Stridor in izinsana. Izimpawu kanye Ukwelashwa

Ukuba ingane emhlabeni - lena injabulo kubo bonke abazali abenza kokulinda izinyanga eziyisishiyagalolunye. Phakathi nenkathi yokukhulelwa, owesifazane iya ngezikhathi hlola ukuba udokotela, eletha ukuhlolwa eyengeziwe. Konke lokhu kuyadingeka ukuze baqiniseke ukuthi ekuthuthukiseni umbungu ngaphakathi esibelethweni. Ngeshwa, ngenxa yesifo esithile ziqala ukuvela cishe ngokushesha emva kokuzalwa. Lezi zihlanganisa stridor. Kuyini lokhu?

Uhlolojikelele

Izinsana ukulala buthule kangangokuba abanye omama kubonakale sengathi ziyophumelela azinazo izimbobo zomoya. ukukhathazeka Kufanelekile yabazali ukuphefumula ezinomsindo. Lesi simo ngokuvamile kakhulu kuwuphawu stridor azalwa nako. Lokhu zokugula, lapho kukhona umgudu ukuvaleka. Kwezinye izimo, limelela ibe usongo olukhulu ekuphileni komntwana.

Kwesifuba, noma stridor - a ukuphefumula sokugembula ezinomsindo kubangelwa kwezinso azalwa naso e isakhiwo amalaka noma kuqhoqhoqho. Ngokuvamile, it is banezelwa ukhwehlela noma ukukhala. Ukwelashwa nokuvikelwa stridor azalwa naso ngenxa yezizathu bemvelo obusebenzayo, ngokuvamile akudingeki. Ngekukhula uqwanga we zokugula amalaka iphele. Uma eziphathelene nezinto eziphilayo, singadinga ukuhlinzwa okukhulu.

Phawula ukuthi inkinga enjalo sitholakale ikakhulukazi in izinsana. Stridor e abadala kuyinto evamile.

izimbangela

Ngo ezisanda kuzalwa, uqwanga uthambile kakhulu. Lapho lesi sifo zingabantu nokunwebeka ukuze zifana ngobumba. Phakathi elilandelayo ugqozi cartilages axhunyiwe, kukhona vibration. Lokhu kungenxa yokuthi i-ingcindezi negative kwenzeka bronchi. Lolu hlobo izenzakalo kujwayele ukuthatha indawo. Pharynx kancane kancane yandisa, ekubeni uqwanga nzima nokuphefumula kanzima ezinomsindo iphele.

Ukuze izinyane obesanda nje budalulwa, ngokuphelele zonke izinqubo of eseyintsha. Kule ndaba, umoya iyathinteka. Njengoba umzimba engakakhuli isikhathi ukujwayela ukuphila ngaphandle kwesibeletho, izinzwa emaphakathi zisenza sibe zinamandla elincane ngesikhathi umoya ngamunye. Lapho ukuvala igebe air iphula therethrough izwi nge ikhwela. iphethini okunjalo ngokuvamile kubonakala izingane lenyuka Neuro-reflex excitability.

Stridor kwenzeka ebuthakathakeni azalwa naso kwemisipha endaweni ye glottis. Lokhu anomaly angeke kuvinjelwe. Udinga nje ube nesineke futhi ulinda ngaphandle kwalesi sikhathi. uphefumula ngokuvamile ngesikhathi lapho ingane eba neminyaka eyikhulu nengxenye.

Kwezinye izimo, imbangela zokugula kuyinto simila we amalaka. Stridor kwenzeka ngesikhathi ukukhula kumiswa e mafutha anciphisa isikhala esingaphakathi we yomoya. Izinhlumba kungenziwa igqoke eyodwa noma amaningi. Uma imfundo avele kuphela emphethweni vocal, zokugula wabonakaliswa hoarseness.

Uma usana liyadingeka intubation, kuhlale kunengozi ukuthi ngeke sidlule ngaphandle kwemiphumela. Stridor ngemva extubation kutholakala ukuthi uphethwe yini ngokuvamile kakhulu. Kulokhu, udinga ukulandela ngokucacile yonke imiyalelo kadokotela ngesikhathi yokutakula ukunciphisa ukubonakaliswa izimpawu nobuntu inkinga.

Izimpawu stridor azalwa naso

Stridor ezinsaneni ngokushesha nje ngemva kokuzalwa wabonakaliswa futhi kwaqina ngokuphawulekayo emavikini ekucala zokuphila kwakhe. Abazali banake ezwakalayo at ibanga umsindo elikhulu ekhiqizwa isikhathi ngasinye ukufohla kokusakaza emoyeni ngokusebenzisa amalaka constricted. Noise kungaba nento encimfelwayo noma ukushaya amakhwelo, lizwakalise futhi unvoiced ikhumbuza ngivukutha amajuba. Uma silele noma ukuhlala wengane isimo ukuphumula, ngegalelo lako ngokuvamile kuyehla, kanti uma ukhwehlela noma ukukhala - liyakhuphuka.

Nge ukwelashwa okuphumelelayo bese ulandela imiyalo likadokotela, njengoba umthetho, izingane nale zokugula ukhule evamile futhi siphile ukuphila okwanelisayo.

zokugula komqondo nezinga lokukhula kwengane

Kuye ngezinga of ukwephulwa, stridor ezinganeni zihlukaniswe ngezigatshana ezine eziyinhloko.

• Inzuzo. Ngokuvamile akudingi ukwelashwa sina, umzimba normalizes umsebenzi walo ngokuzimela.
• Border-inzuzo. Kufanele kube okuqhubekayo zokuqapha onguchwepheshe.
• Decompensated. ukwelashwa okuyimpoqo liyadingeka.
• Isigaba sesine cishe aluhambisani nawo ekuphileni. Kulokhu umntwana kudingeka yokusiza umuntu ukuba aphefumule osheshayo nokunakekela kuhlinzwa.

