I-apnea yokulala kwabantwana: indlela yokuchonga nokunyanga

Umxholo

• Zithini iimpawu?
• Yintoni ebangela
• Yintoni omele uyenze xa umntwana eyeka ukuphefumla
• Uyenza kanjani umlomo-ngomlomo ukuphefumlela umntwana
• Unyango lwenziwa njani
• Ungamnyamekela njani umntwana one-apnea yokulala
• Iimviwo eziyimfuneko

I-apnea yokulala kwabantwana yenzeka xa umntwana eyeka ukuphefumla okomzuzwana xa elele, oko kukhokelela ekwehleni kwinani leoksijini egazini nasengqondweni. Ixhaphake kakhulu kwinyanga yokuqala yobomi kwaye ichaphazela ikakhulu iintsana ngaphambi kwexesha okanye ubunzima bokuzalwa komntwana.

Isizathu sayo asinakusoloko sichongwa, kodwa kuyo nayiphi na imeko, nanini na kusenzeka oku, ugqirha wabantwana kufuneka acetyiswe ukuze kwenziwe uvavanyo olunokuthi lubonakalise unobangela kwaye luqalise unyango olufanelekileyo.

Zithini iimpawu?

Ezinye zeempawu kunye neempawu zokuphefumula kokulala kwiintsana, ezaziwa nangokuthi ngu-ALTE, zingachongwa xa:

• Usana luyeka ukuphefumla ngexesha lokulala;
• Inqanaba lentliziyo licotha kakhulu;
• Iincam zomnwe nemilebe yomntwana zitshintshiwe;
• Usana lunokuba lithambe kakhulu kwaye lungabinalo uluhlu.

Ngokubanzi, ukumisa kancinci kokuphefumla akonzakalisi impilo yomntwana kwaye kunokuthathwa njengesiqhelo. Nangona kunjalo, ukuba umntwana akaphefumli ngaphezulu kwemizuzwana engama-20 kunye / okanye ukuba oku kuqhelekile, umntwana kufuneka asiwe kugqirha wabantwana.

Yintoni ebangela

Izizathu azisoloko zichongiwe, kodwa i-apnea yokulala inokunxulunyaniswa nezinye iimeko ezinje nge-asthma, bronchiolitis okanye inyumoniya, ubungakanani beetoni kunye ne-adenoids, ubunzima obugqithisileyo, ukungalunganga kokakayi kunye nobuso okanye ngenxa yezifo ze-neuromuscular.

I-apnea nayo inokubangelwa yi-gastroesophageal reflux, ukuxhuzula, i-arrhythmias yentliziyo okanye ukusilela kwinqanaba lobuchopho, kulapho ingqondo iyeka ukuthumela ukukhuthaza emzimbeni ukuba uphefumle kwaye unobangela wokugqibela awunakuhlala uchongwa kodwa ugqirha wabantwana ufikelela kweli nqanaba lokufumanisa xa umntwana eneempawu kwaye kungekho lutshintsho lufumanekayo kuvavanyo olwenziwe.

Yintoni omele uyenze xa umntwana eyeka ukuphefumla

Ukuba kukho urhano lokuba umntwana akaphefumli, kufuneka kujongwe ukuba isifuba asivuki kwaye asiwa, ukuba akukho sandi, okanye akunakwenzeka ukuba uve umoya uphuma ngokubeka umnwe wesalathiso phantsi iimpumlo zomntwana. Kufuneka ujonge ukuba ingaba umntwana uqhelekile na ngebala nokuba intliziyo iyabetha.

Ukuba umntwana akaphefumli ngokwenyani, kufuneka kubizwe i-ambulensi ngoko nangoko, ibize i-192, kwaye kufuneka kwenziwe amalinge okuvusa umntwana ngokumbamba nokumtsalela umnxeba.

