Ukuhamba komoya kwimiphunga nokuphefumula okuqhelekileyo kuqinisekiswa ngumbumba kunye neendawo eziphezulu ze-trachea. Iinkqubo ezivuthayo kulezi ziko zikhokelela kwisitoli (ukunqumla) kwe-pharynx, ebangela i-laryngotracheitis. Kulula ukujamelana nesi sifo ukuba uyayiqonda iimpawu zayo ngexesha kwaye ulungelelanise kakuhle unyango.
Yintoni i-laryngotracheitis?
Le ntsholongwane ukuvuvukala kwesimo esithathelwanayo, okuchaphazela iindawo zokuqala ze-trachea kunye ne-larynx. Kwizifo ezilukhuni, isifo songeza ngokuquka i-stenosis yesiphene sokuphefumula kunye nesilonda sezintambo zezwi. I-Laryngotracheitis kubantwana banokuba nefomu elingapheliyo. Kwiimeko ezinjalo, ukucuthwa kwe-lumen ye-pharynx kwenzeka kuphela kwimvelaphi yokugqithisa kwenkqubo yokuvuvukala.
I-Laryngotracheitis - izizathu zabantwana
Indlela yokuphuhliswa kwesifo esichazwe yicala iqala i-edema ye-membranes yokuqala. Ngenxa yalo kwindawo ye-trachea kunzima ukwahlula i-mucus, ephazamisa i-receptors ekhuselekileyo kunye nokunyuka. Kancinci, ifikelela kwiintambo zamagama, zikhupha umonakalo kunye nokuvuvukala, ukugcinwa kwamanzi okanye i-sputum kwi-pharynx.
Ukufumana unyango olufanelekileyo kubalulekile ukufumanisa isizathu sokuba i-laryngotracheitis iqalile - izizathu zabantwana zixhomekeke kwisimo sesifo kunye nemeko yekhosi yayo. Ukongezelela, kubalulekile ukuqwalasela iziganeko zokubaluleka kokuqala kwi-pathology:
- ukukhala, ukukhala;
- i-hypothermia yomzimba;
- inhalation of air or dust;
- ukunyanzelwana komntu kwizinto ezithile;
- ukuphoqeleka kweenyawo;
- umzimba obuthathaka.
Laryngotracheitis
Isizathu esibalulekileyo saso sifo sithathwa njengesifo esiphezulu sesifo sokuphefumula. I-laryngotracheitis eqhelekileyo kubantwana iqala ngokumalunga nemvelaphi yezinto ezilandelayo:
- umkhuhlane kunye neparinfluenza ;
- i-adeno-, ibhino, i-enterovirus;
- ii-mycoplasmas, strepto-staphylococci, bacillus tubercle);
- imasisi ;
- herpes;
- indlela yokuphendula;
- imeko engalunganga.
Laryngotracheitis engapheliyo
Uhlobo lwesifo esilulayo luhlala lwenzeka emva kohlobo olubi. Kubalulekile ukuchonga i-laryngotracheitis kubantwana ngexesha elifanelekileyo - iimpawu kunye nonyango zixhomekeke kakhulu kwisigaba se-pathology. Ukuba unyango lukhethwe ngokungalunganga okanye alukho ngokupheleleyo, inkqubo yokuvuvukala iya kuhlala iphinda ibuye. I-laryngotracheitis engapheliyo kubantwana ibizwa ngokuba yisifo esiyingozi.
Ukuphazamiseka kokuqalisa ukuvuvukala kwe-larynx kunye neendawo eziphezulu ze-trachea yi:
- izifo eziphefumulayo;
- ukungahambi ;
- i-supercooling;
- uxinzelelo;
- ukuxhatshazwa.
I-Laryngotracheitis kubantwana - iimpawu
Umfanekiso weklinikhi we-pathology enoba unemiqondiso ethile, ngokubhekiselele ukuba kulula ukuyifumanisa. Laryngotracheitis - iimpawu:
- owomileyo, ukukhwehlela okubuhlungu;
- bushushu;
- ukuphulwa kokuphefumla.