Ihlahlubo: indlela yokubona stridor?

Izimbangela lesi sifo kungatholakala kuphela emva luhlolo wengane wezingane, Pulmonologist futhi wezinzwa. Phakathi izindlela zokuxilonga, odokotela ukuhlola isimo jikelele kuzalwa, kwenhliziyo, ibala lesikhumba, imisipha ngqo iqhaza ukuphefumula.

Kuphoqelekile lokufeza mikrolaringoskopiyu. Ngaphezu kwalokho, zingase sasabela esifubeni esimweni, CT, ultrasound amalaka, bronchography.

Uma usola i goiter azalwa naso idinga ukuhlolwa endocrinology. Kulokhu, ngokuvamile ebekiwe ultrasound yendlala yegilo, kanye eziningi cwaningo hormone TSH, T4 futhi T3.

ukuhlasela okukhulu kwesifuba. Yini abazali okufanele uyenze?

Njengoba kuphawulwe ngenhla, ezimweni eziningi, le zokugula kwenzeka ngaphandle eziyingozi, ukuthi ivumela ingane ukuze akhule ngendlela ngokugcwele. Nokho, ngezinye izikhathi kunezindlela ukuhlaselwa okukhulu kwesifuba. Abakwazi kubangelwe isifo i nature esithathelanayo noma izinqubo ukuvuvukala. Ngokuvamile stridor ezinsaneni kuphela ephelezelwa isici umsindo. Phakathi pneumonia noma ukucinana kwemigudu yokuphefumula isithombe emtholampilo liwohloka. Ngale ndlela umntwana iphika, isimo ukucasulwa njalo ekhala. Yini abazali okufanele uyenze?

Okokuqala, kufanele sizame ukunqanda umntwana. Udinga ukubiza iqembu kwabasebenzi bezempilo abaqeqeshiwe. Ngalesi sikhathi kungenzeka pholisa igumbi womntwana, ngoba umoya abandayo Kuthi aqede ukuvuvukala yomoya.

Stridor: ukwelashwa kanye nokuvimbela

Pathology e ihlawulelwa futhi umngcele isigaba uhlawula yentuthuko ngokuvamile akudingi ukwelashwa sina. Ezimweni eziningi izimpawu isifo ziyancipha izinyanga eziyisithupha wokuphila, futhi eminyakeni emibili ukudlula ngokuphelele. Ochwepheshe batusa zokuqapha njalo kuphela ngesikhathi Otolaryngologist.

Kwezinye izimo zidinga ukuhlinzwa. Kukhona izixazululo eziningana ukuba le nkinga: nokusebenzisa laser epiglottis ukusikeka, emphethweni asike izidumbu zabantu cherpalonadgortannyh noma ukususwa ingxenye cartilages arytenoid. Phakathi ukuhlaselwa acute Kunconywa esibhedlela ngokushesha. Esibhedlela ezisanda kubelethwa kanye sitholakele "stridor" ukunquma hormone, bronchodilators. With ukuthuthukiswa isimo esibucayi income tracheotomy.

Ukubikezela kanye nokuvinjelwa izinkinga

Njengoba ingane ikhula uqwanga we umphimbo ayabaluleka nzima futhi igebe - ebanzi, ngakho stridor kungase abaphindela ngaphandle kokwelashwa eminyakeni 2-3. Ngalesi sikhathi, abazali kufanele banakekele nokuvinjelwa kwezifo ezihlukahlukene, ukunikeza ingane umsoco, ukudala inani elihle kunawo imvelo ngokwengqondo. Kubalulekile ukuthi lolu sana uphefumula umoya kahle humidified, wusizo izizinda eside emgwaqeni. Uma stridor wabonakala ngenxa yezizathu organic, zidinga ukuqedwa kwabo ngesikhathi esifanele. Lapho-kuya zokugula of izifo zokuphefumula kanye nokuthuthukiswa nokuvaleka kwemigudu yokuphefumula ezimweni eziningi akukhona onalesi sifo ukuzenza athandeke.

Amathiphu abazali

1. Endaweni yokuqala kunconywa abazali ukukhumbula zonke izimpawu comorbidities. Lokhu kuzosiza esikhathini esizayo udokotela ukubona isithombe esigcwele emitholampilo ukuthatha izinyathelo ezidingekayo ukuze bayothola ukwelashwa.
2. Ningadakwa silahle a kudokotela wezifo. Ukushesha kwakho ukuthola imbangela stridor kule osanda kuzalwa, i-ngokushesha sokwehlisa umoya uqhubeke izenzo ezidingekayo.
3. Ngokuvamile, odokotela beluleka kulesi simo, ulinde isikhashana ingane ize ikhula. Into wukuthi ukuphathwa sina kungadingeki ngaso sonke isikhathi.
4. Ngemva kokuqinisekisa ukuxilongwa esichazayo, abazali kufanele ubone ukuthi ingane engakutholi abandayo, wapha ngokugcwele. Lezi zindlela ezilula zenza kungaba kuqinise amasosha omzimba.
5. Okubaluleke kakhulu - akudingeki ukwethuka, ngoba ukukhathazeka kwabazali idluliselwa nengane.

Stridor nobuntu izimo eziningi sokugembula. Ungashiyi ngaphandle ukunakekela le nkinga, kungcono ukuthola ngendlela esifike ngesikhathi uye wabangela, bese ibhekane Inkambo yokwelashwa.

Sithemba ukuthi Ukwaziswa okwethulwa kulesi sihloko kuyoba ewusizo ngempela kuwe. Hlala uphilile!