Ukukhwehlela kabuhlungu: izimpawu, ukwelashwa, zokuvimbela. Ukukhwehlela kabuhlungu: indlela yokuphatha?

Pertussis kuyinto ezivamile ezithathelwanayo zokuphefumula ipheshana neziyaluyalu, okungabangela ukudakwa esinqunyiwe. Lesi sifo kuhambisana ezinzima paroxysmal ukukhwehlela. It is ikakhulukazi kutholakala izingane, ikakhulukazi izinsana ngoba babe amasosha omzimba usengozini yokuthola ithonya ngaphandle. Nakuba intsha kanye nabantu abadala abangazange lidlule inkambo yokugoma ingase futhi itheleleke nge pertussis.

Kuyini isifo?

Avuse ukuthuthukiswa pertussis amagciwane Bordatella pertussis. Lesi sifo umgudu iyathelelwana kakhulu, cishe zonke ngemva kokuthintana lomuntu onegciwane igula kwalokho. Ukukhwehlela kabuhlungu wake wacabanga ngokwenza kuphela isifo sezingane, kodwa muva nje isibalo sezikhungo abadala abasanda kuba naleli gciwane kanye intsha. Inzuzo le zokugula kunzima ngasiphi yobudala.

Whooping ukukhwehlela ukubambezeleka kwesikhathi isuka kuzinsuku 2 kuya ku-14. izifo ezithathelana ezinjalo kuphela amaconsi sisemoyeni. Inani nobude ukugula okungenani amaviki 6. Ukugonywa ngokumelene pertussis akuyona ngokugcwele ivikela umzimba, ngisho kabusha, ungakwazi ungenwe futhi.

It ihlukaniswe yaba amafomu isifo ezimbili: ayahluleka futhi atypical. Kulo mBhalo, ukukhwehlela ezingavamile, ngaphandle kokwenyuka oqinile lokushisa. Ukuze ifomu ayahluleka libhekene ukuthuthukiswa oyingozi. Okokuqala, kukhona ukuhlekisa emphinjeni, khona-ke ukukhwehlela e ukukhwehlela whooping ngaphandle zibe okungazelelwe. Ngemva kwezinsuku ezimbalwa izimpawu angaya bebodwa. Kodwa kufanele sikhumbule ukuthi kukhwehlela whooping - a zokugula eziyingozi, futhi uma lungenayo ukuthola isikhathi, ukuxakeka kungenzeka, ngezinye izikhathi ebulalayo.

Izimbangela kwegciwane

Umthombo oyinhloko ukusabalala sifo zomuntu onesifo. Lesi sifo esiyingozi kakhulu nge ifomu atypical noma ukusulwa ukugeleza.

Lesi sifo kunzima ukuvimbela ngoba inkathi bayashintshana ekufukameleni ayikwazi waphawula, futhi catarrhal ukukhwehlela whooping kwenzeka ifomu emnene. Yingakho abantu abaningi bamshaya indiva izimpawu zokuqala zesifo. Isiguli iqala ukuvusa lapho ukhwehlela e ukukhwehlela whooping ihlala kwamaminithi ambalwa, okwenza kube umoya nzima kakhulu. Ngenxa yalezi zici lesi sifo futhi ekuqaleni sokuthuthuka, akumangalisi ukuthi kwemihlambi lomuntu onegciwane, ezimweni eziningi kukhona ukubambezeleka.

Kufanele kuqashelwe ukuthi izimo eqoshiwe ukutheleleka kwezilwane ezifuywayo nezasendle, Nokho, kuleli cala, i-pathology lesi sifo kubhekwa whooping. Ngesikhathi umuntu ofanayo ukukhwehlela ukhathazeka kakhulu.

Pertussis: izimpawu

Njengoba sekushiwo, lesi sifo ihlala cishe 5-6 amasonto. It ihlukaniswe yaba izigaba ezintathu eziyinhloko: catarrhal, paroxysmal nasesigabeni sokukhula yokutakula.

