Bronchiolitis kubantwana: Iimpawu and Treatment

Bronchiolitis kubantwana kwenzeka ngenxa yeengxaki kwezifo ezifana SARS okanye umkhuhlane. Esi sifo amaninzi baboniswa iintsana ukuya kunyaka. Ingaba kwincopho usulelo - ukusuka yesibini ukuya kwiinyanga yesithandathu. Isizathu ilula - amajoni omzimba akanamandla ngokwaneleyo ukumelana zonke iintsholongwane. Xa emzimbeni, usulelo ungena bronchioles.

Iimpawu zokuqala isilumkiso

Ukuba bronchiolitis ebantwaneni, iimpawu kufunyanwe zezi:

• ukhohlokhohlo spasmodic, kwezinye iimeko njani na kowomileyo;
• lobushushu emzimbeni liphuma hayi ngamandla;
• ngexesha nokuphefumla kuvela ikhwelo izandi;
• langoku okanye esihambisayo impumlo, phezu koko, lasekwa.

Izifo luphuhlisa ngokukhawuleza, yaye ukuba ngeli xesha kwenziwa nto, kubekho ingxaki ngohlobo ukusilela sokuphefumla.

Indlela yokubona izifo?

bronchiolitis okusolwayo kubantwana abaselula zingangqinwa ngendlela elula ezinjalo. Ukuze emva indlebe sana ukwenza, kwaye ukuba uve isandi yayikukunkcenkceza, ngoko oku kungenzeka ukuba kuthetha ukuba uxilongo siya kungqinwa khona. Kubalulekile ukuqaphela ukuba le akunyanzelekanga ukuba ubukho nokuthandwa ukhohlokhohlo kunye lobushushu eliphezulu.

bronchiolitis Acute: Iimpawu

Kuba njengomkhuhlane unyango akuthethi ukunika iziphumo ezidibanisayo ixesha elide? Mhlawumbi oku kuboniswa bronchiolitis etsolo ebantwaneni. iimpawu zayo:

• kunciphise emnyama okanye ezilahlekileyo;
• mhlophe ulusu, kwaye kwezinye iindawo kubonakala cyanosis;
• ukusilela ukusela amanzi kunye nokutya emzimbeni zingenzeka, iimpawu eziquka: yehle ukuchama, phambi ukoma emlonyeni xa bedanduluka kungekho iinyembezi, ukubetha ophilisayo;
• usana ngakumbi ndingatyhilekanga, udikwa ngokukhawuleza, kodwa ulele;
• lobushushu emzimbeni banda, kodwa kancinci nje;
• phambi ukhohlokhohlo owomileyo, ngamanye amaxesha kunye imali encinci isikhohlela;
• kusenokubakho ukuphelelwa umoya - kuvela izandi kryahtyaschie, nangokuncwina, emathatheni lokudlabhuka, esifubeni retracts a, ukuphelelwa omncinane eyomeleleyo endibuthethileyo ngumphefumlo;
• kwiimeko ezinzima ngakumbi, Ungayeka uphefumla;
• nengxaki yokuphefumla livela izihlandlo ezingaphezu kwama-70 ngomzuzu;
• emva yoviwo ugqirha nokuxilonga crackles ecacileyo;
• emva kokuba uvavanyo igazi ibonisa ukuba izinga ireyithi erythrocyte neentlenge yaye esehlisa leukocytes.

Kubalulekile ukuba wenze iimpazamo!

Bronchiolitis kubantwana luphawulwa ukusilela yokuphefumla, nto leyo xa kuthe ifomu kakhulu kunokukhokelela ukutsarhwa. Kulo mzekelo ngokungxamisekileyo kufuneka unyango, kodwa hayi ukuba abafanelekayo, ngenxa yokuba kukho amatyala ukuba isifo bedidekile bronchitis abanesifuba okanye inyumoniya kunye obstructive syndrome.

Iimeko ze isigulane amancinci

Nangona ugqirha alikafiki, kuyimfuneko ukuba ukudala zonke iimeko ukwenzela ukuba mandundu imeko engcwabeni wosana. Ukuze wenze oku, kufuneka ulandele imithetho emibini esisiseko eyile:

1. akufuneki ibe eshushu neyomileyo umoya kwelo gumbi, ekubeni afune omiswe of ukubila uxakaxa kwaye lweenkcukacha leyo idla kunye nokulahlekelwa ngokukhawuleza ukufuma yomzimba. Iqondo lobushushu akufuneki ube ngaphezu kweqondo-20 kunye ukufuma ku - 50 ukuya kuma-70 ekhulwini.
2. Kuyimfuneko ukuqinisekisa yendyebo umntwana zokungenisa fluid. Kubelekwa Kufanele kuziswe esifubeni sakhe, yaye abakhulileyo ndikunike ukuba basele iziselo. Oku kufuneka kwenziwe ukuze aphephe ukomisa yomzimba yomntwana.

