Maiti Anoshandiswa Kutsigira Mvura Isati Yakwana, Kuvandudza Makomba
Zvinetso zvinopisa ndeimwe yezvinetso zvakajairika zvehutano muvana vasati vasvika . Nenzira yakanaka, kufambira mberi kwekambanikiti kwakabvumira vana vakawanda vasati vasvika kuti vawane hutano hwakakwana nekushandiswa kwekufemerwa zvirongwa muvana neatatal zvakanyanya mazvigaro (NICUs) .
Zvinokonzera Matambudziko Anoputika Mukutanga Kwevana
Zvinetso zvinopisa zvinokura mumucheche asati asvika nokuti mapapu avo haana mukana wekuzadza zvakakwana muchibereko.
Somugumisiro, vanogona kuwana nhamba ipi zvayo yezvipingamupinyi zvinokonzerwa nehutachiona hwekuporesa.
Pakati pemamiriro anowanzoonekwa:
- Kufuridzira chirwere (RDS) chirwere chinokonzerwa nokushayikwa kwevanhu vari mumapapu. Izvi ndizvo zvinhu zvinobvumira mishonga yemapapu kuti iwedzere kufambisa uye chibvumirano. Pasina iyo, kufema kunopera simba.
- Bronchopulmonary dysplasia, chirwere chisingagumi chepapu, chinowanzoonekwa muvavengi vanorema kudarika 2.2 pounds (kilogram imwe chete) pakuzvarwa. Inogona kukonzerwa nekushandiswa kwenguva refu kweokisijeni uye kuputika kwemagetsi.
- Apnea chirwere chinoratidzwa nekumira kwenguva refu mukufema kunotungamirira mukuderera kwemaitiro emwoyo (bradycardia). Apnea kazhinji inokonzerwa nokusakwana mune chikamu cheropi iyo inodzora kupfurikidza kusingabatsiri.
Kutarisana neavo vanowanzofemerwa zvirwere, NICUs dzakadzidziswa uye dzakagadzirirwa kupa rubatsiro rwekupumadza kumucheche asati avapo kusvikira vazokwanisa kunyatsofema pachavo.
Mhando dzeBrathing Support for Preterm Vana
Mhando dzakasiyana-siyana dzekufuridzira dzinowanika muNICU, zvichienderana nehutano hwekubatsira mwana kunoda. Pakati pavo:
- Nasal cannula ndeimwe yenzira dzisingasviki dzekufema. A canal cannula ipurasitiki inotapira iyo inopa oxygen zvakananga mumhino. Urwu urongwa hwehutano hunoratidzwa mumucheche anokwanisa kufema ari oga asi anoda kuwedzerwa kwemweya kumhepo kana kuchengetedza mapapu kuvhura kana kuchengetedza maitiro akafanana e oksijeni muropa.
- Kuenderera mberi kwakanaka kwemhepo yokumanikidza (CPAP) rudzi rwekufema kunotsigira kuenderera kwemhepo mumapapu emucheche kuburikidza nemasikisi kana ganda remvura. Chinangwa chikuru chePCAP chirwere ndechekuchengeta mapapu asati asvika zvakanaka. Kunyange zvazvo mhepo yakamanikidzwa yakareba kupfuura yeanal cannula, CPAP inoshandiswa chete kune vacheche vanogona kufema pachavo
- Mechanical ventilation inoshandiswa kuvana vasati vasvika avo vasina simba kuti vafemire pachavo. Iyo ventilator inopa musanganiswa okisijeni nemhepo iyo inoputirwa nepakati pebhupiti ichipinda mumhepo ine simba ndokubva yabuda, ichidzokorora nzira yepanyama yekufema. Neine magetsi akawanda, vana vachakwanisa kufema vari voga.
Kuchengetedza RDS , vanachiremba vachawanzopa steroid yakadai se betamethasone kuvakadzi mune basa risina nguva. Mishonga, kana ikapiwa musati yatora, inogona kukurumidzira kukonzerwa kwekushanda kwepamusoro uye kubatsira rubatsiro rwemapapu emwana. Iyo inoshandisa muviri inogona kupiwawo kumwana mushure mokuberekwa.
Kunyange zvazvo vana vasati vasvika vasingakwanisi kugadziriswa zvinowanzodikanwa kuti vhairati, kushandiswa kwechirwere chinokonzera mhepo kunoderedza zvakanyanya nguva inoda nguva yekufema.
> Source
- > Garg, S ;; Sinha, S. "Kusapindira kwemavambo muVana Vokutanga: Kubva pahuchapupu kana maitiro." Nyaya yeKliniki Neonatology. 2013; 2 (4): 155-159.