Stridor makanda. Zizindikiro ndi Chithandizo

Ndi mwana ku dziko - izi ndi chimwemwe kwa makolo onse amene mukuyembekezera kwa miyezi naini. Woyembekezera, mkazi apita kwa nthawi onetsetsani kuti gynecologist ndi, Nawalanditsa mayesero zina. Zonsezi ndi zofunika kuti otsimikiza kutukula wa mwana wosabadwayo mkati m'mimba. Mwatsoka, zina matenda kuonekere pafupifupi nthawi yomweyo pambuyo pa kubadwa. Zikuphatikizapo stridor. Ndi chiyani icho?

mwachidule

makanda kugona mwachete amayi ena amaoneka ngati kupuma. Wolungamitsidwa nkhawa za makolo ndi phokoso popuma. chikhalidwe ichi ndi zambiri chizindikiro cha stridor kobadwa nako. kudwala izi, mmene muli airway kuchepetsa. Nthawi zina, ikuimira loopsa kwambiri moyo wa mwanayo.

Wheezing, kapena stridor - ndi pathological phokoso kupuma chifukwa cha kuvutika kobadwa nako mu dongosolo la kholingo kapena trachea. Kawirikawiri, iwo nakweza ndi kutsokomola kapena kulira. Chithandizo cha stridor kobadwa nako chifukwa zifukwa za chikhalidwe zinchito, nthawi safunikira. Ndi kukula kwa chichereŵechereŵe ya m'phuno kudwala kusiyiratu. Ngati zokhudzana ndi zinthu organic, kungafunikire opaleshoni yaikulu.

Onani kuti vuto amawapeza makamaka ana akhanda. Stridor akuluakulu ali osowa kwambiri.

zimayambitsa

Makanda obadwa kumene, chichereŵechereŵe ndi zofewa kwambiri. Pamene matenda ali ndi zotanuka ofanana ndi dongo. Pa lotsatira kudzoza cartilages ogwirizana, pali kugwedera. Ichi ndi chifukwa chakuti ndi makhalidwe oipa amapezeka mu bronchi ndi. Mtundu uwu wa zochitika zambiri zichitike. Pharynx pang'onopang'ono zambiri, chikuvuta chichereŵechereŵe ndi phokoso popuma kusiyiratu.

Pakuti mwana amene posachedwapa anabwera kuwala, mwamtheradi njira zonse zachilendo a. Pa nkhani imeneyi, mpweya yotero. Popeza thupi sanagone nthawi kuti azolowere moyo kunja m'mimba, misempha chapakati kungadzutse ndi voteji yaing'ono panthawi iliyonse mpweya. Pamene kutseka kusiyana mpweya akuswa mawu therethrough ndi wenzulo. chitsanzo choterocho ambiri ndinawona mu ana ndi kuchuluka neuro-reflex excitability.

Stridor amapezeka kobadwa nako kufooka kwa minofu m'dera la glottis lapansi. anomaly uwu sungakhoze kupewedwa. Inu muyenera kukhala oleza mtima ndipo dikirani kunja nthawi imeneyi. Normal kupuma ndi nthawi imene mwana umalandira zaka imodzi ndi theka.

Nthawi zina, chifukwa cha kudwala ndi chotupa cha m'mphako ya. Stridor zidzachitika kukula kwa mapangidwe mu lumen wa Airways. Cysts akhoza kufooka limodzi kapena angapo. Ngati maphunziro amaoneka okha pa makutu amapilira, ndi kudwala akuwonetseredwa hoarseness.

Ngati wakhanda chofunika intubation, pali chiopsezo kuti sadzapita popanda zotsatira. Stridor pambuyo extubation matenda zambiri. Pankhaniyi, muyenera bwino kutsatira malangizo onse dokotala pa wolakwayo kuchepetsa mawu a zizindikiro khalidwe la vuto.

Zizindikiro za stridor kobadwa nako

Stridor makanda mwamsanga pambuyo pa kubadwa akuwonetseredwa ndi itakula ndinasintha mu masabata choyamba cha moyo wake. Makolo kulabadira lomveka pa mtunda wa phokoso mokweza opangidwa nthawi iliyonse yojambula kwa mtsinje mpweya kudzera m'phuno constricted. Phokoso kungakhale ukali kapena kuliza malikhweru, anafuulira ndi unvoiced Kukumbukira kulira nkhunda. Akagona kapena kukhala wa mwana mu mkhalidwe zina, mwamphamvu ake nthawi yafupika, ndi pamene kutsokomola kapena kulira - zikuchulukirachulukira.

Ndi mankhwala ndi kutsatira malangizo dokotala, monga ulamuliro, ana ndi kudwala izi kukula bwinobwino ndi moyo wonse.

kudwala siteji ya chitukuko

Malinga mlingo wa kuphwanya, stridor ana anawagawa magawo akuluakulu anayi.

• Kulipidwa. Kawirikawiri sikutanthauza chithandizo chachikulu, thupi normalizes ntchito yake paokha.
• Border-kulipidwa. Payenera kukhala mosalekeza polojekiti katswiri.
• Decompensated. chithandizo mokakamizidwa chofunika.
• Mbali chachinayi pafupifupi atakwatirana ndi moyo. Pankhaniyi mwanayo amafunikira kuwatsitsimula n'kamodzi ndi chisamaliro opaleshoni.

