Laryngitis Constrictive: Izimbangela, Izimpawu, Sifo Nokuselapha

Acute ukuvuvukala ezenzeka amalaka, ngokuthi laryngitis constrictive. Ngokuvamile, lokhu zokugula is okuqhubekisela SARS, kodwa kungase kube inkinga ka izifo ezibangelwa amagciwane, kanye komzimba. Izingane kuvuvukala kwenza kuvalwe mafutha anciphisa isikhala esingaphakathi we umphimbo, okuholela nobunzima ukuphefumula.

kungani kukhona

Ngokuvamile laryngitis constrictive kwenzeka kokungenisa igciwane Umkhuhlane, parainfluenza, rhinovirus noma enterovirus. zokugula Ngaphansi ezivamile kwenzeka njengoba inkinga ka-herpes, isimungumungwana, inkukhu Pox nezinye izifo ezithathelwanayo.

laryngitis Constrictive esimweni ngasinye ithuthukiswe ngendlela elandelayo: le mucosa iba edematous, kukhona imisipha spasm. Khona-ke kukhona isikhwehlela e mafutha anciphisa isikhala esingaphakathi we amalaka. Umzimba ezama ukuyisusa, a spasm reflex abalwazi kahle ulimi. Ngenxa hypoxia.

Lezi zinto ezilandelayo kungaholela ukuthuthukiswa laryngitis:

1. ukungezwani ngokweqile yezwi.
2. Ukuthola ecasulayo emphinjeni uphuzo.
3. umonakalo mechanical kuya mucosa emphinjeni.
4. Ukungenwa amakhaza.
5. Kwehliswe amasosha omzimba.
6. Ukusabela nomzimba.

Laryngitis ukuphefumula ezinomsindo kungahle kubangelwe okuvela abscesses noma retropharyngeal uhlobo paratonsillar. zokugula Futhi kungahle kubangelwe idiphtheria, epiglottitis, ngenxa nomzimba angaphandle isifiso, ukuhlukumezeka laryngeal, ukusha.

Kwezinye izimo, laryngitis constrictive umphumela:

• laryngospasm hypocalcemia okuholela yamathambo, i-hypothyroidism, esingamahlalakhona kwezinso;
• stridor azalwa naso;
• edema iguliswa;
• hypertrophy ka amalaka;
• papillomatosis;
• izinhlumba;
• hemangioma ka amalaka.

Ngemva liqine izimbangela udokotela ukhetha indlela yokwelashwa. Yena angaqoka imithi noma ukuncoma ukuhlinzwa.

ingozi yokuba

Ngenxa izici isakhi izingane amalaka cishe iminyaka engaba yisithupha, ngokuvamile uhlushwa stenosis. Ngaphambi umzimba le yingane sika libhekene:

• igobolondo ezondile amalaka;
• submucosal okuxekethile, semithambo kakhulu ukuthuthukiswa anezikhala;
• uqwanga epiglottic elithambile, side;
• imisipha zokuphefumula ababuthakathaka.

Kusukela lapho kuqala SARS laryngitis constrictive kungenzeka ngosuku lwesibili. Ngokuvamile, ukutheleleka kuzibonakalisa ebusuku. Ngo ukuthuthukiswa isifo singakabi indima yokugcina eyadlalwa khona yokungezwani komzimba kanye hypersensitivity yaleli pheshana zokuphefumula ezintweni.

ukubonakaliswa emitholampilo

laryngitis Constrictive kusaqalwa yentuthuko ngokuvamile kuba iphutha for SARS. zibe Okuhlezi emqondweni zivamise ukwenzeka ebusuku. Emkhakheni amalaka kukhona umuzwa ingcindezi.

With ukuthuthukiswa ukugula kukhona ezomile, ukukhwehlela nokugenca, phakathi kwesikhathi lapho emphinjeni avuvukele wazizwa soreness. unxantathu Nasolabial livele tinge bluish, ukuphaphatheka isikhumba. Ukuphelelwa ngumoya, isiguli uqala udonsa kakhulu umoya, ezama ukuthola i-wabamba umlomo, ikhala kancane emoyeni. Ngenxa yalokho, nolwelwesi lwamafinyila emlonyeni, ikhala nomphimbo baqale ome. On amalaka ifomu soma agqagqene yomoya.

Izingane laryngitis constrictive kusheshe ukufuthelana ngenxa izici isakhi amalaka: igebe emincane yisishiso ivinjiwe ngokushesha, futhi ingane iqala kuliminyanise. Ukuze ugweme lokhu, kumele bakwazi ngokushesha ukukhomba zokugula esiyingozi futhi lihlukaniswe umkhuhlane nezinye pathologies ezithathelwanayo.

Inqubo ukuvuvukala kule umphimbo okuphuma ngezigaba eziningana, ngayinye yaba livezwa izimpawu ezithile.

croup syndrome wabonakaliswa ngesikhathi ukuvuvukala umphimbo. Lesi isimo emitholampilo libhekene hoarseness, ukukhwehlela sebekhathele ukukhonkotha kwazo, ukuphefumula obstructive. Kwesinye croup cider ke ngokuthi stenosing laryngitis.

isigaba sokugembula

Ukuvuvukala amalaka Kwenzeka ngezigaba ezine.