Catarrhal esiteji ahlale izinsuku ezingu-14. Phakathi nenkathi prodromal muntu othintekayo mayelana isifuba esomile njalo. Pertussis kule isinyathelo uya ngaphandle kokuba izinga lokushisa. Kuyinto kulesigaba ngokuvamile misdiagnose. Isiguli ungakwazi ukuxilonga ukucinana kwemigudu yokuphefumula noma sibi izifo zokuphefumula ezibangelwa amagciwane. ukukhwehlela livela With ukuthuthukiswa sifo. Ukukhwehlela kabuhlungu kulesigaba iyathelelwana kakhulu, kodwa ukuyimisa ngalesi sikhathi lula kakhulu.

Igciwane kubangele ukutheleleka, nsuku zonke ukulahlekelwa umsebenzi wabo, futhi ekupheleni kwesonto lesithathu, bona abohle ngokuphelele. Kodwa phakathi nalesi sikhathi isiguli ungaphatha ukuthelela eziningi abantu endaweni akuyo.

Through esigabeni paroxysmal iqala amasonto 2-3 emva kokutheleleka. Kulesi sigaba, kukhona ukukhwehlela spasmodic. ukuhlaselwa Ngaphandle isiguli azizwa ukuziphatha okubi uhlala okufanayo. Lapho izingane esondela spasm, zingabantu sezinzwa, ukukhononda umphimbo obuhlungu. Khona-ke kukhwehlela (ngoba ukukhwehlela whooping ezinganeni kancane kancane iyakhula) iba paroxysmal futhi convulsive. Ngenxa kuye, kuba nzima ukuphefumula.

Lapho isimo kungokwemvelo (ngokuvamile lokhu kwenzeka ngemva kuka-12 uthuthumele), iwela yomoya nge air ikhwela. umzuzwana okunjalo kwezinkolo kubizwa ngokuthi Reprise.

Ngesikhathi kuhlaselwa khona 3-6 ne ukukhwehlela zibe reprises. Umuntu itheleleke umuntu okwesibhakabhaka noma obomvu, ulimi aphumele phambili, entanyeni emithanjeni zigcwala. Ngisho nalapho ukuhlasela okunjalo kungenzeka, noma ukuquleka kwenzeka ukuchama nokuguqulwa. nokuquleka ezingenzeka. Yingakho abazali kufanele aqiniseke ukwazi ukuthi hlobo luni ukukhwehlela e ukukhwehlela whooping, ukuze ugweme kokwehluleka.

Emuva e-spasm ngasekupheleni ahlukaniswe isikhwehlela eziningi viscous kanye obukhulu, ngezinye izikhathi kuziwa ukuhlanza. Ukuhlasela kwenzeka ngenxa yezizathu ezihlukahlukene, isib, ngenxa imizwa anolaka, umsindo kungazelelwe noma umsindo. Ngo paroxysmal isikhathi lokushisa kuyaqabukela liphuma khona. Kodwa ngokuvamile kuhambisana ukukhwehlela whooping ebusuku, ongenayo ukulala.

Ngemva nalesikhathi sokuphela yokutakula iqala. Kukholakala ukuthi isinyathelo esinjalo kwenzeka ngenyanga yesibili lesi sifo, impilo jikelele kuyathuthuka futhi iba ukukhwehlela ngaphezulu ezingavamile.

State ngemva kokugula

Khwehlela emva ukhwehlela whooping uyakwazi isikhathi eside ukusihlupha indoda othile owayesegule nalesi sifo. Zikhumbuze kungaba isikhathi eside, konke kuncike izivikeli mzimba. ukukhwehlela asalayo kuyinto somoya kanye nemvelo nomzimba, ngakho-ke namanje ukuba okwaxoxwa.

Ukuba khona izimpawu ezinjalo kungenxa yokuthi amaseli sifo ukukhwehlela isikhungo wacasuka kakhulu futhi overexcited emva kokwelashwa isikhathi esithile avuse ukhwehlela emva ukhwehlela whooping. Kulesi sikhathi, odokotela belulekwa ukuba baxwaye ezifweni ezihlukahlukene.

Kanjani ukuthola lesi sifo?

