Bronchiolitis ana: Zizindikiro ndi Chithandizo

Bronchiolitis ana kumachitika chifukwa cha mavuto a matenda monga SARS kapena fuluwenza. matenda nthawi zambiri poyera ana kwa chaka. Kodi pachimake cha matenda - kuchokera wachiwiri kwa miyezi chimodzi. chifukwa ndi wosavuta - chitetezo cha m'thupi silamphamvu kupirira mavairasi onse. Kamodzi mu thupi, matenda afika mu bronchioles lapansi.

Zizindikiro zoyambirira chenjezo

Ngati bronchiolitis ana, zizindikiro akapezedwe ndi:

• spasmodic chifuwa, nthawi zina ndi youma;
• Thupi kutentha limatuluka osati kwambiri;
• pa kupuma kuoneka mluzu phokoso;
• pano kapena chimfine mphuno M'malo mwake, anakhazikitsa.

Disease akufotokozera mofulumira, ndipo ngati nthawi iyi kanthu zachitika pangakhale vuto mu mawonekedwe kulephera kupuma.

Kodi kudziwa matenda?

Amaganiziridwa bronchiolitis ana akhoza zikutsimikiziridwa ndi njira yosavuta. Kumbuyo kwa khutu mwanayo kuti, ngati mukumva phokoso gurgling, ndiye ayenera kuti akutanthauza kuti matenda zikutsimikiziridwa. Dziwani kuti si pamaso pa ayi kawirikawiri chifuwa ndi kutentha.

Pachimake bronchiolitis: Zizindikiro

Pakuti chimfine chithandizo sayankha zabwino kwa nthawi yaitali? Mwina akuwonekera pachimake bronchiolitis ana. zizindikiro zake:

• yafupika kudya kapena anataya;
• wotumbululuka khungu, ndi m'madera ena amapezeka cyanosis;
• bwino kumwa madzi ndi chakudya madzi m'thupi angayambe, zizindikiro zimene zikuphatikiza: utachepa pokodza, pamaso pa dryness mkamwa pamene kulira misozi, zimachitika umafulumizitsa;
• mwana kwambiri Moody, kukwiya, sakugona;
• Thupi kutentha ndi chinawonjezeka, koma pang'ono chabe;
• pamaso pa chifuwa youma, nthawi zina ndi pang'ono sputum;
• pangakhale kufupika kwa mpweya - phokoso uka kryahtyaschie ndi kulira, mphuno flaring chifuwa retracts pang'ono wamphamvu, kutchulidwa kufupika kwa mpweya;
• m'zochitika zina, akhoza kusiya kupuma;
• mavuto kupuma amapezeka nthawi zoposa 70 pa mphindi;
• ndikatha kumfunsafunsa adokotala akhoza oterewa crackles bwino;
• pambuyo atayezetsa limasonyeza kuti mlingo wa mlingo erythrocyte sedimentation ndi adatchithisira leukocytes.

Nkofunika kulakwitsa!

Bronchiolitis ana amakhala ndi kulephera kupuma, lomwe likhoza mawonekedwe aakulu kungachititse kuti suffocation. Pankhaniyi kuyesetsa panopa chithandizo, koma osati oyenerera, chifukwa pali milandu kuti matenda sakumvetsa ndi chifuwa cha mphumu kapena chibayo ndi matenda obstructive.

Zinthu mtima yaing'ono

Dokotala siinafike, m'pofunika kulenga zinthu zonse kuti vutoli chikhalidwe manda a mwanayo. Kuti tichite zimenezi, muyenera kutsatira malamulo zofunikira ziwiri:

1. Mpweya m'chipinda sayenera otentha ndi youma, popeza amakwiya kuyanika wa mucous ndi profuse thukuta kuti ana amakumana ndi imfa mofulumira thupi chinyezi. Kutentha sayenera kuposa madigiri 20 ndi chinyezi - 50 peresenti 70.
2. M'pofunika kuonetsetsa mwana wambiri wambiri madzimadzi. Akhanda zambiri ukapatse pamtima, ndi okalamba kupereka zakumwa angathe kumwa. Izi ziyenera kuchitika pofuna kupewa madzi m'thupi la thupi mwanayo.

