Ukuhamba komoya emaphashini nokuphefumula okuvamile kuqinisekiswa yi-larynx kanye nezingxenye eziphezulu ze-trachea. Izinqubo zokuvuvukala kulezi zitho ziholela ekutheni (stingosis) ye-pharynx, ebangela i-laryngotracheitis. Kulula ukubhekana nalesi sifo uma ubona izimpawu zayo ngesikhathi futhi uhlela kahle ukwelashwa.
Kuyini i-laryngotracheitis?
Lesi sifo siwukuvuvukala kwesimo esithathelwanayo, esithinta izingxenye zokuqala ze-trachea ne-larynx. Ngezifo ezinzima, lesi sifo sibandakanya ukuqina kwesifo sokuphefumula kanye nesilonda sezintambo zezwi. I-Laryngotracheitis ezinganeni ingaba nefomu elingapheli. Ezimweni ezinjalo, ukugxilwa kwe-lumen ye-pharynx kwenzeka kuphela ngokusuka kwenkimbinkimbi yenqubo yokuvuvukala.
I-Laryngotracheitis - izimbangela zezingane
Indlela yokuthuthukiswa kwezifo ezichazweyo iqala i-edema yokuqala ye-membrane emangcwabeni. Ngenxa yalokho endaweni ye-trachea kunzima ukuhlukanisa i-mucus, okucasula ama-receptors eseduze nawo futhi yanda ukuvuvukala. Kancane kancane, kufinyelela emigodini yezwi, okwenza umonakalo nokuvuvukala, ukugcinwa oketshezi noma uketshezi ku-pharynx.
Ukuze uthole ukwelashwa okufanelekile kubalulekile ukuthola ukuthi kungani i-laryngotracheitis iqalile - izimbangela zezingane zixhomeke esimweni sesifo kanye nemvelo yenkambo yayo. Ukwengeza, kubalulekile ukucabangela izici ezithintekayo ekuqaliseni kwe-pathology:
- ukukhala, ukukhala;
- i-hypothermia yomzimba;
- ukuphuza umoya othuli noma othuliweyo;
- ukungaboni ngaso sonke isikhathi izinto ezithile;
- ukugcoba njalo kwezinyawo;
- ukukhubazeka okubuthakathaka.
Laryngotracheitis enamandla
Isizathu esiyinhloko saleso sifo esethuliwe kubhekwa njengesifo esiphelele sokuphefumula. I-laryngotracheitis enhle ezinganeni iqala ngokumelene nesizinda sezici ezilandelayo:
- umkhuhlane kanye neparinfluenza ;
- i-adeno-, ibhomu, i-enterovirus;
- ama-bacterium (i-mycoplasmas, i-strepto- ne-staphylococci, i-tubercle bacillus);
- isingenisi ;
- i-herpes;
- ukusabela okweqile;
- imvelo engalungile.
Laryngotracheitis engapheli
Uhlobo oluthile lwesifo luhlala njalo ngemuva kwesimo esibucayi. Kubalulekile ukukhomba i-laryngotracheitis ezinganeni ngendlela efika ngesikhathi - izimpawu kanye nokwelashwa kuncike kakhulu esigabeni sokugula. Uma ukwelashwa kukhethwe ngokungalungile noma kungabikho ngokuphelele, inqubo yokuvuvukala izobuyela njalo. I-laryngotracheitis engapheli ezinganeni ibizwa ngokuthi isifo esiphuthumayo ngezikhathi ezithile.
Ukugqugquzela ukuqala ukuvuvukala kwe-larynx nezingxenye ezingaphezulu kwe-trachea yilokhu:
- izifo ezithinta ukuphefumula;
- ukuhlukunyezwa ;
- i-supercooling;
- ukucindezeleka;
- ukuxoshwa.
I-Laryngotracheitis ezinganeni - izimpawu
Isithombe se-clinical of the disease in question sinezibonakaliso ezithile, ngokusho ukuthi kulula ukuyiphila. I-Laryngotracheitis - izimpawu:
- omile, ukukhwehlela okubuhlungu;
- ukushisa;
- ukwephula ukuphefumula.