Iimpawu ezisisiseko zixhaswa yiingxaki ezihamba kunye:
- kwanda i-lymph nodes;
- kulala;
- ukuphazamiseka kokutya;
- ukuxhalaba, ukucaphuka;
- ubuthathaka, ukulala;
- ilizwi eligqithisileyo okanye elivakalayo;
- ukutshisa, ukuma, ukuphefumula emqaleni;
- ukudabuka nentlungu emva kwe-sternum.
Isikhumba nge laryngotracheitis
Ngenxa yeprogram yokuvuvukala, kukho i-edema yeembrane ze-larynx kunye ne-trachea. Oku kubangele ukukhwehlela okukhulu kunye nentloko. I-stenosing laryngotracheitis kubantwana ihlala ihamba kunye nokunciphisa i-pharyngeal lumen. Ngamanye amaxesha oku kubangela ukuphulwa kwingozi kwenkqubo yokuphefumula nokuxhatshazwa, ingakumbi kumntwana omncinane. Kuyimfuneko ngokukhawuleza ukuba kuqhutywe unyango ukuba i-laryngotracheitis ikhunjulwe kubantwana - iimpawu kunye nonyango kulula xa eso sifo sisekuqaleni kwenkqubo yophuhliso. Kwizigaba zokuqala kulula ukukhusela iingxaki kunye nokuthintela ukutshintshwa kwesibindi kwisifo esingapheliyo.
Ukushisa nge laryngotracheitis
Ubushushu buyingqayizivele kwinkqubo enobangela obangelwa yintsholongwane okanye i-baconial lesion. Ukuba iimpendulo ezithintekayo okanye ezinye izinto ezingenasifo zikhubaza i-laryngotracheitis, iimpawu ziyahluka. Kwiimeko ezinjalo, ubushushu bomzimba buhlala buqhelekileyo okanye bunyuke kancinci, kwiimpawu ezicwangcisiweyo (malunga nama-37.5 degrees).
I-Stenosis ye-larynx ne laryngotracheitis
Iingxaki ngokuphefumla zivame ukubonwa kwabantwana abangaphantsi kweminyaka engama-3. Ukugqithisa kwe-lumine ye-laryngeal kunye nee-groats ezimbi ziyingxaki ezibangelwa i- stenosing laryngotracheitis . Le yimiphumo eyingozi ye-pathology, kuba iyakwazi ukukhawuleza kakhulu kunye ne-oksijini yindlala yesikhumba seengqondo. Oogqirha bancomeka ngokukhawuleza beqhagamshelana neklinikhi ukuba i-laryngotracheitis kubantwana iqala - iimpawu kunye nonyango kulula kakhulu ukufumanisa okokuqala isifo. Uphulo oluchanekileyo oluchanekileyo luthatha ngaphandle kweveki ezi-2 ukugqiba ukubuyiswa.
I-Laryngotracheitis kubantwana - unyango
Izindlela zokulwa nezifo ezichazwe zixhomekeke kwizizathu kunye nobuqili. Unyango olusisigxina kunye nolunzima lwe-laryngotracheitis lubandakanya oku kulandelayo:
- ukukhululeka kokukhwehlela;
- ukupheliswa kwe-stenosis yephepha lokuphefumula;
- ukucoca kwenkqubo yokuvuvukala;
- ukuthobela iziphakamiso zokutya;
- Ukubuyiselwa kokuphefumula okuqhelekileyo;
- nokuqiniswa kwempilo.
Unonophelo loxinzelelo lwe-stenosing laryngotracheitis kubantwana
Ukuba inkqubo yokuvuvukala iholele ekunciphiseni i-lumine ye-laryngeal, kwaye iimpawu zibonisa ukuba umntwana uyagula, ugqirha kufuneka abizwe ngokukhawuleza. Ingxaki enobungozi kakhulu eyenza i-laryngotracheitis i-stenosis. Kuxhamle ukuxhatshazwa kunye ne-oksijini yindlala yengqondo.
Nangona iingcali zendlela, kuyimfuneko ukuthatha amanyathelo angxamisekileyo:
- Beka umntwana embhedeni, ungamvumeli ukuba alele phantsi, ukwenzela ukuba i-mucus encinci ibuthe i-larynx
- Cinezela ngomunwe wakho okanye i-spoon kwingcambu yolwimi, ubangele i-reflex egulisayo.
