Constrictive laryngitis: Zoyambitsa, Zizindikiro, Matendawa ndi Chithandizo

Pachimake yotupa ndondomeko kuti amapezeka m'phuno anacemerwa constrictive laryngitis. Childs, kudwala izi anati kwa SARS, koma pangakhale vuto la matenda bakiteriya, komanso ziwengo. Ana kutupa amachititsa kutsekedwa wa lumen wa m'phuno, chifukwa mavuto kupuma.

n'chifukwa chiyani

Nthawi zambiri constrictive laryngitis kumachitika mwa ingestion wa HIV wa fuluwenza, parainfluenza, rhinovirus kapena enterovirus. Wofala kudwala zikuchitika monga vuto la nsungu, chikuku, nthomba ndi matenda ena opatsirana.

Constrictive laryngitis pa nkhani iliyonse anayamba motere: ndi mucosa amakhala edematous, pali minofu kuphipha. Ndiye pali ntchofu mu lumen wa m'mphako ya. thupi amayesa kuchotsa izo, kuphipha reflex ikuthandizira. Chifukwa cha hypoxia.

Zinthu zotsatirazi zingachititse kuti chitukuko cha laryngitis:

1. Kugwiritsa mavuto zingwe amapilira.
2. Kulandira zakumwa zosasangalatsa pakhosi.
3. kuwonongeka mawotchi pakhosi mucosa.
4. Hypothermia.
5. Utachepa chitetezo chokwanira.
6. Sayanjana.

Laryngitis phokoso popuma choncho chifukwa pakutchulidwa wa abscesses kapena retropharyngeal paratonsillar mtundu. Komanso kudwala ingayambe ndi diphtheria, epiglottitis, chifukwa cha thupi yachilendo kukhumba, zoopsa laryngeal, amayaka.

Nthawi zina, constrictive laryngitis zotsatira:

• laryngospasm hypocalcemia chifukwa mu rickets, hypothyroidism, aimpso insufficiency;
• kobadwa nako stridor;
• matupi awo sagwirizana edema;
• hypertrophy wa tonsils ya;
• papillomatosis;
• cysts;
• hemangioma la kholingo.

Pambuyo zimayambitsa dokotala amasankha njira ya chithandizo. Iye akhonza kusankha mankhwala kapena malangizo opaleshoni.

chiopsezo amayamba

Chifukwa mbali structural ya ana m'phuno kwa zaka zisanu ndi chimodzi, nthawi zambiri amadwala stenosis. Pamaso thupi ili mwana m'badwo yodziwika ndi:

• woonda chigoba cha m'mphako ya;
• submucosal lotayirira, kwambiri mtima chitukuko mauna;
• epiglottic chichereŵechereŵe zofewa, elongated;
• minofu kupuma ofooka.

Kuyambira kumayambiliro a SARS ali laryngitis constrictive kumachitika pa tsiku lachiwiri. Nthawi zambiri, matenda kumaonekera usiku. Mu chitukuko cha matenda si otsiriza ntchito za kukhalapo kwa ziwengo ndi hypersensitivity wa kapepalako kupuma zikuchitika.

mawonetseredwe matenda

Constrictive laryngitis mu magawo oyambirira chitukuko zambiri kolakwika kwa SARS. Analimbitsa spasms zambiri zimachitika pa usiku. M'dera la kholingo pali kumverera kwa anzawo.

Ndi chitukuko cha matenda pali youma, kuwakhadzula chifuwa, imene mu mmero chofuna anamva soreness. Nasolabial makona zimatengera pa kum'chitira bluish, wotumbululuka khungu. Kufupika kwa mpweya, wodwala wayamba kupuma kwambiri, kuyesera kuti agwire m'kamwa, mphuno pang'ono mpweya. Chifukwa cha zimenezi, zomwe zimagwira ntchito zosiyanasiyana mucous mkamwa, mphuno komanso pakhosi anayamba ziume. Pa m'phuno mawonekedwe crusts toyalana Airways.

Ana constrictive laryngitis msanga amakhala suffocation chifukwa mbali structural ya m'phuno ndi: kusiyana yopapatiza ndi kutupa mwamsanga oletsedwa, ndi mwana amayamba kutsamwa. Popewa izi, muyenera kukhala wokhoza mwamsanga kuti kudwala oopsa ndipo kuwasiyanitsa ndi chimfine ndi pathologies ena opatsirana.

The yotupa njira m'mphako ya atuluka mu magawo angapo, omwe akuwonetseredwa ndi zizindikiro zina.

croup matenda akuwonetseredwa pa kutupa m'mphako ya. Ichi ndi chikhalidwe matenda yodziwika ndi hoarseness, ndi kukuwa chifuwa, obstructive kupuma. Mu wina croup cider likutchedwa stenosing laryngitis.

siteji pathological

Kutupa m'phuno kumachitika mu magawo anayi.

