Ingaba wenza ingxolo engaqhelekanga xa uphefumla? Isenokuba yi-stridor!

Ngaba wakha waziva isandi esikhulu, esivakalayo siphuma emqaleni okanye entanyeni yakho, ngamanye amaxesha xa uphefumlela ngaphakathi okanye ngaphandle? Okanye wakha weva umntwana wakho esenza isandi esivakalayo? Le yinto esiyibiza ngokuba yi-stridor ngokwezonyango. Kunokuba yinto eyoyikisayo ukuyiva, kodwa ungakhathazeki. Masiqonde yonke into malunga nale meko ebizwa ngokuba yi-stridor.

Yintoni kanye kanye iStridor?

Ngamafutshane, i-stridor luphawu lokuba kukho ukuvaleka okanye ukuvaleka kwenye indawo emqaleni wakho, okanye emphinjeni, okanye emithanjeni, okanye emathanjeni. Kufana nombhobho wamanzi owenza ingxolo xa amanzi ephuma. Xa le ndlela yomoya ivaliwe, kuveliswa isandi esingaqhelekanga nesiphezulu njengoko umoya usiya phambili nangasemva.

Khawucinge nje, ukuba sithatha nje ingca size sicinezele isiphelo sayo kancinci size sivuthele, yenza isandi esifana nesi. Yiyo loo nto i-stridor ivakala ngayo.

Ngaba kukho iintlobo ze-stridor?

Ewe, kukho iintlobo ezintathu eziphambili ze-stridor. Ezi zahlulwe ngokwendawo apho kuvaliwe khona kwindlela yomoya.

1. I-stridor yokuphefumla: Oku kwenzeka xa kukho ukuvaleka kwi-pharynx okanye kwi-larynx yakho (oko kukuthi, ummandla ongaphandle kwesifuba). Isandi siyavakala xa uphefumla.

2. I-stridor yokukhupha umoya: Apha ukuvaleka kungaphezulu nje kwemiphunga yakho, kwi-trachea (ummandla we-intrathoracic). Ngoko ke isandi senziwa xa uphefumlela ngaphandle.

3. I-Biphasic stridor: Umzekelo omhle wale meko yimeko ebizwa ngokuba yiLaryngomalacia. Oku kwenzeka xa i-cartilage engaphantsi kwe-vocal cords ibuthathaka, nto leyo ebangela ukuba indlela yomoya inciphe kwaye yenze isandi xa uphefumlela ngaphakathi nangaphandle . Oku kunokuba khona kwabanye abantwana ukususela ekuzalweni.

Ngubani onokuba nethuba elikhulu lokuphuhlisa i-stridor?

I-Stridor inokuchaphazela nabani na wanoma yiphi na iminyaka. Nangona kunjalo, ixhaphake kakhulu kubantwana abancinci kunakwabantu abadala . Oku kungenxa yokuba iindlela zomoya zabantwana abancinci azibanzi njengezabantu abadala, zincinci kakhulu. Ngenxa yoko, nento encinci okanye ukudumba okuncinci kunokubathintela ngokulula. Ngamanye amaxesha, i-stridor inokubakho xa izalwa (izalwa).

Indlela exhaphake ngayo iyahluka ngokuxhomekeke kwisizathu. Umzekelo, i-stridor idla ngokubangelwa yi-viral croup, usulelo oluphezulu lokuphefumla oluchaphazela abantwana abancinci. Kuqikelelwa ukuba le meko ichaphazela malunga nabantwana aba-5 ukuya kwaba-6 kwabayi-100 abangaphantsi kweminyaka emi-3 ubudala. I-Stridor inokubangelwa kukufunxwa komzimba wangaphandle, okwenzeka xa into ibambeka emqaleni okanye kwindlela yomoya. E-United States kuphela, malunga ne-17,000 iimeko ezinjalo zibikwa kumasebe angxamisekileyo minyaka le.

I-stridor iyichaphazela njani umzimba wam?

I-Stridor yimeko ebangelwa kukuvaleka kwendlela yomoya. Oku kuthetha ukuba umoya awukwazi ukungena okanye ukuphuma emiphungeni ngendlela eqhelekileyo. Oku kunokwenza kube nzima ukuphefumla . Wonke amalungu omzimba wethu afuna ioksijini ukuze asebenze kakuhle, kwaye i-carbon dioxide kufuneka ikhutshwe. Ngoko ke, ukuba le meko ye-Stridor ayinyangwa ngokukhawuleza, umzimba usenokungafumani umlinganiselo ofunekayo weoksijini, nto leyo enokubangela ezinye iingxaki ezinokuba yingozi ebomini .

