Ngamanye amaxesha umntwana wakho unesifo somkhuhlane okanye ukukhwehlela okujika kube yimeko enzima eyenza kube nzima ukuphefumla, akunjalo? Sihlala sicinga ukuba oku kuqhelekile, mhlawumbi umphimbo nje obuhlungu. Nangona kunjalo, ngamanye amaxesha emva koku kukho imeko ebizwa ngokuba yiBacterial Tracheitis , engalindelekanga kwaye ifuna unyango olukhawulezileyo. Nangona esi sisifo esingaqhelekanga, sinokuchaphazela ubomi bomntwana, ngoko ke kubaluleke kakhulu ukuba wonke umama notata baqaphele oku.
Kutheni i-Bacterial Tracheitis isenzeka?
Ngamafutshane, iBacterial Tracheitis sisifo sombhobho wethu womoya, umbhobho ophambili esiphefumla ngawo (i-trachea). Lo mbhobho womoya yimbhobho ehamba ukusuka kwibhokisi yethu yelizwi ukuya kwimigudu yomoya ephambili (i-bronchi) edibana nemiphunga.
Le meko ayidli ngokuvela ngequbuliso. Izihlandlo ezininzi, yenzeka ngolu hlobo:
Okokuqala, umntwana ufumana usulelo lwentsholongwane, njengomkhuhlane oqhelekileyo. Le ntsholongwane yonakalisa ulwelo oluthambileyo lwe-trachea. Kanye njengokuba iintsholongwane zinokungena ngokulula xa ulusu lwethu lonzakele, iintsholongwane zinokungena kule trachea yonakeleyo zize zibangele usulelo. Oku kubizwa ngokuba yiBacterial Tracheitis.
Nokuba umntwana osempilweni unokuba nale meko. Nangona kunjalo, ukuba isifo sifunyenwe kwaye sinyangwa kwangethuba, ukuchacha kuyakhawuleza.
Kukho abantwana abathile abafuna ingqalelo ekhethekileyo. Oko kukuthi, abantwana abangenawo amasosha omzimba aqinileyo . Kwakhona, abantwana abanetyhubhu ye-tracheostomy kwi-trachea yabo ngesizathu esithile basengozini enkulu yokufumana olu sulelo. Izinto ezifana nokucoca ityhubhu imihla ngemihla kubantwana abanjalo kufuneka zenziwe ngononophelo.
Esi sifo sixhaphake kakhulu kubantwana abaphakathi kweminyaka emi-3 ne-8 ubudala. Kwakhona, esi sifo sixhaphake kakhulu ngamaxesha abandayo, eemvula xa iingqele kunye nomkhuhlane zixhaphakile.
Zithini iimpawu zesi sifo?
Ekuqaleni, iqala njengosulelo oluqhelekileyo lwentsholongwane. Emva kosuku okanye ezimbini, iimpawu ziba nzima ngequbuliso. Abanye abantwana banokubonisa iimpawu ezinzima kwasekuqaleni. Kubaluleke kakhulu ukuzazi ezi mpawu.
| Uphawu | Ingcaciso elula |
|---|---|
| I-Stridor (isandi esiqatha nesingcangcazelayo xa uphefumla) | Olu luphawu oluphambili. Isandi esibukhali nesibukhali esivela emqaleni xa umntwana ephefumla. Esi sandi sibangelwa kukudumba kwendlela yomoya nokuxinana. |
| Ukukhwehlela Okubuhlungu | Ukukhwehlela okwahlukileyo kokukhwehlela okuqhelekileyo, okunzulu nokukhonkothayo. |
| Umkhuhlane ophezulu | Umkhuhlane uyanda ngenxa yosulelo lwebhaktheriya emzimbeni. |
| I-mucus etyebileyo, enamathelayo | Usulelo olukwiindlela zomoya lubangela ukuba kuveliswe i-mucus etyebileyo nenamathelayo. Le mucus yenza kube nzima ukuphefumla. |
| Ubunzima bokuphefumla | Xa uphefumla, izihlunu esifubeni nasentanyeni zibonakala ngathi ziyatsala. Umntwana unengxaki yokuphefumla. |
| Ukuvuza amathe | Umqala uvuvukile, nto leyo eyenza kube nzima ukuginya amathe. Oku kunokubangela ukuba amathe aphume emlonyeni. |
Ukuba ubona naziphi na kwezi mpawu, bonana nogqirha ngaphandle kokulibazisa. Ukuba umntwana wakho unengxaki yokuphefumla, kunokufuneka uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Ugqirha uyixilonga aze ayinyange njani le nto?
