Izifo zokuphefumula ezinokubangela ukuphefumula zingakhokelela kwiimeko ezinobungozi kunye nokuphazamiseka kwinkqubo yokuphefumula. I-Croup yenye yezona ziphumo eziqhelekileyo zezifo ezithathelwanayo. Utyhila ngokubanzi kubantwana abaneminyaka eyi-3 ukuya kwiminyaka emithathu.
Ziyintoni i-cereal yobuxoki kubantwana?
Igama elongezelelweyo lesi sifo esicatshungulwayo yi-stenosing laryngitis. Ukugqabhuka ngokukrakra kwe-larynx, apho kukho ukugqithisa ngokukhawuleza kunye nokukhawuleza kweendonga zayo kunye nokuphazamiseka kwendlela yokuphefumula. Oku kunokubangela ukuchithwa, ngakumbi ukuba umntwana uncinci. Ukusuka kwiinyama zokunyusa okuyiyo okungafaniyo neengcambu ze-agent agent. Kwiimeko zokuqala, imbangela yengxaki i-diphtheria, kunye nakwezinye iindiza ezithintekayo.
Indlela yophuhliso lwe-stenosing laryngitis
Iingca zokungcola kubantwana zibangelwa ezi nkqubo zilandelayo:
- Ukuvutha okukhulu kwe-larynx kubangela ukukhukhuma okuphawulisiweyo okanye ukuvuvukala kwezicubu ezithambileyo kwindawo phantsi kweentambo zezwi.
- I-stenosing laryngitis ephazamisayo iphazamisa i-spasms ye-muscle-constrictors. Baqeshwe, ngoko i-lumry lamaline iyancipha ngokukhawuleza.
- Iinkqubo ezivuthayo zihamba kunye nokukhutshwa kwe-sputum enobulunga. I-Slime iqokelela kwi-lumen encinci ye-larynx kwaye iyakubhuqa ngokupheleleyo.
Ukudla okungekho nkohliso kubantwana - kubangele
I-agent causative yechazwe isifo sesifo. Kwiimeko ezininzi, iintsholongwane zibangelwa iincampu zobuxoki be-cerebral kubantwana - izizathu zokuphuhliswa kwayo ziquka ezo zifo:
- umkhuhlane ;
- herpes simplex;
- imasisi;
- iparagripp ;
- adenovirus;
- inkukhu;
- ukukhwehlela.
Okungaqhelekanga kukugaya i-laryngitis yemvelaphi yebhakteria. Kule meko, izizathu zalo zi:
- streptococci;
- haemophilus influenzae;
- pneumococci;
- staphylococci.
Iingcola ezingamanga kubantwana zingaqalisa kwimvelaphi ye-tonsillitis, i-rhinitis, i-adenoiditis nezinye izifo njengengxaki. Ezi zinto zilandelayo zifaka isandla ekuphuhlisweni kwayo:
- iiplanga;
- beriberi;
- ukuxhatshazwa;
- kudluliselwa i-hypoxia;
- diathesis;
- isondlo sokufakelwa;
- mzimba ophantsi.
Isizathu esona sizathu sokwenzeka kwendawo yokutya engamanga kuphela kubantwana kunye nokungabikho kwale nkalo kubantu abadala kubungakanani be-larynx. Ekuqaleni umntwana encinci, ngoko ke ukulula kwe-lumen yayo kukukhokelela ekuhlaselweni kwe-dyspnea. Njengoko ukhula, i-larynx iya kwanda, kwaye umntwana "nje" ugcwala i-laryngitis.
Ngaba i-cereal yobuxoki iyasasazeka kubantwana?
Ukukhubazeka ngokwawo akudlulangalelanga komntwana omnye ukuya kwelinye ngandlelwano olunxulumene ngqo, kodwa kungcono ukuhlukanisa umntwana ogulayo ngokukhawuleza. I-stenosing laryngitis kubantwana isoloko iqhubela phambili kwimpembelelo yentsholongwane yokuphefumula. Iintsholongwane okanye iintsholongwane zebhaktheriya zithinteka kakhulu, ngoko kwiqela lidla ngokuba kukho iziganeko ezininzi zokuvuvukala nokunciphisa i-larynx lumen ngexesha elifanayo.
