Kufamba kwemhepo kumapapu uye kufema kufema kunovimbiswa nemarara uye nepamusoro penziraa. Zvirwere zvinopisa muzvikamu izvi zvinotungamirira ku stenosis (narrowing) ye pharynx, inokonzera laryngotracheitis. Zviri nyore kurarama nechirwere ichi kana ukaona zviratidzo zvaro munguva uye kuronga zvakanaka kurapa.
Chii chinonzi laryngotracheitis?
Ichi chirwere ndechekuvhiringidza kwehutachiona hwehutachiona, hunoita kuti chikamu chekutanga chetrachea nererynx chivepo. Muhosha yakaoma, chirwere chinowedzerawo chinosanganisira stenosis yenzira yekufema uye chironda chemashoko ezwi. Laryngotracheitis muvana inogona kuva nechimiro chisingaperi. Mumamiriro ezvinhu akadaro, kuderera kwechiedza che pharynx kunoitika kunze kwechikonzero chekuwedzera kwekuvhiringidza.
Laryngotracheitis - zvinokonzera vana
Iyo nzira yekufambisa kwezvirwere zvinorondedzerwa inotanga edema yekutanga ye mucous membrane. Nemhaka yaro munharaunda yekutengesa yakaoma kuparadzanisa masikiti, ayo anotsamwisa hutachiona hwepamusoro hwekukandira uye anowedzera kuputika. Zvishoma nezvishoma, zvinowedzera kumabote ezwi, zvichivhiringidza kukanganisa nekudzivirira, kuchengetedza kwemvura kana kuti sputum mu pharynx.
Kurapa kwakakodzera kunokosha kuziva kuti nei laryngotracheitis yakatanga - zvikonzero zvevana zvinotarisana nemhando yechirwere uye mararamiro ayo. Uyezve, zvakakosha kufunga nezvezvinhu zvinoshandiswa pakugadzirisa zvinokonzerwa nehutachiona:
- kuchema, kuchema;
- hypothermia yemuviri;
- inhalation yemhepo yakasviba kana ine gassed;
- kunyanya kusawirirana kune zvimwe zvinhu;
- nguva dzose kusviba kwetsoka;
- weak immunity.
Acute laryngotracheitis
Chikonzero chinonyanya kukonzera chirwere ichi chinotorwa sechimwe chekare chinopfutidza chirwere chetachiona. Acute laryngotracheitis muvana inotanga kurwisana nemamiriro ezvinhu ezvinotevera:
- furuwenza uye parainfluenza ;
- adeno-, rhino, enterovirus;
- mabhakitiriya majekiseni (mycoplasmas, strepto- uye staphylococci, bacillus tubercle);
- masero ;
- herpes;
- zvinokonzera kugadzikana;
- nzvimbo yakashata.
Chronic laryngotracheitis
Nzira isina kunaka yehosha inogara ichiitika mushure mekuita maitiro. Zvakakosha kuzivisa laryngotracheitis muvana panguva yakakodzera - zviratidzo uye kurapwa zvakasimba zvinoenderana nechikamu chekurwara. Kana chirwere chacho chakasarudzwa zvisina kururama kana zvachose chiripo, chirwere chokuputika chichadzoka nguva dzose. Chronic laryngotracheitis muvana inonzi chirwere chinoparadza nguva nenguva.
Kukurudzirwa kwekudzoka kwekuvhiringidza kwelarynx nepamusoro kwezvikamu zve trachea nde:
- zvakanyanya kupemha zvirwere;
- kurwisa ;
- supercooling;
- kushungurudzika;
- overexcitation.
Laryngotracheitis muvana - zviratidzo
Chirwere chemakiriniki yehutachiwana mubvunzo mune zviratidzo zvakananga, maererano nezvino nyore kuongorora. Laryngotracheitis - zviratidzo:
- akaoma, kuora kunorwadza;
- kupisa;
- kukanganisa kufema.