1. Isinyathelo kwezimila inzuzo. Ngesikhathi besanda kuqala isifo ukubonakaliswa iqala barking ukukhwehlela in ingane enomkhuhlane. Khona-ke ijoyina hoarseness, bangezwa ukuhlaselwa kancane Ukuphelelwa.
2. Subindemnification. Kulesigaba ukuphefumula kuba okusheshayo, ezinomsindo. unxantathu Nasolabial livele libe liphinyiselwe tint okwesibhakabhaka. Isimo jikelele isiguli liwohloka, ukukhathazeka livela ubuthongo siyabhubha.
3. Decompensation. Yonke umzimba embozwe umjuluko okunamathelayo. It yaphawula dyspnea okuxubile noma inspiratory. Uma ukuvuvukala umphimbo ezinganeni ifinyelela esigabeni sesithathu, kukhona ukuyaluza abukhali, ukuphefumula buthaka, abafundi osuke usuvulekile. Ngezinye izikhathi izingane sibonakalise ukudideka.
4. Asphyxia. laryngitis Constrictive ezinganeni akuvamile ingena esigabeni sesine. Uma lokhu kwenzeka, i-ekuthuthukiseni ikhoma hypoxic nge ukwephulwa okunzima zonke imisebenzi yomzimba. Izingane ziba ucobekile, ukuwozela, bona ehlile ukuphefumula, lize lithi khimilili.

Ezimweni ezingavamile, esigabeni sesine kungenzeka owabonakaliswa ukuchama okungalindelekile futhi sokuzikhulula, ukuquleka futhi grey ukubonakala.

yezinkinga kungenzeka

Uma kutholakala ukuthi uphethwe yini kahle laryngitis constrictive, ukwelashwa waqala ngesikhathi, onalesi sifo sisihle. Kungenjalo zokugula eshiya nemiphumela enqala. Ngokuvamile, ukuvuvukala kube nzima ukucinana kwemigudu yokuphefumula obstructive. isifo Ngaphansi ezivamile engena pathologies ezilandelayo:

• sinusitis;
• abezindaba otitis;
• namathansela;
• meningitis;
• conjunctivitis.

I inkinga eziyingozi kakhulu kuba i-pneumonia. Uma yena ihlanganyela laryngitis angaholela ekufeni.

ukuhlola

Laryngitis iphakamise uma izwi hoshozela, zikhonkotha ukukhwehlela, iphika. Futhi, udokotela uyakucabangela umlando, idatha ye-laboratory neluhlolo wezinsimbi. Asiza ukuqinisekisa noma ukuphikisa uphethwe.

Kwezinye izimo, kwenziwe ukuhlolwa virological okusolakala aetiology viral lesi sifo. Futhi, inhlolovo uqhutshwa khona kwegciwane. Kuphoqelekile amiswe uphethwe bacteriological ka idiphtheria isikhwehlela kusukela umlomo futhi acinene ingaphakathi.

ukwelashwa

Uma ukukhwehlela sebekhathele ukukhonkotha kwazo livela ingane enomkhuhlane, kufanele ngokushesha kudokotela.

Ngesikhathi esigabeni sokuqala udokotela isifo sinquma ukuphuza ngokweqile, ephefumula amakhambi (sage, camomile, njll). Doctor ukhetha amavithamini kanye nemali, ukuthuthukisa nokuvikeleka. Uma impatho enganikanga Chile oqondile, wabe eseya novocaine ukuvinjelwa okudambisa ukuvuvukala futhi spasm amavesi zokuphefumula. Ngo isinyathelo kuqala Udokotela angase anikeze isiguli inkambo kwamaphilisi nezidakamizwa namagciwane.

In esigabeni sesibili lesi sifo oxygen izindlela ngenhla humidified sengezwe, okuyiwa beqinisa zenhliziyo, isisu.

Isigaba sesithathu kudinga ukuphathwa ngendlela ekhethekile. On ke therapy zihlanganisa i-hormone izidakamizwa. Uma impatho akukuniki imiphumela emihle, eyenziwa ipayipi ukususwa isikhwehlela, bese mucosa ngobuningi nivame ngamafutha.

Ngezinye kusebenta ongaphakeme yokwelapha isiguli wenziwa tracheotomy intubation.

zosizo lokuqala

Kwaze kwaba yilapho kufika i-ambulensi kuyadingeka ukuze lula isimo lesiguli, esizibonakalisa laryngitis constrictive. Usizo lokuqala okulandelayo:

1. Qinisekisa ukufinyelela-mpilo. Ukuze wenze lokhu, khona-ke Uzithukululile inkinobho phezulu izingubo.
2. Beka nesineke embhedeni futhi siphakamise headboard.
3. Nikeza luningi isiphuzo efudumele. Ngenxa yalesi ungasebenzisa itiye, ubisi olufudumele.
4. Ebusika, kutuswa ukwandisa nomswakama egumbini.
5. Nikeza antihistamine.

Uma intuthuko siyenzeka, kubalulekile ukwenza ujove esicutshini noma emthanjeni of "Prednisolone": 4 mg kilogram of isisindo sengane ngayinye.

Ngemva ukuhlolwa udokotela lesiguli ukujova isidakamizwa antispasmodic.

zokuvimbela

ekuvimbeleni ukukhumuzeka imithetho laryngitis aqukethe okulandelayo:

• komuntu;
• umsoco ofanele;
• ukuxhumana kahle labo abaphethwe izifo ezibangelwa amagciwane kanye ezibangelwa amagciwane.

Ukuze ugweme ukuthuthukiswa lesi sifo, kufanele sihlale njalo siqaphele impilo, uthuthukise ukungatheleleki, thatha amavithamini, ukuvivinya umzimba.