Chifuwa cha chibayo: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro za aspiration chibayo
• Chibayo chotupa chibayo mwa mwana
• Momwe mankhwalawa amachitikira

Chibayo chotulutsa chibayo, chomwe chimatchedwanso aspiration chibayo, ndi matenda am'mapapo omwe amayamba chifukwa cha kukhumba kapena kutulutsa mpweya wa madzi kapena tinthu tomwe timachokera mkamwa kapena m'mimba, timalowa mlengalenga, ndikupangitsa kuwonekera kwa zizindikilo zina monga kutsokomola, kumva kupuma pang'ono komanso kupuma movutikira, mwachitsanzo.

Mtundu wa chibayo nthawi zambiri umalumikizidwa ndi kusintha kwa kumeza ndipo, chifukwa chake, umachitika kawirikawiri mwa makanda, okalamba komanso anthu omwe amapuma mothandizidwa ndi zida. Anthuwa ali ndi chitetezo chamthupi chofooka, chifukwa chake, ndikofunikira kuti kuzindikira ndi kuchiza chibayo kuyambitsidwe mwachangu kupewa zovuta.

Zizindikiro za aspiration chibayo

Zizindikiro za chifuwa cha chibayo nthawi zambiri zimaphatikizapo:

• Malungo pamwamba 38ºC;
• Chifuwa ndi phlegm, yomwe nthawi zambiri imakhala fungo loipa;
• Kumva kupuma movutikira;
• Kupuma kovuta;
• Kupweteka pachifuwa;
• Kutopa kosavuta.

Zizindikiro za chibayo mwa mwana zimatha kukhala zosiyana, kuwonekera makamaka kulira kwambiri komanso kuchepa kwa njala. Pankhani ya anthu okalamba, pakhoza kukhala kusokonezeka kwamaganizidwe ndi kuchepa mphamvu kwa minofu, ndipo nthawi zina pamatha kukhala kapena kutentha thupi.

Ngakhale zimachitika mwa makanda, okalamba komanso anthu omwe amapuma mothandizidwa ndi zida, chibayo chotchedwa aspiration chibayo chimatha kuchitika mwa anthu omwe akuvutika ndi kumeza, monga momwe zimakhalira ndi sitiroko, sazindikira chifukwa cha mankhwala kapena mankhwala oletsa ululu, omwe akusanza, khalani ndi Reflux kapena mwakumana ndi matenda, mano, kugaya kapena kupuma, mwachitsanzo.

Zizindikiro za chibayo chotupa chibayo nthawi zambiri zimawoneka patatha masiku atatu munthu atamwa chakudya kapena kutsekemera, akupezeka ndi dokotala kapena pulmonologist atawunika mbiri yazachipatala komanso mayeso omaliza, monga chifuwa cha X-ray ndi kuyesa magazi kapena chifuwa.

Chibayo chotupa chibayo mwa mwana

Chibayo chofunafuna ana ndichimodzi mwazofalitsa zazikulu m'mapapo mwa ana osakwana chaka chimodzi, popeza ndizofala kuti khanda lizitsamwitsa kapena kuyika zinthu zazing'ono pakamwa, zomwe zimatha kupita m'mapapu. Chibayo chimayamba chifukwa chotsamwa ndi kusanza, komwe kumatha kuchitika mwana akakhala ndi vuto la kholingo, monga atresia kapena akabwerera msana.

Chithandizo cha chibayo cha chibayo mwa mwana chiyenera kuchitidwa molingana ndi malangizo a adotolo, ndipo chitha kuchitidwa kunyumba pogwiritsa ntchito maantibayotiki, komabe nthawi zina kuchipatala kungakhale kofunikira, kutengera kukula kwa matendawa.

Momwe mankhwalawa amachitikira

Chithandizo cha chibayo chotupa chibayo chiyenera kuchitidwa molingana ndi malingaliro a pulmonologist ndipo nthawi zambiri chimatha pafupifupi 1 mpaka 2 masabata ndipo amatha kuchitira kunyumba pogwiritsa ntchito maantibayotiki, monga Ceftriaxone, Levofloxacin, Ampicillin-sulbactam ndipo amatha Khalani Clindamycin wothandizana naye pakavuta kwambiri. Koma, kutengera kukula kwa matendawa, komanso thanzi la wodwalayo, kupita kuchipatala kungakhale kofunikira.

Mukamalandira chithandizo, wodwalayo amayenera kutsuka mano ake nthawi zonse, kusunga pakamwa pake poyeretsa ndikuchotsa pakhosi, chifukwa izi ndi njira zabwino zoletsera mabakiteriya kuchokera mkamwa kupita kumapapo.

Okalamba, kuwonjezera pa kuchiza chibayo cha aspiration, ndikofunikira kuteteza vuto lomwe linayambitsa chibayo kuti lisadzachitikenso. Pachifukwa ichi, njira monga kudya zakudya zolimba, pang'ono pang'ono, komanso kumwa gelatin m'malo mwa madzi zitha kugwiritsidwa ntchito.

Mukalandira chithandizo, mutha kulimbikitsidwa kuti mupange x-ray pachifuwa kuti mutsimikizire kuti mulibe madzi am'mapapo, komanso kupewa malo okhala ndi zonyansa zambiri, kumwa katemera wa pneumococcal ndikuwunika njira zomwe zingapewe watsopano kulakalaka ndi kupewa chibayo kubwerera.