Ukwelashwa Laryngotracheitis futhi izimpawu ezinganeni nakubantu abadala. laryngotracheitis acute

Namuhla sizokutshela ngokuningiliziwe ngalokho laryngotracheitis, yiziphi izimbangela yalesi sifo, izimpawu zayo kanye zokwelapha.

Uhlolojikelele

Laryngotracheitis (izimpawu kanye nokwelashwa kuzoxoxwa ngezansi) kuyinto isifo ukuvuvukala esithinta amalaka kanye kuqhoqhoqho. Lokhu kungenxa yigciwane.

ukuhlola

Ngaphambi aphathe laryngotracheitis, isiguli kufanele ubonane nodokotela. Ngemva izifo ezifana Kwenziwa kuphela ngokuhamba ukuhlola isiguli, auscultation kanye eshaywayo wamaphaphu mikrolaringoskopii, CT scan kuqhoqhoqho kanye umphimbo, iphaphu ze-X ray, luhlolo ezincane futhi bacteriological ka isikhwehlela, kanye nolunye uvivinyo ukuthi ukukhomba ejenti causative.

izimbangela

laryngotracheitis Okungalapheki noma sibi avame kwenzeka njengoba inkinga ku ngemuva izifo ezifana pharyngitis, laryngitis, namathansela, adenoids, rhinitis futhi sinusitis. Ngaphezu kwalokho, lokhu ukuphambuka kungenzeka ngenxa ukusabalala ukuvuvukala e yomoya engezansi, okuyinto kuhambisana ukuthuthukiswa ukucinana kwemigudu yokuphefumula, bronchiolitis noma i-pneumonia. Kuyaphawuleka ukuthi izimpawu laringotraheita ezinganeni zihlukile kusukela izimpawu zesifo ebonwe abadala. Futhi lokhu kungenxa yokuthi amalaka abangazange okwamanje bakha ingane ngendlela efanele. Yingakho izingane ezingaphansi kweminyaka engu-6 ethulwa ngokumelene isifo ngokuvamile kwakheka omncane umzimba, okuholela izinkinga zokuphefumula ezifana croup zamanga.

Ngaphezu kwalokho, laryngotracheitis viral kungadalwa adenovirus ukutheleleka, parainfluenza, SARS, imfuluwenza rubella, isimungumungwana, imfiva obubomvu inkukhu Pox. Ngokuqondene isifo esibangelwe igciwane, kungaba kubangelwe staphylococci, beta-hemolytic streptococcus, pneumococcus, Treponema pallidum (ngokuvamile ugcunsula ephakeme), Mycobacterium sofuba (isib, isifo sofuba we amalaka) kanye chlamydia noma mycoplasma ukutheleleka.

Ukutheleleka sifo kwenzeka amaconsi (ngesikhathi sneezing noma ukhwehlela isiguli). Kodwa uma umuntu has amasosha avikela ezifweni ke laringotraheita ukuthuthukiswa akakwazi zenzeka.

laryngotracheitis olunamandla: izimpawu e abadala kanye nezingane

Izimpawu laryngotracheitis acute kungase kuvele ngemuva izimpawu ekhona kakade ka zokuphefumula ipheshana izifo (elingenhla). Lezi kubonakaliswa zihlanganisa:

• umkhuhlane;
• amakhala yisisu;
• ukuminyana acinene;
• ubuhlungu kanye umphimbo obuhlungu;
• ukungakhululeki ngesikhathi singagwinyi.

Kufanele kuphawulwe ukuthi laryngotracheitis acute, okungukuthi, izimpawu zayo zokwelapha kungase kubonakale kakade emva lokushisa komzimba lesiguli izomashela ukuba subfebrile. Lesi simo kufanele wazise umuntu, ngoba zonke mzuzu isimo sakhe ngeke ziwohloka kakhulu.

Izimpawu laryngotracheitis (acute) zinezikhathi ukukhwehlela sasivumela eqinile ezomile. Ngenxa ukuvaleka amalaka , lesi sici iba "barking". Ngalesi ukukhwehlela futhi ngemva kokuba isiguli kungenzeka esekhala ubuhlungu sternum. Ngokuvamile laringotraheita izimpawu ekuseni ebusuku. Kodwa ngokuvamile ukukhwehlela kungaba uhlupho umuntu futhi ngosuku ngesimo ukuhlaselwa eqinile. Ngokuvamile, lokhu kwenzeka ngemva ukuhogela emoyeni noma abandayo egcwele uthuli, bayahleka, zamemeza ngezinye izikhathi okwenziwa ngisho umoya elula ezijulile. Kulokhu, kukhwehlela ngokuvamile ehambisana nobutha uketshezi encane mucosal ne isikhwehlela viscous. Njengoba isifo siqhubeka, kungase luningi ne liquid ubovu ekuzuzeni.

Ngaphezu kwalokho ukukhwehlela, izimpawu acute kumelwe kuthiwe zibangelwa laryngotracheitis hoarseness noma hoarseness kwezwi, kanye emizweni ezingemnandi e amalaka (isib umuzwa esivuthayo, tickling ukuzwa, nomzimba angaphandle ukuzwa koma).

Iziguli nale Ihlahlubo Avame ukutholakala lakhulisiwe futhi kubuhlungu entanyeni zamanzi.

Okungalapheki laryngotracheitis: Izimpawu kanye Ukwelashwa

Nale ukwenqaba umuntu angase esekhala ukukhwehlela, iziyaluyalu izwi kanye nokuhlukumezeka emphinjeni (ngemuva breastbone). Kuyaphawuleka ukuthi dysphonia nesineke laryngotracheitis ngokuvamile kuhluka hoarseness nobumnene, lubonakala ikakhulu ekuseni nakusihlwa, ukuze hoarseness njalo nje futhi sinamandla.

