Indlela ukungabikho kwe-Chemical Surfactant inokukhokelela kwi-RDS kwiiNtshaba
Isifo sokuphefumula kwesifo sokuphefumula, okanye i-RDS, kwiintsana zangaphambi kwesinye enye yeengxaki zempilo eziqhelekileyo ezibangelwa ngokuzalwa kwangaphambili. Imiphunga engapheliyo yimiba ye-RDS, ebangela ukuphefumula.
Iimfengane Zakho Zengane Ekuqaleni
Iindawo ezisebenzayo zemiphunga zi-alveoli, ezincinci kwiisiphaphu ezithinta umoya xa siphefumula. I-Alveoli ihlanganiswe nemithambo encinci yegazi ephethe i-oksijini evela emoyeni esiphefumula kuwo wonke umzimba.
Kwiintsana ezingasengaphambili, i-alveoli ayisoloko isebenza ngokufanelekileyo kwaye kufuneka. Ikhemikhali ebizwa ngokuba yi-surfactant ngokuqhelekileyo igcina i-alveoli evulekile ukuze izalise ngokulula ngomoya kwaye isebenze ngokufanelekileyo. Iintsana asinakho okwaneleyo ukuba zigcine i-alveoli zazo zivulekileyo kude zide zifike kwixesha. Xa i-alveoli ingenayo i-altifolant eyaneleyo, iyawa, kwaye utshintshi lwegesi alinakwenzeka.
Imiphunga ayifuni ukwenza intsebenziswano kuze kube yilapho emva kokukhulelwa, nangona kunjalo, iintshaba ze-advocate azikwazi ukugcina i-alveoli evulekile kunye neentsana ezizeleyo. Bamele basebenze nzima kakhulu ukuzalisa i-alveoli yabo xa bephefumula kwaye abafumani oksijini ngokwaneleyo emzimbeni wabo. Le meko ibizwa ngokuba yi-respiratory distress syndrome, okanye i-RDS. Ukuze ugweme le ngxaki, oogqirha baya kunika iintsana ezingaphambi kwexesha elilodwa okanye ngaphezulu kwamanani okusebenza okusebenzayo.
I-preemie yakho isengozini ephezulu ye-RDS ukuba:
- Umntakwabo ufumene i-RDS
- Umama wengane unesifo seswekile
- usana luye lwaziswa ngecandelo lesondlo okanye lenziwe
- Umsebenzi wawunokukhawuleza okanye wawunzima ngokungaqhelekanga
- umntwana usisinye seziphindaphinda (amawele, ama-triplets, njl.
Iimpawu zeRSS
Iintsana ezine-RDS ziya kuba nzima ukuphefumla. Baya kutshiza amaqanda abo xa bephefumula, baphefumle ngokukhawuleza (okubizwa ngokuba yi- tachypnea ), jongeka zibala okanye zincinci-grey, zenze ukukhala okanye ukucwina xa ziphefumula okanye ziphefumla kakhulu ukuze ubone iimbambo zazo xa zikhupha.
Ukufumanisa i-RDS, oogqirha bangasebenzisa omnye okanye ngaphezulu kweemvavanyo eziliqela kuquka i-x-ray esifubeni, uhlalutyo lwegesi, kunye / okanye ukuhlolwa kwegazi ukulawula ukhuseleko okanye ezinye izinto.
I-RDS iphathwa njani?
Ezinye izifo zentsholongwane yokuphefumula zibuhlungu, kwaye ezinye zinokuba nzima kakhulu. I-RDS iphathwa ngokuhlukileyo ngokuxhomekeke kubuqili. Izinyango zokwelapha ziquka:
- Ixesha: Umntwana onama-RDS onobuchule akanakufumana unyango olulodwa ngaphandle kokuqwalasela esondeleyo kwiintsuku zokuqala zobomi kude kube yimpompo iqale ukwenza i-surfactant.
- Inkxaso yokuphefumula: Iintsana ezinokumodareyitha kwi-RDS ezinamandla zingadinga ukunceda ukuphefumla okanye ukuxhoma igazi labo. Inkxaso yokuphefumula isoloko ivela kwifom ye-canal, i- CPAP) , okanye u-air ventical.
- Umqhubi osebenzayo: Iintsana ezine-RDS ezinamandla zinganikezwa ngokuthe ngqo kumaphaphu abo, ukunceda imiphunga ihlale ihluthe xa ikhula.
Ingaba i-RDS ingabanjwa?
Ukuba ukuhanjiswa kwangethuba kungenakunqandwa kodwa kungekudala, ngoko i-steroids inikwa umama ngaphambi kokuba kuhanjiswe ingancedisa imiphunga yomntwana ukuba ivelise i-surfactant. I-Steroids isebenza kakuhle xa inikezwa phakathi kweeyure ezingama-24 kunye neentsuku ezingama-7 ngaphambi kokuzalwa, ngoko azinakuncedo xa ukhulelwe.
Imithombo:
> I-Crowley MRCOG, i-FRCPI, uPatricia A. "Ulwaphulo lwe-corticosteroid yangaphantsi: I-meta-analysis of trials, i-1972 ukuya ngo-1994." I-American Journal ye-Obstetrics ne-Gynecology. Julayi 1995 173: 322-334.
Ii-Sears MD, uWilliam, i-Sears MD, uRobert, i-Sears MD, uJames, i-Sears RN, uMarta. Incwadi Yomntwana Yengaphambi Kwangaphambili: Yonke Into Okufuneka Uyazi Ngomntwana Wakho Okhulileyo Kusukela Ekuzalweni Kuya Kudala. Little, Brown kunye neCo, eNew York, 2004.