ʻO Neonatal Respiratory Distress Syndrome

Anter

• He aha ke kumu o ka neonatal respiratory respiratory syndrome?
• ʻO wai ka makaʻu no ka neonatal respiratory respiratory syndrome?
• He aha nā hōʻailona o ka neonatal respiratory respiratory syndrome?
• Pehea e ʻike ʻia ai kahi maʻi maʻi hanu neonatal?
• He aha nā hōʻailona no ka neonatal respiratory respiratory syndrome?
• Pehea e hiki ai iaʻu ke pale aku i ka neonatal respiratory respiratory syndrome?
• He aha nā pilikia e pili ana i ka neonatal respiratory respiratory syndrome?
• He aha ka manaʻo lōʻihi?

He aha ka maʻi hanu hanu neonatal?

Hāpai kahi hāpai wā piha i 40 mau pule. Hāʻawi kēia i ka fetus i ka manawa e ulu. Ma 40 mau pule, hoʻomohala piha ʻia nā meaola. Inā hānau mua ʻia kahi pēpē, ʻaʻole paha e hoʻomohala piha ʻia nā māmā, a ʻaʻole paha e holo pono. He mea koʻikoʻi nā māmā olakino no ke olakino holoʻokoʻa.

Hiki ke hana ʻia ka maʻi ʻeha neonatal, a i ʻole RDS neonatal, inā ʻaʻole hoʻomohala piha ʻia nā māmā. Hana ʻia ia i nā pēpē pēpē. Loaʻa i nā pēpē me RDS neonatal ka paʻakikī e hanu maʻamau.

ʻIke ʻia ʻo Neonatal RDS ʻo ka maʻi membrane hyaline a me ka maʻi hanu pēpē pēpē.

He aha ke kumu o ka neonatal respiratory respiratory syndrome?

ʻO Surfactant kahi mea e hiki ai i nā māmā ke hoʻonui a ʻaelike. Mālama pū kekahi ia i nā ʻeke ea liʻiliʻi i loko o nā akemāmā, i ʻike ʻia ʻo alveoli, hāmama. ʻAʻohe surfactant o nā pēpē mua. Hiki i kēia ke kumu i nā pilikia o ka hanu a me ka pilikia o ka hanu.

Kū paha ʻo RDS ma muli o kahi pilikia hoʻomohala e pili ana i nā genetics.

ʻO wai ka makaʻu no ka neonatal respiratory respiratory syndrome?

Hoʻomohala nā māmā a me nā hana ma ka utero. ʻO ka hānau mua o kahi pēpē, ʻo ka kiʻekiʻe o ka makaʻu o RDS. ʻO nā pēpē i hānau ʻia ma mua o 28 mau pule he pilikia loa. ʻO nā kumu ʻē aʻe e pili pū me:

• he kaikaina me RDS
• hāpai keiki he nui (māhoe, pākolu)
• kahe o ke kahe o ke koko i ka pēpē i ka wā e hānau ai
• lawe ʻia e cesarean
• mimikō makuahine

He aha nā hōʻailona o ka neonatal respiratory respiratory syndrome?

E hōʻike pinepine kahi pēpē i nā hōʻailona o RDS ma hope koke o ka hānau ʻana. Eia nō naʻe, ulu kekahi mau ʻōuli ma loko o 24 mau hola ma hope o ka hānau ʻana. Nā ʻōuli e kiaʻi no ka:

• ʻula uliuli i ka ʻili
• lapalapa ʻana o nā puka ihu
• hanu wikiwiki a pāpaʻu paha
• hoʻemi i ka puka mimi
• ʻōhumuhū i ka hanu ʻana

Pehea e ʻike ʻia ai kahi maʻi maʻi hanu neonatal?

Inā kānalua ke kauka iā RDS, e kauoha lākou i nā hoʻokolohua lab e hōʻole i nā maʻi i hiki ke hana i nā pilikia hanu. E kauoha pū lākou i kahi X-ray umauma e nānā i nā māmā. E nānā kahi anamanaʻo kinoea koko i nā pae oxygen i loko o ke koko.

He aha nā hōʻailona no ka neonatal respiratory respiratory syndrome?

Ke hānau ʻia kahi pēpē me RDS a ʻike koke ʻia nā ʻōuli, ʻae ʻia ka pēpē i kahi keʻena mālama maʻi neonatal (NICU).