Akuvunyelwe ukwenza ezi zenzo

Kwiimeko ezinjalo, oko Akuvunyelwe ngqo ukuthatha uncedo iindlela ezifana ekhaya:

• ukuqhuba nayiphi na ukuyifundisa esifubeni;
• ukwenza inhalation eshushu;
• ukusebenzisa nayiphi na imithi ngaphandle ukuqeshwa kagqirha.

obliterans Bronchiolitis: Iimpawu

Yintoni enokwenzeka xa uhlobo zale sifo ukuqala? Uyakwazi ukubukela obliterans bronchiolitis ebantwaneni. Oku kuthetha ukuba bronchioles kunye constrict ezincinane bronchi, kwaye ke kukho kophulwa yokumpompoza kwegazi miphungeni. Emva kwexesha elithile, angaqala ukuphuhlisa iinkqubo zophendlo lwezifo ze imiphunga kunye nesifo sentliziyo nezengekho miphungeni.

Ukuqaphela esi sifo kuya kunceda mpawu zilandelayo:

• isenzeko ukhohlokhohlo owomileyo balala emqokozweni, nto leyo sikhatshwa imali encinci isikhohlela;
• ukuphelelwa umoya kuphela emva kokuba amandla omzimba, kodwa kwakhona (ngesifo inkqubela) kwimo ukuchulumacha;
• Uyakwazi ukwahlula ukutswina emanzi, ukuphefumla ngathi kwesifuba.

Ezo mpawu ugcinwe ixesha elide - ngaphezu kweenyanga ezintandathu.

Bronchiolitis kubantwana, ingakumbi abo ezincinane, bandile kakhulu. Yena uya belingana ne pneumonia, nto leyo nayo yenye iingxaki SARS. Iintsana kunye kwesifo wathumela ngoko nangoko esibhedlele. Kodwa abantwana ngaphambi kwexesha, kwakunye nabo bantwana baye baba iziphene intliziyo naso kunye bronchopulmonary, esichengeni emzimbeni kunye hypoxia, ezintsonkothileyo. Kwezinye iimeko kuphelela ekufeni.

Iindlela zonyango

Xa kukho bronchiolitis baphathwe ngabantwana ingathatha ngaphezu kwenyanga. Ukuze wenze oku, sebenzisa iindlela ezininzi:

1. unyango amanzi, nto leyo ithetha kugqitywe izisombululo glucose lomzimba saline lomntwana. Oku kwenziwa yegazi kunye ngomlomo. Wazithwala ngaphandle kwezo meko xa ufuna uncedo olungxamisekileyo.
2. Qhuba amanyathelo zikaxakeka xa kukho ukusilela sokuphefumla. Kulo mzekelo, imaski kunye asidi, kwaye inhalation kweyeza, ogama izenzo negalelo ukususwa yokuhlasela ukutsarhwa.
3. Sebenzisa antivirals ziye virally kwenzeka sifo. Isiseko iziyobisi kwiimeko ezininzi, kuba interferon.

amalungiselelo

Xa esi sifo kukwakho kwezifo, eziquka Pneumococcal okanye throat, elwa ngokubanzi ngolu hlobo lulandelayo:

• "Amoxiclav".
• "Macropen".
• "Sumamed".
• "Augmentin".
• "Amosin" kunye nabanye abaninzi.

Ukususa ekweneni ngemibhobho inyumoniya, onwabe wokuphefumla prescribers antihistamines.

bronchiolitis ezingapheliyo

Ngokwayo, esi sifo iphuhlisa ngokukhawuleza kakhulu. Nangona iimpawu ukuze babekho iinyanga ezintlanu. Umphumo iya kuba mhlawumbi bachache ngokupheleleyo, okanye nokuba iya kukhula ibe bronchiolitis ezingapheliyo ebantwaneni. Oku yahlulwe iintlobo ezininzi iinkqubo arhabaxa:

• panbronchiolitis;
• follicular;
• zemiphunga.

ukudumba nazo kweentlobo ezifana:

• Constrictive;
• proliferative.

Constrictive (okanye igxalaba) luphawulwa kukuba ekhula ngokuthe ngcembe inyama ezinezikhondo phakathi maleko izihlunu kunye epitelievym kunye bronchioles. Emva kwexesha elithile, hayi kuphela uncipha le mithambo, kodwa unako ukuvala ngokupheleleyo. isakhiwo yokuphefumla ayikho oluthambileyo kunjalo, leyo kunokukhokelela emphysema ukusilela zokuphefumla.

