I-Tracheitis yintsholongwane ye-trachea (ityhubhu yokuphefumula okanye i-windpipe) eyona nto ibangelwa ibhaktheriya. Iibhaktheriya eziqhelekileyo ezibandakanyekayo ziquka uStaplocloccus aeureus , iStraptococcus pneumoniae , kunye nePseudomonas aeruginosa . I-tracheitis ininzi ihlala kubantwana abancinci kwaye ingenza kube nzima ukuphefumula. Izinto ezibandakanyiweyo ziquka:
- Ukusuleleka kwintsholongwane echaphazela intsholongwane
- Ngokuqhelekileyo kubonakala ngaphambi kokuba uneminyaka engama-3 (kodwa iyakwenzeka ukuya kwi-13 ubudala)
- Iimpawu
- Down syndrome
I-Tracheitis ayinqabile yenzeke kuphela kwi-1 kuma-1,000,000 amacala kwaye krokrelwa ukuba yanda kakhulu kumakhwenkwe kunamantombazana. Ngenxa yokuba kunqabile, xa esi sifo sikhona, ngokuqhelekileyo iphosakele nge-croup yentsholongwane, eninzi kakhulu kwindawo yakho. Siza kuxubusha ezinye zeentlobo kunye nezinye zeemeko kuba i-tracheitis iyingozi kakhulu kwaye idinga ukuba umntwana wakho athole inkxaso ngenkxaso ye-breathing.
Iimpawu
Iimpawu ze-tracheitis ziyahlukahluka kumntu kumntu, kodwa zingabandakanya:
- Isikhumbuzo esivela "sikhohlela" kwaye sinokukhuphaza iimfihlo
- Ubunzima bokuphefumula
- Stridor xa ukuphefumula (okuqhelekileyo)
- Ukuphefumula xa uphefumula (awuqhelekanga)
- Umkhuhlane ophezulu; ngokuqhelekileyo likhulu kunama-102 ° F okanye i-39 ° C
- Imilomo ebomvu (uphawu lwe-cyanosis okanye i-low oxygen levels), ukuba amandla okuphefumula ahla
"Isikhwehlela esinamahloni" sisigqirha esibonakalisiweyo se-viral croup. Ngokuqhelekileyo ichazwa ngokuthi "ukugquma", "ubhedu", okanye ufana neengqungquthela zecwecwe. Oku kuya kuba khona kwi-tracheitis yeso sizathu sidla ngokudideka kunye ne-croup ebonakalayo.
Ulwahluko phakathi kweMpawu zeTracheitis kunye neCroup
Nangona ukukhwehlela kukuvakala ngokufanayo phakathi kwe-tracheitis kunye ne-virtual croup, kukho izinto ezininzi ezingasetyenziselwa ukunceda ukuhlula phakathi kweziphazamiso ezimbini. Ngokuqhelekileyo, i-croup ye-viral izakuqhuma phambili ngokunyuka, ngelixa iimpawu ze-tracheitis zikhawuleza. Ngesinye isikhathi umkhuhlane ungahluka, kunye ne-virgin croup ehambelana nomkhuhlane ophantsi kune-tracheitis; ayisoloko ephakamileyo kune-39 ° C. Ngokuqhelekileyo umkhuhlane ophezulu uqhuba abantu kwiSebe lexakeka.
Unyango oluqhelekileyo lwe-viral croup, i-oksijini ene-humidi kunye ne-epinephrine (i-epi ehlukumezayo), inokusetyenziselwa ukwahlula i-tracheitis. I-tracheitis yangempela ayiyi kuphendula kula mayeza kwaye ngamanye amaxesha iye yaphawulwa ukuba iyonakalise imeko. Ukuba uqaphela ukuba umntwana wakho uya kuqhubeka xa efumana le zonyango, kufuneka uqaphele umongikazi okanye ugqirha.
Ukuxilongwa
Ukuxilongwa kwe-tracheitis kunokusekelwe kwiimpawu, kunye nembali yesigulane kunye noviwo. Iimvavanyo zokuxilongwa ezinokuthi zenziwe ngumboneleli wakho wezempilo ziquka:
- Ukulinganiswa kwamanqanaba e-oxygen egazini (i-pulse oximetry)
- Inkcubeko esuka kwi-trachea, eqokelelwa ngexesha lokularyoscopy
- I- x-ray yemiphunga kunye neendlela zokuphefumla
Ngethuba le nkqubo, ugqirha uya kusebenzisa iziphumo zokuncedisa ukuhlula kwi- epiglottitis enye ingxaki engaqhelekiyo engadinga ukungenelela kokunceda ukuphefumla.
Unyango
Ukunyangwa ngonyango kusenokwenzeka kubalulekile ekulawuleni kakuhle i-tracheitis. Ngethuba le-laryngoscopy, ugqirha wakho uya kucima i-airway eninzi njengoko kunokwenzeka, njengoko kuya kwenzeka ukuba kube yimfihlo kunye nezibilini ezingabangela ukuvinjelwa kwamanzi. Ulawulo lokuqala luya kufuna ukuba lingeniswe kwiyunithi yonyango enzulu apho umntwana wakho angabonwa khona kwaye akhululwe (ityhubhu yokuphefumula ifakwe) xa kuyimfuneko.
Ukuba nethubhu yokuphefumula kuya kuvumela ukuba abahlengikazi be-ICU benze ukunyamezela ngokunyanzela umoya ukugcina umntwana wakho ephefumla ngendlela efanelekileyo.
Ulwaphulo lwe-antibiotics lokusuleleka kwebhaktheriya luyimfuneko. Ngokuqhelekileyo amayeza okukhetha aquka i-IV ceftriaxone ne-IV vancomycin. Ukuba iinkcubeko zibuya zingakwazi ukulwa nezi antibiotics, irejimen yengane yakho iya kutshintshwa. Iintsholongwane ze-IV ziza kuqhubeka iintsuku ezi-5 ukuya kwezi-6 apho ungatshintshela khona kwi-antibiotics yomlomo. Ikhosi ye-antibiotic iya kuba phakathi kweeveki ezi-1 neye-2.
Kwaziwa nangokuthi: i- tracheobronchitis, i-brouterial croup, i-laryngotracheobronchitis
Umthombo:
UFerri, uFF (2016). Tracheitis. Umcebisi weCliniki kaFerri 2016. http://www.clinicalkey.com (Ubhaliso olufunekayo)
Rajan, S. & Steele, RW (2015). Bacterial Tracheitis. http://emedicine.medscape.com/article/961647- ukujonga kwakhona