Isifo sengxaki yokuphefumula (SDR) kwiintsana ezisanda kuzalwa, ngamazwi alula-ukuphulwa komphefumlo, ukukhathazeka kakhulu ngamayeza anamhlanje kwaye, ngokwenene, abazali beintsana.
I-SDR ihlala ichaphazela abantwana abazalwa ngaphambi kwekota . Esi sifo sifumaneka ngokukhawuleza xa umntwana ezalwa, okanye ngokoqobo kwiiyure zokuqala ezingama-48 zobomi bomntwana.
Ininzi i-SDR yeintsana iyenzeka ukuba umama wayedla ngokukhipha isisu, ukuphazamiseka kwamathambo, iingxaki ngexesha lokukhulelwa. Ngokufanayo, ukuphuhliswa kwesi sifo kunokwenzeka ngenxa yokuba khona komama wezifo ezingapheliyo, izifo zentliziyo.
I-alveoli yemiphunga evela ngaphakathi ihlanganiswe nenkunkuma eyenza ukuba bangawa, kwaye ukujikeleza kwegazi kuzo kuphazamiseka. Ukuba le nto (i-intactantant) ayaneleyo - oku kuya kuba yinto ebalulekileyo ekuphuhliseni i-syndrome yezifo zokuphefumula.
Iimpawu ze-SDR zilandelayo:
- umntwana ngokukhawuleza emva kokubeleka kakhulu kwaye uvame ukuphefumula;
- xa ixiliswe, uphawu (ukukrokra) isandi sivakala;
- ulusu lomntwana onjalo luyi-cyanotic;
- xa ukuphulaphula kukho i-wheyzing;
- umntwana unesipulu, unobuthakathaka okanye akayikho ingcamango yezinto eziphilayo.
Ngaba kunokwenzeka ukuqikelela ukuphuhliswa kwe-SDR kwangaphambili?
Kule nto, iimvavanyo zekliniki zenziwa, kwaye ngokukrokrelwa okuncinci kokuqala kwesi sifo, unyango olukhuselweyo lwenziwe.
Isifo sokuphefumula kwesifo samantombazana asandul 'ukuzalwa sele sibonelelwe ngokuphindwe kabini ngamantombazana.
Kwimeko yesi sifo, kukho izigaba ezintathu zobunzima, ezivandlakanywe kwisikali se-Silverman-Andersen.
Isifo seengxaki zokuphefumula kubantwana ziphathwa ngolu hlobo lulandelayo: umntwana ufakwa kwindawo ekhethiweyo, apho kufuneka kugcinwe khona umgquba obumfuneko kunye nobushushu. I-oksijeni iyaqhubeka iqhubeka. Faka i-dropper (i-glucose, i-plasma, njl njl.).
Oomama bexesha elizayo kufuneka balandele impilo yabo benembopheleleko enkulu. Ngexesha lokuqhuba iimvavanyo kunye neemvavanyo eziyimfuneko. Emva koko impilo yengane ayinakukhathazeka.