Ndi zoletsedwa kuchita zimenezi

Zikatero, izo kutiletsa kutenga thandizo la njira zimenezi kunyumba:

• kuchititsa physiotherapy aliyense mu chifuwa;
• kuchita otentha inhalation;
• ntchito asatayike iliyonse popanda kusankhidwa dokotala.

Bronchiolitis obliterans: Zizindikiro

Kodi chingachitike n'chiyani ngati mawonekedwe pachimake cha matenda kuyamba? Mukhoza penyani bronchiolitis obliterans ana. Izi zikutanthauza kuti bronchioles ndi zazing'ono bronchi constrict, kenako pali kuphwanya otaya m'mapapo mwanga magazi. Patapita nthawi, mukhoza kuyamba kukhazikitsa njira pathological ya m'mapapo ndi matenda m'mapapo mwanga mtima.

Dziwani matenda chingatithandize zizindikiro zotsatirazi:

• yatsoka lowuma wosabereka chifuwa, amene anatsagana ndi pang'ono sputum;
• kufupika kwa mpweya osati pambuyo zofuna kukhetsa thukuta, komanso (ndi matenda mwapang'onopang'ono) mu mkhalidwe bata;
• Mungathe kusiyanitsa yonyowa wheezing, kupuma ngati wheezing.

Zizindikiro otere anati kwa nthawi yaitali - kuposa miyezi isanu ndi umodzi.

Bronchiolitis ana, makamaka aang'ono, zili ponseponse kwambiri. Iye amapita pa ndime ndi chibayo, amenenso ndi chimodzi mwa mavuto a SARS. Makanda ndi matenda yomweyo anatumiza kuchipatala. Koma ndi ana masiku asanakwane komanso ana amene anali obadwa nawo a mtima zopindika ndipo bronchopulmonary, kuika madzi m'thupi ndipo hypoxia zovuta. Mu zina itha imfa.

Njira zochizira

Pamene pali bronchiolitis asagwidwe mwa ana zingatenge kuposa mwezi umodzi. Kuchita izi, ntchito njira zingapo:

1. Zakumwa zobwezeretsa mankhwala, kutanthauza akamaliza njira thupi shuga ndi saline mwanayo. Izi zikhoza kuchitika kudzera m'mitsempha pakamwa. Iwo anagwira milandu amenewo pamene inu amafunika chisamaliro mwadzidzidzi.
2. Agwire miyeso pangozi pamene pali kupuma kulephera. Pankhaniyi, ndi achilungamo ndi asidi, ndi pa inhalation ya mankhwala, amene zochita amathandiza kuti kuchotsa suffocation kuukira.
3. Ntchito antivirals akhala virally matenda amapezeka. Chifukwa cha mankhwala nthawi zambiri, ndi interferon.

kukonzekera

Pamene matenda palinso matenda bakiteriya, monga pneumococcal kapena strep, mankhwala zambiri motere:

• "Amoxiclav".
• "Macropen".
• "Sumamed".
• "Augmentin".
• "Amosin" ndi ena ambiri.

Kuchotsa kutupa machubu bronchial ndi zofewa kupuma prescribers mankhwala.

bronchiolitis aakulu

Palokha, matenda akufotokozera mofulumira kwambiri. Ngakhale zizindikiro mwina kupezeka kwa miyezi isanu. Ndipo zotsatira zake zidzakhala kapena kuchira bwino, kapena ngati izi kukula mu bronchiolitis aakulu ana. Iwo anapatukana mu njira zosiyanasiyana njira yotupa:

• panbronchiolitis;
• follicular;
• kupuma.

kutupa ungakhalenso mitundu amenewa:

• Constrictive;
• proliferative.

Constrictive (kapena phewa) amakhala ndi mfundo yakuti pang'onopang'ono kukula fibrous minofu pakati pa zigawo minofu ndi epitelievym ndi bronchioles. Patapita nthawi, osati itsekeke pang'ono ndi lumen, komanso akhoza kutseka kwathunthu. Kapangidwe kupuma si choncho malleable, tingayambe ndiko kumayambitsa ndi kulephera kupuma.

Proliferative yodziwika ndi chakuti kuwononga mucosa kuwoneka granulomatous ndi connective minofu - ng'ombe Masson. Kupuma anapambulwa kwambiri amachepetsa mphamvu yake mayamwidwe ndi kupuma kunja anawawidwa.

