Chii chinonzi Lucinactant: Zvinoshandiswa, Mishonga, Migumisiro, nezvimwe

Lucinactant mushonga we synthetic lung surfactant unopiwa zvakananga mumhepo yemwana akazvarwa asati akwana uyo ane matambudziko ekufema. Mushonga uyu unokosha unobatsira mapapu madiki kushanda zviri nani nekuderedza kusimba pamusoro pemhepo, zvichiita kuti zvive nyore kuti vana vachangoberekwa vafeme vega.

Kana vacheche vakazvarwa vasati vasvika nguva yavo, mapapu avo haana nguva yakakwana yekugadzira chinhu chechisikigo chinonzi surfactant. Funga nezve surfactant semushonga unodzivirira masaga madiki emhepo mumapapu ako kubva pakupinda. Pasina izvozvo, kufema kunova kwakaoma zvikuru uye kunotyisa nokuda kwevana ava vanotambudzika.

Chii chinonzi Lucinactant chinoshandiswa?

Lucinactant inorapa respiratory distress syndrome (RDS) muvana vasati vasvika nguva yavo. RDS inoitika kana vacheche vakazvarwa mapapu avo asati agona kugadzira surfactant yechisikigo yakakwana, kazhinji vasati vasvika vhiki makumi matatu nenomwe pamuviri.

Mamiriro ezvinhu aya anoita kuti kufema kuve basa rakaoma zvikuru kuvana vachangoberekwa nokuti masaga avo maduku emhepo anoramba achipinda nekufema kwega kwega. Pasina kurapwa, vacheche vane RDS vanotambura kuti vawane okisijeni yakakwana mumuviri wavo, izvo zvinogona kuva njodzi kuhupenyu.

Vanachiremba vanoshandisa lucinactant mumamiriro maviri makuru. Chekutanga, vanoipa kudzivirira RDS muvana vasati vasvika nguva yavo avo vari panjodzi huru. Chechipiri, vanoishandisa kurapa vacheche vanotova nemararamiro ematambudziko ekufema mushure mekuberekwa.

Lucinactant inoshanda sei?

Lucinactant inoshanda nekutsiva surfactant yechisikigo isipo mumapapu evana vasati vasvika nguva yavo. Mushonga uyu une vhezheni ye synthetic yeprotein nemafuta ayo mapapu ane hutano anogadzira zvakasikwa.

Kana vanachiremba vakaisa lucinactant zvakananga mumhepo yemwana, inopararira mumapapu uye inokora nzvimbo dzemukati dzemasaga emhepo. Iyi coating inodzivirira masaga emhepo kubva pakunamatira pamwechete uye kupinda kana mwana achifema kunze.

Mishonga Inoshanda Sei?

Mishonga inoshanda nekukurumidza, kazhinji ichivandudza kufema mukati memaminitsi mashoma kusvika kumaawa mushure mekutarisirwa. Kusiyana nemamwe ma surfactants, lucinactant inosanganisira chikamu cheprotein chinogona kupa mamwe mabhenefiti ekushanda kwemapapu nekurapa.

Lucinactant Inofanira Kupihwa Sei?

Lucinactant inofanira kupihwa chete nevashandi vehutano vakadzidziswa zvakanyanya muchikamu chekuchengetwa kwakanyanya kwevana (NICU) muchipatara. Mishonga inoenda zvakananga mumhepo yemwana kuburikidza netube rekufema, kwete nemuromo kana tsinga.

Vasati vapa lucinactant, vashandi vezvokurapa vanodziya mishonga kusvika kutembiricha yemuviri uye vanoigadzirira munzvimbo yakachena. Mwana anowanzo gamuchira mushonga ari pamhepo kana muchina wekufema unovabatsira kufema.

Maitiro acho anosanganisira kuyera chiyero chaicho zvichienderana nehuremu hwemwana uye zvishoma nezvishoma kuishandisa kuburikidza netube rekufema. Vashandi vehutano vanotarisa zvakanyanya kurova kwemoyo kwemwana, mazinga eokisijeni, uye maitiro ekufema panguva uye mushure mekurapa.

Kurapa kweLucinactant Kunofanira Kuenderera Mberi Kwenguva Yakareba Sei?

Vana vazhinji vanogamuchira lucinactant seimwe-nguva yekurapa, kunyangwe vamwe vachigona kuda mamwe madosi mukati memazuva mashoma ekutanga ehupenyu. Sarudzo inoenderana nekuti mwana anopindura sei uye kana kufema kwavo kuchivandudza.

Vanachiremba vanowanzo pa madosi mana ese, akaparadzaniswa maawa matanhatu kana kupfuura, kana mwana achienderera mberi nekutambudzika kufema. Dose yega yega inoverengwa zvakanyatsonaka zvichienderana nehuremu hwemwana uye mamiriro ekiriniki.

