I-apnea ezisanda kuzalwa

Ngokufika kwengane, ubuthongo bomama buba buhlungu kangangokuthi omama abaningi bangakwazi ukuzwa imisindo yomntwana ekhuphuka futhi engacacile. Ngokuvamile omama balalela ubusuku "bamba" ukuze uqiniseke ukuthi ukuphefumula komntwana akuphazamiseki. Ukuhlangenwe nakho okunjalo ngezinye izikhathi akuyona ize, ngoba ezinye izinsana zingase zibe nesifo esiyingozi - i-apnea, engabangela ukuphefumula.

I-apnea ibonakala ukuthi ephusheni ukuphefumula kuphazanyiswa ezinganeni. Izinsana zivame ukuba ne-apnea ephakathi, lapho ubuchopho buyeka ukuthumela izimpawu emisipha yokuphefumula, futhi umsebenzi wabo uyeka okwesikhashana. Inengozi enkulu yokuthuthukisa i-apnea ingatholakala ezinsana ezisanda kuzalwa ezazalelwa ngaphambi kwamasonto angu-37 wokubeletha.

Izimbangela ze-apnea zivamise ukuthi zibangelwa ukungahlali kwesimiso sezinzwa zomphakathi. Kodwa lesi sifo singabuye sathuthukise ngenxa yezinye izinkinga, izifo, izifo zamathumbu (ikakhulukazi i-reflux), izinkinga zenhliziyo kanye nokusebenza kwemisipha, ukungalingani kwamaminerali kanye nokushisa izidakamizwa.

Izimpawu ze-apnea

Ngokusho kocwaningo lwama-laboratory, ukuboshwa kokuphefumula ezinsaneni ngokulinganisa kudlula imizuzwana engu-20, kodwa kungase kube yinde, kubantwana abadala - angapheli imizuzwana engu-10. Ngemuva kwalokhu, ingane ishaya noma ibubula ngokuzumayo, futhi ukuphefumula kubuyiselwe. Ngenxa yenkomo ye-oksijini isikhumba sezingalo nemilenze yengane ithola umthunzi we-cyanotic.

Ngokusho kwezingane, ukuphefumula ngezikhathi ezithile kungaba yinto evamile ezinganeni ezingaphansi kwezinyanga ezingu-6. Ezinganeni ezinempilo, ukuphefumula ngezikhathi ngezikhathi zemizuzu engaba ngu-10-15 kuthatha u-5% wesikhathi sokulala. Kodwa, njengoba umthetho, izingane ezine-apnea yokulala ebusuku zivame ukufakwa esibhedlela ukuze zihlolwe ukuqinisekisa ukuthi ukuphefumula kuyayeka ukuholela ekufeni. I-apnea iyingozi Izinsana kulokho ukwehlisa izinga le-oksijini egazini kunciphisa izinga lenhliziyo. Lesi simo sibizwa ngokuthi i-bradycardia.

AmaMama, anezingane eziphethwe yi-apnea, kufanele azi ukuthi yini engenziwa uma ingane iyeka ukuphefumula ephusheni. Into yokuqala okumele ukwenze ukuphuza ingane: gubha izithende zakhe, ipenki kanye nendlebe. Ukuze kuqinisekiswe ukugeleza kwegazi ekhanda, kufanele uvule umntwana emzimbeni. Isidingo esiphuthumayo sokushayela i-ambulensi, uma i-trunk noma ikhanda lithola i-cyanotic. Ukwelashwa kwe-apnea kufanele kube ngaphansi kokuqondiswa udokotela ongakwazi ukubeka izidakamizwa ezikhuthaza i-CNS.