hsp-gu-260-010 policitemia neonatal
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8/2/2019 HSP-GU-260-010 Policitemia Neonatal
http://slidepdf.com/reader/full/hsp-gu-260-010-policitemia-neonatal 1/9
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8/2/2019 HSP-GU-260-010 Policitemia Neonatal
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M@JM@AM LM[HY
Aª IHGHQM A.J.
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@m ph kjkqblkm bn `hz ybjkbn nmjkahz mz rnm jhnakjk4n j`knkjm dybjrbnqb }rb zbzhjkm jhn lhyik lhyqm`kama pbyknmqm`, mzk jhlh zbjrb`mz m `mygh p`mvh, phy = ?
qmnqh zb yb}rkbyb ybm kvmy rnm irz}rbam mjqktm pmym knkjkmy b` qymqmlkbnqh = ? lmzpyhnqh phzki`b. @m knjkabnjkm ab ph`kjkqblkm jhn ? zkn ckpbytkzjhzkama tmykmn ab=" m 2" ab` qhqm` ab `m phi`mjk4n ab nbhnmqhz { abpbnabn ab `m bama
gbzqmjkhnm`, pbzh m` nmjby { m`qkqra ab` nmjklkbnqh, pybzbnqmnahzbmpyhsklmamlbnqb bn b` 9" m 1" ab `hz ybjkbn nmjkahz m qbylknh mabjrmahz
pmym `m bama gbzqmjkhnm`, =?" m =2" bn `hz pb}rbnhz pmym `m bama
gbzqmjkhnm` { 4" m 3" bn `hz gymnabz pmym `m bama gbzqmjkhnm . @m ph`kjkqblkmbz ymym bn `hz ybjkbn nmjkahz pybynmqryhz lbnhybz m :1 zblmnmz ab bama
gbzqmjkhnm`
9. ABDKNKJKHN [ MZ_BJQHZ JHNJB_QRM@BZ
@m ph`kjkqblkm bn b` ybjkbn nmjkah m qbyynknh zb abdknb jhlh rn cblmqhjykqhtbnhzh ? jmpk`my zrpbykhy m 4?" jhyybzphnakbnah mpyhsklmamlbnqb m rnm
Cblhg`hiknm bn zmngyb tbnhzm ab 99 g(a@ mzhjkmah m rn mrlbnqh ab `mtkzjhzkama zmngrknbm `Kbtmnah m qymzqhynhz ab` d`rfh zmngrknbh m `hz akdbybnqbz4ygmnhz. Zkn blimygh cm{ }rb qbnby bn jrbnqm }rb nh qhahz `hz ybjkbn nmjkahz
jhn ph`kjkqblkm abzmyyh` mn zknqhlmz ab ckpbytkzjhzkama, { bzqm jhnzkabymjk4nbz bsqyblmamlbnqb klphyqmnqb jrmnah zb btm`rmn `hz ybzr`qmahz ab`mihymqhykh ab pmjkbnqbz m }rkbnbz zb `bz qhlmyhn `mz lrbzqymz ab jrmayh
cblmqkjh phy ymvhnbz akdbybnqbz m `hz dmjqhybz ab ykbzgh ? zknqhlmz j knkjhzjhlpmqki`bz jhn ph`kjkqblkm.
@m ph`kjkqblkm zb prbab j`mzkdkjmy jhlh mjqktm { pmzktm. @m ph`kjkqblkm pmzktm
zb abib m rn mrlbnqh ab` cblmqhjykqh dbqm` hjmzkhnmah phy rnm qymnzdrzk4n abg`4ir`hz yhfhz mnqbz ? arymnqb b` pmyqh, lkbnqymz }rb bn `m ph`kjkqblkm mjqktmcm{ rn mrlbnqh bn `m pyharjjk4n ab g`4ir`hz yhfhz hjmzkhnmam phy `mbzqklr`mjk4n ab bykqyhph{bqknm zbjrnamykm m rnm ckphskm dbqm , }rb zbym lm{hy
jrmnqh lm{hy zbm b` qkblph ab ckphskm.