Emva kokuhlola iimpawu zomntwana, ukuba ugqirha ukrokrela oku, uya kwenza izinto ezithile ukuqinisekisa nokunyanga isifo.
Uxilongo kunye nonyango
Kwimeko enjalo, umntwana kufuneka alaliswe esibhedlele. Ngamanye amaxesha, unyango lunokufuna ukulaliswa esibhedlele kwiYunithi yoKhathalelo oluPhezulu (ICU) .
Eyona nto ibalulekileyo kukugcina indlela yomoya yomntwana ivulekile. Oku kungenziwa yingcali (njengengcali yendlebe, impumlo nomqala) ebizwa ngokuba yi-bronchoscopy .Olu vavanyo lubandakanya ukudlulisa ityhubhu encinci enekhamera encinci eqhotyoshelwe kumbhobho womoya ukuze kuhlolwe ngaphakathi. Ikwasetyenziselwa ukususa umhlwa ongqindilili ovala umbhobho womoya.
Ekubeni olu luhlobo losulelo olubangelwa yintsholongwane, ngokuqinisekileyo amayeza okubulala iintsholongwane ayanikwa. Olu nyango luza kuthatha malunga neentsuku ezili-10 ukuya kwezili-14. Ukongeza, ioksijini inikwa ukuze kube lula kumntwana ukuphefumla.
Ukuchacha kunye neengozi
Ngonyango olufanelekileyo, uninzi lwabantwana luyaphila ngokupheleleyo kwiintsuku ezi-3 ukuya kwezili-12. Akukho monakalo usisigxina. Nangona kunjalo, kunqabile kakhulu, emva kokufakwa kwetyhubhu kwindlela yomoya, indlela yomoya inokuncipha kancinci.
Nangona kunjalo, kufuneka sikhumbule ukuba le inokuba yimeko eyingozi. Ukuba unyango lulibaziseka okanye usulelo lunzima kakhulu, ezinye iingxaki zinokwenzeka. Umzekelo, ukungasebenzi kakuhle kwentliziyo, ukunqongophala kweoksijini engqondweni, ukudilika kwemiphunga, i-'Septic Shock' okanye i-'Acute Respiratory Distress Syndrome (ARDS)' zinokwenzeka. Yingakho unyango lwangethuba lubaluleke kangaka.
Kwimeko enjalo, iqela eliquka iingcali zokubulala iintlungu, iingcali zeendlebe, impumlo nomqala, iingcali zezifo ezosulelayo, kunye noogqirha becandelo lokhathalelo oluphezulu bayamnyanga umntwana.
Ungamkhusela njani umntwana wakho kwiimeko ezinje?
Eyona nto ingcono onokuyenza kukuthintela esi sifo ngaphambi kokuba sivele. I-Bacterial Tracheitis idla ngokuqala emva kosulelo lwentsholongwane olufana ne-measles okanye i-influenza (flu), ngoko ke ukukhusela umntwana wakho kwezo ntsholongwane yeyona nto ibalulekileyo.
Eyona sisombululo silungileyo kukunika umntwana wakho zonke izitofu ezifunekayo ngexesha elifanelekileyo. Ingakumbi izinto ezifana nesitofu somkhuhlane, esinikwa abantwana abaneenkqubo zomzimba ezibuthathaka, zinegalelo elikhulu ekumkhuseleni kwiingxaki ezinzima kangaka.
Umyalezo Wokuya Ekhaya
- I-Bacterial Tracheitis sisifo esiyingozi sokuphefumla esinokwenzeka kubantwana abancinci emva komkhuhlane oqhelekileyo.
- Ukuba umntwana wakho wenza isandi esirhabaxa xa ephefumla, unomkhuhlane ophezulu, kwaye ukhohlela kakhulu, bonana nogqirha ngokukhawuleza.
- Oku kunokufuna ukulaliswa esibhedlele mhlawumbi nonyango olunzima. Ngoko ke musa ukoyika kwaye ulandele imiyalelo kagqirha wakho.
- Ukuba uxilongiwe waza wanyangwa kwangethuba, umntwana angaphila ngokupheleleyo ngaphandle kokwenzakala okungapheliyo.
- Ukugonyela umntwana wakho ngexesha, ingakumbi umkhuhlane kunye ne-masisi, kunokunceda ekumkhuseleni kwezi zifo zinzulu.
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