Ingabe wena noma ingane yakho ninenkinga yokuphefumula ngokuzumayo ngenxa yomphimbo obuhlungu? Lokhu kungaba yi-epiglottitis!

Wake wezwa ngomuzwa ongajwayelekile lapho umphimbo wakho ubuhlungu ngokuzumayo, ungakwazi ukugwinya ukudla, futhi uzizwe sengathi uyacinana? Mhlawumbe ingane yakho encane ike yabhekana nento efana nale futhi ukhathazekile kakhulu. Ngezikhathi ezinjengalezi, into eyodwa okudingeka siyicabangele yilesi simo esibizwa ngokuthi i-Epiglottitis. Lokhu kuyingozi kakhulu, ngakho-ke masiqaphele.

Kuyini i-Epiglottitis? Masiyiqonde kalula!

Kalula nje, i-epiglottitis ukuvuvukala kwengxenye encane yomphimbo wethu ebizwa ngokuthi i-epiglottis. Cabanga ngakho le-epiglottis iyisicubu esincane se-cartilage eduze kwesisekelo solimi lwethu. Uma udla noma uphuza, kuyasiza ukuqondisa lezo zinto ngqo emphinjeni wethu (i-trachea) esikhundleni sombhobho wethu womoya. Isebenza njengesango.

Ngakho-ke, uma le epiglottis ivuvukala ngesizathu esithile, okungukuthi, uma kukhona 'ukuvuvukala', yilapho inkinga iqala khona. Lokhu kubizwa nangokuthi "i-acute epiglottitis" . Lokhu kusho ukuthi izimpawu zivela ngokuzumayo nangokubi kakhulu . Kuba nzima kakhulu ukuphefumula nokugwinya ukudla. Uma kungelashwa ngokushesha, lokhu kuvuvukala kungavimba ngokuphelele indlela yokuphefumula futhi kube yingozi empilweni.

Lokhu kubaluleke kakhulu: Uma wena noma othile emndenini wakho enalezi zimpawu, udinga ukuya esibhedlela noma egumbini lezimo eziphuthumayo (ETU) ngokushesha. Ungacabangi ngisho nokwelapha lokhu ekhaya. Lesi yisimo esiphuthumayo sezokwelapha!

Sivame kangakanani lesi simo?

Eqinisweni, i-epiglottitis ayisona isifo esivame kakhulu, kodwa singavela ezinganeni ezincane kanye nakubantu abadala.

Esikhathini esidlule, ngaphambi kuka-1985, ngaphambi kokusetshenziswa kabanzi komjovo we-Haemophilus influenzae uhlobo b (Hib), lesi sifo sasivame kakhulu ezinganeni eziphakathi kweminyaka emi-3 nengu-5. Lokhu kungenxa yokuthi imbangela eyinhloko yalesi sifo ezinganeni kwakuyibhaktheriya ebizwa ngokuthi i-Hib. Kodwa, ngenhlanhla, ukutheleleka kwe-Hib kwehle kakhulu ngenxa yomjovo. Manje, ngisho nasezweni elifana neMelika, kwenzeka ezinganeni ezingaba ngu-0.5 kwabayi-100,000.

Kodwa-ke, kube nemibiko yokwanda kwamuva nje kwalesi sifo kubantu abadala . Lokhu kungenxa yokutheleleka okungewona '(Hib)'. Ngokuvamile kuthiwa kwenzeka kubantu abadala abaphakathi kuka-1 no-4 kwabayi-100,000 e-United States.

Ziyini izimpawu ze-Epiglottitis? Siyibona kanjani?

Izimpawu ze-Epiglottitis zivame ukuqala ngokuzumayo futhi zibe zimbi kakhulu ngokushesha. Ngezinye izikhathi, kungathatha izinsuku ezimbalwa ukuthi izimpawu zibonakale ngokuphelele ezinganeni ezindala nakubantu abadala. Kodwa-ke, ngenxa yokuthi izindlela zokuphefumula zezingane ezincane zincane kakhulu,Ngisho noma i-epiglottis ivuvukele kancane, izimpawu ezinzima zingavela ngokuzumayo ngaphandle kwesixwayiso .

