I-pneumonia ye-intrauterine yimbangela evamile yokushona kwezingane ezibelethwe yi-neonatal. Ngemuva kokubeletha, amaphaphu iyisitho esibaluleke kunazo zonke esisiza ingane ukuba ivumelane nokuphila emvelweni. I-lesion yamapayipi iphazamisa le nqubo, ngokuvamile izingane ezinjalo ezivela ekamelweni lokulethwa ngokushesha ziya ezinyunithi zokunakekela ezikhungweni zezinsana ukuze zithole ukunakekelwa okujulile kanye ne-ventilation yokufakelwa.
Izimbangela ze-intrauterine pneumonia ezinsana
Izimbangela ezivame kakhulu ze-intrauterine pneumonia zikhona emzimbeni wesifazane okhulelwe wegciwane nama-bacterium angangena emkhawulweni we-hematoplacental ebusweni bese ethinta amaphaphu. Kungenzeka ukuthatha amathuba okuba nengane ye-intrauterine, uma owesifazane okhulelwe ezwa i-ARVI noma ezinye izifo ezithathelwanayo ekukhulelweni kwesikhathi eside.
Isizathu se-pneumonia ezinsana zingase sibe nesifiso (ukungenisa) kwe-amniotic fluid ngesikhathi sokubeletha isikhathi eside, ukukhulelwa okukhulelwe. Okuyingozi kakhulu ingress ye-meconium esanda kuzalwa (indwangu yokuqala) endaweni yokuphefumula. Ingozi ye-pneumonia ebusweni iphakeme kakhulu ezinsana ezingakabiphi.
Izimpawu ze-intrauterine pneumonia ezinsana
Izimpawu zokuqala ze-intrauterine pneumonia zingabonakala emahoreni wokuqala noma ezinsukwini zokuzalwa. Izimpawu ezinjalo zihlanganisa:
- ukuphefumula;
- umbala we-bluish wesikhumba;
- ukumemeza imisindo.
Ukwelashwa kwe-intrauterine pneumonia ezinsana ezisanda kuzalwa
Esolwa ngokushaya indumoniya emntwaneni osanda kuzalwa, i-neonatologist kufanele isithumele emnyangweni wezingane ezingasetshenzisiwe, endaweni ephethe isiphuzo esine-oksijeni ewakhiwe njalo, ngokushesha imemezele ukwelapha okulwa namagciwane. Uma isimo sibuhlungu futhi ingane idinga ukudluliselwa endaweni yokufakelwa kwamapayipi okufakelwa, ingane idluliselwa ekamelweni lokunakekelwa okukhulu lezingane ezisanda kuzalwa.
Imiphumela ye-intrauterine pneumonia
Uma usizo lwezokwelapha olufika ngesikhathi futhi lusiza ingane ukuba isinde, ingashiya imiphumela ngendlela yokudalwa kwe-atelectasis (izindawo zokwehla kwezicubu eziphazamiseka) noma ukushintshwa kwezindawo zokuvuvukala ngamathambo axhunyiwe. Izingxenye eziguquliwe zamathanga emaphaphu wengane enjalo angeke zenze umsebenzi wayo, futhi ngemva kwalokho emaphashini angathuthuka emphysema (izindawo zokwanda kwamapayipi amaphaphu).
Ukuvimbela i-intrauterine pneumonia ukuvimbela i-ARVI nomkhuhlane kumama, ikakhulukazi emavikini okugcina okukhulelwa.