Kupuma mavuto syndrome: limati awiri osiyana

The matenda, womwe wapangidwa mu mutu Nkhani - mmodzi mwa anthu ochepa amene kuphwera chifukwa chakuti madokotala tcheru kwambiri kwa mankhwala ndi kupewa. Choncho, chiwerengero cha odwala ndi omwalira zisakuyenda akanapo. ndi kupuma mavuto matenda amene amapezeka ndi chiyani icho?

Nthawi zambiri awiri limati mwapadera mukhoza kuima kumbuyo dzina ili. The oyamba - matenda zonse kunachitika kuti amapezeka makanda msanga chifukwa chakuti mapapu mwana. Chachiwiri - pachimake wamkulu kupuma mavuto syndrome, chikhalidwe chimene chimachitika pa zifukwa zambiri, koma matenda ena safuna kuwerenga. Tiyeni tikambirane limati awiri.

Tiyeni tiyambe ndi matenda makanda. Izi zikutanthauza kuti kuwala si kupanga okwanira kuchuluka kwa surfactant alipo ndipo kupotozedwa kapangidwe ka hyaline Kakhungu. Mlingo wa kukula kwa infringements chimadalira pa nthawi ya mimba kuti mwanayo. The prematurity zambiri, kwambiri, malingana ndi kuwerengera, zovuta matenda. Iwo akhoza bwinobwino kupewedwa ndi chithandizo ndi mankhwala asanabadwe, amene kumawonjezera mlingo wa kukhwima a m'mapapo. Amathandizanso utsogoleli oyambirira surfactant, ndi wapadera, wofatsa mpweya mode, izo kumathandiza ziwalo spadenie ndi mavuto ena ambiri.

Pachimake kupuma mavuto syndrome, omwe amawapeza akuluakulu (ngakhale pali ana zonse yaitali) - chikhalidwe lalikulu limene amayamba ndi choipa, kapena matenda a m'mapapo a. Mu chikhalidwe ichi kumeneko ndi kutukusira kwa m'mapapo parenchyma, chifukwa mu kuwombola mpweya mofulumira kwambiri kuwonongeka. Pa nthawi yomweyo, pa mlingo wa chamoyo lonse kuyamba kumasulidwa kwambiri zinthu zatsopano kuti tizikonda kutupa. Ngati mulibe kuthandizapo ngati munthu wodwala, pali zambiri kulephera multiorgan, pamodzi ndi kuwala bwanji chiwindi ndi impso, komanso ena ziwalo zina. chikhalidwe ichi amafuna chithandizo mwadzidzidzi, ndiko kuti, wodwala ndi digiri lalikulu la zovuta syndrome ndi ankachitira resuscitators.

Izo zonse akuyamba ndi kumverera chosowa mpweya , ndi kupuma movutikira. Wodwala akuyamba akudwala chisokonezo. Syndrome kuwawonetsera kukomoka maola 24-48 pambuyo kukhudzana n'zothandiza china. Awo m'magulu awiri. Choyamba - kuwononga zinthu. Pakati pawo, malowedwe a matupi yachilendo, zoopsa, zilonda zamoto, poyizoni wa thupi (kuphatikizapo mowa), kuikidwa yambiri magazi. Gulu lachiwiri la zifukwa - exacerbation (sikuti zosavuta). Kungakhale kovuta kapamba, chibayo, amene amayamba ndi matenda kapena sepsis. Pamene radiograph ndi achifwamba amene amasonyeza mbali khalidwe pa respirtorny syndrome mavuto. Komanso, Khadili zili mpweya wolumikizira magazi. Choncho n'zotheka kudziwa kupanda mpweya ndi owonjezera mpweya woipa mu izo, zomwe ndi zofunika matenda Mbali.

Mu odwala mwakayakaya mtima mu pachimake boma pansi ndondomeko mpweya, ndi ndondomeko amatenga nthawi yaitali, nthawi zambiri koposera masabata awiri. The wodwala pavuto yapadera, kuchepetsa mosavuta atelectasis. Kuchepetsa kuchuluka kwa madzimadzi mu thupi mwa kugwiritsa ntchito mankhwala diuretic kapena mavuto kumwa. Komanso amakonda kulemba corticosteroids Komabe, mlingo ang'ono ndi thandizo pamene wodwala wayamba kale kuti kutuluka ndi mwakayakaya.

Kupuma mavuto matenda ayamba bwinobwino, choncho maonekedwe zizindikiro nkhawa ngati kumverera kochepa kwa mpweya, itanani "ambulansi." Chotero mbali ndi akumane kwambiri, ngakhale mlandu wanu osalumikidwa ndi matenda. Ichi ndi chibwana kwambiri, kotero Kuchitira motero.