1. Khwelero kulipidwa kupuma. Pa siteji koyamba ya mawonetseredwe matenda akuyamba kukuwa chifuwa mu mwana malungo. Ndipo amayamba hoarseness, tingathe kukumana ndi kuukira pang'ono breathlessness.
2. Subindemnification. Apa kupuma amakhala mofulumira, phokoso. Nasolabial makona zimatengera pa kutchulidwa buluu kulocha. The chikhalidwe ambiri wodwala chatsitsa, nkhawa limapezeka kusokonezedwa tulo.
3. Decompensation. Thupi lonse ali ndi thukuta yomata. Iwo taonera wosanganiza kapena inspiratory dyspnea. Ngati kutupa ya m'phuno ana umalandira gawo lachitatu, pali mukubwadamuka lakuthwa, kupuma wofooka, ana dilated. Nthawi zina ana kumawonetsera chisokonezo.
4. Asphyxia. Constrictive laryngitis ana kawirikawiri zipita gawo lachinayi. Ngati zimenezi zachitika, osauka hypoxic chikomokere ndi kuphwanya kwambiri chifukwa cha ntchito yonse thupi. Ana akhale lethargic, tulo iwo mochedwa kupuma, mpaka mabasi.

Nthawi zina, gawo lachinayi uoneke ndi pokodza musanaganizire ndi defecation, khunyu ndi imvi complexion.

zosokonezeka zotheka

Ngati bwino matenda constrictive laryngitis, chithandizocho anayamba Patapita nthawi, madokotala ananena zawo bwino. Apo ayi kudwala masamba zovuta kwambiri. Nthawi zambiri, kutupa ndi kobvuta ndi matenda obstructive. Zochepa wamba matenda zipita pathologies zotsatirazi:

• sinusitis;
• otitis TV;
• zilonda zapakhosi;
• meninjaitisi;
• conjunctivitis.

The vuto loopsa kwambiri ndi chibayo. Ngati iye akulowa laryngitis kuti zingachititse kuti imfa.

diagnostics

Laryngitis amati pamene mawu mawu, kukuwa chifuwa, kufupika kwa mpweya. Komanso, dokotala amaganizira mbiriyakale, deta ya zasayansi zoona malangizo. Iwo kuthandiza kutsimikizira kapena kutsutsa matenda.

Nthawi zina, ikuchitika kuyezetsa virological ya amaganiziridwa aetiology tizilombo matendawa. Komanso, kafukufukuyu amachitika pamaso tizilombo toyambitsa. Ndi kuvomerezedwa kuikidwa bacteriological matenda a diphtheria ntchofu m'kamwa ndi m'mphuno.

chithandizo

Ngati kukuwa chifuwa limapezeka mwana malungo, muyenera yomweyo dokotala.

Pa gawo loyamba la dokotala matenda n'kukulemberani kumwa mowa kwambiri, inhalation zitsamba (tchire, camomile, etc.). Doctor amasankha mavitamini ndi ndalama, patsogolo chitetezo chokwanira. Ngati mankhwala sanapereke chifukwa zabwino, ndiye anagwira novocaine anatseka misewu kuthetsa kutupa ndi kuphipha mavesi kupuma. Mu sitepe yoyamba dokotala mankhwala njira ya mankhwala ndi mankhwala mavairasi oyambitsa.

Mu gawo lachiwiri la matenda kwa mpweya pamwamba njira humidified anawonjezera, njira kulimbitsa mtima, okodzetsa.

Mbali yachitatu amafuna chithandizo chapadera. Pa mu mankhwala monga mankhwala timadzi. Ngati mankhwala si zotsatira zabwino, ikuchitika catheter kuchotsa mamina, kenako mucosa zochuluka afewetsedwa ndi mafuta.

Pa efficacy otsika mankhwala kwa wodwala anachita tracheotomy intubation.

choyamba-chithandizo

Mpaka kufika pa ambulansi m'pofunika kuti magawowa alili, amene amadera constrictive laryngitis. thandizo ndi zotsatirazi:

1. Onetsetsani mwayi wa oxygen. Kuti tichite zimenezi, ndiye anamasuka batani pamwamba pa zovala.
2. Ikani mtima kukagona ndipo atamva headboard.
3. Perekani zambiri ofunda chakumwa. Pakuti ichi mungagwiritse ntchito tiyi, ofunda mkaka.
4. M'nyengo yozizira, Ndi bwino kuwonjezera chinyezi mu chipinda.
5. Perekani mankhwala a antihistamine.

Ngati palibe kusintha zimawonedwa, m'pofunika kuti mu mnofu kapena mtsempha jekeseni wa "Prednisolone": 4 mg wa pa kilogalamu ya kulemera kwa mwana.

Pambuyo anayendera dokotala wodwalayo kubaya kaye mankhwala antispasmodic.

kupewa

popewa chitukuko cha malamulo laryngitis zigwirizana zotsatirazi:

• ukhondo;
• kudya zakudya zopatsa nthanzi;
• nthaŵi zochepa ndi amene akudwala matenda tizilombo toyambitsa matenda.

Kupewa chitukuko cha matenda, ayenera nthawi zonse kuwunika thanzi, patsogolo chitetezo chokwanira, kutenga mavitamini, kuchita Zochita.