Chirwere chemapapu chirwere, kana CLD, chinoreva matambudziko emapapu anogara kwenguva refu. Muvana vasati vasvika, chirwere chisingagumi chepapu chinokonzerwa nekuparara kwemapapu kunogona kuitika kana mwana achinyatsokonzerwa nemhepo kana kupa oxygen. Kupisa uye kuvhiringidza kunoita kuti dambudziko rifemedze uye rinokonzera ropa, uye zvinogona kuguma kwemwedzi kana makore.
Dambudziko rokufema ndiro chiratidzo chikuru chekusingaperi kwemapapu chirwere.
Vacheche vane CLD vangada kubatsirwa kwekuporesa kupfuura mazuva makumi maviri ekutanga ehupenyu, kana mushure mavhiki makumi matatu nemaviri ekutenda. Chirwere chemapapu chinogona kukanganisa muviri wose zvakare. Vacheche vane CLD vangave vane zvinetso zvemoyo uye zvinetso zvichidya kana kuwana kuwanda.
Haasi vese vaiti vanga vari mufirimheni vacharamba vachigara vasina chirwere chepapu. Mikana yekuva nechirwere chepapupa chisingagumi chinokwira kana mwana:
- Akazvarwa musati mavhiki makumi matatu
- Yakayera pasi pe3 lbs, 5 oz pazera
- Akanga ane sepsis kana utachiona mushure mekuberekwa
- Mukomana kana kuti akachena
- Aive ne patent ductus arteriosus (PDA)
Vana vazhinji vachabvisa chirwere chisingaperi chemapapu neanenge makore maviri, sezvo miviri yavo ichikura mapepa emapapu ane utano. Mishonga inopiwa kubatsira nemiratidzo yeCDD sezvo mapapu achikura. Zvirwere zvinowanzobatanidza rubatsiro rwekuporesa kuita kuti kufema kuve nyore, zvakanyanya-calorie chikafu chinobatsira kukura, uye mishonga yekuzarura mapapu uye kuderedza kuzvimba nekuputika.
Tsanangudzo Yakajeka yeCPD
Chirwere chemapapu chirwere (CLD) chinotsanangurwa sezvirwere zvekupemha zvinoitika mushure mavhiki makumi matatu nemaviri mushure mokumbwa. Izvi zvinetso zvinoputika zvinogona kusanganisira zvirwere zvekuporesa (kunetseka kufema), zvinoda kuwedzera oksijeni nekusaremara kwakaratidzwa pachifukidzo x-ray.
Inonyanya kudii CPD?
CPD inowanikwa inenge 20 muzana yevana vasati vasvika.
Chirwere ichi chinowanzoonekwa pakati peavo vane uremu hwekuberekwa kwepasi. Nenzira, vana vashomanana vanofa neCPD. Kunyange zvakadaro, CPD inokonzera zviratidzo zvekufamba kwemaitiro airway uye zvirwere zvinowanzoitika, izvo zvinogona kutungamirira kuzvipatara zvakawanda munguva yekutanga makore maviri ehupenyu.
Nei Chikombi Chichiitika?
Chikonzero nei CPD inoitika mumucheche asati asvika ndeyekuti mapapu evana ava havanyatsokura uye kubereka vana vanoita zvechirwere. Iyo yakanyanya kufanana ipoprotein yakaoma yakagadzirwa nemaalvelarlar cells, iyo inoderedza kusagadzikana kwepasi uye inotibatsira kufema.
Zvimwe zvinokonzera kukurudzirwa kweCPD muvana vekutanga, kusanganisira kuwanikwa nechorioamnionitis, kuputika, kukwirira kweiyo oxygen inoshandiswa mushure mekuberekwa uye kupera simba.
Kudzivirira
Kufambira mberi mu pulmonology kunetseka kwakakosha kwakabatsira kudzivirira CPD mune dzimwe nguva vacheche. Kufambira mberi uku kunosanganisira kare mapapu eCAPAP (rudzi rwemashini inokonzera mhepo) uye kushandiswa kwemazuva ano mushure mekuberekwa.
Mishonga
Heano dzimwe nzira iyo CPD inobatwa nayo munguva refu:
- Supplemental oksijeni kumba
- Inhaled corticosteroids
- Inhaled beta agonists
- Diuretics
Kutungamirirwa kwe-systemic (oral) steroids inopesana. Kunyange zvazvo systemic steroids inogona kubatsira kuderedza kuputika, iyo kadhidiki yeCPD, pamwe nekubatsira wean mwana kunze kwemajini, kushandiswa kwokutanga kwe dexamethasone (rudzi rwe systemic steroid) yakabatanidzwa nehuwandu hwehutachiona hweperesia.
Zvisinei, CPD pachayo inogona kukonzera kukanganiswa kweuropiki. Nokudaro, chisarudzo chekutonga systemic corticosteroids chakaoma uye chakaitwa nevana vepmatologologist.
Kunobva:
Rosenberg AA, Grover T. Mwana Wemucheche. Muna: Hay WW, Jr., Levin MJ, Deterding RR, Abzug MJ. eds. KUCHENGA KUZIVA KUTAURIRWA & KUKURWA: Pediatrics, 22e . New York, NY: McGraw-Hill; 2013.