Akuphokosera chifuwa: zizindikiro, chithandizo, kupewa. Akuphokosera chifuwa: mmene tiyenera kuchitira?

Pertussis ndi wamba matenda kupuma thirakiti matenda, yomwe INGATHE kuyambitsa tsankho kuledzera. matenda limodzi ndi aakulu paroxysmal chifuwa. Iwo makamaka matenda ana, makamaka makanda chifukwa iwo ndi chitetezo chokwanira ndi zambiri kutengera zochita kunja. Ngakhale achinyamata ndi akulu amene alibe anadutsa njira ya katemera Angagwiritsidwenso kachilombo pertussis.

matenda ndi chiyani?

Imautsa chitukuko cha pertussis mabakiteriya Bordatella pertussis. matenda airway Amapatsirana kwambiri iliyonse pambuyo kukhudzana ndi munthu amene ali amadwala pambuyo pake. Akuphokosera chifuwa ankaganiza yekha matenda ana, koma posachedwapa chinawonjezeka chiwerengero cha akuluakulu amatenga kachilomboka ndi achinyamata. Chimaposa kudwala kuli kovuta pa msinkhu uliwonse.

Akuphokosera chifuwa kachedwedwe nthawi ndi kwa masiku 2 mpaka 14. Opatsirana matenda amenewa potsatira m'malovu airborne. Kutalika okwana matenda a masabata osachepera 6. Katemera ndi pertussis si kwathunthu amateteza thupi, ngakhale refresher, mukhoza kachilomboko kachiwiri.

Iwo agawidwa mitundu iwiri ya matenda: abortive ndi atypical. Zikatero, kutsokomola yosowa popanda nyamuka amphamvu kutentha. Pakuti mtundu abortive amakhala ndi chitukuko pachimake. Choyamba, pali awakande pakhosi, ndiye pali chifuwa mu chifuwa akuphokosera popanda spasms mwadzidzidzi. Patatha masiku angapo zizindikiro mukhoza kupita pa awo. Koma tikumbukire kuti akuphokosera chifuwa - ndi kudwala oopsa, ndipo ngati zilibe kupeza nthawi, mavuto angayambe, nthawi zina amapha.

Zimayambitsa tizilombo toyambitsa

Ndiwo kufala kwa matenda ndi munthu amene akudwalayo. oopsa matenda ambiri mitundu atypical kapena zichotsedwa la maphunzirowa.

matenda ndi zovuta kupewa chifukwa nthawi makulitsidwe sangakhoze anaona, ndi catarrhal akuphokosera chifuwa kumachitika mu mawonekedwe ofatsa. N'chifukwa chake anthu ambiri samapereka chidwi ndi zizindikiro woyamba wa matendawa. Wodwala amayamba kudzutsa pamene chifuwa mu chifuwa akuphokosera kumatenga maminiti pang'ono, zikhale zovuta kwambiri mpweya. Popeza izi zizindikiro za matenda ndi chiyambi cha chitukuko, n'zosadabwitsa kuti kudzipatula munthu amene ali Nthawi zambiri pali yomweyo.

Tikumbukenso kuti milandu mbiri ya matenda a nyama zoweta ndi zakuthengo Koma mu nkhani iyi, ndi kudwala matendawa imatengedwa kuti akuphokosera. Pa munthu yomweyo nkhawa chifuwa.

Pertussis: zizindikiro

Monga tanenera kale, matenda kumatenga za 5-6 masabata. Iwo agawidwa magawo atatu akulu akulu: catarrhal, paroxysmal ndi gawo kuchira.

Catarrhal siteji mwina kwa masiku 14. Pa prodromal nthawi munthu nkhawa za zonse chifuwa youma. Pertussis mu stepi ino nzosachita kulera kutentha. Ndi pa siteji kawirikawiri misdiagnose. Wodwala matenda matenda kapena matenda pachimake kupuma tizilombo. kukhosomola limapezeka Ndi chitukuko cha matenda. Akuphokosera chifuwa panthawi imeneyi Amapatsirana kwambiri, koma kusiya nthawi yino zosavuta.

mabakiteriya amene amayambitsa matenda, tsiku lililonse kutaya ntchito yawo, ndipo pofika kumapeto kwa sabata lachitatu, kwenikweni wofooka. Koma nthawi iyi wodwala kutsindikiza kupatsira anthu ambiri amene anazungulira iye.

