Yeka indlela ukungabi khona kwe-Chemical Surfactant kungaholela ku-RDS ku-Preemies
I-respiratory distress syndrome, noma i-RDS, ezinsana ezingakabiphi kungenye yezinkinga zempilo ezivamile ezibangelwa ukuzalwa kusenesikhathi. Amapayipi amancane angumphumela we-RDS, okwenza kube nzima ukuphefumula.
Amapulasheni Asana Nakho Okuqala
Izingxenye zokusebenza zamaphaphu ziyi-alveoli, ama-sacs amancane emaphashini afaka umoya uma siphefumula. I-Alveoli ihlanganiswe nemithambo emincane yegazi ethwala umoya-mpilo emoyeni esiwuphefumulela kuwo wonke umzimba.
Emantwaneni angakabiphi, i-alveoli ayisebenzi ngaso sonke isikhathi njengoba kufanele. Ikhemikhali okuthiwa i-surfactant ivame ukugcina i-alveoli evulekile ukuze igcwalise kalula emoyeni futhi isebenze kahle. Amantombazane angenawo osebenza ngokweqile ukugcina i-alveoli yabo evulekile kuze kube yilapho esiseduze nesikhathi. Lapho i-alveoli ingenayo i-surfactant eyanele, iyawa, futhi ukushintshaniswa kwegesi ngeke kwenzeke.
Amapayipi awaqala ukuwenza ama-surfactant kuze kube yilapho esekhulelwe, noma kunjalo, izitha zezilwane azikwazi ukugcina i-alveoli yabo evulekile kanye nezingane zesikhathi esigcwele. Kumele basebenze kanzima ukugcwalisa ama-alveoli abo lapho bephefumula futhi bangatholi umoya okwanele emzimbeni wabo. Lesi simo sibizwa ngokuthi ukuphefumula, noma i-RDS. Ukuze ugweme lolu daba, odokotela bavame ukunikeza izingane ezingakafiki isikhathi esisodwa noma ngaphezulu amanani okusebenza okusebenzayo.
I-preemie yakho isengozini enkulu ye-RDS uma:
- ingane yakuthola i-RDS
- unina wengane wayenesifo sikashukela sokugulisa
- umntwana wanikezwa isigaba sokudla noma wasuswa
- umsebenzi wawusheshe kakhulu noma wawunzima kakhulu
- umntwana ungomunye wezimpande (amawele, ama-triplets, njll)
Izimpawu ze-RDS
Izingane ezine-RDS zizophefumula. Angase avule amaconsi abo lapho ephefumula, ephefumula ngokushesha (okuthiwa i- tachypnea ), ubheke ophaphathekile noma obuncane obuhlaza okwesibhakabhaka, enze umsindo noma ukugabha lapho ephefumula noma ephefumula kanzima ukuze ubone izimbambo zazo uma zivula.
Ukuze uhlolisise i-RDS, odokotela bangasebenzisa ukuhlolwa okukodwa noma ngaphezulu okuhlanganisa i-x-ray yesifuba, ukuhlaziywa kwegesi yegazi, kanye / noma ukuhlolwa kwegazi ukulawula ukutheleleka noma ezinye izinkinga.
Ukuphathwa kwe-RDS kanjani?
Ezinye izimo zokuphefumula kwesifo sokuphefumula zincane kakhulu, kanti ezinye zingaba sína kakhulu. I-RDS iphathwa ngendlela ehlukile ngokuya ngobukhulu. Izinketho zokwelapha zihlanganisa:
- Isikhathi: Ingane ene RDS emnene ingatholi ukwelashwa okhethekile ngaphandle kokuqapha okusheshayo ezinsukwini zokuqala ezimbalwa zokuphila kuze kube ngamapayipi aqala ukwenza i-surfactant.
- Ukusekelwa ngokuphefumula: Amantombazane anesimo esibucayi ku-RDS angase adinge usizo lokuphefumula noma ukuphefumula igazi labo. Ukusekelwa ngokuphefumula kuvame ukuvela ngendlela ye-cannula yangasese, ukucindezela okuqhubekayo kwe-airway (CPAP) , noma umoya we-ventilation.
- Umshini wokusebenza osebenzayo: Amantombazane ane-RDS enamandla anganikezwa ama-surfactant ngqo emaphashini awo, ukusiza amaphaphu ahlale egcwala ngenkathi evuthiwe.
Ingabe i-RDS ingabe ivinjelwe?
Uma ukulethwa ngaphambi kwesikhathi kungenakugwenywa kodwa kungasondeli, khona-ke ama-steroids anikwa umama ngaphambi kokubeletha angasiza amaphaphu wengane ukuba akhiqize ama-surfactant. I-Steroids isebenza kahle uma inikezwa phakathi kwamahora angu-24 nezinsuku ezingu-7 ngaphambi kokuzalwa, ngakho-ke ayisebenziseki kukho konke ukukhulelwa.
Imithombo:
> Crowley MRCOG, FRCPI, Patricia A. "Ukwelashwa kwe-corticosteroid yangaphambi kokubeletha: Ukuhlaziywa kwe-meta-analysis of randomised trials, 1972 kuya ku-1994." I-American Journal of Obstetrics and Gynecology. July 1995 173: 322-334.
Sears MD, William, Sears MD, Robert, Sears MD, James, Sears RN, Martha. Incwadi Yengane Yokuqala: Yonke Into Okudingeka Uyazi Ngomntwana Wakho Okhulile Kusukela Ekuzalweni Kuya Kudala. Little, Brown and Co., New York, 2004.