Zviratidzo zvinokosha zvinowedzera nezvinetso zvinotevera:
- yakakura pedo nhengo dzenzou;
- kugona;
- kuora kwekudya;
- kushushikana, kusagadzikana;
- kushaya simba, hope;
- inzwi rakasuruvara kana rinopenya;
- kupisa, kuoma, jira mumutsipa;
- kusuruvara uye kurwadziwa shure kwe sternum.
Chikoro ne laryngotracheitis
Nemhaka yehutu hunoputika, pane edema yemukati membrane ye larynx uye trachea. Izvi zvinomutsa kurira kukuru uye kunononoka. Kutora laryngotracheitis muvana kazhinji kunowanikwa nechekucheka kwe pharyngeal lumen. Dzimwe nguva izvi zvinotungamirira kukuvhiringidza kunotyisa kwemaitiro ekufema uye kuora mwoyo, kunyanya mumwana muduku. Zvinodiwa nokukurumidza kuenda kuchipatara kana laryngotracheitis inenge ichifungidzirwa muvana - zviratidzo uye kurapa zviri nyore apo chirwere chacho chiri panhanho yekutanga. Pazvikamu zvokutanga zviri nyore kudzivisa zvinetso uye kudzivirira kuchinja kwekuvhiringidzika kuva chimiro chisingaperi.
Kutya ne laryngotracheitis
Kupisa kunoshamisa kune hutachiona hwehutano hunokonzerwa nehutachiona kana bhakitiriya. Kana chirwere chinonzi allergic kana zvimwe zvisingaiti zvinoparadza zvinokonzera laryngotracheitis, zviratidzo zvingasiyana. Mumamiriro ezvinhu akadaro, kutonhora kwemuviri kunoramba kuripo kana kuwedzera zvishoma, ku-subfebrile zviratidzo (anenge 37,5 degrees).
Stenosis yeronx ne laryngotracheitis
Zvinetso nekufema zvinowanzoonekwa muvana vasati vava nemakore matatu. Kuwedzereka kwelaryngeal lumen uye kugomera kwenhema zvinetso zvinokonzera stenosing laryngotracheitis . Izvi ndezviitiko zvinokuvadza zvehutachiona, nokuti zvinogona kutungamirira pakutsvaira kwakanyanya uye kushaya oxygen kwenzara yehupi. Vanachiremba vanokurudzira kuti vataure nekliniki nokukurumidza kana laryngotracheitis muvana inotanga - zviratidzo uye kurapa zviri nyore zvikuru nekuona kuti chirwere chacho chinotanga sei. Nenguva yakakodzera uye yakarurama kurapwa kunotora nguva inopfuura mavhiki maviri kuti apedze kupora.
Laryngotracheitis muvana - kurapwa
Nzira dzokurwa nadzo dzinorondedzerwa zvirwere dzinotarisana nezvinokonzera uye kukonzera. Chiremba uye chisingaperi chine laryngotracheitis rinosanganisira zvinotevera:
- kusunungurwa kwekukanganiswa;
- kubvisa stenosis yenzira yekufema;
- kubika kwekuvhiringidza nzira;
- kunamatira kune zvokudya zvinokurudzira;
- kudzorerwa kwemazuva ose kufema;
- kusimbisa hutachiona.
Emergency care for stenosing laryngotracheitis muvana
Kana chirwere chinokonzera chinotungamirira kukuderedza kwelaryngeal lumen, uye zviratidzo zvinoratidza kuti mwana anogumburwa, chiremba anofanira kunziwa pakarepo. Dambudziko rakaipisisa rinokonzera laryngotracheitis is stenosis. Iyo yakazara nekunetseka uye oxygen nzara yeuropi.
Nepo nyanzvi mumugwagwa, zvakakosha kutora matanho ekukurumidza:
- Isa mwana ari pamubhedha, kwete kumurega kuti arara pasi, kuitira kuti kudonhedzwa kuduku kunowanikwa murorynx
- Shingairira munwe wako kana chipuni pamudzi werurimi, ita chirwere chemutsipa.