Kudzera siteji paroxysmal akuyamba masabata 2-3 pambuyo matenda. Pa nthawi imeneyi, pali spasmodic chifuwa. kuukira kunja wodwala akumva khalidwe loipa iye akanali yemweyo. Pamene ana akuyandikira kuphipha, ali mantha, kudandaula a zilonda zapakhosi. Ndiye chifuwa (kwa akuphokosera chifuwa ana pang'onopang'ono nakweza) amakhala paroxysmal ndi convulsive. Chifukwa cha iye, kumakhaladi yopumula.

Pamene boma yachibadwa (kawirikawiri izi zimachitika pambuyo zodabwitsa 12), igwera mu Airways ndi mpweya wenzulo. kamphindi amenewa amatchedwa reprise.

Pa nthawi kumeneko 3-6 ndi spasms chifuwa reprises. Munthu kachilombo munthu ndi buluu kapena wofiira, lilime yotundumukira kunja kwa mpanda patsogolo, ndi pa khosi mitsempha pathupi. Ngakhale pamene zoopsa zotere zingachitike, kapena khunyu zimachitika mowiriza pokodza. N'zotheka kukomoka. N'chifukwa chake makolo ayenera kuonetsetsa kuti mukudziwa mtundu wa chifuwa mu chifuwa akuphokosera, pofuna kupewa kumwa.

Back mu kuphipha mochedwa anapambulwa ntchofu ambiri viscous ndi wandiweyani, nthawi zina amabwera kwa kusanza. Kuukira limapezeka pa zifukwa zosiyanasiyana, mwachitsanzo, chifukwa maganizo akhakula, mwadzidzidzi phokoso kapena phokoso. Mu paroxysmal nthawi kutentha kawirikawiri kukacha. Koma kawirikawiri zimathera akuphokosera chifuwa usiku, amene si kugona.

Pambuyo imeneyi kuchira akuyamba. Amakhulupirira kuti sitepe amapezeka mu mwezi wachiwiri wa matenda, wonse thanzi Kuwonjezera ndi chifuwa ayamba osowa.

State atadwala

Chifuwa pambuyo chifuwa akuphokosera amatha kwa nthawi yaitali kuti Musiyeni munthu amene anali kudwala matenda. Muzikumbukira zikhoza kwa nthawi yaitali, izo zonse zimadalira chitetezo cha m'thupi. Yotsalira chifuwa ndi mphumu ndi matupi awo sagwirizana chirengedwe, kotero icho chiri kuti kafukufuku.

Pamaso pa zizindikiro chotero ndi chifukwa chakuti matenda chifuwa pakati kwambiri sakumvetsa ndi overexcited maselo pambuyo mankhwala nthawi zina zoyambitsa kutsokomola pambuyo chifuwa akuphokosera. Mu nthawi imeneyi, madokotala akulangizidwa kuti mupewe matenda osiyanasiyana.

Kodi kudziwa matenda?

Izi airway kudwala matenda kovuta. Nthawi kusokonezedwa ndi matenda nthunzi pertussis ngati. Komabe, tiyenera kukumbukira kuti nthumwi za matenda opatsirana yekha ndi m'malovu airborne. Chifuwa ndi akuphokosera chifuwa ana ndi akulu ndi yeniyeni kuti dokotala akhoza kudziwa matenda, kungomva munthu kachilombo.

Pamaso matenda, dokotala likamva mbiri loyamba la wodwalayo. anapezazo nthawi zambiri amasonyeza matenda zotheka pa kukhudzana ndi mtima pamaso pa anthu ndi kachilombo pertussis munthu. Ndithudi, matenda sanathe kuonekera mu maziko a matenda pachimake kupuma kapena kukhala vuto la matenda ena.

Mu matenda a kudwala kuli kovuta kusiyanitsa ku matenda alipo aakulu matenda pachimake ndi kuntchito kupuma.

Symptomatology pertussis akusonyeza pamaso pa matenda ndi monga chifuwa imene achindunji kwambiri. Kulongosolerana ndi matenda presumptive, wodwalayo amatenga seeding kumaliseche pamene kutsokomola kuphunzira chilengedwe wapadera ndi osauka microflora ake. Komanso, kuyezetsa zina kuwunika chikhalidwe ambiri wodwala.

