Kunyanya kuporesa zvirwere zvinogona kutungamirira kumatambudziko anokanganisa nekuvhiringidzika mumhepo yekufema. Croup ndeimwe yemigumisiro yakawanda yezvirwere zvinotapukira. Anoratidzwa pachena kune vana vari mumakore matatu kusvika pamakore matatu.
Chii chinonzi cereal yenhema muvana?
Imwe zita rinoshandiswa kune chirwere chinenge chichiongororwa ndechokuti stenosing laryngitis. Iyo inokonzera kupisa kwemarara, umo mune chakakoromoka uye kamwe-kamwe kupinza kwemasvingo aro uye kudzivirira kwepamusoro yepamusoro. Izvi zvinogona kukonzera kusvuta, kunyanya kana mwana ari muduku. Kubva pakudya kwechokwadi kwenhema kunopesana nemakonyeti causative agent. Muchiitiko chekutanga, chinokonzera dambudziko ndechokuti diphtheria, uye mune yechipiri - zvimwe zvirwere zvinotapukira.
Iyo inogadziriswa yekugadzirwa kwe stenosing laryngitis
Zvokudya zvenhema muvana zvinokonzerwa nekuita zvinotevera:
- Kuvhuvhuta kwakanyanya kwelarynx kunokonzera kuvhara kwepamusoro kana kupfurikidza kwezvinyama zviduku munzvimbo iri pasi pemakumbo ezwi.
- Kubata stenosing laryngitis kunokonzera kupisa kwemisungo-constrictors. Vanobvumirana, saka chimiro chinonzi lryngeal lumen chinowedzera zvakasimba.
- Zvirwere zvinopisa zvinosanganisira kusunungurwa kwemahombekiti akawanda emusana. Slime inounganidza mu lumen shoma yemarara uye inokwanisa kuifukidza zvachose.
Zvokudya zvenhema muvana - zvinokonzera
Iyo causative agent yeaitsanangurwa chirwere zvirwere. Muzviitiko zvakawanda, mavairusi anokonzera uori hwemakumbo muvana - zvikonzero zvekuvandudzwa kwayo zvinosanganisira zvirwere zvakadai:
- furuwenza ;
- herpes simplex;
- masero;
- paragripp ;
- adenovirus;
- chicken pox;
- Anopfugama chifukidziro.
Zvisiri zvishoma zvinokonzerwa nekuderedza laryngitis yebhakitiriya kubva. Mumamiriro ezvinhu aya, zvinokonzera ndezvi:
- streptococci;
- haemophilus influenzae;
- pneumococci;
- staphylococci.
Kurapa kwenhema muvana kunogona kutanga pamusana pematoniti, rhinitis, adenoiditis nedzimwe zvirwere sechinetso. Zvinhu zvinotevera zvinobatsira pakugadzirwa kwayo:
- rickets;
- beriberi;
- kushungurudzika kwekuberekwa;
- akachinja hypoxia;
- diathesis;
- kudya kwekugadzira;
- low immunity.
Chikonzero chikuru chekuitika kwechikafu chenhema chete muvana uye kusavapo kwechiitiko ichi kune vanhu vakuru ndechiyero chemarara. Pamwana pakutanga pakutanga maduku, saka kunyange nyore nyore kupenya kwaro kunotungamirira kukurwisa dyspnea. Sezvaunokura, marinari anowedzera, uye mwana "anongopfuura" anonyorera laryngitis.
Ichokwadi here kuti chirwere chenhema chinopararira kune vana?
Iyo hutachiona pachahwo haitapuki kubva kumwana mumwe kuenda kune imwe kunyange nekubatana zvakananga, asi zviri nani kuparadzanisa mwana anorwara pakarepo. Kuita kuti chirwere chemairinitis muvana chinogara chichirwisana nemamiriro ekurwara ane utachiona. Zvirwere zvepachirwere kana mabhakitiriya zvinopararira kwazvo, saka muboka kazhinji kune mamiriyoni ezvirwere zvekuvhiringidza uye kuderera kwelarynx lumen panguva imwe chete.
Nzira yekuziva sei chirwere chenhema mumwana?
Izvo zvakataurwa zvinoratidza zviratidzo zvakabvumira kuti zviongorwe zvisina kukwana. Zvokudya zvenhema muvana - zviratidzo:
- sonorous "barking" kukomba;
- kufema kunofadza, kunhuwa;
- hoarseness of voice;
- kuzvidya mwoyo;
- kupfupika kwemhepo;
- Yakakura lymph nodes mumutsipa;
- kuwedzera mumuviri wekushisa (kubva pa 37,2 degrees zvichienderana nechikonzero chechirwere);
- kushushikana kwehope.
Degrees of cereal false in children
Kliniki yemufananidzo we stenosing laryngitis inofanana nekuoma kwemaitiro ayo. Nzira dzenhema dzakaratidzwa sei kuvana vane dhigirii dzakasiyana dzekuchepesa kwelarynx lumen:
- Anogadziriswa. Dyspnea uye kunetseka kufema kunongororwa chete nechekuita kwepanyama kana kushungurudzika mupfungwa. Pakuvhenekera, kuruya kunogona kunzwika.
- Inopiwa chikwereti. Chiratidzo chekunyengedza kwenhema chiripo muvana uye pane zororo. Mwana wacho anotya, haadyi zvakanaka uye anorara. Pakuvhenekera, nzvimbo dzomukati pamwe nejugular fossa dzinodzokorora, mitsetse yakaoma inonzwika. Iyo nasolabial triangle inowana chiedza chine cyanotic.