Lokhu umgudu zokugula uphethwe nzima. Kuvame kudidaniswe izifo umusi-pertussis-like. Nokho, kufanele sikhumbule ukuthi lapho i-ejenti yalesi sifo kuphela wadluliselwa amaconsi sisemoyeni. Khwehlela ne ukukhwehlela whooping ezinganeni kanye nabantu abadala kuyinto ethize ukuze Udokotela angakwazi ukuhlonza isifo, nje kokuzwa kutsi lomuntfu unalo leligciwane.

Ngaphambi kwaleso sifo, udokotela iqoqa umlando wokuqala isiguli. Ngokuvamile okwatholakala ukukhombisa kungenzeka igciwane phakathi ukuxhumana nesineke phambi kwabantu abatheleleke nge pertussis indoda. Ngempela, lesi sifo ayikwazanga avele ngemuva izifo sibi zokuphefumula noma kube inkinga ezinye izifo.

Ngo sitholakele lesi zokugula kunzima ukuhlukanisa kusukela izifo ekhona okungalapheki izifo oyingozi futhi emsebenzini zokuphefumula.

Symptomatology pertussis kusikisela ukuba khona lesi sifo njengoba ukukhwehlela uma likubeka ngokucacile. Ukuze sicacise ukuxilongwa presumptive, isiguli kuthatha zokutshala osenyameni uma ukhwehlela ukufunda imvelo ekhethekile nokuthuthukisa microflora wakhe. Ngaphezu kwalokho, ukuhlola okungeziwe ukuhlola isimo jikelele isiguli.

Izinkinga kubangelwa ukukhwehlela whooping

Njengoba kwaziwa, le Lesi sifo siphatha kakhulu ukuba lesi sifo izingane ezincane, ikakhulukazi izinsana. Futhi grudnichki ongamelana ngaphandle ukukhwehlela whooping. Kodwa kungenjongo banayo awokuthi yezinkinga ekuguleni. Ngokuvamile, lokhu kwegciwane kuholela lezi zinkinga ezilandelayo:

• amanzi emzimbeni;
• ukulibaziseka isikhathi noma ukuboshwa zokuphefumula;
• inyumoniya (ngamanye amagama, i-pneumonia);
• ukuncipha ngenxa ukuhlanza njalo;
• Ukudlikizela;
• ukuphazamiseka ekusebenzeni kobuchopho;
• ukungasebenzi kwezinso, lapho kudinga zelashwe yesikhashana.

Ngaphezu kwalokho, ukwephula umsebenzi ubuchopho kanye ukuvuvukala emaphashini kungaholela imiphumela engemihle, kuhlanganise nokufa. Nokho, izimo ezinjalo awavamile.

Ngo abadala nezingane ezindala ezinalesi sifo futhi ukuthuthukisa zinkinga, kodwa hhayi kaningi njengokuthanda ezinganeni, futhi kuba lula ukububekezelela. Ngaphansi ezinzima nemiphumela pertussis zibandakanya ukulimaza egama kanye ngopha emakhaleni ngenxa ukukhwehlela ezinzima kanye zokuzikhukhumeza ebusweni, ukwakheka ulcer emlonyeni futhi olimini. Phakathi kwezinye izinto, ingaqala abezindaba otitis.

Uma pertussis itheleleke owesifazane ekhulelwa, angase abhekane kwesisu nokuguqulwa. Yiqiniso, izimo ezinjalo ezingajwayelekile kakhulu, njengoba abadala, ezimweni eziningi, zigonyelwe lesi sifo. Noma kunjalo, kuyenzeka. Lapho ingane esindayo kuba Yiqiniso kuyingozi ikakhulukazi ezinzima kakhulu lesi sifo, lapho usuku kuza 30 ukukhwehlela. Noma kunjalo, lokhu kwegciwane kungathinta umntwana okhulayo.

Kumele kukhunjulwe ukuthi ukukhwehlela e ukukhwehlela whooping iyona uphawu main yalesi sifo. Ukuze ugweme lezi imiphumela, kufanele kube ngokushesha nge ukubukeka imfanelo wathi ukubona udokotela.

Indlela ukuqeda lesi sifo esebenzisa imithi?

Ukukhwehlela kabuhlungu kunzima kakhulu ukunikeza therapy. Ukwelashwa yalesi sifo ngokuvamile eyenziwa ekhaya, esibhedlela wathumela uma isiguli waphawula ukwephula kwegazi cerebral futhi umgudu wokuphefumula.