Zovuta chifukwa cha chifuwa akuphokosera

Monga kale, ndi atengeke ambiri matenda ndi ana ang'onoang'ono, makamaka ana akhanda. Ndipo grudnichki kuzilepheretsa popanda chifuwa akuphokosera. Koma ndi ali Mwina mkulu wa matenda matenda. Nthawi zambiri, matenda izi bakiteriya kumayambitsa mavuto otsatirawa:

• madzi m'thupi;
• nthawi kapena kuchedwetsa kupuma kumangidwa;
• chibayo (mwa kulankhula kwina, chibayo);
• kuonda chifukwa kusanza pafupipafupi;
• kupweteka;
• kusokonezeka kwa ubongo;
• kulephera aimpso mu yomwe inkafuna dialysis zosakhalitsa.

Komanso, kuyan'anila za ntchito ubongo ndi kutukusira kwa mapapo angakhale ndi zotsatira zoipa, kuphatikizapo imfa. Komabe, Zikatero n'zochepa.

Akuluakulu ndi ana okulirapo ndi matenda kupanga mavuto, koma si nthawi zonse pamene ana, ndipo kosavuta kupirira. Pasanathe aakulu zotsatira pertussis monga nuchoka pa m'mbali ndi magazi kuchokera mphuno chifukwa cha chifuwa aakulu komanso kutupa kwa nkhope, mapangidwe zilonda pakamwa ndi pa lilime. Mwazina, angathe TV otitis.

Ngati pertussis kachilombo mayi ake, iye akanatha kulimbana padera lachibadwa. Kumene, Zikatero n'zochepa kwambiri, monga anthu akuluakulu, nthawi zambiri katemera matenda. Komabe, zimachitika. Pamene mwana wobala makamaka oopsa aakulu njira ya matenda, pamene tsiku zifika 30 kukhosomola. Komabe, matenda izi bakiteriya amatha kulimbikitsa chitukuko cha mwana.

Kumbukirani kuti chifuwa mu chifuwa akuphokosera ndi chizindikiro chachikulu cha matenda. Kupewa mavuto amenewa, akhale pomwepo ndi maonekedwe a anati khalidwe kuwona dotolo.

Kodi kuchotsa matenda kudzera mwa mankhwala?

Akuphokosera chifuwa ndi zovuta kupereka mankhwala. Chithandizo cha matenda nthawi zambiri kunyumba, mu chipatala anatumiza ngati wodwalayo anati kuyan'anila za kufalitsidwa oziziritsa ndi dongosolo kupuma.

Popeza anthu pa chitukuko cha matenda izi bakiteriya, akudwala chifuwa chachikuluchi madokotala akuyesa njira zosiyanasiyana kuti tisaletse vuto lake. Kuchiza akuphokosera chifuwa, mankhwala mankhwala zotsatirazi:

• Mucolytic mankhwala. Ambiri iwo ntchito mu mawonekedwe a inhalations kuti liquefy sputum kupereka ndi ufulu outflow.
• Bronchodilators. Izi kuteteza kuphipha ndi atsogolere kuwonjezeka bronchodilation.
• Vasodilators ndi mankhwala. mankhwala amenewa amathandiza kusintha magazi mu ubongo, potero popewa chitukuko cha mpweya njala.
• Antitussives. Mankhwala kawirikawiri, monga chifuwa akuphokosera ali ndi dzuwa otsika.

Ngati mutsatira malangizo adokotala zonse, mudzatha mwamsanga kuchiritsa akuphokosera chifuwa. Kodi yaitali kutsokomola ndiye, izo zimatengera mlingo wa matenda osasamalidwa. Ambiri mankhwala pa matenda amenewa imachitika pa ntchito payekha, chifukwa matendawa munthu aliyense ali osiyana.

Mwachitsanzo, ngati mwanayo ankadwala akuphokosera chifuwa, kapena pali digiri choopsa cha matenda, kumaonjezera ngozi ya hypoxia. Pankhaniyi, mpweya mankhwala ikuchitika. Pa njirayi, chihema chapadera kupyolera chigoba makanda zimalowa mtembo wa mpweya mwana apindula ndi mpweya koyera. chithandizo china imagwiridwa wothandizila nootropic kwa kuwongolera kagayidwe ubongo.

Komanso, iwo akhonza kupatsidwa masiku awiri phwando glyukokortikosteirodov kuthetsa pertussis. Kutsokomola Chithandizo choncho ndi zothandiza: kuchepetsedwa mphamvu ya kuukira, kumatha akanthawi kusiya kupuma.

Kukachitika kuti munthu akudwala pertussis, wapezeka hypersensitivity kapena mbali yapadera ya mankhwala aliwonse, madokotala mankhwala mankhwala. Pa konzanso ndi ayambe odwala akulangizidwa kutenga mavitamini, makamaka gulu B, A ndi C. zingakuthandizeni bwino ntchito m'thupi ndipo mwamsanga kubwezeretsa thupi atadwala.

