Incazelo ye-Atelectasis ezinsaneni nasezikhungweni
I-Atelectasis ukuwa kwezinsizakalo ezincane zomoya (alveoli) emaphashini. Ngenxa yokuthi i-oksijini ingena egazini nge-alveoli, lezi zingxowa ezincane zomoya zibaluleke kakhulu ekusebenzeni kwamaphaphu. Uma ama-alveoli amaningi kakhulu ewa, amaphaphu akakwazi ukuthola umoya-mpilo kuwo wonke umzimba.
Yini Ebangelwa Atelectasis Ezinsana?
Kunezimbangela eziningi ze-atelectasis ezinsana ezisanda kuzalwa, kungakhathaliseki ukuthi zazalwa ngaphambi kwesikhathi noma ngesikhathi esiphelele.
Ezinye izizathu zomoya ezincane zingase ziwile zihlanganisa:
- Ukuguqulwa kokuqala: i- Atelectasis iyinkimbinkimbi evamile yokuqeda isimo. Izinsana zangaphambi kokuqala zingase zingabi ne-surfactant eyanele, ikhemikhali elisiza ukugcina i-alveoli ivulekile. Lokhu kungabangela ukuwa kwe-airway encane ne-respiratory distress syndrome (RDS).
- Inhloso ye-Meconium: I- Meconium igama lezitshalo zokuqala zomntwana. Uma izingane zidlula lesi sitokhi ngaphambi kokuzalwa, zingangena emoyeni wazo bese zibenza zigule kakhulu. I-Meconium ingavimbela umoya ukungena e-alveoli, ebangele bawa.
- I-pneumonia: I- Pneumonia noma ezinye izifo zamapayipi zingabangela ukuzala emaphashini. Njenge-meconium, le nhlanhla ingagcina umoya ungangeni e-alveoli futhi ibangele bawa.
- Izinkinga zokuphefumula: Izinkinga ze- muscle noma ze-neurologic ezibangelwa ukuphefumula ngokujulile zingavimbela imimoya yomoya ukuba igcwalise yonke indlela futhi ibangele ukuba iwa.
I-Atelectasis ivinjiwe kanjani?
Ukwazi ukuthi ukungakaqali kokuqala kubeka ingane engozini enkulu ekwenzeni i-atelectasis, ukukhulelwa kowesifazane kuvame ukuhlolwa ukuze kubonakale izimpawu zokuqashwa kwabasebenzi.
Uma ukuqala komsebenzi kuqala, odokotela bangase basebenzise ukuhlanganiswa kokulala kombhede, i-hydration, imithi, nokunye ukungenelela ukuzama ukubambezeleka ukubeletha isikhathi eside ngokwanele ukuhlinzeka nge-steroids yokubeletha okusiza ekuthuthukiseni ukuthuthukiswa kwamaphaphu.
Yiziphi Izibonakaliso Ze-Atelectasis?
Ngokujwayelekile, izinsana zizobonisa izimpawu ze-atelectasis zingakapheli imizuzu yokuzalwa kodwa ngezinye izikhathi zingakapheli amahora ambalwa kamuva.
Izimpawu zingafaka:
- I-bluish tint isikhumba kanye ne-membranes emangcwabeni (i-cyanosis)
- Ukuyeka okufushane ekuphefumuleni (i-apnea)
- Ukunciphisa umkhiqizo we-urine
- I-Nasal flaring
- Ukuphefumula ngokushesha
- Ukuphefumula okungajulile
- Ukuphefumula nokugubha imisindo ngenkathi kuphefumula
- Ukunyakaza okungavamile ngesikhathi sokuphefumula
I-Atelectasis Ihlolwe Kanjani?
Uma odokotela besolwa nge-atelectasis, bazokwenza ukuhlolwa okuhlukahlukene ukuze bahlolisise isimo. Lokhu kungafaka:
- Ukuhlaziywa kwegazi, okuhlola ama-oxygen nama-asidi emzimbeni wamanzi.
- I- x-ray ye- Chest, engabonisa "ingilazi yomhlabathi" ukubukeka emaphashini.
- Ukuvivinya kwelabhu ukulawula ukutheleleka ngenxa yenkinga yokuphefumula.
I-Atelectasis iphathwa kanjani?
Kunezindlela ezimbalwa odokotela abaphatha ngayo i-atelectasis ezisanda kuzalwa, kuye ngokuthi imbangela. Ezinye izingane zingase zibekwe ngezindlela ezivumela uketshezi ukukhipha noma ukuhamba emoyeni ukuvula. Izinsana ezingaphambi kwesikhathi zinganikezwa ochwepheshe bokusebenza ukuze basebenzise i-alveoli yabo evulekile. Ukwesekwa ngokuphefumula noma ukuphefumula ngemithi kungasiza ekugcineni imimoya ivuleke futhi ivumele izingane ziphefumule kangcono.
Ngaphezu kwalokho, izinsana ezine-atelectasis kufanele zinikezwe ukunakekelwa okusekelayo njengokuhlelwa kokuzola, ukuphatha kahle, ukugcina izinga lokushisa lomzimba elihle, ukuphathwa kahle komzimba nokuphathwa kokudla, kanye nokwelashwa okusheshayo kwezifo.
Imithombo:
Isikhungo sezingane sikaJohn Hopkins. "Atelectasis."
UJones, P. (2013) Isikhungo sezokwelapha sase NYU Langone. "Atelectasis ezinsaneni."