Ixesha elifutshane le-tachypnea - usana olusanda kuzalwa

I-tachypnea yethutyana yosana olusandul 'ukuzalwa (TTN) sisifo sokuphefumla esibonwe kwakamsinya emva kokubeleka kwikota yokuqala okanye kwiintsana ezisandula ukuzalwa.

• Okwexeshana kuthetha ukuba ihlala ixesha elifutshane (ihlala ingaphantsi kweeyure ezingama-48).
• I-Tachypnea ithetha ukuphefumla ngokukhawuleza (ngokukhawuleza kuninzi lwabantwana abasanda kuzalwa, abahlala bephefumla amaxesha angama-40 ukuya kuma-60 ngomzuzu).

Njengokuba umntwana ekhula esibelekweni, imiphunga yenza ulwelo olukhethekileyo. Olu lwelo luzalisa umphunga wosana luze lumncede akhule. Xa umntwana ezelwe ngexesha lakhe, iihomoni ezikhutshwa ngexesha lokubeleka zixelela imiphunga ukuba iyeke ukwenza olu lwelo lukhethekileyo. Imiphunga yomntwana iqala ukuyisusa okanye ukuyibuyisela kwakhona.

Ukuphefumla okumbalwa kokuqala okuthathwa ngumntwana emva kokubeleka kugcwalisa imiphunga ngomoya kwaye kunceda ukucoca uninzi lolwelo lwemiphunga olushiyekileyo.

Incindi eseleyo emiphungeni ibangela ukuba umntwana aphefumle ngokukhawuleza. Kunzima ukuba iingxowa zomoya ezincinci zemiphunga zihlale zivulekile.

I-TTN kunokwenzeka ukuba yenzeke kwiintsana ezi:

• Uzalelwe ngaphambi kwama-38 egqityiweyo kwiiveki zokumitha (kwikota yokuqala)
• Ihanjiswe licandelo le-C, ngakumbi ukuba umsebenzi awukaqali
• Uzalelwe kumama onesifo seswekile okanye sombefu
• Amawele
• Isini sendoda

Iintsana ezine-TTN zineengxaki zokuphefumla kwakamsinya emva kokuzalwa, ubukhulu becala kwisithuba seyure enye ukuya kwezimbini.

Iimpawu zibandakanya:

• Umbala wesikhumba esimnyama (cyanosis)
• Ukuphefumla ngokukhawuleza, okunokwenzeka ngengxolo enjengokugquma
• Impumlo evuthelayo okanye ukuhamba phakathi kweembambo okanye ithambo lesifuba elaziwa njengokurhoxa

Ukukhulelwa kukamama kunye nembali yabasebenzi kubalulekile ukwenza isifo.

Uvavanyo olwenziwe emntwaneni lunokubandakanya:

• Ubalo lwegazi kunye nenkcubeko yegazi yokuthintela usulelo
• I-x-ray yesifuba ukulawula ezinye izizathu zokuphefumla
• Irhasi yegazi ukujonga amanqanaba ecarbon dioxide kunye neoksijini
• Ukubeka iliso ngokuqhubekayo kumanqanaba oksijini wosana, ukuphefumla, kunye nokubetha kwentliziyo

Ukuxilongwa kwe-TTN kudla ngokwenziwa emva kokuba umntwana abekwe esweni iintsuku ezi-2 okanye ezi-3. Ukuba imeko iyahamba ngelo xesha, ithathwa njengeyomzuzwana.

Umntwana wakho uya kunikwa ioksijini ukugcina inqanaba leoksijini legazi lizinzile. Umntwana wakho uhlala efuna eyona oksijini kwiiyure ezimbalwa emva kokuzalwa. Iimfuno zeoksijini zomntwana ziya kuqala ukwehla emva koko. Uninzi lweentsana ezine-TTN luphucula ngeeyure ezingaphantsi kwama-24 ukuya kuma-48, kodwa ezinye ziya kufuna uncedo iintsuku ezimbalwa.

Ukuphefumla ngokukhawuleza kakhulu kuthetha ukuba usana alunakutya. Ulwelo kunye nezondlo ziya kunikwa ngomthambo de umntwana wakho aphucuke. Umntwana wakho unokufumana i-antibiotics ade umboneleli wezempilo aqiniseke ukuba akukho sulelo. Rhoqo, iintsana ezine-TTN ziya kufuna uncedo ngokuphefumla okanye ukondla iveki okanye nangaphezulu.

Iimeko zihlala zihamba ngaphakathi kweeyure ezingama-48 ukuya kwezingama-72 emva kokubeleka. Kwiimeko ezininzi, iintsana ezine-TTN azinangxaki ngakumbi kwimeko. Abayi kufuna ukhathalelo olukhethekileyo okanye ukulandelelwa ngaphandle kokuhlolwa rhoqo. Nangona kunjalo, kukho ubungqina bokuba abantwana abane-TTN banokuba semngciphekweni omkhulu wokuhamba ngeengxaki kamva ebusaneni.

Ukuhamba kwexesha lokugqibela okanye iintsana zokuqala (ezizalwe ngaphezulu kweeveki ezi-2 ukuya kwezi-6 ngaphambi komhla wokumiselwa kwazo) ezihanjiswe licandelo le-C ngaphandle kokuqeshwa zinokuba semngciphekweni wohlobo olomeleleyo olubizwa ngokuba yi "TTN enobungozi."

I-TTN; Imiphunga emanzi - usana olusanda kuzalwa; Ulwelo olungekazalwa lwemiphunga ebuswini Ukudlula kwi-RDS; Utshintsho olude; Neonatal -i-tachypnea yethutyana

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