Chiremba kurara kufema

Nehope dzekurara kwevana, kufema kwemwana kunombomira panguva yekurara nekuti nzira yekufema yadzikira kana chikamu kuvharika.

Panguva yekurara, tsandanyama dzese mumuviri dzinozoreruka. Izvi zvinosanganisira mhasuru dzinobatsira kuti pahuro pavhurike mweya kuti upinde mumapapu.

Kazhinji, huro hunoramba hwakavhurika zvakakwana panguva yekurara kuti mweya upfuure. Zvisinei, vamwe vana vane huro yakamanikana. Izvi zvinowanzoitika nekuda kwematoni makuru kana adenoids, ayo anodzivirira zvishoma zvishoma kubuda kwemhepo. Kana mhasuru dziri pahuro yavo yekumusoro dzichizorora panguva yekurara, zvinyama zvinovharira mukati uye zvinodzivirira nzira yemhepo. Kumira uku pakufema kunonzi kufemereka.

Zvimwe zvinhu izvo zvakare zvinogona kuwedzera njodzi yekurara kwekufema muvana zvinosanganisira:

• Shaya diki
• Mamwe maumbirwo edenga remuromo (mukanwa)
• Rurimi rukuru, runogona kudonha shure uye rovharira nzira yemhepo
• Kufutisa
• Yakashata mhasuru toni nekuda kwemamiriro akaita seDown syndrome kana cerebral palsy

Ruzha kuridza ngonono chiratidzo chekureva kwekurara kufema. Kuchengeta kunokonzerwa nemhepo inosvinira nemumugwagwa wakamanikana kana wakavharika. Zvisinei, haasi mwana wose anokotsira ane apnea yokurara.

Vana vane chirwere chekufema vanewo zviratidzo zvinotevera usiku:

• Yakareba yakanyarara inomira mukufema inoteverwa nehukutu, kudzipwa, uye kufemera mweya
• Kufema kunyanya muromo
• Kurara kusingazorori
• Kumuka kazhinji
• Kurara
• Kudikitira
• Kusona Mubhedha

Munguva yemasikati, vana vane apnea ekurara vanogona:

• Inzwa wakarara kana kukotsira mukati mezuva rese
• Ita chigumbu, kusashivirira, kana kutsamwa
• Une dambudziko rekutarisa kuchikoro
• Iva nehunhu husingaite

Anopa hutano anotora nhoroondo yekurapa yemwana wako oita bvunzo dzepanyama.

• Iye mupi anoongorora muromo wemwana wako, mutsipa, nehuro.
• Mwana wako anogona kubvunzwa nezvekurara masikati, kunyatsorara, uye tsika dzekurara.

Mwana wako anogona kupihwa chidzidzo chehope kuti asimbise kufema kufema.

Kuvhiya kubvisa matoni uye adenoids kazhinji kunorapa mamiriro muvana.

Kana zvichidikanwa, kuvhiya zvakare kunogona kushandiswa ku:

• Bvisa zvimwe zvinyama kumashure kwehuro
• Ruramisa matambudziko nezvivakwa kumeso
• Gadzira yakavhurika mupombi yemhepo yekupfuura nzira yakavharika yemhepo kana paine matambudziko epanyama

Dzimwe nguva, kuvhiya hakukurudzirwe kana kusabatsira. Muchiitiko ichocho, mwana wako anoshandisa yangu inoenderera yakanaka yakanaka mweya nzira (CPAP) mudziyo.

• Mwana anopfeka chifukidzo mumhino dzavo panguva yekurara.
• Iyo mask inosunganidzwa nehosi kune muchina mudiki unogara padivi pemubhedha.
• Muchina uyu unopomba mweya pasi pekumanikidza kuburikidza nehosi uye mask uye munzira yemhepo panguva yekurara. Izvi zvinobatsira kuti nzira yemumhepo ivhurike.

Zvinogona kutora nguva kujairira kurara uchishandisa CPAP kurapwa. Kutevera kwakanaka uye kutsigirwa kubva kunzvimbo yekurara kunogona kubatsira mwana wako kukunda chero matambudziko achishandisa CPAP.

Mimwe mishonga inogona kusanganisira:

• Inhaled nasal steroids.
• Chigadzirwa chemazino. Izvi zvinoiswa mumuromo panguva yekurara kuitira kuti shaya irambe ichienda mberi uye nzira yemhepo yakavhurika.
• Kurera huremu, kune vakawandisa vana.

Muzviitiko zvakawanda, kurapwa kunoderedza zvachose zviratidzo uye matambudziko kubva kuhope kufema.

Kusarapwa kweapnea ekurara kwevana kunogona kutungamira ku:

• Kuwedzera kweropa
• Zvinetso zvemwoyo kana mapapu
• Kunonoka kukura uye kusimudzira

Fonera mupiki kana:

• Iwe unoona zviratidzo zvekufema kufema mumwana wako
• Zviratidzo hazviwedzere nekurapa, kana zviratidzo zvitsva zvinokura

Kurara kufema - mwana; Apnea - kwevana kurara kutadza kufema; Kurara-kwakakanganisa kufema - kwevana

• Adenoids

Amara AW, Maddox MH. Epidemiology yekurara mushonga. Mune: Kryger M, Roth T, Dement WC, eds. Nheyo uye Maitiro Ekurara Mushonga. 6th ed. Philadelphia, PA: Elsevier; 2017: chits. 62.

Ishman SL, Prosser JD. Kuongorora uye manejimendi yeanoramba achingovhiringidza kurara kufema kwemwana. Muna: Friedman M, Jacobowitz O, eds. Kurara Kufema uye Kugovera. 2nd ed. Philadelphia, PA: Elsevier; 2020: chitsiko 69.

Marcus CL, Brooks LJ, Draper KA, et al. Kuongororwa uye manejimendi ehucheche hunodzivirira kurara kufema kwepabonde. Pediatrics. 2012; 130 (3): e714-e755. PMID: 22926176 pubmed.ncbi.nlm.nih.gov/22926176.