Bronchiolitis ezinganeni: Izimpawu kanye Ukwelashwa

Bronchiolitis ezinganeni kwenzeka ngenxa yezinkinga izifo ezifana SARS noma umkhuhlane. Lesi sifo ngokuvamile kunazo wadalula izinsana kuze ngonyaka. Ingabe isiqongo ukutheleleka - kusukela yesibili izinyanga lesithupha. Isizathu ulula - omzimba engaqinile ngokwanele ukuba akwazi ukumelana nakho konke ama-virus. Uma emzimbeni, ukutheleleka singena bronchioles.

Izimpawu zokuqala isixwayiso

Uma bronchiolitis ezinganeni, izimpawu kungatholwa yilezi:

• ukukhwehlela spasmodic, kwezinye izimo sesomile;
• lokushisa umzimba liphuma hhayi kakhulu;
• phakathi kwezimila avele amakhwela imisindo;
• ekhaleni samanje noma yisisu, kunalokho, kunezizathu ezizwakalayo.

Izifo eba ngokushesha, futhi uma phakathi nalesi sikhathi kungenziwa lutho, kungaba khona inkinga ifomu ka nokuvaleka kwemigudu yokuphefumula.

Indlela bahlonze izifo?

bronchiolitis okusolwayo izingane kungaqinisekiswa ngokuthola indlela elula efana. Ukuze ngemuva indlebe womntwana ukwenza, futhi uma uzwa umsindo gurgling ke lokhu kungenzeka kusho ukuthi uphethwe kuqinisekisiwe. Kuyaphawuleka ukuthi lokhu akwenzeki khona izikhathi kaningi ukukhwehlela kanye lokushisa eliphezulu.

bronchiolitis olunamandla: Izimpawu

Ukuze imikhuhlane ukwelashwa akukuniki yalokho omuhle isikhathi eside? Mhlawumbe lokhu kubonakala bronchiolitis acute ezinganeni. Izimpawu zayo:

• encishisiwe esesuthi noma baze bafa;
• ukuphaphatheka isikhumba, futhi kwezinye izindawo livela cyanosis;
• ukuhluleka kusukela ukuphuza amanzi nokudla amanzi emzimbeni singenzeka, izimpawu ezihlanganisa: kwehle ukuchama, khona ukoma emlonyeni lapho ukukhala kungekho izinyembezi, ishayela ophilisayo;
• ingane Moody ngaphezulu, ukuhluthuka, akozeli;
• lokushisa umzimba luyanda, kodwa kancane kuphela;
• khona isifuba esomile, kwesinye isikhathi esincane isikhwehlela;
• kungase kube iphika - kuphakama imisindo kryahtyaschie futhi bequma, amakhala flaring, esifubeni retracts onamandla, kufushane kancane liphinyiselwe umoya;
• ezimweni eziyinkimbinkimbi, ungayeka okuphefumulayo;
• yezinkinga ukuphefumula livela izikhathi ezingaphezu kuka-70 ngomzuzu;
• ngemuva, udokotela angaba ukuxilonga crackles ecacile;
• emva ukuhlolwa igazi kubonisa ukuthi izinga erythrocyte sedimentation izinga bese ngihlaliswa leukocyte.

Kubalulekile ukuba singenzi amaphutha!

Bronchiolitis ezinganeni libhekene nokuvaleka kwemigudu yokuphefumula, okuyinto uma kwenzeka ifomu ezinzima kungaholela yokungawutholi umoya. Kulokhu Kuyaphuthuma ukunakekelwa kwezokwelashwa, kodwa akusho lokho ngempela abafanelekayo, ngoba kukhona izimo ukuthi lesi sifo kudidaniswe ukucinana kwemigudu yokuphefumula somoya noma pneumonia ne obstructive syndrome.

NeMibandela nesineke encane

Nakuba udokotela asikafiki, kubalulekile ukwakha zonke izimo ukuze singathwesi babhebhethekisa isimo ithuna ingane. Ukuze wenze lokhu, kudingeka ulandele izimiso ezimbili eziyisisekelo:

1. Umoya egumbini akufanele kube sishisa futhi somile, njengoba kwenza abantu bakuphathe omiswe ukujuluka lwamafinyila futhi kakhulu ukuthi igcwele ukulahlekelwa okusheshayo umzimba umswakama. Amazinga akufanele kube ngaphezu degrees 20 futhi nomswakama - 50 kuya kwangu-70.
2. Kuyadingeka ukuqinisekisa ingane amaningi baphuza uketshezi. Izinsana ngokuvamile kufanele ulethe esifubeni, futhi asebekhulile ukunikeza iziphuzo bangakwazi baphuze. Lokhu kumele kwenziwe ukuze kuvinjelwe amanzi emzimbeni we umzimba wengane.