Mhedzisiro ye lucinactant inogona kugara kwemazuva kana mavhiki sezvo mapapu emwana achikura zvishoma nezvishoma uye achitanga kugadzira surfactant yechisikigo. Vana vazhinji vanoratidza kuvandudzwa mukati memaawa ekugamuchira dose yavo yekutanga.

Ndezvipi Zvakaipa zveLucinactant?

Zvinowanzoitika panguva yekupa lucinactant zvinosanganisira shanduko dzenguva pfupi mumoyo uye ropa. Izvi zvinowanzoitika panguva yekurapa uye zvinowanzoenda nekukurumidza mushonga wapedzwa.

Vamwe vacheche vanogona kusangana nenguva pfupi uko mazinga avo eokisijeni anochinja-chinja kana maitiro avo ekufema achichinja panguva yekurapa. Vashandi vehutano vanotarisira izvi uye vanotarisa vacheche nguva dzose kuti vave nechokwadi chekuchengeteka.

Hezvino zvinowanzoonekwa zvinotarirwa nevashandi vezvipatara panguva yekurapa:

• Kuderera kana kumhanya kwemoyo kwenguva pfupi
• Kudonha kwenguva pfupi kweropa
• Shanduko dzenguva pfupi mumazinga eokisijeni
• Kushanduka kwenguva pfupi mumaitiro ekufema
• Shanduko diki mumazinga e carbon dioxide yeropa

Izvi zvinowanzoita zvinyoro uye zvinogona kutarisirwa nekutarisirwa kwakakodzera kwekurapa. Zvakanakira kufema kwakavandudzwa zvinowanzoita zvakanyanya kupfuura izvi zvinonetsa zvenguva pfupi.

Matambudziko akakomba haawanzoitiki asi anogona kusanganisira pneumothorax (mapapu akawira) kana kubuda ropa mumapapu. Zvisinei, matambudziko akakomba aya anowanzoenderana nekuzvarwa kusati kwakwana uye matambudziko ekufema pane mushonga wacho pachako.

Ndiani Asingafaniri Kuwana Lucinactant?

Vacheche vashoma havagone kuwana lucinactant, asi vanachiremba vanonyatsoongorora mamiriro ezvinhu ega ega. Mushonga uyu wakagadzirirwa vacheche vasati vazvarwa vane matambudziko ekufema, saka haakodzeri vacheche vakazara kana avo vane mamwe matambudziko emapapu.

Vacheche vane zvimwe zvikanganiso zvakakomba zvekuzvarwa zvinokanganisa nzira dzavo dzemhepo kana mapapu havangave vakakodzera kurapwa kwe lucinactant. Uyezve, vacheche vane kubuda ropa mumapapu avo kana avo vasina kugadzikana zvakanyanya kuti vapiwe vanogona kuda kumirira.

Vanachiremba vanofungawo nezve mamiriro emwana ese, kusanganisira kushanda kwemoyo uye kugona kweropa, vasati vasarudza kurapwa. Dzimwe nguva nguva yekurapwa inokosha kupfuura zvinopesana.

Mazita eLucinactant Brand

Lucinactant inotengeswa pasi pezita rekuti Surfaxin muUnited States. Iri ndiro chete fomu rinowanikwa rekutengesa remushonga uyu wakagadzirwa we surfactant.

Vapi vehutano nevabereki vanogona kunzwa vachitaurwa nezita rayo re generic (lucinactant) kana zita remhando (Surfaxin) zvakachinjana. Mazwi ese ari maviri anoreva mushonga mumwechete une zvinongedzo zvakafanana uye mhedzisiro.

Lucinactant Alternatives

Mamwe mamwe mishonga ye surfactant iripo yekurapa respiratory distress syndrome muvana vasati vazvarwa. Izvi zvinosanganisira ese ari maviri surfactants echisikigo anobva mumapapu emhuka uye mamwe masynthetic versions.

Natural surfactants senge beractant (Survanta) uye poractant alfa (Curosurf) anobva mumapapu emombe kana nguruve uye ave achishandiswa zvakabudirira kwemakore mazhinji. Mishonga iyi inoshanda zvakafanana ne lucinactant asi ine zvishoma zvakasiyana zvinoumba.

Imwe sarudzo ye synthetic ndeye colfosceril palmitate (Exosurf), kunyangwe ichishandiswa kazhinji nhasi. Sarudzo pakati pezvakasiyana surfactants inowanzoenderana nezvido zvechipatara, kuwanikwa, uye zvikonzero zvemurwere mumwechete.

Lucinactant Zviri Nani Kupfuura Zvimwe Zvinhu Zvinoshandiswa?

Lucinactant inopa zvimwe zvakanakira zvakasiyana zvichienzaniswa nemamwe mishonga ye surfactant, kunyanya hunhu hwayo hwe synthetic uye protein content. Kuva synthetic zvinoreva kuti haina njodzi yekutapurira zvirwere zvinobva kumhuka, izvo zvinogona kuva dambudziko ne surfactants yechisikigo.

