Matenda obanika kutulo

Ndi matenda obanika kutulo a ana, kupuma kwa mwana kumapuma atagona chifukwa chakuti njirayo yafupika kapena mwanjira ina yatsekedwa.

Mukagona, minofu yonse mthupi imamasuka. Izi zikuphatikizapo minofu yomwe imathandiza kuti pakhosi pakhale poyera kuti mpweya uzilowa m'mapapu.

Nthawi zambiri, mmero umakhala wotseguka wokwanira tulo kuti mpweya udutse. Komabe, ana ena ali ndi khosi lopapatiza. Izi zimakhala chifukwa chamatoni akulu kapena adenoids, omwe amalepheretsa pang'ono mpweya. Minofu yapakhosi lawo ikamasuka mtulo, minofu imatsekera ndipo imatchinga njira yolowera panja. Kupuma kumeneku kumatchedwa kubanika.

Zinthu zina zomwe zingapangitsenso ana kugona tulo ndi monga:

• Chibwano chaching'ono
• Maonekedwe ena padenga la pakamwa (m'kamwa)
• Lilime lalikulu, lomwe limatha kubwerera mmbuyo ndikulepheretsa kuyenda
• Kunenepa kwambiri
• Kutulutsa kovuta kwa minofu chifukwa cha zinthu monga Down syndrome kapena cerebral palsy

Kulira mokweza ndi chizindikiro chodziwikiratu cha matenda obanika kutulo. Nthawi zina mkonono umayamba chifukwa cha kufinya kwa msewu wopyola kapena wotsekedwa. Komabe, si mwana aliyense amene amafufuma amakhala ndi vuto la kubanika.

Ana omwe amadwala matenda obanika kutulo amakhala ndi zizindikiro izi usiku:

• Kutalika kwakanthawi kochepa kupuma ndikutsatira ndikutsamwa, kutsamwa, ndikupumira mpweya
• Kupuma makamaka ngakhale pakamwa
• Kugona mopanda mpumulo
• Kudzuka nthawi zambiri
• Kuyenda tulo
• Kutuluka thukuta
• Kuthothoka Pogona

Masana, ana omwe amadwala matenda obanika kutulo amatha:

• Kumva kugona kapena kugona tsiku lonse
• Khalani wokwiya, wosapirira, kapena wokwiya
• Zikukuvutani kuti musamalire kwambiri sukulu
• Khalani ndi khalidwe losachita chidwi

Wothandizira zaumoyo atenga mbiri ya zamankhwala ya mwana wanu ndikumupima.

• Wosankhayo ayang'ana pakamwa, pakhosi, ndi pakhosi la mwana wanu.
• Mwana wanu angafunsidwe za kugona masana, kugona bwino, komanso zizolowezi zogona.

Mwana wanu atha kuphunzitsidwa tulo kuti atsimikizire kuti munthu ali ndi vuto la kugona.

Opaleshoni yochotsa matani ndi adenoids nthawi zambiri imachiritsa ana.

Ngati kuli kotheka, opaleshoni itha kugwiritsidwanso ntchito:

• Chotsani minofu yowonjezera kumbuyo kwa mmero
• Konzani mavuto ndi mawonekedwe pamaso
• Pangani chotsegulira pamphepo kuti mudutse njira yoletsedwa ngati pali zovuta zina

Nthawi zina, opaleshoni sakuvomerezeka kapena sikuthandiza. Zikatero, mwana wanu amagwiritsa ntchito chipangizo chopitilira mpweya wabwino (CPAP).

• Mwana amavala chigoba pamphuno pawo atagona.
• Chigoba cholumikizidwa ndi payipi pamakina ang'onoang'ono omwe amakhala pambali pa kama.
• Makinawo amapopa mpweya mopanikizika kudzera payipi ndi chigoba ndikulowera munjira yogona. Izi zimathandiza kuti njira yapaulendo ikhale yotseguka.

Zitha kutenga nthawi kuti muzolowere kugona pogwiritsa ntchito mankhwala a CPAP. Kutsata bwino ndi kuthandizira kuchokera ku malo ogona kungathandize mwana wanu kuthana ndi mavuto aliwonse pogwiritsa ntchito CPAP.

Mankhwala ena atha kukhala:

• Mpweya wa nasal steroids.
• Chipangizo chamano. Izi zimalowetsedwa mkamwa mukamagona kuti nsagwada ziziyenda bwino komanso kuti njira yampweya ikhale yotseguka.
• Kuchepetsa thupi, kwa ana onenepa kwambiri.

Nthawi zambiri, chithandizo chamankhwala chimathetsa mavuto ndi zovuta zamatenda obanika kutulo.

Kugonana kwa ana osachiritsidwa kumatha kubweretsa ku:

• Kuthamanga kwa magazi
• Mavuto amtima kapena am'mapapo
• Kukula pang'onopang'ono ndi chitukuko

Imbani wothandizira ngati:

• Mumaona mwana wanu ali ndi matenda obanika kutulo
• Zizindikiro sizikula bwino ndi chithandizo chamankhwala, kapenanso zatsopano zimayamba

Apnea ogona - ana; Matenda obanika kutulo Kupuma kosagona - ana

• Adenoids

Amara AW, Maddox MH. Epidemiology ya mankhwala ogona. Mu: Kryger M, Roth T, Dement WC, olemba. Mfundo ndi Zochita za Mankhwala Ogona. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2017: mutu 62.

Ishman SL, Wolemba JD. Kuwunika ndikuwongolera kwa matenda opitilira kugona kwa ana opitilira. Mu: Friedman M, Jacobowitz O, olemba. Kugona Tulo ndi Kuputa. Wachiwiri ed. Philadelphia, PA: Elsevier; 2020: chap 69.

Marcus CL, Brooks LJ, Draper KA, ndi al. Kuzindikira ndikuwunika kwaubwana wotsekereza matenda obanika kutulo. Matenda. 2012; 130 (3): e714-e755. PMID: 22926176 pubed.ncbi.nlm.nih.gov/22926176.