Matenda oopsa opatsirana angapangitse mavuto oopsa komanso osokonezeka mu njira yopuma. Croup ndi chimodzi mwa zotsatira zofala kwambiri za matenda opatsirana. Amawululidwa makamaka kwa ana omwe ali ndi zaka zitatu mpaka 3.
Kodi mbewu yachinyengo ndi iti?
Dzina lina la matenda omwe mukuliganizira ndi stenosing laryngitis. Ndiko kutupa kwakukulu kwa khungu, komwe kuli makoma ake okhwima komanso odzidzimutsa komanso kutsekemera njira yopuma yopuma. Izi zingayambitse kuyamwa, makamaka ngati mwanayo ndi wamng'ono. Kuchokera koona zowona zabodza zimasiyana ndi tizilombo toyambitsa matenda causative wothandizila. Pachiyambi choyamba, chifukwa cha vuto ndi diphtheria, ndipo chachiwiri - ena opatsirana opatsirana.
Njira ya chitukuko cha stenosing laryngitis
Kudyesa kwabodza kwa ana kumadalira njira zotsatirazi:
- Kutupa kwakukulu kwa khungu kumabweretsa chidziwitso chodziwika kapena kutupa kwa matenda ofewa mu malo pansi pa zingwe za mawu.
- Matendawa amachititsa kuti mitsempha yambiri ikhale yovuta. Amagwirizana, choncho laryngeal lumen imapepuka kwambiri.
- Njira zotupa zimaphatikizapo kutulutsidwa kwa ziphuphu zambiri za viscous. Malungo amaunjikira mumtambo wochepa wa larynx ndipo amatha kuziphimba.
Kudyetsa zabodza kwa ana - zimayambitsa
Wothandizira odwala matendawa ndi matenda. Kawirikawiri, mavairasi amachititsa ziphuphu zabodza m'mabanja - zifukwa za chitukukochi zimaphatikizirapo matendawa:
- fuluwenza ;
- herpes simplex;
- chikuku;
- paragripp ;
- adenovirus;
- nkhuku;
- kutsokomola.
Zosazolowereka ndi kupatsirana kwa laryngitis kuchokera kwa mabakiteriya. Mmenemo, zifukwa zake ndi:
- streptococci;
- haemophilus influenzae;
- pneumococci;
- staphylococci.
Kudyetsa zabodza kwa ana kungayambire pachiyambi cha matronillitis, rhinitis, adenoiditis ndi matenda ena monga vuto. Zinthu zotsatirazi zimathandizira kuti zikule:
- rickets;
- mulungu;
- zowawa za kubadwa;
- anasamutsa hypoxia;
- diathesis;
- kudya;
- chitetezo chochepa.
Chifukwa chachikulu cha kupezeka kwa mbewu yonyenga mwa ana okha ndi kukhalabe kwa chikhalidwe ichi kwa akuluakulu ndi kukula kwa khungu. Kwa mwanayo poyamba ndi wamng'ono, motero ngakhale mosavuta kuwala kwake kumayambitsa ku dyspnea. Pamene mukukula, phula limakula, ndipo mwanayo "amangowonjezera" kupweteka kwa laryngitis.
Kodi mbewu yonyenga imayambukira ana?
Matendawa safalitsidwa kuchokera kwa mwana mmodzi kupita kumzake ngakhale atagwirizana, koma ndi bwino kupatula mwana wodwala mwamsanga. Kuthetsa matenda a laryngitis kwa ana nthawi zonse kumayendera motsutsana ndi chiwopsezo chachikulu cha matenda opuma. Matenda a tizilombo kapena tizilombo tafala kwambiri, choncho mu timuyi nthawi zambiri timakhala ndi zilonda zambirimbiri komanso kutupa kwa khungu la larynx nthawi yomweyo.
Kodi mungadziwe bwanji mbeu yachinyengo mwa mwana?
Dzikoli lili ndi zizindikiro zenizeni zomwe zimaperekedwa kuti zipezedwe molakwika. Kudyetsa zabodza kwa ana - zizindikiro:
- sonorous "barking" chifuwa;
- kupuma mokweza, kuwombera;
- mawu osasunthika;
- nkhawa;
- mpweya wochepa;
- Mitsempha yotupa m'khosi;
- kuwonjezeka kutentha kwa thupi (kuchokera madigiri 37.2 malinga ndi chifukwa cha matenda);
- matenda ogona.
Maphunziro a ufa wabodza kwa ana
Chithunzi cha kachipatala cha stenusa laryngitis chikugwirizana ndi kuopsa kwake. Kodi zizindikiro zabodza zimawonekera bwanji kwa ana omwe ali ndi madigiri osiyana a kuperewera kwa larynx lumen:
- Amalipiritsa. Dyspnea ndi kupuma kovuta zimangowoneka pokhapokha pokhapokha ngati akuvutika maganizo. Pomwe munthu amatha kupuma, zimakhala zomveka.
- Amapereka malipiro. Zizindikiro zamatsenga zachinyengo zimapezeka kwa ana komanso kupumula. Mwanayo ndi wamanjenje, samadya bwino ndikugona. Powonongeka, malo osakanikirana ndi mapulaneti amodzi amatha kubwezeretsedwa, miyambo youma imamveka. Katatu wa nasolabial amapeza kuwala kofiira.
