I-tachypnea yesikhashana yengane esanda kuzalwa: iyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ukwelashwa kufanele kube kanjani
• Kungani kwenzeka

I-tachypnea edlulayo yosana olusanda kuzalwa yisimo lapho umntwana enenkinga yokuphefumula ngokushesha ngemuva kokuzalwa, okungabonakala ngombala oluhlaza okwesibhakabhaka noma ngokuphefumula ngokushesha kwengane. Kubalulekile ukuthi lesi simo sikhonjwe futhi silashwe ngokushesha ukuze kuvinjelwe izinkinga.

Ukuthuthuka kwezimpawu ze-tachypnea yesikhashana yosana olusanda kuzalwa kungavela phakathi kwamahora ayi-12 kuye kwangama-24 ngemuva kokuqala kokwelashwa, kepha, kwezinye izimo, kungadingeka ukugcina oksijini izinsuku ezifika kwezimbili. Ngemuva kokwelashwa, usana olusanda kuzalwa alunalo uhlobo oluthile lwe-sequelae, futhi alusengozini enkulu yokuba nezinkinga zokuphefumula njenge-asthma noma i-bronchitis.

Izimpawu eziyinhloko

Izimpawu ze-tachypnea yesikhashana yengane zikhonjwa ngemuva nje kokuzalwa futhi kungahle kube khona:

• Ukuphefumula okusheshayo ngokunyakaza okungaphezulu kwama-60 ngomzuzu;
• Ukuphefumula kanzima, ukwenza imisindo (ukububula);
• Ukuvulwa kwehaba kwamakhala;
• Isikhumba esiluhlaza okwesibhakabhaka, ikakhulukazi emakhaleni, ezindebeni nasezandleni.

Lapho ingane inalezi zimpawu, kunconywa ukuthi kwenziwe izivivinyo zokuxilonga, njenge-X-ray yesifuba nokuhlolwa kwegazi, ukuqinisekisa ukuxilongwa bese kuqala ukwelashwa okufanele.

Ukwelashwa kufanele kube kanjani

Ukwelashwa kwe-tachypnea esanda kuzalwa kuvame ukwenziwa nge-oxygen booster ukusiza ingane ukuthi iphefumule kangcono, ngoba inkinga iyazixazulula. Ngakho-ke, ingane ingadinga ukugqoka imaski yomoya-mpilo izinsuku ezi-2 noma kuze kufike amazinga e-oxygen esejwayelekile.

Ngaphezu kwalokho, lapho i-tachypnea edlulayo ibangela ukuphefumula okusheshayo okukhulu, ngokunyakaza okungaphezu kwama-80 ngomzuzu, ingane akufanele idliswe ngomlomo, ngoba kunengozi enkulu yokuthi ubisi luzomunzwa luye emaphashini, lubangele inyumoniya. Ezimweni ezinjalo, ingane kungadingeka ukuthi isebenzise ithubhu le-nasogastric, okuyishubhu encane ephuma ekhaleni iye esiswini futhi, ejwayelekile, okufanele isetshenziswe ngumhlengikazi kuphela ukondla ingane.

I-physiotherapy yokuphefumula ingakhonjiswa ngesikhathi sokwelashwa, kanye ne-oxygen, eyenza inqubo yokuphefumula kwengane, evame ukwenziwa ngudokotela womzimba osebenzisa izinhlobo ezithile zezikhundla nokuzivocavoca umzimba okusiza ukunciphisa umzamo wemisipha yokuphefumula nokwenza lula ukuvulwa kwemigwaqo yomoya.

Kungani kwenzeka

I-tachypnea yesikhashana esanda kuzalwa ivela lapho amaphaphu engane engakwazi ukuqeda wonke amniotic fluid ngemuva kokuzalwa futhi, ngakho-ke, kunengozi enkulu yokuthola inkinga ezimweni lapho:

• Usana olunamasonto angaphansi kwama-38 okukhulelwa;
• Usana olunesisindo esincane;
• Umama onomlando wesifo sikashukela;
• Ukulethwa ngokuhlinzwa;
• Ukubambezeleka ukusika inkaba.

Ngakho-ke, indlela yokuvimbela ukukhula kwe-tachypnea yesikhashana enganeni esanda kuzalwa ukujova imishanguzo ye-corticosteroid, ngqo emthanjeni kamama, ezinsukwini ezimbili ngaphambi kokubeletha ngesigaba sokuhlinzwa, ikakhulukazi uma kwenzeka phakathi kwamasonto angama-37 nama-39 okukhulelwa.

Ngaphezu kwalokho, ukugcina ukukhulelwa okunempilo ngokudla okunomsoco, ukuzivocavoca umzimba njalo nokunciphisa ukusetshenziswa kwezinto ezinjengotshwala nekhofi, kusiza ukunciphisa inani lezinto ezinobungozi.