BPD ma preterm na kamalii uuku - He aha ka mea?

Bronchopulmonary dysplasia (BPD) i loko o premature na kamalii uuku ulu e ku e hooloihiia waiū i kiʻekiʻe oxygen ma ka puʻuwai i hana ia e ka respirator. E hoʻopau maʻi, ke kamaiki koi kūikawā lapaʻau pahuna ma hoola i kona ola. E hoi kakou i ka ia mea, lalau mai, symptoms a me ka lapaau ana o ka pathological hiʻona o ka kŰia.

BPD ma preterm na kamalii uuku - He aha ka mea?

Kids ka poe i hanau prematurely he mau, i paku ole ia i na maʻi likeʻole no ka mea, o ka nele o? Acaeoey o ka na nā loko. Ua aneane kela keiki i keia deviations nui i loko o ka naehana nenoaiu. I mea e malama i ka koi kiʻekiʻe o o oxygen ke keiki mea i pili i ka ventilator. Kēia hoʻi, a hoʻi iā ka humidity, mahana, a kahe ana o ke kinoea ukuhiia no ka hanu. A pinepine complication o kēia kaʻina hana ka bronchopulmonary dysplasia.

Bronchopulmonary dysplasia ma preterm na kamalii uuku e hoʻomōhala ana i ka wā paku ole ia i kiʻekiʻe nā hoʻohui like o ka o oxygen no ka lōʻihi manawa. Inā ka pēpē mea ma luna o ka ventilator no ka oi mamua o 28 mau lā, i ka pilikia o ka maʻi, piʻi pū me ka nui loa. Pohihihi keia maʻi ia lŘlŘ i loko o na keiki i hanau i kau, ma hope o mea maʻi bronchial paipu a me ia maʻiʻaʻai.

Currently, a pau hihia o ka houʻano o ka BPD pinepine paa, ma a na ia maʻiʻaʻai i ka palena iki alveolarization pēpē, emi ia lōlō o ka ÷ naehana hanu a me ka pulmonary moku. Ke hoʻohālikelike i ka "Classic" bronchopulmonary dysplasia, he "mālamalama" ano o ka maʻi ua hoolilo nui maʻalahi.

Kumu o ka BPD

Ka mea hiki wale mai o bronchopulmonary dysplasia i kākau ma hope o ka hoʻololiʻana aku i ke keiki, mai ke ventilator. Poe akamai i aku nei au ia aia no he pathological kŰia ku ai i ka waiwai o ka maemae o oxygen ma underdeveloped pulmonary 'ole. Wale no ke kumu o BPD kamepiula kumumea loaʻa nā kēia:

• komo i ka bronchopulmonary'ōnaehana o infectious konohiki;
• kūpono aaieieno? o surfactant;
• pulmonary hypertension kena ae la ia e malformations o ka naau;
• poho akemāmā'aʻaʻa ka wā i pili ai i ka ventilator;
• pulmonary edema;
• wikamina ia wā.

Pakahi aku la ia, he pono ole BPD i loa preterm na kamalii uuku. Kēia waeʻano nā keiki hanau mua 29 pule, a he emi o 1500 surfactant'ōnaehana i ole, ua ulu loa. Ua hiki aku i ka mea i loko o ka expiratory akemāmā alveoli hoʻomaka e pili pu, a lilo maoli o ka pōʻino, a hoʻonāukiukiʻana mai o ka mea hōʻemi o ke kinoea launa like. E pale aku undesirable hopena, ua pili i ke keiki i ka ventilator.

Nā symptoms o BPD

ua kākau ma hope o disconnecting i ke kamaiki, mai ka ventilator Ka mua hoike ana o ka maʻi. Koke ia i mea i kāu keiki i ka maikaʻi au, akā, ma hope o ka lakou, oiai, he mea mau lepa a. Ma luna o nā mea a pau, na makua e hoʻolohe i ka pokole o ka hanu. Inā he kao keiki, ua oi aku mamua o 60 breaths no minuke, puka ihu flaring ikaika, a me ka pahu i ka barela-hoʻokino helehelena, e like me ka hikiwawe e loaa ana i ka imi 'inikua kōkua.

Walaʻau hanu, phlegm i loko o ka maʻiʻaʻai, haawi hanu, bluishʻili - pinepine symptoms o BPD ma premature na kamalii uuku. He aha ka i kēia maʻi, a pehea e kōkua i ke keiki kaʻano? Inc koho wale ma ke kauka ke kaumaha ma muli o ka oolea o ke keiki. Mālama '-paʻa PalekanaEND_LINK ana: mawaho ninaninau, ultrasound o ka naau, pahu X-Ray. Eia hou kekahi, keʻena hoʻokolohua ho'āʻo ma, Consulting pulmonologist hiki ke hāʻawi.

BPD lapaʻau

Premature keiki pathology hana symptomatically. I ka papa kuhikuhiE Pahuhopu o ia Inc ninoieo i loko o ka noʻonoʻo symptoms o ka mai a me ka normalization o ka hanu. Duration o ka lapaʻau - mai kekahi mau pule i 2-3 mahina.

Maopopo ma waena o mehana, lōpū a me ka loa bronchopulmonary dysplasia. Iloko o ke kahua o ka maʻi ia exacerbation a me ke kala ana. Uluwehi O Inc komo ai i ka hoʻohana 'ana o nā corticosteroids, diuretics, antibiotics (ina pono), bronchodilators, surfactants.

Antibacterial ai 'e pono e inhibit i ke kūpono' ana o ka li nui. Noonoo pono ai lāʻau mai macrolide i ka pono paʻi me ka palahalaha pae o pathogens.

