Kubwezeretsa mkati

Kubwezeretsa mkati mwa nthiti kumachitika pamene minofu pakati pa nthiti imakokera mkati. Nthawi zambiri mayendedwe ake amakhala chisonyezo choti munthuyo ali ndi vuto lakupuma.

Kubwezeretsanso mkati mwazidzidzidzi ndi vuto lazachipatala.

Khoma la chifuwa chanu limasinthasintha. Izi zimakuthandizani kupuma bwino. Minofu yolimba yotchedwa cartilage imamangiriza nthiti zanu ku fupa la m'mawere (sternum).

Minofu ya intercostal ndi minofu pakati pa nthiti. Mukamapuma, minofu imeneyi imamangirira ndikukweza nthiti. Chifuwa chako chikufutukuka ndipo mapapu amadzaza ndi mpweya.

Kutulutsa kwamkati mwa thupi kumachitika chifukwa chakuchepetsa kuthamanga kwa mpweya mkati mwa chifuwa chanu. Izi zitha kuchitika ngati njira yapamtunda (trachea) kapena mayendedwe ang'onoang'ono am'mapapu (bronchioles) atsekedwa pang'ono. Zotsatira zake, minofu yapakatikati imayamwa mkati, pakati pa nthiti, mukamapuma. Ichi ndi chizindikiro cha njira yolepheretsa kuyenda. Vuto lililonse laumoyo lomwe limayambitsa kutsekeka panjira yampweya limapangitsa kuti pakhale ma intercostal.

Kubwezeretsa mkati mwa thupi kumatha kuyambitsidwa ndi:

• Matenda owopsa, thupi lonse amatchedwa anaphylaxis
• Mphumu
• Kutupa ndi ntchentche zimakhazikika m'magawo ang'onoang'ono am'mapapu (bronchiolitis)
• Vuto lakupuma komanso kutsokomola (croup)
• Kutupa kwa minofu (epiglottis) yomwe imaphimba mphepo
• Thupi lachilendo pamphepo
• Chibayo
• Vuto lamapapu m'mwana wakhanda lomwe limatchedwa kupuma kwamavuto
• Kutola mafinya m'matumba kumbuyo kwa mmero (retropharyngeal abscess)

Pitani kuchipatala nthawi yomweyo ngati kuchotsedwa kwa intercostal kumachitika. Ichi chitha kukhala chizindikiro cha njira yolephereka yapaulendo, yomwe imatha kusokoneza moyo wanu msanga.

Komanso pitani kuchipatala ngati khungu, milomo, kapena zikhadabo zasintha kukhala zabuluu, kapena ngati munthuyo wasokonezeka, akugona, kapena akuvutika kudzuka.

Mwadzidzidzi, gulu lazachipatala liyamba kuchitapo kanthu kuti likuthandizeni kupuma. Mutha kulandira oxygen, mankhwala ochepetsa kutupa, ndi chithandizo china.

Mukapuma bwino, wothandizira zaumoyo amakufunsani ndikufunsani za mbiri yanu yazachipatala ndi zizindikiritso, monga:

• Vutoli lidayamba liti?
• Kodi zikuyenda bwino, kukuipiraipira, kapena kukhalabe momwemo?
• Kodi zimachitika nthawi zonse?
• Kodi mwawona chilichonse chofunikira chomwe chingayambitse vuto la pandege?
• Ndi zisonyezo zina ziti zomwe zilipo, monga khungu la buluu, kupuma, phokoso lokwera kwambiri popuma, kutsokomola kapena pakhosi?
• Kodi pali chilichonse chomwe chapumira munjira yolowera?

Mayeso omwe angachitike ndi awa:

• Mitsempha yamagazi yamagazi
• X-ray pachifuwa
• Kuwerengera kwathunthu kwa magazi (CBC)
• Kutulutsa oximetry kuti muyese kuchuluka kwa mpweya wamagazi

Kubwezeretsa minofu ya pachifuwa

Brown CA, Makoma RM. Ndege. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 1.

[Adasankhidwa] Rodrigues KK, Roosevelt GE. Kutsekeka kwapadera kwapansi pamtunda (croup, epiglottitis, laryngitis, ndi tracheitis ya bakiteriya). Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: mutu 412.

Sharma A. Mavuto opumira. Mu: Kliegman RM, Lye PS, Bordini BJ, Toth H, Basel D, olemba. Kuzindikira Kwa Matenda a Nelson Pediatric. Philadelphia, PA: Elsevier; 2018: mutu 3.