I-Pneumothorax kunye nezinye iindidi zokuvuza kweMoya
Yintoni iPneumothorax?
I-pneumothorax luhlobo lomphunga owanqambileyo apho umoya uqokelela ngaphakathi kwesikhumba, phakathi kwemiphunga kunye nodonga lwesifuba. I-pneumothorax, ngamanye amaxesha ebizwa ngokuba "i-pneumo," ingaba nomnene okanye inzima kuxhomekeka kwindlela umoya okhoyo ngayo.
I-pneumothorax ingabangelwa ngumoya ongena kwisifuba ngaphandle komzimba okanye kwimiphunga ngokwabo.
Kwi-NICU, ininzi i-pneumos ivela xa umoya ophuma ngaphakathi kumaphaphu uphela. I-pneumothorax yindlela enye yokuvuza komoya. Ukuba umoya uhamba kwenye indawo ngaphandle kwesigxobo sesifuba, ukuvuza komoya kunalo igama elihlukile.
Yintoni ebangela i-Pneumothorax?
I-pneumothorax okanye enye ukuvuza kwe-air ivela xa i- alveoli , i-sac air air emaphakameni apho i-oxygen ne-carbon dioxide iyatshintshana. Xa i-alveoli iqhuma, umoya uyabaleka kwaye ibangela ukuvuza komoya.
Iintsana zineemiphunga ezibuthakathaka kakhulu, kwaye izinto ezininzi zinokunyusa umngcipheko womntwana we-pneumothorax okanye ezinye ukuvuza kwamanzi. Nangona ezinye iintsana zinomngcipheko omkhulu kunabanye, naluphi na umntwana osandul 'ukuzalwa angakwazi ukuvelisa i-pneumo njengemiphunga yabo yanda emva kokuzalwa. Izinto ezinobungozi ezinika umntwana wakho ithuba elikhulu lokuphuhlisa ipneumo zibandakanya:
- Ukuzalwa kwangaphambi kokuqala: Iintshaba zinezicubu ezinokukhubazeka kakhulu, kwaye i-alveoli yazo ilula ngokulula. Iintsana ezinomlinganiselo ongaphantsi kwe-1500 g (3 lb 5 oz) ekuzalweni zifumana ingozi enkulu.
- Ukunceda ukuphefumula ekuzalweni: Xa iintsana zingaphefumli nje emva kokuzalwa, iqela lokubuyisela liza kusebenzisa isikhwama se-ambu okanye esinye isicatshulwa ukunika umoya ophefumlelweyo kuze kube yilapho umntwana eqala ukuphefumula. Nangona kunyanzelekile, olu luncedo lokuphefumla lungenza ipneumo.
- Ukuphuphuma umoya: Iintsana ezidinga ukuncedwa ukuphefumula, mhlawumbi kwi-ventilator okanye kwi-CPAP, zinomngcipheko ophezulu we-pneumo. Oku kungenxa yokuba umbane womoya usebenza emoyeni kwimiphunga ukuze uzigcine ugcwala kwaye ugcine amazinga oksijini wengane.
- Imfuno yeMeconium: Iintsana eziphefumula nge-meconium ngexesha lokuzalwa zingagula kakhulu. I-Meconium inokuthi ixube i-airways, ivumela umoya ukuba ungene kodwa ungaphumi emiphakeni. Ukubanjwa komoya kunganyusa uxinzelelo kwi-alveoli kwaye kubangele ukuba baqhube.
I-Pneumothorax ithathwa njani?
Ukuba oogqirha bacinga ukuba umntwana wakho unempneumo, baya kwenza i-x-ray esifubeni ukuqinisekisa ukuxilongwa kwabo. Ukuba akukho x ray ekhoyo, inokukhanya ngokukhanya kwesibetho sakho (ukudlulisa) ukujonga iindawo ezikhanyayo apho umoya uqokelele khona.
Unyango lwe-air leaks uxhomekeke kwiimpawu ezimbi kunye nokuba lukhulu kangakanani ukuvuza komoya. Iintsana ezinokuvuza ezincinci zingenakho iimpawu kwaye zingenakufuna unyango. Ukuvuza kuya kuphulukisa ngokwabo, kwaye umzimba uya kubuyisa umoya.
I-pneumo enkulu inokubangela ukuba umntwana abe nengxaki enkulu yokuphefumla. Ukwakhiwa kwemoya kunokushukumisa intliziyo, imithwalo yegazi emikhulu, kunye nompompo ovela kwindawo echanekileyo kwaye ingaba yingozi yonyango. Unyango lusekelwe kukubaluleka kweempawu, kwaye zingabandakanya:
- I-oxygen eyongezelelweyo: Kwezinye iimeko, ukunika umntwana i-100% i-oksijini kunokunceda umzimba uphinde uvuselele umoya kwi-pneumo. Le ndlela isetyenziswa kuphela kwiintsana ezisesikweni ngenxa yengozi yeROP kwiintshaba.
- Inaliti isifiso: Inaliti ehlanganiswe kwisirinji ingeniswa ngodonga lwesifuba kwaye isetyenziswe ukuhoxisa umoya oqokelele. Le naliti isuswe kwaye isikhumba siboshwe.
- I-tube ye-Chest: Kwi-pneumothorax enzima okanye kwiintsana zangaphambi kwintsholongwane, ityhubhu yesifuba isetyenziswa rhoqo ukususa umoya kude kube yilapho ukuvuza kwe-air isisombululo. Isitampu esincinci seplastiki iya kufakwa kwisifuba somntwana kwaye ikhuselekile, kwaye ixhunywe ekuthandeni. Ukutsala kuyakususa umoya njengoko iqokelela. Intshubhu yesifuba iya kususwa emva kokuba yonke imimoya eyongezelelweyo isuswe kwaye ukuvuza kuphelile.
Emva kokuba i-pneumothorax iphathwe, oogqirha baya kuphinda i-x-ray esifubeni ukuqinisekisa ukuba ukuvuza kuphilisiwe kwaye akukho moya omtsha uqokelele.
Iingxelo:
IYunivesithi yaseRochester kwiZiko lezeMpilo kwi-Health Encyclopedia. "Pneumothorax." Kufumaneka kwi-http: //www.urmc.rochester.edu/Encyclopedia/Content.aspx?ContentTypeID=90&ContentID=P02397
URennie, J. (2012). Rennie & Robertson's Bookbook ye-Neonatology, yesi-5. Elsevier.
I-Litmanovitz, I. & Carlo, W. (Novemba 2008). Ulawulo olulindelekileyo lwe-Pneumothorax kwi-Neonates esebenzayo. Izifo zengqondo, 122 (5); e975-e979.