Stenosis ya m'phuno ndi: chithandizo Choyamba

Nthawi zambiri wamba mu stenosis ubwana wa m'phuno, amene yodziwika ndi kuchepetsa wa lumen ake. Chifukwa cha zimenezi, mwana sangathe kupuma mokwanira. okhumudwa akuopseza miyoyo ya ana, kotero muyenera itanani ambulansi yomweyo.

Ndi zonse mayi, ngakhale mwana wake si pansi yapita ayi chimodzimodzi breathlessness, nkuchita zimenezo. Muyenera kupezera thandizo isanafike madokotala, chifukwa aliyense udindo yokha.

Mwalamulo, matenda awa akutchedwa constrictive laryngotracheitis ana izo angasonyeze ngati aakulu monga mwa mawonekedwe pachimake.

Mawonekedwe a laryngitis aakulu chifukwa cha zinthu zomwezo monga maonekedwe ake pachimake. Only mmene chokhalitsa ndipo si choncho noticeable. Zizindikiro za mawonekedwe aakulu ndi ofanana chisumbucho, koma sizinayambe momveka ndi mwamphamvu. Zizindikiro imeneyi ndi siplost mawu. Pakhosi awakande akuyamba pambuyo mwachidule, nthawi zina kutsokomola. Pa exacerbation mwa zizindikiro za matenda kukhala yapadera kwambiri.

Mawonekedwe lachiwiri la matenda - ikakhala yolemera - pachimake constrictive laryngotracheitis, ndilo zimayambitsa waukulu pamaso pa pachimake tizilombo matenda, matenda bakiteriya kapena allergens amene amayambitsa anachita oopsa (angioedema kapena anaphylactic mantha).

Pali zifukwa zingapo kuti simuli gulu matenda, koma kuyambitsa stenosis ya m'phuno ndi: kutenga thupi zakunja pakhosi, kuvulala zachilengedwe osiyana ndi laryngospasm.

matenda, monga momwe tafotokozera pamwambapa, amafuna chithandizo mwamsanga kwa makolo awo. Choncho, poyamba pa zonse, tiyenera akatsimikizire mwana kukhala pa maondo ake, kupereka mpweya okwanira. Mukhoza kutsegula otentha madzi mu bafa ndi kupita kunja uko ndi mwana, kuti athe kupuma ofunda mpweya lonyowa. Ngati muli ndi inhaler, kuchita inhalation ndi saline. Ndi bwino kuchita njirayi mpaka kufika pa ambulansi.

Ngati, pambuyo mwana uyu kumakhala kosavuta, ayenera ayi adokotala. Palibe munthu angathe akutsimikizira kuti stenosis ya m'phuno ndi sichidzabwerezedwa patadutsa nthawi. M'pofunika kupita kuchipatala pofuna kuukira mphumu. Doctor Kwalamulidwa mankhwala mabuku monga kugwiritsa ntchito wothandizila m'thupi, mankhwala ndi mankhwala kofunika kuteteza zosayembekezereka wa edema.

Stenosis ya m'phuno ndi anawagawa mitundu zinayi malingana ndi mlingo wa vuto:

- kulipidwa stenosis, amene amakhala ndi chikhalidwe cha kuwuma zolimbitsa: nkhawa, kukuwa chifuwa. Pa zina, mwanayo ndi kupuma wogawana, mawu ake sipnet;

- subcompensated stenosis: mkhalidwe kusalekerera zolimbitsa. Kufupika kwa mpweya ikukula komanso kupsa kutsokomola linasokonekera, pali pallor a khungu, kusasa mawu;

- dekompensirovanny stenosis, amene amakhala ndi chisokonezo zotheka, amavutika wina akapuma ndi exhaling kuchepetsa. Zikuoneka thukuta ozizira, khungu akhoza kukhala zadothi mtundu nsangalabwi chitsanzo. Kugunda ofooka, wosasamala, anaonjezera chiwindi ;

- asphyxia. Pankhaniyi, mwana anakomoka, ana ndi dilated, zikhoza khunyu. Kugunda kapena ulusi olumikizidwa ku makina M'mimbamo chete kupuma. Momwe ndi woopsa kwambiri ndipo amakhala ndi luso kusiya kupuma ndi mtima. Ndi ngozi zachipatala.

Mankhwala a mtundu uliwonse wa stenosis amakhala ndi chikhalidwe yake yeniyeni poika mankhwala ena. Ngati mwana wanu ali asphyxia, ayenera kulowa yomweyo, popanda kuyembekezera kubera Brigade, prednisolone (m'thupi mankhwala) m'nsinga kapena intramuscularly 5-7 micrograms.

Onse stenosis ya m'phuno ayenera ankachitira pa outpatient maziko, kuyang'aniridwa ndi madokotala.