- Simbisa mhepo muimba. Kana pasina chigadzirwa chakakosha, unogona kuisa mune imwe mudziyo mudziyo wemvura, shandisa mazhenje akadziya, tora mwana muimba yekugezera uye tora pfuti inotonhorera.
- Deredza kutengesa kwemhepo muimba uchishandisa mudzimu wemhepo kana kungozarura mahwindo nemabhaconi.
- Ita mhepo inopisa inhalation ne nebulizer. Nzira iyo ine saline kana mishonga inokosha ichabatsira kuderedza zviratidzo.
Laryngotracheitis - zvinodhaka
Kusarudzwa kwezvinodhaka zvemishonga kunofanirwa kushandiswa nechiremba wevana mushure mekusimbiswa kwehutachiona. Mishonga inorwisa mabhakitiriya ine laryngotracheitis inongororwa chete nokuda kwebhakitiriya kubva mukuvhiringidza. Mune zvimwe zviitiko, kushandiswa kwayo hakuna maturo uye kunotambudza, sezvo antimicrobial drugs inoderedza basa rezvirwere zvemuviri. Kana mabhakitiriya ematachiona ehutachiona aonekwa, zvakasiyana-siyana zvinotevera zvemishonga inorwisa mabhakitiriya inoshandiswa:
- penicillins ( Augmentin , Amoxiclav);
- macrolides (Clacid, Sumamed);
- cephalosporins (Cefalexin, Ceftriaxone).
Antimicrobial haafaniri kudiwa apo utachiona hweryingotracheitis hunobudirira kuvana - zviratidzo uye kurapwa kwechirwere zvinosanganisira zviyero zvakasimbiswa kusimbisa hutachiona uye chirwere chinoderedza zviratidzo zvechirwere. Kana hutachiona hwaiongororwa pakutanga kwekuvhiringidzika (maawa 72 okutanga), unogona kumupa mwana mishonga inokosha:
- Ergoferon;
- Anaferon ;
- Viferon.
Pakati pekushisa kwekushisa (kusvika kusvika 38-38,5 kumusoro), hazvikurudzirwi kutora antipyretic zvinodhaka. Zvinokurudzirwa kuvashandisa apo mwana ane fever. Aya anotevera mapepa emasvomhu akakodzera:
- Paracetamol;
- Tylenol;
- Nurofen;
- Dofalgan;
- Mexalen uye zvakafanana.
Zviratidzo zvakadai sokutya uye kukwezva, zvinomiswa nemishonga yakakodzera:
- Lazolvan;
- Kodelak;
- ATSTS;
- Panathus;
- Sinecod;
- Broncholitin;
- Libexin;
- Glycodine;
- Alex Plus;
- Bronchoton uye maonero.
Inhalation ne laryngotracheitis
Mune nguva yakaoma, kushandiswa uku kunobatsira kukurumidze kumira kurwisa kwekugadzirisa uye kudzorera kufema kufema. Inhalation inonzi inogamuchirwa painokura stenosing laryngotracheitis muvana - zviratidzo uye mishonga yekurapa zvinoratidza kushandiswa kwe nebulizer. Kana chirongwa chepanyama chisina kubudirira zvakakwana, zvinokurudzirwa kushandisa Lazolvan kana kugadzirira kwakadaro kunodzivisa kugunzva kunorwadza. Imwe nzira, maitiro ekurapa laryngotracheitis ne stenosis - Pulmicort.
Mushure mokubvisa kurwisa uye kuisa kufema kwekufema, nguva dzose inhalation inofanira kuramba ichienderera mberi, kuitira kuti mucous membrane yelarynx inogara yakanyoroveswa. Kumusha maitiro, unogona kutenga chigadzirwa chakagadziriswa chemagetsi kana kuti alkaline mineral mvura isina gasi. Nokukanganiswa kuwedzera, unogona kugadzirisa nebulizer nemishonga inokosha:
- ATSTS;
- Lazolvan;
- Fluimucil;
- Tonzylgon H;
- Rotokan nevamwe.