- Decompensated. Kuzvidya mwoyo kwechecheche kunopa nzira yekurara, kusavhiringidza nekusava nehanya, kuvhiringidzika. Mwana wacho anotambura nokufema kwekufema kwakanyanya uye "kukanganisa" kukomba, inzwi rinonyangarika. Iyo yose chiso uye chikamu chemutsipa ine bluish tinge. Pakuvhenekera kwakanyorova uye kunyura mhepo kunonzwisisika, mwoyo hauna kugadzikana (tachycardia), iyo inotyisa inenge yakafanana.
- Asphyxiation. Iyo yakasiyana-siyana zvikuru yezvokudya zvenhema. Kufema kwomwana kunongobatsira uye kugadzirisa, hakuna kuora. Kune kupera kwakakosha kwemazipa eropa, bradycardia, kuputika. Kuziva kunokanganiswa uye kunoshandura kuva coma ye hypoxic. Pasina kutarisirwa kuchengetwa, chirwere ichi chinogona kupera mukuguma kwekufa.
Chii chaunofanira kuita nekambani yenhema mumwana?
Kana vabereki vachicherechedza zviratidzo zvakajeka zvekusimudza laryngitis nekuoma kufema nekufema kwebhuruka rwe nasolabial triangle, murwere anofanirwa kushevedza rubatsiro rwechiremba. Chinhu chinonyanya kuipa inonzi cereal yenhema mucheche, nokuti hukuru hwehryyx yavo iduku zvikuru uye asphyxia inogona kuitika nokukurumidza. Pamberi pokusvika kweboka reongorori zvinokosha kuti zvigadziriswe kumutsigira mwana uye kumupa mamiriro ezvinhu akasununguka ekufema.
Apo kushorwa kwezviyo zvenhema mumwana hakufambidzana nekupfupika kwemhepo kana kuputika, uye kune "kungofadza" chete, iwe unogona kutsungirira dambudziko iwe pachako:
- Ipai zvakawanda zvinonwiwa (bicarbonate mvura isina gesi, mukaka wakare-mafuta ane pinch soda).
- Ipa rugare rwezwi.
- Pavheji yepamusoro (inopfuura 38 degrees) shandisa antipyretic.
- Inhalation nebulizer nemaminerari emvura, Lazolvanom kana saline.
- Kuchengetedza mukati mhepo kumadhora 18 kana pasi.
Kuita chirwere chemairinitis muvana - kuchengetedzwa kwekukurumidzira
Kusati kwasvika vashandi vezvokurapa vanokwanisa, zvinokosha kudzivirira kupfuurira mberi kwekucheka kwelarynx uye asphyxia. Kubudirira kuchava rubatsiro rwekutanga rwenhema rwenhema mumwana, rinotsanangurwa muchikamu chekare, uye mamwe matanho:
- Kuita kuti munhu ave nerutsiva rwekurutsira, achinyora mumwe kana spoon pamudzi werurimi.
- Simbisa mhepo muimba. Kana pasina humwe hugadzirwa hunokosha, iwe unogona kutora tambo dzakanyorovesa mumvura, muchiendesa mwana muimba yekugezera, umo mvura inotonhorera inoyerera kubva mumapombi.
- Ita zvinoputika. Kana izvo zvakagara zvataurwa zvinodhaka zvisina zvazvinobatsira, shandisa Pulmicort nokuda kwenhema yenhema muvana.
- Isai mwana ari pamubhedha hafu-ugare kuitira kuti mushure mutsva uunganidze mumarara.
Kurapa kwenhema muvana - kurapwa
Therapy ye stenosing laryngitis inorayirwa chete nachiremba mumwe oga. Zvisarudzo zvekurapa nhema dzenhema kuvana dzinofanirwa nehuwandu uye hutsinye hwekugumburwa, nguva yemucheche, iyo causative agent wehutachiona. Mukurwisana nechirwere ichi mapoka anotevera emishonga anoshandiswa:
- glucocorticosteroid hormones (Prednisolone, Methylprednisolone);
- antispasmodics (Papaverin, No-Shpa);
- antitussives (Codeine, Bromhexine);
- antihistamines (Eden, Zodak);
- bronchodilators (Lazolvan, Geksoral);
- kunyengedza (kubviswa kwe valerian, motherwort);
- antiviral (Tamiflu, Remantadine);
- atibiotics (Erythromycin, Amoxicillin) nevamwe.
Mukuwedzera, inhalation inorayirirwa kuti iwane croup mumwana. Muchipatara, iyo yakasvibiswa oksijeni inoshandiswa, inofanirwa kuwana imba yakanaka yebhende, kunyanya kana mwana kazhinji ari pasi pekushaya chirwere chinonzi laryngitis. Iyo nzira inoshandiswa kushandisa chero hypoalergenic alkaline solutions, Lazolvan, Pulmicorta.
Nzira yekudzivirira sei zvinyorwa zvenhema muvana?
Nzira chete yekudzivirira hutachiwana ndeyekudzivirira zvikonzero zvaro - ARVI neAAR. Kurapa kwenhema muvana nguva dzose kunotanga kupesana nemamiriro ekurwara, naizvozvo vabereki vanoda kusimbisa mwana wemuviri, kurongedza kutonhora nekunyorova muimba yake yekurara. Mhinduro kumubvunzo wekudzivirira kuchengetedza kwenhema mumwana mushure moutachiona nehosha kana zvimwe zvirwere zvakafanana. A crumb inofanira kunge iri munzvimbo inotonhorera uye inopisa, nebulizer inhalation inoitwa 2-3 nguva pazuva, mumwe wavo anofanira kuva asati avata.