Ingaba wena okanye umntwana wakho ngequbuliso ninengxaki yokuphefumla ngenxa yomphimbo obuhlungu? Oku kusenokuba yi-epiglottitis!

Ngaba wakha weva ngemvakalelo engaqhelekanga apho umphimbo wakho uqaqamba ngequbuliso, ungakwazi ukuginya ukutya, uze uzive ngathi uyafuthaniseka? Mhlawumbi umntwana wakho omncinci ukhe wehlelwa yinto efana nale kwaye uxhalabile kakhulu. Ngamaxesha anje, into enye ekufuneka sicinge ngayo yile meko ibizwa ngokuba yi-Epiglottitis. Oku kunzulu kancinci, ngoko masiqaphele.

Yintoni i-Epiglottitis? Masiyiqonde ngokulula!

Ngamafutshane, i-epiglottitis kukudumba kwenxalenye encinci yomqala wethu ebizwa ngokuba yi-epiglottis. Cinga ngayo le epiglottis sisiqwenga esincinci se-cartilage kufutshane nesiseko solwimi lwethu. Xa usitya okanye usela, kuyanceda ukuqondisa ezo zinto ngqo kwi-windpipe yethu (trachea) endaweni yokuya kwi-windpipe yethu. Isebenza njengesango.

Ngoko ke, ukuba le epiglottis idumba ngesizathu esithile, oko kukuthi, ukuba kukho 'ukudumba', kulapho ke ingxaki iqala khona. Oku kukwabizwa ngokuba yi "acute epiglottitis" . Oku kuthetha ukuba iimpawu zibonakala ngequbuliso kwaye zinzima kakhulu . Kuba nzima kakhulu ukuphefumla nokuginya ukutya. Ukuba akunyangeki ngokukhawuleza, oku kudumba kunokuvala ngokupheleleyo indlela yomoya kwaye kube yingozi ebomini.

Oku kubaluleke kakhulu: Ukuba wena okanye umntu kusapho lwakho unezi mpawu, kufuneka uye esibhedlele okanye kwigumbi likaxakeka (ETU) ngoko nangoko. Musa ukucinga nangokunyanga oku ekhaya. Le yingxamiseko yezonyango!

Ixhaphake kangakanani le meko?

Enyanisweni, i-epiglottitis ayisiyonto ixhaphakileyo, kodwa inokuvela kubantwana abancinci kunye nabantu abadala.

Ngaphambili, ngaphambi kowe-1985, ngaphambi kokusetyenziswa ngokubanzi kwesitofu sokugonya seHaemophilus influenzae uhlobo b (Hib), esi sifo sasixhaphake kakhulu kubantwana abaphakathi kweminyaka emi-3 ukuya kwemi-5 ubudala. Oku kungenxa yokuba imbangela ephambili yesi sifo ebantwaneni yayiyibhaktheriya ebizwa ngokuba yiHib. Kodwa, ngethamsanqa, usulelo lweHib luye lwehla kakhulu ngenxa yesitofu sokugonya. Ngoku, nakwilizwe elifana neMelika, luyenzeka kubantwana abamalunga ne-0.5 kwi-100,000 nganye.

Nangona kunjalo, kukho iingxelo zokwanda kwesi sifo kutshanje phakathi kwabantu abadala . Oku kungenxa yosulelo olungelulo "(Hib)``. Ngokuqhelekileyo kuthiwa siyenzeka phakathi komntu omnye no-4 kubantu abadala abayi-100,000 eMelika.

Zithini iimpawu ze-Epiglottitis? Siyibona njani?

Iimpawu ze-Epiglottitis zihlala ziqala ngequbuliso kwaye zisiba mandundu ngokukhawuleza. Ngamanye amaxesha, kungathatha iintsuku ezimbalwa ukuba iimpawu zibonakale ngokupheleleyo kubantwana abadala nakubantu abadala. Nangona kunjalo, ngenxa yokuba iindlela zomoya zabantwana abancinci zincinci kakhulu,Nokuba i-epiglottis idumbile kancinci, iimpawu ezinzima zinokuvela ngequbuliso ngaphandle kwesilumkiso .

