Chii chinonzi mucheche wekufema kushungurudzika chirwere uye maitiro ekurapa

Zvemukati

• Zviratidzo mucheche
• Kurapwa kunoitwa sei
• Physiotherapy kurapwa

Acute respiratory shida syndrome, inozivikanwawo se hyaline membrane chirwere, mweya wekufema kana ARDS chete, chirwere chinomuka nekuda kwekunonoka kukura kwemapapu emwana asati azvarwa, zvichikonzera kunetseka kufema, kukurumidza kufema kana kufema kana uchifema., Semuenzaniso .

Kazhinji, mwana anozvarwa aine chinhu chinonzi surfactant, icho chinobvumira mapapu kuti azadze nemweya, zvisinei, mune ino syndrome huwandu hweanoshanda hausati hwakwana kubvumidza kufema kwakanaka uye, nekudaro, mwana haafeme zvakanaka.

Nekudaro, iyo yakaoma yekufema kushushikana chirwere muvana yakajairika muvacheche vachangozvarwa isingasviki masvondo makumi maviri nemasere ekubata, ichionekwa nachiremba achangoberekwa kana mumaawa makumi maviri nemana ekutanga. Ichi chirwere chinorapika, asi mwana anoda kuiswa muchipatara kuti arapwe zvakakodzera, nemishonga inoenderana neyakagadzirwa yekugadzira uye kushandisa mask yemhepo, kusvikira mapapu akwana zvakakwana. Nzwisisa chinonzi pulmonary surfactant ndeyei.

Zviratidzo mucheche

Zviratidzo zvikuru zvehucheche kufema kushungurudzika chirwere zvinosanganisira:

• Miromo yebhuruu neminwe;
• Kukurumidza kufema;
• Mhino dzakavhurika kwazvo kana uchifema;
• Kuputika muchipfuva kana uchifema;
• Nguva dzinokurumidza dzekufema kusungwa;
• Yakaderedzwa huwandu hweti.

Zviratidzo izvi zvinoratidza kukundikana kufema, ndiko kuti, mwana ari kutadza kufema zvakanaka uye kutora oxygen yemuviri. Ivo vanozivikanwa zvakanyanya mushure mekusununguka, asi zvinogona kutora kusvika maawa makumi matatu nematanhatu kuti zvionekwe, zvinoenderana nekuomarara kwechirwere uye kutanga kwemwana.

Kuti uone chirwere ichi, chiremba wevana anoongorora aya makiriniki emwana mucheche, pamusoro pekuraira kuongororwa kweropa kuongorora oxygenation yeropa uye X-ray yemapapu.

Kurapwa kunoitwa sei

Kurapa kwecheche kufema kunetseka chirwere kunofanira kutanga nekukurumidza apo zviratidzo zvinoonekwa nachiremba wevana uye zvinowanzo fanirwa kuti mwana agamuchirwe kune incubator uye agamuchire okisijeni kuburikidza nemask kana kuburikidza nechinhu, chinonzi CPAP, icho chinobatsira mweya unopinda mumapapu kwemazuva mashoma kana masvondo, kudzamara mapapu akwana zvakakwana. Dzidza zvakawanda nezve mashandisiro anoita ichi chishandiso pa: Nasal CPAP.

Ichi chirwere chinogona kudzivirirwa mune dzimwe nguva, sezvo chiremba anozvara anogona kuratidza majekiseni emishonga yecorticoid yemukadzi ane nhumbu ari panjodzi yekuzvarwa nguva isati yakwana, izvo zvinogona kukurumidza kukura kwemapapu emwana.

Physiotherapy kurapwa

Physiotherapy, inoitwa nehunyanzvi physiotherapist, inogona kubatsira zvakanyanya pakurapa vacheche vane mweya wekufema, sezvo ichishandisa nzira dzinogona kubatsira kuvhura nzira dzekufema, kusimudzira mhasuru yekufema uye kufambisa kubviswa kwezvinyoro kubva mumapapu.

Nekudaro, physiotherapy yakakosha kudzikisa zviratidzo zvekufema nekushushikana kwayo, sekushomeka kwe oxygen, kukuvara kwemapapu uye kukuvara kwehuropi.