I-pathologies ephakeme yokuphefumula ingaholela ezinkingeni eziyingozi nokuphazamiseka ohlelweni lokuphefumula. I-Croup ingenye yemiphumela evamile kakhulu yezifo ezithathelwanayo. Udalulwe ikakhulukazi ezinganeni ezineminyaka engu-3 kuya eminyakeni engu-3.
Iyini i-cereal yamanga ezinganeni?
Igama elithile lesi sifo esicatshangelwayo ligwema i-laryngitis. Kuyinto ukuvuvukala okukhulu kwe-larynx, lapho kunezingcingo ezibukhali nezizenzekelayo zezindonga zayo nokuvinjelwa kwendlela yokuphefumula engenhla. Lokhu kungabangela ukukhipha, ikakhulukazi uma ingane encane. Kusuka kokudla okuyiqiniso kwamanga okungafani kwamagciwane we-agent causative. Esikhathini sokuqala, imbangela yenkinga yi-diphtheria, futhi okwesibini - nezinye izifo ezithathelwanayo.
Indlela yokuthuthukiswa kwe-laryngitis ye-stenosing
Ukudla okungamanga ezinganeni kubangelwa izinqubo ezilandelayo:
- Ukuvuvukala okukhulu kwe-larynx kuholela ekukhunjweni okuphawulekayo noma ukuvuvukala kwezicubu ezithambile endaweni ngaphansi kwezingcingo zamagama.
- I-laryngitis enamandla e-stenosing yenza ama-muscle-constrictors ahlasele. Basebenzisana, ngakho-ke i-lumen laryngeal igxile kakhulu.
- Izinqubo zokuvuvukala zihambisana nokukhululwa kwenqwaba ye-sputum e-viscous. I-Slime iqoqa ku-lumen encane ye-larynx futhi ingawufihla ngokuphelele.
Ukudla okungamanga ezinganeni - kubangele
I-agent causative yechazwe isifo kukhona izifo. Ezimweni eziningi, ama-virus adala izimbumbulu zamanga ezincane ze-cerebral ezinganeni - izizathu zentuthuko yayo zibandakanya lezi zifo:
- umkhuhlane ;
- i-herpes simplex;
- isingenisi;
- i-paragripp ;
- i-adenovirus;
- inkukhu ikhukhu;
- okhwehlela ukukhwehlela.
Okungavamile ukuphazamisa i-laryngitis yemvelaphi yebhaktheriya. Kulesi simo, izimbangela zayo:
- streptococci;
- i-haemophilus influenzae;
- i-pneumococci;
- staphylococci.
Ama-groats amanga ezinganeni angaqala emlandweni we-tonsillitis, i-rhinitis, i-adenoiditis nezinye izifo njenge-complication. Izinto ezilandelayo zifaka isandla ekuthuthukiseni kwayo:
- i-rickets;
- i-beriberi;
- ukuhlukunyezwa kokubeletha;
- ukudluliselwa kwe-hypoxia;
- i-diathesis;
- ukudla okufakelwayo;
- ukuzivikela okuncane.
Isizathu esiyinhloko sokwenzeka kwe-cereal yamanga kuphela ezinganeni kanye nokungabikho kwalesi simo kubantu abadala kuyisayizi se-larynx. Ekuqaleni ingane iyingcosana, ngakho-ke ngisho nokulula kancane kwe-lumen yayo kuholela ekuhlaselweni kwe-dyspnea. Njengoba ukhula, i-larynx iyakhula, futhi ingane ivele "igxile" ekuguleni i-laryngitis.
Ingabe uketshezi wamanga usakazekile ezinganeni?
I-pathology ngokwayo ayidluliswanga kusuka komunye umntwana kuya kwesinye ngisho nangokuxhumana okuqondile, kodwa kungcono ukuhlukanisa ingane egulayo ngokushesha. Ukulahla i-laryngitis ezinganeni njalo kuqhubeka ngokumelene nesimo sokutheleleka okunamandla okuphefumula. Izifo ezibangelwa amagciwane noma izifo ezinama-bacteria zithathelwana kakhulu, ngakho-ke eqenjini livame ukuba nezimo eziningana zokuvuvukala nokunciphisa i-larynx lumen ngesikhathi esifanayo.
