Tachypnea kuapo o ka hānau hou: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui
• Pehea e mālama ai
• No ke aha e hana ai

ʻO ka tachypnea kuʻuna o ka hānau hou kahi kūlana kahi e paʻakikī ai ka pēpē i ka hanu ʻana ma hope koke o ka hānau ʻana, kahi e ʻike ʻia e ke kala bluish o ka ʻili a i ʻole ka hanu wikiwiki ʻana o ka pēpē. He mea nui e ʻike ʻia kēia hanana a mālama koke ʻia i mea e pale ai i nā pilikia.

ʻO ka hoʻomaikaʻi ʻana o nā ʻōuli o ka tachypnea kuʻuna o ka hānau hou e ʻike ʻia ma waena o 12 a 24 mau hola ma hope o ka hoʻomaka ʻana o ka lapaʻau, akā, i kekahi mau hihia, pono paha e mālama i ka oxygen a hiki i 2 mau lā. Ma hope o ka lapaʻau ʻana, ʻaʻohe o ke ʻano o ka sequelae o ke keiki hānau hou, ʻaʻole hoʻi i ka makaʻu nui i ka hoʻomohala ʻana i nā pilikia hanu e like me ka hānō a i ʻole ka bronchitis.

Nā hōʻailona nui

Hōʻike ʻia nā ʻōuli o ka tachypnea kuakē o ka pēpē ma hope koke o ka hānau ʻana a aia paha:

• Hanu wikiwiki me nā neʻe hanu he 60 a ʻoi i kēlā me kēia minuke;
• Hanu paʻakikī: hana kani ʻana (kaniʻuhū);
• Wehe nui ʻia o ka puka ihu;
• ʻO kaʻili Bluish, keu hoʻi ma nā puka ihu, nā lehelehe a me nā lima.

Ke loaʻa kēia mau ʻōuli i ke pēpē, koi ʻia e loaʻa nā hōʻike diagnostic, e like me nā kukuna X a me nā hoʻokolohua koko, e hōʻoia i ka hōʻoia a hoʻomaka i ka lāʻau kūpono.

Pehea e mālama ai

Hana maʻamau ʻia no ka tachypnea hānau hou me ka booster oxygen e kōkua i ka pēpē e hanu maikaʻi, ʻoiai ke hoʻoponopono nei ka pilikia iā ia iho. No laila, pono paha e komo ka pēpē i kahi huna maka oxygen no 2 mau lā a i ʻole e normalized nā pae o ka oxygen.

Eia hou, ke hana nei ka tachypnea transient i ka hanu wikiwiki loa, me ka ʻoi aku o 80 mau neʻe hanu i kēlā me kēia minuke, ʻaʻole pono e hānai ʻia ka pēpē ma o ka waha, no ka mea aia ka makaʻu nui i ka waiū o ka waiū i loko o nā māmā I nā hihia pēlā, pono paha i ka pēpē ke hoʻohana i kahi paipu nasogastric, kahi pahu liʻiliʻi e kahe ana mai ka ihu a i ka ʻōpū a, ʻo ka maʻamau, pono wale nō e hoʻohana ʻia e ka kahu e hānai i ka pēpē.

Hiki ke hōʻike ʻia ka physiotherapy hanu i ka wā o ka mālama ʻana, me ka oxygen, hoʻoikaika i ke kaʻina hanu o ka pēpē, hana mau ʻia e kahi physiotherapist nāna e hoʻohana i kekahi ʻano o nā kūlana a me nā hana e kōkua ai e hōʻemi i ka hana o nā mākala hanu a kōkua i ka wehe ʻana o nā alaloa.

No ke aha e hana ai

Kū ka tachypnea kuʻuna o ka hānau hou ke hiki ʻole i nā ake māmā o ke pēpē ke hoʻopau i nā wai amniotic āpau ma hope o ka hānau ʻana a, no laila, aia ka nui o ka makaʻu o ka hoʻomohala ʻana i ka pilikia i nā hihia o:

• Hānau hou me ka emi o 38 mau pule o ka hānau ʻana;
• Hānau hou me ke kaupaona haʻahaʻa;
• Makuahine me ka mōʻaukala o ka maʻi diabetes;
• Hāʻawi Cesarean;
• Hoʻolālā i ka ʻoki ʻana i ka kaula umbilical.

No laila, ʻo kahi ala e pale ai i ka hoʻomohala ʻana o ka tachypnea transient i loko o ka hānau hou e hoʻopili i nā lāʻau corticosteroid, pololei i ka aa o ka makuahine, 2 mau lā ma mua o ka lawe ʻia ʻana e ka ʻāpana cesarean, keu hoʻi ma waena o 37 a me 39 mau pule o ka hāpai ʻana.

Eia kekahi, ʻo ka mālama ʻana i kahi hāpai olakino me ka papaʻai kaulike, hoʻoikaika kino mau a me ka hoʻēmi ʻana i ka hoʻohana ʻana i nā mea e like me ka wai ʻona a me ke kope, kōkua i ka hōʻemi ʻana i ka helu o nā mea pilikia.