Tachypnea yethutyana yosana olusandul 'ukuzalwa: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Unyango kufuneka lube njani
• Kutheni le nto isenzeka

Ixesha elidlulileyo le-tachypnea yosana olusandul 'ukuzalwa yimeko apho umntwana enengxaki yokuphefumla kwakamsinya emva kokuzalwa, okunokubonwa ngombala oluhlaza okwesibhakabhaka okanye ngokuphefumla ngokukhawuleza kosana. Kubalulekile ukuba le meko ichongwe kwaye inyangwe ngokukhawuleza ukuthintela iingxaki.

Ukuphuculwa kweempawu zetachypnea yomntwana osandul 'ukuzalwa kunokubonakala phakathi kweeyure eziyi-12 ukuya kwezi-24 emva kokuqala konyango, kodwa, kwezinye iimeko, kunokuba yimfuneko ukugcina ioksijini kangangeentsuku ezi-2. Emva konyango, usana olusandul 'ukuzalwa alunalo naluphi na uhlobo lwe-sequelae, kwaye alukho emngciphekweni omkhulu wokuphuhlisa iingxaki zokuphefumla njenge-asthma okanye i-bronchitis.

Iimpawu eziphambili

Iimpawu zetachypnea yomntwana edlulayo ichongwa kwakamsinya emva kokuzalwa kwaye kunokubakho:

• Ukuphefumla ngokukhawuleza ngaphezulu kweentshukumo zokuphefumla ezingama-60 ngomzuzu;
• Ubunzima bokuphefumla, ukwenza izandi (ukugcuma);
• Ubaxa ukuvulwa kweempumlo;
• Ulusu oluhlaza okwesibhakabhaka, ngakumbi emathatheni, imilebe nezandla.

Xa umntwana enale mpawu, kuyacetyiswa ukuba enze iimvavanyo zokuqonda isifo, ezinje ngesifuba X-reyi kunye novavanyo lwegazi, ukuqinisekisa isifo kwaye aqale unyango olufanelekileyo.

Unyango kufuneka lube njani

Unyango lwe-tachypnea olusanda kuzalwa luhlala lusenziwa ngeoksijini yokunceda umntwana aphefumle ngcono, kuba ingxaki izisombulula. Ke ngoko, usana lusenokufuna ukunxiba imaski yeoksijini kangangeentsuku ezimbini okanye ukuya kuthi ga kwinqanaba leoksijini liqheleke.

Ukongeza, xa i-tachypnea yexeshana ibangela ukuphefumla okukhawulezileyo, kunye nokunyakaza okungaphezulu kwama-80 ngomzuzu, umntwana akufuneki ondliwe ngomlomo, kuba kukho umngcipheko omkhulu wokuba ubisi luza kungeniswa emiphungeni, lubangele inyumoniya. Kwiimeko ezinjalo, umntwana kusenokufuneka asebenzise ityhubhu ye-nasogastric, eyityhubhu encinci ephuma empumlweni iye esiswini kwaye, ngesiqhelo, kufuneka isetyenziswe kuphela ngumongikazi ukondla umntwana.

I-physiotherapy yokuphefumula inokuboniswa ngexesha lonyango, kunye neoksijini, iququzelele inkqubo yokuphefumla komntwana, edlalwa ngugqirha womzimba osebenzisa iintlobo ezithile zezikhundla kunye nokuzilolonga okunceda ukunciphisa iinzame zemisipha yokuphefumla kunye nokwenza lula ukuvulwa kwendlela yomoya.

Kutheni le nto isenzeka

I-tachypnea yomntwana osandul 'ukuzalwa ivela xa imiphunga yomntwana ingakwazi ukuphelisa yonke i-amniotic fluid emva kokuzalwa kwaye, ke ngoko, kukho umngcipheko omkhulu wokukhula kwengxaki kwimeko:

• Usana olusandul 'ukuzalwa olungaphantsi kweeveki ezingama-38 zokukhulelwa;
• Usana olunobunzima obuphantsi;
• Umama onembali yeswekile;
• Ukuhanjiswa kweKesareya;
• Ukulibazisa ukusika inkaba.

Ke, indlela yokuthintela ukukhula kwe-tachypnea okwethutyana kusana olusandul 'ukuzalwa kukujova iziyobisi ze-corticosteroid, ngqo kumthambo kamama, kwiintsuku ezi-2 ngaphambi kokuhanjiswa ngecandelo le-cearean, ngakumbi xa lisenzeka phakathi kweeveki ezingama-37 ukuya kuma-39 zokukhulelwa.

Ukongeza, ukugcina ukukhulelwa okunempilo kunye nokutya okunezondlo, ukuzilolonga rhoqo kunye nokunciphisa ukusetyenziswa kwezinto ezinje ngotywala kunye nekofu, kunceda ukunciphisa inani lezinto ezinobungozi.