Epiglottitis

Zamkati

• Kodi epiglottitis ndi chiyani?
• Kodi chimayambitsa epiglottitis ndi chiyani?
• Ndani ali pachiwopsezo cha epiglottitis?
• Zaka
• Kugonana
• Chilengedwe
• Chitetezo chofooka
• Zizindikiro za epiglottitis ndi ziti?
• Kodi epiglottitis imapezeka bwanji?
• Kodi chithandizo cha epiglottitis ndi chiyani?
• Kodi epiglottitis ingapewe?

Kodi epiglottitis ndi chiyani?

Epiglottitis imadziwika ndi kutupa ndi kutupa kwa epiglottis yanu. Ndi matenda owopsa.

Epiglottis ili kumapeto kwa lilime lanu. Zimapangidwa ndi makamaka chichereŵechereŵe. Imagwira ngati valavu yopewera chakudya ndi zakumwa kuti zisalowe mu mphepo yanu mukamadya ndi kumwa.

Minofu yomwe imapanga ma epiglotti imatha kutenga kachilomboka, kutupa, ndikulepheretsa kuyenda kwanu. Izi zimafuna chithandizo chamankhwala mwachangu. Ngati mukuganiza kuti inu kapena munthu wina ali ndi epiglottitis, itanani 911 kapena pitani kuchipatala mwadzidzidzi komweko.

Epiglottitis ndichikhalidwe chofala kwambiri mwa ana, koma chikuchulukirachulukira kwa akulu. Amafuna kuzindikira mwachangu ndi kulandira chithandizo kwa aliyense, koma makamaka kwa ana, omwe ali pachiwopsezo chazovuta zopumira.

Kodi chimayambitsa epiglottitis ndi chiyani?

Matenda a bakiteriya ndi omwe amayambitsa matenda a epiglottitis. Tizilombo toyambitsa matenda tikhoza kulowa m'thupi lanu mukamapuma. Titha kupatsirana ma epiglotti anu.

Mtundu wofala kwambiri wa mabakiteriya omwe amayambitsa vutoli ndi Haemophilus influenzae mtundu b, wotchedwanso Hib. Mutha kugwira Hib mwa kupumira tizilombo tomwe timafalikira munthu wodwala akamatsokomola, kuyetsemula, kapena kuwomba mphuno.

Matenda ena amabacteria omwe angayambitse epiglottitis ndi awa Mzere wa Streptococcus A., B, kapena C. ndipo Streptococcus pneumoniae. Mzere wa Streptococcus A. ndi mtundu wa mabakiteriya omwe amathanso kuyambitsa khosi. Streptococcus pneumoniae ndichofala kwambiri cha chibayo cha bakiteriya.

Kuphatikiza apo, ma virus monga omwe amayambitsa ma shingles ndi nkhuku, komanso omwe amayambitsa matenda opumira, amathanso kubweretsa epiglottitis. Nkhungu, monga zomwe zimayambitsa kupweteka kwa matewera kapena matenda a yisiti, zimathandizanso kutukusira kwa epiglottis.

Zina mwazimene zimayambitsa matendawa ndi monga:

• kusuta crack cocaine
• kupumira mpweya ndi mankhwala oyaka
• kumeza chinthu chachilendo
• kutentha khosi lanu ku nthunzi kapena magwero ena a kutentha
• kuvulala kukhosi chifukwa chovulala, monga kubedwa kapena kuwomberedwa ndi mfuti

Ndani ali pachiwopsezo cha epiglottitis?

Aliyense akhoza kukhala ndi epiglottitis. Komabe, pali zinthu zingapo zomwe zingakulitse chiopsezo chanu chokhala nacho.

Zaka

Ana ochepera miyezi 12 ali pachiwopsezo chachikulu chotenga epiglottitis. Izi ndichifukwa choti ana awa sanamalize katemera wa Hib. Ponseponse, matendawa amapezeka kwambiri kwa ana azaka zapakati pa 2 mpaka 6. Kwa akulu, kukhala wamkulu kuposa zaka 85 ndi chiopsezo.

Kuphatikiza apo, ana omwe akukhala kumayiko omwe sapereka katemera kapena komwe kuli kovuta amakhala pachiwopsezo chachikulu. Ana omwe makolo awo amasankha kuti asawapatse katemera wa Hib nawonso ali pachiwopsezo chachikulu cha epiglottitis.

Kugonana

Amuna amatha kukhala ndi epiglottitis kuposa akazi. Chifukwa cha izi sichikudziwika.

Chilengedwe

Ngati mumakhala kapena kumagwira ntchito ndi anthu ambiri, mumakhala ndi mwayi wopeza tizilombo toyambitsa matenda kuchokera kwa ena ndikukhala ndi matenda.

Momwemonso, malo okhala anthu ambiri monga masukulu kapena malo osamalira ana atha kukulitsa chidwi chanu kapena cha mwana wanu ku mitundu yonse ya matenda opumira. Chiwopsezo chotenga epiglottitis chikuwonjezeka m'malo amenewo.

