Wake wazizwa ubuhlungu obukhulu emphinjeni wakho ngokuzumayo okwenza kube nzima ukugwinya ngisho namathe amancane? Ngesikhathi esifanayo, uzizwa kunzima ukuphefumula? Lesi simo, ikakhulukazi uma senzeka enganeni encane, sisenza sesabe kakhulu njengabazali. Namuhla sikhuluma ngesimo esibizwa ngokuthi i-Epiglottitis, esibangela lezi zimpawu futhi esibhekwa njengesimo esiphuthumayo sezokwelapha.
Kalula nje, iyini i-epiglottitis?
Kulungile, ake sikubeke kanje. Ngaphansi kolimi lwethu, ngaphakathi komphimbo wethu, kukhona i-cartilage encane ebizwa ngokuthi i-epiglottis. Umsebenzi wayo oyinhloko ukuvimbela izinto ukuthi zingangeni emphinjeni wethu lapho sidla noma siphuza. Kufana nomnyango, uvala umphinjeni lapho sigwinya.
I-Epiglottitis iwukuguguleka kwe-epiglottis , ngesizathu esithile, okuvame ukuba ukutheleleka ngamagciwane, lapho i-epiglottis ivuvukala, ibomvu, futhi itheleleke.
Cabanga nje, kuzokwenzekani uma lo mnyango omncane ovala indlela yethu yokungena umoya uvuvukala? Indlela yokungena umoya iqala ukuvaleka. Lena yinto eyingozi kakhulu ngalesi sifo. Uma indlela yokungena umoya ivaleka ngokuphelele, ingaba yingozi ngisho nokuphila.
Esikhathini esidlule, lesi sifo sasivame kakhulu ezinganeni ezincane. Imbangela kwakuyibhaktheriya i-Haemophilus influenzae uhlobo b (Hib). Kodwa-ke, njengoba manje umuthi wokugomela i-Hib usufakiwe ochungechungeni lokugomela olunikezwa izingane ezweni lakithi, lesi sifo asivamile kakhulu ezinganeni. Ngakho-ke, manje lesi simo sibonakala kancane kubantu abadala. Kodwa-ke, njengoba izindlela zokuphefumula zezingane zincane kakhulu, kuyingozi kakhulu uma zingenwa yilesi sifo.
Yiziphi izimbangela eziyinhloko ze-Epiglottitis?
Njengoba ngishilo ngaphambili, imbangela enkulu yalokhu ukutheleleka ngamagciwane . Phakathi kwazo, okulandelayo yikhona okuvame kakhulu:
- Umkhuhlane we-Haemophilus
- I-Streptococcus pneumoniae
- Amaqembu e-Streptococcus A, B, kanye no-C
- I-Staphylococcus aureus
Ngaphezu kwalezi zifo ezibangelwa amagciwane, lesi simo ngezinye izikhathi singabangelwa izifo ezibangelwa amagciwane. Futhi, ngemva kokutheleleka ngegciwane (isib. i-chickenpox) kumuntu onesimiso somzimba esibuthakathaka, ukutheleleka ngegciwane kungakhula futhi kubangele i-epiglottitis.
Ngaphezu kokutheleleka, kunezinye izimbangela. Lezi zimbangela zifaka:
- Ukulimala emphinjeni: Ukushisa umphimbo ngenxa yokuphuza ukudla okushisayo kakhulu noma uketshezi, ukuphefumula noma ukugwinya ikhemikhali, ukubhema (ikakhulukazi i-crack cocaine), noma ukulimala kwangaphandle emphinjeni.
- Ezinye izifo: Lokhu kungase kwenzeke njengomphumela ongemuhle wezinye izindlela zokwelapha umdlavuza.
Ingabe lesi sifo siyathelelana?
Yebo. Ibhaktheriya noma igciwane elibangela i-epiglottitis lingasakazeka emoyeni lapho umuntu onegciwane ekhwehlela noma ethimula. Ngakho-ke, kubaluleke kakhulu ukulandela imikhuba emihle yezempilo, njengokugeza izandla zakho njalo nokugwema abantu abagulayo.
Qaphela! Lezi izimpawu ze-epiglottitis!