Inc Hiʻona

I loko nō o ka mea i maʻi hoʻonāukiukiʻana mai o mechanical e hoʻokomo ea i loko o ka lapaau kaʻina hana a me ka oxygen Inc. Ai pili aku i ke kamaiki i ka mīkini mea pono e hōʻoia i ka ÷ naehana hanu'ōnaehana, a me nā mea a pau nā'aʻaʻa lawa ka oxygen. Pela ua hoemiia ka lehulehu o ke kinoea hui a me ka puʻe i loko o ka ipu, e like me ka nui i hiki. Ua e kekahi koi ikaika ka mālamaʻana o ka nui o ka o oxygen i loko o ka pēpē ka koko.

I ka BPD ma preterm na kamalii uuku pono eʻai i kaʻai. He mea nui ia ke kino i ke keiki o ka lawa nui o ke kumuʻiʻo, a pela ole loa wai. Inā o ka moku'āina o ke keiki kaumaha nutrient läÿau, ua lawelawe ma ka gavage. Ke kinowai ka leo ho'ēmi i kā i 110 ml no kg o ke kino ke kaupaonaʻana no ka lā e pale aku i ke kūpono 'ana o pulmonary edema.

Ka hoʻohana a hormones

Hōmona Inc mea pono, e hoʻopau i ka li nui i loko o ka naehana'āpana, a ia lŘlŘ ma ke kāʻei kua o bronchopulmonary dysplasia. Systemic glucocorticoids lawelawe, mai ka lā mua o ke ola i ka wa a ke keiki ua lalau aku la ia ma luna o ka ventilator. Kēia ho'ēmi i kā ka pilikia o ka loa abnormalities o ka naehana nenoaiu.

E noke i hōmona Inc loaʻa paha kekahi mau keakea, i ke kumu nui o a nō kaʻaoʻao waiwai o hyperglycemia, hypertension, hypertrophic cardiomyopathy.

Koho ua pinepine haawiia ana steroid. Ka mea, he pono ke oi aku ka li laʻau heluna, a he aha ka mea wale na nā wahi haʻahaʻa o ka naehana'āpana. I ka Ia manawa, i kēia Inc hoʻolako wale he pokole maikaʻi ia i ka loa hihia.

"Dexamethasone" - kekahi o na ai 'loa pono a me ka hoʻokēʻai-hana mai i ka pae ana o glucocorticoids. Ua Ua koi 'ia ma na hihia o ka pilikia kokua o ka huʻi hoikeana o ka maʻi. Nō hoʻi, i ka lāʻau 'ano ua ālai' ke kahua o ka hou ho'āhewa wale.

Lapaʻau o BPD ma premature "Dexamethasone" keiki ke uhi i ka hopena o ka interleukin - biologically hana waiwai komo i ka māhele o ka bronchi, a ua komo i loko o hoʻoʻino keʻano o ka hanaʻana. Ka lāʻau 'ano ua ālai' o ka ulu ana o naehana hanu 'ole a me ka mea pono maluhia no ke keiki.

"Dexamethasone": hōʻike ana i ka lāʻau '

Ke medicament mea he potent kemikala glucocorticoid Agena moʻo. I ka hana o ka "Dexamethasone" ua nona ma ka normalization o ke kumuʻiʻo, mea pōhaku a me ka carbohydrate pūnao i loko o ke kino. Ua paʻa ikaika Anati-hoʻoʻino, antiallergic, a me protivosokovmi antitoxic waiwai. O hoʻoʻino kaʻina ua i hoomahaiaʻi ma me ka nui loa hoemi i ka hoʻololi kemikala o ke kia keena a me eosinophils, a paka proinflammatory uao.

No ka iapaau ana o bronchopulmonary dysplasia i na kamalii uuku hoʻohana pāʻoihana ma ampoules. Ka laʻau heluna Ua koho wale nō ma luna o kekahi kanaka manawa. E hoʻomanaʻoʻoukou i ka pokole-makahiki i ka ai 'he immunosuppressive' ole, a me ka lōʻihi-manawa Inc maoli i ka pilikia o ka hui ana i kekahi haumāna maʻiʻaʻai.

Diuretics ma BPD

I loko nō o ka ka ho'ēmiʻana o ka mea i kela la loli hoopau ana i loko o premature keiki me ka BPD, e pale aku i ka hanana o ke edema kohoia diuretics - diuretics. Lākou pākōlea hookoia ua kauoha ia ka normalization o kaʻakika-kumu kaulike, a me ka emi i loko o ka nui o ka loli i loko o nā nā'aʻaʻa.

"Furosemide" ua loa olelo hoʻohana i waena o ka'ōnaehana pūnaewele diuretics. Ka pilikia o keia la hoomalolo mea e hōʻeleu i loli reabsorption i loko o ka maʻiʻaʻai a me ka hoʻoikaika 'ana pulmonary mechanics edema.

Nā wānana waiwai a me ka hopena

Bronchopulmonary dysplasia Ua kaumaha a me ka weliweli maʻi. I loa mai ka ona i ka 20% o ka hihia. Ma mehana e hoʻokanahaʻi maʻi, a me ka hana ana o ke keiki, ua hiki ke hoʻokō i loko o ka mahina mua o ke ola. Pehea pinepine hoʻomōhala io hopena ma hope o BPD ma ka preterm na kamalii uuku? House kilo'ōlelo aku nei au i kēia mau keiki e ae mai infectious naehana maʻi, kiʻekiʻe ke koko, anaemia, hoolohi physical ulu.