BPD i roto i nga kohungahunga preterm - he aha te mea te reira?

dysplasia Bronchopulmonary (BPD) i roto i nga kohungahunga taimi halá, te whakawhanake ki te rongo roa ki te pēhanga hāora tiketike i hanga e te respirator. Hei whakakore i te mate, titau te tamaiti maimoatanga motuhake e hāngai ana whakaora tona ora. Kia whakaaro tatou he aha te mea te reira, take, tohu me te maimoatanga o te āhuatanga pathological o te āhuatanga.

BPD i roto i nga kohungahunga preterm - he aha te mea te reira?

Kids nei i whanau materoto te torutoru, kei te whai wāhi ki tini o nga mate no o te kore o te whanaketanga o te whekau. Tata He taua ine nui i roto i te pūnaha romahā tamaiti katoa. I roto i te tikanga ki te mau tonu i te taumata e hiahiatia ana o te hāora, ko te hono ki te tamaiti i te ventilator. Tenei taputapu, e whakahaere te haumākū, te pāmahana, me te rere tere o te ranunga hau mo manawa. He pōauautanga auau o tenei tikanga, ko te dysplasia bronchopulmonary.

dysplasia Bronchopulmonary i roto i nga kohungahunga preterm whakawhanake ka whai wāhi ki nohanga tiketike o te hāora mo te wa roa. Ki te ko te tamaiti i runga i te ventilator mo neke atu i te 28 nga ra, i te mōrea o piki mate tino. Puta mate Rare i roto i ngā tamariki whanau i wā, i muri i te mate nui korere arahau me pūkahukahu.

I tēnei wā, he maha whakaritea wā katoa o te momo hou o BPD, i nei te pūkahukahu i te tamaiti alveolarization iti, iti pāpāngia tohua o te romahā me oko pūkahukahu. Whakaritea ki te dysplasia bronchopulmonary "matarohia", whakawhitia he "marama" ahua o te mate e nui māmā.

Take o te BPD

Ko te pā o te dysplasia bronchopulmonary tuhia i muri i whakawhiti atu te tamaiti i te ventilator. Tohunga mea e reira ko te āhuatanga pathological tika ki nga pānga o te hāora parakore i runga i te hanganga pūkahukahu underdeveloped. Just ngā nga āhuatanga mōrearea BPD taketake te whai ake:

• tomo i te pūnaha bronchopulmonary o āpiha hopuhopu;
• whakahaere tano ore o te surfactant;
• takawhita pūkahukahu meinga e malformations o te ngakau;
• kino kiko pūkahukahu, ka hono ki te ventilator;
• edema pūkahukahu;
• paruparu huaora.

BPD Ngā noa i roto i nga kohungahunga rawa preterm. Tenei kāwai ngā pēpi whanau i mua i 29 wiki, me te taimaha iti iho i te 1500 pūnaha surfactant kua kore i whakawhanakehia tino. arata'i tenei ki te meka e i roto i te pūkahukahu expiratory timata alveoli ki piri tahi, ka riro papaka, e whakaoho te ino o te utu hau. Kia kore ai hopearaa houhou, te hono te tamaiti ki te ventilator.

Ko te tohu o te BPD

tuhia te faaiteraa tuatahi o te mate e i muri i momotuhia te tamaiti i te ventilator. Tonu te mea kia reira e tō tamaiti kua he au pai, engari i muri i te ia i reira he tohu ati. Runga ake katoa, kia mau metua e whakarongo ki te hāhā o te manawa. Ki te he koati hanga neke atu i te 60 te whakahā ia meneti, pongaponga flaring kaha me te pouaka e te ahua oko-āhua, rite wawe tonu ki te rapu āwhina hauora.

manawa ngangau, maremare i roto i te pūkahukahu, i whakaputa manawa, kiri kikorangi - tohu auau o te BPD i roto i nga kohungahunga taimi halá. He aha te mea tenei mate, me pehea ki te whakahaere huru o te tamaiti? whiriwhiria anake Therapy i te tākuta i runga i te pakeke o te tamaiti rānei. Pre-tū mehua tātaritanga: whakamātautau waho, ultrasound o te ngakau, pouaka X-ray. I tua atu, whakamātautau taiwhanga, e taea te whakaritea kōrero pulmonologist.

maimoatanga BPD

pēpi taimi halá, māuiuitanga tukinotia symptomatically. Ko te whāinga matua o taua therapy ngā i roto i te uhi tohu o te mate, me te māori o te manawa. Duration o te maimoatanga - i te maha wiki ki 2-3 marama.

Wehewehe i waenganui i ngawari, āhua, me te nui dysplasia bronchopulmonary. I roto i te wā o te mate tohua exacerbation me te murunga. Drug therapy tā te whakamahi o corticosteroids, Diuretics, paturopi (ki te tika), bronchodilators, surfactants.

