Zomwe Muyenera Kudziwa Zokhudza Stridor

Zamkati

• Mitundu ya stridor
• Mzere wowuzirira
• Chingwe chotsogola
• Biphasic stridor
• Nchiyani chimayambitsa stridor?
• Stridor mwa akulu
• Stridor mwa makanda ndi ana
• Ndani ali pachiwopsezo cha stridor?
• Kodi stridor amapezeka bwanji?
• Kodi stridor amathandizidwa bwanji?
• Kodi thandizo ladzidzidzi limafunikira liti?

Chidule

Stridor ndimphokoso lalitali kwambiri, laphokoso loyambitsidwa ndi kusokonekera kwa mpweya. Stridor amathanso kutchedwa kupuma nyimbo kapena kutsekeka kwapanjanji zakunja.

Mpweya nthawi zambiri umasokonezedwa ndi kutsekeka kwa kholingo (mawu amawu) kapena trachea (mphepo). Stridor amakhudza ana nthawi zambiri kuposa achikulire.

Mitundu ya stridor

Pali mitundu itatu ya stridor. Mtundu uliwonse umatha kupatsa dokotala chidziwitso pazomwe zikuyambitsa.

Mzere wowuzirira

Mumtundu uwu, mumangomva mawu osazolowereka mukamapumira. Izi zikuwonetsa vuto ndi minofu yomwe ili pamwambapa.

Chingwe chotsogola

Anthu omwe ali ndi stridor yamtunduwu amangomva kulira kwachilendo atapuma. Kutsekedwa kwa mphepo kumayambitsa mtundu uwu.

Biphasic stridor

Mtundu uwu umayambitsa phokoso losazolowereka munthu akamapuma ndikutuluka. Nthendayi yomwe imayandikira pafupi ndi zingwe zamaimbidwe ikamachepetsa, imapangitsa izi kumveka.

Nchiyani chimayambitsa stridor?

N`zotheka kukhala stridor pa m'badwo uliwonse. Komabe, stridor imafala kwambiri kwa ana kuposa achikulire chifukwa njira zapaulendo za ana ndizofewa komanso zocheperako.

Stridor mwa akulu

Stridor mwa achikulire amayamba chifukwa cha izi:

• chinthu chotsekereza poyenda
• kutupa pakhosi panu kapena kumtunda kwapansi
• kukhumudwa panjira yapaulendo, monga kuphwanya khosi kapena chinthu chomwe chatsekedwa m'mphuno kapena pakhosi
• chithokomiro, chifuwa, esophageal, kapena khosi
• kukhala intubated (kukhala ndi chubu chopumira)
• kupuma utsi
• kumeza chinthu chovulaza chomwe chimawononga njira yapaulendo
• liwu la mawu lofa ziwalo
• bronchitis, kutupa kwa njira zapaulendo zopita kumapapu
• zilonda zapakhosi, kutupa kwa ma lymph node kumbuyo kwa kamwa ndi pamwamba pakhosi ndi mavairasi kapena mabakiteriya
• epiglottitis, kutukusira kwa minofu yophimba chopukusira choyambitsidwa ndi H. fuluwenza bakiteriya
• tracheal stenosis, kuchepetsa kwa mphepo
• zotupa
• abscesses, kusonkhanitsa mafinya kapena madzimadzi

Stridor mwa makanda ndi ana

Kwa makanda, vuto lotchedwa laryngomalacia nthawi zambiri limayambitsa stridor. Zofewa ndi zotupa zomwe zimalepheretsa kuyenda kwa ndege zimayambitsa laryngomalacia.

Nthawi zambiri zimatha mwana wanu akamakalamba komanso mpweya wawo umauma. Kungakhale chete pamene mwana wanu wagona pamimba pake, komanso mokweza kwambiri atagona chagada.

Laryngomalacia amadziwika kwambiri mwana wanu akakhala. Itha kuyamba akangopita masiku ochepa mwana atabadwa. Stridor nthawi zambiri amatha nthawi yomwe mwana wanu ali ndi zaka ziwiri.

