Koj tus menyuam puas yug ua ntej lub sijhawm? Nws puas muaj teeb meem ntsws? Cia peb tham txog Bronchopulmonary Dysplasia!

Koj tus menyuam puas muaj teeb meem ua pa vim nws yug los ua ntej lub sijhawm ? Los yog tus kws kho mob puas tau hais rau koj tias koj tus menyuam muaj tus mob hu ua Bronchopulmonary Dysplasia? Nws yog ib qho ib txwm muaj uas yuav ntshai thiab ntxhov siab thaum lub sijhawm zoo li no. Tab sis tsis txhob txhawj. Cia peb tham txog qhov no yooj yim thiab hauv txoj kev uas koj tuaj yeem nkag siab. Vim tias nws tseem ceeb heev rau koj thiab koj tus menyuam kom paub zoo txog tus mob no.

Yog li ntawd, Bronchopulmonary Dysplasia (BPD) yog dab tsi?

Hais yooj yim xwb, '(Bronchopulmonary Dysplasia)' yog ib yam kab mob ntsws uas tshwm sim tau rau cov menyuam mos uas yug tsis tau lub sijhawm . Tam sim no saib, thaum ib tug menyuam yug tsis tau lub sijhawm, tus menyuam lub ntsws tseem tsis tau loj hlob tag nrho. Zoo li cov phab ntsa ntawm lub tsev tshiab tseem tab tom ua. Yog li ntawd, cov menyuam yaus ntawd muaj teeb meem ua pa ntawm lawv tus kheej. Tom qab ntawd lawv yuav tsum tau muab oxygen ('Oxygen Therapy') lossis txuas nrog lub tshuab ua pa ('Ventilator') los pab lawv ua pa .

Txawm hais tias cov kev kho mob no tseem ceeb heev rau kev cawm tus menyuam txoj sia, qee zaum lawv tuaj yeem ua rau cov hnab cua me me (alveoli) hauv tus menyuam lub ntsws nthuav dav yam tsis tsim nyog. Xav txog seb yuav muaj dab tsi tshwm sim yog tias lub npas me me raug cua ntau dhau. Ib yam li ntawd, dhau sijhawm, qhov no tuaj yeem ua rau tus menyuam lub ntsws thiab cov hlab ntsha hauv txoj hlab pa (bronchi) puas tsuaj. Qhov kev puas tsuaj rau cov nqaij no hu ua "Dysplasia".

Nco ntsoov tias, qhov kev pheej hmoo ntawm kev mob no yuav nce ntxiv nyob ntawm seb koj tus menyuam yug ntxov npaum li cas . Qee tus menyuam yuav raug kev txom nyem los ntawm tus mob no hnyav dua, tab sis feem ntau yuav rov zoo maj mam . Txawm li cas los xij, qee tus yuav muaj teeb meem ua pa tas mus li thiab lwm yam teeb meem.

Cov tsos mob ntawm tus mob no yog dab tsi? Peb yuav paub nws li cas?

Cov tsos mob yuav txawv ntawm ib tug me nyuam mus rau ib tug me nyuam uas muaj Bronchopulmonary Dysplasia. Txawm li cas los xij, muaj qee cov tsos mob uas koj yuav tsum paub txog:

• Kab mob xiav: Rau ib tug me nyuam uas muaj daim tawv dawb, daim tawv nqaij thiab daim di ncauj yuav muaj xim xiav. Rau ib tug me nyuam uas muaj daim tawv nqaij tsaus, koj yuav pom xim daj-grey, grey, lossis dawb rau ntawm daim di ncauj, tus nplaig, lossis rau tes. Qhov no yog vim muaj cov pa oxygen tsawg dua hauv cov ntshav.
• Kev Ua Pa Nyuaj: Tus me nyuam yuav zoo li ua pa nyuaj. Tej zaum koj yuav pom tej yam xws li lub hauv siab raug rub los rau hauv thiab lub plab nce thiab nqis sai sai.
• Cov pa oxygen hauv cov ntshav qis: Qhov no yog ib yam dab tsi uas cov kws kho mob tsuas pom los ntawm kev kuaj xwb.
• Apnea: Ib qho kev nres tam sim ntawd hauv tus menyuam txoj kev ua pa, qhov twg tus menyuam tsis ua pa ob peb feeb.
• Tachypnea: Ua pa sai dua li tus menyuam mos ib txwm.
• Ua pa nrov nrov: Muaj lub suab nrov me ntsis hauv lub hauv siab thaum ua pa.

Yog koj tus menyuam muaj ib lossis ntau yam ntawm cov tsos mob no, nws yog qhov zoo tshaj plaws los qhia rau kws kho mob tam sim ntawd.

Leej twg yuav muaj feem yuav mob BPD tshaj?

