BPD carruurta risk - waa maxay?

Kobac Bronchopulmonary (BPD) ee dhallaanka dhicis soo koraya ka dhanka ah gaadhista sii dheerayn cadaadiska oxygen sare abuuray by siiye ah. Si aad u baabi'iyo cudurka, ilmahaaga u baahan yahay daaweyn gaar ah loogu talagalay inuu naftiisa badbaadiyo. Ha ka fikiro si aynu waxa ay tahay, sababaha, astaamaha iyo daweynta oo ka mid ah muuqaalada bahal ee ifafaale ah.

BPD carruurta risk - waa maxay?

Kids oo lagu Dhicis yar ku dhashay, loo bandhigi cudurro kala duwan, sababtoo ah la'aanta ah ee horumarka oo ka mid ah xubnaha gudaha. Ku dhawaad ilmo kasta waxa uu leexashooyinkaasi halis ah sida in habka neefsashada. Si ay u joogteeyaan heerka loo baahan yahay ee oxygen ilmaha waa xiran qalabka neefsashada ah. qalabka Tani, taas oo ay gacanta ku Heerka qoyaan, heerkulka iyo socodka ee isku dar ah gaaska neefsashada ah. Dhibaatada A noqnoqda ee hawlgalkan waa Kobac bronchopulmonary.

Kobac Bronchopulmonary carruurta risk uu yeesho markii loo feydo sare ee oxygen muddo dheer. Haddii ilmuhu jiro on qalabka neefsashada ah muddo ka badan 28 maalmood, halista cudurka u kordho. cudur dhif ah waxay dhacdaa in carruur baa u dhalatay ee muddada, ka dib markii xanuun halis ah tuubooyinka bronki iyo sambabada.

Currently, dhammaan xaalado kasta oo nooc cusub oo ah BPD badanaa go'an, taas oo sambabada ilmo alveolarization ugu yar, qallal yar calaamadsan oo ka mid ah neefsashada iyo weelashii pulmonary. Marka loo eego "classic" Kobac bronchopulmonary, nooc ka mid ah "iftiin" cudurka waxaa loo wareejiyey inta badan ka sahlan.

Sababaha BPD

dhacdooyinka Kobac bronchopulmonary duubay kadib markii ilmaha laga furo qalabka neefsashada bedesheen off. Khubarada ayaa sheegaya in ay jirto ifafaale bahal ah ay sabab u tahay saamaynta oxygen saafi ah qaabka pulmonary dhacsan. Just arrimaha aasaasiga ah khatarta BPD ka mid ah kuwa soo socda:

• galaya nidaamka bronchopulmonary wakiilada faafa;
• Maamulka khaldan ee surfactant,
• hypertension pulmonary sababa cilladaha wadnaha;
• dhaawac jirka sambabada marka xiran qalabka neefsashada,
• barar sambabada,
• yaraanshaha vitamin.

BPD gaar ahaan caadi in ilmaha yaryar aad risk. Qaybtan waxaa ku jira ilmaha ku dhasha ka hor 29 todobaad oo miisaankeedu yahay in ka yar 1500 nidaamka surfactant aan la horumariyo si buuxda. Tani waxay keenaysaa in xaqiiqda ah in inta lagu guda jiro sambabka shaygaa Alfiyoli bilaabaan inay isku wada dheggan yihiin iyo u noqdaan dhaawacan, oo dhirfinaya sii daraysa ee sarrifka gaaska. Si looga hortago cawaaqib aan loo baahnayn, ilmaha ku xiran qalabka neefsashada.

Calaamadaha BPD

muujinta hore ee cudurka waxaa lagu diiwaangeliyaa ka dib markii goynta ilmaha laga furo qalabka neefsashada. Isla markiiba waxa ay u muuqdaan kuwo laga yaabaa in ilmahaagu qabo isbedel wanaagsan, laakiin muddo ka dib, waxaa jira signallo halis. Iskusoo wada duuboo, waa in waalidku bixiyo si fiiro neefta oo ku qabata. Haddii kid ah ka dhigaysa in ka badan 60 neef halkii daqiiqo, iyo dulalka faafeysey si xoog leh iyo xabadka ayaa muuqaalka foosto-qaabeeya ah, sida ugu dhakhsaha badan si uu u doondoono gargaar caafimaad.

neefsashada oo buuq badan, xaakada ee sambabada, neefta kordhiyay, maqaarka oo buluug - calaamado badan ee BPD carruurta dhicis ah. Waa maxay cudurka this iyo sida ay u fududeeyaan xaaladda ilmaha? Therapy doortay oo keliya by dhakhtarka ku xiran tahay darnaanta ee ilmaha. Pre-qabtay tallaabooyin lagu ogaanayo: imtixaanka dibadda, ultrasound of wadnaha, xabadka X-ray. Intaa waxaa dheer, shaybaar, pulmonologist tashiga waxaa lagu qori karaa.

daaweynta BPD

caruurta dhiciska cudurada symptomatically loola dhaqmo. Ujeedada ugu weyn ee daaweynta sida ka kooban yahay ee yareeya calaamadaha cudurka iyo caadi ah neefsashada. Duration daaweynta - ka dhowr toddobaad in 2-3 bilood.

Kala saaro khafiif ah, dhexdhexaad ah oo aad u daran Kobac bronchopulmonary. Inta lagu jiro marxaladda cudurka calaamadeeyay sii daridda iyo dembidhaafka. therapy Drug ku lug leedahay isticmaalka corticosteroids, diuretics, antibiotics (haddii loo baahdo), bronchodilators, surfactants.

daawooyin lid ku ah bakteeriyada loo baahan yahay in la xakameeyo horumarinta caabuq. Waxaa loo tixgeliyaa daroogada fiicnayn ka macrolide in si waxtar leh la tartamaan qaybaha kala duwan ee wareer ah.