Tikumbukenso kuti akuphokosera chifuwa akuluakulu kuti m'pofunika kuchitira ndi mankhwala okha masiku 10 cha matenda, kapena chitukuko cha mavuto monga chibayo ndi chifuwa. Enawo, mankhwala sangathandize.

Infection control njira sagwirizana nazo

Kuthetsa chifuwa mu chifuwa akuphokosera kudzakuthandizani mankhwala wowerengeka. Bwino kutsimikiziridwa mankhwalawa tincture matenda a katsitsumzukwa. Kukonzekera ake adzafunika mphukira wa zomera, umene uyenera wosweka, kuwonjezera mu thermos, kutsanulira madzi otentha ndi kusiya kwa maola 3. Wokonzeka chakumwa zimawononga supuni imodzi kangapo patsiku kudya.

Chotsani chifuwa mu chifuwa akuphokosera kupeza mankhwala ongokhala thyme, tsabola zipatso, masamba paini, knotweed, mbewu fennel ndi licorice mizu. zigawo zonse izi ziyenera osokonezeka mulingo ofanana (supuni 1), ndi kuwonjezera madzi kulowetsedwa wa. Patapita maola angapo, kunali koyenera kuvala moto ndi wiritsani kwa mphindi 2. The msuzi chifukwa ayenera kukhala ozizira, ndiye kukhetsa bwino. Ntchito ayenera kukhala theka la ola pamaso chakudya 3 zina tsiku ndi 150 ml.

zotsatira zabwino mu chifuwa akuphokosera ali uchi ndi wakuda radish. Pakuti yokonza medicament ndi ntchito yaikulu muzu masamba. Choyamba, kusamba bwinobwino ndi radish kenako anadula pamwamba ndi oyera ake thupi pang'ono mkati. The recess chifukwa ladzala ndi uchi, likufotokoza odulidwa mizu gawo kumanzere kwa maola 2.5 kuchotsa madzi. Ndiye kusakaniza izi ndi kutenga 1 yaing'ono amsupuni nthawi osachepera 5 tsiku pamaso chakudya. Ndi radish madzi ndi uchi amaloledwa kuperekedwa kwa ana kuchitira akuphokosera chifuwa. Mankhwalawa kumatenga bola ngati matenda sizimapita mu siteji kuchira. Ndi chida chotero osati kuthetsa alili, koma ngakhale kupewa chitukuko cha matendawo.

Wina njira pertussis ndi osakaniza ndi uchi ndi mpendadzuwa mbewu. Konzani izo mophweka: choyamba mbewu zouma mu poto kapena mu uvuni, ndiye inawaperapera ndi anathira madzi ndi uchi. njira imeneyi wabweretsedwa kwa chithupsa ndi yophika mpaka nkhani mphika sadzatero theka. Msuzi utakhazikika, osasankhidwa ndi kumwa sips yaing'ono tsiku lonse.

Chiritsani akuphokosera chifuwa kunyumba adzathandiza mafuta zofunika wa camphor nkhuni ndi Oil, viniga 6%. zosakaniza izi zinaphatikizana mulingo ofanana kuti alandire misa homogeneous. Iwo wasambitsa ndi kachidutswa kakang'ono ka nsalu, limene chatsanulidwa ndi umagwiritsidwa ntchito pamwamba pa chifuwa. Kupanga compress bwino madzulo pamaso yogona. Ndi osafunika kuchita njirayi kwa anthu pansi zaka 13 zakubadwa.

Kuthetsa zizindikiro za pertussis kungakhale anyezi madzi, amene ali kovuta kuchita. Choyamba tiyenera anyezi finely kuwaza popanda gaga ndi kuika mu chidebe galasi. chidebe ichi ayenera kuwonjezera supuni 4 shuga, ndiye kutseka chivindikiro ndi kusiya kwa maola 4. Panthawi imeneyi, anyezi adzapereka madzi okwanira, amene adzakhala mankhwala chifuwa akuphokosera. Kumwa madzi izi ndi zofunika tsiku lonse ndi 1 yaing'ono supuni aliyense 2 hours. Njira achire zimatha mpaka kuchira bwino.

miyeso Support

Ngakhale pambuyo zidzatheke pofuna kuchiza akuphokosera chifuwa, kutsokomola liti kusokoneza munthu. Choncho, madokotala amalangiza pafupipafupi ndi zambiri kuyenda kusintha ntchito zoteteza wa chamoyo. Chabwino, ngati nkutheka nthawi yocheza kuti m'dziko kapena m'mudzi, kupita ku nkhalango ndi pafupi dziwe. Lonyowa mpweya popanda mpweya utsi ladzala ndi mpweya, mwamsanga achire matenda.