Njengoba abantu ngesikhathi kwenziwa le isifo esibangelwe igciwane, abaphethwe ukukhwehlela olunzima, odokotela zizama izindlela ezahlukene ukuze kuxazululeke isimo sakhe. Ukwelapha ukukhwehlela whooping, libeke izidakamizwa ezilandelayo:

• izidakamizwa Mucolytic. Ngokuvamile bajwayele ngesimo inhalations ukuze Ziyancibilika isikhwehlela ukunikeza ngayo outflow khulula.
• Bronchodilators. Lezi ukuvimbela spasm futhi lula ukunwetshwa bronchodilation.
• Vasodilators futhi sedatives. Lezi imithi ukusiza ukuthuthukisa kwegazi ebuchosheni, kanjalo uvimbele ukudala ezinye ukuthuthukiswa umoya-mpilo indlala.
• Antitussives. Linqume kubo akuvamile, njengasezulwini ukukhwehlela whooping bona abe nekghono ephansi.

Uma ulandela zonke izincomo likadokotela, uyokwazi ukuba ngokushesha ukwelapha ukukhwehlela whooping. Koze kube nini ukhwehlela ke, incike ngezinga yesifo ukunganakwa. Ngokuvamile, sokuvivinya izifo ezifana uqhutshwa phezu izabelo ngabanye, ngoba isifo umuntu ngamunye uhlukile.

Ngokwesibonelo, uma umntwana izinkontileka ukukhwehlela whooping, noma kukhona degree okunzima isifo, wandise nengozi yokuba hypoxia. Kulokhu, ukwelashwa mpilo kwenziwe. Phakathi nale nqubo, itende ekhethekile ngokusebenzisa imaski izinsana kufakwa isidumbu emoyeni ingane ahlanganiswe-mpilo okumsulwa. Enye ukwelashwa wenziwa ejenti nootropic ngokuthuthukisa umzimba palsy.

Ngaphezu kwalokho, kungenzeka ukuba zibe izinsuku ezimbili reception glyukokortikosteirodov ukuqeda pertussis. ngaleyo ndlela ukukhwehlela Ukwelashwa kusebenza ngempumelelo: encishisiwe ukushuba ukuhlaselwa, aqede besikhashana stop ukuphefumula.

Esimweni lapho umuntu uhlushwa pertussis, itholiwe hypersensitivity noma isici esiyingqayizivele kwanoma iyiphi imithi, odokotela linqume antihistamine. Phakathi ukuvuselelwa kanye nokuvulwa iziguli belulekwa ukuba athathe amavithamini, ikakhulukazi iqembu B, A no-C Bangasiza ngcono umsebenzi mzimba futhi ngokushesha ukubuyisela umzimba ngemva kokugula.

Kufanele kuqashelwe ukuthi ukukhwehlela whooping e abadala kungcono aphathe ngemithi elwa namagciwane kuphela ezinsukwini zokuqala 10 lokugula, noma ukuthuthukiswa yezinkinga ezifana ephathwa inyumoniya futhi ukucinana kwemigudu yokuphefumula. Kukho konke, imithi elwa namagciwane abanamandla.

ukulawula ukutheleleka izindlela ababezibheka

Ukuqeda ukukhwehlela e ukukhwehlela whooping kuzosiza amakhambi abantu. Kahle kungase kutholakale ekwelapheni lesi tincture isifo asparagus. Ukuze ekuwulungiseleleni uzodinga amahlumela zalesi sitshalo, okumele abe ochotshoziwe, ngeza ku thermos, uthele amanzi abilayo futhi ushiye amahora angu-3. isiphuzo Ready kudle omunye isipuni izikhathi eziningana ngosuku ngemva kokudla.

