Forward from: Sh X
NRDS
Risk factors:
-prematurity
-diabetes during pregnancy (fetal insulin⬆️) insulin⬆️-->Glucocorticoid⬇️--> Surfactant⬇️
-C-section delivery- keserva usuli bilan tug'ilgan bo'lsa. Sabab, tabiiy yo'l bilan tug'ilsa unda og'riq, stress sabab Glucocorticoidlar ko'p ajralib Surfactantni ko'payishiga sabab bo'ladi. Keserva usulida esa og'riq yo'q, Surfactant ham kam
Presentation:
- dyspnea
- tachypnea
- insiratory retraction of chest wall- nafas olganda o'pka kengaymaydi, qovurgalar orasidagi muskullar ko'rinib qoladi
- cyanosis
- nasal flaring- nafas olganda burun chig'anoqlarining kengayishi
- expiratory grunting- nafas chiqarganda shovqin.
Treatment:
-onaga glucocorticoid beramiz.
- bola tug'ilganidan keyin surfactant beramiz Endotrochal yo'l bilan va ozgina O2 beramiz
Katta miqdorda O2
-retinopathy- O2⬆️--> erkin radikallarni oshiradi-> ko'z to'r pardasini cells o'ldiradi
-intraventricular hemorrhage- miya ichi qorinchalar orasiga qon quyilishi
-Bronchopulmonary dysplasia
Risk factors:
-prematurity
-diabetes during pregnancy (fetal insulin⬆️) insulin⬆️-->Glucocorticoid⬇️--> Surfactant⬇️
-C-section delivery- keserva usuli bilan tug'ilgan bo'lsa. Sabab, tabiiy yo'l bilan tug'ilsa unda og'riq, stress sabab Glucocorticoidlar ko'p ajralib Surfactantni ko'payishiga sabab bo'ladi. Keserva usulida esa og'riq yo'q, Surfactant ham kam
Presentation:
- dyspnea
- tachypnea
- insiratory retraction of chest wall- nafas olganda o'pka kengaymaydi, qovurgalar orasidagi muskullar ko'rinib qoladi
- cyanosis
- nasal flaring- nafas olganda burun chig'anoqlarining kengayishi
- expiratory grunting- nafas chiqarganda shovqin.
Treatment:
-onaga glucocorticoid beramiz.
- bola tug'ilganidan keyin surfactant beramiz Endotrochal yo'l bilan va ozgina O2 beramiz
Katta miqdorda O2
-retinopathy- O2⬆️--> erkin radikallarni oshiradi-> ko'z to'r pardasini cells o'ldiradi
-intraventricular hemorrhage- miya ichi qorinchalar orasiga qon quyilishi
-Bronchopulmonary dysplasia