Mushonga unosanganisira chikamu cheprotein chinogona kupa mamwe mabhenefiti ekuporeswa kwemapapu uye basa kupfuura kungodzivirira kuparara kwemhepo. Zvimwe zvidzidzo zvinoratidza izvi zvinogona kutungamira kune zviri nani zvinoguma kwenguva refu.

Asi, zvese zvinobvumidzwa zvinoshanda zvakanyanya pakurapa respiratory distress syndrome. Sarudzo pakati pavo inowanzoenderana nezvinhu zvakaita semitemo yechipatara, kufunga nezvemutengo, uye ruzivo rwechiremba panzvimbo pemisiyano mikuru mukushanda.

Mibvunzo Inowanzo Bvunzwa Nezve Lucinactant

Lucinactant Yakachengeteka Here Kune Vacheche Vakazvarwa Vasati Vasvika?

Hongu, lucinactant inoonekwa seyakachengeteka zvikuru kana ichipihwa nevashandi vehutano vakadzidziswa munzvimbo dzakakodzera dzechipatara. Mushonga uyu wakaitwa bvunzo dzakawanda kunyanya muvacheche vakazvarwa vasati vasvika uye wakabvumidzwa nemasangano anotonga.

Nzira yekuchengetedza yakanyatsojeka, nemigumisiro yakawanda iri yenguva pfupi uye inogoneka. Zvakanakira kufema kwakavandudzwa uye kuderedzwa kwenjodzi yematambudziko akakomba kubva ku respiratory distress syndrome kazhinji zvinopfuura chero njodzi dzinogona kuitika.

Ndingaita Sei Kana Mwana Wangu Akagamuchira Lucinactant Yakawandisa?

Mamiriro ekupfuudzwa kwemishonga haawanzoitiki nekuti lucinactant inongopihwa nevashandi vezvokurapa vakadzidziswa zvakanyanya vanonyatsoverenga zviyero. Vashandi vehutano vanoshandisa zviyero zvakajeka zvichibva pauremu hwemwana wako uye vanonyatsoongorora maitiro ekupa.

Kana mishonga yakawandisa ikapihwa netsaona, vashandi vezvipatara vanobva vawedzera kuongorora uye kupa rutsigiro rwekutarisira sezvinodiwa. Chikwata chechipatara chakashongedzerwa kubata chero matambudziko anogona kubuda kubva mukukanganisa kwemishonga.

Chii Chinoitika Kana Mwana Wangu Akapotsa Dose Yakatarwa?

Kusiyana nemishonga inotorwa kumba, lucinactant dosing inotungamirirwa zvachose nechikwata chako chevana muchipatara. Vanoramba vachiongorora kana mamwe madosi achidiwa zvichibva pamamiriro ekufema kwemwana wako uye mamiriro ese.

Kana dose ikanonoka nekuda kwezvikonzero zvekurapa, vanachiremba vachasarudza nguva yakanakisa yekupa zvichibva pazvinodiwa nemwana wako. Chirongwa chekurapa chinogona kuchinjwa kuti chive nechokwadi chekuti mwana wako anogamuchira kutarisirwa kwakakwana.

Mwana Wangu Angamira Rini Kugamuchira Lucinactant?

Vana vazhinji vanogamuchira lucinactant chete mumazuva avo ekutanga ehupenyu, uye vazhinji vanoda dose imwe kana mbiri chete. Kurapa kunomira kana kufema kwemwana wako kuchivandudzika zvakakwana uye mapapu avo anotanga kugadzira surfactant yechisikigo yakakwana.

Chikwata chekurapa chinotarisa kufambira mberi kwemwana wako nguva dzose uye chinoita zvisarudzo pamusoro pemadosi ekuwedzera zvichibva pamaitiro ekufema, zvinodiwa neokisijeni, uye kuvandudzwa kwese kwekiriniki. Sezvo mapapu emwana wako achikura, vachazoda zvishoma nezvishoma rutsigiro rwekufema.

Lucinactant Ichakanganisa Kukura Kwenguva Refu Kwemwana Wangu Here?

Tsvagiridzo iripo inoratidza kuti kurapwa kwe lucinactant hakukanganisi kukura kwenguva refu muvana vasati vazvarwa. Muchokwadi, nekuvandudza kufema uye kuendesa okisijeni mumazuva ekutanga akakosha, mushonga unogona kubatsira kudzivirira matambudziko anogona kukanganisa kukura.

Zvidzidzo zvinotevera vana vakagamuchira surfactant kurapwa zvinoratidza mhedzisiro yekukura yakafanana neiyo inotarisirwa padhigirii ravo rekuzvarwa vasati vasvika. Mushonga unogadzirisa dambudziko rekufema nekukurumidza pasina kugadzira mhedzisiro inogara pakukura kana kukura.