Iimpawu eziqhelekileyo zezi zine eziqala ngoonobumba "D":

• I-Dysphagia: Oku kuthetha ukuba ukutya nokusela kuba nzima kakhulu ukuginya. Kuvakala ngathi akuhambi emqaleni wakho.
• I-Dysphonia: Oku kuthetha ukuba ilizwi liyatshintsha, litsho ngelizwi elirhabaxa, okanye kube nzima ukuthetha.
• Ukuvuza amathe: Oku kuthetha ukuba amathe aphuma emlonyeni. Kunzima ukuwaginya, ngoko ke amathe ayaqokelelana emlonyeni aze aphume ngokungacwangciswanga.
• Uxinzelelo: Oku kuthetha ubunzima bokuphefumla, ukuziva ufuthanisekile, kunye nokubonisa iimpawu zokuphelelwa yioksijini.

Ukongeza kwezi, kunokubakho nezinye iimpawu:

• Intlungu ebuhlungu emqaleni.
• Umkhuhlane ongama-38 degrees Celsius (100.4 Fahrenheit) okanye ngaphezulu.
• Isandi somlozi ophezulu (i-stridor) xa uphefumla.
• Ukuvula umlomo nokugoba phambili ukuzama ukuphefumla. (Olu luphawu oluqhelekileyo olubonwa ebantwaneni abancinci.)
• Ukungaphumli kakhulu, ukucaphuka. (Olu luphawu olukhulu olubonwa ebantwaneni abancinci.)

Ezinye zeempawu ze-epiglottitis zinokufana nezinye iimeko, ezifana ne -croup . Nangona kunjalo, i-croup ayisoloko ingxamisekile, njenge-epiglottitis. Yiyo loo nto kubalulekile ukufumana uxilongo oluchanekileyo kwaye ufumane unyango ngokukhawuleza.

Ingqwalasela ekhethekileyo kwiimpawu zabantwana abancinci

Njengoko besitshilo ngaphambili, iindlela zomoya zabantwana abancinci zibuthathaka kakhulu. Ngoko ke, ukuba bafumana le meko, inokuba mandundu ngokukhawuleza. Khawucinge nje, ukuba ubona umntwana wakho enengxaki yokuphefumla ngequbuliso, umlomo wakhe uvulekile, kwaye egobile phambili, ayilulo uphawu oluhle. Kwimeko enjalo, eyona nto ilungileyo onokuyenza kukungaphakuzeli uze umse kugqirha ngokukhawuleza.

Zithini izizathu ze-Epiglottitis?

Isizathu esiphambili soku kusulelwa ziintsholongwane.

• Kubantwana , iintsholongwane ebesithethe ngazo ngaphambili , iHaemophilus influenzae type b (Hib), yeyona nto ibangela esi sifo.
• Kwabantu abadala , oku kunokubangelwa zezinye iintlobo zeebhaktheriya ezingezizo iiHib, ezifana neStreptococcus pneumoniae kunye neStaphylococcus .

Kunokubakho ezinye izizathu:

• Usulelo lwentsholongwane: Ezinye iintlobo zeentsholongwane, umzekelo , intsholongwane ye-varicella-zoster, ebangela i-chickenpox, kunye nentsholongwane ye-herpes simplex, ebangela i-herpesXa sisulelekile, imizimba yethu iba buthathaka, kwaye kukho amathuba aphezulu okukhula kosulelo lwesibini lwebhaktheriya kunye ne-epiglottitis.
• Usulelo lwefungus: Oku kunokubangelwa nazizifo zefungus ezifana neCandida, ingakumbi kubantu abaneenkqubo zomzimba ezibuthathaka.
• Ukwenzakala emqaleni: Le meko inokwenzeka ukuba into ibetha umqala ngequbuliso, ukuba ubetheke ngaphandle, ukuba uginya into engaqhelekanga, okanye ukuba usela ulwelo olushushu kakhulu .
• Ukutshaya: Oku kungenzeka kungekuphela nje kwicuba eliqhelekileyo, kodwa nakwi-vaping, okanye ekutshayeni iziyobisi ezifana ne-crack cocaine.
• Ukutsha kweekhemikhali: Ukuba ikhemikhali enobuthi ingena esiswini, ingatshisa umphimbo kwaye ibangele i-epiglottitis. Oku kubizwa ngokuba yi-'corrosive epiglottitis'.

Ngaba i-Epiglottitis iyosulela?

Into ebalulekileyo apha kukuba imeko ebizwa ngokuba yi-epiglottitis ayidluliselwa ngqo ukusuka komnye umntu ukuya komnye. Nangona kunjalo, iintsholongwane ezinokubangela esi sifo (umzekelo, iintsholongwane zeHib) zinokudluliselwa ukusuka komnye umntu ukuya komnye.

