Auau manawa pāpaku. manawa pāpaku o te tamaiti

Rawaka pakeke auau romahā, raro ki te faaotiraa o ona i okiokinga, he i te 8 ki te 16 te whakahā ia meneti. Hoki te tamaiti te tikanga kawe ake ki te 44 te whakahā ia meneti.

take

puta auau manawa pāpaku tika ki te take e whai ake nei:

• kakā atu whara pūkahukahu hopuhopu ranei;
• huangō;
• bronchiolitis;
• hypoxia;
• rahunga ngakau;
• tachypnea tūao o te hou;
• puranga;
• pau āhua kanorau;
• mate huka mellitus;
• māuiuitanga roro (tuatahi: CCT, thromboembolism, vasospasm kaka; tuarua: ngangau circulatory, kiriuhi ua tuberculous).

Tohu o disorders romahā

• romahā huringa auau rānei whakaterenga nui o nekehanga romahā (i roto i tenei take, i reira he hāhā o te manawa, ka manawa, me te tino poto) nui tērā ranei tona (he hohonu rawa nekehanga romahā).
• Ka huri i ūngeri romahā: kia waiho wā i waenganui i inhalations me exhalations rerekē i roto i ētahi wā ki te mutu te kupukupu nekehanga hēkona ranei meneti, a ka whakahou.
• Te kore o te mahara. e kore te tika hono ana tēnei tohu ki raruraru romahā, engari i roto i te take o te huru tino taumaha o disorders romahā o te manawanui puta i roto i te āhua mauri.

Puka o disorders romahā e puta manawa pāpaku

• Cheyne-Stokes manawa.
• hyperventilation Neurogenic.
• Tachypnea.
• -mita manawa.

hyperventilation Central

Ko te manawa hohonu (mata), me te auau (BH tae 25-60 nekehanga ia meneti). E mea pinepine haere tahi i te kino ki te midbrain (kei waenganui i te tuakoi o te roro, me tona kātua).

Cheyne-Stokes respiration

puka pathological o manawa, hikinga āhuatanga me te whakaora nekehanga romahā, a ka ratou whakawhiti ki te ahua ake ausia me korekore me i te mutunga o te okioki, i muri i nei korerotia te huringa te ano.

whakatika taua huringa i roto i te manawa i te hauhā i te taikaha i roto i te toto, e tika ana ki i raru te pokapū romahā. I roto i te tamariki taitamariki rite te kupukupu huringa kitea te tino maha, a ki te whitinga tau.

I roto i te tūroro pakeke, manawa pāpaku Cheyne-Stokes whakawhanake tika ki:

• asthmaticus tūnga;
• disorders circulatory i roto i te roro (toto, mamae iaia, patunga);
• wairoro (wairoro);
• intoxications ngā Genesis (tarukino tuwhena rawa, tarukino haurangi, waipiro, nikotīni, matū);
• matenga whētuki;
• pōroa, mate huka;
• atherosclerosis o oko haaparuparu;
• rahunga ngakau;
• pōroa, uraemic (i roto i te iti hoki tākihi).

tachypnea

pā ana te reira ki tetahi momo o dyspnea. Te kupukupu i roto i tenei take i te mata, engari e kore e te ke tona manawataki. Nā ki te papaku o te nekehanga romahā whanake iti ventilation, ngā wā whakaroa mo te torutoru nga ra. Nuinga o ngā wā puta tenei manawa pāpaku i roto i ngā tūroro hauora ki te ahotea tinana kino ahotea io ranei. riro te reira i ki te whakakorenga o te āhuatanga i runga, me te tahuri ki te manawataki noa. Varavara whanake i roto i te aroaro o etahi pathologies.

-mita manawa

Kupu Taurite: manawa atactic. āhuatanga tēnei ofatiraa e nekehanga manawa disordered. I roto i tenei hōhonu haere ki manawa pāpaku, taratahi ngaro oti o nekehanga romahā. manawa Atactic tahi e te kino ki te hoki o te kakau roro.

tātaringa

Ki te he tetahi huringa auau / hohonu o te kupukupu te manawanui wawe Me ki kite i te tākuta, rawa, ki te e ngā taua huringa ki:

• Tūāhuruiti (wera);
• toia atu te mamae pouaka, ka ngongoa / exhaling ranei;
• uaua manawa;
• tuatahi ka whakatika tachypnea;
• kiri grayish kikorangi ranei, ngutu, whao, rohe periorbital, ngā pae.

Hoki te tātaritanga o pathologies e meinga manawa pāpaku, te maua e te tākuta i te maha o ngā akoranga:

1. hītori Medical me amuamu:

• whakahaunga me ngā āhuatanga o te tohumate (hei tauira, ngoikore manawa pāpaku);
• mua e te ahua o maumaui o tetahi hui nui: te poisoning, whētuki;
• whakaatu tere disordered manawa i roto i te hui o te mate o te mahara.

