Unyango lweoksijini kwiintsana

Iintsana ezineengxaki zentliziyo okanye zemiphunga zingadinga ukuphefumla inani elinyukayo leoksijini ukufumana amanqanaba eoksijini egazini. Unyango lweoksijini lubonelela abantwana ngeoksijini eyongezelelweyo.

Ioksijini yirhasi edinga ukuba iiseli zomzimba wakho zisebenze ngokufanelekileyo. Umoya esiwuphefumlayo ngokwesiqhelo une-21% yeoksijini. Singafumana ukuya kwi-100% yeoksijini.

Ihanjiswa njani i-OXYGEN?

Zininzi iindlela zokuhambisa ioksijini emntwaneni. Yeyiphi indlela esetyenzisiweyo exhomekeke kubungakanani be-oxygen efunekayo nokuba ingaba umntwana ufuna umatshini wokuphefumla. Usana kufuneka lukwazi ukuphefumla ngaphandle koncedo lokusebenzisa iintlobo ezintathu zokuqala zonyango lweoksijini oluchazwe ngezantsi.

Ioksijini hood okanye “ibhokisi yentloko” isetyenziselwa iintsana ezinokuphefumla zodwa kodwa zisadinga oksijini eyongezelelweyo. I-hood yidome yeplastiki okanye ibhokisi ene-oxygen efudumeleyo, emanzi ngaphakathi. I-hood ibekwe phezu kwentloko yomntwana.

Ityhubhu ebhityileyo, ethambileyo, yeplastiki ebizwa ngokuba yimpumlo yeempumlo inokusetyenziswa endaweni yehood. Le tyhubhu ineeprongs ezithambileyo ezilunge ngobunono empumlweni yosana. Ioksijini ihamba ngombhobho.

Enye indlela yinkqubo ye-CPAP yempumlo. I-CPAP imele ukuqhubeka koxinzelelo lomoya oqinisekileyo. Isetyenziselwa iintsana ezifuna uncedo olungaphezulu kunokuba zinokufumana kwibhokisi yeoksijini okanye kwimpumlo yempumlo, kodwa akufuneki matshini ukubaphefumlela. Umatshini we-CPAP uhambisa ioksijini ngokusebenzisa iityhubhu ezineempumlo ezithambileyo zempumlo. Umoya uphantsi koxinzelelo oluphezulu, olunceda umoya kunye nemiphunga ukuba uhlale uvulekile (inflate).

Okokugqibela, umatshini wokuphefumla, okanye umoya opholileyo, unokufuneka ukonyusa ioksijini kunye nokuphefumlela umntwana. Umatshini wokuphefumla unokunika i-CPAP yodwa ngeempumlo zempumlo, kodwa unokuhambisa nokuphefumla emntwaneni ukuba umntwana ubuthathaka kakhulu, udiniwe okanye uyagula ukuba angaphefumla. Kule meko, ioksijini ihamba ngombhobho obekwe phantsi kombhobho wosana.

ZIYIPHI IINGOZI ZEOXYGEN?

Ukufumana ioksijini eninzi okanye incinci kunokuba yingozi. Ukuba iiseli emzimbeni zifumana ioksijini encinci, imveliso yamandla iyancipha. Ngamandla amancinci kakhulu, iiseli zisenokungasebenzi kakuhle kwaye zinokufa. Usana lwakho lusenokungakhuli kakuhle. Uninzi lwamalungu asakhulayo, kubandakanya ingqondo nentliziyo, anokulimala.

I-oksijini eninzi inokubangela nokwenzakala. Ukuphefumla ioksijini eninzi kunokonakalisa umphunga. Kwiintsana ezizalwe ngaphambi kwexesha, ioksijini eninzi egazini nayo inokubangela iingxaki kwingqondo nakwiliso. Iintsana ezineemeko ezithile zentliziyo zisenokufuna amanqanaba asezantsi eoksijini egazini.

Ababoneleli ngempilo yosana lwakho baya kujonga ngononophelo kwaye bazame ukulinganisa ukuba ingakanani ioksijini umntwana wakho ayifunayo. Ukuba unemibuzo malunga nobungozi kunye neenzuzo zeoksijini emntwaneni wakho, thetha ngazo kunye nomboneleli womntwana wakho.

ZIYIPHI IINGOZI ZENKQUBO YOKUNIKEZELWA KWE-OXYGEN?

Iintsana ezifumana ioksijini ngehood zingabanda ukuba iqondo lobushushu leoksijini alifudumali ngokwaneleyo.

Ezinye ii-cannulas zempumlo zisebenzisa ioksijini epholileyo neyomileyo. Kwinqanaba eliphezulu lokuhamba, oku kunokucaphukisa impumlo yangaphakathi, kubangele ulusu oluqhekekileyo, ukopha, okanye iiplagi zencindi empumlweni. Oku kunokunyusa umngcipheko wosulelo.

Iingxaki ezifanayo zinokwenzeka ngezixhobo ze-CPAP zempumlo. Kwakhona, ezinye izixhobo ze-CPAP zisebenzisa iimpumlo ezibanzi ezinokutshintsha ukumila kwempumlo.

Oomatshini bokungenisa umoya banomngcipheko othile ngokunjalo. Ababoneleli babantwana bakho baya kujonga ngononophelo kwaye bazame ukulinganisa iingozi kunye neenzuzo zenkxaso yokuphefumla komntwana wakho. Ukuba unemibuzo, xubusha ngale miboneleli yakho yomntwana.

Hypoxia - unyango lweoksijini kwiintsana; Isifo esinganyangekiyo semiphunga - unyango lweoksijini kwiintsana; BPD - unyango lweoksijini kwiintsana; Bronchopulmonary dysplasia - unyango lweoksijini kwiintsana

• Ioksijini hood
• Amaphaphu - usana

I-Bancalari E, uClaure N, uJain D. Unyango lokuphefumla kwangoku. Ku: Gleason CA, Juul SE, ii-eds. Izifo zika-Avery Zomntwana osandul 'ukuzalwa. Ngomhla we-10. IPhiladelphia, PA: Elsevier; I-2018: isahluko 45.

ISarnaik AP, uHeidemann SM, uClark JA. I-pathophysiology yokuphefumula kunye nommiselo. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 373.