ea t\u00ea kirin. Hilwe\u015f\u00eena pi\u015fik\u00ea di pitik\u00ean n\u00fbb\u00fby\u00ee de dikare z\u00fb pi\u015ft\u00ee zay\u00een\u00ea \u00e7\u00eabibe. Ji bo v\u00ea pirsgir\u00eak\u00ea ku di nefes\u00ea de xwe bi zehmet\u00ee n\u00ee\u015fan dide, p\u00ea\u015f\u00ee terapiya oks\u00eejen\u00ea t\u00ea kirin. Heke ba\u015fb\u00fbnek \u00e7\u00eanebe, p\u00eadiv\u00ee ye ku l\u00fbleya t\u00eer\u00eaj\u00ea hebe. Dema ku ba\u015fb\u00fbn t\u00ea d\u00eetin, l\u00fbleya s\u00eeng\u00ea t\u00ea rakirin Ultrasonografiya Bedside (USG): Ji bo ku organ\u00ean hundur\u00een \u00fb avahiya mejiy\u00ea zarok\u00ea n\u00fbb\u00fby\u00ee bi berfireh\u00ee were l\u00eakol\u00een kirin, ultrasonografiy\u00ea ku muayeneyek w\u00eanek\u00ea\u015fiya bij\u00ee\u015fk\u00ee ye, bi al\u00eekariya ultrason\u00eek t\u00ea kirin. p\u00eal\u00ean deng. USG dema ku pitik di inkubator\u00ea de ye ji h\u00eala radyolog\u00ean pispor ve di yek\u00eeney\u00ean l\u00eanih\u00ear\u00eena zirav de neonatal t\u00ea kirin. Bi v\u00ea r\u00eabaz\u00ea organ\u00ean wek\u00ee kezeb, rij\u00eek, gur\u00e7ik \u00fb m\u00eeza kezeb\u00ea t\u00eane l\u00eakol\u00een kirin. Transfontanel ultrasound kranial j\u00ee ji bo \u00e7avd\u00eariya p\u00ea\u015fve\u00e7\u00fbna m\u00eaj\u00ee t\u00ea sepandin. Mebesta van hem\u00fb muayeneyan ew e ku l\u00eakol\u00een bikin ka di zaroka n\u00fbb\u00fby\u00ee de rew\u015fek nenormal heye yan na.Elektron\u00ean m\u00eaj\u00ee y\u00ean ser\u00ea nexwe\u015f (EEG): Electroencephalography (EEG) muayeneya elektr\u00eek\u00ee ya \u00e7alakiy\u00ean mej\u00ee \u00fb \u00e7apkirina wan li ser kaxez\u00ea ye. Di war\u00ea vekol\u00eena \u00e7alakiy\u00ean mejiy\u00ea pitika n\u00fbb\u00fby\u00ee \u00fb \u015fopandina ka rew\u015fek nenormal heye de gir\u00eeng e. Ger anormaliyek hebe, ew dikare bi te\u015fh\u00eesa z\u00fb were derman kirin. Wek\u00ee din, heke dermankirin\u00ean anomaliy\u00ean m\u00eaj\u00ee dereng bikevin, dibe ku zirarek may\u00eende \u00e7\u00eabibe Ultrasonya Dil a Xal\u00ea (ECO): Dibe ku di zarok\u00ean n\u00fbb\u00fby\u00ee de hin nexwe\u015fiy\u00ean dil y\u00ean zikmak\u00ee an j\u00ee y\u00ean p\u00ea\u015fwext werin d\u00eetin. Nexwe\u015fiy\u00ean dil bi kontrol\u00ean bir\u00eak\u00fbp\u00eak ji aliy\u00ea bij\u00eejk ve salek ji dayikb\u00fbn\u00ea ve t\u00eane te\u015fh\u00ees kirin. N\u00ee\u015faney\u00ean wek\u00ee ner\u00eak\u00fbp\u00eakb\u00fbna nefes\u00ea, tansiyona bilind an bir\u00eenb\u00fbna yekser pi\u015ft\u00ee zay\u00een\u00ea dibe ku n\u00ee\u015fan\u00ean nexwe\u015fiya dil bin. Di rew\u015f\u00ean weha de, dil dikare bi r\u00eabaza echocardiography (ECHO), ku p\u00eal\u00ean deng bikar t\u00eene, were xuyang kirin. Muayeneya Ret\u00eenopatiy\u00ea: Ret\u00eenopat\u00ee yek ji gir\u00eengtir\u00een nexwe\u015fiy\u00ean \u00e7av e ku di pitik\u00ean n\u00fbb\u00fby\u00ee de t\u00ea d\u00eetin. Her \u00e7end qonaxa p\u00ea\u015fkeftina \u00e7av di mirovan de heya sal\u00ean dibistana