Kutsekeka kwamayendedwe apamwamba

Kutsekeka kwa njira yakumtunda kumachitika pamene njira zakumapuma zakumtunda zimachepetsa kapena kutsekeka, zomwe zimapangitsa kuti kupuma kukhale kovuta. Madera omwe ali pamtunda wapamtunda omwe angakhudzidwe ndi mphepo yamkuntho (trachea), bokosi lamawu (kholingo), kapena pakhosi (pharynx).

Njirayo imatha kuchepetsedwa kapena kutsekedwa chifukwa cha zifukwa zambiri, kuphatikizapo:

• Zomwe zimapangitsa kuti trachea kapena pakhosi zitseke, kutsekemera ndi njuchi, mtedza, maantibayotiki (monga penicillin), ndi mankhwala a magazi (monga ACE inhibitors)
• Kuwotcha kwa mankhwala ndi machitidwe
• Epiglottitis (matenda amtundu wopatula trachea kuchokera kumero)
• Moto kapena kutentha chifukwa chopuma utsi
• Matupi akunja, monga mtedza ndi zakudya zina zopumira, zidutswa za buluni, mabatani, ndalama, ndi zoseweretsa zazing'ono
• Matenda akumtunda wapamwamba
• Kuvulala kumtunda wapamtunda
• Peritonsillar abscess (kusonkhanitsa zinthu zomwe zili ndi kachilombo pafupi ndi matani)
• Poizoni wazinthu zina, monga strychnine
• Retropharyngeal abscess (kusonkhanitsa zinthu zomwe zili ndi kachilombo kumbuyo kwake)
• Kuopsa kwa mphumu
• Khansa ya pakhosi
• Tracheomalacia (kufooka kwa karoti yomwe imathandizira trachea)
• Mavuto achingwe
• Kupita kapena kukomoka

Anthu omwe ali pachiwopsezo chachikulu chotsekereza ndege ndi omwe ali ndi:

• Mavuto amanjenje monga kumeza zovuta pambuyo povulala
• Mano atayika
• Mavuto ena amisala

Ana achichepere ndi achikulire nawonso ali pachiwopsezo chachikulu chotsekereza mayendedwe.

Zizindikiro zimasiyanasiyana, kutengera chifukwa. Koma zizindikiro zina ndizofala pamitundu yonse yoletsa kuyenda kwa ndege. Izi zikuphatikiza:

• Kusokonezeka kapena kusokonezeka
• Mtundu wabuluu pakhungu (cyanosis)
• Kusintha kwa kuzindikira
• Kutsamwa
• Kusokonezeka
• Kuvuta kupuma, kupumira mpweya, kumabweretsa mantha
• Kusazindikira
• Kupuma, kulira, mluzu, kapena mapokoso ena achilendo osonyeza kupuma movutikira

Wopereka chithandizo chamankhwala amayeza thupi ndikuwona momwe akuyendera. Woperekayo adzafunsanso pazomwe zingayambitse kutsekeka.

Kuyesa sikofunikira kwenikweni, koma kungaphatikizepo:

• Bronchoscopy (chubu kudzera pakamwa kupita ku trachea ndi ma bronchial machubu)
• Laryngoscopy (chubu kudzera pakamwa kupita kumbuyo kwa mmero ndi mawu amawu)
• X-ray

Chithandizo chimadalira chifukwa cha kutsekeka.

• Zinthu zokhala munjira zapaulendo zitha kuchotsedwa ndi zida zapadera.
• Phukusi limatha kulowetsedwa munjira (endotracheal chubu) yothandizira kupuma.
• Nthawi zina kutseguka kumachitika kudzera pakhosi polowera (tracheostomy kapena cricothyrotomy).

Ngati cholepheretsacho chikuchitika chifukwa cha thupi lachilendo, monga chidutswa cha chakudya chomwe chapumidwa, kuchita kupindika m'mimba kapena kupindika pachifuwa kumatha kupulumutsa moyo wamunthuyo.

Nthawi zambiri amachira mwachangu. Koma vutoli ndi loopsa ndipo limatha kupha, ngakhale atalandira chithandizo.

Ngati cholepheretsacho sichichotsedwa, chitha kuyambitsa:

• Kuwonongeka kwa ubongo
• Kulephera kupuma
• Imfa

Kutsekedwa kwa ndege nthawi zambiri kumakhala kwadzidzidzi. Imbani 911 kapena nambala yadzidzidzi yakomweko kuti muthandizidwe. Tsatirani malangizo amomwe mungathandizire kuti munthu azipuma mpaka thandizo lifike.

Kupewa kumatengera chifukwa cha kutsekeka kwapamwamba kwapanjira.

Njira zotsatirazi zitha kuthandiza kupewa cholepheretsa:

• Idyani pang’onopang’ono ndi kutafuna chakudya kotheratu.
• Musamwe mowa wambiri musanadye kapena musanadye.
• Sungani zinthu zazing'ono kutali ndi ana aang'ono.
• Onetsetsani kuti mano ovekera akukwanira bwino.

Phunzirani kuzindikira chizindikiritso cha chilengedwe chonse cholephera kupuma chifukwa cha njira yoletsa kutseka: kugwira khosi ndi dzanja limodzi kapena manja onse. Komanso phunzirani momwe mungatulutsire thupi lachilendo panjira yapaulendo pogwiritsa ntchito njira monga kuponya m'mimba.

Kutsekeka kwa ndege - pachimake pachimake

• Kutupa kwa pakhosi
• Kutsamwa
• Dongosolo kupuma

Woyendetsa BE, Reardon RF. Kuwongolera koyambira paulendo wapandege komanso kupanga zisankho. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: chaputala 3.

Zadzidzidzi za kupuma kwa Rose E. Ana: kutsekeka kwapansi panjira ndi matenda. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 167.

Thomas SH, Goodloe JM. Matupi akunja. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 53.