Yintoni uphawu oluphambili lwe-stridor?

Uphawu oluphambili lwe-stridor sisandi esivakalayo xa uphefumlela ngaphakathi okanye ngaphandle . Ngamanye amaxesha sinokuvakala ngathi kukuncwina okuphantsi.

Ngokuxhomekeke kwisizathu, unokufumana ezinye iimpawu:

• Ukukhwehlela
• Ukutshica (ingakumbi kubantwana abancinci)
• Ukurhawuzela, utshintsho kwilizwi
• Intlungu yomphimbo kunye/okanye yentamo
• Ifiva
• Ukudumba emqaleni kunye/okanye entanyeni
• Ubunzima kunye nentlungu xa uginya

Iimpawu ezinzima ezifuna unyango olukhawulezileyo:

Ukuba unale mpawu, kuya kufuneka uye esibhedlele ngoko nangoko , okanye utsalele umnxeba ku-1990:

• Ubunzima obukhulu bokuphefumla
• Imilebe, iiminwe, okanye ulusu lujika lube luhlaza okwesibhakabhaka okanye lube mfusa (oku kuthetha ukuba umzimba awufumani ioksijini eyaneleyo)
• Ukungakwazi ukutya okanye ukusela nantoni na
• Ukukhohlela igazi

Ukuba unezi mpawu zinzima, ungaze uhlale ekhaya . Eyona nto ibalulekileyo kukufuna iingcebiso zonyango ngokukhawuleza.

Zithini izizathu ze-stridor?

Kukho izizathu ezininzi ze-stridor. Ezona zizathu zixhaphakileyo zezi:

• Usulelo lwendlela yokuphefumla ephezulu (umz., i-viral croup) : Le yeyona nto ibangela i-stridor kubantwana abancinci, imalunga ne-90% yazo zonke iimeko ze-stridor.
• Ukufunxwa komzimba wangaphandle : Abantwana abancinci banokuminxeka xa bebona izinto ezifana namathoyizi nokutya.
• Nasiphi na ingozi okanye ukwenzakala kwindlela yokuphefumla.
• Ukudumba (umz. i-tonsillitis, i-epiglottitis). I-Epiglottitis yimeko enzulu kakhulu.

Kunokubakho ezinye izizathu:

• Impendulo yokunganyamezelani (ukunganyamezelani okukhulu)
• Iqhubu (umz., umhlaza wengqula)
• Ithumba
• Ukungasebenzi kakuhle kwentambo yelizwi okanye ukukhubazeka
• Ukuphefumla umsi okanye iikhemikhali
• Emva kotyando lwentamo

Kwenzeka ntoni emzimbeni wam xa ndine-stridor?

Indlela yokuphefumla yenkqubo yethu yokuphefumla iquka umqala (Pharynx), ilarynx (Larynx), itrachea (Trachea), kunye nebronchi (Bronchi). Umlomo nempumlo zinceda ekuthwaleni ioksijini ukuya emiphungeni ngale ndlela yomoya, kunye nokukhupha i-carbon dioxide. Ioksijini ibalulekile ukuze imizimba yethu iphile.

Cinga ngesixhobo somculo esifana nexilongo. Senza isandi ngokungcangcazela komoya njengoko udlula kuso. Xa sicinezela izitshixo zexilongo, isandi esiyasenza siyatshintsha. Kungenxa yokuba isitshixo esisicinezelayo sivala indlela yomoya, sitshintsha ukungcangcazela. Ngendlela efanayo, ukuba kukho ukuvaleka kwendlela yakho yomoya, isandi osenzayo xa uphefumla kwaye ukhupha umoya siya kutshintsha, njengaxa ucinezela isitshixo kwixilongo, isandi siyatshintsha.

Oogqirha bayixilonga njani i-stridor?