Indlela yokuchonga utywala lobuxoki kumntwana?
I-state echazweyo ineempawu ezithile ezivumela ukuba zifumaneke ngokungenangqiqo. Iingca zokungcola kubantwana - iimpawu:
- ukukhwehlela "ukukhahlela";
- ukuphefumla komsindo, ukukhenkceza;
- ukuvakala kwezwi;
- uxhalaba;
- ukuphefumula okufutshane;
- I-lymph nodes ephakamileyo entanyeni;
- ukwanda kwindleko yomzimba (ukusuka kuma-37.2 degrees kuxhomekeke kwisizathu sesifo);
- izifo zokulala.
Amagatya okutya okungamanga kubantwana
Umfanekiso weklinikhi we-stenusa laryngitis iyahambelana nokuqineka kwekhosi. I-cereal yobuxoki ibonakaliswe njani kubantwana abanee-degrees ezahlukeneyo zokunciphisa i-larynx lumen:
- Ukuhlawulwa. I-Dyspnea kunye nobunzima bokuphefumla kubonakala kuphela kwimvelaphi yokuxinzelela ngokomzimba okanye ngokomzwelo. Xa kutyalwa, ukuvuthwa kungavakala.
- Inkxaso-mali. I-symptomatology ye-croup yamanga ikhona kubantwana nakwindawo yokuphumla. Umntwana unentloni, akayidli kakuhle kwaye alele. Kwi-inhalation, izikhala ze-intercostal kunye ne-jugular fossa zibuyiselwa, imirhumo eyomileyo iyavakala. Unxantathu obuthathekayo ufumana umbala ojikelezayo.
- Ukuhlawuliswa. Ukuxhalabisa kwintsana kunika indlela yokulala, ukuphazamiseka nokunganakwa, ukudideka. Umntwana ubhekene nokuphefumula kancinci kunye nokukhwehlela "ukukhahlela", ilizwi liyalala. Ubuso bonke kunye nenxalenye yentamo i-tinge bluish. Kwi-inhalation eyomileyo kunye nexubhayo emanzini ngokucacileyo iyayivakala, intliziyo ayizinzile (tachycardia), i-pulse yinto efana nentambo.
- I-Asphyxiation. Uhlobo olugqithisileyo lweengcawa ezibuxoki. Ukuphefumula komntwana kusemgangathweni kwaye kulungelelaniso, akukho ukukhwehlela. Kukho ukunyuka okubukhali kumxinzelelo wegazi, i-bradycardia, ukuxubha. Ubunono budidekile kwaye buya kuba yi-coma. Ngaphandle kokunyamekela ngononophelo, le meko inokuphela kwisiphumo esibulalayo.
Yintoni enokuyenza kunye ne-croup yamanga kumntwana?
Ukuba abazali bayayibona imiqondiso ecacileyo ye-stenosing laryngitis kunye nokuphefumula ubunzima kunye nobunqamlezo obunxantathu be-nasolabial, isiguli kufuneka senze ngokukhawuleza uncedo lonyango. Eyona nto ingozi yindlela yokutya engamanga kubantwana, kuba ubukhulu be-larynx yabo buncinci kwaye i-asphyxia ingenzeka ngokukhawuleza. Ngaphambi kokufika kweqela leengcali kubalulekile ukuqinisekisa ngokuqinisekileyo umntwana kwaye anike iimeko ezilungele ukuphefumula ngokuqhelekileyo.
Xa ukuhlaselwa kwe-cereal yamanga kumntwana akuhambisani nokuphefumula okanye ukuphefumula, kwaye kukho "ukukhwehlela" kuphela, unokuhlangabezana nale ngxaki:
- Nika isiselo esininzi se-alkaline (amanzi e-bicarbonate ngaphandle kwegesi, ubisi obuncinci obuncinane kunye ne-pinch soda).
