Matenda a m'mapapo, kapena CLD, amatanthauza mavuto a mapapo a nthawi yaitali. M'mwana wakhanda msanga, matenda akuluakulu a mapapu amayamba chifukwa cha kuwonongeka kwa m'mapapo kumene mwana angatenge mpweya wabwino kapena amapatsidwa mpweya wabwino. Kutupa ndi kutupa kumayambitsa vuto kupuma komanso kupatsira magazi, ndipo zotsatira zake zimatha kwa miyezi kapena zaka.
Kuvuta kupuma ndi chizindikiro chachikulu cha matenda aakulu a mapapu.
Ana omwe ali ndi CLD angafunike thandizo lopuma kupitirira masiku 28 oyambirira, kapena pambuyo pa masabata makumi asanu ndi awiri (36). Matenda a m'mapapo amatha kusintha thupi lonse. Ana omwe ali ndi CLD akhoza kukhala ndi mavuto a mtima ndi mavuto kapena kudya.
Sikuti adani onse omwe anali pa mpweya wabwino adzakhala ndi matenda aakulu a mapapu. Mwayi wokhala ndi matenda a mapapu osapitirira akukwera ngati mwana:
- Anabadwa asanakwane masabata 30 asanakwatirane
- Ankalemera osachepera 3 lbs, 5 oz pa kubadwa
- Anali ndi matenda opatsirana kapena matenda atangobereka kumene
- Ndi mnyamata kapena woyera
- Anali ndi patent ductus arteriosus (PDA)
Ana ambiri adzalandira matenda aakulu a mapapu pafupi ndi zaka ziwiri, pamene matupi awo amakula minofu yamapapu yathanzi. Chithandizo chimaperekedwa kuthandiza ndi zizindikiro za CLD pamene mapapo amakula. Mankhwalawa amaphatikizapo kupuma kupuma mosavuta, zakudya zamakono zothandiza kukula, ndi mankhwala oti atsegule mapapo ndikuchepetsa kutupa ndi kutupa.
Tsatanetsatane yeniyeni ya CPD
Matenda a m'mapapo (CLD) amatanthauzidwa ngati vuto la kupuma kumene kumachitika patatha masabata 36 pambuyo pa kubadwa. Matendawa amatha kuphatikizapo zizindikiro za kupuma (kuvutika kupuma), kusowa kwa oxygen yowonjezera ndi zosaoneka zomwe zimapezeka pamtima x-ray.
Kodi ndi CPC Yotani?
CPD imapezeka pafupifupi 20 peresenti ya ana asanabadwe.
Matendawa ndi ofala pakati pa omwe ali ndi kulemera kochepa. Mwamwayi, ana ochepa amamwalira ndi CPD. Komabe, CPD imabweretsa zizindikiro zowonongeka za m'mlengalenga komanso matenda opatsirana, zomwe zingabweretse kuzipatala zambiri zaka ziwiri zoyambirira za moyo.
Nchifukwa chiyani CPD Imachitika?
Chifukwa chomwe CPD imachitira ana asanakwane ndikuti mapapu a ana awa samakula bwino ndi kutulutsa opaleshoni. Chosavuta kumva ndi lipoprotein yopangidwa ndi maselo otsekemera, omwe amachepetsa kuthamanga kwapansi ndipo amatithandiza kupuma.
Zinthu zina zimapangitsa kuti CPD ikhale ndi makanda oyambirira, kuphatikizapo kuvuta kwa chorioamnionitis, kutupa, kutentha kwa oxygen komwe kumaperekedwa pambuyo pobadwa ndi kupweteka kwa mpweya.
Kupewa
Kupititsa patsogolo mu pulmonology kusamala kwambiri kwathandiza kuteteza CPD m'matenda ena oyambirira. Kupita patsogolo kumeneku kumaphatikizansopo mapuloteni oyambirira a pentipenti (mtundu wa mpweya wabwino) komanso mankhwala opatsirana pogwiritsa ntchito mankhwala osakaniza.
Kuchiza
Nazi njira zina zomwe CPD imathandizira panthawi yayitali:
- Owonjezera mpweya panyumba
- Inalumikiza corticosteroids
- Amayambitsa agonists a beta
- Diuretics
Utsogoleri wa machitidwe oyenera (oral) steroids ndi otsutsana. Ngakhale ma steroids angathandize kuchepetsa kutupa, komwe kuli kagadi kakang'ono ka CPD, komanso kuthandizira mwana wodwala kutulutsa mpweya wabwino, kugwiritsa ntchito dexamethasone (mtundu wa systemic steroid) kumayambitsa chiopsezo chachikulu cha matenda a ubongo.
Komabe, CPD yokha ingayambitse matenda a ubongo. Motero, chisankho choyambitsa systemic corticosteroids ndi chovuta ndipo chinapangidwa ndi mwana wa pulmonologist.
Chitsime:
Rosenberg AA, Grover T. Mwana Wakhanda Watsopano. Mu: Hay WW, Jr., Levin MJ, Deterding RR, Abzug MJ. eds. Kufufuza Koyamba ndi Kuchiza: Matenda, 22e . New York, NY: Hill ya McGraw; 2013.