Neonatal Kufema Kushungurudzika Syndrome

Zvemukati

• Chii chinokonzera neonatal kufema kunetseka chirwere?
• Ndiani ari panjodzi neonatal kufema kunetseka chirwere?
• Ndeapi zviratidzo zveanaonatal kufema kunetseka chirwere?
• Ko neonatal kufema kunetseka syndrome kunoonekwa sei?
• Ndeapi marapirwo eanaonatal kufema kunetseka chirwere?
• Ndingaite sei kudzivirira neonatal kufema kunetseka chirwere?
• Ndeapi matambudziko anoenderana neonatal kufema kunetseka chirwere?
• Ndeupi mutarisiro wenguva refu?

Chii chinonzi neonatal kufema kunetseka chirwere?

Kubata-kuzara kwenguva refu kunotora vhiki makumi mana. Izvi zvinopa fetus nguva yekukura. Pamasvondo makumi mana, nhengo dzinowanzo nyatso kukura. Kana mwana akazvarwa achiri akanyanya, mapapu anogona kunge asina kunyatso kukura, uye anogona kusashanda nemazvo. Mapapu ane hutano akakosha kune hutano hwakazara.

Neonatal kufema kushungurudzika chirwere, kana neonatal RDS, inogona kuitika kana mapapu asina kunyatso kukura. Inowanzoitika muvana vasati vasvika. Vacheche vane neonatal RDS vanonetseka kufema zvakajairika.

Neonatal RDS inozivikanwawo se hyaline membrane chirwere uye mucheche kufema kunetseka chirwere.

Chii chinokonzera neonatal kufema kunetseka chirwere?

Surfactant chinhu chinogonesa mapapu kuwedzera uye kubvumirana. Iyo zvakare inochengeta iwo madiki masaga emhepo mumapapu, anozivikanwa sealveoli, akavhurika. Vechidiki vacheche vasati vashaya simba. Izvi zvinogona kukonzera matambudziko emapapu uye kunetseka kufema.

RDS inogona zvakare kuitika nekuda kwedambudziko rekusimudzira rakabatana ne genetics.

Ndiani ari panjodzi neonatal kufema kunetseka chirwere?

Iyo yemapapu uye yemapapu basa inokura mu utero. Mwana achangoberekwa, inowedzera njodzi yeRDS. Vacheche vanozvarwa pamberi pemasvondo makumi maviri nemasere ekubata pamuviri vari panjodzi. Zvimwe zvinhu zvine njodzi zvinosanganisira:

• hama ine RDS
• kubata nhumbu kwakawanda (mapatya, katatu)
• kukanganiswa kweropa kuyerera kumwana panguva yekusununguka
• kuendesa nekuregedzwa
• chirwere cheshuga chemamai

Ndeapi zviratidzo zveanaonatal kufema kunetseka chirwere?

Mucheche anowanzo ratidza zviratidzo zveRDS achangoberekwa. Zvisinei, dzimwe nguva zviratidzo zvinokura mukati memaawa makumi maviri nemana ekutanga mushure mekuzvarwa. Zviratidzo zvekutarisa zvinosanganisira:

• bhuruu tint kune ganda
• kupenya kwemhino
• kukurumidza kana kudzika kufema
• yakaderedza weti kubuda
• kugunun'una panguva yekufema

Ko neonatal kufema kunetseka syndrome kunoonekwa sei?

Kana chiremba vakafungidzira RDS, vanozoraira bvunzo yekuongorora hutachiona hunogona kukonzera matambudziko ekufema. Ivo zvakare vacharaira chest X-ray yekuongorora mapapu. Kuongororwa kweropa reropa kunoongorora huwandu hweoksijeni muropa.

Ndeapi marapirwo eanaonatal kufema kunetseka chirwere?

Kana mucheche akazvarwa aine RDS uye zviratidzo zvinobva zvangoonekwa, mucheche anowanzo gamuchirwa kuchipatara chekubereka kwakanyanya (NICU).