Izimpawu laryngotracheitis ezingamahlalakhona abanye abantu baye babonisa ngendlela ukukhathala emva umthwalo izwi eningi. Dysphonia kungabuye zaba zimbi ngu izimo zezulu eziguquguqukayo, kanye ocansini bubuhle - ne kabusha hormone (isibonelo, ngesikhathi ekhulelwe, menopause nokuqala menses).

ukulahlekelwa unomphela izwi kukhombisa takhi izinguquko nemisipha, okuyizinto umlingiswa ikakhulukazi keratosis noma hypertrophic. Uma umuntu wahlanganyela emisebenzini enjalo kangangokuthi zidinga amakhono ukukhuluma, khona-ke lesi sifo kungase kube kuhle izinto ezicindezelayo, eyagcina ezisenza sicindezeleke, izinkinga zokulala kanye neurasthenia.

Njengoba kushiwo ngenhla, laryngotracheitis izimpawu e abadala nezingane zingahluka. Nokho, uhlale ukhwehlela njalo e isifo esingelapheki kuzibonakalisa nhlobo. Kuyaphawuleka lokho kukhombisa kuhambisana expectoration okuncane. ukukhwehlela njalo futhi obukhulu iziguli kaningi kakhulu okubangelwa ukungakhululeki enjalo emphinjeni njengoba ukuhlekisa, ezomile, tickling, njll

yezinkinga kungenzeka

Uma inqubo esithathelanayo tracheal lasakazekela izigaba engezansi umgudu wokuphefumula, lokho kuyoholela ukuvela pneumonia noma tracheobronchitis. Ngo laryngotracheitis okungalapheki izingane ngokuvamile kwenzeka bronchiolitis. Ngokuvamile, isifo ephelezelwa lokushisa lomzimba ephakeme, kanye nokwanda okuphawulekayo izimpawu zokudakwa. Kulokhu, kukhwehlela ingavuthi unomphela. Ngenxa yokuthi e-acute isikhwehlela lagingotraheite aqoqana womuntu laryngeal inesikhala, ingane encane ingase ibe ukubukeka ibhali zamanga ukuthi simele usengozini ofayo.

Nge ukucasuka njalo nolwelwesi lwamafinyila we kuqhoqhoqho kanye umphimbo ngesikhathi ngincipha ngenxa ezingamahlalakhona ukuvuvukala laryngotracheitis kungabangela ukuthuthukiswa izimila benign yemizimba. Ngaphezu kwalokho, lesi sifo, futhi ikakhulu njengoba injalo hypertrophic, siphathelene okuthiwa uthi zangaphambi anomdlavuza. Phela, engase iholele kalula normal cell ukuguqulwa mucosa, okuyinto ke abangele ukuthuthukiswa izimila amalaka. Yingakho kufanele alibale ekwelapheni lesi sifo, ikakhulukazi izingane ezincane.

izinyathelo zokwelapha at laryngotracheitis

Uma uneminye izimpawu of laryngotracheitis, kufanele afune usizo lwezokwelapha ngokushesha. Ngokuvamile, ekwelapheni leso sifo ukuba sifeze yokwelapha elwa namagciwane noma elwa namagciwane lapho isiguli esimisiwe mucolytics, antitussives, antihistamine, antipyretics, nezinye izidakamizwa, kanye Physiotherapy. Ngokuvamile indlela yokwelapha laringotraheita wenziwa esigulini esingalalisiwe esibhedlela. Uma ingane ubonakele croup zamanga, kuyadingeka ngokushesha hospitalize kuye esibhedlela.

Imithi ngoba impatho

Ukuze uqonde ukuthi nalokho ukwelapha laryngotracheitis oyingozi noma ezingamahlalakhona, wathi ukuba izidakamizwa ezivamile futhi ngempumelelo esetshenziswa kule isifo:

• Antivirals: "Nazoferon", "Arbidol", "Rimantadine" futhi "Proteflazid".
• ejenti elwa namagciwane (e okuxubile laryngotracheitis amagciwane): "Cefuroxime", "amoxicillin", "Sumamed", "Tseftriokson", "azithromycin".

Ngaphezu kwalokho, ngempela nethonya elihle in iziguli laryngotracheitis babe alikhali namafutha ephefumula futhi electrophoresis ku endaweni kuqhoqhoqho kanye umphimbo.

Ukuze ekwelapheni izifo ezingamahlalakhona ejenti immunomodulatory asetshenziswa (isb, "Broncho-inyanga", "Immunal", "Likopid") futhi karbotsestein, vitamin C kanye nezinye izakhiwo multivitamin. Ngaphezu kwalokho, isiguli ithunyelwa Physiotherapy, electrophoresis okungukuthi okwelapha, UHF, inductothermy futhi massage.

Uma isiguli ine exacerbation okukhulu a esingamahlalakhona noma laryngotracheitis, ngaphandle imithi, kunconywa phuza ketshezi efudumele (itiye, ujusi, jelly, njll). Egumbini lapho isiguli itholakala, emoyeni kumele kube ngokwanele usemanzi hhayi abandayo.

Amacala ayefuna ukuhlinzwa

kokungenela Steel phakathi izifo ezifana iboniswa kuphela ezimweni ngazinye, laryngotracheitis hypertrophic (ngokuvamile zezifo ezingelapheki). Futhi, ukusebenza inikezwa, uma ukuphathwa okwelapha akakunikanga elamukelekile, futhi kukhona ingozi enkulu yokuba nomdlavuza.