Susa kukhwehlela e ukukhwehlela whooping uthole herbal ehlanganisa Thyme, anise izithelo, uphayini efihlekile, knotweed, fennel imbewu kanye licorice impande. Zonke lezi zingxenye exutshwa ngezabelo alinganayo (1 isipuni), bese wengeza amanzi ukumnika. Ngemva kwamahora ambalwa, ingxube kufanele agqoke umlilo futhi ubilise imizuzu 2. Umhluzi okuholela kufanele kube cool ke sokukhipha kahle. Sebenzisa kufanele kube isigamu sehora ngaphambi ukudla izikhathi 3 nsuku zonke nge 150 ml.

imiphumela emihle ukukhwehlela whooping has a uju nge black isithombo. Ukuze ukulungiswa nomuthi usebenzisa impande esikhulu. Okokuqala, begeza le isithombo bese anqunywe inyama yaso phezulu futhi ehlanzekile kancane ngaphakathi. Ekhosombeni okuholela ugcwele noju, ikhuluma ngengxenye ethile cut impande, sahamba saya 2.5 amahora kukhishwe ijusi. Khona-ke lokhu uqweqwe uthathe 1 isipuni encane izikhathi okungenani 5 ngosuku ngaphambi kokudla. Futhi ijusi isithombo uju ovunyelwe inikezwe izingane ukwelapha ukukhwehlela whooping. Lokhu nqubo yokwelapha ithatha nje lesi sifo akungeni esigabeni yokutakula. Nge ithuluzi ezinjalo ngeke kuphela ekudambiseni isimo lesiguli, kodwa ngisho ukuvimbela ukuthuthukiswa yezinkinga.

Omunye izindlela eziphumelelayo pertussis inhlanganisela uju kanye sunflower imbewu. Lungiselela kube lula: lokuqala imbewu omisiwe kuso noma kuhhavini ke lazichoboza wathela amanzi uju. Izindlela ezinjalo kulethwa ngamathumba futhi abilisiwe kuze okuqukethwe imbiza ngeke nengxenye. Umhluzi selehlile, elicwengekileyo futhi ephuzile ngo sips amancane usuku lonke.

Yelaphani ukukhwehlela whooping ekhaya kuzosiza amafutha ebalulekile camphor ukhuni fir, uviniga 6%. Lezi izithako elixutshwe ngezabelo alinganayo ukuthola mass homogeneous. It is wetted ne obuncane indwangu, okuyinto ke akhanywa futhi lisetshenziswa phezulu esifubeni. Yenza cindezela kangcono kusihlwa ngaphambi sokulala. Kuyinto engathandeki ukuba bafeze lo inqubo abaneminyaka engaphansi kwengu-13 ubudala.

Ukuphungula izimpawu pertussis kungaba isiraphu onion, okulula ukukwenza. Okokuqala sidinga anyanisi fake Chop ngaphandle husks wakufaka esitsheni ingilazi. Lokhu isitsha kufanele wengeze 4 wezipuni ushukela, bese uvale lid futhi ushiye for 4 amahora. Phakathi nalesi sikhathi, anyanisi sizonikeza juice ngokwanele, okuyinto iyoba khambi ukhwehlela whooping. Phuza lokhu isiraphu kuyadingeka usuku 1 spoon encane njalo 2 amahora lonke. Inkambo zokwelapha ihlala kuze alulame ngokugcwele.

izinyathelo Ukusekela

Ngisho nangemva kokuba sizokwazi ukwelapha ukukhwehlela whooping, ukukhwehlela isikhathi eside ngeke ukuphazamisa umuntu. Ngakho-ke, odokotela batusa njalo futhi eziningi uhamba yokuthuthukisa imisebenzi okuvikela umzimba. Nokho, uma kungenzeka ukuchitha sikhathi kuleli zwe noma edolobhaneni, iya ehlathini eduze ichibi. umoya onomswakama ngaphandle qeda amagesi ayegcwele oksijini, uzoshesha isheshe ilulame ekuguleni.

Ukukhwehlela kabuhlungu - lokhu akusona isifo zonyaka, ezinjengomkhuhlane noma SARS, ukuze ukwazi ukubamba kwabo ngisho ehlobo. Winter ukugwema hypothermia ngesikhathi sokwelula izinyawo. Kuyadingeka njalo enze yokuhlanza ezimanzi, ikakhulukazi igumbi yezingane. Phezu kwakho konke, kufanele balahle okhaphethi, amathoyizi ezithambile kanye nezinye izinto buthelela uthuli.