Chithandizo cha matenda aakulu

Matenda bronchiolitis obliterans ana ankachitira m'njira ziwiri:

• mankhwala;
• wothandiza.

Mu chimake koyamba, lingathe kuperekedwa mucolytics, bronchodilators kapena mankhwala expectorant. Ngati pali kutupa mabakiteriya chikhalidwe, ndiye kuphatikiza zonse izi - ngakhalenso mankhwala.

Pakuti mankhwala adjunctive monga kutikita mu chifuwa, kupuma kokoka, physiotherapy, climatotherapy, speleotherapy ndi physiotherapy.

zotsatira

Ngati panali bronchiolitis ana, zotsatira zake zikhoza kukhala zosiyana kwambiri (ndi choncho pamene panalibe chithandizo yake). Tsopano tiona iwo

1. kutukusira kwa mapapo. Iwo kukwapula mu dongosolo kupuma minofu, chifukwa ndi chifuwa kwambiri. matenda amenewa kumachitika pamene pa siteji zapamwamba, akhoza limodzi ndi kutentha pang'ono. mavuto ndi ndondomeko kupuma nthawi zambiri anaona. Ngati nkhani iyi si te wa mankhwala ndi zinadzala ndi mavuto ngakhale zambiri zoopsa.
2. Bronchiectasis. Zimenezi amakhala mu kuti kuwonjezera ndiponso kumawononga makoma bronchial.
3. Mtima ndi kupuma kulephera. Mogwirizana ndi matenda ndi kutanganidwa mpweya kuwombola, ndipo ambiri ziwalo mkati simulandira mpweya okwanira. Kwakukulu amakhudza minofu mtima. Chifukwa, thupi chintchito chambiri, ndi mwazi salinso amazungulira m'thupi zofunika voliyumu. Ndipo uyu, nayenso, kusokoneza ntchito ndi ziwalo zina ndi machitidwe thupi la ana.
4. Chifuwa mu mawonekedwe aakulu. Ngati sanalandire chithandizo, zotsatira zake zingakhale kwambiri. Pankhaniyi, ntchito yaikulu ndi ankaimba ndi ngozi ngati monga fumbi, mipweya, ndipo zosiyanasiyana allergens.
5. Mphumu, umene umayenda kuchokera patsogolo gawo lawo siligwirizana ndi matenda. Matenda yodziwika ndi kutupa kwa mucosa ndi nthawi sipamu. Chotsatira ichi cha bronchiolitis ndi oopsa chifukwa pali matenda breathlessness.
6. M'mapapo mwanga ndiko kumayambitsa. Amenewa ana ali osowa kwambiri. Iwo amakhala ndi chakuti kuwombola mpweya mu mapapu wosweka ndi elasticity awo. Mu magawo oyambirira izo ziri kuwonetseredwa ndi kufupika kwa mpweya mu kuzizira. Koma ngati pali kuwonongeka, ndiye mu nyengo ina.
7. Bronchial kutsekeka. Iwo amakhala kupumira m'mwamba, chimene limodzi ndi mpweya wawonongeka. Mwanayo sakwanitsa kutulutsa kwathunthu monga amapuma kachiwiri. Chifukwa, kudzikundikira zatsalira izi akapsa kuthamanga kwa magazi.
8. Koma chifukwa ndi osowa m'mapapo mwanga mtima. Iwo amakwiya okhazikika kuthamanga kwa magazi. Chifukwa cha mkhutu kuwombola mpweya, mwana sangathe kuchita kanthu pa zofuna kukhetsa thukuta.

Malangizo pa kupewa matenda

Kuti bronchiolitis ana chiyani osadzuka, tiyenera kuyesetsa kuwateteza ku kukhudzana ndi ana kale kudwala. Komanso, musanyalanyaze ntchito odana ndi tizilombo, tempering njira ndiponso kugwiritsa ntchito bwino chakudya.

Ndi zofunika kuti akonze moyo hypoallergenic, kuyambira chifuwa ndi bronchiolitis m'njira zambiri. Musaiwale kutsatira nasopharynx mwanayo. M'pofunika kuti anali nthawi zonse zoyera, ndipo kunalibe masango.