I-apnea ye-prematurity

I-apnea isho ukuthi "ngaphandle komoya" futhi ibhekisa ekuphefumuleni okwehlisa ijubane noma okungama kunoma yisiphi isizathu. I-apnea of ​​prematurity ibhekisa ekuphumuleni kokuphefumula ezinganeni ezizalwe ngaphambi kwamasonto angama-37 okukhulelwa (ukuzalwa ngaphambi kwesikhathi).

Iningi lezingane ezizalwe ngaphambi kwesikhathi zinezinga elithile lokuphefumula ngoba indawo yobuchopho elawula ukuphefumula isakhula.

Kunezizathu eziningana zokuthi kungani izinsana ezisanda kuzalwa, ikakhulukazi lezo ezizalwe kusenesikhathi, zingaba ne-apnea, kufaka phakathi:

• Izindawo zobuchopho nezindlela zemizwa ezilawula ukuphefumula zisakhula.
• Imisipha egcina indlela evulekile ivulekile incane futhi ayiqinile njengoba izoba kamuva empilweni.

Ezinye izingcindezi ezinganeni ezigulayo noma ezingakafiki isikhathi zingase zibe nzima kakhulu i-apnea, kufaka phakathi:

• Ukushoda kwegazi
• Izinkinga zokondla
• Izinkinga zenhliziyo noma zamaphaphu
• Ukutheleleka
• Izinga le-oxygen ephansi
• Izinkinga zokushisa

Indlela yokuphefumula yezinsana ezisanda kuzalwa ayivamile njalo futhi ingabizwa ngokuthi "ukuphefumula ngezikhathi ezithile." Le patheni kungenzeka kakhulu ezinganeni ezisanda kuzalwa ezizalwe ekuqaleni (izitha). Iqukethe iziqephu ezimfushane (cishe imizuzwana emi-3) yokuphefumula okungajwayelekile noma ukuphefumula okuyekile (i-apnea). Lezi ziqephu zilandelwa yizikhathi zokuphefumula okuvamile okuhlala imizuzwana eyi-10 kuye kwayi-18.

Ukuphefumula okungajwayelekile kungalindelwa ezinganeni ezingakhuli ngokwanele. Kepha iphethini lokuphefumula kanye neminyaka yengane konke kubalulekile uma unquma ukuthi ingane igula kangakanani.

Iziqephu ze-apnea noma "imicimbi" ehlala isikhathi eside kunamasekhondi angu-20 ithathwa njengengathi sína. Ingane ingaba nayo:

• Yehla ngokushaya kwenhliziyo. Lokhu kwehla kwenhliziyo kubizwa nge-bradycardia (ebizwa nangokuthi "brady").
• Yehla ezingeni le-oxygen (oxygen saturation). Lokhu kubizwa ngokuthi yi-desaturation (ebizwa nangokuthi "desat").

Zonke izingane ezizalwe ngaphambi kwesikhathi ezingaphansi kwamasonto angama-35 zikhulelwa ziyangeniswa ezikhungweni ezinakekela izingane ezisanda kuzalwa, noma ezinkulisa ezikhethekile, ezinabaqaphi abakhethekile ngoba basengozini enkulu yokuphefumula. Izingane ezindala ezitholakale zineziqephu zokuphefumula zizophinde zibekwe kubaqaphi esibhedlela. Ukuhlolwa okuningi kuzokwenziwa uma ingane ingakafiki ngaphambi kwesikhathi futhi ibonakale ingaphilile.

• Abaqaphi balandelela izinga lokuphefumula, izinga lokushaya kwenhliziyo, namazinga e-oxygen.
• Amaconsi ngesilinganiso sokuphefumula, ukushaya kwenhliziyo, noma ileveli yomoya-mpilo kungabeka ama-alamu kulezi ziqaphi.
• Abaqaphi bezingane abakhangiselwe ukusetshenziswa kwasekhaya abafani nalabo abasetshenziswa esibhedlela.

Ama-alamu angenzeka ngezinye izizathu (njengokudlula indle noma ukuhambahamba), ngakho-ke ukulandelela umkhondo kubuyekezwa njalo yithimba lezokunakekelwa kwempilo.

Indlela i-apnea ephathwa ngayo incike ku:

• Imbangela
• Kwenzeka kaningi kangakanani
• Ubunzima beziqephu

Izingane ezinempilo enhle futhi ezineziqephu ezincane ngezikhathi ezithile zibukwa nje. Kulezi zimo, iziqephu ziyaphela lapho izingane zithintwa kahle noma "zivuselelwa" ngezikhathi lapho ukuphefumula kuyeka.

Izingane eziphilile, kepha ezingakafiki isikhathi futhi / noma ezineziqephu eziningi zokuphefumula zinganikezwa i-caffeine. Lokhu kuzosiza ukwenza iphethini yabo yokuphefumula ijwayelekile. Kwesinye isikhathi, umhlengikazi uzoshintsha indawo yengane, asebenzise ukuncela ukususa uketshezi noma amafinyila emlonyeni noma ekhaleni, noma asebenzise isikhwama nemaskhi ukusiza ngokuphefumula.

Ukuphefumula kungasizwa ngu:

• Ukuma okufanele
• Isikhathi sokudla okuhamba kancane
• Oxygen
• Ukucindezela okuqhubekayo okuhamba emoyeni (CPAP)
• Umshini wokuphefumula (umshini wokuphefumula) ezimweni ezimbi kakhulu

Ezinye izinsana eziqhubeka nokuba ne-apnea kodwa ezikhulile futhi ezinempilo zingakhishwa esibhedlela ngeso lokuhlola i-apnea ekhaya, nge-caffeine noma ngaphandle kwayo, kuze kube yilapho sebephelelwe yisikhathi sokuphefumula kwabo okungavuthiwe.

I-apnea ivame ezinganeni ezizalwe ngaphambi kwesikhathi. I-apnea emnene ayibonakali inemiphumela yesikhathi eside. Kodwa-ke, ukuvimbela iziqephu eziningi noma ezinzima kungcono enganeni esikhathini eside.

I-apnea yokungakhuli kahle ivame ukuphela lapho ingane isondela "osukwini olubekiwe". Kwezinye izimo, njengezinsana ezizalwe ngaphambi kwesikhathi noma ezinezifo ezinzima zamaphaphu, i-apnea ingaqhubeka amasonto ambalwa ubude.

I-apnea - izinsana; AOP; Njengoba futhi Bs; I-A / B / D; Ukupela okuluhlaza okwesibhakabhaka - izinsana ezisanda kuzalwa; Ukupela kwe-Dusky - izinsana; Pela - izinsana; I-Apnea - esisanda kuzalwa

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