Chitetezo chofooka

Chitetezo chamthupi chofooka chimatha kupangitsa kuti zikhale zovuta kwambiri kuti thupi lanu lilimbane ndi matenda. Ntchito yolephera kuteteza m'thupi imathandizira kuti epiglottitis ipange. Kukhala ndi matenda a shuga kwawonetsedwa kuti ndi chiopsezo kwa akulu.

Zizindikiro za epiglottitis ndi ziti?

Zizindikiro za epiglottitis ndizofanana ngakhale pazomwe zimayambitsa. Komabe, amatha kusiyanasiyana pakati pa ana ndi akulu. Ana amatha kukhala ndi epiglottitis mkati mwa maola ochepa. Akuluakulu, nthawi zambiri amakula pang'onopang'ono, pakapita masiku.

Zizindikiro za epiglottitis zomwe zimafala mwa ana ndizo:

• malungo akulu
• kuchepetsa zizindikiro mukamatsamira kapena mutakhala pansi
• chikhure
• mawu okweza
• kutsitsa
• zovuta kumeza
• kumeza kowawa
• kusakhazikika
• kupuma kudzera pakamwa pawo

Zizindikiro zofala kwa akulu ndizo:

• malungo
• kuvuta kupuma
• zovuta kumeza
• mawu achabechabe kapena osalankhula
• kukhwima, kupuma mokweza
• zilonda zapakhosi zoopsa
• kulephera kugwira mpweya wawo

Ngati epiglottitis sanalandire chithandizo, imatha kuletsa mayendedwe anu onse. Izi zitha kubweretsa khungu lanu kutuluka chifukwa cha kusowa kwa mpweya. Izi ndizovuta kwambiri ndipo zimafuna chithandizo chamankhwala mwachangu. Ngati mukuganiza kuti epiglottitis, pitani kuchipatala nthawi yomweyo.

Kodi epiglottitis imapezeka bwanji?

Chifukwa cha kuopsa kwa vutoli, mutha kupezedwa m'malo operekera chithandizo mwadzidzidzi mwa kungowona zakuthupi komanso mbiri yazachipatala. Nthawi zambiri, ngati dokotala akuganiza kuti mutha kukhala ndi epiglottitis, adzakulowetsani kuchipatala.

Mukavomerezedwa, dokotala wanu akhoza kuyesa mayeso aliwonse otsatirawa kuti athandizire:

• X-ray pakhosi ndi chifuwa kuti muwone kukula kwa kutupa ndi matenda
• mmero ndi zikhalidwe zamagazi kuti mudziwe chomwe chimayambitsa matenda, monga mabakiteriya kapena kachilombo
• kuyesa mmero pogwiritsa ntchito chubu cha fiber optic

Kodi chithandizo cha epiglottitis ndi chiyani?

Ngati dokotala akuganiza kuti muli ndi epiglottitis, chithandizo choyamba chimaphatikizapo kuwunika mayendedwe anu a oxygen ndi chida cha oximetry komanso kuteteza njira yanu. Magazi anu a oxygen atakhala ochepa kwambiri, mutha kupeza mpweya wowonjezera kudzera mu chubu kapena chigoba chopumira.

Dokotala wanu amathanso kukupatsirani mankhwala amodzi kapena onsewa:

• madzi olowa mkati olowa m'thupi ndi kuthirira madzi mpaka mutha kumezanso
• maantibayotiki kuti athetse matenda omwe amabwera chifukwa cha bakiteriya
• mankhwala odana ndi zotupa, monga corticosteroids, kuti muchepetse kutupa pakhosi panu

Zikakhala zovuta, mungafunike tracheostomy kapena cricothyroidotomy.

Tracheostomy ndi njira yaing'onoting'ono yopangira opaleshoni yomwe imapangidwa pang'ono pakati pa mphetezo. Kenako chubu chopumira chimayikidwa molunjika m'khosi mwanu ndikulowa pamphepo yanu, ndikudutsa ma epiglotti anu. Izi zimalola kusinthana kwa mpweya ndikulepheretsa kupuma.

Njira yomaliza ya cricothyroidotomy ndipamene chobowolera kapena singano zimalowetsedwa mu trachea yanu pansipa ya apulo la Adam.

Ngati mungapeze chithandizo chamankhwala mwachangu, mutha kuyembekeza kuchira kwathunthu nthawi zambiri.

Kodi epiglottitis ingapewe?

Mutha kuthandiza kuchepetsa chiopsezo chotenga epiglottitis pochita zinthu zingapo.

Ana ayenera kulandira mankhwala awiri kapena atatu a katemera wa Hib kuyambira miyezi iwiri. Nthawi zambiri, ana amalandila mlingo ali ndi miyezi iwiri, miyezi inayi, ndi miyezi isanu ndi umodzi. Mwana wanu amathanso kulimbikitsidwa pakati pa miyezi 12 mpaka 15.

Sambani m'manja pafupipafupi kapena gwiritsani ntchito mankhwala opangira mowa kuti muchepetse kufalikira kwa majeremusi. Pewani kumwa chikho chimodzimodzi ndi anthu ena ndikugawana chakudya kapena ziwiya.

Khalani ndi thanzi lamthupi lanu podya zakudya zabwino, kupewa kusuta, kupumula mokwanira, ndikuwongolera moyenera matenda onse.