Izibonakaliso eziyisisekelo zihlanganiswa nezinkinga ezihambisana nalokhu:
- ukwandisa ama-lymph nodes eziseduze;
- ukulala;
- ukuwohloka kwesifiso;
- ukukhathazeka, ukucasula;
- ubuthakathaka, ukulala;
- izwi elikhukhulayo noma elizwakalayo;
- ukushisa, ukuma, ukujula emphinjeni;
- ukudabuka nobuhlungu ngemuva kwe-sternum.
Isikhumba nge-laryngotracheitis
Ngenxa yenqubo yokuvuvukala okunzima, kukhona i-edema yezinambuzane ezimangcwabeni ze-larynx ne-trachea. Lokhu kubangela ukukhwehlela okukhulu futhi okunomusa. Ukugaya i-laryngotracheitis ezinganeni kuvame ukuhambisana nokunciphisa kwe-pharyngeal lumen. Ngezinye izikhathi lokhu kuholele ekuphukeni okuyingozi kwenqubo yokuphefumula nokuhlushwa, ikakhulukazi emntwaneni omncane. Kuyadingeka ngokushesha ukuthi uqhubeke nokwelapha uma i-laryngotracheitis isolwa izingane - izimpawu kanye nokwelashwa kulula uma lesi sifo sisezingeni lokuqala lentuthuko. Ezigaba zokuqala kulula ukugwema izinkinga nokuvimbela ukuguqulwa kwesibindi zibe ifomu elingapheli.
Ukushisa nge-laryngotracheitis
Ukushisa kuyingqayizivele nenqubo enzima ebangelwa i-virus noma i-baconial lesion. Uma izimpendulo ezithathelwanayo noma ezinye izinto ezingezona ezithathelwanayo zicasula i-laryngotracheitis, izimpawu zingase zihluke. Ezimweni ezinjalo, izinga lokushisa komzimba lihlala livamile noma landa kancane, kuya ezinkomba ezincane (cishe ama-degree angu-37.5).
Ukuqina kwesifo se-larynx nge-laryngotracheitis
Izinkinga ngokuphefumula zivame ukubhekwa ezinganeni ezingaphansi kweminyaka eyi-3. Ukwehliswa kwe-lumine ye-laryngeal ne-groats yamanga yizinkinga ezibangelwa i- laryngotracheitis ye-stenosing . Lezi imiphumela eziyingozi ze-pathology, ngoba zingaholela ekukhunjweni okujulile kanye ne-oksijini yindlala yezincubu zobuchopho. Odokotela batusa ngokushesha ukuxhumana nomtholampilo uma i-laryngotracheitis eqala izingane - izimpawu kanye nokwelashwa kulula kakhulu ukutholakala kokuqala kwesifo. Ukwelashwa okwesikhashana kanye nokulungisa akuthathi okungaphezu kwamaviki amabili ukuqedela ukutakula.
I-Laryngotracheitis ezinganeni - ukwelashwa
Izindlela zokulwa nezifo ezichazwe zixhomeke ezimbangela nasebucayi. Ukwelashwa okunamandla futhi okungapheli kwelaryngotracheitis kuhilela lokhu okulandelayo:
- ukukhululeka kokukhwehlela;
- ukuqedwa kwesimo sokuphefumula;
- ukupheka kwenqubo yokuvuvukala;
- ukunamathela ezincomo zokudla;
- ukubuyiselwa kokuphefumula okujwayelekile;
- ukuqinisa ukuzivikela.
Ukunakekelwa okuphuthumayo kokumisa i-laryngotracheitis ezinganeni
Uma inqubo yokuvuvukala iholela ekunciphiseni i-laryngeal lumen, futhi izimpawu zibonisa ukuthi ingane igxeka, udokotela kufanele abizwe ngokushesha. Ingxabano eyingozi kunazo zonke eyenza i-laryngotracheitis yisifo. Kugcwele ukugwinya nokuphelelwa yilapho okwenzekayo ebuchosheni.
Ngenkathi kuchwepheshe emgwaqeni, kubalulekile ukuthatha izinyathelo eziphuthumayo:
- Beka umntwana embhedeni, ungamvumeli ukuba alale phansi, ukuze umcucu obuncane ubutheleleke ku-larynx
- Cindezela umunwe wakho noma isipuni kumsuka wolimi, ubangele ukucabanga okuhlanzayo.
