Ukutheleleka Kwesandulela Ngamavungu Okuvamile Ngomkhuhlane Ohlukile
I-Croup yinto evamile yokutheleleka ngegciwane lesandulela ngculazi ebonakala kalula ngenxa yezici zayo ezihlukahlukene. I-Croup , ebizwa nangokuthi i-laryngotracheobronchitis, ngokuvamile ihlasela izingane eziphakathi kwezinyanga ezingu-6 neminyaka engu-3, ngokuvamile phakathi nokuwa kwekwephuzile, ebusika, nasekuseni kwentwasahlobo. Izimpawu, ezivame ukufaka ikhala eligijimayo kanye nokukhwehlela kwe-coppery, ithuthukise cishe ezinsukwini ezimbili kuya kweyisithupha emva kokudalulwa komunye umuntu onenkampu (lokhu yisikhathi sokukhushulwa).
Izimpawu nezimpawu ze-Croup
Esinye sezici zokuqala ezihlukile ze-croup yizibonakaliso eziphuthumayo noma ngokuzumayo zezimpawu. Izingane zivame ukuhamba kahle uma zilala, kodwa zizovuka phakathi nobusuku ngokukhwehlela kwe-croupy nokukhathazeka ukuphefumula. Umsindo wokukhwehlela uhlukile. Ngokungafani nezinye izifo zokuphefumula ezibangelwa amagciwane, okungabangela ukumile, okumanzi, noma ukukhwehlela okujulile, i-croup ibangela ukukhwehlela okuzwakala njengophawu lokugquma.
Esinye isibonakaliso esivamile noma uphawu lwe-croup yisigcawu sokuphefumula, umsindo ophakeme, ophakeme, umsindo onzima ongenayo ngokuvamile lapho izingane ziqhuma lapho ziphefumula. Umzila uvame ukudideka ngesondo, kodwa ngokungafani nokuvuthwa, okuvame ukubangelwa ukuvuvukala emaphashini, isiteji sibangelwa ukuvuvukala emoyeni ohamba phambili.
Iphethini lezimpawu ze-croup nazo ziyizici. Ngaphezu kokuqala phakathi nobusuku, izimpawu zivame ukuhamba kangcono emini, kuphela ukuthi ziphinde zibe zimbi kakhulu ebusuku olulandelayo.
Izimpawu nazo ziba zimbi nakakhulu uma ingane yakho iqala ukukhathazeka noma icasulwa.
Izimpawu ze-croup zibangelwa ukuvuvukala, ukuvuvukala, nokwakhiwa kwe-mucus ku-larynx, trachea (i-windpipe) namabhubhu e-bronchial. Njengoba izingane ezisencane nezinsana zinezindlela ezincane zomoya, kunengqondo ukuthi yibo abathintekayo kakhulu yi-croup.
Ngokuphambene nalokho, izingane ezindala zivame ukuthuthukisa izimpawu ezibandayo uma zinegciwane elifanayo.
Ezinye izimpawu ze-croup zingabandakanya izwi elidumayo, umphimbo omncane lapho ingane yakho ikhwehlela, isinciphisa isifiso nesifo somkhuhlane, ngokuvamile esingaba yizinga eliphansi kodwa lingase lifike ku-104 F.
Ukuhlola izingane nge-Croup
Ngenxa yezibonakaliso zezici ze-croup, ukuxilongwa ngokuvamile kulula ukwenza. Uma udokotela ezwa ukukhwehlela kwengane, kaningi angatshela ingane ukuthi iqhume ngesikhathi isesigodini sokulinda noma ngaphambi kokuba udokotela angene egumbini lokuhlola. Ngakho-ke, ukuhlolwa ngokuvamile akudingekile.
Ngokuqondile, i-X-ray ayidingi futhi ngokuvamile iyenziwa kuphela ukulawula ezinye izinkinga, njengokungenisa umzimba wangaphandle. Uma i-X-ray isuqedile, ngokuvamile izobonisa isici 'sesibonakaliso esiphezulu,' esibonisa ukunciphisa i-trachea.
