Tachypnea kuewa - hānau hou

ʻO ka tachypnea transient o ke keiki hānau hou (TTN) kahi maʻi hanu i ʻike ʻia ma hope koke iho o ka hānau ʻana i ka wā mua a i ʻole nā ​​hopena o ka wā hānau mua.

• ʻO ke ʻano transient he ola pōkole ia (ʻo ka hapa pinepine ma lalo o 48 mau hola).
• ʻO ke kumu ʻo Tachypnea ka hanu wikiwiki (ʻoi aku ka wikiwiki ma mua o ka nui o nā keiki hānau hou, he hanu maʻamau 40 a 60 mau manawa i kēlā me kēia minuke).

Ke ulu nei ka pēpē i loko o ka ʻōpū, hana ka māmā i kahi wai kūikawā. Hoʻopiha kēia wai i nā ake māmā o ka pēpē a kōkua iā lākou e ulu. Ke hānau ʻia ka pēpē i ka manawa, nā hormonone i hoʻokuʻu ʻia i ka wā o ka hana e haʻi i nā māmā e hōʻoki i ka hana ʻana i kēia wai kūikawā. Hoʻomaka ka māmā o ka pēpē e wehe a reabsorbing paha iā ia.

ʻO nā hanu mua mua a ka pēpē e lawe ai ma hope o ka hānau ʻana e hoʻopiha i nā māmā me ka ea a kōkua i ka hoʻomaʻemaʻe i ka hapa nui o ka wai i koe i koe.

ʻO ke koena o ka wai i loko o nā akemāmā e hāpai i ka pēpē e hanu wikiwiki. ʻOi aku ka paʻakikī o ka ʻeke ʻeke liʻiliʻi o nā ake māmā e hāmama.

Kūpono ʻo TTN i nā pēpē i:

• Hānau ʻia ma mua o ka 38 mau pule i hānau ai (kau mua)
• Lawe ʻia e ka ʻāpana C, ʻoiai inā ʻaʻole i hoʻomaka mua ka hana
• Hānau ʻia i kahi makuahine me ka maʻi hē a i ʻole hānō
• Māhoe
• Moekolohe kāne

ʻO nā keiki hānau me TTN he mau pilikia hanu ma hope koke o ka hānau ʻana, pinepine ma waena o 1 a 2 mau hola.

ʻO nā hōʻailona me:

• ʻO kaʻili o kaʻili Bluish (cyanosis)
• Ka hanu wikiwiki ʻana, i kū ʻia me nā walaʻau e like me ke kaniʻuhū
• ʻO ka lele ʻana o ka ihu a i ʻole nā ​​neʻe ma waena o nā iwi ʻaoʻao a i ʻole ka umauma i ʻike ʻia he retraction

He mea nui ka hāpai a ka makuahine a me ka mōʻaukala hana e hana i ke kuhi.

Hiki i nā hoʻokolohua i hana ʻia ma ke pēpē ke:

• Helu ke koko a me ka moʻomeheu koko e hōʻoki i ka maʻi
• Pākuʻi ka x-ray i nā kumu ʻē aʻe o nā pilikia hanu
• Kinoea koko e nānā i nā pae o carbon dioxide a me oxygen
• Ka nānā mau ʻana i nā pae oxygen o ka pēpē, ka hanu ʻana, a me ka helu o ka puʻuwai

Hana pinepine ʻia ka hōʻailona o TTN ma hope o ka nānā ʻia ʻana o ka pēpē no 2 a 3 mau lā. Inā hele ke ʻano i kēlā manawa, manaʻo ʻia he kuewa wale nō ia.

Hāʻawi ʻia i kāu pēpē ka oxygen e mālama i ke kūpaʻa o ke koko. Pono i kāu pēpē i ka nui o ka oxygen ma loko o kekahi mau hola ma hope o ka hānau ʻana. E hoʻomaka ka emi ʻana o ka oxygen o ke pēpē ma hope o kēlā. ʻO ka hapa nui o nā pēpē me TTN e hoʻomaikaʻi ma lalo o 24 a 48 mau hola, akā e pono i kekahi ke kōkua no kekahi mau lā.

ʻO ka hanu wikiwiki loa ka manaʻo ʻana ʻaʻole hiki i kahi pēpē ke ʻai. E hāʻawi ʻia nā wai a me nā meaola ma o ka aa a hiki i ka hoʻomaikaʻi ʻana o kāu pēpē. Hiki i kāu pēpē ke loaʻa nā lāʻau ʻalopika a hiki i ka wā e ʻike pono ai ka mea mālama ola ʻaʻohe maʻi. Kākaʻikahi, pono nā pēpē me TTN i ke kōkua me ka hanu ʻana a hānai ʻana paha i hoʻokahi pule a ʻoi paha.

Hele pinepine ke ʻano i loko o 48 a 72 mau hola ma hope o ka lawe ʻana. I ka hapanui o nā hihia, ʻaʻohe pilikia o nā pēpē i loaʻa iā TTN mai ke ʻano maʻi. ʻAʻole lākou e pono i kahi mālama kūikawā a i ʻole ka ukali ʻē aʻe ma mua o kā lākou papa hana maʻamau. Eia nō naʻe, aia kekahi mau hōʻike e hiki i nā pēpē me TTN ke kiʻekiʻe aʻe i ka makaʻu no ka ʻūpē ʻana i nā pilikia ma hope o ka wā kamaliʻi.

ʻO nā pēpē ma mua a i ʻole nā ​​wā hānau mua (hānau ʻia ma mua o 2 a 6 mau pule ma mua o ko lākou lā palena) i hānau ʻia e ka ʻāpana C me ka hana ʻole e pilikia paha i kahi ʻano ʻoi loa i kapa ʻia ʻo "TTN ʻino."

TTN; Māmā mākū - nā keiki hānau hou; Mālama ʻia ka wai māmā fetal fetal; RDS kuewa; Hoʻololi lōʻihi; Neonatal - tachypnea kuewa

Ahlfeld SK. Nā maʻi maʻi hanu. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 122.

ʻO Crowley MA. Nā maʻi hanu neonatal. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine: Nā maʻi o ka Fetus a me ka pēpē. 11th hua. Piladelapia, PA: Elsevier Saunders; 2020: chap 66.

Greenberg JM, Haberman BE, Narendran V, Nathan AT, Schibler K. Neonatal morbidities o ka prenatal a me ka perinatal kumu. I: Creasy RK, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, nā huahana. ʻO Medicine a Maternal-Fetal a Creasy a me Resnik: Nā Manaʻo a me ka Hoʻomeheu. 8th ed. Piladelapia, PA: Elsevier Saunders; 2019: chap 73.