Ingabe wenza umsindo ongajwayelekile uma uphefumula? Kungaba yi-stridor!

Wake wezwa umsindo ophakeme, oshayayo uphuma emphinjeni noma entanyeni yakho, ngezinye izikhathi uma uphefumula ngaphakathi noma ngaphandle? Noma wake wezwa ingane yakho ishaya umsindo oshayayo? Lokhu yilokho esikubiza ngokuthi i-stridor ngokwezokwelapha. Kungaba yinto eyesabekayo kancane ukuzwa, kodwa ungakhathazeki. Masiqonde konke ngalesi simo esibizwa ngokuthi i-stridor.

Yini ngempela iStridor?

Kalula nje, i-stridor iyisibonakaliso sokuthi kukhona ukuvaleka noma ukuvaleka endaweni ethile emphinjeni wakho, noma emphinjeni, noma emphinjeni, noma emphinjeni. Kufana nombhobho wamanzi owenza umsindo lapho amanzi egeleza. Uma lo moya uvalekile, kudalwa umsindo ongavamile, ophakeme njengoba umoya uhamba uye phambili naphambili.

Cabanga nje, uma sithatha nje utshani bese sicindezela uhlangothi olulodwa lwalo bese siluvuthela, luzokwenza umsindo. Yilokho okuzwakala ngakho i-stridor.

Ingabe zikhona izinhlobo ze-stridor?

Yebo, kunezinhlobo ezintathu eziyinhloko ze-stridor. Lezi zihlukaniswa ngokusekelwe ekutheni ukuvinjelwa kwenzeka kuphi endleleni yomoya.

1. I-stridor yokuphefumula: Lokhu kwenzeka uma kukhona ukuvinjelwa emphinjeni noma emphinjeni wakho (okungukuthi, esifundeni esingaphandle kwesifuba). Umsindo uzwakala uma uphefumula.

2. I-stridor yokukhipha umoya: Lapha ukuvinjelwa kungaphezu nje kwamaphaphu akho, ku-trachea (isifunda sangaphakathi kwesifuba). Ngakho umsindo wenziwa uma uphefumula.

3. I-Biphasic stridor: Isibonelo esihle salokhu yisimo esibizwa ngokuthi i-Laryngomalacia. Lokhu kwenzeka lapho i-cartilage engaphansi kwezintambo zezwi ibuthakathaka, okwenza indlela yokuphefumula ibe mfushane futhi yenze umsindo kokubili lapho uphefumula futhi uphuma . Lokhu kungaba khona kwezinye izingane kusukela ekuzalweni.

Ubani onamathuba amaningi okuthuthukisa i-stridor?

I-Stridor ingathinta noma ubani wanoma yimuphi ubudala. Kodwa-ke, ivame kakhulu ezinganeni ezincane kunakwabantu abadala . Lokhu kungenxa yokuthi imigudu yokuphefumula yezingane ezincane ayibanzi njengeyabantu abadala, imincane kakhulu. Ngakho-ke, ngisho nento encane noma ukuvuvukala okuncane kungabavimba kalula. Ngezinye izikhathi, i-stridor ingaba khona lapho izalwa (izalwa nayo).

Ukuthi kuvame kangakanani kuyahlukahluka kuye ngembangela. Isibonelo, i-stridor ivame ukubangelwa yi-croup ebangelwa yigciwane, ukutheleleka kokuphefumula okuphezulu okuthinta izingane ezincane. Kulinganiselwa ukuthi lesi simo sithinta cishe izingane ezi-5 kuya kwezi-6 kweziyi-100 ezingaphansi kweminyaka emi-3. I-Stridor ingabangelwa nokufuthwa komzimba wangaphandle, okwenzeka lapho okuthile kubhajwa emphinjeni noma emoyeni. E-United States kuphela, amacala anjalo angaba ngu-17,000 abikwa eminyangweni yezimo eziphuthumayo minyaka yonke.

I-stridor ithinta kanjani umzimba wami?

I-Stridor yisimo esibangelwa ukuvaleka kwendlela yokuphefumula. Lokhu kusho ukuthi umoya awukwazi ukungena noma ukuphuma emaphashini ngendlela evamile. Lokhu kungenza kube nzima ukuphefumula . Zonke izitho zomzimba wethu zidinga umoya-mpilo ukuze zisebenze kahle, futhi i-carbon dioxide idinga ukukhishwa. Ngakho-ke, uma lesi simo se-Stridor singelashwa ngokushesha, umzimba ungase ungatholi inani elidingekayo lomoya-mpilo, okungaholela kwezinye izinkinga ezingaba yingozi empilweni .

