Zomwe zimayambitsa matenda a ana - kuchokera ku ngozi kupita ku matenda
Ife tikudziwa zambiri tsopano kuposa kale za momwe ana amamwalira ku America. Kusamalira ana komanso kulandira chithandizo chachipatala kwasanduka chisankho chofala pakati pa mabanja omwe ali ndi ana odwala kwambiri, ndipo chiwerengero cha ana omwe akufa pakhomo chimawonjezeka.
Bungwe la National Hospice and Palliative Care Organization (NHPCO) linatulutsa lipoti lakuti "Zowonadi za NHPCO: Pediatric Palliative Care ndi Hospice Care ku America" mu 2009 yomwe inafotokoza momwe ana a America akufera.
Kuwerengera zoona ndi ziwerengero zomwe zidaperekedwa kumathandiza kuwunikira kufa kwa ana ku United States.
Ana Ambiri Amfera Akufa Amapezeka ku America
Mu 2005 panali chiwerengero cha anthu 53,552 omwe anafera ana ku America, omwe anawerengera 2.2 peresenti ya anthu onse omwe anamwalira chaka chimenecho. Pafupifupi theka la imfa ya anyamata imapezeka kuyambira ali wakhanda , ndipo ana obadwa kwa amayi akuda amafa mobwerezabwereza kuposa ana obadwa kwa amayi achizungu ndi a ku Spain.
Zomwe Zimayambitsa Mavuto a Achinyamata
Zifukwa za imfa muunyamata zimasiyanasiyana pa makanda 0-12 miyezi ndi ana 1-19. Kufa mwadzidzidzi sikupezeka kawirikawiri m'mabanja koma ndizo zimayambitsa imfa kwa ana a zaka 1-19. Tiyeni tiyang'ane pa zifukwa zosiyanasiyana za imfa ndi gulu la zaka.
Zomwe zimayambitsa imfa mu makanda ndizozirombo zosabadwa (19.5 peresenti), kuchepa kwafupipafupi kapena kuchepa pang'ono (16.5 peresenti), Sudden Infant Death Syndrome (7,4 peresenti), mavuto a amayi (6.3 peresenti), mavuto a placenta, chingwe kapena nembanemba (4 peresenti), kapena ngozi kapena kuvulala mwadzidzidzi (4 peresenti).
Mavuto amachititsa kuti anthu asamwalire (1-19) ali ndi zaka zakubadwa, akudzipha, amadzipha, amafa , amafa , amayamba matenda, ndi matenda ena. Pafupifupi theka la anthu omwe amamwalira muubwana amawerengedwa mwachangu (53 peresenti).
Mavuto Ovuta Kwambiri Paunyamata
Mavuto aakulu (CCC) muubwana angatsogolere banja kuti lipeze chisamaliro chosamalidwa kapena chisamaliro cha kuchipatala. Zomwe zimayambitsa imfa kuchokera ku matenda aakulu zimasiyananso kwa makanda ndi ana a zaka 1-19.
Zomwe zimayambitsa imfa kwa ana kuchokera ku CCC zimakhala ndi matenda a mtima (32 peresenti), matenda opatsirana (26 peresenti), chifuwa (17 peresenti) ndi matenda a neuromuscular (14 peresenti).
Zomwe zimayambitsa imfa mu ubwana kuchokera ku CCC zikuphatikizapo khansa (43 peresenti), matenda a neuromuscular (23 peresenti) ndi matenda a mtima (17 peresenti).
Ndi kupita patsogolo kwa zamakono azachipatala komanso zapadera, ana omwe ali ndi matenda aakulu amakhala ndi moyo wautali. Komabe, kafukufuku waganiza kuti pali ana 8,600 omwe ali oyenerera kulandira chithandizo kuchipatala tsiku lililonse, komabe owerengeka owerengeka a odwala komanso mabanja amachigwiritsa ntchito.
Kumene Ana Akupita
Ngakhale kuti mbiri yakale imasonyeza kuti 70 peresenti ya makolo angafune kuti mwana wodwala kapena wodwala afe panyumba, ana ambiri amamwalira kuchipatala ku ICU. Chiwerengero cha ana omwe akufa pakhomo chikuwonjezeka pakapita nthawi, ndipo pulogalamu yachipatala yothandizira anthu odwala akuwonjezeka, chikhalidwecho chikhoza kupitilira.
Mu 2003, 18.2 peresenti ya ana a zaka zapakati pa 0-19 anafera kunyumba poyerekeza ndi 10.1 peresenti yokha mu 1989.
Deta yowonjezera imasonyeza ana akuda ndi a ku Puerto Rico sangafanane kufa kunyumba kusiyana ndi ana oyera. Zimakhala zachilendo kwa ana kumadzulo kwa dziko kufa kunyumba kusiyana ndi ana kumpoto chakum'maŵa cha dziko.
Thandizo lachipatala
Mabungwe ambiri ogwira ntchito kuchipatala amapereka chithandizo cha ana, mwina ndi gulu lapadera kapena ogwira ntchito kunja. Oposa hafu (56,9 peresenti) a mabungwe osowa alendo omwe adayankha pa pempho la kafukufuku adasamalira odwala 1-10 kuchipatala chaka chatha.
Achepa peresenti sanawasamalire, ndipo owerengeka kwambiri amasamalira odwala 10 odwala.
Gwero: Friebert S. NHPCO Zolemba ndi Ziwerengero: Matenda Odwala Palliative ndi Hospice Care ku America. Alexandria, VA: National Hospice ndi Palliative Care Organization, April 2009.