- Hlanganisa umoya ekamelweni. Uma kungekho idivaysi ekhethekile, ungafaka ekamelweni isitsha samanzi, ubeke amathawula amanzi aphuzile, uthathe umntwana endlini yokugezela bese uvula ibhathini lokubandayo ngokugcwele.
- Nciphisa izinga lokushisa lomoya endlini usebenzisa i-air conditioner noma vula amafasitela namabhaloni.
- Yenza inhalation yomswakama nge-nebulazer. Inqubo nge-saline noma imithi ekhethekile izosiza ekunciphiseni izimpawu.
I-Laryngotracheitis - izidakamizwa
Ukuzikhethela kwezidakamizwa zemithi kufanele kulandelwe udokotela wezingane ngemuva kokuqinisekiswa kwesifo. I-antibiotic ene-laryngotracheitis inqunyelwe kuphela ukuvela kwebhaktheriya yenqubo yokuvuvukala. Kwezinye izimo, ukusetshenziswa kwayo akusizi ngalutho futhi kuyingozi, ngoba izidakamizwa ezilwa namagciwane anciphisa umsebenzi wesimiso somzimba. Uma ama-bacterial infathogens of infection afunyanwa, lezi zinhlobo ezilandelayo zama-antibiotics zisetshenziswa:
- i-penicillins (i- Augmentin , i-Amoxiclav);
- ama-macrolides (i-Clacid, i-Sumamed);
- cephalosporins (Cefalexin, Ceftriaxone).
Ama-antimicrobial akudingeki uma i-laryngotracheitis yegciwane iqhubeka ezinganeni - izimpawu kanye nokwelashwa kwesifo kufaka izinyathelo ezijwayelekile zokuqinisa ukuzivikela kanye nokwelapha okunciphisa izimpawu zesifo. Uma lesi sifo sitholakala ekuqaleni kokushisa (amahora angu-72 okuqala), ungamnika imithi ekhethekile:
- Ergoferon;
- Anaferon ;
- Viferon.
Ngezinga lokushisa elincane (kuze kufike ku-38-38,5 ubukhulu), akunconywa ukuthatha izidakamizwa ze-antipyretic. Kunconywa ukuthi uyisebenzise lapho umntwana enesifo somkhuhlane. Ama-ejenti wezokwelapha alandelayo afanelekile:
- I-Paracetamol;
- I-Tylenol;
- Nurofen;
- Dofalgan;
- I-Mexalen ne-analogues.
Izimpawu ezinjengokuthuthumela nokukhwehlela, zimiswa yimithi efanelekile:
- I-Lazolvan;
- Kodelak;
- I-ATSTS;
- Ama-Panathus;
- I-Sinecod;
- IBroncholitin;
- Libexin;
- I-Glycodine;
- Alex Plus;
- I-Bronchoton ne-synonyms.
Inhalation nge laryngotracheitis
Ngesikhathi esiyinkimbinkimbi, lokhu kukhwabanisa kusiza ukuyeka ngokushesha ukuhlaselwa kokukhipha futhi kubuyisele ukuphefumula okuvamile. I-inhalation ibhekwa njengesibopho lapho kuthuthukiswa i-laryngotracheitis ezinganeni - izimpawu nokuphathwa kwekhaya kusikisela ukusetshenziswa kwe-nebulizer. Uma isisombululo somzimba singasebenzi kahle, kutuswa ukusebenzisa uLazolvan noma ukulungiselela okufanayo okuvimba ukukhwehlela okubuhlungu. Enye indlela, indlela yokwelapha i-laryngotracheitis nge-stenosis - i-Pulmicort.
Ngemva kokuqeda ukuhlaselwa nokuphefumula okuvamile, kufanele kuqhutshwe ukuqhuma okuvamile, ukuze izinambuzane ezinamaqabunga e-larynx zihlale zimanzi. Ukuze uthole izindlu zasekhaya, ungathenga isisombululo sezinto ezenziwe ngomumo noma amanzi alkaline amaminerali ngaphandle kwegesi. Ngokukhwehlela okukhulayo, ungagcwalisa i-nebulizer ngemithi ekhethekile:
- I-ATSTS;
- I-Lazolvan;
- Fluimucil;
- I-Tonzylgon H;
- I-Rotokan nabanye.
