Kunonoka kuberekwa kusati kwasvika panjodzi yechirwere chekufema
Kunonoka kuberekwa kusati kwasvika panjodzi yechirwere chekufema
Anonim

Vacheche vanozvarwa pakati pemasvondo makumi matatu nemana uye mavhiki makumi matatu nemanomwe emimba vane mikana yakawanda yekuve nechirwere chekufema kana vachienzaniswa nevacheche vanozvarwa panguva yakazara, uye njodzi yavo yekurwara nekufema inoderera nevhiki yega yega yekuzvitakura kusvika mavhiki makumi matatu nemasere, vaongorori vanoshuma.

Chidzidzo chacho, chakabudiswa muna July 28 nyaya yeJAMA, yakaitwa neYunivhesiti yeIllinois kuChicago mutsvakurudzi Dr. Judith Hibbard uye vashandi pamwe navo kubva kuConsortium paSafe Labor.

Kune vacheche vakazvarwa pamavhiki makumi matatu nemana, mikana yekufema distress syndrome (RDS) yakawedzera makumi mana.

"Kunyangwe pamasvondo makumi matatu nemanomwe, vacheche vaive nemukana wakapetwa katatu wekuve nechirwere chekufema kana vachienzaniswa nevacheche vakazvarwa pa39- kana 40 mavhiki," akadaro Hibbard, UIC purofesa weObstetrics uye gynecology uye munyori anotungamira wechidzidzo.

Kusiyana nekutsvakurudza kwepakutanga, vatsvakurudzi havana kuwana kuwedzera kukuru kwezvirwere zvekufema muvana vanozvarwa pamavhiki makumi matatu nemasere, vachienzaniswa nevana vanozvarwa pa39 uye 40 mavhiki ekuberekwa, mushure mekutonga kwezvinhu zvakawanda. Dhata dzakaunganidzwa kubva kumagetsi ekurapa marekodhi pa233, 844 kununurwa muzvipatara zve19 mhiri kweUS pakati pa2002 na2008.

Hibbard akati kushushikana kwakakura mumakore achangopfuura nezvematambudziko ane chekuita nekunonoka kuberekwa kusati kwasvika uye kuwanda kwenhamba yevana vanozvarwa nekukurumidza. Zvirwere zvekufema senge RDS, tachypnea yenguva pfupi, mabayo uye kutadza kufema kunogona kukonzera mamwe matambudziko sekugariswa muchipatara, kudiwa kwemhepo inofefetera kana mishonga inorwisa mabhakitiriya, uye nyaya dzekudyisa uye kutadza kuwedzera huremu.

Nyanzvi dzezvokurapa dzinofungidzira kuti kuwedzera kwevanonoka kuberekwa kusati kwasvika kungave kwakakonzerwa nechikamu che "kureruka" c-zvikamu uye kusununguka kunoitwa, mune dzimwe nguva, "pasina chikonzero chakanaka chekurapa," akadaro Hibbard.

Vatsvagiri vakatarisa kune vese vachangozvarwa mavhiki makumi matatu nemana kana kupfuura vane matambudziko ekufema anogamuchirwa kumayuniti ekuchengeta vana vanozvarwa. Kuberekwa kwemazuva ekupedzisira kwakafananidzwa nekuzvarwa kwenguva yakazara yekumutsiridza, kutsigirwa kwekufema uye kuongororwa kwekufema.

Vachishandisa modhi yenhamba, vaongorori vakaongorora zvirwere zvekufema kwevacheche pavhiki yega yega yekuzvitakura, vachidzora zvinhu zvinopesvedzera mhedzisiro yekufema zvinosanganisira mamiriro ekurapa kwaamai, kureba kwekushanda uye nzira yekusununguka, uye uremu hwekuzvarwa.

Chidzidzo chacho chakawana kuti kunonoka kuberekwa kusati kwasvika kwakakonzera 9 muzana yezvose zvakasununguka. Makumi matatu nenomwe muzana evacheche vasati vabva zera vakapinzwa mukamuri yekuchengetera vacheche, zvichienzaniswa ne7 muzana yevacheche venguva.

Pakazara, chirwere chekufema chakaitika mu9 muzana yevanonoka kuzvarwa vasati vazvarwa muchidzidzo.

RDS ndiyo yaive yakanyanya kufema chirwere, ichiitika mugumi neimwe muzana yemakumi matatu nemana ekuberekwa. Chete 0.3 muzana ye40-vhiki yekuendesa yaive neRSS.

Transient tachypnea, inonziwo "wet lungs," yaive yechipiri yakajairika chirwere chekufema, ichiitika mu6.4 muzana yemavhiki makumi matatu nemana ekuberekwa, uye ichidzika kusvika 0.3 muzana pamavhiki makumi matatu nemapfumbamwe.

“Nharaunda yeOB inofanirwa kuongorora zviratidzo zvekupinzwa basa,” akadaro Hibbard, uyo anotarisira kuti ongororo iyi ichabatsira varapi kuti vape mazano kuvarwere vavo nezvekukosha kwekusakumbira kuisirwa mishonga zvisina basa.

Hibbard anoratidza kuti imwe tsvakiridzo inoda kuitwa inofanirwa kuona kana zvingave zvinobatsira kushandisa steroids kukurudzira fetal lung maturity kupfuura mwero wemazuva ano wemavhiki makumi matatu nemana kana zvingabatsira kushandisa mishonga yekumisa kusununguka nguva isati yakwana muvakadzi kupfuura mavhiki makumi matatu nemana. kuchengetedza mimba kwenguva refu.

Yakakurumbira nenyaya