Izimpawu ezivame kakhulu yilezi ezine eziqala ngohlamvu "D":

• I-Dysphagia: Lokhu kusho ukuthi ukudla nokuphuza kuba nzima kakhulu ukugwinya. Kuzwakala sengathi akuhambi emphinjeni wakho.
• I-Dysphonia: Lokhu kusho ukuthi izwi liyashintsha, liba nomsindo obukhali, noma liba nzima ukukhuluma.
• Ukuvuza amathe: Lokhu kusho ukuthi amathe ayaphuma emlonyeni. Kunzima ukugwinya, ngakho amathe ayaqoqana emlonyeni bese ephuma ngokuzenzakalelayo.
• Ukucindezeleka: Lokhu kusho ubunzima bokuphefumula, ukuzizwa ucindezelekile, kanye nokubonisa izimpawu zokuntuleka komoya-mpilo.

Ngaphezu kwalokhu, kungase kube nezinye izimpawu:

• Ubuhlungu obukhulu emphinjeni.
• Umkhuhlane ongama-degree Celsius angu-38 (100.4 Fahrenheit) noma ngaphezulu.
• Umsindo wokukhala kwekhwela ophakeme (stridor) lapho uphefumula.
• Ukuvula umlomo nokukhothamela phambili ukuzama ukuphefumula. (Lolu uphawu oluvamile olubonakala ezinganeni ezincane.)
• Ukungahlaliseki kakhulu, ukucasuka. (Lokhu futhi kuyisibonakaliso esikhulu esibonakala ezinganeni ezincane.)

Ezinye zezimpawu ze-epiglottitis zingafana nezinye izimo, njenge -croup . Kodwa-ke, i-croup akuyona into ephuthumayo ngaso sonke isikhathi, njenge-epiglottitis. Yingakho kubalulekile ukuthola ukuxilongwa okunembile nokuthola ukwelashwa ngokushesha.

Ukunaka okukhethekile izimpawu zezingane ezincane

Njengoba sesishilo ngaphambili, imigudu yokuphefumula yezingane ezincane ibucayi kakhulu. Ngakho-ke, uma bethola lesi simo, singaba sibi kakhulu ngokushesha okukhulu. Cabanga nje, uma ubona ingane yakho inenkinga yokuphefumula ngokuzumayo, umlomo wayo uvulekile, futhi igobe phambili, akulona uphawu oluhle. Esimweni esinjalo, into engcono kakhulu ongayenza ukungesabi bese uyiyisa kudokotela ngokushesha okukhulu.

Yiziphi izimbangela ze-Epiglottitis?

Isizathu esiyinhloko salokhu ukutheleleka ngamagciwane.

• Ezinganeni , amagciwane esikhulume ngawo ngaphambili , i-Haemophilus influenzae type b (Hib), yiwona abangela lokhu.
• Kwabantu abadala , ngokuvamile kungabangelwa ezinye izinhlobo zamabhaktheriya angewona ama-Hib, njenge -Streptococcus pneumoniae kanye ne-Staphylococcus .

Kungase kube nezinye izizathu:

• Ukutheleleka ngegciwane: Ezinye izinhlobo zamagciwane, isibonelo , igciwane le-varicella-zoster, elibangela i-chickenpox, kanye negciwane le-herpes simplex, elibangela i-herpesUma singenwa yileli gciwane, imizimba yethu iba buthakathaka, futhi kunethuba elikhulu lokuthi kuvele ukutheleleka kwebhaktheriya okwesibili kanye ne-epiglottitis.
• Ukutheleleka ngesikhunta: Lokhu kungabangelwa nayizifo zesikhunta ezifana ne -Candida, ikakhulukazi kubantu abanezivikeli mzimba ezibuthakathaka.
• Ukulimala emphinjeni: Lesi simo singase senzeke uma into ethile ishaya umphimbo ngokuzumayo, uma ushaywa ngaphandle, uma ugwinya into engavamile, noma uma uphuza uketshezi olushisayo kakhulu .
• Ukubhema: Lokhu kungenzeka hhayi nje kuphela ngogwayi ovamile, kodwa futhi nangokusebenzisa i-vaping, noma ngokubhema izidakamizwa ezifana ne-crack cocaine.
• Ukusha kwamakhemikhali: Uma ikhemikhali enobuthi ingena esiswini, ingashisa umphimbo futhi ibangele i-epiglottitis. Lokhu kubizwa ngokuthi 'i-corrosive epiglottitis'.

Ingabe i-Epiglottitis iyathelelana?