Iyini isibonakaliso esiyinhloko se-stridor?

Uphawu oluyinhloko lwe-stridor umsindo wokukhala kwekhwela ozwakalayo uma uphefumula ngaphakathi noma ngaphandle . Ngezinye izikhathi ungazwakala njengokububula okuphansi.

Kuye ngembangela, ungase ubhekane nezinye izimpawu:

• Ukukhwehlela
• Ukukhafula (ikakhulukazi kwabancane)
• Ukuhosha, ukushintsha kwezwi
• Ubuhlungu bomphimbo kanye/noma entanyeni
• Imfiva
• Ukuvuvukala emphinjeni kanye/noma entanyeni
• Ubunzima nobuhlungu lapho ugwinya

Izimpawu ezinzima ezidinga usizo lwezokwelapha ngokushesha:

Uma unalezi zimpawu, kufanele uye esibhedlela ngokushesha , noma ushayele u-1990:

• Ubunzima obukhulu bokuphefumula
• Izindebe, iminwe, noma isikhumba siphenduka sibe luhlaza okwesibhakabhaka noma onsomi (lokhu kusho ukuthi umzimba awutholi umoya-mpilo owanele)
• Ukungakwazi ukudla noma ukuphuza noma yini
• Ukukhwehlela igazi

Uma unalezi zimpawu ezinzima, ungalokothi uhlale ekhaya . Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha okukhulu.

Ziyini izimbangela ze-stridor?

Kunezimbangela eziningana ze-stridor. Izimbangela ezivame kakhulu yilezi:

• Ukutheleleka kwendlela yokuphefumula ephezulu (isb., i-croup yegciwane) : Lena imbangela evame kakhulu ye-stridor ezinganeni ezincane, ebangela cishe ama-90% azo zonke izimo ze-stridor.
• Ukufisa komzimba wangaphandle : Izingane ezincane zingaminza izinto ezifana namathoyizi nokudla.
• Noma iyiphi ingozi noma ukulimala kwendlela yokuphefumula.
• Ukuvuvukala (isib. i-tonsillitis, i-epiglottitis). I-Epiglottitis yisimo esibi kakhulu.

Kungase kube nezinye izizathu:

• Ukusabela kokungezwani komzimba (ukungezwani komzimba okukhulu)
• Isigaxa (isib. umdlavuza we-laryngeal)
• Ithumba
• Ukungasebenzi kahle kwe-vocal cord noma ukukhubazeka
• Ukuphefumula intuthu noma amakhemikhali
• Ngemva kokuhlinzwa entanyeni

Kwenzekani emzimbeni wami uma ngine-stridor?

Indlela yokuphefumula yesistimu yethu yokuphefumula iqukethe umphimbo (Pharynx), i-larynx (Larynx), i-trachea (Trachea), kanye ne-bronchi (Bronchi). Umlomo nekhala kusiza ekuthwaleni umoya-mpilo uye emaphashini ngalezi zindlela zomoya, kanye nokukhipha i-carbon dioxide. Umoya-mpilo ubalulekile ukuze imizimba yethu iphile.

Cabanga ngensimbi yomculo efana necilongo. Yenza umsindo ngokudlidliza komoya njengoba udlula kuwo. Uma sicindezela okhiye becilongo, umsindo owenzayo uyashintsha. Lokho kungenxa yokuthi ukhiye esiwucindezelayo uvimba indlela yomoya, ushintsha ukudlidliza. Ngendlela efanayo, uma kukhona ukuvinjelwa kwendlela yakho yokuphefumula, umsindo owenzayo lapho uphefumula futhi ukhipha umoya uzoshintsha, njengoba nje uma ucindezela ukhiye ecilongoni, umsindo uyashintsha.

Odokotela baxilonga kanjani i-stridor?

Udokotela wakho uzonquma imbangela eqondile ye-stridor yakho ngokuthatha izimpawu zakho, umlando wezokwelapha, kanye nokukuhlola. Ngemuva kwalokho, bangenza ezinye izivivinyo ukuqinisekisa ukuxilongwa. Ezinye zalezi zifaka:

• Ukuhlolwa kwezithombe: I-X-ray yentamo noma isifuba.
• Ukuhlolwa kwegesi egazini: Lokhu kuhlola amazinga omoya-mpilo kanye ne-carbon dioxide egazini lakho.
• I-pulse oximeter: Le divayisi encane inamathele emunweni futhi ilinganisa izinga lomoya-mpilo egazini.
• I-Laryngoscopy noma i-Bronchoscopy: Lokhu kuhilela ukufaka ithubhu elincane, elifakwe ikhamera (i-endoscope) ngomlomo noma ekhaleni lakho ukuze ubheke ngaphakathi kwemigudu yakho yomoya namaphaphu. Lokhu kungakusiza ukuthi ubone kahle ukuthi ukuvaleka kukuphi nokuthi kubukeka kanjani.