E hiahiatia ana taero antibacterial ki tautāwhi i te whanaketanga o te mumura. Whakaaro tarukino tino pai i macrolide e tōtika whakataetae ki te whānui o tukumate.

Āhuatanga therapy

Ahakoa te meka whakaoho e mate ventilation mīhini i roto i te tukanga maimoatanga me rapu utu hāora therapy. Hono i te tamaiti ki te mīhini, ko te tika ki te whakarite i te pūnaha romahā, me te kopa katoa rawaka hāora. Ko te kupu iti te kukū o te ranunga hau me te pēhanga i roto i te taputapu kei te rite te nui rite taea. ka rapua e hoki te reira i aroturuki tamau o te nui o te hāora i roto i te toto o te tamaiti.

A, no te Me BPD i roto i nga kohungahunga preterm ki te kai i te kai. He mea nui kia tino o te tamaiti te nui rawaka o te pūmua, me te kupu arai i te taikaha wai. Ki te whakahaere i te āhua o te ranunga matūkai taimaha tamaiti e gavage. te whakaiti i te rōrahi wai ki 110 ml ia kg o taimaha ia ra tinana ki te ārai i te whanaketanga o te edema pūkahukahu.

Ko te whakamahi o hormones

he tika taiaki therapy ki te whakakore i te mumura i roto i te wahi romahā, e puta i runga i te whakamārama o te dysplasia bronchopulmonary. glucocorticoids pūnahanaha e whakahaeretia ana i te ra tuatahi o te ora, ka tangohia te tamaiti kei te ake i runga i te ventilator. te whakaiti i tenei te mōrea o abnormalities nui o te pūnaha romahā.

Kia mahara e he maha ngā huakore, te matua o e ko te pānga taha o Hyperglycemia, takawhita, cardiomyopathy hypertrophic taiki therapy.

Kei te maha hiahia ko steroids hau. rapu ratou he inenga nui iti a te pā anake nga wahi o raro rawa o te wahi romahā. I te wa ano, whakarato tenei therapy anake te pānga pai rangitahi i roto i ngā take kino.

"Dexamethasone" - tetahi o nga taero whai hua tino me nohopuku-mahi i te rōpū o glucocorticoids. Kei te whakaritea te reira i roto i te wā o te te tauturu whawhati tata o faaiteraa whakapeka o mate. Ano, ārai te raau taero te hanganga o whakaeke hou.

Maimoatanga o te BPD i taimi halá, "Dexamethasone" tamariki taea pehi i te pānga o te interleukin - matū kaha biologically tomo te rohe o te bronchi me te whai wāhi i roto i ngā tukanga inflammatory. ārai te tarukino te whanaketanga o te te kore romahā me he haumaru hoki te tamaiti tino.

"Dexamethasone": whakaahuatanga o te tarukino

Ko te medicament Ko te raupapa māngai glucocorticoid waihanga puai. hāngai ana te mahi o "Dexamethasone" te i te māori o te pūmua, kohuke me te warowaihā pākia i roto i te tinana. roaa te reira i anti-inflammatory, antiallergic, a protivosokovmi āhuatanga kaha antitoxic. E kore te te tukanga inflammatory manaaki e tino whakaiti i te kōtuitui o ngā pūtau rewa me eosinophils, e hua kaitakawaenga proinflammatory.

Hoki te maimoatanga o te dysplasia bronchopulmonary i roto i nga kohungahunga e whakamahia otinga i roto i ampoules. whiriwhiri te inenga e anake i runga i te pūtake takitahi. Kia mahara ki taua whakamahi wā-poto o taero he pānga immunosuppressive, a whakanuia ana therapy wā roa-te mōrea o hono i te mate tuarua.

Diuretics i roto i te BPD

Ahakoa te whakaiti o te kohi inu rā i roto i ngā pēpi halá, ki BPD, ki te ārai i te takanga o te edema whakaritea Diuretics - Diuretics. whakahaua ratou pānga haumanu te ki te māori o te toenga waikawa-turanga, me te hekenga i roto i te nui o te wai i roto i te kopa.

"Furosemide" Kei te tino whakamahia nuitia i roto i Diuretics pūnaha. Ko te raruraru o tenei faaineineraa ko ki te whakatere reabsorption inu i roto i nga pūkahukahu, me te whakapai ake i edema rehe pūkahukahu.

Haurangi me nunu'a

Ko te tino taumaha, me te mate kino dysplasia Bronchopulmonary. I roto i te mate kino he mate i roto i te 20% o te wā. I roto i te ngawari ki te whakaōrite mate, me te he taea te whakapai ake o te tamaiti ki te whakatutuki i roto i te tuatahi o nga marama o te ora. Kia pehea te maha whakawhanake hopearaa kino i muri BPD i roto i nga kohungahunga preterm? mea tohunga te āheinga e enei kuao mamae i hopuhopu mate romahā, te pēhanga toto tiketike, anemia, roa te whanaketanga tinana.