STABLEize

The S.T.A.B.L.E. Program

Mayelana nalolu hlelo lokusebenza

Ngaphezu kwe-The S.T.A.B.L.E. Imihlahlandlela Ye-Module Yohlelo: Ushukela, Ithempelesha, I-Airway, Umfutho Wegazi, Umsebenzi Welebhu, Ukusekelwa Kwezemvelo komndeni, lolu hlelo lokusebenza lubandakanya imenyu ye-BONUS engu-22 enesifo esibi senhliziyo ukukhulisa ukuqonda ukuthi igazi ligeleza kanjani enhliziyweni lapho kubekwa khona abantu abancike emithanjeni hhayi isifo senhliziyo sokuzalwa esincike emithanjeni (CHD).

- Izibali ezi-4: ukulungiswa kweminyaka yokukhulelwa, isiguquli sokushisa (Fahrenheit to Celsius and vice-versa), umthambo we-umbilical kanye ne-venous catheter ukufakwa kokujula, isisindo sokuguqula (amagremu kuya kumakhilogremu / ama-ounces nokunye okuphambene nalokho).
- Ngaphansi kwe-Cardiac Anomalies uzothola ukugqwayiza nolwazi ngezinhlobo ezingama-22 ezinzima zesifo senhliziyo sokuzalwa. Amavidiyo we-MP4 akhombisa ukuthi igazi ligobhoza kanjani enhliziyweni ngezinhlobo ezahlukahlukene ze-CHD, kanye nezilonda ezincike emithanjeni, umthelela omkhulu wokuvalwa kwe-ductal ekugelezeni kwegazi. Okunye ukugqwayiza kufaka i-anatomy yenhliziyo ejwayelekile, i-hypercyanotic (tet) spell, ne-balloon atrial septostomy (inqubo ye-Rashkind). Kufakwe nemifanekiso yezinqubo zokuthambisa (i-PDA stent, i-balloon valvuloplasty, i-BT shunt, i-RVOT stent, i-central shunt, i-pulmonary artery band).

I-STABLE imele amamojula we-6 wokuhlola nokunakekela ohlelweni: Ushukela, Ithempelesha, i-Airway, i-BP, umsebenzi weLab, Ukuxhaswa ngokomzwelo. Lolu hlelo lokusebenza lubandakanya izinto ezilandelayo:

- Imodyuli kashukela: Imihlahlandlela ejwayelekile yezinsana ezigulayo nezinsana ezisengozini yokwanda kwe-hypoglycemia, ukwelashwa kwe-IV koshukela wegazi ongaphansi kuka-50 mg / dL (2.8 mmol / L), imininingwane ewusizo mayelana nezinsimbi zezinkinobho nezenzo zokulungisa ukungalungi komthambo we-umbilical catheter malpositions.
- Imodyuli yethempelesha: Imihlahlandlela Ejwayelekile (ukuhlukaniswa kwe-hypothermic, ukuqapha, ukuvuselela ngemuva kwe-hypothermia yengozi), kanye nohlu lokuhlola lwe-neuroprotective hypothermia nohlolo lwe-neurologic.
- Imodyuli ye-Airway: imihlahlandlela yokuqapha, izincazelo zokuphefumula, i-endotracheal tube tube kanye nokujula kokufakwa, ukuhlolwa kwegesi, izimpawu ze-pneumothorax, kanye nokwelashwa kwe-pneumothorax.
- Imodyuli yengcindezi yegazi: ukuhlola ukushaqeka nokwelashwa kokushaqeka, kufaka phakathi indlela yokuxuba i-dopamine hydrochloride ukwenza isisombululo esingu-800 microgram / mL IV fluid.
- Imodyuli yomsebenzi weLab: izinto ezinobungozi zokutheleleka kokubeletha, izimpawu zomtholampilo zokutheleleka, kanye nokuhlolwa kwelabhorethri ngaphambi kokuthuthela egumbini labagula kakhulu. Ungasibala kanjani isibalo se-neutrophil ngokuphelele futhi ungavuthwanga kwisilinganiso esiphelele.
- Ukwesekwa ngokomzwelo kwemodyuli yomndeni: imizwa ehlukahlukene okungenzeka ukuthi abazali babhekene nayo nokuthi ungayisiza kanjani imindeni ebhekene nenkinga yengane esanda kuzalwa egulayo.

Imenyu ye-Cardiac Anomalies ifaka izincazelo ezimfishane namavidiyo we-MP4 nemifanekiso ye:

- Inhliziyo Ejwayelekile Namaphaphu
- I-aortic Valve Stenosis
- I-Atrial septal defect
- Umsele we-Atrioventricular
- Coarctation of aorta
- Double ophumayo ventricle kwesokudla
- I-Ebstein anomaly
- Isifo senhliziyo esine-Hypoplastic
- I-arch ephazanyisiwe - uhlobo B
- I-Patent ductus arteriosus
- I-atresia ye-Pulmonary ene-sectum eqinile ye-ventricular (IVS)
- I-atresia ye-Pulmonary ene-IVS kanye nama-sinusoids
- I-atresia ye-Pulmonary enesici se-ventricular septal
- Ukuxhumeka okuphelele kwe-venous pulmonary venous (TAPVC) - I-Cardiac, Supracardiac, Infracardiac)
- I-Tetralogy of Fallot (stenosis elinganiselayo)
- I-Tetralogy ye-Fallot (ixhomeke ku-ductal)
- Ukuguqulwa kweMithambo Enkulu
- I-Tricuspid atresia
- I-Truncus arteriosus
- I-Ventricular septal defect

Kufaka nemidwebo yezinqubo zokuthambisa: ibhaluni i-atrial septostomy (inqubo ye-Rashkind), i-PDA stent, i-balloon valvuloplasty, i-Blalock-Taussig (BT) shunt, i-ventricular outflow tract (RVOT) stent, i-central shunt, i-pulmonary artery band.

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