Uma uhlola ingane nge-croup, kubalulekile ukunquma ukuthi unenkinga yokuphefumula. Ngenhlanhla, iningi lezingane zinezinhlanzi ezincane futhi azikho ukuphefumula okuphefumulayo, noma zingaba nesiteji kuphela lapho zikhala noma zithukuthele. Izingane ezine-croup ezilinganiselayo noma ezinzima zizophefumula futhi zihoxiswe ngokushesha, okuyisibonakaliso somsebenzi ophuthumayo wokuphefumula.
Bangase babe nesiteji lapho bephumula.
Amaphuzu e-croup yindlela elula futhi eqinisekisiwe yokuthola ukuthi ingane inomthelela, inomthelela noma i-croup enamandla, engasiza ekudaleni ukuthi yimiphi imithi edingekayo. Amaphuzu we-croup asekelwe kumbala wengane (ubukhona be-cyanosis), izinga lokuqaphelisa, izinga lomzila, ukunyakaza kwemoya, kanye nezinga lokubuyisela emuva, ngamaphuzu we-zero anikeziwe uma lezi zitholakele zijwayelekile noma zingekho, futhi zize zibe zintathu amaphuzu anikezwe izimpawu ezimbi kakhulu.
Ngokuvamile, izingane ezine-croup score ezingaphansi kwezine zine-croup emnene, amahlanu kuya kweziyisithupha kubonisa i-croup emnene / elinganisiwe, amaphuzu ayisikhombisa kuya kweziyisishiyagalombili ukulinganisa i-croup, futhi ngaphezulu kuka-9 kubonisa i-croup.
Ukwelashwa kwe-Croup
Njengokutheleleka okuningi kwegciwane, akukho ukwelashwa kwe-croup, kunezinhlobo eziningi zokwelashwa ezingasiza ekuthuthukiseni izimpawu futhi wenze ingane yakho izwe kangcono.
Izimpawu zamanzi ezincane zingaphathwa ngendlela ephephile ekhaya. Ukwelapha okuvamile kufaka phakathi ukusebenzisa umoya othomisiwe , ongathunyelwa nge-hummi humidifier epholile. Ukusebenzisa i-vaporizer eshisayo ngokuvamile kudikibala ngenxa yengozi yokuba ingane yakho itshiswe uma ikuthinta. Esikhundleni salokho, umoya oshisayo ungathunyelwa ngokuguqula wonke amanzi ashisayo endlini yokugezela, kuhlanganise kusuka eshaweni nokucwilisa, uvale umnyango wokugezela futhi ubambe ingane yakho njengoba iphefumula emoyeni, emoyeni.
Ngobusuku obupholile, ukuvulwa kwomoya ophephile ebusuku kungasiza futhi izimpawu, futhi lokhu kubhekene nesinye isici sokutholwa kwe-croup, ukuthi izingane zivame ukuba ngcono endleleni eya ekamelweni eliphuthumayo. Ukusebenzisa ngokunenzuzo lokhu, kungase kusize ukubopha ingane yakho futhi uhambe ngaphandle kwamaminithi amaningana. Kungenzeka ukuthi akuwona umqondo omuhle ukugcina ifasitela lakhe livulekile, njengoba ungafuni ukuthi abanda kakhulu.
Ezinye izifo zingase zibandakanye ukusebenzisa i-fever reducer (imikhiqizo equkethe i-acetaminophen noma ye-ibuprofen) kanye / noma isiraphu yokukhwehlela engeyona ye-narcotic (nakuba mhlawumbe ngeke ihlukumeze ukukhwehlela kwe-croup) uma ingane yakho ingaphezu kweminyaka engu-4 kuya kweyisithupha.
Njengoba izimpawu ziba nzima uma ingane yakho ikhala futhi igxeka, ukuzama ukugcina ingane yakho ezolile ingase futhi ithuthukise izimpawu zakhe.