- Ukubonelela ngexolo.
- Ebushushu obuphezulu (ngaphezulu kwama-38 degrees) sebenzisa i-antipyretic.
- Ngaba inhalation nebulizer ngamanzi amaminerali, iLazolvanom okanye i-saline.
- Umoya wangaphakathi ongcolileyo ukuya kuma-degrees ama-18 okanye ngaphantsi.
I-stenosing laryngitis kubantwana - ukunakekelwa ngongxamiseko
Ngaphambi kokufika kwabasebenzi bezonyango abaqeqeshiweyo, kubalulekile ukukhusela ukunciphisa okuqhubekayo kwe-larynx kunye ne-asphyxia. Ukuphumelela kuya kuba yinkxaso yokuqala yokunyumba kwamanga kumntwana, ichazwe kwicandelo langaphambili, kunye namanyathelo angaphezulu:
- Ukwenza i-reflex ehlanzayo, ucinezela umnwe okanye i-spoon kwingcambu yolwimi.
- Hlulela umoya ekamelweni. Ukuba akukho zixhobo ezikhethekileyo, unokulenga itilesi epholileyo kwindawo egumbini, ususa umntwana kwindawo yokuhlambela, apho amanzi atshisayo aphuma kwiiphampethi.
- Yenza umonakalo. Ukuba izidakamizwa ezicetywayo ngaphambili zingasebenzi, sebenzisa i-Pulmicort yokunyumba kwamanga kubantwana.
- Beka umntwana embhedeni uhleli-qingqo ukuze i-mucus encinci ibuthe kwi-larynx.
Iingca zokungcola kubantwana - unyango
Ulwaphulo lwe-stenusa laryngitis lubekwe kuphela ngugqirha ngabanye. Izinketho zokuphatha i-croup yamanga kubantwana zixhomekeke kwixesha elide kunye nobuqili bokuthintela, ubuncinane bentsana, i-agent ekhuselekileyo yesifo. Ekulweni nalesi sifo la maqela asetyenziswayo mayeza:
- i-glucocorticosteroid hormone (Prednisolone, i-Methylprednisolone);
- i-antispasmodics (Papaverin, No-Shpa);
- i-antitussives (i-Codeine, i-Bromhexine);
- antihistamines (Eden, Zodak);
- i-bronchodilators (iLazolvan, iGeksoral);
- ukukhupha (ukukhishwa kwe-valerian, i-motherwort);
- untiviral (Tamiflu, Remantadine);
- atibiotics (Erythromycin, Amoxicillin) kunye nabanye.
Ukongezelela, i-inhalation imiselwe ukunyumba kwamanga kumntwana. Esibhedlele, i-oksijeni enomlilo isetyenzisiweyo, kuyinqweneleka ukufumana ikhaya elihle le-nebulizer, ingakumbi ukuba umntwana usoloko elawulwa yi-laryngitis ye-stenusa. Iinkqubo zenziwa ngokusebenzisa nayiphi na isisombululo se-alkaline, iLazolvan, iPulmicorta.
Indlela yokuphepha ukutya okungekho nkohliso kubantwana?
Indlela yodwa yokukhusela i-pathology kukuthintela izizathu zayo - i-ARVI ne-ARI. Iingca zokungcola kubantwana zihlala ziqala ngokuchasene nemvelaphi yezifo, ngoko ke abazali kufuneka baqinise umzimba womzimba womntwana, bajonge ukushisa kunye nomswakama kwigumbi lakhe lokulala. Impendulo kumbuzo wendlela yokuthintela ukotya okungekho kumntwana emva kokusuleleka ngumkhuhlane okanye esinye isifo sifana. I-crumb kufanele ibe kwindawo epholile kunye nepholile, i-nebulizer inhalation yenziwa ngamaxesha amathathu ngosuku, omnye wabo kufuneka abe ngaphambi kokulala.