- Hlulela umoya ekamelweni. Ukuba akukho sixhobo esikhethekileyo, unokubeka kwindawo egumbini isitya semanzi, uxhoma amathoyilethi amanzi apholileyo, uthathe umntwana kwisitya sokuhlambela kwaye uphendule ibhobho ebandayo ebandleni.
- Ukunciphisa izinga lokushisa lomoya ngaphakathi kwindlu usebenzisa i-air conditioner okanye uvula ii windows kunye namabhalkoni.
- Ukufezekisa ukutshatyalaliswa kwamanzi kunye nebulizer. Inkqubo nge saline okanye amayeza akhethekileyo kuya kunceda ukunciphisa impawu.
Laryngotracheitis - iziyobisi
Ukukhethwa kwezilwanyana zamachiza kufuneka kulandelwe yidokotela ophantsi kwezingane emva kokuqinisekiswa kokuxilongwa. I-antibiotiki ne laryngotracheitis imiselwe kuphela ukuba imvelaphi yebhakteriya yenkqubo yokuvuvukala. Kwezinye iimeko, ukusetyenziswa kwayo akunakuncedo kwaye kuyingozi nakhona, kuba iziyobisi ezinqanda i-antimicrobial zinciphisa umsebenzi we-immune system. Ukuba ama-bacterial infathogens of therapy afunyenwe, ezi zilandelayo zilandelayo:
- i-penicillins (i- Augmentin , i-Amoxiclav);
- ii-macrolides (iClacid, iSamamed);
- cephalosporins (Cefalexin, Ceftriaxone).
Ama-antimicrobial ayadingeki xa i-laryngotracheitis yintsholongwane iqhubekela phambili kubantwana - iimpawu kunye nokunyangwa kwesi sifo kubandakanya amanyathelo aqhelekileyo okuqinisa ukukhuselwa kunye nokunyango okunciphisa iimpawu zesifo. Ukuba ukukhubazeka kwafunyaniswa ekuqaleni kwesikhalazo (iiyure ezingama-72 zokuqala), unika umntwana imithi ekhethekileyo:
- Ergoferon;
- Anaferon ;
- Viferon.
Kwiqondo lokushisa elingaphantsi (ukuya kuma-38-38,5 ubuninzi), akukhuthazwa ukuthatha izidakamizwa ze-antipyretic. Kucetyiswa ukuba uyisebenzise xa umntwana unesifo somkhuhlane. Ezi zithunywa ezilandelayo zonyango zifanelekileyo:
- Paracetamol;
- Tylenol;
- Nurofen;
- Dofalgan;
- Mexalen kunye neempawu.
Iimpawu ezinjengekratshi kunye nokukhwehlela, zimisiwe ngamachiza afanelekileyo:
- Lazolvan;
- Kodelak;
- ATSTS;
- IiPatathus;
- Sinecod;
- Broncholitin;
- Libexin;
- Glycodine;
- Alex Plus;
- Bronchoton kunye neentetho.
Inhalation ne laryngotracheitis
Ngethuba elimandla, ukunyanzeliswa kukunceda ukukhawuleza ukuhlaselwa kokukhahlela nokubuyisela ukuphefumula okuqhelekileyo. Inhalation ithathwa njengesiqinisekiso xa uphuhliso lwe-stenosing laryngotracheitis kubantwana - iimpawu kunye noonyango lwasekhaya zibonisa ukusetyenziswa kwe-nebulizer. Ukuba isisombululo somzimba asikwazi ukusebenza kakuhle, kuyacetyiswa ukuba usebenzise uLazolvan okanye ukulungiswa okufanayo okuvimba ukukhwehlela okubuhlungu. Enye indlela, indlela yokuphatha i-laryngotracheitis nge-stenosis-Pulmicort.
Emva kokuphelisa ukuhlaselwa kunye nokuphefumula ngokuqhelekileyo, kufuneka kuqhutywe i-inhalation rhoqo, ukwenzela ukuba iimbumba ze-larynx zihlale zimanzi. Ukusetyenziswa kwekhaya, ungathenga isisombululo sokwenza umzimba esilungile okanye amanzi ase-alkaline amaminerali ngaphandle kwegesi. Ngokukhukhuka, ungagcwalisa i-nebulizer ngamachiza akhethekileyo:
- ATSTS;
- Lazolvan;
- Fluimucil;
- Tonzylgon H;
- Rotokan nabanye.
