Ngezinye izikhathi ingane yakho encane inomkhuhlane noma ukukhwehlela okuphenduka isimo esibi esenza kube nzima ukuphefumula, akunjalo? Sivame ukucabanga ukuthi lokhu kuyinto evamile, mhlawumbe umphimbo obuhlungu nje. Kodwa-ke, ngezinye izikhathi ngemuva kwalokhu kuba nesimo esibizwa ngokuthi i-Bacterial Tracheitis , esingalindelekile futhi esidinga ukwelashwa ngokushesha. Nakuba lesi kuyisimo esingavamile kakhulu, singathinta impilo yengane, ngakho-ke kubaluleke kakhulu ukuthi wonke umama nobaba baqaphele lokhu.
Kungani i-Bacterial Tracheitis ivele?
Kalula nje, i-Bacterial Tracheitis iwukutheleleka komphimbo wethu womoya, ipayipi eliyinhloko esiphefumula ngalo (i-trachea). Lomphimbo womoya yipayipi elihamba lisuka ebhokisini lethu lezwi liye emigudwini yomoya eyinhloko (i-bronchi) exhuma emaphashini.
Lesi simo ngokuvamile asiveli ngokuzumayo. Ngokuvamile, kwenzeka kanje:
Okokuqala, ingane ithola ukutheleleka ngegciwane, njengomkhuhlane ovamile. Leli gciwane lilimaza ulwelwesi oluthambile lwe-trachea. Njengoba nje amagciwane engangena kalula lapho isikhumba sethu silimele, amagciwane angangena kule trachea eyonakele futhi abangele ukutheleleka. Lokhu kubizwa ngokuthi i-Bacterial Tracheitis.
Ngisho nengane enempilo enhle ingaba nalesi simo. Kodwa-ke, uma lesi sifo sitholakala futhi selashwa kusenesikhathi, ukululama kuyashesha.
Kukhona ezinye izingane ezidinga ukunakekelwa okukhethekile. Okungukuthi, izingane ezingenawo amasosha omzimba aqinile . Futhi, izingane ezine-tracheostomy tube ku-trachea yazo ngesizathu esithile zisengozini enkulu yokuthola lesi sifo. Izinto ezifana nokuhlanza i-tube nsuku zonke ezinganeni ezinjalo kufanele zenziwe ngokucophelela.
Lesi sifo sivame kakhulu ezinganeni eziphakathi kweminyaka engu-3 no-8. Futhi, lesi simo sivame kakhulu ngezikhathi ezibandayo nezimvula lapho umkhuhlane nomkhuhlane kuvame khona.
Ziyini izimpawu zalesi sifo?
Ekuqaleni, kuqala njengokutheleleka okuvamile kwegciwane. Ngemva kosuku olulodwa noma ezimbili, izimpawu ziba zimbi ngokuzumayo. Ezinye izingane zingase zibonise izimpawu ezinzima zisuka nje. Kubaluleke kakhulu ukuqaphela lezi zimpawu.
| Isibonakaliso | Incazelo elula |
|---|---|
| I-Stridor (umsindo oqinile, odlidlizayo lapho uphefumula) | Lolu uphawu oluyinhloko. Umsindo obukhali nobukhali ovela emphinjeni lapho ingane idonsa umoya. Lo msindo ubangelwa ukuvuvukala nokuncipha komoya. |
| Ukukhwehlela Okubi | Ukukhwehlela okuhlukile ekukhwehleleni okuvamile, okujulile nokukhonkothayo. |
| Umkhuhlane ophezulu | Umkhuhlane ukhuphuka ngenxa yokutheleleka ngamagciwane emzimbeni. |
| Uketshezi olujiyile, olunamathelayo | Ukutheleleka emigudwini yomoya kubangela ukuthi kukhiqizwe ulwelwesi olujiyile nolunamathelayo. Lolwelwesi lwenza ukuphefumula kube nzima kakhulu. |
| Ubunzima bokuphefumula | Uma uphefumula, imisipha esifubeni nasentanyeni ibonakala sengathi iyadonsa. Ingane inenkinga yokuphefumula. |
| Ukuvuza amathe | Umphimbo uvuvukele, okwenza kube nzima ukugwinya amathe. Lokhu kungabangela ukuba amathe aphume emlonyeni. |
Uma ubona noma yiziphi zalezi zimpawu, bona udokotela ngokushesha. Uma ingane yakho inenkinga yokuphefumula, kungadingeka uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Udokotela uhlonza futhi aphathe kanjani lokhu?
