Zvinosuruvarisa, kwete dzose dzinoberekwa dzinopfuura uye dzinoguma kubudirira. Izvi zvinoitika kuti mwana anoda rubatsiro runokosha. Kuvapo muchipatara chekuberekwa kwehurumende yekudzikinura kwevana vatsva inzira yekuti vana vazhinji vapone uye vakurire hutano.
Kudzoserazve kunonzi inongedzo yezviyero zvakagadzirirwa kudzorera mabasa anokosha emuviri - kunyanya kupararira kweropa uye kupemha. Kudzorerwa kwevana vanenge vachangoberekwa kunonzi maitiro ekurapa, ayo anoitwa pakarepo paakaberekwa uye mumaawa 24 anotevera ehupenyu hwemwana kuti abviswa kubva munharaunda yakaoma. Kudzokorora kunoitwa mumatambudziko iwayo kana pasina kupfurikidza kana basa remwoyo kunoguma, kana kusina kwezvinhu zvose izvi. Kudzoserazve kunokosha uye nekuderedza kudengenyeka kwemucheche - pasi pemapfumo 100 pasi pemaminiti, dyspnea, apnea, hypotension - kureva, neinoti chirwere chepoddiopulmonary. Maererano neWIV, kusvika ku10% yevana vatsva vanoda rubatsiro rwakakosha rwekuberekwa.
Kunyanya kudzikinurwa kwevana vachangoberekwa
Mushure mokuberekwa muimba yekutakura mwana ndiye anofanira kuongororwa neononatologist. Maererano nenyika yekufema, palpitation, ganda, mushutu toni, iyo inonzi Apgar score inoratidzwa. Kuchengetedza kwakanaka kuchadiwa kana mwana achangobvunzwa:
- kusabatwa kwepalpitation;
- chinonzi diaphragmatic hernia;
- kusagadzikana nekufema;
- kuderera kwepfungwa yemwoyo;
- aspiration ye meconium.
Matanho okutanga ekudzorerwazve kwevacheche muimba yekuendesa inoshandiswa neonatatologist, anastasiologist-resuscitator uye vanamukoti vaviri, mumwe nomumwe wavo anoita mabasa akanyatsorondedzerwa. Apo iyo ichangobva kuberekerwa inobviswa kubva pamamniotic fluid uye ichiisa patafura yekusimudzirwa kwevana vacheche nekupisa, neonatologist inoyera kutonhora kwemuviri uye inochenesa mucheche wemubhedha wekufema kubva mumucheka. Iyo reanimatologist inoyera kutengesa kwomwoyo, inoita musasa usina kurongeka wemwoyo, uye inoteerera mapapu. Kana zvichidikanwa, kuputika kwemajini kunorayirirwa nekushandiswa kwechikafu chakakosha uye bhegi kusvikira ruvara rwepini rweganda rwuri pachena. Kana, mushure mekudzoka kwechiyero ichi, mwana achangoberekwa haatangi kufema ari oga, anongororwa nokuda kwechechea. Nzira dzokusimudzirwa kwechecheche dzinosanganisira kuiswa kwezvinhu (adrenaline, cocarboxylase) iyo inobatsira pakudzorerwa kwemazwi emasculaire.
Kana mwana wacho asingakwanisi kuzviita, kuzvidzivirira kunopera mushure memaminitsi gumi nemashanu.
Chikamu chechipiri ndiro dhipatimendi rekusimudzirwa kwevacheche
Kana zviyero zvakakonzera zvakaguma nekugadzirwa kwekufema uye kupera, mwana anoendeswa kune chikwata chekuchengetedza zvakanyanya zvevashandi. Ikoko, zviito zvose zvechiremba zvichave zvichirongwa kudzivirira kana kubvisa cerebral edema, kudzorerwa kwekupararira kweropa, yepfungwa basa.