Emva kokuphefumla xa elala, umntwana kufuneka abuyele ekuphefumleni yedwa kunye nezi zinto zinomdla, kuba ukuphefumla kuyeka ngokukhawuleza. Nangona kunjalo, ukuba usana luthatha ixesha elide ukuphefumla lodwa, ukuphefumla ngomlomo kuya kwenziwa.

Uyenza kanjani umlomo-ngomlomo ukuphefumlela umntwana

Ukunika ukuphefumla komlomo ngomlomo emntwaneni, umntu oza kumnceda kufuneka abeke umlomo wakhe phezu komlomo kunye nempumlo yomntwana ngaxeshanye. Kuba ubuso bomntwana buncinci, umlomo ovulekileyo kufuneka ukwazi ukugubungela zombini impumlo nomlomo womntwana. Akunyanzelekanga nokuba uthathe umoya ophefumlayo ukuze unikeze umntwana umoya omninzi kuba imiphunga yakhe mincinci kakhulu, ke umoya ongaphakathi emlonyeni womntu oza kunceda wonele.

Kwakhona funda indlela yokwenza umthambo wentliziyo emntwaneni, ukuba intliziyo nayo ayibethi.

Unyango lwenziwa njani

Unyango luxhomekeke kwinto ebangela ukuphefumla kuyeke, kodwa kunokwenziwa ngamayeza anje nge-theophylline, ekhuthaza ukuphefumla okanye utyando olufana nokususwa kweetoni kunye ne-adenoids, ethi yona iphucule kwaye inyange i-apnea, inyuse umgangatho wobomi bomntwana , kodwa oku kuboniswa kuphela xa isifo sokuphefumla sibangelwa kukunyuka kwezi zakhiwo, ezingasoloko zisenzeka njalo.

Ukuphefumla kokulala kosana, xa kuyekwe kunganyangwa, kunokuzisa iingxaki ezininzi emntwaneni, ezinjengokwenzakala kwengqondo, ukulibaziseka ekukhuleni kunye noxinzelelo lwegazi kwimiphunga, umzekelo.

Ukongeza, kunokubakho notshintsho ekukhuleni kwabantwana, ngenxa yokwehla kwemveliso yokukhula kwehomoni, njengoko kuveliswa ngexesha lokulala kwaye, kule meko, imveliso yayo iyancipha.

Ungamnyamekela njani umntwana one-apnea yokulala

Emva kokwenza zonke iimviwo kwaye akunakwenzeka ukuba uchaze unobangela wokuphefumla ukuze uyeke xa ulele, abazali banokuphumla ngakumbi kuba umntwana akakho semngciphekweni wobomi.Nangona kunjalo, kubalulekile ukuba unike ingqalelo ukuphefumla komntwana ngelixa elele kwaye uthathe onke amanyathelo afanelekileyo ukuze wonke umntu ekhaya alale ngoxolo.

Amanyathelo athile abalulekileyo kukumlalisa umntwana ebhedini yakhe, ngaphandle komqamelo, izilwanyana ezifakiweyo okanye iingubo. Ukuba kuyabanda, kuya kufuneka ukhethe ukunxiba umntwana wakho kwiipijama ezifudumeleyo kwaye usebenzise iphepha kuphela ukuligquma, unakekele ukukhusela lonke icala lephepha phantsi komatrasi.

Umntwana kufuneka ahlaliswe alale ngomqolo okanye kancinci kwicala lakhe kwaye angaze afumane isisu sakhe.

Iimviwo eziyimfuneko

Usana kungafuneka ukuba lulaliswe esibhedlele ukuze oogqirha bakwazi ukubona ukuba yeka ukuphefumla kwaye benze iimvavanyo ezithile ezifana nokubalwa kwegazi, ukukhusela i-anemia okanye usulelo, ukongeza kwi-serum bicarbonate, ukukhupha i-acidosis kunye nezinye iimvavanyo ugqirha unokukufumanisa kuyimfuneko.