Ukuba ufumana intsholongwane efana neHib akuthethi ukuba uza kufumana i-epiglottitis. Nangona kunjalo, kusenokwenzeka ukuba intsholongwane ingena kwi-epiglottis yakho ize ibangele ukudumba. Le ntsholongwane idla ngokusasazeka ngamathontsi amathe okanye i-mucus akhutshwa xa ukhohlela okanye uthimla.

Oogqirha bayixilonga njani i-Epiglottitis?

Ngenxa yokuba le yingxamiseko yezonyango esongela ubomi, oogqirha baya kuqala bazinzise ukuphefumla kwakho. Baza kwenza uvavanyo lokuxilonga kuphela emva kokuba befumanise ukuba kukhuselekile ngokupheleleyo ukwenza njalo.

Nje ukuba imeko yakho izinze, oogqirha banokwenza olu vavanyo:

• Uvavanyo lwenkcubeko: Ugqirha uthatha i-swab emqaleni wakho aze ayithumele kwilebhu ukuze akhangele iintsholongwane okanye iintsholongwane.
• Uvavanyo lwegazi: Uvavanyo lwegazi olwahlukeneyo lunokwenziwa ukujonga inani leeseli ezimhlophe zegazi (ezi zezo zilwa nosulelo emizimbeni yethu) egazini lakho, okanye ukujonga iintsholongwane okanye iintsholongwane egazini lakho.
• I-Laryngoscopy: Oku kuquka ukufaka ikhamera encinci ekupheleni kombhobho omncinci noguquguqukayo emqaleni ukuze kuhlolwe i-epiglottis kunye nendawo engqongileyo.
• Uvavanyo lwemifanekiso: I-X-ray ingabonisa ubungakanani bokudumba. Ngamanye amaxesha, kwi-X-ray, ukudumba kwe-epiglottis kunokubonakala njengophawu lwesithupha kumntu omdala .

Iphathwa njani i-Epiglottitis?

Ukuba ufunyaniswe une-epiglottitis, unyango luza kuqala ngoko nangoko.Esibhedlele, iqela lezonyango liza kwenza ezi zinto:

• Ukuze ubuyisele ngokupheleleyo indlela yakho yomoya:
• Okokuqala, imaski yeoksijini ibekwa phezu komlomo wakho nempumlo ukuze kungene umoya omninzi emiphungeni yakho.
• Ukuba indlela yomoya ivaliwe, umbhobho wokuphefumla ungafakwa ngomlomo ungene kumbhobho womoya.
• Kunqabile kakhulu, ukuba le tube ayinakufakwa ngomlomo, kunokufuneka ityhubhu ifakwe entanyeni iye kwi-windpipe. Oku kubizwa ngokuba yi-tracheostomy . Nangona kunjalo, oku akusoloko kuyimfuneko kubantu abane-epiglottitis.
• Ukunika ulwelo: Uza kunikwa ulwelo oluninzi kangangoko ufunayo ngetyhubhu efakwe emthanjeni (oko kubizwa ngokuba yi-'IV drip', nto leyo esiyibiza ngokuba yi-saline).
• Ukunika amayeza okubulala iintsholongwane: Ukuba unentsholongwane ebangelwa yintsholongwane, ugqirha wakho uza kukunika amayeza okubulala iintsholongwane asebenzisa i-IV. Eli yeza libulala uninzi lweentsholongwane ezinokubangela usulelo. Nje ukuba iziphumo zakho zokukhula zibuye, unganikwa amayeza okubulala iintsholongwane achasene nentsholongwane ajoliswe kwiintsholongwane ezithile ezibangele usulelo.

Singazikhusela njani kwi-Epiglottitis?

Nangona oku kungenakuthintelwa ngokupheleleyo, kukho izinto esinokuzenza ukunciphisa umngcipheko:

• Goma umntwana wakho: Kubantwana, eyona ndlela ilungileyo yokuzikhusela kukufumana zonke izitofu abazidingayo xa beneminyaka efanelekileyo, ingakumbi isitofu seHib. Ngenxa yokuba amajoni omzimba abantwana abancinci awakakhuli ngokupheleleyo, anokuba semngciphekweni omkhulu wosulelo lweHib.
• Landela iindlela ezilungileyo zococeko: Hlamba izandla zakho rhoqo ngesepha namanzi. Kuphephe ukuchukumisa amehlo, impumlo nomlomo wakho rhoqo.
• Zikhusele kwizifo: Lumka xa ukufutshane nabantu abakhohlelayo nabathimlayo. Kuphephe ukusondela kubo, okanye unxibe imaski.
• Ukuphepha izinto ezinokwenzakalisa umqala wakho: Ziphephe izinto ezinokwenzakalisa umqala wakho, njengokusela ulwelo olushushu kakhulu nokutshaya.

