I-Asphyxia yezingane ezisanda kuzalwa.

I-Asphyxia yezingane ezisanda kuzalwa yinkinga yesifo somntwana osanda kuzalwa, okubangelwa ukuphulwa ekuphefumuleni futhi, ngenxa yalokho, kwenzeke ukungabi khona kwe-oxygen. I-Asphyxia yezingane ezisanda kuzalwa ingaba yimihlobo emibili: eyinhloko (ekuzalweni) nasesibili (ekuqaleni kokuphila).

I-asphyxia eyinhloko ye-fetus ne-newborn iyenzeka ngenxa yokuntula okunamandla, okungapheli kwe-intrauterine oksijeni. Kuphinde kubangelwe izifo ezihlukahlukene ze-extragenital zesifazane okhulelwe (izifo ezinzima zamapayipi, izifo zenhliziyo, isifo sikashukela, i-anemia enkulu, izifo ezithathelwanayo, i-thyrotoxicosis kanye nabanye), ukugcinwa kokukhulelwa, i-toxicosis ephuzile, ukukhubazeka kwangasese ngaphambi kwesikhathi, Umsebenzi ongakabonakali we-amniotic fluid, ukungahambisani nobukhulu bekhanda lekhanda le-fetal, isikhundla esingalungile senhloko ye-fetal nezinye izinto ezingavamile ze-generic Ity). Isizathu se-secondary asphyxia yesisu esingazalwa singaba ukwephulwa kokusakazwa kwe- cerebral ye-fetus, ukuphefumula, njll.

Ukuphulukiswa kokuphefumula kuyisimo esabekayo futhi isizathu sokucabanga ukuthi i-asphyxia yabantwana abasha ivele yini. Imiphumela ingaba buhlungu kakhulu - ushintsho lomsebenzi wezinhliziyo kanye ne-hemodynamics kungenzeka. Emsebenzini wezokwelapha, izinhlobo ezintathu ze-asphyxia ziyamukelwa: zinyene, zilinganise futhi zinzima.

Ngokuphefumula okulula, ingane ngomzuzu wokuqala yenza umoya wokuqala, kodwa ukuphefumula kwakhe kunobuthakathaka kakhulu, kukhona ukwehla kwezwi le-muscle. I-degree ejwayelekile ye-asphyxia ihlukaniswa yiqiniso lokuthi uma ivela, ingane nayo, njengokwesikhashana esidlule, yenza ukuphefumula kokuqala eminithini yokuqala, imisipha yakhe nayo ikhululekile kakhulu, isikhumba sinobuhlaza okwesibhakabhaka, ikakhulukazi endaweni yezandla nekhanda, ukuphefumula kubuthakathaka, ukukhala akusilo Ehluke emandleni, njengoba umthetho, kukhona i-bradycardia noma i-tachycardia, intambo igxuma kakhulu.

Ezimweni ezinzima, ingane yenza ubuthakathaka kakhulu futhi ingavamile ukuphefumula, noma engekho ngokuphelele, ingane ayikhiphi ukukhala, ngezinye izikhathi iyadumaza, izinga lokushaya kwenhliziyo liphuza kakhulu, ngezinye izikhathi lishintshwa yizinhlangothi ezingenakuqina zenhliziyo, azikho iziqu, kukhona ama-muscle atony noma hypotension. Ngenxa ye-spasm yezimpahla zensiza, isikhumba siphundu kakhulu, intambo ye-umbilical ayikhiqiza i-pulsation, kwezinye izimo ukuntuleka okunamandla kuyakhula.

I-Asphyxia yezingane ezisanda kuzalwa ibangela imiphumela enjengokuthuthukiswa phakathi namahora okuqala okuphila kwe-posthypoxic syndrome, ukubonakaliswa okuyinhloko okungukuthi ukunqotshwa kwesistimu yenzwa yomphakathi yonke. Kulokhu, kunemiphumela emibi kakhulu. Njalo ingane yesithathu, ene-asphyxia inomfutho olinganiselayo, ine-engavamile emsebenzini wokusabalalisa kwe-cerebral of 1 and 2 complications. Futhi kuzo zonke izingane ezinebanga lesi-3 njenge-asphyxia kukhona ukuphazamiseka kwe-cerebrospinal fluid kanye nokusakaza kwe-cerebral yezinga lesibili nelesithathu.

I-Asphyxia yezingane ezisanda kuzalwa idinga ukuvuselelwa kabusha. Ukusebenza kokwelashwa kuncike ekutheni kuthathwe kanjani izinyathelo ezidingekayo ngesikhathi esifanele. Imisebenzi ehlobene nokuvuselelwa yenziwa ekamelweni elikhethekile - igumbi lokuhlinzeka, elihlomele wonke amadivaysi adingekayo ekusekeleni impilo: isilinganiso senhliziyo, izinga lokuphefumula kanye ne-patency yayo, imingcele ye-blood pressure, i-acid-base state kanye ne-hematocrit.

Ukuvimbela ukuphefumula kuyinto yokusebenzisa imithetho eminingi, okumele ihambisane nomfazi ekubelethweni. Lokhu ngokuyinhloko ukuhlolisisa ngezikhathi ezinzima, kanye nokudla okuvamile, ukwenqaba imikhuba emibi nokuphumula okufanele, nokungabi khona kokucindezeleka nokucindezeleka. Khumbula, impilo iyabiza kakhulu.