Respiratory distress syndrome: nyika mbiri dzakasiyana

Chirwere ichi, chiri munyaya yechinyorwa chino, ndechimwe chezvishomanana zvakakonzerwa nechikonzero chekuti vanachiremba vakabhadhara zvakanyanya nyaya dzekurapa nekudzivirira. Nokudaro, nhamba dzehutachiwana nekufa zvakaderera. Chii chinonzi kuporesa chirwere syndrome uye ndiani anorwara ane iyo?

Muzvinyorwa, shure kwezita iri panogona kunge kune dzimwe nyika dzakasiyana zvakasiyana. Chokutanga chezvizvi chirwere chinoputika chinowanikwa mumucheche asati asvika pamusana pokuti mapapu anenge asina kufema. Chechipiri ndechekuti munhu akaremara kuporesa chirwere chinonzi syndrome, chirwere chinoitika nekuda kwezvikonzero zvakasiyana-siyana, asi hachina kuonekwa sechirwere chakasiyana. Ngationgororei zvose zviri zviviri zvinotaura zvakadzama.

Ngatitange nehutano mucheche. Izvi zvinoreva kuti chiyero chakaringana chesipfeti hachibudiswi mumapapu uye kune kukanganiswa mune zvakagadzirwa nehutali membrane. Kuwedzerwa kwekunyanyisa kwekuputsa kwakadaro kunoenderana nezera rekuita zvemwana uyu. Kunyanya kufungidzira, kwakasimba, maererano nehuwandu, kuoma kwechirwere. Inogona kuvhiringidzwa nekubudirira nechirwere chesteroid vasati vaberekwa, izvo zvinowedzera chiyero chekukura kwemapapu. Uyewo, kutungamirirwa kwepakutanga kwe-surfactant uye inokosha, nyoro yemhepo yemhepo yemapapu inobatsira, inobatsira kudzivirira nhengo kusakundikana nezvimwe zvinetso zvakawanda.

Acute respiratory affliction syndrome, iyo inowanikwa mune vanhu vakuru (kunyange inowanikwa muvana venguva yakazara) chirwere chakakomba chinokonzerwa nekukuvara kwemapapu kana utachiona. Mumamiriro ezvinhu aya, kuputika kwemapapu parenchyma kunoonekwa, sechigumisiro chekushandiswa kwegesi kunowedzera zvakanyanya. Panguva imwecheteyo, pamwero wehupenyu hwakakwana, zvinowedzera zvitsva zvinosunungurwa zvinowedzera kuvhiringidza. Kana iwe usingabatsiri murwere akadaro, kukanganisa kwezvikamu zvakawanda kunogona kunge , pamwe nemapapu, chiropa netsvo, pamwe chete nedzimwe nhengo, dzichatambura. Izvi zvinoda kutarisirwa nekukurumidza, kureva kuti, murwere ane chirwere chakakomba chechirwere chinotarirwa nevanosunungura.

Zvose zvinotanga nemanzwiro ekushayikwa kwemhepo uye kukurumidza kufema. Murwere anotanga kutambura nekuvhiringidzika. Chirwere ichi chinoratidzira kliniki mushure memaawa 24-48 mushure mokunge zvichitsvaga kune chinokanganisa. Kune zvikamu zviviri. Ikutanga inokuvadza. Pakati pavo, kupindira kwemamwe mimwe mitumbi, kushungurudzika, kupisa, kutyisa muviri (kusanganisira doro), kuwedzerwa ropa rakawandisa. Chikamu chechipiri chezvikonzero chinowedzera kuwedzera kwechirwere (kwete kwete nyore). Inogona kuva pancreatitis yakaoma, pneumonia inokonzerwa nehutachiona, kana sepisisis. Kana chirwere chemapfupa chirwere chinenge chichifungidzirwa, anonzi X-ray inotorwa, kuratidza unhu hunhu. Iropa rinokonzerwa rinotaridzirwawo nokuda kwegasi rine zvinhu. Nokudaro, zvinokwanisika kuona kusakwana kwe okisijeni uye kuwedzera kwekhabhoni dioxide mauri, iyo inokosha yekuongororwa.

Mukuchengetedza kwakanyanya, murwere ari mumamiriro ezvinhu akaoma akaiswa muitiro wekuvhenekera kwemapapu, kazhinji izvi zvinotora nguva refu, kazhinji kwevhiki mbiri. Murwere anoiswa munzvimbo inokosha yekuderedza mukana wekupera mapapu. Deredza kuwanda kwemvura mumutumbi uchishandisa diuretics kana kudzivisa kunwa. Uyewo, corticosteroids inowanzotaurwa, asi, maitiro acho maduku uye anobatsira apo murwere atotanga kubuda kubva kune chinetso chakanyanya.

Kufuridzira chirwere chinotapukira chinotanga kuitika, saka kana iwe uchinetseka zviratidzo, zvakadai sekunzwa kwokushaya mweya, unoda kudana ambulensi. Chiratidzo ichi hachina kunaka, kunyange kana nyaya yako isingabatanidzwi nechirwere ichi. Izvi zvakakomba zvikuru, saka, taura zvakakodzera.