Into eyingozi kakhulu ngalesi sifo ukuthi izimpawu zingaba zimbi kakhulu ngokushesha, zingakapheli amahora ambalwa. Akuthathi isikhathi eside ukuthi ziqale njengomphimbo obuhlungu futhi zibe yingozi empilweni.
Odokotela bathola izimpawu ezine eziyinhloko zalesi sifo. Ukuze kube lula ukukhumbula, babiza lezi ngokuthi "ama-D angu-4." Ake sibheke ukuthi ziyini.
| Uhlamvu "D" | Izimpawu kanye nencazelo yazo |
|---|---|
| I-Dysphagia | Ubunzima bokugwinya: Ukungakwazi ukugwinya ngisho nenani elincane lamathe ngenxa yobuhlungu obukhulu bomphimbo. |
| I-Dysphonia | Ukushintsha kwezwi: ukuhosha, ukungingiza, noma umsindo ongacacile njengokungathi kukhona okubambeke emphinjeni. |
| Ukuvuza amathe | Ukuvuza amathe: Ukuvuza kwamathe emlonyeni ngokungenhloso ngenxa yokungakwazi ukugwinya. Lokhu kuvame kakhulu ezinganeni ezincane. |
| Ukucindezeleka | Ubunzima bokuphefumula: umsindo wokushaya ikhwela (stridor) lapho uphefumula, ukuphefumula okunzima, ukungaphumuli. |
Ngaphezu kwalezi zimpawu ezine eziyinhloko, kungase kube nomkhuhlane omkhulu kanye nokungaphumuli okukhulu noma ukukhathazeka .
Isiguli, ikakhulukazi ingane, sizozama ukugoba phambili bese siphendula intamo yaso phezulu ukuze kube lula ukuphefumula. Lokhu sikubiza ngokuthi "isikhundla se-tripod." Ukulala phansi kungenza ukuphefumula kube nzima nakakhulu.
Kufanele uye nini esibhedlela ngokushesha?
Lokhu kuyinto okufanele uyikhumbule. Uma wena noma ingane yakho ninayo noma iyiphi yalezi "D" ezishiwo ngenhla, akusona isifo esingagcinwa ekhaya. Lesi yisimo esiphuthumayo sezokwelapha. Ungalibali ngisho nomzuzwana, iya ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Ikakhulukazi uma isikhumba siphenduka sibe luhlaza okwesibhakabhaka (cyanosis), kusho ukuthi umzimba awutholi umoya-mpilo owanele. Lokho kuyisibonakaliso esiyingozi kakhulu!
Okubalulekile: Ungazami ukuhlola umphimbo wengane yakho noma ukufaka noma yini emlonyeni wayo ekhaya. Ukwenza kanjalo kungandisa ukuvuvukala futhi kubangele ukuvaleka komoya okungazelelwe. Gcina ingane yakho izolile, ihleli, futhi iphefumula kalula, bese uyiyisa esibhedlela ngokushesha.
Odokotela basithola kanjani lesi sifo?
Ukuxilonga lesi sifo kuyingozi kancane. Ngoba lapho kuhlolwa i-epiglottis, indlela yokungena komoya ingavimbeka ngokuzumayo ngenxa yokuvuvukala. Ngakho-ke, odokotela benza lokhu kuhlola ngokucophelela, begcina yonke imishini edingekayo (njengepayipi lokuphefumula) eduze uma kwenzeka isimo esiphuthumayo.
- I-Laryngoscopy: Ipayipi elinekhamera encane lidluliswa ekhaleni nasemphinjeni ukuze kuhlolwe isimo se-epiglottis.
- I-X-ray: I-X-ray yentamo ingabona i-epiglottis evuvukile.
- Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kwenziwa ukuze kutholakale imbangela yokutheleleka.
Ingabe lesi sifo singadidaniswa nezinye izifo?