Raws li tau hais ua ntej lawm, cov menyuam mos uas yug ntxov yog cov uas muaj feem yuav muaj mob ntau tshaj plaws. Tshwj xeeb yog:

• Cov menyuam mos yug ua ntej tshaj 10 lub lis piam .
• Cov menyuam mos uas hnyav tsawg dua 900 grams (2 phaus) thaum yug los.
• Cov menyuam mos uas lub ntsws tsis tau loj hlob tag nrho lossis cov uas muaj teeb meem ua pa txij thaum yug los.

Cov menyuam mos uas yug los ntawm 32 lub lis piam cev xeeb tub feem ntau muaj feem yuav mob BPD tsawg dua.

Muaj lwm yam teeb meem dab tsi tshwm sim vim yog qhov "(BPD)" no?

Feem ntau cov menyuam yaus rov zoo los ntawm BPD thaum muaj hnub nyoog 5 xyoos. Txawm li cas los xij, cov menyuam yaus uas muaj tus mob no muaj feem yuav tsim teeb meem kev noj qab haus huv, suav nrog:

• Teeb meem zom zaub mov thiab tsis qab los noj mov.
• Kab mob Gastroesophageal Reflux (GERD).
• Kev tsis taus kawm ntawv thiab lwm yam kev mob nkeeg.
• Kev Mob Hlwb.
• Teeb meem hnov ​​lus thiab pom kev.
• Kab mob ntshav siab.

Tsis tas li ntawd xwb, qee tus menyuam yaus thiab cov neeg laus uas muaj BPD thaum lawv tseem yog menyuam yaus kuj yuav muaj lwm yam teeb meem ntawm lub ntsws. Piv txwv li:

• Mob hawb pob
• Mob ntsws
• Kev Ua Pa Pw Tsaug Zog Tsis Taus
• Mob ntsws o
• Kab Mob Ua Pa Rov Qab
• Kab mob hnyav (RSV - Respiratory Syncytial Virus)

Tsis txhob ntshai hnov ​​tej yam no. Tsis yog txhua yam no tshwm sim rau txhua tus menyuam yaus. Tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog lawv.

Cov kws kho mob kuaj mob no (BPD) li cas kom raug?

Yog tias koj tus menyuam yug ua ntej lub sijhawm thiab xav tau kev pab ua pa rau 28 hnub thawj zaug ntawm lub neej, cov kws kho mob feem ntau yuav xav tias nws muaj tus mob hu ua "BPD." Tsis muaj kev kuaj mob tshwj xeeb los kuaj mob no. Txawm li cas los xij, muaj ntau qhov kev kuaj mob uas tuaj yeem pab kuaj mob thiab pab tswj tus mob:

• Kev kuaj ntshav: Xyuas seb muaj oxygen ntau npaum li cas hauv cov ntshav ntawm tus menyuam.
• Kev kuaj duab xws li kev thaij duab X-ray hauv siab: Tshawb xyuas seb tus menyuam lub ntsws zoo li cas.

Cov kws kho mob txiav txim siab raws li cov ntaub ntawv tau los ntawm cov kev kuaj no, nrog rau cov tsos mob thiab keeb kwm kev kho mob ntawm tus menyuam.

BPD puas kho tau tag nrho?

Yog hais qhov tseeb, tseem tsis tau muaj kev kho mob tshwj xeeb rau Bronchopulmonary Dysplasia . Txawm li cas los xij, qhov ntawd tsis tau txhais hais tias koj tsis muaj kev cia siab. Kev kho mob tuaj yeem pab txo qhov kev puas tsuaj ntxiv rau lub ntsws thiab pab koj tus menyuam lub ntsws loj hlob thiab kho .

Yog li ntawd, kev kho mob rau qhov no yog dab tsi?

Lub hom phiaj tseem ceeb ntawm kev kho mob BPD yogLub hom phiaj yog kom tshem tus menyuam tawm ntawm cov pa oxygen sai li sai tau thiab cia nws ua pa nws tus kheej. Kev kho mob lub hom phiaj yog los txhim kho tus menyuam lub ntsws ua haujlwm. Muaj ntau yam kev kho mob siv rau qhov no:

• Kev Noj Haus: Kev nce cov calories ntawm cov khoom noj uas muab rau tus menyuam yuav pab txhawb kev loj hlob ntawm lub ntsws, vim tias kev noj zaub mov zoo yog qhov tseem ceeb rau kev loj hlob ntawm cov hlwb ntsws.
• Cov tshuaj diuretics: Cov tshuaj no txo ​​cov kua dej ntau dhau uas tsim nyob rau hauv thiab ib puag ncig lub ntsws, ua rau nws yooj yim dua los ua pa.
• Cov tshuaj bronchodilators: Cov no ua haujlwm los ntawm kev so cov leeg nqaij nyob ib puag ncig cov hlab cua, ua kom cov hlab cua dav dua, zoo li qhib cov hlab cua uas raug thaiv.
• Corticosteroids: Cov tshuaj no pab txo qhov o (o) hauv thiab ib puag ncig lub ntsws.
• Nirsevimab lossis Palivizumab: Cov no yog cov tshuaj tiv thaiv kab mob uas tau muab los tiv thaiv koj tus menyuam los ntawm cov kab mob xws li RSV.
• Lub tshuab ua pa 'nCPAP' hauv qhov ntswg '(Nasal Continuous Positive Airway Pressure)': Qhov no yog lub tshuab me me. Nws thawb cua mus rau hauv lub ntsws los ntawm ob lub raj tshwj xeeb (cov raj me me) uas muab tso rau hauv lub qhov ntswg ntawm tus menyuam. Qhov no pab kom lub ntsws qhib.
• Kev Siv Lub Qhov Ncauj (Tracheostomy): Rau cov menyuam mos uas muaj BPD hnyav, cov kws kho mob yuav ua phais kom ntxig ib lub raj ncaj qha rau hauv lub raj cua (trachea) los ntawm caj dab kom pab lawv ua pa. Qhov no feem ntau yog ib ntus xwb.

Tus kws kho mob yog tus uas yuav txiav txim siab seb yuav kho koj tus menyuam li cas.

Tom qab kho mob tas, yuav siv sijhawm ntev npaum li cas rau tus menyuam kom ua pa tau lawv tus kheej?

Thaum pib kho mob, koj tus menyuam txoj kev noj qab haus huv yuav maj mam zoo dua li ob peb lub hlis tom ntej . Lub sijhawm no, koj tus menyuam lub ntsws yuav txuas ntxiv kho thiab loj hlob. Lub hom phiaj kawg yog kom koj tus menyuam muaj peev xwm ua pa ntawm lawv tus kheej yam tsis muaj kev pab. Qhov no tuaj yeem siv sijhawm me ntsis, yog li ua siab ntev.

Yog koj tus menyuam muaj cov tsos mob no, koj puas yuav tsum mus ntsib kws kho mob tam sim ntawd?

Txawm tias tom qab koj tus menyuam nyob hauv tsev tom qab kho mob lawm los xij, muaj qee yam uas koj yuav tsum paub txog. Yog tias koj pom ib qho ntawm cov tsos mob no, mus ntsib koj tus kws kho mob tam sim ntawd:

• Hnoos tas li.
• Yog tias muaj lub suab snoring tas li.
• Yog koj pom tias nyuaj rau noj mov, yog koj tsis kam noj mov.
• Yog tias koj lub qhov ntswg loj dua thaum koj ua pa (lub qhov ntswg tawg).
• Yog koj ua pa nrov nrov thiab sai sai.
• Yog koj muaj cov tsos mob ntawm tus kab mob viral xws li kub taub hau, txham, thiab hnoos.
• Yog tias lub suab nrov tau nce ntxiv.

Xwm Ceev! Yog tias tus me nyuam tsis ua pa lawm, ua pa nyuaj, lossis daim tawv nqaij lossis daim di ncauj hloov xiav/grey, coj lawv mus rau tsev kho mob tam sim ntawd lossis hu rau 911.

Yuav ua li cas thiaj txo tau qhov kev pheej hmoo ntawm kev muaj menyuam yaus nrog BPD? (Thaum cev xeeb tub)

Yog tias koj cev xeeb tub tam sim no, nws yog ib qho tseem ceeb heev uas koj yuav tsum noj qab nyob zoo thiab ua cov kauj ruam los tiv thaiv kev yug menyuam ua ntej lub sijhawm . Qhov no yog vim tias qhov kev pheej hmoo ntawm BPD raug txo qis yog tias tus menyuam lub ntsws muaj sijhawm txaus los tsim kom zoo. Koj tuaj yeem ua cov hauv qab no los txo qhov kev pheej hmoo no:

• Tsis txhob haus luam yeeb, siv tshuaj yeeb thiab haus cawv kiag li.
• Noj zaub mov zoo thiab muaj txiaj ntsig zoo.
• Mus ntsib cov chaw kho mob raws li tau teem tseg thoob plaws koj cev xeeb tub.
• Txo kev ntxhov siab ntau li ntau tau.

Ua raws li cov no yuav ua rau koj muaj feem ntau dua kom muaj menyuam noj qab haus huv.

Yog tias kuv tus menyuam muaj BPD, kuv yuav tsum xav li cas? Kuv yuav saib xyuas nws li cas thaum nws mus txog tsev?