Indlela yokubona okusanhlamvu okungamanga kwengane?
Isimo esinikeziwe sinempawu ezivumela ukuthi kutholakale ngokungenasici. Ukudla okungamanga ezinganeni - izimpawu:
- sonorous "barking" ukukhwehlela;
- ukuphefumula komsindo, ukuhogela;
- ukuzwakalisa izwi;
- ukukhathazeka;
- ukuphefumula;
- Izakhi zamakhansela ezikhulisiwe entanyeni;
- ukwanda kokushisa komzimba (kusuka ku-37.2 degrees kuye ngokuthi imbangela yalesi sifo);
- ukuphazamiseka kokulala.
Amadijithali we-cereal yamanga ezinganeni
Isithombe esitholakala emtholampilo sokugaya i-laryngitis kufana nobukhulu besigaba sawo. I-cereal yamanga ibonakala kanjani kubantwana abanezilinganiso ezahlukene zokunciphisa i-larynx lumen:
- Ihlawuliswa. I-Dyspnea nokuphefumula kanzima kubonakala kuphela ngokusuka kokucindezeleka ngokomzimba noma ngokomzwelo. Uma u-inhalation, i-wheezing ingase izwakale.
- Kukhokhwe. I-symptomatology ye-croup yamanga ikhona ezinganeni nakwezinye izindawo. Ingane iyethusa, ayidli kahle futhi ilele. Uma kuvuleka, izikhala ze-intercostal kanye ne-fossa ye-jugular zibuyiselwa, imigwaqo eyomile izwakala. Inxantathu ye-nasolabial ithola umbala we-cyanotic okhanyayo.
- Ihlukunyezwa. Ukukhathazeka kwengane kuhlinzeka ngendlela yokulala, ukuvinjelwa nokunganaki, ukudideka. Ingane ibhekene nokuphefumula okukhulu futhi ukukhwehlela "ukukhwehlela", izwi liyanyamalala. Ubuso bonke kanye nenxenye yentamo inesibhakabhaka se-bluish. Uma kutholakala ukushisa okomile futhi okumanzi kuzwakala ngokuzwakalayo, inhliziyo ayizinzile (tachycardia), i-pulse iyi-thread.
- Ukuphefumula. Ukuhluka okuvelele kunazo zonke zokudla okungamanga. Ukuphefumula kwengane kungokwenyama futhi kuhlelekile, akukho ukukhwehlela. Kukhona ukwehla okubukhali ekucindezelekeni kwegazi, i-bradycardia, ukuhlukumeza. Ukuqaphela kudidekile futhi kuphenduka i-coma enobuzenzisi. Ngaphandle kokunakekelwa okuphuthumayo, le nkinga ingaqeda umphumela obulalayo.
Yini okufanele uyenze nge-croup yamanga engane?
Uma abazali beqaphela izimpawu ezicacile zokweqa i-laryngitis ngokuphefumula kanzima nokugqithisa okwesibhakabhaka se-nasolabial, isiguli kufanele ngokushesha sicele usizo lwezokwelapha. Okuyingozi kakhulu uketshezi wamanga ezinganeni, ngoba ubukhulu be-larynx yabo buncane futhi i-asphyxia ingenzeka ngokushesha. Ngaphambi kokufika kwethimba lochwepheshe kubalulekile ukufakaza ngokuqinisekisiwe ingane futhi kumnike izimo ezikhululekile zokuphefumula okuvamile.
Lapho ukuhlaselwa kwe-cereal yamanga enganeni akuhambisani nokuphefumula noma ukuphefumula, futhi kukhona "ukukhwehlela okukhazimulayo" kuphela, ungakwazi ukubhekana nale nkinga ngokwakho:
- Nika isiphuzo esinama-alkaline amaningi (amanzi e-bicarbonate ngaphandle kwegesi, ubisi olunamafutha aphansi ne-pinch soda).