Iphathwa kanjani i-Stridor?

Umgomo oyinhloko wokwelashwa kwe-stridor ukuvula indlela yokuphefumula kanye/noma ukunciphisa ukuvaleka . Ukwelashwa kuncike embangela ye-stridor yakho. Kodwa-ke, ezinye zezindlela zokwelapha zingafaka:

• Ukuhlinzwa: Ukususa ukuvaleka noma into yangaphandle ebambekile, noma ukwandisa indlela yokuphefumula.
• Imithi: Nciphisa ukuvuvukala (ukuvuvukala), welaphe ukutheleleka uma kukhona, futhi wehlise ubuhlungu.
• I-Heimlich maneuver: Le ndlela isetshenziselwa ukususa into ebhajwe emphinjeni.
• I-oxygen eyengeziwe: I-oxygen inikezwa ngemaski noma ngepayipi elincane elifakwa ekhaleni.
• Ukufakwa kwepayipi endleleni yokuphefumula: Ipayipi lifakwa ngokuhlinzwa epayipini lomoya (i-trachea) ngomlomo, ekhaleni, noma emphinjeni, okudala indlela yokudlula komoya kuze kube yilapho udokotela esusa ukuvaleka.

Ngemva kokwelashwa, udokotela wakho uzoqhubeka nokuqapha izimpawu zakho ukuze abone ukuthi ukwelashwa kuphumelele yini nokuthi ukululama kwakho kuphephile yini.

Ngizolulama ngokushesha kangakanani ngemva kokwelashwa?

Isikhathi esithathayo ukuze ululame sincike ekutheni yini ebangele i-stridor yakho nokuthi udokotela wakho usebenzise yiphi indlela yokwelapha ukuze aqede ukuvaleka komoya. Ngomuthi, kufanele uzizwe ungcono ezinsukwini ezimbili kuya kwezintathu. Ngokuhlinzwa, kungathatha isikhathi eside, futhi kungathatha amasonto ambalwa ukuthi ubuyele esimweni esijwayelekile. Kodwa-ke, kungakhathaliseki ukuthi ukhetha luphi ukwelashwa, kufanele uzizwe ukhululekile ngokushesha uma ukuvaleka sekuphelile .

Ungayinciphisa kanjani ingozi ye-stridor?

Kunezimbangela eziningi ze-stridor, ngakho akunakwenzeka ukuzigwema zonke. Kodwa-ke, ungenza okulandelayo ukuze unciphise ingozi yakho:

• Qaphela ingane yakho encane ngenkathi idlala futhi idla. Gcina izinto ezincane kude nendlela yayo ezingazifaka emlonyeni wayo.
• Uma udla, sika ukudla kube yizicucu ezincane, ukuhlafune kahle, bese ukugwinya. Ngaleyo ndlela, ngeke kube lula ukuthi uminze.
• Ungashiyi amathoyizi amancane noma izinhlamvu zemali lapho izingane ezincane zingazithola khona.
• Nciphisa ukuchayeka kwakho ezindaweni ezinentuthu.
• Gcina amathoyizi nezinto ezisetshenziswa njalo zihlanzekile futhi zihlanziwe ngamagciwane.
• Geza izandla zakho njalo ngensipho.

Yini okufanele ngiyilindele uma ngine-stridor?

Uma ushesha ufuna ukwelashwa ukuze kuqedwe ukuvaleka komoya, kulapho umphumela uba ngcono khona. Udokotela wakho angathola imbangela ye-stridor yakho futhi akwelaphe ngokushesha ngaphambi kokuba kuvele noma yiziphi izinkinga.

Kodwa khumbula, uma i-stridor ingelashwa ngokushesha, ingaba yingozi empilweni . Kungaholela ezimweni ezifana nokwehluleka kokuphefumula. Ukwehluleka kokuphefumula kwenzeka lapho igazi lakho lingatholi umoya-mpilo owanele ukugcina izitho zomzimba wakho zisebenza.

Kufanele ngimbone nini udokotela wami?