Ckpbytkzjhzkama bz rn zknayhlb ab jhlpyhlkzh jkyjr`mqhykh zbjrnamykh m rnmrlbnqh ab `m ybzkzqbnjkm m` d`rfh zmngrknbh phy mrlbnqh bn b` tm`hy nhylm` ab`
cblmqhjykqh pmym b` ybjkbn nmjkah. Bn `hz ybjkbn nmjkahz JHN DMJQHYBZ AB
YKBZGH jhn cblmqhjykqh bnqyb 4?41" `m tkzjhzkama ab `m zmngyb mrlbnqm abdhylm `knbm , lkbnqymz }rb zk bz lm{hy ? kgrm` m 42" `m tkzjhzkama mrlbnqm bn
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ymngh zk nh zb mjhynpmykmn ab zknqhlmqh`hgkm zb hizbytmn lkbnqymz }rb `hz
kgrm`bz ? lm{hybz m 42 JHN DMJQHYBZ AB YKBZGH ? J@kNKJM ]RB
CMGM ZHZ_BJCMY _H@KJKQBLKM zb qymqmn mrn zkn zknqhlmqh`hgkm
@hz dmjqhybz }rb knqbytkbnbn bn `m tkzjhzkama zmngrknbm zhn6
• Tm`hy ab` cblmqhjykqh.
• Abdhylmik`kama ab `hz }`hir`h yhfhz
• _yhqbknmz p`mzynmqkjmz.
• Mjkahzkz.
• Akmlbqyh ab` tmzm zmngrknbh.
Dkzkhpmqh`hgkm
BK th`rlbn zmngrknbh dbqm` zb jm`jr`m bnqyb ==2 m =9? l`(eg m` dknm` ab `m
}bzqmjkhn, bn b` ybjkbn nmjkah zb jm`jr`m bnqyb 7? m =?? l``eg, pyhynbakmnah bn
3?jj(e. Bn `hz pyklbyhz lknrqhz phzqnmqm`bz prbab cmiby qymnzdbybnjkm ab `m
p`mjbnqm m` dbqh knjyblbnqmnah bn jmzk b` :?" b` th`rlbn zmngrknbh { `m lmzm
bykqyhjkqmykm qymnzdbykam m` ybjkbn nmjkah. Jh`hjmy m` YN 1? jl phy abimfh ab`
nktb` ab` knqyhkqh tmgknm` mjb`bym bzqb pyhjbzh. @m mzdkskm mgram prbab
mrlbnqmy b` th`rlbn zmngrdnbh phy qymnzdrzkhn p`mjbnqmykm.
BK dbqh zknqbqkvm `m bykqyhph{bqknm bn ybzprbzqm m `m ckphskm {m zbm mgram ?
jyhnkbz. Bn `hz dbqhz zhlbqkahz m ckphskm kn rqbyh cm{ rn knjyblbnqh ab `hz
bykqyhjkqhz nrj`bmahz ybd`bfmnah bykqyhph{bzkz mjqktm.
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42".
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ph`kjkqblkm.
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yb}rkbybn zm`lhdbybzkz, pmym btkqmy `mz jhlp`kjmjkhnbz ab` zknayhlb ab
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{ zb abdknb jhlm akzjybpmnjkm ab lmz ab jknjh gymlmz ab cblhg`hiknm5
qymnzdrzkhn lmqbynmdbqm .
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zbgrnahz+, zrfbqmy m` ybjkbn nmjkah zkn pknvmy b` jhyahn, 1? jl phy abimfh ab
`m lmayb `rbgh ab` pmyqh.
_h kjkqblkm Mjqktm6
m. Dmjqhybz Lmqbynhz6 bama lmqbynm mtmnvmam, akmibqbz, qmim}rkzlh,
h`kghckaymlnkhz.
i. Dmjqmybz _`mjbnqmykhz6 ybjkbn nmjkahz pb}rbnhz ? gymnabz pmym `m bamagbzqmjkhnm`, ybjkbn nmjkahz phzq qbylknh, qymzqhynhz ckpbyqbnzkthz arymnqb `m
}bzqmjkjn, m`qbymjkhnbz ab` jhyahn rlik`kjm`, p`mjbnqm pybtkm, kndbjjkhnbz
pbyknmqm`bz.
j. Dmjqhybz Dbqm`bz6 Qykzhlkm =:, =3, 9=, ckphqkyhkakzlh, qkyhqhskjhzkz nbhnmqm`,
ckpbyp`mzkm zrpymyybnm` jhn}bnkqm, Zkna yhlb ab Ibjewkqc Wbkablmnn.
a. Mlikbnqm`bz6 M`qrym zhiyb b` nktb` ab` lmy. .
1. _YBTBNJKHN [ _YHLHJKHN6
@m irz}rbam mjqktm ab ph`kjkqblkm bn pmjkbnqbz jhn dmjqhybz ab ykbzgh, bfbyjb
`m drnjkhn pybtbnqktm ab lhyik lhyqm`kama mzhjkmam m ckpbytkzjhzkama. Abnqyhab `m phqqqkjm ab zm`ra pri`kjm { barjmqktm zb abib tb`my phy }rb `mz gbzqmnqbz
nh jhnzrlmn qmimjh, zb ybm`kjbn jhnqyh` pybnmqm` ybzphnzmi`b { nh qbngmn
imyybymz ab mjjbzh.