Akuvunyelwe ukwenza lezi zenzo

Ezimweni ezinjalo, akuvunyelwe nhlobo ukuthatha usizo izindlela ezifana ekhaya:

• ngiqhube Physiotherapy esifubeni;
• ukwenza ephefumula ashisayo;
• sebenzisa noma isiphi imithi ngaphandle kudokotela.

Bronchiolitis obliterans: Izimpawu

Yini engenzeka lapho ifomu acute lesi sifo ukuqala? Ungabuka obliterans bronchiolitis ezinganeni. Lokhu kusho ukuthi bronchioles nabancane constrict bronchi, bese kuba khona kungukuphula yamaphaphu ukugeleza kwegazi. Ngemva kwesikhathi esithile, usungaqala ukuthuthukisa izinqubo sokugembula kwamaphaphu nokwamaphaphu isifo senhliziyo.

Bona lesi sifo kuzosiza zimpawu ezilandelayo:

• okuvela ezomile ukukhwehlela ongatheli, okuyinto kuhambisana esincane isikhwehlela;
• iphika hhayi kuphela ngemva kokuvivinya umzimba, kodwa futhi (nge isifo okuqhubekayo) esimeni enokuthula;
• Ungakwazi ukuhlukanisa kwesifuba ezimanzi, ukuphefumula like kwesifuba.

izimpawu ezinjalo lungase lubonwe isikhathi eside - ngisho nangaphezu kwalabo abangamashumi izinyanga eziyisithupha.

Bronchiolitis ezinganeni, ikakhulukazi ezincane, sekusakazeke kakhulu. Uyaqhubeka belingana inyumoniya, okuyilona elisebenzayo futhi omunye yezinkinga SARS. Izinsana kanye uphethwe ngokushesha wathumela ku-esibhedlela. Kodwa nge ababelethwa kungakafiki isikhathi, kanye nalabo abanezingane ezake zaba azalwa naso inhliziyo yayo yayinezinkinga ezicini futhi bronchopulmonary, kokubanga amanzi emzimbeni futhi hypoxia, kuyinkimbinkimbi. Kwezinye izimo ukuphela kwayo kuyindlela yokufa.

Izindlela yokwelashwa

Lapho kukhona bronchiolitis baphathwe izingane zingase zithathe isikhathi esingaphezu kwenyanga. Ukuze wenze lokhu, sebenzisa amasu amaningana:

1. yokwelapha rehydration, okusho kwaqedwa umzimba ne-glucose nosawoti izixazululo wengane. Lokhu kungenziwa kokubili ngemithambo yegazi futhi ngomlomo. It eyenziwa kulezo zimo lapho udinga usizo oluphuthumayo.
2. Feza izinyathelo eziphuthumayo uma kukhona nokuvaleka kwemigudu yokuphefumula. Kulokhu, buso kanye acid, futhi ephefumula yomuthi, abenza izenzo neqhaza ukususwa ngenxa yokungawutholi umoya kuhlasela.
3. Sebenzisa antivirals bebelokhu virally isifo kwenzeka. Ngesisekelo izidakamizwa ezimweni eziningi, kuba interferon.

amalungiselelo

Lapho lesi sifo kukhona izifo ezithathelwanayo ezibangelwa amagciwane, okuhlanganisa Pneumococcal noma strep, imithi elwa namagciwane ngokuvamile kanje:

• "Amoxiclav".
• "Macropen".
• "Sumamed".
• "Augmentin".
• "Amosin" kanye nabanye abaningi.

Ukuze ususe ukuvuvukala amashubhu bronchial futhi adambise ukuphefumula prescribers antihistamine.

bronchiolitis okungamahlalakhona

Ngo uqobo, lesi sifo eba ngokushesha okukhulu. Nakuba izimpawu zingase zibe khona izinyanga okungenani ezinhlanu. Umphumela walokhu uyoba noma umuntu alulame ngokugcwele, noma ukuthi ingabe ikhule ibe bronchiolitis okungalapheki izingane. It is leyabantu izinhlobo eziningana izinqubo ukuvuvukala:

• panbronchiolitis;
• follicular;
• zokuphefumula.

ukuvuvukala nakho kungaba zezinto eziphilayo ezifana:

• Constrictive;
• proliferative.

Constrictive (noma ehlombe) libhekene iqiniso lokuthi ezikhulayo kancane kancane izicubu fibrous phakathi laphakathi muscle epitelievym futhi bronchioles. Ngemva kwesikhathi esithile, hhayi kuphela unciphise mafutha anciphisa isikhala esingaphakathi, kodwa futhi ungavala ngokuphelele. isakhiwo zokuphefumula akusona oluthambile ngakho, okungaholela emphysema nokuvaleka kwemigudu yokuphefumula.