Akuphokosera chifuwa - uwu si matenda nyengo, monga fuluwenza kapena SARS, kotero inu mukhoza kuwatengera iwo m'chilimwe. Zima kupewa hypothermia pa koyenda. M'pofunika zonse kuchita chonyowa kuyeretsa, makamaka mu chipinda cha ana. Pamwamba pa zonse, muyenera tichotse makapeti, zidole zofewa ndi zinthu zina zimene kudziunjikira fumbi.

Ngati inu kupewa matenda, ndiye chipinda ayenera kuchotsa mpweya wa allergens kuti tifulumizane kukhosomola. Desirably zolinga ngati ntchito chopangira chinyezi. Pamene chipinda otentha ndi youma mpweya, pa kuphipha sputum (kale viscous) imayenda movutikira zimene zingachititse mavuto.

Akuphokosera chifuwa Kwalamulidwa mankhwala osati kokha, komanso amapanga zakudya:

• The zakudya kuwonjezera zakudya mipanda yolimba kwambiri ndi mavitamini B - mazira, livers nkhuku, kanyumba tchizi.
• Musadye zakudya kusuta ndi yokazinga.
• Iwo ali osavomerezeka kumwa tiyi, mowa ndi khofi.

Ndi bwino kudya izi kudwala pureed soups. Ndipo pali kufunika fractional - chakudya chochepa ndipo zosachepera 6 pa tsiku.

Kodi si kuti akuphokosera chifuwa?

Ngakhale kuti matenda kwambiri opatsirana, lero njira kuthandiza kupewa matenda. The njira yabwino kwambiri imatengedwa kuti katemera.

Ikani mwana wanu katemera chifuwa akuphokosera katatu - ndi imeneyi ya milungu 6. Ndipo yoyamba kuyambira miyezi itatu moyo. Revaccination ikuchitika pamene mwana akutembenukira zaka zisanu ndi chimodzi. Pambuyo amabala chitetezo chokwanira ndi nthenda ndi zaka 5. Koma kuti athe kuteteza motsutsana vaccinations akuphokosera chifuwa, mwatsoka, simungathe. Kungoti zimathandiza kusamutsa matenda mosavuta.

chitetezo chokwanira chosunga aumbike pambuyo anthu akhala kudwala matenda. Ngakhale kachiwiri matenda ndi zotheka ngati ntchito zoteteza wa chamoyo wofooka chifukwa zifukwa zina. Katemera Pertussis ntchito, monga "Infanrix" ndi DTP. Woyamba Belgium mankhwala, ndipo chachiwiri - Russia. Kumene, pali anthu ena, koma izi nthawi zambiri amagwiritsidwa ntchito polimbana ndi matenda.

Osiyana mtundu wa katemera pertussis chigawo. Lonse selo DTP, ndipo mu "Infanrix" - acellular. Katemera Last ndi zodula, koma asayansi amanena kuti m'malo a mankhwala si kumathandiza chachikulu, ndipo sizichepetsa Mwachangu lapansi. Russian chilengedwe katemera, monga yofunsira kupewa chifuwa akuphokosera, osati kokha, komanso diphtheria ndi kafumbata. Pambuyo anthu kukhala chitetezo kuti timakhala antigens bakiteriya selo.

Wamkulu pertussis katemera sakhala n'cholinga iwo kale anapanga chitetezo chokwanira pambuyo katemera mwana. Komanso, ambiri a milandu anthu pa moyo wawo kamodzi, koma amanyamula matenda, ngakhale mu maonekedwe a bata, kumutenga iye ndi chimfine.

Monga amadziwika, monga kudwala ndi imafalikira ndi m'malovu airborne, momwe wodwala kwambiri opatsirana pa gawo loyamba la matenda. Choncho muyenera kudziwa wotani chifuwa mu chifuwa akuphokosera kupewa mavuto. munthu kachilombo ayenera olekanitsidwa acibanja kwa masabata 2-3, malinga ndi zochita za matenda. Nthaŵi zonse tiyenera ventilate chipinda chimene ili. Angayambe akuphokosera chifuwa makamaka ana zaka 6-7.