Into ebalulekile lapha ukuthi isimo esibizwa ngokuthi i-epiglottitis asidluliselwa ngqo kusuka kumuntu kuya komunye. Kodwa-ke, amagciwane angabangela lesi sifo (isibonelo, amagciwane e-Hib) angadluliselwa kusuka kumuntu kuya komunye.

Ukuthi nje uthola igciwane elifana ne-Hib akusho ukuthi uzothola i-epiglottitis. Kodwa-ke, kungenzeka uma igciwane lingena ku-epiglottis yakho futhi libangele ukuvuvukala. Leli gciwane livame ukusabalala ngamaconsi amathe noma amafinyila akhishwa uma ukhwehlela noma uthimula.

Odokotela bayixilonga kanjani i-Epiglottitis?

Ngenxa yokuthi lesi yisimo esiphuthumayo sezokwelapha esingasongela impilo, odokotela bazoqala ngokuzinzisa ukuphefumula kwakho. Bazokwenza izivivinyo zokuxilonga kuphela ngemva kokuthola ukuthi kuphephile ngokuphelele ukwenza kanjalo.

Uma isimo sakho sesizinzile, odokotela bangenza lezi zivivinyo:

• Ukuhlolwa kwesiko: Udokotela uthatha i-swab emphinjeni wakho ayithumele elabhorethri ukuze abheke amagciwane noma ama-virus.
• Ukuhlolwa kwegazi: Ukuhlolwa kwegazi okuhlukahlukene kungenziwa ukuhlola inani lamaseli amhlophe egazi (lawa yiwo alwa nokutheleleka emizimbeni yethu) egazini lakho, noma ukuhlola amagciwane noma ama-virus egazini lakho.
• I-Laryngoscopy: Lokhu kuhilela ukufaka ikhamera encane ekugcineni kwepayipi elincane neliguquguqukayo emphinjeni ukuze kuhlolwe ama-epiglottis nendawo ezungezile.
• Ukuhlolwa kwezithombe: I-X-ray ingabonisa ubukhulu bokuvuvukala. Ngezinye izikhathi, ku-X-ray, ukuvuvukala kwe-epiglottis kungabonakala njengophawu lwesithupha kumuntu omdala .

Iphathwa kanjani i-Epiglottitis?

Uma kutholakala ukuthi une-epiglottitis, ukwelashwa kuzoqala ngokushesha.Esibhedlela, ithimba lezokwelapha lizokwenza lezi zinto:

• Ukuze ubuyisele ngokuphelele indlela yakho yokuphefumula:
• Okokuqala, kufakwa imaski yomoya-mpilo phezu komlomo wakho nekhala ukuze kuvunyelwe umoya omningi ungene emaphashini akho.
• Uma indlela yokuphefumula ivaliwe, ipayipi lokuphefumula lingafakwa ngomlomo liye epayipini lomoya.
• Akuvamile kakhulu, uma leli payipi lingenakufakwa ngomlomo, ipayipi lingadinga ukufakwa ngentamo lingene embhobho womoya. Lokhu kubizwa ngokuthi i-tracheostomy . Kodwa-ke, lokhu akuvamile ukudingeka kubantu abane-epiglottitis.
• Ukunikeza uketshezi: Uzonikezwa uketshezi oluningi ngangokunokwenzeka ngepayipi elifakwe emthanjeni (lokho 'yi-IV drip', okuyilokho esikubiza ngokuthi i-saline).
• Ukunikeza ama-antibiotic: Uma unesifo esibangelwa amagciwane, udokotela wakho uzokunikeza i-antibiotic ye-broad-spectrum nge-IV. Lo muthi ubulala iningi lamagciwane angase abangele ukutheleleka. Uma imiphumela yakho yokukhula isibuyile, ungase unikezwe i-antibiotic ehlukile ehlasela amagciwane athile abangele ukutheleleka.

Singazivikela kanjani ku-Epiglottitis?

Nakuba lokhu kungenakuvinjelwa ngokuphelele, kunezinto esingazenza ukuze sinciphise ingozi:

• Goma ingane yakho: Ezinganeni, isivikelo esingcono kakhulu ukuthola yonke imijovo abayidingayo ngesikhathi esifanele, ikakhulukazi umjovo we-Hib. Ngenxa yokuthi amasosha omzimba ezingane ezincane awakakhuli ngokugcwele, angaba sengozini enkulu yokutheleleka yi-Hib.
• Landela imikhuba emihle yokuhlanzeka: Geza izandla zakho njalo ngensipho namanzi. Gwema ukuthinta amehlo akho, impumulo nomlomo njalo.
• Zivikele ekuthelelekeni: Qaphela lapho useduze nabantu abakhwehlelayo nabathimulayo. Gwema ukusondela kubo, noma ugqoke imaski.
• Ukugwema izinto ezingalimaza umphimbo wakho: Gwema izinto ezingalimaza umphimbo wakho, njengokuphuza uketshezi olushisayo kakhulu nokubhema.

