Newborn TTN

Saturday, July 2, 2011

Transient Tachypnea (TTN) of the Newborn 

Some of the newborn experienced rapid breathing and need extra effort than normal because of the conditions in the lungs called TTN (Transient Tachypnea of the Newborn). About 1% of the newborn experienced this and generally disappear after a few days with the optimal procedure.

Infants who experience TTN (Transient Tachypnea of the Newborn) requiring special supervision and care while in hospital. After TTN finished largely restored without disturbance to grow flowers.
Before birth time, the baby's lungs filled with fluid. While in the womb the baby is not using his lungs to breathe. Babies get oxygen from the placenta. When approaching birth, fluid in the baby's lungs begin to decrease in response to hormonal changes. The fluid is also squeezed out when the baby is born through the birth canal (vagina). After birth the baby takes its first breath and the lungs filled with air and fluid in the lungs pushed out.

The remaining fluid then coughed or absorbed gradually through a system of blood vessels or lymphatic system / lymph vessels.
Infants with TTN experience that there are still residual fluid in the lungs or the discharge of fluid from the lungs is too slow so that the baby had difficulty to breathe normally and the baby oxygen breathing faster and deeper to get enough oxygen into the lungs.  

Causes of TTN
TTN, also called "wet lungs" or type II respiratory distress syndrome which can be diagnosed a few hours after birth. TTN can not be diagnosed before birth. TTN can occur in infants permatur (premature infant lungs not mature enough). Risk factors for the newborn to experience TTN:
  • Born in risky
  • Born to mothers with diabetes
  • Born to mothers with asthma
  • Infants small for gestational age
During the process of birth through the birth canal, especially infants, the pressure along the birth canal will push fluid from the lungs to get out. Hormonal changes during labor also plays a role in the absorption of fluid in the lungs.

Babies who are small or premature or who were born through the birth canal with a short duration or with ririskiky not experience the normal stress and hormonal changes occur as a normal birth, so they are more at risk of fluid buildup in the lungs when they breathed for the first time.
Signs and Symptoms of TTN
  • Breathing fast and in (Tachypnoea) more than 60 times/minute
  • Nostrils or head move-geak
  • Sela concave ribs while breathing
  • Mouth and nose bluish (cyanosis)
  • Grunting when babies exhale
In addition to the above symptoms infant with TTN looks like another baby
Because of TTN has symptoms that are similar to other severe respiratory problems in infants such as pneumonia or hypertension pulmonary blood vessels, your doctor may use x-rays help sebgai additional physical examination to diagnose.

The indicator used to diagnose TTN:
Infants with TTN lung will appear spotting and liquids in x-ray results, other normal
Monitoring of pulse-oximetry (oxygen sensor mounted on the tip of fingers or toes). This tool shows the level of oxygen delivered from the lungs into the blood. Sometimes checking oxygen levels needs to be checked through blood tests. Complete blood tests are sometimes needed to see if there is infection or not

Management of TTN
Infants with TTN are supervised and monitored. Sometimes can be monitored in the newborn intensive care room. Monitoring of cardiac frequency, respiration and oxygen content.
Some babies are monitored and confirmed decreased respiratory frequency and oxygen levels remain normal, others may require supplemental oxygen through a mask, hose under the nose or oxygen box.
If the baby is still trying hard to breathe even though oxygen is given, then the continuous positive airway pressure (CPAP) can be used to provide air flow to the lungs. With CPCP baby wearing an oxygen tube in his nose and the engine continuously provide pressurized air into the baby's nose to help keep the lungs open during breathing.
In severe cases the baby may need the help of a ventilator, but this is rare.

Nutrition can be an additional problem if the baby is breathing too fast so baby can not suck, swallow and breathe simultaneously. In this case, the intravenous infusion should be given to infants are not dehydrated and the baby's blood sugar levels maintained. If you want breastfeeding then discuss with your doctor to keep your milk production by milking / use a breast pump during the baby is getting an IV.
Within 24-48 hours the baby's breathing with TTN usually improves and returns to normal and within 72 hours all symptoms of TTN is not there. If the baby's condition has not improved then the doctor will look for other possible causes that might be included.
Bring your baby home
After the baby is recovering from TTN usually the baby will recover fully. Observation of signs of respiratory problems such as difficulty breathing, appears blue, between the concave ribs when breathing, if it appears immediately contact a doctor and emergency room near you.


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