2. Titiro:

• faaotiraa o te hohonu, me te te auau whakaputaina e nekehanga romahā;
• faaotiraa o te taumata o te mahara;
• faaotiraa o te aroaro / ngaro o tohu o te whara roro (uaua momohe, strabismus, te ahua o reflexes pathological, te āhua o te tauira, me ratou tauhohenga ki te marama: ira (kuiti) tamariki e huru painga ki te marama - he tohu o te mate o te kakau roro, ngā tauira whanui e kore e e tauhohe ki marama - tohu tuarua o te mate roro;
• whakamātautau o te puku rohe, kaki, upoko, ngakau me pūkahukahu.

3. Tātaritanga o toto (katoa, me te mataora), i roto i ngā te faaotiraa o te creatinine me te tiomimi, me te hāora waiwai.

4. Ko te hanganga waikawa-turanga o toto (te aroaro / ngaro o acidification toto).

5. Toxicology: aroaro / ngaro o matū paitini (rongoā, taero, konganuku taimaha).

6. MRI, CT.

7. kōrero o te roro.

8. rohe aaka.

9. Pulse oximetry.

10. ECG.

pūkahukahu 11. Karapa mō huringa i roto i te ventilation me perfusion o te okana.

maimoatanga

Ko te mahi tuatahi o te therapy manawa pāpaku ko ki te whakakore i te take pakiaka i meinga te ahua o te huru hoatu:

• Detoxification (antidotes whaowhia), huaora C, B, tātari toto i roto i te uremia (iti hoki tākihi), a roto i te take o te meningitis - paturopi / āpiha patu huaketo.
• Tangohanga o edema haaparuparu (Diuretics, corticosteroids).
• Te tikanga mō te whakapai ake i te mana roro (Metaboliki, neyrotrofiki).
• Translation i runga i te ventilator (ki te tika).

pōauautanga

e kore he manawa pāpaku i roto i meinga ano tetahi pōauautanga tino, engari kia arahi ki hypoxia (hypoxia) e tika ana ki ngā huringa i roto i te manawataki romahā. Ko, te mata huakore nekenga romahā, mai kore e reira whakarato te rere tika o te hāora ki te tinana.

manawa pāpaku o te tamaiti

he rerekē hoki ngā tamariki o ngā reanga rerekē te auau noa matehā. Hei tauira, kia kohungahunga ake ki te 50 te whakahā ia meneti, ngā pēpi i raro i te tau kotahi - 25-40, ki runga ki te 3 tau - 25 (30), 4-6 tau - ki runga ki te 25 te whakahā i roto i ngā āhuatanga noa.

Ki te te 1-3 tau tamaiti te maua e neke atu i te 35 nekehanga romahā, engari 4-6 tau - neke atu i te 30 ia meneti, ka taea te kite i te manawa pērā i ausia, me te auau. I roto i te marama te ô i te nui iti o te rangi, a ka puritia tona papatipu matua te i roto i te bronchi me te pukorokoro kahore e whai wāhi i roto i te utu hau. e kore hoki ventilation tika o nga nekehanga romahā he nui.

Ka rite ki te hua o tenei huru, mamae maha tamariki i te mahaha me ARI. I tua atu i te wahi mata o te manawa, arata'i ki te whanaketanga o te huangō arahau Bronchitis huangō ranei. No te mea kia kōrero tonu ngā mātua i te tākuta ki te whakatau i te take o te huringa i roto i te auautanga / hohonu o respiration o te tamaiti.

kia ai atu mate pērā huringa romahā tika ki hohekore tinana, te mōmona, peu hunched, nui haere hau, raruraru o tūranga, kore o haere, pakeke me hākinakina.

I tua atu, kia whakawhanake i te wahi mata o te manawa i roto i ngā tamariki e tika ana ki te prematurity (surfactant kore) tūāhuruiti (wera) te ahotea ranei.

Palpitations hāhā o te nuinga o maha manawa whakawhanake i roto i ngā tamariki te pathologies e whai ake nei:

• huangō arahau;
• kakā;
• mate pāwera;
• kiripūkahu;
• Rhinitis;
• laryngitis;
• kohi;
• Bronchitis;
• mate ngakau.

Therapy manawa pāpaku, me te i roto i ngā pakeke, kua hāngai ana ki te whakakore i nga take e meinga ai. I roto i tetahi take, he mea e tika ana ki te whakaatu i te tākuta pēpi, mo te whakanoho i te tātaritanga tika, me te whakahau maimoatanga tika.

kia Me koe ki te kōrero i te tohunga e whai ake nei:

• tākuta tamariki;
• pulmonologist;
• tākuta;
• allergist;
• mafatu pediatric.