Kwenzekani uma uthola i-epiglottitis? Kuthatha isikhathi esingakanani ukuphulukiswa?

Kwabaningi, kuthatha cishe isonto lonke ukululama ngokuphelele kwi-epiglottitis. Kuzodingeka uhlale esibhedlela cishe izinsuku ezintathu kuya kwezinhlanu. Kodwa-ke, uzoqala ukuzizwa ungcono ezinsukwini ezimbalwa zokuqala. Ngisho noma kufakwe ipayipi lokuphefumula, ngokuvamile uzokwazi ukuphefumula wedwa ezinsukwini ezimbalwa.

Uma unalesi simo ngenxa yokutheleleka, kubaluleke kakhulu ukuthatha ama-antibiotics isikhathi sokwelashwa okuphelele (ngokuvamile cishe izinsuku eziyisikhombisa) ukuze ubulale amagciwane ngokuphelele.

Khumbula into ebaluleke kakhulu: i-epiglottis evuvukele iyisimo esiphuthumayo sezokwelapha!Uma wena noma othile omaziyo enezimpawu ze-epiglottitis, shayela u-1990 (noma inombolo yakho yezimo eziphuthumayo yendawo) ngokushesha, noma uye egumbini lezimo eziphuthumayo lesibhedlela esiseduze.

Kufanele siye nini kudokotela? Kufanele senzeni?

I-Epiglottitis ingaba yingozi empilweni uma ukuvuvukala kuvimbela indlela yokuphefumula. Ngakho-ke, uma wena noma othile omaziyo ecabanga ukuthi une-epiglottis evuvukile, funa ukwelashwa okuphuthumayo ngokushesha.

Ungalokothi wenze lezi zinto:

• Ungamlalisi ngomhlane umuntu one-epiglottitis.
• Ungafaki lutho emlonyeni wabo.

Lezi zinto zingenza kube nzima nakakhulu ukuphefumula.

Yenza lokhu:

• Zama ukuhlala uzolile ngangokunokwenzeka, njengoba ukucindezeleka kungenza umphimbo wakho uzizwe ucindezeleke kakhulu.

Imibuzo ebalulekile okufanele uyibuze udokotela

Ngaphambi kokuphuma esibhedlela, ungabuza udokotela le mibuzo:

• Kungani ngathola i-epiglottitis?
• Ngidinga ukuthatha ama-antibiotic isikhathi esingakanani?
• Ngingayinakekela kanjani imphimbo yami ngesikhathi sokululama?
• Kufanele ngihlale ngiqonde isikhathi esingakanani?
• Ingabe kuzodingeka ngibuye ukuze ngithole ukuvakashelwa okulandelayo?
• Ngingayinciphisa kanjani ingozi yami yokuthola lesi sifo esikhathini esizayo?

Ekugcineni, umyalezo okufanele uwuthathe uye nawo ekhaya

Uma wena noma othandekayo wakho ninezimpawu ze-epiglottitis, ungalibali ukufuna usizo oluphuthumayo. Uma ungaqiniseki ukuthi yi-epiglottitis noma okunye, khumbula ukuthi uma othile enenkinga yokuphefumula noma yokugwinya, kuwukuhlakanipha ukufuna usizo oluphuthumayo ngokushesha.

Ngokwelashwa okusheshayo, abantu abaningi bayalulama ngokuphelele kwi-Epiglottitis. Kodwa-ke, isinyathelo sokuqala sibalulekile. Ngakho-ke, qaphela lezi zimpawu futhi ufune usizo ngokushesha okukhulu. Sikufisela wena nomndeni wakho ukululama okusheshayo!

I-Epiglottitis , i-Epiglottitis, Umphimbo obuhlungu, Ubunzima bokuphefumula, Izifo zezingane, Ukunakekelwa okuphuthumayo, Umuthi wokugomela i-Hib, Ukutheleleka ngamagciwane