- Nikeza ukuthula kwezwi.
- Ekushiseni okuphakeme (ngaphezulu kuka-38 degrees) sebenzisa i-antipyretic.
- I-inhalation nebulizer ngamanzi amaminerali, i- Lazolvanom noma i-saline.
- Imoya ehlanzekile yomoya wangaphakathi kuya kuma-degrees angu-18 noma ngaphansi.
Ukwelapha i-laryngitis ezinganeni - ukunakekelwa okuphuthumayo
Ngaphambi kokufika kwabasebenzi abazoqeqeshwa kwezokwelapha, kubalulekile ukuvimbela ukuqhutshwa okuqhubekayo kwe-larynx ne-asphyxia. Ukuphumelela kuyoba usizo lokuqala lwe-croup yamanga engane, echazwe esigabeni esandulele, kanye nezinyathelo ezengeziwe:
- Ukwenza i-reflex ehlanzayo, ucindezela umunwe noma i-spoon empandeni yolimi.
- Hlanganisa umoya ekamelweni. Uma kungekho zixhobo ezikhethekile, ungakwazi ukufaka amathawula amanzi ahlanzekile ekamelweni, ukuhambisa umntwana endlini yokugezela, lapho amanzi abandayo egeleza khona evela emaphaketheni.
- Yenza inhalation. Uma izidakamizwa ngaphambilini ezihlongozwayo zingasebenzi, sebenzisa i-Pulmicort for croup yamanga ezinganeni.
- Beka umntwana embhedeni uhhafu-ukuhlala ukuze i-mucus encane iqoqe i-larynx.
Ukudla okungamanga ezinganeni - ukwelashwa
Ukwelashwa kwe-laryngitis e-stenosing inqunywe udokotela kuphela. Izinketho zokwelapha i-croup yamanga ezinganeni zixhomeke ekuvameni nasebunzima bokubamba, ukukhula kwengane, i-agent causative yokutheleleka. Ekulweni nalesi sifo kusetshenziswa amaqembu alandelayo emithi:
- ama-hormone we-glucocorticosteroid (i-Prednisolone, i-Methylprednisolone);
- ama-antispasmodics (Papaverin, No-Shpa);
- ama-antitussives (iCodeine, iBromhexine);
- ama-antihistamines (i-Eden, i-Zodak);
- bronchodilators (Lazolvan, Geksoral);
- ukudambisa (ukukhishwa kwe-valerian, motherwort);
- i-antiviral (Tamiflu, Remantadine);
- atibiotics (Erythromycin, Amoxicillin) nabanye.
Ngaphezu kwalokho, ukufakwa kwe-inhalation kunqunyelwe ukuxoshwa kwamanga kwengane. Esibhedlela, kusetshenziswa i-oksijeni ewakhiwe, kuyadingeka ukuthola ikhaya le-nebulizer elihle, ikakhulukazi uma ingane ijwayele ukuzwa i-laryngitis. Izinqubo zenziwa ngokusebenzisa noma yiziphi izixazululo ze-alkaline hypoallergenic, iLazolvan, i-Pulmicorta.
Ungagwema kanjani uketshezi wamanga ezinganeni?
Indlela kuphela yokuvimbela i-pathology ukuvimbela izimbangela zayo - i-ARVI ne-ARI. Ama-groats amanga ezinganeni aqala njalo ngokumelene nesizinda sezifo, ngakho-ke abazali kudingeka baqinise isimiso somzimba sokuvikela omzimba, babheke izinga lokushisa nomswakama ekamelweni lakhe. Impendulo yombuzo wokuvimbela uketshezi wamanga enganeni emva kokutheleleka ngentshefu noma esinye isifo kufana nalokhu. I-crumb kufanele ibe ekamelweni elipholile futhi elinomswakama, i-nebulazer inhalation yenziwa izikhathi ezingu-2-3 ngosuku, omunye wabo kufanele abe ngaphambi kokulala.