Uma ugweme isifo singalapheki ke egumbini kufanele baxazulule inkinga nomzimba ukuthi kumkhathaze ukukhwehlela. Desirably izinjongo ezifana ukusebenzisa humidifier. Lapho igumbi emoyeni sishisa futhi somile, ngesikhathi isikhwehlela spasm (viscous kakade) oluhamba nobunzima engaholela ukuxakeka.

Ukukhwehlela kabuhlungu ezinqunyiwe izidakamizwa hhayi kuphela, kodwa futhi ezakha Ukudla:

• Ukudla engeza ukudla eziqinile amavithamini B - amaqanda, inkukhu livers, cottage shizi.
• Ungakudli ukudla ngibhema futhi ethosiwe.
• It is hhayi Kunconywa ukuphuza itiye, utshwala kanye nekhofi.

Kungcono ukudla lokhu zokugula pureed isobho. Futhi kukhona isidingo wamaqhuzu - izingxenye ezincane kanye nezikhathi akukho esingaphansi 6 ngosuku.

Kanjani ukuba uthole ukukhwehlela whooping?

Naphezu kweqiniso lokuthi lesi sifo esithathelanayo kakhulu, izindlela namuhla eyaziwa ukukusiza ukugwema ukutheleleka. Indlela ephumelela kunazo ubhekwa agonywe.

Beka ingane yakho zigonyelwe ukukhwehlela whooping kathathu - ne esingaba amasonto 6. Futhi kunjalo selokhu izinyanga ezintathu zokuphila. Revaccination Kwenziwa lapho ingane iphendula eyisithupha ubudala. Ngemva uveza amasosha omzimba ngokumelene yizifo ngokucindezela iminyaka 5. Kodwa ukuvikela ngokugcwele ngokumelene whooping ukukhwehlela imigomo, ngeshwa, abakwazi. Kumane nje kusiza ukuze uthumele isifo kulula.

kwakhiwa amasosha omzimba okuqhubekayo is ngemva abantu asebegule nalesi sifo. Nakuba kabusha ukutheleleka kungenzeka uma imisebenzi okuvikela umzimba buthaka ngenxa ezinye zezizathu. wokugoma Pertussis isetshenziswa, njengokuthi "Infanrix" futhi DTP. Umuthi wokuqala Belgian, kanti eyesibili - eRussia. Yiqiniso, zikhona abanye, kodwa lezi avame asetshenziswa bokulwa nesifo.

uhlobo oluhlukile wokugoma pertussis ingxenye. Lonke cell DTP ke, futhi "Infanrix" - acellular. wokugoma Kugcine kuyabiza, kodwa ososayensi bacabanga ukuthi esikhundleni izidakamizwa akusho idlala indima enkulu, futhi akusenzi kahle. lokugoma Russian jikelele, njengoba isicelo nokuvimbela ukukhwehlela whooping, hhayi kuphela, kodwa futhi idiphtheria nomhlathi-ngqi. Ngemva ke abantu namasosha ukuthi singangena kule webhaktheriya antigen amangqamuzana.

Adult pertussis lokugoma akusho pose njengoba kakade kwakhiwa amasosha omzimba ngemva yokugoma ebuntwaneni. Ngaphezu kwalokho, iningi amacala abantu esikhathini esithile ekuphileni kwabo okungenani kanye, kodwa ophatha isifo siqala ifomu onomoya omnene wayibamba umkhuhlane.

Njengoba yaziwa, a zokugula esinjalo wadluliselwa amaconsi sisemoyeni, lapho isiguli iyathelelwana kakhulu ngesikhathi esigabeni sokuqala lesi sifo. Ngakho-ke, kufanele wazi ukuthi hlobo luni ukukhwehlela e ukukhwehlela whooping ukuba ligweme izinkinga ezingase zivele. lomuntu onegciwane kufanele lingaxhumani omkhaya amasonto 2-3, kuncike Yiqiniso lesi sifo. Ilokhu kudingeka pholisa igumbi lapho itholakala. Cishe ukuthuthukisa ukukhwehlela whooping ikakhulukazi izingane eminyakeni 6-7.