Inononoka tachypnea - achangoberekwa

Yenguva pfupi tachypnea yemwana achangozvarwa (TTN) chirwere chekufema chinoonekwa nguva pfupi mushure mekusununguka munguva yekutanga kana kunonoka kutanga kwevana.

• Zvinononoka zvinoreva kuti inorarama-pfupi (kazhinji kazhinji isingasviki maawa makumi mana nemasere).
• Tachypnea zvinoreva kufema nekukurumidza (nekukurumidza kupfuura vazhinji vacheche, avo vanowanzo fema makumi mana kusvika makumi matanhatu paminiti).

Sezvo mwana anokura mudumbu, mapapu anogadzira furuu chaiyo. Urume uhwu hunozadza mapapu emwana uye hunomubatsira kukura. Kana mwana achizvarwa panguva, mahormone anoburitswa panguva yekusununguka anoudza mapapu kuti arege kugadzira ichi chakakosha mvura. Mapapu emwana anotanga kuibvisa kana kuisazve.

Mhedziso shoma dzekutanga dzinotorwa nemucheche mushure mekusununguka dzinozadza mapapu nemhepo uye dzinobatsira kubvisa akawanda emvura yemapapu yasara.

Chasara mvura iri mumapapu inoita kuti mwana afeme nekukurumidza. Zvakaoma kuti iwo masaga madiki emweya emapapu agare akavhurika.

TTN inowanzoitika kune vacheche vaive:

• Akazvarwa pamberi pemavhiki makumi matatu nemasere apera gestation (yekutanga nguva)
• Kununurwa neC-chikamu, kunyanya kana basa risati ratotanga
• Akazvarwa kuna amai vane chirwere cheshuga kana asthma
• Mapatya
• Varume bonde

Vacheche vane TTN vane matambudziko ekufema nekukurumidza mushure mekuzvarwa, kazhinji mukati meawa rimwe chete kusvika maviri.

Zviratidzo zvinosanganisira:

• Ruvara rweganda rebhuruu (cyanosis)
• Kukurumidza kufema, izvo zvinogona kuitika nemheremhere sekugunun'una
• Kupumha mhino kana kufamba pakati pembabvu kana pfupa remazamu rinozivikanwa sekudzoreredza

Nhumbu yaamai uye nhoroondo yebasa zvakakosha kuti uongorore.

Kuedzwa kunoitwa pamucheche kunogona kusanganisira:

• Kuverenga kweropa uye tsika yeropa kutonga hutachiona
• Chest x-ray kutonga kunze zvimwe zvinokonzera matambudziko ekufema
• Ropa gasi kutarisa mwero we carbon dioxide uye oxygen
• Kuenderera mberi kwekutarisa kwemweya weoksijeni wemwana, kufema, uye kurova kwemoyo

Kuongororwa kweTTN kunowanzoitwa mushure mekunge mwana aongororwa kwemazuva maviri kana matatu. Kana mamiriro acho achienda panguva iyoyo, inoonekwa seinopfuura.

Mwana wako anozopihwa okisijeni kuitira kuti ropa reokisijeni riwedzere. Mwana wako anowanzoda okisijeni yakawanda mukati maawa mashoma aberekwa. Okisijeni yemwana zvinodiwa ichatanga kudzikira mushure meizvozvo. Vazhinji vacheche vane TTN vanovandudza mumaawa asingasviki makumi maviri nemana kusvika makumi mana, asi vamwe vachada rubatsiro kwemazuva mashoma.

Kufema nekukurumidza zvakanyanya zvinoreva kuti mwana haakwanise kudya. Mvura uye zvinovaka muviri zvinozopihwa kuburikidza netsinga kusvikira mwana wako avandudza. Mwana wako anogona zvakare kugamuchira maantibayoti kudzamara mupi wehutano ave nechokwadi chekuti hapana hutachiona. Kazhinji, vacheche vane TTN vanoda rubatsiro nekufema kana kufudza vhiki kana kupfuura.

Mamiriro acho anowanzoenda mukati maawa makumi mana nemasere kusvika makumi manomwe nemaviri mushure mekusununguka. Muzviitiko zvakawanda, vacheche vane TTN havana mamwe matambudziko kubva kumamiriro acho. Ivo havazodi kunyatsotarisirwa kana kuteedzerwa kunze kwekujairirwa kwavo kwese. Zvisinei, kune humwe humwe uchapupu hwokuti vacheche vane TTN vanogona kunge vari pangozi yakanyanya yekufema matambudziko mushure mehucheche.

Kunonoka preterm kana yekutanga temu vacheche (vakazvarwa anopfuura mavhiki maviri kusvika matanhatu vasati vasvika zuva ravo rekuzvarwa) avo vakaunzwa neC-chikamu pasina basa vanogona kuve panjodzi yechimiro chakakomba chinozivikanwa se "yakaipa TTN."

TTN; Mapapu akanyorova - vacheche; Yakachengetwa fetal lung fluid; Inononoka RDS; Shanduko yakareba; Neonatal - inopfuura tachypnea

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Greenberg JM, Haberman BE, Narendran V, Nathan AT, Schibler K. Neonatal marbadities epamberi pekuzvara uye perinatal mavambo. Mune: Creasy RK, Lockwood CJ, Moore TR, Greene MF, Copel JA, Sirivha RM, eds. Creasy uye Resnik's Maternal-Fetal Mushonga: Misimboti uye Dzidzira. 8th ed. Philadelphia, PA: Elsevier Saunders; 2019: chits. 73.