Yebo. Ngezinye izikhathi lesi sifo singadidaniswa nezimo ezibizwa ngokuthi i-strep throat noma i-croup.
| I-Epiglottitis | I-Croup |
|---|---|
| Kuba kubi kakhulu ngokushesha okukhulu (phakathi namahora ambalwa). | Izimpawu zikhula kancane kancane ezinsukwini ezimbalwa. |
| Ubuhlungu obukhulu bomphimbo, ubunzima bokugwinya, kanye nokuvuza amathe yizimpawu eziyinhloko. | Kukhona ukukhwehlela okubonakalayo okukhonkothayo, okufana nokukhonkotha kwenja. Kunzima ukugwinya. |
| Ngokuvamile kuba nomkhuhlane omkhulu. | Ngokuvamile kuba nomkhuhlane ophansi. |
Iphathwa kanjani?
Uma kutholakala ukuthi une-epiglottitis, uzolaliswa esibhedlela ngokushesha. Umgomo oyinhloko wokwelashwa ukugcina indlela yakho yokuphefumula ivulekile.
1. Ukunikeza umoya-mpilo: Uma kunzima ukuphefumula, umoya-mpilo unikezwa ngemaski.
2. Usizo lokuphefumula: Uma ukuvuvukala kubangela ukuvaleka kwendlela yokuphefumula, odokotela bangafaka ipayipi emgudwini womoya ngekhala noma ngomlomo (intubation) izinsuku ezimbalwa kuze kube yilapho ukuvuvukala kwehla. Akuvamile kakhulu, uma ukuvuvukala emphinjeni kukhulu, kungase kwenziwe i-incision encane ngaphandle kwentamo bese kufakwa ipayipi lokuphefumula (cricothyroidotomy).
3. Ama-antibiotic: Ama-antibiotic aqalwa ngokushesha okukhulu ngomthambo (IV).
4. Uketshezi lwe-IV: Uketshezi olufana nosawoti lunikezwa ngemithambo uze ukwazi ukugwinya ngendlela evamile.
5. Ama-Corticosteroids: Le mithi isetshenziselwa ukunciphisa ukuvuvukala.
Yiziphi izinkinga ezingabangelwa yilokhu?
Inkinga enkulu neyingozi kakhulu ukuvaleka komoya ngokuphelele kanye nokufa.
Ngaphezu kwalokho, amagciwane abangele ukutheleleka angasakazekela kwezinye izingxenye zomzimba,
- Inyumoniya
- I-Meningitis (ukutheleleka kwezicubu ezimboze ubuchopho)
- Ukutheleleka kwesikhumba
- I-Sepsis (ushevu wegazi)
Kungase kwenzeke izimo ezinzima.
Akunakuvinjelwa yini? Ukubaluleka komjovo we-Hib
Izindaba ezinhle ukuthi kukhona umuthi wokugomela osebenza kahle kakhulu wokuvikela amagciwane e-Hib, imbangela eyinhloko yalesi sifo. Lokhu kufakiwe ohlelweni lokugomela izingane ezweni lethu. Ngakho-ke, ngokunikeza ingane yakho yonke imijovo ngesikhathi, ungayivikela kulesi sifo esiyingozi.
Lo mjovo awuvamile ukunconywa kubantu abaneminyaka engaphezu kwemi-5. Kodwa-ke, udokotela angancoma lo mjovo kubantu abanezivikeli mzimba ezibuthakathaka (isib., abantu abanegciwane lesandulela ngculaza, iziguli ezinomdlavuza).
Umlayezo Wokuya Nawe Ekhaya
- I-Epiglottitis ukutheleleka kanye nokuvuvukala kwe-epiglottis, okuwumgoqo emphinjeni. Lokhu kubhekwa njengesimo esiphuthumayo sezokwelapha ngoba kungavimba indlela yokuphefumula.
- Izimpawu eziyinhloko umphimbo obuhlungu kakhulu, ubunzima bokugwinya, ukushoshozela, ukuvuza amathe, kanye nobunzima bokuphefumula (ama-D angu-4) .
- Uma unezinye zalezi zimpawu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha. Ungazami ukuzelapha ekhaya.
- Ukugoma nge-hib kungavikela kakhulu izingane kulesi sifo. Gcina ikhadi lokugoma lengane yakho linembile.
- Uma kutholakale ukuthi unesifo futhi selashwa ngokushesha, abantu abaningi bayalulama ngokuphelele. Ukubambezeleka kungaba yingozi empilweni.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho