Yini isifo sokucindezeleka sokuphefumula sezinsana nokuthi ungaphatha kanjani

-Delile

• Izimpawu enganeni
• Yelashwa kanjani
• Ukwelashwa kwe-Physiotherapy

Isifo sokuphefumula esibucayi, esaziwa nangokuthi isifo se-hyaline ulwelwesi, isifo sokuphefumula noma i-ARDS kuphela, yisifo esivela ngenxa yokukhula kokubambezeleka kwamaphaphu engane engakazalwa, okubangela ubunzima ekuphefumuleni, ekuphefumuleni okusheshayo noma ekuphefumuleni lapho uphefumula., Isibonelo .

Imvamisa, ingane izalwa inento ebizwa nge-surfactant, evumela amaphaphu ukuthi agcwalise umoya, kepha, kulesi sifo inani le-surfactant alikenele ukuvumela ukuphefumula okuhle futhi, ngakho-ke, ingane ayiphefumuli kahle.

Ngakho-ke, isifo esibucayi sokuphefumula ezinganeni sivame kakhulu ezinganeni ezisanda kuzalwa ezingaphansi kwamasonto angama-28 ekhulelwe, sitholwa udokotela ngemuva nje kokuzalwa noma emahoreni angama-24 okuqala. Lesi sifo siyelapheka, kepha ingane idinga ukungeniswa esibhedlela ukuze yenze ukwelashwa okufanele, ngezidakamizwa ezisuselwa ku-syntactant syntactant kanye nokusetshenziswa kwesifonyo somoya-mpilo, kuze kube yilapho amaphaphu esethuthuke ngokwanele. Qonda ukuthi i-surfactant ye-pulmonary yenzelwe ini.

Izimpawu enganeni

Izimpawu eziyinhloko zesifo sokuphefumula ebuntwaneni zifaka:

• Izindebe neminwe eluhlaza okwesibhakabhaka;
• Ukuphefumula ngokushesha;
• Amakhala avuleka kakhulu lapho ehogela;
• Ukushaya isifuba lapho uphefumula;
• Izikhathi ezisheshayo zokuboshwa kokuphefumula;
• Inani elinciphile lomchamo.

Lezi zimpawu zikhombisa ukwehluleka ukuphefumula, okungukuthi, ingane ayikwazi ukuphefumula kahle futhi iqoqele i-oxygen emzimbeni. Zivame kakhulu ngemuva kokubeletha, kepha kungathatha kufikela emahoreni angama-36 ukuvela, ngokuya ngobukhulu besifo nokukhula kwengane.

Ukuze kuhlolwe lesi sifo, udokotela wezingane uzohlola lezi zimpawu zomtholampilo zosana olusanda kuzalwa, ngaphezu koku-oda ukuhlolwa kwegazi ukuze kuhlolwe i-oxygenation yegazi ne-X-ray yamaphaphu.

Yelashwa kanjani

Ukwelashwa kwesifo sokuphefumula kwezinsana kufanele kuqalwe ngokushesha nje lapho izimpawu zitholwa udokotela wezingane futhi imvamisa kuyadingeka ukuthi ingane ingeniswe kwi-incubator futhi ithole i-oksijini ngesifonyo noma ngedivayisi, ebizwa nge-CPAP, esiza umoya ongena emaphashini izinsuku noma amasonto ambalwa, kuze kube yilapho amaphaphu esethuthuke ngokwanele. Funda kabanzi mayelana nokuthi le divayisi isebenza kanjani ku: Nasal CPAP.

Lesi sifo singavinjelwa kwezinye izimo, njengoba udokotela obelethisayo engakhombisa imijovo yemithi ye-corticoid kowesifazane okhulelwe osengozini yokuzalwa ngaphambi kwesikhathi, okungasheshisa ukukhula kwamaphaphu engane.

Ukwelashwa kwe-Physiotherapy

I-Physiotherapy, eyenziwa yi-physiotherapist ekhethekile, ingasiza kakhulu ekwelapheni izingane ezinesifo sokuphefumula, njengoba isebenzisa izindlela ezingasiza ukuvula imigwaqo yomoya, ikhuthaze imisipha yokuphefumula futhi ikwazi ukukhipha uketshezi emaphashini.

Ngakho-ke, i-physiotherapy ibaluleke kakhulu ukunciphisa izimpawu zokucindezeleka kokuphefumula kanye nezinkinga zayo, njengokuntuleka komoya-mpilo, ukulimala kwamaphaphu nokonakala kwengqondo.