Namhlanje ukukhwehlela ukukhwehlela kuthathwa njengesifo esinqabileyo. Nangona kunjalo, isizathu salo singabakho kumava angeneli kwamagqirha amancinci ahamba phambili. Ngelishwa, kukho iimeko xa isigulane sibhekene nokukhwehlela ekhwela emilenzeni yakhe, njengoko wafumanisa ukuba unelungelo le-ARVI. Ngako oko, akusikho indawo yokufunda ukuba zeziphi iimpawu zokukhwehlela komntu omdala.
Iimpawu zokukhwehlela abantu abadala
Esi sifo sibhekisela ekusatshatyalazweni kwaye sibangelwa yiBordetella pertussis. Uphuhliso lwayo luyinkqubo. Kuphawulwe ukuba kwimbali yoluntu kwakukho amaxesha apho kwakungekho nto ikhankanyiweyo yokukhwehlela, kwaye ngoko-ke izifo zengqondo zenzeke kangangokuba zithatha amawaka abantu. Ngokuqhelekileyo, ukukhubazeka kuyingozi kubantwana, kodwa ngaba abantu abadala banokuhlupheka ngenxa ye-pertussis?
Enyanisweni, ukusuleleka kuthinteka kalula kumntu nanini na. Abantu abadala baya kugula kakhulu ngenxa ye-immununity, eyenza umonakalo umsebenzi we-pertussis. Kulo mzekelo, kubalulekile ukuba sikhumbule ukuba i-microorganism iyakhawuleza ibe yinto engenakwenzeka kwimimandla kunye nokusuleleka kubakho ngokuqhagamshelana ngqo nomguli.
Izimpawu ze-pertussis kumntu omdala ziquka ukukhwehlela kwe-paroxysmal, eyingozi ngenxa yokuba inokubangela ukuba i-bronchi ibangele. Kwisithomo seklinikhi yesifo, kukho izigaba ezi-3.
I-Catarrhal ithatha malunga neveki ezimbini. Kulo thuba apho iimpawu zokuqala zibonakalisa zona:
- owomileyo, okhukhulayo ngokwaneleyo, osigulisa isigulane rhoqo:
- jikelele malaise ngaphandle komkhuhlane.
Eli xesha lisoloko lididekile ngesifo nge-bronchitis okanye i-ARVI. Ngenxa yoko, unyango alusebenzi. Ukuba ugqirha uyakwazi ukubona iimpawu zokuqala zokukhwehlela abantu abadala kwi-stage catarrhal, unyango luya kukhawuleza. Ukungabikho kolwazi olufanelekileyo, ukukhwehlela kuya kuba yi-paroxysmal.
Ixesha le-paroxysmal libonakaliswe yimpawu eziliqela, ngokubhekisele kuyo sele kulula ukucacisa i-pathology:
- ukuhlaselwa kobuthakathaka , obandakanya ama-bronchial spasms ama-5-10;
- Ngethuba lokuhlaselwa, i-spasms iphela phantse ngaphandle kokuphumla;
- ekupheleni kokuhlaselwa kwesigulane senza umoya odibeneyo, njengokuba ngexesha lokukhwehlela akanakuphefumula;
- ukuphefumla kudla ngokuhamba kunye nomkhwelo;
- ayifaki i-cramp ye-glottis;
- xa ubuyela ngokuphefumula ngokuqhelekileyo, ukuhlaselwa kudla ngokuphindaphindiweyo;
- ukuhlaselwa kuqhubeka nokukhutshwa kwe-sputum, ukugwinya kwayo kungaholela ekuhlanza;
- Ukukhupha kubangele ukuxubha kwiisiphako ebusweni, okubangele ubomvu;
- Ulwimi luyakwazi ukukhupha ngaphandle ngexesha lokukhwehlela, ngezinye izihlandlo ezikhokelela ekudakaleni kwilungu.
Ukuba ugqirha akaqapheli iimpawu zokuqala zokukhwehlela kubantu abadala, unyango lulibazisekile. Ukuxhwaleka kwe-Paroxysmal kungadlulela kwiinyanga ezi-3, ngokugqithisa isigulane.
Inqanaba lokugqibela lithetha ukuxolelwa, apho ukukhwehlela kuhamba ngokukhawuleza.
Ukuxilonga ngokukhwehlela abantu abadala
Ukuba kukho ukukhankanywa kwe-pertussis, uvavanyo lokuhlola i-laboratory lwenziwe. I-bacteriological seeding ayisebenzisi kakuhle, iqinisekisa ukuxilongwa kuphela kwi-15-20% yamatyala. Iindlela zesimo
Kukho iindlela zokuxilongwa ngokukhawuleza kunye nokuzimisela kwama-antigens a-corpuscular B. Inzuzo yendlela kukuba emva kweeyure ezimbalwa kunokwenzeka ukuphikisa okanye ukuqinisekisa ukuxilongwa kwangaphambili. Indlela yokufumanisa i-latex microagglutination ivumela emva kwemizuzu engama-30-40 ukufumana ama-antigen kwi-mucus ethathwe ebusweni bodonga olusemva lwe-larynx.