Tachypnea wosakhalitsa - wakhanda

Tachypnea wosakhalitsa wa wakhanda (TTN) ndimatenda opumira omwe amawonedwa atangobereka kumene kapena kumene kubadwa kumene.

• Chosakhalitsa chimatanthauza kuti ndi ya kanthawi kochepa (nthawi zambiri yochepera maola 48).
• Tachypnea amatanthauza kupuma mwachangu (mwachangu kuposa ana ambiri obadwa kumene, omwe nthawi zambiri amapuma 40 mpaka 60 pamphindi).

Pamene mwana amakula m'mimba, mapapo amapanga timadzi tina. Timadziti timadzaza m'mapapu a mwana ndipo amawathandiza kukula. Mwanayo akabadwa nthawi yayitali, mahomoni omwe amatuluka panthawi yobereka amauza mapapo kuti asiye kupanga madzi apaderawa. Mapapu a mwanayo amayamba kumuchotsa kapena kumubwezeretsanso.

Kupuma koyamba koyambirira kumene mwana amatenga akabereka kumadzaza mapapu ndi mpweya ndikuthandizira kuchotsa madzi am'mapapu otsala.

Madzi otsala m'mapapo amachititsa mwana kupuma mwachangu. Zimakhala zovuta kuti thumba laling'ono lamapapu likhale lotseguka.

TTN imakonda kuchitika mwa makanda omwe anali:

• Abadwa asanakwane 38 milungu itatha.
• Kupulumutsidwa ndi gawo la C, makamaka ngati ntchito sinayambe
• Wobadwa kwa mayi yemwe ali ndi matenda ashuga kapena mphumu
• Amapasa
• Kugonana kwamwamuna

Ana obadwa kumene omwe ali ndi TTN amakhala ndi mavuto apuma atangobadwa, nthawi zambiri amakhala ola limodzi kapena awiri.

Zizindikiro zake ndi izi:

• Mtundu wa khungu la Bluish (cyanosis)
• Kupuma mwachangu, komwe kumatha kuchitika ndi phokoso monga kudandaula
• Mphuno zikuuluka kapena kusuntha pakati pa nthiti kapena chifuwa cha m'mawere chomwe chimadziwika kuti kuchotsera

Mimba ya amayi ndi mbiri yakubala ndizofunikira kuti matendawa athe.

Kuyesedwa komwe kumachitika pamwana kumaphatikizapo:

• Kuchuluka kwa magazi ndi chikhalidwe cha magazi kuti athetse matenda
• X-ray pachifuwa kuti athetse zina zomwe zimayambitsa kupuma
• Mpweya wamagazi kuti muwone kuchuluka kwa kaboni dayokisaidi ndi mpweya
• Kuyang'anira mosalekeza kuchuluka kwa mpweya wa mwana, kupuma, ndi kugunda kwa mtima

Matenda a TTN amapezeka nthawi zambiri mwana atayang'aniridwa kwa masiku awiri kapena atatu. Ngati vutoli litha nthawi imeneyo, limawerengedwa kuti ndi losakhalitsa.

Mwana wanu adzapatsidwa oxygen kuti magazi azikhala bwino. Mwana wanu nthawi zambiri amafunikira mpweya wabwino kwambiri patangopita maola ochepa atabadwa. Zofunikira za mpweya wa mwana ziyamba kuchepa pambuyo pake. Makanda ambiri omwe ali ndi TTN amasintha pasanathe maola 24 mpaka 48, koma ena amafunikira thandizo kwa masiku ochepa.

Kupuma mofulumira kwambiri kumatanthauza kuti mwana sangathe kudya. Zamadzimadzi ndi zopatsa thanzi zimaperekedwa kudzera mu mtsempha mpaka mwana wanu atakula. Mwana wanu amathanso kulandira maantibayotiki mpaka wothandizira zaumoyo akatsimikizire kuti palibe matenda. Nthawi zambiri, makanda omwe ali ndi TTN amafunikira kuthandizidwa pakupuma kapena kudyetsa sabata kapena kupitilira apo.

Matendawa amatha mkati mwa maola 48 mpaka 72 kuchokera pakubereka. Nthaŵi zambiri, makanda omwe ali ndi TTN samakhalanso ndi mavuto ena. Sadzafunika chisamaliro chapadera kapena kuwatsata kupatula kuwunika nthawi zonse. Komabe, pali umboni wina wosonyeza kuti ana omwe ali ndi TTN atha kukhala pachiwopsezo chachikulu chamavuto pambuyo pake akhanda.

Ana oberekera mochedwa kapena ana obadwa msanga (obadwa kutadutsa milungu iwiri kapena isanu ndi umodzi isanakwane) omwe abadwa ndi gawo la C popanda ntchito atha kukhala pachiwopsezo cha mawonekedwe oopsa kwambiri otchedwa "malignant TTN."

TTN; Mapapu amadzi - ana obadwa kumene; Kusungidwa kwamadzimadzi m'mapapo; Zochepa RDS; Kusintha kwakanthawi; Neonatal - tachypnea yaposachedwa

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[Adasankhidwa] Crowley MA. Matenda opatsirana a Neonatal. Mu: Martin RJ, Fanaroff AA, Walsh MC, olemba., Eds. Fanaroff ndi Martin's Neonatal-Perinatal Medicine: Matenda a Mwana wosabadwa ndi Khanda. 11th ed. Philadelphia, PA: Elsevier Saunders; 2020: chap 66.

Greenberg JM, Haberman BE, Narendran V, Nathan AT, Schibler K. Neonatal zoopsa zoyambira kubadwa ndi kubereka. Mu: Creasy RK, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, olemba. Creasy ndi Resnik's Maternal-Fetal Medicine: Mfundo ndi Kuchita. 8th ed. Philadelphia, PA: Elsevier Saunders; 2019: mutu 73.