Features therapy

In kasta oo xaqiiqda jirro in dhirfinaya hawo farsamo ee nidaamka daaweynta u baahan daweynta oksijiinta. Ku xiridda ilmaha mishiinka loo baahan yahay si loo hubiyo in qaabka neefsashada, iyo dhammaan unugyada ogsijiin ku filan. Sayidka fiirsashada of isku dar ah gaaska iyo cadaadiska ee qalabka waa la dhimay sida ugu badan ee suurtogalka ah. Waxa kale oo ay u baahan doonaan la socodka joogtada ah ee qadarka oksijiin ee dhiigga ilmaha.

Marka BPD carruurta risk u baahan tahay in la cuno cunto. Waxaa muhiim ah in jirka ilmaha qadar ku filan oo protein iyo sidaas looga hortago in dareeraha xad-dhaaf ah. Haddii gobolka ilmaha nafaqo culus isku dar ah waxaa maamula gavage. mugga dareeraha yaraynaysaa in 110 ml kg ee miisaanka jidhka maalin kasta si looga hortago in horumarinta barar sambabada.

adeegsiga hoormoonada

Daweynta hormoonka waa lagama maarmaan in la baabi'iyo bararka ee marinka neefsashada, taas oo dhacda ku saabsan asalka ah Kobac la'aanta bronchopulmonary. glucocorticoids systemic ka maalmood ee ugu horreeya nolosha marka ilmo yar waxaa soo gaaray on qalabka neefsashada ah ay maamusho. Tani waxa ay yaraynaysaa halista ah ee aan caadi ahayn daran ee qaabka neefsashada.

Ogsoonow in therapy hormone ayaa khasaaraha dhowr, ugu muhiimsan ee ku jira dhibaatooyinka soo raaca hyperglycemia, hypertension, cardiomyopathy hypertrophic.

Xulasho waxaa inta badan la siiyaa steroids neefsado. Waxay u baahan tahay qiyaasta aad u yar yar iyo saamayn kaliya meelaha ugu hooseeya mareenka-mareenka. Isla mar ahaantaana, therapy this bixisaa keliya saamayn ku meel gaadh wanaagsan xaaladaha daran.

"Dexamethasone" - mid ka mid ah daawooyinka inta badan wax ku ool ah oo degdeg ah-simaha ka tirsan ee glucocorticoids. Waxaa lagu qoray xaaladaha gargaarka degdega ah ee daliilka ba'an cudurka. Sidoo kale, daroogada ka hortagtaa formation of weerar cusub.

Daaweynta BPD carruurta dhicis ah "Dexamethasone" xakamayn kartaa saamaynta interleukin - walxaha bayoloji firfircoon galaya gobolka ee hawomareenno iyo ku lug leh geeddi-bararka. Daawada ka hortagtaa horumarinta dhibaato hab dhiska neefsashada oo gebi ahaanba waa mid ammaan u ah ilmaha.

"Dexamethasone": sharaxaad ka mid ah daroogada

medicament waa taxane ah oo awood glucocorticoid dardaro wakiilka. talaabo ah "Dexamethasone" waxaa loogu talagalay caadi ah oo borotiin ah, macdanta iyo shiid carbohydrate ee jirka. Waxa uu leeyahay anti-bararka, antiallergic, iyo protivosokovmi guryaha antitoxic xoog leh. Geedi socodka bararka aan gargaartay by si weyn u yareeyo ereygu wuxuu ahaa ee unugyada waaweyn iyo eosinophils, taas oo soo saari dhexdhexaadiyayaal proinflammatory.

Wixii lagu daaweyn jiray Kobac bronchopulmonary carruurta xal loo isticmaalo ampoules. qiyaasta ayaa la doortay si gaar ah shakhsiga ku saleysan. Maskaxda ku hay in isticmaalka muddada gaaban ee daroogada ayaa saamayn jirka, iyo therapy muddo dheer kordhisaa khatarta inuu ku biiro caabuq ka yimaada dhaawaca ah.

Diuretics in BPD

Inkastoo ay hoos u isticmaalka maalin kasta dheecaan in caruurta dhiciska la BPD, si looga hortago dhacdo ee bararka magacaabay diuretics - diuretics. Ay saameyn ku daweyn la faray in ay caadi u ah dheelitirka acid-salka iyo hoos u dhac ku yimid qaddarka lacagta ah ee dareeraha ah ee nudaha ku.

"Furosemide" waxaa inta badan ka mid ah diuretics nidaamka loo isticmaalo. Dhibaatada diyaarinta tani waa si loo dardar-nuugay dheecaanka ku jira sanbabada iyo hagaajin bararka Farsamoyaqaan pulmonary.

Saadaasha iyo cawaaqibta

Kobac Bronchopulmonary waa arrin halis ah oo cudurka halista ah. In cudurka daran geeridu waa 20% ee kiisaska. In khafiif ah ama dhexdhexaad ah cudurka iyo horumar ah ee ilmaha waxaa suurtagal ah si loo gaaro bilaha ugu horeeya ee nolosha gudahood. Intee baan marar badan waxay yeeshaan cawaaqib xun ka dib markii BPD carruurta risk? khubaro Guest sheegaya in kids ku silco cudurrada neef-faafa, cadaadis dhiig oo sareeya, dhiig-yaraan, dib u horumarka jireed.