Uma unezimpawu ze-stridor, qiniseka ukuthi ubona udokotela . I-Stridor iyisibonakaliso sokuthi kukhona okwenzekayo emzimbeni wakho okungaba yingozi empilweni. Ungakuhlehlisi ukuya kudokotela, ngoba kungaholela ezinkingeni eziyingozi uma kungelashwa.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma une-stridor entsha yokuqala, noma uma unenkinga yokuphefumula, iya ekamelweni eliphuthumayo ngokushesha, noma ushayele u-911 .

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

• Uma ngihlinzwa ukuze kususwe ukuvaleka kwendlela yami yokuphefumula, yini engingayidla futhi ngiyiphuze ngemva kwalokho?
• Ingabe ikhona imiphumela emibi emithini oyincomayo?
• Ingabe ngidinga ukubuya ukuze ngithole i-aphoyintimenti yokulandelela ukuze ngihlole izimpawu zami?
• Ngingamvimba kanjani umntwana wami ukuthi angafaki izinto ezincane emlonyeni wakhe?

Ingabe i-stridor kanye nokuhudula umoya kuyinto efanayo?

Nakuba abanye abantu basebenzisa igama elithi “wheezing” ngokushintshana nelithi “stridor,” kunomehluko phakathi kwalezi zimpawu ezimbili. Zombili i-“stridor” ne-“wheezing” zizwakala njengomsindo ophakeme.

• I-Stridor yenzeka uma kukhona ukuvinjelwa endleleni yakho yokungena (enkulu) ephakathi (umphimbo, i-larynx, i-trachea - okuningi 'esifundeni esingaphandle kwesifuba').
• Ukuphefumula kwenzeka lapho imigudu yomoya emincane engaphakathi kwamaphaphu akho (imigudu yomoya engaphakathi kwesifuba) ivaleka noma incipha. Lokhu kuvamile kubantu abane-asthma kanye ne-allergies.

I-Stridor ivame ukubonakala ezinganeni ezincane, kubantu abadala abavalekile emigudwini yabo yokuphefumula, noma kulabo abanesifo.

Uyini umehluko phakathi kweStridor neStertor?

• I-Stertor futhi umsindo ongajwayelekile owukhiphayo uma uphefumula. Kodwa kwenzeka uma kukhona ukuvaleka ngaphezu kwe-larynx yakho, okuyingxenye engenhla yekhala lakho nomphimbo. Lo msindo uvame ukuzwakala ngezwi elihoshozelayo, eliphansi. Kufana nokuhona.
• I-Stridor umsindo ophakeme obangelwa ukuvaleka kwe-larynx kanye ne-trachea engaphansi kwayo.

Kalula nje, i-stridor umsindo ongajwayelekile owukhiphayo uma uphefumula (noma ukhipha umoya), isignali evela emzimbeni wakho yokuthi kukhona okungahambi kahle ngendlela yakho yokuphefumula futhi okudingeka ilungiswe noma yelashwe. Uma uzwa lo msindo, ungawushayi indiva. Ngoba umoya-mpilo ubalulekile ukuze imizimba yethu iphile. Kunezindlela zokwelapha lokhu, futhi ngalezo zindlela zokwelapha, ungawuqeda lo msindo wokuphefumula ongajwayelekile futhi ululame.

## Izinto ezibalulekile okufanele uzikhumbule (Umyalezo Ofanele Uwuthathe Uhambe Nawe Ekhaya)

• I-Stridor umsindo ozwakalayo ophakeme, ozwakalayo uma uphefumula ngaphakathi noma ngaphandle. Kuwuphawu lokuvaleka komoya.
• Lokhu kuvamile ezinganeni ezincane, ngoba izindlela zabo zokuphefumula zincane.
• Izifo ezifana ne-croup kanye nokuthile okubhajwe emphinjeni kungaba yizimbangela eziyinhloko.
• Uma unezimpawu ezifana nobunzima obukhulu bokuphefumula kanye nesikhumba esiluhlaza okwesibhakabhaka, kuyisimo esiphuthumayo! Yiya esibhedlela ngokushesha.
• I-Stridor ingelapheka ngokuphelele ngokuthola nokwelapha imbangela.
• Ungalokothi ungazinaki izimpawu ezinjengalezi. Kuwukuhlakanipha ukufuna iseluleko sezokwelapha.

Kubaluleke kakhulu kuwe nomndeni wakho ukuqaphela lezi zimpawu. Hlala uphilile!

I- Stridor, Ubunzima bokuphefumula, Izifo zokuphefumula, Ukuminyana komphimbo, Ukuqaqamba kwesisu, Impilo yengane, Ukunakekelwa okuphuthumayo