Ngemva kokuhlola izimpawu zengane, uma udokotela esola lokhu, uzokwenza izinto ezithile ukuqinisekisa nokwelapha lesi sifo.
Ukuxilongwa kanye nokwelashwa
Kulesi simo, ingane kumele ilaliswe esibhedlela. Ngezinye izikhathi, ukwelashwa kungadinga ukulaliswa esibhedlela eYunithi Yokunakekelwa Okujulile (ICU) .
Into ebaluleke kakhulu ukugcina indlela yokuphefumula yengane ivulekile. Lokhu kungenziwa nguchwepheshe (njengochwepheshe wezindlebe, impumulo nomphimbo) obizwa nge -bronchoscopy .Lokhu kuhlola kuhilela ukudlulisa ipayipi elincane elinekhamera encane exhunywe epayipini lomoya ukuze kuhlolwe ingaphakathi. Liphinde lisetshenziselwe ukususa umucu ojiyile ovimba upayipi lomoya.
Njengoba lokhu kuyigciwane elibangelwa amagciwane, ama-antibiotic afakwa ngemithambo yegazi nakanjani. Lokhu kwelashwa kuzothatha cishe izinsuku eziyi-10 kuya kweziyi-14. Ngaphezu kwalokho, umoya-mpilo nawo unikezwa ukuze kube lula ngengane ukuphefumula.
Ukululama kanye nezingozi
Ngokwelashwa okufanele, izingane eziningi ziyalulama ngokuphelele zingakapheli izinsuku ezi-3 kuya kweziyi-12. Akukho monakalo ohlala njalo. Kodwa-ke, akuvamile kakhulu, ngemva kokufakwa kwepayipi endleleni yokuphefumula, indlela yokuphefumula ingase inciphe kancane.
Kodwa-ke, kumelwe sikhumbule nokuthi lokhu kungaba yisimo esiyingozi. Uma ukwelashwa kubambezeleka noma ukutheleleka kukhulu kakhulu, kungase kube nezinkinga ezithile. Isibonelo, ukwehluleka kwenhliziyo, ukuntuleka komoya-mpilo ebuchosheni, amaphaphu awile, i-'Septic Shock' noma i-'Acute Respiratory Distress Syndrome (ARDS)' kungenzeka. Yingakho ukwelashwa kusenesikhathi kubaluleke kangaka.
Esimweni esinjalo, ithimba elihlanganisa odokotela ababulala izinzwa, ochwepheshe bezindlebe, impumulo nomphimbo, ochwepheshe bezifo ezithelelanayo, kanye nodokotela begumbi lokunakekela abagula kakhulu baphatha ingane.
Ungayivikela kanjani ingane yakho ezimweni ezinjengalezi?
Into engcono kakhulu ongayenza ukuvimbela lesi sifo ngaphambi kokuba sivele. I-Bacterial Tracheitis ivame ukuqala ngemva kokutheleleka ngegciwane njenge-measles noma i-influenza (flu), ngakho-ke ukuvikela ingane yakho kulawo magciwane kuyinto ebaluleke kakhulu.
Isixazululo esingcono kakhulu ukunikeza ingane yakho yonke imijovo edingekayo ngesikhathi. Ikakhulukazi izinto ezifana nomjovo womkhuhlane, onikezwa izingane ezinezivikeli mzimba ezibuthakathaka, zisiza kakhulu ekuzivikeleni ezinkingeni ezinkulu kangaka.
Umlayezo Wokuya Nawe Ekhaya
- I-Bacterial Tracheitis iyisifo sokuphefumula esiyingozi esingase senzeke ezinganeni ezincane ngemva komkhuhlane ovamile.
- Uma ingane yakho ikhipha umsindo oshisayo lapho iphefumula, inomkhuhlane omkhulu, futhi ikhwehlela kakhulu, bona udokotela ngokushesha.
- Lokhu kungadinga ukulaliswa esibhedlela kanye nokwelashwa okujulile. Ngakho-ke ungesabi futhi ulandele imiyalelo kadokotela wakho.
- Uma kutholakale ukuthi unesifo futhi selashwe kusenesikhathi, ingane ingalulama ngokuphelele ngaphandle kokulimala unomphela.
- Ukugomela ingane yakho ngesikhathi, ikakhulukazi umkhuhlane kanye nesimungumungwane, kungasiza ekuyivikeleni kulezi zifo ezingathi sína.
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