_mhknm 1 ab ;
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2. A=MGNHZQKJH
• @m abqbylknmjk4n ab `hz ybzr`qmahz tmykm jhn `m jyhnh`hgkm ab `m ybjh`bjjk4nab `m zmngyb, b` zkqkh ab `mlkzlm { `m qbjnkjm ab kntbzqkgmjk4n.
• @mz lbakjkhnbz jmpk`mybz bzqmn zrfbqmz m tmykmjkhnbz ab` d`rfh zmngrknbh.@hz cblmqhjykqhz jmpk`mybz zhn lmz m`qhz }rb `hz tbnhzhz, phy bzqh zh`h zbabib abfmy jhlh pyrbim ab abqbjjk4n ? qmlkvmfb, pbyh nh jhlh pyrbimakmgn4zqkjm ab ph`kjkqblkm.
• Cm{ tmykmjkhnbz dkzkh`4gkjmz klphyqmnqbz ab` cblmqhjykqh bn `mz pyklbymz 91chymz ab tkam, bn jhynpmymjkhn jhn `mz jkdymz ab zmngyb ab` jhya4n. BK
cblmqhjykqh m`jmnvm b` lmsklh m `mz ahz chymz ab tkam jhn rnm akzlknrjk4nphzqbykhy pyhgybzktm.
• @m irz}rbam ab _h`kjkqblkm zb cmym m `mz 4 chymz ab tkam bn `hz nknbz abykbzgh.
• _mym b` mnm`kzkz zb ybjhlkbnam cblmqh`hgkm mrqhlmqkvmam, bn `mz }rb zbjm`jr`b b` cblmqhjykqh m pmyqky ab `m lbakjk4n akybjqm ab` th`rlbn
jhyprzjr`my lbakh { `m cblhg`hiknm. Bn lkjyh jbnqykdrgm, phy b` pb}rbnhth`rlbn ab p`mzlm mqympmah, zb bnjrbnqymn jkdymz rn phjh lmz m`qmz }rb b`cblmqhjykqh mnm`kvmah bn jhnqmahy mrqhlmqkvmah.
Btm`rmjk4n J knkjm
• Ckzqhykm j`dnkjm jhlp`bqm, akykgkam m abqbjjk4n ab `hz dmjqhybz ab ykbzgh.• Zb abib ybjhyamy }rb nh qhahz `hz nbhnmqhz jhn ph`kjkqblkm qkbnbnckpbytkzjhzkama.
• BK mrlbnqh qhqm` ab `m lmzm bykqyhjkqmykm ? b` th`rlbn p`mzlmqkjh akzlknrkahjhnqykir{bn m` zdnayhlb ab ph`kjkqblkm K ckpbytkzjhzkama.
• Ybjhyamy }rb pmym b` akmgn4zqkjh ab ckpbytkzjhzkama cm{ lbfhy jhyyb`mjk4njhn `hz zknqhlmz }rb zh`mlbnqb b- tm`hy ab` cblmqhjykqh.
Zkgnhz { zknqhlmz
@hz ybjkbn nmjkahz ph`kjkqblkjhz qkbnbn rn mzpbjqh pkbq4ykjh jmymjqbykzqkjh, }rb
bz rn amqh ab m`qh tm`hy pmym b` akmgn4zqkjh prbzqh }rb `m lm{hykm ab `mzlmnkdbzqmjkhnbz j``nkjmz zhn knbzpbj`dkjmz { zklk`mybz m lrjcmz hqymzpmqh`hgkmz. @mz m`qbymjkhnbz }rb zb pybzbnqmn lmz dybjrbnqblbnqb zhn6kjqbykjkm, qyhlihjkqhpbnkm, ckphg`rjblkm b ckphjm-jblkm. Mablmz bskzqb lm{hyykbzgh ab abzmyyh``my bnqbyhjh`kqkz nbjyhzmnqb phy akzlknrjk4n ab` d`rfhzmngrknbh m nktb` lbzbnqbykjh zbjrnamykh m`m ckpbytkzjhzkama zmngrdnbm. Zbcm ahjrlbnqmah akzlknrjk4n ab `m jkyjr`mjkhn cbpmqkjm }rb hjmzkhnm ybqmyah
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`kpmzm zkqrmjkhn }rb bsp`kjmykm `hz qymzqhynhz ab m`klbnqmjkhn }rb zrdybn bzqhz
nknhz. BK d`rfh ybnm` { `m dk`qymjkhn g`hlbyr`my zb bnjrbnqymn akzlknrkahz
hjmzkhnmnah ybqbnjkhn ab Kk}rkahz { zm` jhn akzlknrjk4n ab `m akrybzkz { ab `m
b`kynknmjkhn ab zhakh { phqmzkh M `mygh p`mvh, zb prbab pybzbnqmy rn ybqmyah bn
b` abzmyyh``h nbryh`h}kjh jhn zbjrb`mz lhqhymz, pyknjkpm`lbnqb bn m}rb``hz
nknbz jhn ph`kjkqblkm nbhnmqm` zknqhynmqkjm.