Zina zomwe zingayambitse makanda ndi ana ndizo:

• croup, womwe ndi matenda opatsirana ndi ma virus
• subglottic stenosis, yomwe imachitika bokosi lamawu likakhala locheperako; ana ambiri amapitilira vutoli, ngakhale opaleshoni ingafunike pamavuto akulu
• subglottic hemangioma, yomwe imachitika misana yamagazi ikapangika ndikulepheretsa kuyenda; matendawa ndi osowa ndipo angafunike kuchitidwa opaleshoni
• mphete zam'mimba, zomwe zimachitika pamene mtsempha wamkati kapena mitsempha imapanikiza mphepo; Kuchita opaleshoni kungatulutse kupanikizika.

Ndani ali pachiwopsezo cha stridor?

Ana ali ndi mayendedwe ocheperako, ofewa kuposa akulu. Amatha kukhala ndi stridor. Pofuna kupewa kutsekeka kwina, chitani vutoli nthawi yomweyo. Ngati njira yapaulendo yatsekedwa kwathunthu, mwana wanu satha kupuma.

Kodi stridor amapezeka bwanji?

Dokotala wanu adzayesa kupeza chifukwa cha inu kapena stridor ya mwana wanu. Adzakupatsani mayeso kapena thupi la mwana wanu ndikufunsani mafunso okhudza mbiri yakale.

Dokotala wanu akhoza kufunsa mafunso okhudza:

• phokoso la kupuma kosazolowereka
• pamene munazindikira koyamba za vutoli
• zizindikiro zina, monga mtundu wabuluu pankhope panu kapena nkhope kapena khungu la mwana wanu
• ngati inu kapena mwana wanu mwakhala mukudwala posachedwapa
• ngati mwana wanu akanatha kuyika chinthu chachilendo pakamwa pawo
• ngati inu kapena mwana wanu mukuvutika kupuma

Dokotala wanu amathanso kuyitanitsa mayeso, monga:

• X-ray kuti akuyang'anireni inu kapena chifuwa ndi khosi la mwana wanu ngati ali ndi zipsinjo zotseka
• Kujambula kwa CT pachifuwa
• bronchoscopy kuti awonetse bwino njira yapaulendo
• laryngoscopy kuti muwone bokosilo
• zimayambitsa oximetry ndi magazi ochepa magazi amayesa kuyeza kuchuluka kwa mpweya m'magazi

Ngati dokotala akukayikira kuti ali ndi matenda, ayitanitsa chikhalidwe cha sputum. Mayesowa amawunika zomwe inu kapena mwana wanu mumatsokomola kuchokera m'mapapu kuti mupeze ma virus ndi mabakiteriya. Zimamuthandiza dokotala kuwona ngati matenda, monga croup, alipo.

Kodi stridor amathandizidwa bwanji?

Musayembekezere kuti muwone ngati stridor amachoka popanda chithandizo chamankhwala. Pitani kwa dokotala ndikutsatira upangiri wawo. Njira zochiritsira zimadalira msinkhu ndi thanzi la inu kapena mwana wanu, komanso chifukwa komanso kuuma kwa stridor.

Dokotala wanu atha:

• ndikukulozerani katswiri wamakutu, mphuno, ndi mmero
• perekani mankhwala am'kamwa kapena obayidwa kuti muchepetse kutupa panja
• amalangiza kuti agonekere kuchipatala kapena kuchitidwa opareshoni zikavuta
• Pofuna kuwunika kwambiri

Kodi thandizo ladzidzidzi limafunikira liti?

Lumikizanani ndi dokotala nthawi yomweyo mukawona:

• mtundu wabuluu mwa inu kapena milomo, nkhope, kapena thupi la mwana wanu
• zizindikiro za kupuma kovuta, monga chifuwa chikugwera mkati
• kuonda
• kuvuta kudya kapena kudyetsa