- Zidasinthidwa. Nkhawa za mwana zimapangitsa kuti munthu asagone, asamangokhala ndi chidwi komanso asasokonezeke. Mwanayo amavutika ndi mpweya wochepa kwambiri komanso chifuwa cha "kunjenjemera", mawu amatha. Tsitsi lonse ndi gawo la khosi liri ndi bluish tinge. Mavitamini owuma ndi otupa amveka bwino, mtima uli wosasunthika (tachycardia), kutuluka ndi ulusi.
- Kusokonezeka. Chimodzi chosiyana kwambiri ndi zakudya zonama. Kupuma kwa mwana kumangoganiza chabe, palibe chikhodzodzo. Pali kuchepa kwakukulu kwa kuthamanga kwa magazi, bradycardia, kupweteka. Chisamaliro chimasokonezeka ndipo chimasanduka coma ya hypoxic. Popanda chithandizo chodzidzimutsa, vutoli likhoza kutha pamapeto.
Kodi mungatani ndi mwana wonyenga?
Ngati makolo awona zizindikiro zoonekeratu za stenusa laryngitis ndi kupuma kovuta ndi kupaka buluu la katatu, wodwalayo ayenera kupempha thandizo lachipatala. Zoopsa kwambiri ndizobodza m'mabwana, chifukwa kukula kwake kwachisawawa ndi kochepa kwambiri ndipo asphyxia imatha msanga. Asanafike gulu la akatswiri nkofunika kuti mwanayo atsimikizire kuti ali ndi moyo wabwino komanso kuti azikhala ndi moyo wabwino.
Pamene kugwidwa kwa ufa wabodza mu mwana sikukuphatikizika ndi kupuma pang'ono kapena kupuma, ndipo pali "chifuwa chachikulu", mungathe kuthana ndi vuto lanu nokha:
- Perekani zakumwa zamchere zambiri (madzi a bicarbonate opanda gasi, mkaka wotsika mafuta ndi soda).
- Perekani mtendere wamtendere.
- Pa kutentha kwapamwamba (madigiri oposa 38) amagwiritsa ntchito antipyretic.
- Kodi inhalation nebulizer ndi madzi amchere, Lazolvanom kapena saline?
- Mpweya wamkati wozizira mpaka madigiri 18 kapena osachepera.
Kuthetsa matenda a laryngitis kwa ana - chisamaliro chapadera
Asanafike antchito ochipatala oyenerera, ndikofunika kuteteza kupititsa patsogolo kwa larynx ndi asphyxia. Kuchita bwino kudzakhala chithandizo choyamba cha croup mwa mwana, chomwe chafotokozedwa mu gawo lapitalo, ndi zina zowonjezera:
- Poyambitsa matenda osanza, kukanikiza chala kapena supuni pazu wa lilime.
- Sungani mpweya m'chipinda. Ngati mulibe zipangizo zamtengo wapatali, mukhoza kutulutsa matayala ozizira kwambiri m'chipindamo, kusamutsira mwana kuchimbudzi, kumene madzi ozizira amachoka pamphepete.
- Pangani mpweya. Ngati mankhwala osokoneza bongo omwe akuyitanidwa kale sakugwira ntchito, gwiritsani ntchito Pulmicort pofuna kugwiritsira ntchito chinyengo kwa ana.
- Ikani mwanayo pabedi theka lakhala kotero kuti ntchentche yochepa imasonkhanitsa mu sera.
Kudyetsa wabodza kwa ana - mankhwala
Mankhwala a stenusa laryngitis amaperekedwa ndi dokotala payekha. Zosankha zothana ndi chinyengo chachinyengo kwa ana zimadalira pafupipafupi komanso mwamphamvu za kugwidwa, msinkhu wa khanda, wothandizira matendawa. Polimbana ndi matendawa magulu otsatirawa amagwiritsidwa ntchito:
- glucocorticosteroid mahomoni (Prednisolone, Methylprednisolone);
- antispasmodics (Papaverin, No-Shpa);
- antitussives (Codeine, Bromhexine);
- antihistamines (Eden, Zodak);
- bronchodilators (Lazolvan, Geksoral);
- chokhalira (chotsalira cha valerian, motherwort);
- tizilombo toyambitsa matenda (Tamiflu, Remantadine);
- atibiotics (Erythromycin, Amoxicillin) ndi ena.
Kuonjezerapo, kupweteka kwapadera kumaperekedwa kwa chingwe chabodza mwana. Mu chipatala, mpweya wosakanizidwa umagwiritsidwa ntchito, ndi zofunika kupeza nyumba yabwino ya nebulizer, makamaka ngati mwana nthawi zambiri amakhala ndi laryngitis. Njirazi zimagwiritsidwa ntchito pogwiritsa ntchito njira zothetsera alkaline, Lazolvan, Pulmicorta.
Kodi mungapewe bwanji mbeu zachinyengo?
Njira yokha yothetsera vutoli ndikuteteza zifukwa zake - ARVI ndi ARI. Kudyetsa kwabodza kwa ana nthawi zonse kumayambira kutsogolo kwa matenda, choncho makolo ayenera kulimbikitsa chitetezo cha mwana, kuyang'anira kutentha ndi chinyezi m'chipinda chake. Yankho la funso la momwe mungapewerere chakudya chachinyengo mwa mwana pambuyo pa matenda opatsirana ndi chimfine kapena matenda ena ofanana. Khungu liyenera kukhala mu chipinda chozizira ndi chinyezi, nebulizer inhalations ikuchitika 2-3 nthawi patsiku, imodzi ya iwo iyenera kukhala isanafike nthawi yogona.