Izingane ezine-croup ezilinganiselayo noma ezinzima, noma ezingasheshe ziphendule izindlela zokwelapha ekhaya, zizodinga ukunakekelwa kwemithi yokwelashwa, okuvame ukuhlanganisa ukuphatha i-steroid ukusiza ukwehlisa ukuvuvukala nokuvuvukala nokuthuthukisa ukuphefumula. Umjovo we-dexamethasone ube yindlela ejwayelekile yokuphatha le steroid, kodwa izifundo ezintsha zibonise ukuthi i-steroid yomlomo (Ukuqothulwa, ukuguqulwa, njll) noma i-steroid ethunyelwe nge-nebulizer (Pulmicort) ingasebenza futhi.
Kuzingane ezinezinkinga zokuphefumula okukhulu, ukwelashwa, endaweni yezibhedlela kungabandakanya ukwelashwa okuphefumulayo nge-epicyphrine e-racemic. Ngenxa yokuthi kunengozi yokuphefumula nokukhufumula, izingane zivame ukugcinwa amahora amabili kuya kwangu-4 ngemva kokuthola i-epinephrine e-racemic. Izingane eziqhubeka nokuphefumula kanzima, noma ezidinga ukwelashwa okungaphezu kokukodwa, zivame ukubhedlela.
Ukwelapha okusha okucwaningwayo kusetshenziswa ingxube ye-helium-oksijini yabantwana abane-croup enzima.
Okufanele Ukwazi Nge-Croup
Ngaphandle kwala macebiso ekuqapheliseni nasekuphatheni i-croup, ezinye izinto ozokwazi mayelana ne-croup zihlanganisa:
- Umntanakho angathola i-croup izikhathi ezingaphezu kwesisodwa, njengoba kunezinambuzane eziningi ezingabangela i-croup, kuhlanganise ne-parainfluenza, i-adenovirus, igciwane lesifo sokuphefumula (RSV) kanye nomkhuhlane (igciwane lesifo sofuba), futhi kukhona ama-subtypes amaningi wegciwane ngalinye.
- Uma ingane yakho ithola iminyango kaningi, khona-ke ingase ibe ne-spasmodic croup (i-spasmodic laryngitis), engabangelwa amagciwane, imithi yokudla, noma i-reflux. Nakuba kungase kube nenkinga yokuphefumula, izingane ezine-spasmodic croup ngokuvamile ayinayo umkhuhlane futhi zihamba ngokushesha ngemva kwamahora amaningana.
- Izingane ezithola ukuthi zikhona izikhathi eziningi ngonyaka ngamunye zingadingeka zihlolwe nge-asthma.
- Ngaphandle kokuba ingane yakho inesifo sokutheleleka kwebhaktheriya yesibili, njengokutheleleka kwezindlebe, ama-antibiotic ngeke asebenze ngokumelene namagciwane abangela ukuqhuma.
- Izimpawu eziyinhloko ze-croup ngokuvamile zihlala ezinsukwini ezimbili kuya kwezingu-5 kuphela, kodwa okungavamile, zingakwazi ukuhlala amasonto ambalwa. Uma ukukhwehlela ukukhwehlela nokuphefumula kunzima, ingane yakho ingaqhubeka nokuthola izimpawu ezibandayo izinsuku ezingu-7 kuya kwezingu-10.
Nakuba kungekho umgomo wokugoma (ngaphandle komuthi wokugoma) noma imithi engavimbela ingane yakho ukuba ingatholi, unganciphisa ithuba lokuthi ingane yakho ithole amandla ngokunciphisa ukuvezwa kwayo kwabanye abantu abagulayo. Futhi, ukugqugquzela ukuhlanza izandla ngokuqinile nokugwema ukuhlanganyela nokudla neziphuzo kungasiza ekunciphiseni amathuba omntanakho wokugula.
> Imithombo:
> Croup. I-Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/croup/diagnosis-treatment/drc-20350354.
> Mandell GL, Douglas RG, uBennett JE, Dolin R, uBlaser MJ. Mandell, Douglas, kanye ne-Bennetts Principles and Practice of Infectious Diseases . ENew York: Elsevier / Churchill Livingstone; 2015.