I-Laryngotracheitis - amakhambi abantu
Ezokwelapha ekhaya, izindlela zokupheka zemvelo zivunyelwe, kodwa kuphela njengemiphumela eyisizayo. Udokotela wezingane kufanele ancoma indlela yokwelapha i-laringotraheitis enganeni, ngemuva kokuqinisekisa ukutholakala kwesifo kanye nokungabikho kokuzizwa kwengane kumalungu ezimali ezikhethiwe. Uma ukwelashwa kwabantu kungenzi lutho noma kuholela ekwandeni kwezibonakaliso zesifo, kungcono ukuyiyeka.
I-Laryngotracheitis ezinganeni - ukwelashwa ekhaya nemifino
Izithako :
- izimpande zelayisensi - 30 g;
- amaqabunga omama nonina-40 g;
- Izithelo ze-fennel - 20 g;
- impande ye-althea ingama-40 g;
- Izimbali ze-Mullein - 20 g;
- amanzi - ingilazi eyodwa.
Ukulungiselela, uhlelo lokusebenza
- Gaya futhi uhlanganise izitshalo zokwelapha.
- Thela iqoqo le-1 isipuni samanzi abilayo abanda.
- Emva kwamahora amabili okuphikelela, thumba umuthi.
- Kulula isixazululo, vula.
- Phuza ikhambi lomntwana ngesikhathi sosuku ezinxenyeni ezincane.
Umhluzi olwa nokuvuvukala
Izithako :
- ukolweni wekolweni - 1.5 tbsp. izinkezo;
- amanzi abilayo - izindebe ezimbili;
- Ijusi lemonti elisha elifakwe ngokushesha - 0,5 tsp.
Ukulungiselela, uhlelo lokusebenza
- Geza i-bran.
- Zithulule ngamanzi abilayo bese uxuba.
- Ukunika lesi sidakamizwa amahora angu-1.5.
- Bamba umhluzi.
- Engeza ijusi lemon uketshezi olulandelayo.
- Nika ingane ithisipuni 1 yomuthi izikhathi ezingu-4-7 ngosuku.
I-tea ekhwehlela owomile
Izithako :
- isithombo semifino sikaSt. John - 3 tbsp. izinkezo;
- amanzi - 1 l;
- ujamu, uju noma ushukela - ukunambitha (ngokubekezela).
Ukulungiselela, uhlelo lokusebenza
- Gaya izinto zokusetshenziswa zemifino bese uthule zibe yi-thermos.
- Thela i-St John's wort ngamanzi abilayo.
- Ukumelela utshani amahora angu-2-3.
- Gwema umuthi.
- Engeza i-sweetener kuya itiye.
- Nika ingane i-dessert engu-1. spoon of the solution for isigamu sehora ngaphambi kokudla.
- Phinda izikhathi ezingu-1-2 ngosuku.
Izinkinga ze-laryngotracheitis
Ukuvuvukala kwamangqamuzana omuncu we-larynx ne-trachea kungabangela isimo esinzima ngesimo sokunciphisa i-tubeway. I-laryngotracheitis enamandla kakhulu ye-stenosing igcwele ukuqubuka, okuhambisana nalezi zimpawu ezilandelayo:
- i-blanching yesikhumba;
- i-blue bint of triangle nasolabial;
- imibuthano emnyama ngaphansi kwamehlo;
- ukuphelelwa amandla;
- isiyezi;
- ukuzethemba, ukunganaki;
- i-cyanosis yezandla nezinyawo;
- ukuphefumula okuncane nokuphefumula;
- impulse engaqiniseki;
- ukuboshwa komzimba.
Le nkinga idinga ukwelashwa okusheshayo, ngoba ingane ingafa ngenxa yokuntuleka kwe-oxygen. Ekubeni kunoma yiziphi izici ezibalulwe, kubalulekile ukubiza ngokushesha iqembu le-ambulensi bese ulandela izincomo eziyisisekelo zophiko:
- Vuselela i-gag reflex enganeni.
- Ubuningi obupholile futhi bukhulule emoyeni ekamelweni.
- Yenza inhalation Pulmicort.