Proliferative luphawulwa kukuba kungonakalisa isifo kwaye kuvela inyama granulomatous kunye nokuqina - ithole Masson. Zemiphunga ezahlulwe kunciphisa kakhulu ukukwazi layo kwe- kunye nokuphefumla lwangaphandle egxobhekile.

Unyango lwezifo ezingapheliyo

obliterans bronchiolitis yezifo ngayo abantwana ngeendlela ezimbini:

• Unyango ngamachiza;
• abangabancedani.

In lwalo yokuqala, inokuba ufakwe mucolytics, bronchodilators okanye iziyobisi expectorant. Ukuba kukho umtshiso iintsholongwane lomlinganiswa, ngoko plus kuyo yonke le nto - nkqu antibiotics.

Kuba unyango adjunctive ziquka yokuthanjiswa esifubeni, imithambo ukuphefumla, ukuyifundisa climatotherapy, speleotherapy kunye ukuyifundisa.

imiphumela

Ukuba kukho bronchiolitis ebantwaneni abancinane, imiphumo inokuba nomahluko kakhulu (oku kunjalo xa kungekho unyango ngexesha). Ngoku siza kujonga kuwo

1. ukukrala kwemiphunga. It ngobambana kule esiqwini isixokelelwano sokuphefumla, isiphumo siya kuba ukukhohlela kakhulu. sifo okunjalo kwenzeka xa kwinqanaba eliphezulu, ungenza ikhatshwe nobushushu kancinane. iingxaki nge inkqubo yokuphefumla zidla waphawula. Ukuba le meko ukuba ukuthatha amachiza, oko igcwele na iingxaki mibi.
2. Bronchiectasis. Le nkqubo ungachazwa ukuba umonakalo ukwandisa kunye neendonga inyumoniya.
3. ukusilela ezesifuba zokuphefumla. Ngokunxulumene sifo Exchange igesi baphazamiseka, kwaye uninzi izibilini abafumani ioksijini ngokwaneleyo. Oku ngokuyintloko kuchaphazela imisipha intliziyo. Ngenxa yoko, umzimba eyayisebenza, negazi ayisekho atyhutyhela emzimbeni eziyimfuneko umthamo. Kwaye oku, ke, kuchaphazela kakubi intsebenzo kunye namanye amalungu kunye neenkqubo umzimba abantwana.
4. Bronchitis ifomu ezigulo ezondeleyo. Ukuba washiya lunganyangwa, imiphumo inokuba kakhulu. Kulo mzekelo, indima enkulu idlalwa abakuzo obufana nothuli, iigesi, kunye neentlobo ngeentlobo zamavumba nezidlo.
5. Isifuba, leyo esuka eliphambili bronchitis komzimba. Isifo luphawulwa udumba isifo kunye spam ngamaxesha athile. Le ngenxa bronchiolitis kuyingozi kuba kukho ukuhlaselwa Ukuphelelwa.
6. emphysema miphungeni. Le ifuthe kubantwana kunqabile kakhulu. Lubonakala yi kukuba exchange igesi emiphungeni eyaphukileyo kwimo yazo. Kumanqanaba okuqala lubonakala ukuphelelwa umoya eNgqeleni. Kodwa ukuba kukho ukonakala, ngoko nayiphi na enye ngexesha.
7. kokuphazamiseka inyumoniya. Lubonakala nkebe, nto leyo sikhatshwa ingumphunga ukuphazamiseka. Umntwana ukuphatha uwukhuphe ngokupheleleyo njengoko umoya kwakhona. Ngenxa yoko, zokwanda koovimba kula iintsalela ichukumisa uxinzelelo oluphezulu lwegazi.
8. Kodwa nokulandelelana iseliswelekile intliziyo miphungeni. Oku kudale uxinzelelo lwegazi oluphezulu osisigxina. Ngenxa Exchange igesi kakuhle, umntwana akwazi ukwenza nantoni na evela amandla omzimba.

Iingcebiso kwi zokuthintela izifo

Ukuba akazange kuvela bronchiolitis ebantwaneni, kufuneka azame ukuzikhusela adibane nabantwana sele begula. Kwakhona, musa ngoyaba umsebenzi anti-wentsholongwane egazini, tempering iinkqubo kunye nokusetyenziswa kakuhle ukutya.

Kunqweneleka ukuba ukudala ubomi hypoallergenic, ekubeni komzimba kunye bronchiolitis ezifanayo. Musa ukulibala ukuba ukulandela nasopharynx womntwana. Kuyimfuneko ukuba wayesoloko ehlambulukileyo, yaye kwakungekho izihloko.