Ugqirha wakho uza kufumanisa unobangela we-stridor yakho ngokuthatha iimpawu zakho, imbali yakho yezonyango, aze akuhlole. Emva koko, banokwenza ezinye iimvavanyo ukuqinisekisa ukuxilongwa. Ezinye zezi ziquka:

• Uvavanyo lwemifanekiso: I-X-ray yentamo okanye isifuba.
• Uvavanyo lwegesi egazini: Olu vavanyo lujonga amanqanaba eoksijini kunye nekharbon diokside egazini lakho.
• I-pulse oximeter: Esi sixhobo sincinci sincamatheliswe emnweni kwaye silinganisa inqanaba leoksijini egazini.
• I-Laryngoscopy okanye i-Bronchoscopy: Oku kuquka ukufaka ityhubhu encinci, efakwe ikhamera (i-endoscope) ngomlomo okanye empumlweni yakho ukuze ujonge ngaphakathi kwimigudu yakho yomoya kunye nemiphunga. Oku kunokukunceda ubone ngqo apho ivale khona kwaye ibukeka njani.

Iphathwa njani iStridor?

Eyona nto iphambili kunyango lwe-stridor kukuvula indlela yomoya kunye/okanye ukunciphisa ukuvaleka . Unyango luxhomekeke kwisizathu se-stridor yakho. Nangona kunjalo, ezinye zeendlela zonyango zingabandakanya:

• Utyando: Ukususa into evalelekileyo okanye into yangaphandle ebambekileyo, okanye ukwandisa indlela yomoya.
• Amayeza: Nciphisa ukudumba (ukudumba), nyanga usulelo ukuba lukhona, kwaye unciphise iintlungu.
• I-Heimlich maneuver: Le ndlela isetyenziselwa ukususa into ebambeke emqaleni.
• Ioksijini eyongezelelweyo: Ioksijini inikwa ngemaski okanye ngetyhubhu encinci efakwe empumlweni.
• Ukufakwa kwetyhubhu kwindlela yomoya: Ityhubhu ifakwa ngotyando kwi-windpipe (trachea) ngomlomo, impumlo, okanye emqaleni, nto leyo edala indlela yokungena komoya de ugqirha asuse loo nto ivalelekileyo.

Emva konyango, ugqirha wakho uya kuqhubeka ejonga iimpawu zakho ukuze abone ukuba unyango luphumelele na kwaye ukuba uphilile na.

Ndingaphila ngokukhawuleza kangakanani emva konyango?

Ixesha elithathayo ukuze uphile lixhomekeke ekubeni yintoni ebangele i-stridor yakho kunye nonyango olusetyenziswe ngugqirha wakho ukuphelisa ukuvaleka kwendlela yomoya. Ngamayeza, kuya kufuneka uzive ungcono kwiintsuku ezimbini ukuya kwezintathu. Ngotyando, kunokuthatha ixesha elide, kwaye kunokuthatha iiveki ezimbalwa ukuba ubuyele esiqhelweni. Nangona kunjalo, nokuba ukhetha luphi unyango, kuya kufuneka uzive ukhululekile kwangoko xa ukuvaleka kuphelile .

Ungayinciphisa njani ingozi ye-stridor?

Zininzi izizathu ze-stridor, ngoko akunakwenzeka ukuziphepha zonke. Nangona kunjalo, ungenza oku kulandelayo ukunciphisa umngcipheko wakho:

• Mjonge umntwana wakho omncinci ngelixa edlala kwaye esitya. Gcina izinto ezincinci kude nendlela yakhe anokuthi azifake emlonyeni wakhe.
• Xa usitya, sika ukutya kube ziingceba ezincinci, ukuhlafune kakuhle, uze ukuginye. Ngale ndlela, akuyi kuba lula ukukrwitshwa.
• Musa ukushiya izinto zokudlala ezincinci okanye iingqekembe apho abantwana abancinci banokuzifumana khona.
• Nciphisa ukuvezwa kwakho kwiindawo ezinentuthu.
• Gcina izinto zokudlala ezisetyenziswa rhoqo zicocekile kwaye zihlanjululwe iintsholongwane.
• Hlamba izandla zakho rhoqo ngesepha.

Yintoni endimele ndiyilindele ukuba ndine-stridor?

Okukhona ufuna unyango ngokukhawuleza ukuze kususwe ukuvaleka kwendlela yomoya, kokukhona iziphumo ziba ngcono. Ugqirha wakho angayifumana imbangela ye-stridor yakho aze akunyange ngokukhawuleza ngaphambi kokuba kubekho naziphi na iingxaki.

Kodwa khumbula, ukuba i-stridor ayinyangwa ngokukhawuleza, inokuba yingozi ebomini . Ingakhokelela kwiimeko ezifana nokusilela kokuphefumla. Ukungaphumeleli kokuphefumla kwenzeka xa igazi lakho lingafumani ioksijini eyaneleyo yokugcina amalungu omzimba wakho esebenza.

Ndifanele ndimbone nini ugqirha wam?

