I-tachypnea yesikhashana - usana olusanda kuzalwa

I-tachypnea yesikhashana sengane esanda kuzalwa (i-TTN) yisifo sokuphefumula esibonwa ngemuva nje kokubeletha esikhathini sokuqala noma sekwedlule isikhathi sabantwana.

• Okwesikhashana kusho ukuthi kuhlala isikhathi esifushane (imvamisa kungaphansi kwamahora angama-48).
• I-Tachypnea isho ukuphefumula okusheshayo (ngokushesha kunezingane eziningi ezisanda kuzalwa, ezivame ukuphefumula izikhathi ezingama-40 kuye kwezingama-60 ngomzuzu).

Njengoba ingane ikhula esibelethweni, amaphaphu enza uketshezi olukhethekile. Lolu ketshezi lugcwalisa amaphaphu engane futhi luzisize zikhule. Lapho ingane izalwa ngesikhathi sokuzalwa, ama-hormone akhishwa ngesikhathi sokubeletha atshela amaphaphu ukuthi ayeke ukwenza lolu ketshezi olukhethekile. Amaphaphu engane aqala ukuyisusa noma ukuyibuyisela kabusha.

Ukuphefumula kokuqala okuthathwa ingane ngemuva kokubeletha kugcwalisa amaphaphu ngomoya futhi kusize ukukhipha iningi lamanzi asele emaphaphu asele.

Uketshezi olusele emaphashini lubangela ukuba ingane iphefumule ngokushesha. Kunzima ukuthi izikhwama zomoya ezincane zamaphaphu zihlale zivulekile.

I-TTN kungenzeka ukuthi yenzeke ezinganeni ezazingu:

• Uzalwe ngaphambi kokukhulelwa kwamasonto angama-38 aqediwe (isikhathi sokuqala)
• Kuthulwe isigaba se-C, ikakhulukazi uma umsebenzi ungakaqali
• Wazalelwa kumama onesifo sikashukela noma i-asthma
• Amawele
• Ubulili besilisa

Izinsana ezine-TTN zinezinkinga zokuphefumula ngemuva nje kokuzalwa, imvamisa kungakapheli ihora elilodwa kuya kwamabili.

Izimpawu zifaka:

• Umbala wesikhumba o-Bluish (cyanosis)
• Ukuphefumula ngokushesha, okungenzeka kube nemisindo efana nokububula
• Amakhala okukhanya noma ukunyakaza phakathi kwezimbambo noma ithambo lesifuba elaziwa njengokuhlehla

Ukukhulelwa kukamama nomlando womsebenzi kubalulekile ukwenza ukuxilongwa.

Ukuhlolwa okwenziwa enganeni kungafaka:

• Isibalo segazi namasiko egazi ukukhipha ukutheleleka
• I-x-ray yesifuba ukukhipha ezinye izimbangela zezinkinga zokuphefumula
• Igazi legazi ukuhlola amazinga e-carbon dioxide ne-oxygen
• Ukuqapha okuqhubekayo kwamazinga oksijini wengane, ukuphefumula, nokushaya kwenhliziyo

Ukuxilongwa kwe-TTN kuvame ukwenziwa ngemuva kokubhekwa kwengane izinsuku ezimbili noma ezintathu. Uma isimo sihamba ngaleso sikhathi, kubhekwa njengesikhashana.

Ingane yakho izonikezwa umoya-mpilo ukuze igcine izinga leoksijini egazini lizinzile. Ingane yakho izodinga umoya-mpilo omningi emahoreni ambalwa izelwe. Izidingo zomoya-mpilo zengane zizoqala ukwehla ngemuva kwalokho. Iningi lezinsana ezine-TTN lithuthuka ngaphansi kwamahora angama-24 kuya kwangu-48, kepha ezinye zizodinga usizo izinsuku ezimbalwa.

Ukuphefumula ngokushesha okukhulu kusho ukuthi ingane ayikwazi ukudla. Uketshezi nezakhi zomzimba kuzonikezwa ngomthambo kuze kube yilapho ingane yakho iba ngcono. Ingane yakho nayo ingathola ama-antibiotic kuze kube yilapho umhlinzeki wezempilo eqiniseka ukuthi akukho ukutheleleka. Imvamisa, izingane ezine-TTN zizodinga usizo ngokuphefumula noma ngokondla isonto noma ngaphezulu.

Isimo sivame ukuphela kungakapheli amahora angama-48 kuya kwangu-72 ngemuva kokubeletha. Ezimweni eziningi, izingane ezine-TTN azinazo ezinye izinkinga ezivela kulesi simo. Ngeke badinge ukunakekelwa okukhethekile noma ukulandelelwa ngaphandle kokuhlolwa kwabo okujwayelekile. Kodwa-ke, kunobunye ubufakazi bokuthi izingane ezine-TTN zingaba sengozini enkulu yokushaywa yizinkinga kamuva zisencane.

Izingane ezizalwe ngaphambi kwesikhathi noma zokuqala kwesikhathi (ezizalwe ngaphezu kwamasonto amabili kuya kwayisithupha ngaphambi kosuku lwazo lokuzalwa) ezilethwe yisigaba se-C ngaphandle kokubeletha zingaba sengozini yefomu elibi kakhulu elaziwa nge- "malignant TTN."

I-TTN; Amaphaphu amanzi - izinsana; Uketshezi lwamaphaphu olugcinwayo; I-RDS yesikhashana; Ushintsho olude; I-Neonatal - i-tachypnea yesikhashana

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