Vitamin K inoshaya ropa remwana achangozvarwa

Vitamin K inoshaya kubuda ropa (VKDB) yemwana achangozvarwa chirwere chekubuda ropa muvacheche. Inowanzo kukura mumazuva ekutanga uye vhiki dzehupenyu.

Kushayikwa kwevhitamini K kunogona kukonzera kubuda ropa kwakanyanya muvacheche vachangozvarwa. Vitamin K inoita basa rakakosha mukuvhara ropa.

Vacheche vanowanzove nehuremu hwakaderera hwevhitamini K yezvikonzero zvakasiyana. Vitamin K haifambe zviri nyore kuyambuka placenta kubva kuna amai ichienda kumwana. Nekuda kweizvozvo, mwana achangoberekwa haana vhitamini K yakawanda yakachengetwa pakuzvarwa. Zvakare, mabhakitiriya anobatsira kugadzira vhitamini K haasati aripo mumatumbu emucheche achangozvarwa. Chekupedzisira, hapana yakawanda vitamini K mumukaka wamai.

Mwana wako anogona kukura mamiriro aya kana:

• Vitamin K yekudzivirira haina kupihwa pakuzvarwa (kana vhitamini K ikapihwa nemuromo panzvimbo sepfuti, inofanira kupihwa kanopfuura kamwe, uye inoita kunge isingashande sepfuti).
• Iwe unotora zvimwe anti-kubatwa kana ropa-kutetepa zvinodhaka.

Mamiriro acho akaiswa mumapoka matatu:

• Pakutanga-kutanga VKDB haina kujairika. Inoitika mukati memaawa ekutanga mushure mekuzvarwa uye mukati maawa makumi mana nemasere. Inonyanya kukonzereswa nekushandiswa kwemishonga inorwisa kubatwa kana mimwewo mishonga, kusanganisira mutete weropa anonzi Coumadin, panguva yepamuviri.
• Classic-kutanga chirwere kunoitika pakati pemazuva maviri kusvika manomwe mushure mekuzvarwa. Zvinogona kuonekwa mune vacheche vacheche vasina kugamuchira vhitamini K kupfurwa mukati mevhiki yekutanga mushure mekuberekwa, senge avo vakadyiswa kudyiwa pakutanga. Izvo zvakare zvisingawanzo.
• Kunonoka-kutanga VKDB kunoonekwa muvacheche pakati pemasvondo maviri nemwedzi miviri yekuberekwa. Zvakajairika zvakanyanya kuvana vasina kugamuchira vhitamini K kupfura.

Vacheche nevacheche vane matambudziko anotevera anosanganisira dumbu, vane mukana wakakura wekukura kwechirwere ichi.

• Alpha1-antitrypsin kushomeka
• Biliary atresia
• Chirwere cheCeliac
• Cystic fibrosis
• Manyoka
• Hepatitis

Mamiriro acho anokonzera kubuda ropa. Nzvimbo dzinowanzozivikanwa dzekubuda ropa dzinosanganisira:

• Nhengo yemukomana, kana akachecheudzwa
• Belly bhatani nzvimbo
• Matumbo emimba (zvichikonzera ropa mumatumbo emwana)
• Mucus membranes (senge bhandi remhino nemuromo)
• Nzvimbo dzave nekatsono tsono

Panogona zvakare kuve ne:

• Ropa mune weti
• Kutuka
• Kufenda (kugwinha) kana maitiro asina kujairika

Ropa rekuvhara ropa richaitwa.

Iko kuongororwa kunosimbiswa kana vhitamini K pfuti ikamisa kubuda kweropa uye yekuvhara ropa nguva (prothrombin nguva) nekukurumidza inova yakajairwa. (Mune vhitamini K kushomeka, iyo prothrombin nguva haina kujairika.)

Vitamin K inopihwa kana kubuda ropa kukaitika. Vacheche vane kubuda ropa kwakakomba vangangoda plasma kana kuwedzerwa ropa.

Iko kutaridzika kunowanzo kuve kwakaipisisa kune vacheche vane kunonoka-kutanga chirwere chehemorrhagic kupfuura mamwe mafomu. Iko kune yakakwira mwero wekubuda ropa mukati mehenya (intracranial hemorrhage) inosanganisirwa neye kunonoka-kutanga mamiriro.

Zvinetso zvinogona kusanganisira:

• Kubuda ropa mukati mehenya (kusagadzikana kweropa), pamwe nekukuvara kwehuropi
• Rufu

Fonera wako mupi wezvehutano kana mwana wako aine:

• Chero kubuda ropa zvisina tsananguro
• Kufenda
• Maitiro emimba

Wana rubatsiro rwekukurumidzira kurapwa kana zviratidzo zvakakomba.

Chimiro chekutanga chechirwere chinogona kudzivirirwa nekupa vhitamini K kupfura kune vakadzi vane nhumbu vanotora mishonga yekurwisa kubatwa. Kuti udzivirire echinyakare uye ekupedzisira-kutanga mafomu, iyo American Academy of Pediatrics inokurudzira kupa mwana wese pfuti yevhitamini K achangoberekwa. Nekuda kweichi chiitiko, kushomeka kwevhitamini K ikozvino hakuwanzoitika muUnited States kunze kweavo vacheche vasingagashi vhitamini K kupfurwa.

Hemorrhagic chirwere cheiye achangozvarwa (HDN)

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Nzvimbo dzeDzidziso Kudzora uye Kudzivirira (CDC). Zvinyorwa kubva kumunda: kunonoka kwevhitamini K kushomeka kubuda ropa muvacheche vane vabereki vakaramba vitamini K prophylaxis - Tennessee, 2013. MMWR Morb Inofa Wkly Rep. 2013; 62 (45): 901-902. PMID: 24226627 www.ncbi.nlm.nih.gov/pubmed/24226627.

Greenbaum LA. Vitamin K kushomeka. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsamba 66.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Dambudziko reropa. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsamba 66.

Sankar MJ, Chandrasekaran A, Kumar P, Thukral A, Agarwal R, Paul VK. Vitamin K prophylaxis yekudzivirira vhitamini K kushomeka kubuda ropa: kuongororwa kwakarongeka. J Perinatol. 2016; 36 Suppl 1: S29-S35. PMID: 27109090 www.ncbi.nlm.nih.gov/pubmed/27109090.