Ukuba uneempawu ze-stridor, qiniseka ukuba ubona ugqirha . I-Stridor luphawu lokuba kukho into eyenzekayo emzimbeni wakho enokuba yingozi ebomini. Musa ukulibazisa ukuya kugqirha, kuba oko kunokukhokelela kwiingxaki eziyingozi ukuba akunyangwa.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba une-stridor entsha yokuqalisa, okanye ukuba unengxaki yokuphefumla, yiya kwigumbi likaxakeka ngokukhawuleza, okanye utsalele umnxeba ku-911 .

Ndingayibuza yiphi imibuzo ugqirha wam?

• Ukuba ndityandwa ukuze kususwe into evale indlela yomoya, ndingatya ntoni kwaye ndisele ntoni emva koko?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga kumayeza owacebisayo?
• Ngaba kufuneka ndibuye ukuze ndifumane idinga lokulandelela ukuze ndijonge iimpawu zam?
• Ndingamnqanda njani umntwana wam ukuba angafaki izinto ezincinci emlonyeni wakhe?

Ingaba i-stridor kunye nokuphefumla yinto enye?

Nangona abanye abantu basebenzisa igama elithi "wheezing" ngokutshintshana nelithi "stridor," kukho umahluko phakathi kwezi mpawu zimbini. Zombini "stridor" kunye "wheezing" zivakala ngathi yimpempe evakalayo.

• I-Stridor yenzeka xa kukho umqobo kwindlela yakho yomoya ephakathi (enkulu) (umphimbo, i-larynx, i-trachea - ngakumbi 'kwindawo engaphandle kwethoracic').
• Ukuphefumla kwenzeka xa iindlela zomoya ezincinci ngaphakathi kwemiphunga yakho (iindlela zomoya zangaphakathi kwesifuba) zivalekile okanye zincipha. Oku kuqhelekile kubantu abane-asthma kunye ne-allergies.

I-Stridor idla ngokubonakala kubantwana abancinci, kubantu abadala abavalwe yinto ethile kwiindlela zabo zomoya, okanye abo banentsholongwane.

Yintoni umahluko phakathi kweStridor neStertor?

• I-Stertor ikwasisandi esingaqhelekanga osenzayo xa uphefumla. Kodwa senzeka xa kukho ukuvaleka ngaphezulu kwengxolo yakho, eyinxalenye ephezulu yempumlo nomqala wakho. Esi sandi sidla ngokuvakala ngethoni evakala kancinci nephantsi. Kufana nokurhona.
• I-Stridor sisandi esivakala kakhulu esibangelwa kukuxinana kwe-larynx kunye ne-trachea engaphantsi kwayo.

Ngamafutshane, i-stridor sisandi esingaqhelekanga osenzayo xa uphefumla (okanye ukhupha umoya), uphawu oluvela emzimbeni wakho lokuba kukho into engalunganga kwindlela yakho yomoya kwaye kufuneka ilungiswe okanye inyangwe. Ukuba ufumana esi sandi, musa ukusityeshela. Kuba ioksijini ibalulekile ukuze imizimba yethu iphile. Kukho unyango loku, kwaye ngaloo nyango, ungasisusa esi sandi singaqhelekanga sokuphefumla uze uphile.

## Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo oya nawo ekhaya)

• I-Stridor sisandi esivakalayo xa uphefumla okanye uphuma. Luphawu lokuvaleka kwendlela yomoya.
• Oku kuqhelekile kubantwana abancinci, kuba iindlela zabo zomoya zincinci.
• Izifo ezifana ne-croup kunye nento ebambeke emqaleni zinokuba zezona zinto ziphambili ezibangela oku.
• Ukuba uneempawu ezifana nobunzima obukhulu bokuphefumla kunye nolusu oluluhlaza okwesibhakabhaka, yingxamiseko leyo! Yiya esibhedlele ngoko nangoko.
• I-Stridor inokunyangeka ngokupheleleyo ngokufumana nokulungisa unobangela.
• Ungaze uyityeshele into efana nale. Kububulumko ukufuna ingcebiso kugqirha.

Kubaluleke kakhulu kuwe nakusapho lwakho ukuba niqaphele ezi mpawu. Hlalani nisempilweni!

I- Stridor, Ubunzima bokuphefumla, Izifo zokuphefumla, Ukuxinana komphimbo, Ukuqaqamba kwesisu, Impilo yabantwana, Ukhathalelo olungxamisekileyo