ʻO nā lapaʻau ʻekolu no RDS:

• surfactant pani hoʻōla
• he ea paha a i ʻole nasal mau ana i ke ea puʻe maikaʻi (NCPAP) mīkini
• ʻōnaehana oxygen

Hāʻawi ka Surfactant replacement therapy i kahi pēpē i ka surfactant i nele lākou. Hāʻawi ka lāʻau i ka lāʻau lapaʻau ma o ka pahu hanu. Mālama kēia e hele i loko o nā māmā. Ma hope o ka loaʻa ʻana o ka heʻe nalu, e hoʻopili ke kauka i ka pēpē i kahi ea. Hāʻawi kēia i ke kākoʻo hanu keu. Pono lākou i kēia kaʻina hana i nā manawa he nui, ke kaukaʻi ʻia i ke koʻikoʻi o ke ʻano.

Hiki i ke pēpē ke loaʻa i ka mālama ʻana i ka ventilator hoʻokahi no ke kākoʻo hanu. Hoʻopili kahi mea hoʻokomo i ka waiho ʻana o kahi paipu i lalo i ka aniani. Hanu ka ventilator no ka pēpē. ʻO kahi koho kākoʻo hanu hoʻowahāwahā liʻiliʻi he mīkini nasal hoʻomau maikaʻi maikaʻi (NCPAP) mīkini. Mālama kēia i ka oxygen ma o nā puka ihu e kahi huna liʻiliʻi.

Hāʻawi ka oxygen therapy i ka oxygen i nā ʻōpū o ke pēpē ma o nā māmā. Me ka lawa ʻole o ka oxygen, ʻaʻole hana pono nā meaola. Hiki i kahi ventilator a i ʻole NCPAP ke lawelawe i ka oxygen. I nā hihia maʻalahi, hiki ke hāʻawi ʻia i ka oxygen me ka ʻole o kahi ventilator a i ʻole me ka ihu CPAP mīkini.

Pehea e hiki ai iaʻu ke pale aku i ka neonatal respiratory respiratory syndrome?

ʻO ka pale ʻana i ka lawe ʻana ma mua e hoʻohaʻahaʻa i ka makaʻu o ka neonatal RDS. I mea e hōʻemi ai i ka pilikia o ka lawe wawe ʻana, e mālama i ka mālama prenatal ma waena o ka hāpai ʻana a pale i ka puhipaka, nā lāʻau i pāpā ʻole ʻia, a me ka waiʻona.

Inā hiki ke lawe i kahi manawa hānau, loaʻa paha i ka makuwahine nā lāʻau. Paipai kēia mau lāʻau i ka ulu māmā a me ka hana ʻana o ka surfactant, a he mea nui ia i ka hana māmā o ka fetal.

He aha nā pilikia e pili ana i ka neonatal respiratory respiratory syndrome?

Eʻoi aku paha ka maikaʻi o ka neonatal RDS ma luna o nā lā mua o ke ola o kahi pēpē. Hiki i ka RDS ke make. Loaʻa paha kekahi mau pilikia lōʻihi ma muli o ka loaʻa ʻana o ka nui o ka oxygen a no ka nele paha o nā oxygen i nā ʻōpū. Hiki i nā pilikia ke hoʻopili:

• ea kūkulu i loko o ka ʻeke a puni ka puʻuwai, a i ʻole ma nā akemāmā
• nā pono kīnā o ka ʻike
• makapō
• huʻi koko
• kahe ʻana o ke kahe i ka lolo a i ʻole nā ​​ake māmā
• dysplasia bronchopulmonary (kahi maʻi hanu)
• hāneʻe hāhā (pneumothorax)
• maʻi ʻaʻai
• hakuʻala ʻole (i RDS koʻikoʻi)

E kamaʻilio me kāu kauka e pili ana i ka pilikia o nā pilikia. Pili lākou i ka paʻakikī o ka RDS a kāu pēpē. ʻOkoʻa kēlā me kēia pēpē. ʻO kēia mau pilikia maʻalahi wale nō; ʻaʻole paha lākou e hana ʻia. Hiki i kāu kauka ke hoʻohui iā ʻoe i kahi hui kākoʻo a ʻōlelo aʻoaʻo paha. Hiki i kēia ke kōkua me ke kaumaha o ka naʻau o ka hana ʻana me kahi pēpē ʻōpio.

He aha ka manaʻo lōʻihi?

Hiki i ka Neonatal RDS ke lilo i manawa paʻakikī no nā mākua. E kamaʻilio me kāu kauka kauka a i ʻole kauka neonatal no nā ʻōlelo aʻoaʻo e pili ana i nā kumuwaiwai e kōkua iā ʻoe e hoʻokele i nā makahiki e hiki mai ana o ke ola o kāu keiki. ʻO ka hoʻāʻo hou ʻana, e laʻa me nā hoʻāʻo a me ka hoʻolohe ʻana a me ke olakino a i ʻole haʻi ʻōlelo, pono paha i ka wā e hiki mai ana. E ʻimi i ke kākoʻo a me ka paipai ʻana mai nā pūʻulu kākoʻo e kōkua iā ʻoe e hana i ke kaumaha o ka naʻau.