Namuhla ukukhwehlela okukhwehlela kubhekwa njengesifo esingavamile. Kodwa-ke, isizathu salokhu singase sibe nokuhlangenwe nakho okunganele kwezinyanga ezincane ezihola iziguli. Ngeshwa, kunezimo lapho isiguli sibhekene nokukhwehlela okukhwehlela emilenzeni yakhe, njengoba kutholakala ukuthi une-ARAL ye-banal. Ngakho-ke, akusikho indawo yokufunda ukuthi yiziphi izimpawu zokukhwehlela komuntu omdala.
Izimpawu zokukhwehlela ukukhukhumeza kubantu abadala
Lesi sifo sibhekisela ekusakazeni futhi sibangelwa iBordetella pertussis. Ukuthuthukiswa kwaso kuyinkimbinkimbi. Kuphawula ukuthi emlandweni wesintu kunezikhathi lapho kungekho khona okushiwo ukukhwehlela okukhwehlelayo, bese kuthi izifo eziwumshayabhuqe zangempela zenzeke izinkulungwane zabantu. Ngokuvamile, ukukhubazeka kuyingozi ezinganeni, kodwa ingabe abantu abadala bangahlupheka nge-pertussis?
Empeleni, ukutheleleka kalula kuthinta umuntu kunoma yikuphi ubudala. Abantu abadala bayagula kaningi ngenxa yegciwane lesandulela ngculaza, elivimbela umsebenzi we-pertussis. Kulokhu, kubalulekile ukukhumbula ukuthi i-microorganism isheshe ibe yinto engavumeleki emvelweni kanye nokutheleleka kwenzeka ngokuxhumana ngqo nesiguli.
Izimpawu ze-pertussis kumuntu omdala zihlanganisa ukukhwehlela kwe-paroxysmal, okuyinto engozini ngoba ingaholela ekuphambeni kwe-bronchi. Emfanekisweni womtholampilo wesifo, kunezigaba ezintathu.
UCatarrhal uthatha cishe amasonto amabili. Kule nkathi lapho izimpawu zokuqala zizibonakalisa khona:
- eyomile, ekhwehlela ngokwanele, ehlushwa isiguli njalo:
- i-malaise ejwayelekile ngaphandle kwemfiva.
Le nkathi ivame ukudideka nesifo nge-bronchitis noma i-ARVI. Ngenxa yalokho, ukwelashwa akusebenzi. Uma udokotela ekwazi ukubona izibonakaliso zokuqala zokukhwehlela kubantu abadala esikhungweni se-catarrhal, ukwelashwa kudlula ngokushesha. Uma kungenakho indlela efanelekayo, ukukhwehlela kuba yi-paroxysmal.
Isikhathi se-paroxysmal sibonakala ngezimpawu eziningana, ngokusho ukuthi sekuvele kulula kangakanani ukucacisa i-pathology:
- ukuhlaselwa okuqondile kokukhwehlela , okuqukethe ama-spasms angu-5-10;
- Ngesikhathi sokuhlaselwa, ama-spasms enza cishe ngaphandle kokuphumula;
- Ekupheleni kokuhlaselwa isiguli senza umoya ophefumulayo, njengesikhathi sokukhwehlela angakwazi ukuphefumula;
- umoya uvame ukuhambisana nekhwela;
- ayifaki i-cramp ye-glottis;
- uma ubuyisa ukuphefumula okujwayelekile, ukuhlaselwa kuvame ukuphindaphindiwe;
- ukuhlasela kuqhubeka nokukhululwa kwe-sputum, ukugwinya kwayo kungaholela ekuhlanzeni;
- Ukukhukhuma kubangele ukungezwani emisipha ebusweni, okuholela ekubomvu kwesikhumba;
- Ulimi lungaqhubekela ngaphandle ngenkathi kukhwehlela, okuyinto ngezinye izikhathi kuholela ekutheni uhlaselwe emzimbeni.
Uma udokotela engaboni izimpawu zokuqala zokukhwehlela kubantu abadala, ukwelashwa kwephuza. Ukubanjwa kwe-paroxysmal kungadlulela ezinyangeni ezingu-3, okweqeda isiguli.
Isigaba sokugcina sisho ukuxolelwa, lapho ukukhwehlela kufana kancane kancane.
Ukuthola ukuhlonza ukukhwehlela kwabantu abadala
Uma kucatshangwa i-pertussis, ukuhlolwa kwelabhutrikhi kwenziwa. I-bacteriological seeding ayiphumelelanga kakhulu, eqinisekisa ukuthi kutholakala kuphela amacala angu-15-20%. Izindlela zenkolo
Kunezindlela zokuxilongwa okusheshayo ngokuzimisela kwama-antigens ezinama-corpuscular B. Inzuzo yale ndlela yukuthi ngemuva kwamahora ambalwa kungenzeka ukuphikisa noma ukuqinisekisa ukuhlolwa kokuqala. Indlela yokuthola i-latex microagglutination ivumela emva kwemizuzu engu-30-40 ukubona ama-antigens ngo-mucus ethathwe ebusweni bodonga oluse-posterior le-larynx.