Jmyakh ybzpkymqhykhz 6 Qm}rkpnbm, jkmnhzkz, p`bqhym, mpnbm, jmyakhlbgm`km {
mrlbnqh ab `m tmzjr`mykvmjkhn pr`lhnmy, ckpbyqbnzkhn pr`lhnmy pbyzkzqbnqb.
Gmzqyhknqbzqknm`bz6 m`kynbnqmjkhn knmabjrmam, yb}ry}kqmjkhn, akzqbnzkhnmiahlknm , BJN, akmyybm.
Lbqmih kjhz6 Ckphg`kjblkm b ckphjm`jblkm.
Ybnm`bz6 h`kgrykm, pyhqbknrykm, cblmqrykm { qyhlihzkz ab `m tbnm ybnm`.
Cbynmqh`h}kjhz6 ckpbyik`kyyriknblkm, qyhlihjkqhpbnkm, dym}ynbnqmjkhn ab `hz
}`hir`hz yhfhz, JKA.
Nbryh`h}kjhz6 `bqmygkm, ckphqhnkm, jhntr`zkhnbz, qbli`hybz, kyykqmik`kama, mpnbm,
zrjjkhn abikq, qyhlihzkz jbybiym` b knj`rzh `m lrbyqb.
4. QYMQMLKBNQH
BK qymqmlkbnqh zb hykbnqm zb}rn `m pybzbnjkm ab zkgnhz { z`nqhynmz jhnzkzqbnqbzjhn b` akm}nhzqkjh.
_mym b` ybjmlikh zb ybjhlkbnam zh`rjkhn ab jykzqm`hkabz, amah b` lbnhy bdbjqh
bspmnzhy { lbnhy ykbzgh ab kndbjjkhnbz { `hz bzqrakhz jhnqyh`mahz lrbzqymn
kgrm` bdbjqktkama bn `m ybarjjkhn ab` cblmqhjykqh }rb jhn b` p`mzlm.
=. Lbakamz gbnbym`bz ab mph{h6
Zrzpbnaby `m tkm hym` arymnqb b` pyhjbaklkbnqh.
9. Bsmn}rknhqymnzdrzkhn pmyjkm`6
Jmqbqbykzlh rlik`kjm` tbnhzh bn rikjmjk4n imfm zb}rn `m grkm ab lmnbfh
#jhnzkabymnah }rb zb prbab hitkmy `m rikjmjkhn ymakh`4gkjm ab` jmqbqby
rlik`kjm`+, ? tbnm pbykdbykjm.Ybjmlikhz ynmsklhz ab =? yn`.
BK ybjmlikh ab `m zmngyb bsqym kam jhn zh`rjkhn zm`knm zb ybm`kvmym zkblpyb phy
tbnm pbykdbykjm { m tb`hjkama jhnzqmnqb.
Jm`jr`h ab` th`rlbn ab ybjmlikh
#3? jj s eg ab pbzh+ s #CQH mjqrm` 2? "+
_mm`nm 4 ab ;
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rlik`kjm`. Tby grkm jhyybzphnakbnqb GR :==9?;
Zb zh`kjkqmym cblmqhjykqh { cblhg`hiknm ab jhnqyh` 4 chymz abzprbz ab `m
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Jhlp`kjmjkhnbz6
Abikah m `m ph`kjkqblkm lkzlm `m lmz gymtb bz `m bnjbdm`hpmq`m akdrzm ckp4skjh
kz}rbynkjm, jhn lkjyh qyhlihz akzblknmahz cmzqm qyhlihzkz ab `hz zbnhz
jmtbynhzhz. @mz ph`kjkqblkmz nh qymqmamz prbabn hjmzkhnmy jhlpyhlkzh ybnm` {pr`lhnmy { `mz nh qymqmamz prbabn bzqmy mzhjkmamz jhn zbjrb`mz m `mygh p`mvh
jhlh ybqmyah lbnqm`, jhntr`zkhnbz, qymzqhynhz ab `m mqbnjk4n, bnqbyhjh`kqkz,
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