Nzira yekushayikwa kwechigadzirwa chemakemikari inogona kutungamirira kuRSS muZviso
Kufuridzira kurwadziwa, kana RDS, mucheche asati asvika ndeimwe yezvinetso zvakajairika zvehutano zvinokonzerwa nekuzvarwa patsva. Kumapapu asina kufanana ndiye anokonzera muRSS, izvo zvinokonzera kuoma kufema.
Makumbo ako Okutanga Kwemwana
Nzvimbo dzekushanda dzemapapu ndeye alveoli, zviduku zviduku mumapapu anokonzera mhepo patinofema. Alveoli inofukidzwa nemidziyo miduku yeropa inotakura okisijeni kubva mumhepo tinofema kune imwe muviri wose.
Muvana vasati vasvika, the alveoli haisi kushanda nguva dzose sezvavanoda. Ikemikari inonzi surfactant inowanzochengetedza sarveoli yakazaruka kuitira kuti izadze nyore nyore nemhepo uye inoshanda zvakanaka. Vacheche havana chakanaka chekushongedza mahara kuti varambe vaine mavharo ehuturika kusvikira vaswedera pedyo nenguva. Apo inonzi alveoli haina kukwana yakakwana, inowira, uye kushandiswa kwegesi hakugone kuitika.
Mapapu haatangi kuita kuti vanhu vasati vasvika pamuviri, kunyange zvakadaro, saka vavengi havagoni kuchengetedza vhudzi ravo uye vana vese vanogara kwenguva refu. Vanofanira kushanda zvakaoma kuti vazadze varwi avo apo vanofema uye havawani oxygen yakakwana kumitumbi yavo. Ichi chiitiko chinonzi kuporesa chirwere chinonzi syndrome, kana RDS. Kuti udzivise nyaya iyi, vanachiremba vanowanzopa vana vasati vatanga imwe kana kupfuura mamwe maitiro ekugadzira maitiro.
Your preemie yako iri pangozi ye RDS kana:
- imwe hanzvadzi yave ichiongororwa ne RDS
- amai vomwana vaine chirwere cheshuga cheshuga
- mwana wacho akabudiswa nechikamu chekudya kana kuti akabatwa
- kushanda kwakakurumidza zvikuru kana kwakaoma zvakaoma
- mwana wacho mumwe wezvipembenene (mapatya, katatu, nezvimwewo)
Zviratidzo zveRSS
Vacheche vane RDS vachave vachinetseka kufema. Zvinogona kupisa mhino dzavo kana dzifema, kufema zvakanyanya (zvinonzi tachypnea ), tarisa zvakajeka kana zvishoma bluish-grey, shingairira kana kugomera kana vachifema kana kufema zvakasimba zvokuti iwe unogona kuona mbabvu dzavo pavanenge vanyora.
Kuti uongorore RDS, vanachiremba vanogona kushandisa imwe kana kuti yakawanda yezviedzo zvakasiyana-siyana zvinosanganisira chifu x-ray, kuongorora gesi regazi, uye / kana kuongorora ropa kuitira kutonga kunze kwehutachiona kana zvimwe zvinetso.
RDS inobatwa sei?
Zvimwe zviitiko zvekufema zvinorwadza chirwere zvakanyanyisa, uye vamwe vanogona kunge vakaoma zvikuru. RDS inobatwa zvakasiyana zvichienderana nekuoma. Mishonga yekurapa inosanganisira:
- Nguva: Mwana ane runyoro RDS haagoni kugamuchira kurapwa kwakasarudzwa kunze kwekuvhara pedyo kwemazuva mashomanana ekutanga ehupenyu kusvika mapapu atanga kuita kuti munhu ashande.
- Rutsigiro rweHupiratory: Vana vane mwero wakakura kusvika kune zvakanyanya RDS vangada kubatsirwa kufema kana kugovera ropa ravo. Kutsigira kuporesa kunowanzosvika mumhando yeanal cannula, inoenderera mberi inofambisa mweya (CPAP) , kana kushandiswa kwemhepo.
- Anonyanya kushanda: Vana vane RDS vane simba vanogona kupiwa avo vanoita zvakasununguka mumapapu avo, kuti vabatsire mapapu arambe achinetseka pavanokura.
Ko RDS Inogona Kudziviswa Here?
Kana kusununguka nguva isati yasvika isingadziviriki asi kwete pedyo, saka steroid inopiwa kuna amai vasati vaberekwa inogona kubatsira mapapu emucheche kuti abudise chimiro chekushanda. Steroid inoshanda zvakanyanya apo inopiwa pakati pemawa 24 nemazuva manomwe asati aberekwa, saka haabatsiri mumimba ipi neipi yekuzvimba.
Sources:
> Crowley MRCOG, FRCPI, Patricia A. "Antenatal corticosteroid therapy: A meta-kuongororwa nematambudziko akasiyana-siyana, muna 1972 kusvika muna 1994." American Journal of Obstetrics uye Gynecology. July 1995 173: 322-334.
Sears MD, William, Sears MD, Robert, Sears MD, James, Sears RN, Martha. The Premature Baby Book: Zvinhu Zvose Zvaunoda Kuziva Nezve Mwana Wako Usati Watanga Kubva Kuberekwa kusvika kuHera Rimwe. Little, Brown uye Co., New York, 2004.