Laryngotracheitis mankhwala ndi zizindikiro mu ana ndi akulu. pachimake laryngotracheitis

Today ife angakuuzeni mwatsatanetsatane zimene laryngotracheitis, kodi zimayambitsa matenda, zizindikiro zake ndi mankhwala.

mwachidule

Laryngotracheitis (zizindikiro ndi chithandizo ayankhidwa pansipa) ndi yotupa matenda zokhudza m'phuno ndi trachea. Ichi ndi chifukwa tizilombo toyambitsa matenda tizilombo.

diagnostics

Musanayambe kuchitira laryngotracheitis, wodwala ayenera kuonana ndi dokotala. Pambuyo matenda a matenda ikuchitika yekha mu njira ya Kuphunzira mtima, auscultation ndi percussion m'mapapo mikrolaringoskopii, CT jambulani wa trachea ndi m'phuno, m'mapapo X-ray, tosaoneka ndi bacteriological Kupenda sputum, komanso mayesero ena kuti kuzindikira causative wothandizira.

zimayambitsa

Aakulu kapena pachimake laryngotracheitis zambiri zikuchitika monga vuto pa maziko a matenda monga pharyngitis, laryngitis, zilonda zapakhosi, adenoids, rhinitis ndi sinusitis. Komanso, zopatuka izi zingachitike chifukwa kufala kwa kutupa mu Airways m'munsi limodzi ndi chitukuko cha matenda, bronchiolitis kapena chibayo. Dziwani kuti laringotraheita zizindikiro ana ndi osiyana ndi matenda a anaona akuluakulu. Ndipo ichi ndi chifukwa chakuti m'phuno sanayambebe anapanga mwana bwino. Ndicho chifukwa ana ochepera zaka 6 amene timapemphera ndi matenda zambiri anapanga kuchepetsa wa thupi, zikubweretsa mavuto kupuma monga croup onyenga.

Komanso, laryngotracheitis tizilombo bwino zimayamba ndi adenovirus matenda, parainfluenza, SARS, fuluwenza, chikuku, chikuku, chofiira malungo ndi nthomba. Koma matenda bakiteriya, zikhoza chifukwa cha staphylococci, beta-hemolytic streptococcus, pneumococcus, Treponema pallidum (zambiri ndi chindoko ukachenjede), Mycobacterium TB (mwachitsanzo, TB ya m'phuno ndi) ndi chlamydia kapena matenda mycoplasma.

Infection matendawa amapezeka ndi m'malovu (pa sneezing kapena kutsokomola wodwalayo). Koma ngati munthu ali ndi dongosolo labwino m'thupi, ndiye chitukuko laringotraheita sangathe zimachitika.

Pachimake laryngotracheitis: zizindikiro akuluakulu ndi ana

Zizindikiro za laryngotracheitis pachimake uonekere pa maziko zizindikiro kale matenda kupuma thirakiti (kumtunda). mawonetseredwe njirazi ndi izi:

• malungo;
• chimfine mphuno;
• m'mphuno kuchulukana;
• ululu ndi zilonda zapakhosi;
• kusapeza pa Pomeza.

Iwo ayenera kukumbukira kuti pachimake laryngotracheitis chamtendere, zizindikiro zake matenda Kungakhalenso kale pambuyo wodwala thupi kutentha adzaleka kuti subfebrile. Zimenezi ayenera kuchenjeza munthu, chifukwa mphindi iliyonse ya chikhalidwe chake adzakhala poipa kwambiri.

Zizindikiro za laryngotracheitis (pachimake) yodziwika ndi mwachilungamo amphamvu chifuwa youma. Chifukwa kuchepetsa wa m'mphako ya , mbali iyi akukhala "kukuwa". Pa chifuwa ichi ndi pambuyo wodwala angadandaule za ululu sternum lapansi. Nthawi zambiri laringotraheita zizindikiro m'mawa ndi usiku. Koma kawirikawiri chifuwa kangavutitse munthu ndi tsiku mu mawonekedwe a matenda amphamvu. Childs, izi zimachitika pambuyo wina akapuma fumbi wodzala ndi mpweya kapena ozizira, kuseka, kulira, ndipo nthawi zina ngakhale ndi mpweya wophweka kwambiri. Pankhaniyi, chifuwa nthawi zambiri limodzi ndi secretions yaing'ono mucosal ndi viscous ntchofu. Monga matenda ili m'kati, zikhoza chachuluka ndi madzi kupeza purulent.

Komanso kutsokomola, zizindikiro pachimake kuti zikutheka laryngotracheitis hoarseness kapena hoarseness a mawu, komanso zomverera zosasangalatsa mu m'mphako ya (mwachitsanzo, kugirigisha moto, tickling kutengeka, thupi yachilendo kutengeka ndi dryness).

Odwala matenda lino Nthawi zambiri zikuluzikulu ndiponso yopweteka khosi lymph mfundo.

Matenda laryngotracheitis: Zizindikiro ndi Chithandizo

Ndi kukanidwa ichi munthu angadandaule chifuwa, matenda mawu ndi kusapeza mu mmero (kumbuyo breastbone a). Dziwani kuti dysphonia mtima ndi laryngotracheitis zambiri zimasiyanasiyana hoarseness wachete, chimaonekera m'mawa ndi madzulo, kuti zonse ndi aakulu hoarseness.