Kwenzeka ntoni ukuba une-epiglottitis? Kuthatha ixesha elingakanani ukuphiliswa?

Kwabaninzi abantu, kuthatha malunga neveki ukuchacha ngokupheleleyo kwi-epiglottitis. Kuya kufuneka uhlale esibhedlele malunga neentsuku ezintathu ukuya kwezintlanu. Nangona kunjalo, uya kuqala ukuziva ungcono kwiintsuku ezimbalwa zokuqala. Nokuba kufakwe ityhubhu yokuphefumla, ngokuqhelekileyo uya kukwazi ukuphefumla wedwa kwiintsuku ezimbalwa.

Ukuba unale meko ngenxa yosulelo, kubaluleke kakhulu ukuthatha amayeza okubulala iintsholongwane kwikhosi epheleleyo yonyango (ngesiqhelo malunga neentsuku ezisixhenxe) ukuze ubulale ngokupheleleyo iintsholongwane.

Khumbula eyona nto ibalulekileyo: i-epiglottis evuvukileyo yingxamiseko yezonyango!Ukuba wena okanye umntu omaziyo uneempawu ze-epiglottitis, fowunela ku-1990 (okanye inombolo yakho yongxamiseko yasekuhlaleni) ngoko nangoko, okanye uye kwigumbi longxamiseko lesibhedlele elikufutshane.

Sifanele siye kugqirha nini? Simele senze ntoni?

I-Epiglottitis inokuba yingozi ebomini ukuba ukudumba kuvala indlela yomoya. Ngoko ke, ukuba wena okanye umntu omaziyo ucinga ukuba une-epiglottis evuvukileyo, funa unyango olungxamisekileyo ngokukhawuleza.

Ungaze wenze ezi zinto:

• Musa ukumenza umntu one-epiglottitis alale ngomqolo.
• Musa ukufaka nto emlonyeni wabo.

Ezi zinto zinokwenza kube nzima nangakumbi ukuphefumla.

Yenza oku:

• Zama ukuhlala uzolile kangangoko unako, njengoko uxinzelelo lunokwenza umqala wakho uzive uxinezelekile nangakumbi.

Imibuzo ebalulekileyo yokubuza ugqirha

Ngaphambi kokuba uphume esibhedlele, ungambuza ugqirha le mibuzo:

• Kutheni ndibe ne-epiglottitis?
• Kufuneka ndithathe ixesha elingakanani amayeza okubulala iintsholongwane?
• Ndingayinyamekela njani intamo yam ngexesha lokuphola?
• Ndifanele ndihlale ndithe nkqo ixesha elingakanani?
• Ngaba kuya kufuneka ndibuye ukuze ndibuye ndize kutyelelo olulandelayo?
• Ndingawunciphisa njani umngcipheko wokuba nesi sifo kwixesha elizayo?

Okokugqibela, umyalezo oya ekhaya

Ukuba wena okanye umntu omthandayo uneempawu ze-epiglottitis, musa ukulibazisa ukufuna unyango olungxamisekileyo. Ukuba awuqinisekanga ukuba yi-epiglottitis okanye enye into, khumbula ukuba ukuba umntu unengxaki yokuphefumla okanye yokuginya, kububulumko ukufuna unyango olungxamisekileyo ngoko nangoko.

Ngonyango olukhawulezileyo, uninzi lwabantu luyaphola ngokupheleleyo kwi-Epiglottitis. Nangona kunjalo, inyathelo lokuqala libalulekile. Ngoko ke, qaphela ezi mpawu kwaye ufune uncedo ngokukhawuleza. Sikunqwenelela wena nosapho lwakho ukuphola ngokukhawuleza!

I-Epiglottitis , i-Epiglottitis, Umphimbo obuhlungu, Ubunzima bokuphefumla, Izifo zabantwana, Unyango olungxamisekileyo, Ugonyo lweHib, Usulelo lweebhaktheriya