Yintoni isifo sokuphefumla esiswini kunye nendlela yokunyanga

Umxholo

• Iimpawu kusana
• Unyango lwenziwa njani
• Unyango lwePhysotherapy

Isifo esibuhlungu sokuphefumla, esikwabizwa ngokuba sisifo sehyaline membrane, isifo sokuphefumla okanye i-ARDS kuphela, sisifo esivelayo ngenxa yokuphuhla kokukhula kwemiphunga yosana ngaphambi kwexesha, ebangela ubunzima ekuphefumlweni, ukuphefumla ngokukhawuleza okanye ukuvutha xa uphefumla., Umzekelo .

Ngokwesiqhelo, umntwana uzalwa enento ebizwa ngokuba yi-surfactant, evumela imiphunga ukuba igcwalise umoya, nangona kunjalo, kwesi sifo isixa se-surfactant asonelanga ukuvumela ukuphefumla okuhle kwaye, ngenxa yoko, umntwana akaphefumli ngokufanelekileyo.

Yiyo ke loo nto, isifo esibuhlungu sokuphefumla kwabantwana sixhaphake kakhulu kwiintsana ezisandul 'ukuzalwa zingaphantsi kweeveki ezingama-28 zokumitha, zifunyanwa ngugqirha kwakamsinya emva kokuzalwa okanye kwiiyure zokuqala ezingama-24. Esi sifo siyanyangeka, kodwa umntwana kufuneka angeniswe esibhedlele ukuze enze unyango olufanelekileyo, kunye namachiza asekwe kwinto eyenziweyo kunye nokusetyenziswa kwesigqumathelo seoksijini, de kube imiphunga ikhule ngokwaneleyo. Qonda ukuba yeyiphi into eyenziweyo yokujonga umpompo.

Iimpawu kusana

Iimpawu eziphambili zesifo sokuphefumla kwabantwana zibandakanya:

• Imilebe eblue neminwe;
• Ukuphefumla ngokukhawuleza;
• Impumlo zivuleka kakhulu xa zisezela;
• Ukubila esifubeni xa uphefumla;
• Ixesha elikhawulezayo lokubanjwa kokuphefumla;
• Ukunciphisa umchamo.

Ezi mpawu zibonisa ukusilela kokuphefumla, oko kukuthi, umntwana akakwazi ukuphefumla ngokufanelekileyo kwaye aqokelele ioksijini yomzimba. Ziqheleke kanye emva kokubeleka, kodwa zinokuthatha ukuya kuthi ga kwiiyure ezingama-36 ukuvela, kuxhomekeke kubukrakra besifo kunye nokukhula komntwana.

Ukuchonga esi sifo, ugqirha wabantwana uya kuvavanya le miqondiso yeklinikhi yosana olusandul 'ukuzalwa, ukongeza kwiodolo yokuvavanywa kwegazi ukuvavanya ioksijini yegazi kunye neX-ray yemiphunga.

Unyango lwenziwa njani

Unyango lwesifo sokukhathazeka ngokuphefumla komntwana kufuneka luqalwe kwakamsinya nje emva kokuba iimpawu zifunyenwe ngugqirha wabantwana kwaye kuhlala kufanelekile ukuba umntwana angeniswe kwi-incubator kwaye afumane ioksijini kwimaski okanye ngesixhobo, esibizwa ngokuba yi-CPAP, esinceda umoya ongena emiphungeni iintsuku okanye iiveki ezimbalwa, de ibe loo miphunga ikhule ngokwaneleyo. Funda okungakumbi ngendlela esi sixhobo sisebenza ngayo: I-Nasal CPAP.

Esi sifo sinokuthintelwa kwezinye iimeko, kuba ugqirha obelethisayo angabonisa inaliti yamachiza e-corticoid kumfazi okhulelweyo osengozini yokuzalwa ngaphambi kwexesha, enokukhawulezisa ukukhula kwemiphunga yosana.

Unyango lwePhysotherapy

I-Physiotherapy, eyenziwa ngugqirha we-physiotherapist okhethekileyo, inokuba luncedo kakhulu kunyango lweentsana ezinesifo sokuphefumla, njengoko isebenzisa iindlela ezinokunceda ukuvula iindlela zomoya, ukukhuthaza izihlunu zokuphefumla kunye nokwenza lula ukususwa kwemfihlo kwimiphunga.

Ke, i-physiotherapy ibaluleke kakhulu ukunciphisa iimpawu zoxinzelelo lokuphefumla kunye neengxaki zayo, ezinje ngokungabikho kweoksijini, ukonzakala kwemiphunga kunye nokonakala kwengqondo.