Txawm tias tom qab koj tus menyuam los tsev los ntawm tsev kho mob, lawv lub ntsws tseem tab tom loj hlob. Yog li ntawd, lawv tseem mos heev thiab yooj yim raug mob . Qhov tseem ceeb tshaj plaws yog kom koj tus menyuam noj qab haus huv li sai tau. Ua li no, ua cov hauv qab no:

• Khaws koj tus menyuam kom deb ntawm cov neeg uas muaj kab mob ua pa, tshwj xeeb yog RSV.
• Tau txais tshuaj tiv thaiv kab mob khaub thuas (mob ntsws) rau txhua tus neeg hauv tsev neeg.
• Tiv thaiv koj tus menyuam kom tsis txhob raug pa luam yeeb thiab lwm yam pa phem (tshwj xeeb yog pa luam yeeb).

Cov menyuam mos uas muaj BPD yuav muaj teeb meem noj mov, tej zaum yuav poob phaus, thiab tej zaum yuav loj hlob qeeb. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob tsis tu ncua thiab xyuas seb tus menyuam puas loj hlob . Tom qab ntawd, yog tias muaj teeb meem dab tsi, nws tuaj yeem daws tau sai.

Vim lawv yug ua ntej lub sijhawm, cov menyuam mos uas muaj BPD yuav muaj qee qhov kev qeeb hauv lawv txoj kev loj hlob . Qhov no txhais tau tias lawv yuav siv sijhawm ntev me ntsis los ua tej yam uas lwm tus menyuam mos ua (piv txwv li, luag nyav, tuav lawv lub caj dab, nkag). Tab sis tsis txhob txhawj, ntau tus menyuam mos kov yeej cov kev qeeb no nrog ntau yam kev kho mob (piv txwv li, kev kho lub cev, kev kho hais lus, kev kho mob ua haujlwm) thiab sib tham nrog lwm tus.

Txawm hais tias qee qhov mob hnyav ntawm BPD tuaj yeem ua rau tuag taus, feem ntau cov menyuam mos tseem muaj sia nyob . Thaum lawv loj hlob thiab hnyav zuj zus, lawv txoj kev noj qab haus huv maj mam zoo dua.

Pom koj tus me nyuam yaus ua pa nyuaj yog ib qho kev mob heev. Koj xav tuav nws. Tiam sis, tus me nyuam raug txuas rau cov saib xyuas thiab cov khoom siv ua pa. Koj txhawj xeeb heev txog nws txoj kev noj qab haus huv. Tej zaum koj yuav xav tias, "Auj, yog tias qhov no tshwm sim rau kuv." Tiam sis, ntseeg kuv, cov kws kho mob thiab cov kws tu mob uas kho koj tus me nyuam tab tom ua txhua yam uas lawv ua tau kom nws mus rau qhov xwm txheej uas nws tuaj yeem ua pa ntawm nws tus kheej.Txawm tias nws yuav siv sijhawm ntev los xij, koj tus menyuam yuav pib ua pa ntawm nws tus kheej, thiab koj yuav tuaj yeem coj nws mus tsev.

Thaum kawg, qhov tseem ceeb tshaj plaws (Cov Lus Qhia Coj Mus Tsev)

Zoo, ntawm no yog cov yam koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog:

• Bronchopulmonary Dysplasia (BPD) yog ib yam kab mob ntsws uas feem ntau cuam tshuam rau cov menyuam mos uas yug ntxov .
• Qhov no yog vim lub ntsws tsis tau loj hlob zoo thiab kev puas tsuaj uas kev kho mob cawm siav (oxygen, ventilators) tuaj yeem ua rau lub ntsws.
• Cov tsos mob yuav muaj xws li ua pa nyuaj, tawv nqaij xiav, thiab ua pa sai.
• Txawm hais tias tsis muaj kev kho mob los xij, kev kho mob tuaj yeem pab lub ntsws loj hlob thiab kho tau.
• Txawm tias tom qab coj koj tus menyuam los tsev lawm, nws tseem ceeb heev rau kev tiv thaiv lawv ntawm kev kis kab mob ntawm txoj hlab pa, khaws lawv kom deb ntawm cov pa luam yeeb, thiab coj lawv mus kuaj mob tsis tu ncua .
• Muaj ntau tus menyuam mos uas zoo los ntawm qhov mob no thiab ua neej noj qab nyob zoo. Yog li ntawd, qhov tseem ceeb tshaj plaws yog xav zoo thiab ua raws li cov lus qhia uas cov kws kho mob muab .

Yog koj muaj lus nug, kev txhawj xeeb, lossis kev tsis ntseeg ntxiv, tham nrog koj tus kws kho mob yam tsis muaj laj thawj. Lawv yuav pab koj.

Kev puas tsuaj rau lub ntsws ( Bronchopulmonary Dysplasia), BPD, menyuam yug ua ntej lub sijhawm, teeb meem ntsws, kev siv oxygen, lub tshuab ua pa, kev ua pa nyuaj, menyuam yug ua ntej lub sijhawm, kab mob ntsws, kev ua pa nyuaj