The World Health Organization (WHO) celebrates World Maturity Quality Day each year on November 17, to cover premature babies.
Retinopathy of instability (ROP) is a dynamic disease, which is bound to a time that is not present when it is born. The condition swallows the eyes of pre-season babies usually (with or without oxygen therapy) which help save their lives, but seriously affect their eye development .
The condition is characterized by the development of abnormal blood vessels in the retina and eye, resulting in scrapping and retiniol prevention. ROP can be lightweight and can spontaneously resolve, but in severe cases it can move rapidly and lead to blindness.
ROP usually does not start two or three weeks after its birth, providing a window for screening and treatment at the right time, while the baby is under neonatal care at the hospital.
However, lines can be treated by lasers if this is detected by an appropriate retin examination before 30 days of birth. "Tees Din Roshni Ke" (Thirty days for Vision) should become a slogan that is being implemented for all babies before term. Inability to get the first retina screen effectively and at time there is a huge gap that needs to be addressed. There is a shortage of trained personnel to provide effective bed side treatment for babies, especially those who are in critical care, and there are still some progression difficulties that need to be addressed.
Chronic hypoxia (lack of oxygen), slowdown of intrauterineal growth and pre-natal and postnatal conditions are the most common triggers of ROP. Babies born below 34 weeks of posture and weighing less than 2,000 grams are particularly open to ROP and must be screened within 20-30 days of birth.
High levels of supplementary oxygen and high carbon dioxide levels are also known as aggravating ROP. During the neonatal incubation period, the pre-term babies will be provided with mixed oxygen, which is strictly controlled and monitored using pulse oxiders. Other risk factors associated with the condition include anemia, bradycardia (low heart rate), blood transfusions and intra-intestinal hemorrhage (bleeding to the brain).
The initial incubators for pre-terms were set up in Boston in 1941 and the first first DAP baby was reported in medical magazines in 1942. Since then, there has been a great deal of research and understanding about risk factors and managing this successfully. condition. Today we have extensive information to prevent ROP blindness and have successfully done so for more than 90 per cent of babies. Although many babies are now screened for ROP on time and are treated in many large and smaller cities in India, there are significant gaps and so there are many premature babies that are affected & # 39; n visual today.
A very secure net need to be put in place for the premature baby to keep the vision that might be good with them. Gaps in this aspect can lead to irreparable harm if there is a poor vision.
Common gaps include the absence of information about ROP among a number of health workers and parents during the initial critical days; medical curriculum only some senior experts including ROP; and a shortage of trained personnel to provide effective treatment for babies who are still in critical care, among others.
All pre-term children run a higher risk in developing other eye-related complications and vision later in their lives. Common diseases include retiniol, myopia (close eye), strabismus (cross eyes), amblyopia (lazy eye) and glaucoma.
ROP is a potentially avoidable irreversible case and there is usually a total amount of blindness in infants before term. This disease has lifelong implications for children accused and their families. Survival is achieved due to the efforts of a huge team by parents, the extended family, doctors, nurses and health policy makers, apart from technological developments and following the well-set processes during the critical care of the newborn baby.
The WHO has highlighted ROP as the main target disease in its blindness prevention program, "Vision 2020: Right to Expect", to unnecessarily unnecessarily combat the world by 2020. On World Accountability Day, it should All concerned think not only about "named survival" but also their "vision".
(Dr. Subhadra Jalali, Director, Neonatal Eye Health Alliance, L.V. Prasad Eye Organization Network, Hyderabad. Views expressed in person can be found at [email protected])
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(This story has not been edited by Business Standard staff and it is automatically generated from a syndicated menu).