Laryngotracheitis - mishonga yevanhu
Mumishonga epamusoro, zvipfeko zvekuzvarwa zvinobvumidzwa, asi kungofanana nemigumisiro yemubatsiri. Chiremba wevana anofanira kukurudzira maitiro ekurapa laringotraheitis mumwana, mushure mekusimbisa hutachiwana uye mukusavapo kwehutano hwehutano mumwana kusvika kune zvikamu zveiyo mari yakasarudzwa. Kana chirwere chemaitiro chisina kubudirira kana chinotungamirira kukuwedzera mune zviratidzo zvechirwere, zviri nani kuisiya.
Laryngotracheitis muvana - kurapwa pamusha nemishonga
Zvisungo :
- licorice midzi - 30 g;
- Mashizha emai naamai-vatana-40 g;
- michero yefennel - 20 g;
- mudzi we althea is 40 g;
- Mullein maruva - 20 g;
- mvura - 1 girazi.
Kugadzirira, kushanda
- Geza uye sanganisa mishonga yemishonga.
- Dururira 1 kiyijiko chekuunganidza yemvura inotonhorera yakabikwa.
- Mushure memaawa maviri ekusimbisa, shandisa mushonga.
- Kuchengetedza mhinduro, tsvina.
- Inwa mushonga wemwana mukati mezuva mune zvikamu zviduku.
Anti-inflammatory mth
Zvisungo :
- gorosi bran - 1.5 tbsp. makapu;
- mvura inopisa - 2 makapu;
- Mvura yakasvibirira yakasvibiswa - 0,5 tsp.
Kugadzirira, kushanda
- Rinisa bran.
- Vadururira nemvura inopisa uye musanganise.
- Inopedza mushonga wacho kwemaawa mashanu.
- Simbisa muto.
- Wedzera jisi remuti kune mvura inoguma.
- Ipai mwana mukasipuni 1 wezvinodhaka 4-7 nguva pazuva.
Tea kubva kuhoora yakaoma
Zvisungo :
- mishonga yemaitiro St. John's - 3 tbsp. makapu;
- mvura - 1 l;
- jam, uchi kana shuga - kuravira (nekushivirira).
Kugadzirira, kushanda
- Girai zvinomera zvezvirimwa uye muidururire mu thermos.
- Dururirai gomba reSt. John nemvura inopisa.
- Simbisa uswa kwemaawa maviri.
- Simbisa mishonga.
- Wedzera sweetener to tea.
- Ipa mwana 1 dessert. kapu yemagadzirirwe kwehafu yeawa vasati vadya.
- Dzokorora 1-2 nguva pazuva.
Zvinetso zve laryngotracheitis
Kuvhiringidza kwemukasi membrane we-larynx ne-trachea kunogona kukonzera chirwere chakanyanya mumamiriro ekumanikidzwa kwehutachiona. Acute stenosing laryngotracheitis inokonzerwa nekudzikama, iyo inowirirana nezviratidzo zvinotevera:
- blanching ganda;
- bluish tint of nasolabial triangle;
- rima rinotenderera pasi pemeso;
- fainting;
- chizoro;
- unyanzvi, kusafarira;
- cyanosis yemakumbo nemaoko;
- kufema kufema nemapapiro;
- kusvuta kusingagadzi;
- mwoyo musungwa.
Izvi zvinoda kurapwa nokukurumidza, nokuti mwana anogona kufa nekuda kwekushaya oxygen. Pamberi pezvimwe zvezvakanyorwa zvakakosha, zvinokosha kuti utumidze pakarepo boka reku ambulensi uye tevera mazano ekutanga evarapi:
- Kurutsa gag reflex mumwana.
- Kwakawanda kunotonhorera uye kunyorera mhepo muimba.
- Ita zvinoputika Pulmicort.