Tonsils Akawedzerwa, Kuwedzerwa Zvichida Kuvhiringidza Usiku Hwekufuridzira
Kurara kwepabhesi kwakajairika kune vanhu vakuru, uye zvinogonawo kuitika kuvana. Ndezvipi zvikonzero zvinokonzera kurara kwepabonde kuitika kune vana? Kune zvipo zvakasiyana-siyana zvinogona kutungamirira kumucheto kana kusagadzikana kwepamusoro pemhepo, izvo zvinogona kukonzera kupera mukufema kunofanana nehope yepamusoro. Sezvo kurwara kwepabonde kunogona kuva nemigumisiro yakakomba kuvana - kusanganisira zvinokonzera kukura, njere, uye mufambiro-zvinokosha kuziva zvikonzero zvinogadziriswa.
Paunofunga nezvezvinogona kuita kuti vana vave nekurara kwepnea, izvi zvinogona kugoverwa muzvikamu zvakakura:
Tandils akawedzerwa uye adenoids
Zvichida mupiro umwe chete unowanzobatwa nehope yepnea muvana inobatanidza nekuderera kwemaitiro emugwagwa wepamusoro. Zvisungo pamusana pemuromo nemutsipa zvinonzi tonsils uye adenoids zvingangodaro zvinofungidzirwa. Kungofanana nekuwedzera kwemashutu aya aripo hazvirevi kuti mwana achave nehope yepamusoro. Zvisinei, avo vana vane chirwere chekushaya hope vanoita matanoni akawedzera uye adenoids vanogona kubatsirwa zvikuru nekubvisa. Vanenge 10 kubva muzana yevana havavandudzi mushure mekuvhiyiwa, uye vanogona kunge vane zvimwe zvikonzero zvinowedzera kumamiriro avo.
Kuwedzera muviri
Kuwedzera muviri pakati pevana kuri kuwedzera, uye kunogona kuita basa guru mukukonzera kupererwa kwepabonde sezvo izvi zvinoramba zvichienderera mberi. Sezvo huwandu hwemafuta hupfumbira mugwagwa huri kukura, hunogona kutungamirira kumakumbo uye kupinza mukati memoyo.
Zvimwewo, kuwedzera kwemairi kunze kwendiza inoenda kunogona kushandiswa uye kunotungamirira kumagwagwa egwenga, zvichiita kuti zviitiko zvepnea zviitike.
Craniofacial zvisiri izvo
Kune hutano hwakasiyana-siyana hwemukoko kana chiso (chinonzi craniofacial kusagadzikana) izvo zvinogona kutungamirira kuwandu hwekuwedzera kubata apnea.
Mamiriro ezvinhu anoderedza hukuru hwemhino, muromo, uye huroti zvinogona kutungamirira pakuwa kwemafunguro panguva yekurara. Somuenzaniso, rurimi rwakakurumbira (runonzi macroglossia ) runogona kupa. Mamwe mamiriro ezvinhu anosanganisira:
- Midfacial hypoplasia (an under-development of the nose and central face)
- Retrognathia kana micrognathia (tsvina yakadzika kana kuti duku)
- Narrow maxillary arch (pamusoro pemuromo)
Vana vane Down's syndrome vari pangozi yakawanda yekugadzirisa matambudziko aya.
Mucopolysaccharidoses
Kune boka rezvirwere zvisingawanzozivikanwa zvinonzi mucopolysaccharidoses, kana mucolipidoses, izvo zvinogona kuisa vana mukana wekuwedzera wekurara kwepabonde. Izvi zvinokonzerwa nekuda kwemashupu ari mumhepo yepamusoro inounganidza mamolekitari makuru uye ichikurira muhukuru. Iko kunowanzoenderana nekukura kusina kunaka kunowanikwa pakuberekwa kana muhuduku, saka vabereki vakawanda vachaziva kuti mwana wavo ane chirwere ichi.
Neuromuscular factors
Kurasikirwa kwekutonga kwemuviri wemugwagwa wepamusoro kunogonawo kutungamirira kuhope yepamusoro. Kushandura mumutauro wehutundu (inonzi hypotonia kana iri pasi, kana hypertonia kana yakakwirira) inogona kupa. Kuoma kwehupfungwa (sezvinogona kuitika kuna Arnold Chiari kusagadzikana kana mumakumbo) kunogona kutungamirira kuhope yepamusoro.
Kune dzimwe humwe huri nani hunobudirira, hwakadai seA Down syndrome, iyo inotungamirira kune ngozi yakawanda yemamiriro acho. Mune dzimwe nyika, mamwe matambudziko achaonekwa kunze kwepane apnea kurara kuti aratidze njodzi yemamiriro ezvinhu akaoma.
Kana iwe unonetseka kuti mwana wako angave ane zviratidzo kana zviratidzo zvinokurudzira kurara kwepabonde, usazeza kutaura nemwana wako. Kana iwe uchinzwa sokuti kunetseka kwako kuri kuregererwa, funga nezvechipiri maonero kubva kuchipatara chekurara kwevana. Nzira imwe chete yekunyatsorongedza kurara kwepabonde muvana ndeyekurara husiku hunoenda kunodzidza kurara pane imwe nzvimbo yekuedza; shingairira kuti muwane imwe kana iwe uine hanya nekufema kwomwana wako panguva yehope.
Sources:
Arens, R et al . "Pathophysiology yepamusoro yekudzivirira mhepo: chinhu chinosimudzira." Kurara 2004; 27: 997.
Bixler, EO uye al . "Kuvata kunetseka kufema kufema kune vana muhuwandu hwevanhu vakawanda: kuwanda uye kuipa kwezvinhu." Kurara 2009; 32: 731.
Rosen, GM et al . "Maitiro uye zvinogadzirisa zvinokonzera kukanganisa kurara kufema mukati mevana." UpToDate Online . Yakasvika munaNovember 2, 2009.
Verhulst, SL et al . "Kufema-kuora mwoyo kwekupererwa muvana vanorema uye vanorema uye vaduku: kuwanda, maitiro uye basa rekugovera mafuta." Arch Dis Child 2007; 92: 205.