I-Laryngotracheitis - izilwanyana zomntu
Kwipilisi yonyango, zokupheka zendalo ziyavunyelwa, kodwa nje kuphela iziphumo ezincedisayo. Udokotela wezingane kufuneka ancome indlela yokuphatha i-laringotraheitis kumntwana, emva kokuqinisekisa ukuxilongwa kunye nokungabikho kokuphendula komntwana kwizinto ezikhethiweyo zeemali ezikhethiweyo. Ukuba unyango lwabantu alusebenzi okanye lukhokelela ekunyuseni kwiimpawu zesifo, kungcono ukushiya.
I-Laryngotracheitis kubantwana - unyango ekhaya kunye namakhambi
Izithako :
- iingcambu zelayisensi - 30 g;
- amagqabi omama kunye nomama-wesibini-40 g;
- Iziqhamo zefennel - 20 g;
- Ingcambu ye-althea ingama-40 g;
- Izimbali ze-Mullein - 20 g;
- amanzi - 1 iglasi.
Ukulungiselela, isicelo
- Gaya udibanise izityalo zonyango.
- Phalaza iqoqo le-1punipoon yamanzi abilisiwe abilisiwe.
- Emva kweeyure ezingama-2 zokugxininisa, gilisa iyeza.
- Yandisa isisombululo, cima.
- Phuza isiluleko somntwana ngexesha lomhla kwiincinci ezincinci.
Umhluzi ochasayo
Izithako :
- i-bran bran - 1.5 tbsp. iipuni;
- amanzi abilayo - iikomityi ezimbili;
- Ijisi lemon elifakwe ngokutsha - 0,5 tsp.
Ukulungiselela, isicelo
- Hlanganisa i-bran.
- Zithulule ngamanzi abilayo kwaye udibanise.
- Ukunika izidakamizwa kwiiyure eziyi-1.5.
- Nciphisa umhluzi.
- Yongeza ijisi lemon kwi-liquid result.
- Nika umntwana i-1 teaspoon yesilwayo amaxesha angama-4-7 ngosuku.
I-tea ekhwehlela
Izithako :
- i-wort St John's wort - 3 tbsp. iipuni;
- amanzi - 1 l;
- jam, utyhi okanye ushukela - ukunambitha (ngokunyamezela).
Ukulungiselela, isicelo
- Gaya iimveliso eziluhlaza zemifuno kwaye uwathulule kwi-thermos.
- Phala i-St. John's wort ngamanzi abilayo.
- Ukumisela utshani kwiiyure ezingama-2-3.
- Nciphisa iyeza.
- Yongeza i-sweetener kwi-tea.
- Nika umntwana 1 dessert. isipuni sesilungiso sesigamu seyure ngaphambi kokutya.
- Phinda 1-2 ngamaxesha ngosuku.
Iingxaki ze laryngotracheitis
Ukuvuvukala kweembrane ze-larynx kunye ne-trachea kungabangela imeko enzima ngendlela yoxinzelelo lwe-tubeway. I-stenosing i-laryngotracheitis enomdla iqulethwe ukuxhatshazwa, ehambelana nezi zilandelayo:
- i-blanching yolusu;
- i-bluish tint yenxantathu ye-nasolabial;
- izibonda ezimnyama phantsi kwamehlo;
- kutyhafa;
- ukungcola;
- ukunyaniseka, ukunganakwa;
- i-cyanosis yezandla kunye neenyawo;
- ukuphefumula kunye nokubetha;
- i-pulse engaqinisekanga;
- yokubanjwa komzimba.
Le nkxalabo idinga unyango olukhawulezileyo, kuba umntwana unokufa ngenxa yokuntuleka kwe-oxygen. Ekubeni kukho naziphi na iimpawu ezichazwe, kubalulekile ukubiza ngokukhawuleza iqela le-ambulensi kwaye silandele iingcebiso eziphambili zeengcali:
- Phakamisa igag reflex kumntwana.
- Ubuninzi obupholile kwaye buxhamle umoya kwigumbi.
- Yenza inhalation Pulmicort.