Mishonga mitatu mikuru yeRRS ndeiyi:

• surfactant kutsiva kurapa
• mweya wekufema kana nasal inoenderera yakanaka yakanaka yemhepo kumanikidza (NCPAP) muchina
• oxygen therapy

Surfactant kutsiva kurapa kunopa mucheche vanoshanda kumeso vanoshaya. Iyo yekurapa inopa kurapwa kuburikidza neyekufema chubhu. Izvi zvinoita kuti zvipinde mumapapu. Mushure mekugamuchira anoshanda, chiremba anozobatanidza mucheche nemhepo inofema. Izvi zvinopa imwe yekufema rutsigiro. Ivo vangangoda iyi nzira kanoverengeka, zvinoenderana nekuomarara kwemamiriro acho.

Mucheche anogona zvakare kupihwa kurapwa kweanofema ega kutsigira kufema. Muchina unofambisa mweya unosanganisira kuisa chubhu pasi mupombi. Mhepo inofema inobva yafemera mwana mucheche. Iyo isingadzvinyiriri yekufema yekutsigira sarudzo is a nasal inoenderera yakanaka yakanaka yemhepo kumanikidza (NCPAP) muchina. Izvi zvinopa oxygen nemumhino nekasiki kadiki.

Oxygen therapy inounza okisijeni kunhengo dzemucheche kuburikidza nemapapu. Pasina oxygen yakakwana, nhengo hadzishande mushe. Mhepo inofema kana NCPAP inogona kupa oxygen. Muzviitiko zvakapfava, okisijeni inogona kupihwa isina mweya wekufema kana nasal CPAP muchina.

Ndingaite sei kudzivirira neonatal kufema kunetseka chirwere?

Kudzivirira kuburitsa nguva isati yakwana kunodzora njodzi yekuzvarwa kweRSS. Kuti uderedze njodzi yekuzvara nguva isati yakwana, gamuchira kuchengetedzwa kwepabonde nguva dzese pakubata uye kudzivirira kuputa, zvinodhaka zvinodhaka, uye doro.

Kana kukurumidza kuburitsa kungangoitika, amai vanogona kugamuchira corticosteroids. Iyi mishonga inosimudzira kukurumidza kukurumidza kwemapapu uye kugadzirwa kweanoshanda, izvo zvakakosha zvikuru kune fetal lung function.

Ndeapi matambudziko anoenderana neonatal kufema kunetseka chirwere?

Neonatal RDS inogona kuwedzera kuipa pamazuva mashoma ekutanga ehupenyu hwemucheche. RDS inogona kuuraya. Panogona zvakare kuve neyakareba matambudziko nekuda kwekunge uchiwana yakawandisa okisijeni kana nekuti nhengo dzakashaya oxygen. Zvinetso zvinogona kusanganisira:

• mweya unovakwa musaga rakakomberedza moyo, kana kutenderedza mapapu
• kuremara kwepfungwa
• upofu
• kugwamba kweropa
• kubuda ropa kupinda muuropi kana mumapapu
• bronchopulmonary dysplasia (chirwere chekufema)
• mapapu akadonha (pneumothorax)
• chirwere cheropa
• itsvo kutadza (mune yakaoma RDS)

Taura nachiremba wako nezve njodzi yematambudziko. Zvinoenderana nekuoma kweRDS yemwana wako. Mumwe nemumwe mucheche akasiyana. Izvi zvingangoita matambudziko; zvingasaitika zvachose. Chiremba wako anogona zvakare kukubatanidza iwe kuboka rekutsigira kana chipangamazano. Izvi zvinogona kubatsira nekushushikana kwepfungwa kwekutarisana nemwana asati azvarwa.

Ndeupi mutarisiro wenguva refu?

Neonatal RDS inogona kunge iri nguva yakaoma kuvabereki. Taura nachiremba wevana vako kana chiremba anozvara kuti akupe mazano pane zviwanikwa zvekukubatsira iwe kubata makore anotevera ehupenyu hwemwana wako. Kuenderera mberi nekuyedzwa, kusanganisira bvunzo dzemaziso nekunzwa uye kurapwa kwepanyama kana kwekutaura, kunogona kudiwa mune ramangwana. Tsvaga rutsigiro uye kurudziro kubva kumapoka ekutsigira kuti akubatsire iwe kubata nekushushikana kwepfungwa.