seretay\u00ee berdewam bike j\u00ee, p\u00ea\u015fve\u00e7\u00fbna her\u00ee bingeh\u00een jidayikb\u00fbn\u00ea \u00fb heyama n\u00eaz\u00eek (48-52 hefte ji heyama daw\u00een a mej\u00ee) vedihew\u00eene. Ji v\u00ee al\u00ee ve, p\u00ea\u015fve\u00e7\u00fbna \u00e7av pi\u015ft\u00ee zay\u00een\u00ea berdewam dike, nemaze di pitik\u00ean p\u00ea\u015fwext de, ji ber ku damar\u00ean \u00e7avan nikarin p\u00ea\u015fve\u00e7\u00fbna xwe bi tevah\u00ee temam bikin. L\u00eabel\u00ea, ji ber gihandina oks\u00eejen\u00ea ji bo pitik\u00ean p\u00ea\u015fwext \u00ean di yek\u00eeneya l\u00eanih\u00ear\u00eena zirav de, dibe ku damar\u00ean \u00e7av bi rengek ne normal p\u00ea\u015fve bibin. Di v\u00ea rew\u015f\u00ea de, ret\u00eenopat\u00ee dikare bibe sedema nerehetiy\u00ea. Ji ber ku te\u015fh\u00eesa z\u00fb ji bo bandorkirina dermankirin\u00ea pir gir\u00eeng e, muayene \u00fb \u015fopandin bi tevah\u00ee p\u00eadiv\u00ee ye. Di rew\u015fek ne normal de derziya derman an j\u00ee sepan\u00ean lazer\u00ea di tedawiya ret\u00eenopatiy\u00ea de t\u00eane bikar an\u00een. pitik\u00ean dayik\u00ean bi \u015fekir, zerik, enfeksiyon \u00fb hwd. Ew yek\u00eeneyek e ku di rew\u015f\u00ean gelemper\u00ee de kar\u00fbbar\u00ean bij\u00eejk\u00ee \u00fb ne\u015fterger\u00ee y\u00ean p\u00ea\u015fkeft\u00ee peyda dike<\/p>","protected":false},"excerpt":{"rendered":"
Yek\u00eeneya L\u00ean\u00ear\u00eena Girt\u00ee ya Neonatal \u00e7i ye? Dibe ku bi rast \u00fb z\u00fb mudaxeley\u00ee pirsgir\u00eak\u00ean muhtemel \u00ean pitik\u00ean n\u00fbb\u00fby\u00ee bike, \u015fans\u00ea wan \u00ea saxb\u00fbn\u00ea z\u00eade bike \u00fb [\u2026]<\/p>","protected":false},"author":2,"featured_media":1258,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[38],"tags":[],"class_list":["post-1343","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tibbi-birimler"],"aioseo_notices":[],"_links":{"self":[{"href":"http:\/\/tatvancanhastanesi.com.tr\/ku\/wp-json\/wp\/v2\/posts\/1343","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/tatvancanhastanesi.com.tr\/ku\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/tatvancanhastanesi.com.tr\/ku\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/tatvancanhastanesi.com.tr\/ku\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/tatvancanhastanesi.com.tr\/ku\/wp-json\/wp\/v2\/comments?post=1343"}],"version-history":[{"count":0,"href":"http:\/\/tatvancanhastanesi.com.tr\/ku\/wp-json\/wp\/v2\/posts\/1343\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/tatvancanhastanesi.com.tr\/ku\/wp-json\/wp\/v2\/media\/1258"}],"wp:attachment":[{"href":"http:\/\/tatvancanhastanesi.com.tr\/ku\/wp-json\/wp\/v2\/media?parent=1343"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/tatvancanhastanesi.com.tr\/ku\/wp-json\/wp\/v2\/categories?post=1343"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/tatvancanhastanesi.com.tr\/ku\/wp-json\/wp\/v2\/tags?post=1343"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}