Matendawa: mmene tingadziwire stridor?

Zimayambitsa matenda angathe kuonedwa pokhapokha Kupenda dokotala wa mwanayo, pulmonologist ndi matenda okhudza ubongo. Pa njira yodziwira, madokotala ngoziyo chikhalidwe ambiri wakhanda, kugunda kwa mtima, mtundu wa khungu, minofu nawo mwachindunji kupuma.

Ndi kuvomerezedwa kuchita mikrolaringoskopiyu. Komanso ingaperekedwe pachifuwa radiography, CT, ultrasound kholingo bronchography.

Ngati mukukayikira ndi khosi lotupa kobadwa nako ayenera kuyendera m'thupi yemwenso. Pankhaniyi, zambiri zotchulidwa ultrasound chithokomiro, komanso nambala za kufufuza pa mahomoni TSH, T4 ndi T3.

Pachimake kuukira kwa wheezing. Kodi makolo ayenera kuchita chiyani?

Monga tanenera kale, nthawi zambiri, ndi kudwala sikuchita mavuto aakulu, kuti akulola mwana kukula ndi mfundo. Komabe, nthawi zina pamakhala chloroquine wheezing. Iwo akhoza kuyamba chifukwa cha matenda a chikhalidwe matenda kapena njira yotupa. Childs stridor makanda limodzi okha ndi phokoso khalidwe. Pa chibayo chithunzi matenda chatsitsa. The mwana ali kufupika kwa mpweya, chikhalidwe kukula ndi zonse kulira. Kodi makolo ayenera kuchita chiyani?

Choyamba, tiyenera kuyesa kudzilimbitsa mwanayo. Muyenera kupempha gulu la zachipatala. Panthawi imeneyi n'zotheka ventilate chipinda mwana, chifukwa mpweya ozizira penapake relieves kutupa kwa Airways.

Stridor: mankhwala ndi kapewedwe

Kudwala mu kulipidwa ndi malire akulipira siteji ya chitukuko zambiri sikutanthauza chithandizo chachikulu. Nthawi zambiri zizindikiro matenda ndi kuchepetsedwa kwa miyezi isanu ndi umodzi wa moyo, ndi zaka ziwiri kudali kwathunthu. Akatswiri amalangiza polojekiti zonse yekha pa otolaryngologist lapansi.

Nthawi zina opaleshoni. Pali njira zingapo kuti izi vuto: kutsatira laser epiglottis mabala, makutu cherpalonadgortannyh kung'ambika kapena kuchotsa mbali ya cartilages arytenoid. Pa chloroquine analimbikitsa hospitalization yomweyo. M'chipatala neonatal ndi matenda a "stridor" mankhwala mahomoni, bronchodilators. Ndi chitukuko cha boma ovuta analimbikitsa tracheotomy.

Kuneneratu ndi kupewa mavuto

Pamene mwana limakula chichereŵechereŵe cha m'phuno ndi chikuvuta ndi kusiyana - onse, kotero stridor mwina amayambiranso popanda mankhwala mu zaka 2-3. Panthawi imeneyi, makolo ayenera kusamalira kupewa matenda osiyanasiyana, kupereka zakudya mwana, polenga yabwino kwambiri chilengedwe maganizo. Nkofunika kuti mwanayo kupuma mpweya bwino humidified, zothandiza koyenda yaitali pa msewu. Ngati stridor anaonekera chifukwa zifukwa organic, amafuna Kupha kwawo yake. Pa inalowa kwa kudwala matenda kupuma ndi chitukuko cha kulephera kupuma nthawi zambiri si kuti madokotala ananena zawo zabwino kwambiri.

Nsonga makolo

1. Mu malo oyamba Ndi bwino makolo kukumbukira zizindikiro zonse comorbidities. Izi zidzathandiza m'tsogolo dokotala kuona zonse matenda chithunzi ndi kutenga njira zothandiza mankhwala.
2. Kodi ulesi kudzacheza kwa katswiri. Mwamsanga kupeza muzu wa stridor mu ana akhanda, mofulumira kwambiri kukhadzikika ndipo chitani kuchita zinthu zogwirizana.
3. Kawirikawiri, madokotala amalangiza imeneyi, kudikira nthawi zina mpaka mwana akamakula. Chinthu ndi chithandizo chachikulu si nthawi zonse zofunikira.
4. Pambuyo chitsimikiziro cha matenda okhazikika, makolo ayenera kuona kuti mwanayo sakhala ozizira, kudyetsa mokwanira. njira yosavuta akhoza chitetezo cha m'thupi.
5. Chofunika - safuna kuti mantha, chifukwa nkhawa ya makolo imafalikira ndi mwanayo.

Stridor khalidwe la zinthu zambiri pathological. Usasiye popanda tcheru kuti vutoli, ndi bwino kupeza m'njira yake wachititsa izo, ndiyeno kukumana njira ya chithandizo.

Tikukhulupirira kuti mudziwe m'nkhani ino chidzakhala zofunika kwa inu. Khalani wathanzi!