Zizindikiro za laryngotracheitis aakulu anthu ena anawonetseredwa mu mawonekedwe a kutopa pambuyo yokulirapo mawu katundu. Dysphonia akhoza kulimbikitsa ndi zinthu wosakhazikika nyengo, ndi fairer kugonana - ndi ziŵalo m'thupi (mwachitsanzo, woyembekezera, kusintha ndi isanayambike menses).

imfa ya mawu zimasonyeza structural kusintha Mitsemphayi, amene makamaka keratosis kapena hypertrophic khalidwe okhazikika. Ngati munthu kuchita zinthu ngati zimenezi zimafuna luso kulankhula, ndiye matenda mwina kungakhale zinthu nkhawa, kenako kuyamba kuvutika maganizo, matenda kugona ndi neurasthenia.

Monga tanena laryngotracheitis zizindikiro akuluakulu ndi ana zingasiyane. Komabe, chifuwa chosatha matenda aakulu kumaonekera konse. Dziwani kuti umboni amenewa limodzi ndi expectoration pang'ono. Zonse ndi aakulu chifuwa odwala zambiri anachititsa kusapeza zoterozo mu mmero monga amalankhula zowakomera, wouma tickling, etc.

zosokonezeka zotheka

Ngati ndondomeko opatsirana a tracheal kufalitsa kwa magulu m'munsi mwa dongosolo kupuma, izo zidzapangitsa kuti zikamera a chibayo kapena tracheobronchitis. Mu laryngotracheitis aakulu ana nthaŵi zambiri bronchiolitis. Childs, matenda limodzi ndi okwera thupi kutentha, komanso kuchuluka kwambiri zizindikiro za kuledzera. Pankhaniyi, chifuwa akhale okhazikika. Chifukwa chakuti mu mamina pachimake lagingotraheite amasonkhana laryngeal lumen anthu, mwana wamng'ono mwina maonekedwe a barele onyenga amene akuimira pangozi.

Ndi mkwiyo zonse za nembanemba mucous ya trachea ndi m'phuno pa kutsokomola ndi chifukwa cha matenda kutupa laryngotracheitis angachititse chitukuko cha zotupa chosaopsa wa matupi. Komanso, matenda, makamaka mawonekedwe ake hypertrophic, ananena kuti otchedwa limati chisanadze khansa. Pajatu kungachititse kuti nthenda selo kusinthika mucosa, kenako chifukwa chitukuko cha zotupa za m'mphako ya. N'chifukwa chake muyenera musazengereze mankhwala a matenda, makamaka ana aang'ono.

miyeso achire pa laryngotracheitis

Ngati muli zizindikiro zilizonse za laryngotracheitis, muyenera kufunafuna chithandizo mwamsanga. Nthawi zambiri, chithandizo cha matenda amenewa ndi kuchita mankhwala antibacterial kapena mavairasi oyambitsa imene wodwala yoikidwiratu mucolytics, antitussives, mankhwala, antipyretics, ndi mankhwala ena, komanso physiotherapy. Nthawi zambiri mankhwala laringotraheita amachitidwa pa outpatient maziko. Ngati mwana anaonekera croup chonyenga, chofunika yomweyo hospitalize ku chipatala.

Mankhwala kuchipatalako

Kumvetsa zimene kuchitira pachimake kapena aakulu laryngotracheitis, anati akhale mankhwala ambiri ndi ogwira ntchito ku matenda:

• Antivirals: "Nazoferon", "Arbidol", "Rimantadine" ndi "Proteflazid".
• Mankhwala wothandizila (mu wosanganiza laryngotracheitis bakiteriya ndiponso): "Cefuroxime", "amoxicillin", "Sumamed", "Tseftriokson", "azithromycin".

Komanso, ndithu zotsatira zabwino odwala ndi laryngotracheitis ndi soda ndi mafuta inhalation ndi electrophoresis pa malo ya trachea ndi m'phuno.

Mankhwala matenda aakulu wothandizila immunomodulatory ntchito (mwachitsanzo, "Broncho-mwezi", "Immunal", "Likopid") ndi karbotsestein, vitamini C ndi ena maofesi multivitamin. Komanso, mtima wa imatumizidwa physiotherapy, ndicho mankhwala electrophoresis, UHF, inductothermy ndi kutikita.

Ngati wodwalayo ndi exacerbation wokonda aakulu kapena laryngotracheitis kusiya asatayike, Ndi bwino kumwa wambiri madzi ofunda (tiyi, madzi, odzola, etc.). Mu chipinda kumene mtima ndi ili, mpweya uyenera kukhala mokwanira lonyowa osati ozizira.

Nthawi zofuna opaleshoni

Opaleshoni alowererepo pa matenda kukuonetsedwa pokha pokha munthu, hypertrophic laryngotracheitis (zambiri aakulu). Komanso, ntchito ulipo, ngati mankhwala mankhwala sanatipatse zotsatira kuilakalaka, ndipo pali chiwopsezo chachikulu cha khansa.