Thandizo la oxygen m'makanda

Ana omwe ali ndi vuto la mtima kapena m'mapapo angafunike kupuma mpweya wochulukirapo kuti apeze mpweya wabwino m'magazi awo. Thandizo la oxygen limapatsa ana mpweya wowonjezera.

Oxygen ndi mpweya womwe maselo mthupi lanu amafunika kugwira ntchito moyenera. Mpweya womwe timapuma nthawi zambiri umakhala ndi 21% ya oxygen. Titha kulandira mpaka 100% oxygen.

Kodi OXYGEN AMAPEREKEDWA BWANJI?

Pali njira zingapo zoperekera mpweya kwa mwana. Njira yomwe imagwiritsidwa ntchito zimatengera kuchuluka kwa mpweya wofunikira komanso ngati mwana amafunikira makina opumira. Mwanayo ayenera kupuma popanda thandizo kuti agwiritse ntchito mitundu itatu yoyambirira yamankhwala omwe afotokozedwa pansipa.

Bokosi la oxygen kapena "bokosi lamutu" limagwiritsidwa ntchito kwa makanda omwe amatha kupuma okha koma amafunikiranso mpweya wowonjezera. Hood ndi pulome dome kapena bokosi lokhala ndi mpweya wofunda, wouma mkati. Hood imayikidwa pamutu pamwana.

Thubhu yopyapyala, yofewa, ya pulasitiki yotchedwa canal cannula itha kugwiritsidwa ntchito mmalo mokakira. Chubu ichi chimakhala ndi zotsekemera zofewa zomwe zimakwanira pang'ono m'mphuno za mwana. Mpweya umayenda kudzera mu chubu.

Njira ina ndi CPAP yamphongo. CPAP imayimira kupitilizabe kwakanthawi kwapandege. Amagwiritsidwa ntchito kwa makanda omwe amafunikira thandizo lochulukirapo kuposa momwe angalandire kuchokera ku mpweya kapena mphuno yamphongo, koma safuna makina oti awapumulire. Makina a CPAP amatulutsa mpweya kudzera m'machubu wokhala ndi zotsekera m'mphuno. Mpweya umakhala wothinikizika kwambiri, womwe umathandiza kuti mayendedwe ampweya ndi mapapo akhale otseguka (kufufuma).

Pomaliza, pamafunika makina opumira, kapena opumira, kuti atulutse mpweya wochulukirapo ndikupumira mwana. Mpweya woperekera mpweya umatha kupatsa CPAP yokha ndi zipsinjo za m'mphuno, koma imaperekanso mpweya kwa mwana ngati mwanayo ndi wofooka, watopa, kapena akudwala kuti apume. Pankhaniyi, mpweya umayenda kudzera mu chubu chomwe chimayikidwa pansi pa mphepo ya mwana.

KODI KUOPSA KWA OXYGEN KUKHALA NDI CHIYANI?

Okosijeni wochuluka kwambiri kapena wocheperapo akhoza kukhala wovulaza. Maselo m'thupi atalandira mpweya wocheperako, mphamvu yamagetsi imachepa. Ndi mphamvu zochepa kwambiri, maselo atha kugwira ntchito bwino ndipo atha kufa. Mwana wanu sangakule bwino. Ziwalo zambiri zomwe zikukula, kuphatikiza ubongo ndi mtima, zitha kuvulala.

Oxygen wambiri amathanso kuvulaza. Kupuma mpweya wambiri kumatha kuwononga mapapu. Kwa ana omwe amabadwa asanakwane, mpweya wambiri m'magazi amathanso kubweretsa zovuta muubongo ndi diso. Ana omwe ali ndimatenda ena amafunikira mpweya wocheperako m'magazi.

Omwe amapereka chithandizo chaumoyo wa mwana wanu amayang'anitsitsa ndikuyesa kuyeza mpweya wochuluka womwe mwana wanu amafunikira. Ngati muli ndi mafunso okhudza kuwopsa ndi phindu la mpweya kwa mwana wanu, kambiranani izi ndi omwe amakupatsani mwana wanu.

KODI NDI ZIWopsezo ZIZI ZA NJIRA ZOPEREKETSA OXYGEN?

Ana omwe amalandira mpweya wokhala ndi hood amatha kuzizira ngati kutentha kwa oxygen sikutentha mokwanira.

Ma cannulas ena ammphuno amagwiritsa ntchito mpweya wabwino komanso wowuma. Pamiyeso yayikulu kwambiri, izi zimatha kukhumudwitsa mphuno zamkati, kupangitsa khungu losweka, kutuluka magazi, kapena mapulagi amphuno m'mphuno. Izi zitha kuwonjezera chiopsezo chotenga matenda.

Zovuta zofananazi zimatha kuchitika ndi zida zamkati za CPAP. Komanso, zida zina za CPAP zimagwiritsa ntchito tamphuno tamphuno tambiri tomwe timasintha mphuno.

Mawotchi opumira amakhalanso ndi zoopsa zingapo. Omwe amapereka kwa mwana wanu amayang'anitsitsa ndikuyesera kuthetsa kuopsa ndi phindu la chithandizo cha mwana wanu. Ngati muli ndi mafunso, kambiranani izi ndi wopereka mwana wanu.

Hypoxia - mankhwala a oxygen m'makanda; Matenda am'mapapo - mankhwala a oxygen m'makanda; BPD - chithandizo cha oxygen m'makanda; Bronchopulmonary dysplasia - chithandizo cha oxygen m'makanda

• Mpweya wa oxygen
• Mapapo - khanda

Bancalari E, Claure N, Jain D. Mankhwala opatsirana opatsirana. Mu: Gleason CA, Juul SE, olemba. Matenda a Avery a Mwana Wongobadwa kumene. 10th ed. Philadelphia, PA: Elsevier; 2018: mutu 45.

Sarnaik AP, Heidemann SM, Clark JA. Kupuma kwa pathophysiology ndi kuwongolera. Mu: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, olemba. Nelson Textbook of Pediatrics. Wolemba 20th. Philadelphia, PA: Elsevier; 2016: chap 373.