Proliferative libhekene yokuthi ilimaze mucosa futhi avele izicubu granulomatous futhi zezinzwa - ithole Masson. Zokuphefumula ahlukaniswe iyehlisa okusheshayo ikhono layo futhi ukuphefumula zangaphandle kuyaphazamiseka.

Ukwelashwa izifo

Okungalapheki bronchiolitis obliterans ezinganeni iphathwa ngezindlela ezimbili:

• ukwelashwa;
• asizayo.

Ngo samuntu lokuqala, angase iqondiswa mucolytics, bronchodilators noma izidakamizwa expectorant. Uma kukhona ukuvuvukala webhaktheriya yohlamvu ke plus wonke lo - ngisho nemithi elwa namagciwane.

Ukuze ukwelashwa adjunctive zihlanganisa massage esifubeni, kutivocavoca, Physiotherapy, climatotherapy, speleotherapy futhi Physiotherapy.

imiphumela

Uma kwakuba khona bronchiolitis ezinganeni ezincane, imiphumela ingaba ezahlukene kakhulu (lokhu kwenzeka lapho kwakungekho ukwelashwa esifike ngesikhathi). Manje sizobheka kubo

1. ukuvuvukala emaphashini. It is abatelekile kwemigudu yokuphefumula uhlelo izicubu, umphumela uba ukukhwehlela ezinzima. isifo okunjalo kwenzeka uma ngezinye Usuqhubekile, kungenziwa kuhambisane ukushisa kancane. izinkinga ezithile zokumpontshelwa inqubo ukuphefumula zivame uyalandelwa. Uma lokhu kwenzeka akuyona ukuthatha inkambo kwamaphilisi, igcwele ngisho yezinkinga eyinhlekelele ngaphezulu.
2. Bronchiectasis. Le nqubo ungachazwa ukuthi uyanda futhi eminye umonakalo izindonga imithambo emaphashini.
3. ukuhluleka senhliziyo futhi zokuphefumula. Mayelana nalesi sifo ekhathazwa negesi lokushintshisana, futhi iningi izibilini ungatholi-mpilo ngokwanele. It ngokuyinhloko kuthinta imisipha yenhliziyo. Ngenxa yalokho, umzimba esetshenzwa ngokweqile, negazi ayisekho ukhiphela umzimba ezidingekile ivolumu. Futhi lokhu, esikhundleni salokho, zibulale ukusebenza kanye nezinye izitho nomzimba izinhlelo zezingane.
4. Ukucinana kwemigudu yomoya emaphashini efomini ezingamahlalakhona. Uma iyekwa ingelashwa, imiphumela ingaba ezinzima. Kulokhu, indima enkulu udlalwa ngu izingozi ezinjalo ezifana uthuli, amagesi, ezihlukahlukene nomzimba.
5. Asthma, esishukumisela kusukela eziphambili esiteji ukucinana kwemigudu yokuphefumula nomzimba. Ukuze isifo libhekene ukuvuvukala mucosa nogaxekile gqwa. Lokhu umphumela bronchiolitis kuyingozi ngoba kukhona ekuhlaseleni Ukuphelelwa.
6. emphysema yamaphaphu. Lo mphumela ezinganeni ezingavamile kakhulu. It libhekene yokuthi exchange igesi emaphashini sinqamukile futhi kuyaqina yabo. Okwakuhlalwa kuzo lapho kusaqalwa ke livezwa iphika emakhazeni. Kodwa uma kukhona ukuwohloka ke kunoma iyiphi enye inkathi.
7. isimiso bronchial. Lubonakala ngikhefuzele, okuyinto kuhambisana okhishwa ngamakhala okhathazekile. Ingane ayifuni ukuphatha exhale ngokuphelele njengoba uphefumula futhi. Ngenxa yalokho, ekuqongeleleni lezi izinsalela icuphe-high blood pressure.
8. Kodwa umphumela kuyinto ezingavamile inhliziyo yamaphaphu. It kuphakamisa unomphela high blood pressure. Ngenxa kahle negesi lokushintshisana, umntwana akakwazi ukwenza lutho kusuka kokuvivinya umzimba.

Izeluleko ekuvimbeleni izifo

Ukuze bronchiolitis ezinganeni akazange kuphakama, kumelwe sizame ukubavikela ukuxhumana izingane evele isigula. Futhi, musa ukuyiziba umsebenzi anti-virus, tempering izinqubo nokusebenzisa kahle ukudla.

Kuyinto efiselekayo ukwakha ukuphila hypoallergenic, kusukela komzimba kanye bronchiolitis Kuningi ukufana okukhona phakathi. Ungakhohlwa ukulandela nasopharynx wengane. Kuyadingeka ukuthi yayilokhu ihlanzekile, futhi zazingekho izincwadi amaqoqo.