Yintoni ekufuneka yenziwe xa umntwana ebhedlele
I-Bronchiolitis yintsholongwane ephantsi yokuphefumula eyenzekayo kubantwana abangaphantsi kwembini. Ngokuqhelekileyo kubangelwa yintsholongwane ye-syncytial virus (RSV) ebangela ukuvuvukala kweendinyana zomoya ezincinane (i- bronchioles ). Ukuvuvukala kubangela ukugqithiswa okukodwa okanye okugqibeleleyo kwe-bronchioles, okubangelwa ukuphefumula nokuphefumula.
I-Bronchiolitis yimbangela ebangela ukulaliswa esibhedlele kwiintsana kunye nabantwana abancinci. Ekubeni kungekho nonyango ye-bronchiolitis, unyango lujoliswe ekunciphiseni iimpawu zesifo somkhuhlane kunye nobunzima bokuphefumla. Ukuba ukufunyanwa esibhedlele kuyadingeka, unyango lungaphinda lubandakanye i- oksijeni eyongezelelweyo kunye nokusetyenziswa kwamanzi okukhusela ukukhulelwa kwamanzi.
Kwixesha elidlulileyo, i- albuterol yezidakamizwa yayisetyenziswa ngokubanzi kwizibhedlele ukunceda umntwana aphefumule. I-Albuterol ikwahluzwa njenge- bronchodilator esebenza ngokuzikhupha izihlunu kwiindinyana zomoya. Itholakala kwiifom ye-inhaled, yomlomo, kunye ne-injection kwaye ifakwe ngokuqhelekileyo kubantu abanezifo ezingapheliyo zokuphazamiseka kwe-pulmary disease (COPD) kunye ne-asthma.
Ngelixa kubonakala ngathi kunengqondo ukusebenzisa i-albuterol kwiimeko ze-bronchiolitis ezinzima, isikhokelo esihlaziyiweyo esivela kwi-American Academy of Pediatrics (AAP) ngoku siyakhuthaza ngokusetyenziswa kwayo.
Kutheni i-AAP icebisa nge-Albuterol
Kwiingcebiso zabo ezihlaziyiweyo ze-2014, i-AAP yavuma ukuba i-albuterol inokubonelela ngoncedo olusesikhatsini kubantwana abane-bronchiolitis ngendlela efanayo eyenza i-asthma .
Nangona kunjalo, ukuphumelela kwangempela kwesilwanyana kule meko kwakukho ngokuthe tye. Uphando lwangoku lubonise ukuba ukusetyenziswa kwe-albuterol kwiibhedlele ezingabonakaliyo akukho nto yokuphucula iziphumo okanye ukunciphisa ukuhlala kwezibhedlele.
Ngaphezulu koko, i-AAP icebisa ezinye iindlela zonyango ezisetyenziswa ngokudlulileyo, kuquka ne-hypertonic saline, i-systemic corticosteroids , i-antibiotics kunye ne-physiotherapy esifubeni.
Ukuchonga xa i-Hospitality ifuneka
I-brronchiolitis kubantwana ngokuqhelekileyo iya kukhula emva kwemihla emithathu ukuya kwemihla yeqanda eliqhelekileyo. Ngokuqhelekileyo iqala ngokuxinwa kwamanzi kunye nokukhupha, ukukhwehlela komzimba kunye nomkhuhlane ngaphezu kwe-100.4 ° F. Ukuba usulelo luyaqhubeka kwaye amavesi angaphantsi emoyeni abandakanyekayo, le meko ingaba yingozi kwaye ibangele iimpawu ze:
- Ukuphefumula ngokukhawuleza
- Ukugubha
- Ukukhwehlela okuqhubekayo
- Ukutya okunzima
- Izikhala ekuphefumla (i-apnea)
Umzali uyazi ukuba lixesha lokuthabatha umntwana kwimeko engxamisekileyo ukuba ivili lihlala ixesha elingaphezu kweentsuku ezisixhenxe okanye liqhubela phambili ukukrokra. Ngokufanayo, ukuba umntwana unobuthakathaka kakhulu kwaye unobungozi obunqabileyo kwesikhumba okanye emlonyeni (i- cyanosis ), umzali kufuneka akhangele ingozi yonyango kwaye abize i-911.
Iingcebiso zeZibhedlele zangoku
Phantse iipesenti ezintathu zabantwana abane-bronchiolitis ziza kufuna izibhedlele. Unyango luya kubandakanya ukubeka iliso impawu ebalulekileyo kunye nenkathalo encedisayo esekelwe kwimeko yengane kunye neempawu.
I-oxygen eyongezelelweyo ingafuneka kubantwana abangakwazi ukuphefumula. Oku kufuthi kwenziwa ngokubeka ityhubhu, ebizwa ngokuthi i- canal de nasal , phantsi kwempumlo yomntwana okanye ngokusebenzisa imaski yobuso. Kwiintsana, ibhokisi yentloko yeoksijini isenokusetyenziswa.
Ukuba umntwana akakwazi ukutya okanye ukusela, mhlawumbi ngenxa yokuba izinga lokuphefumula likhawuleza okanye ukuphefumla kunzima kakhulu, ukusetyenziswa kwamanzi kunye nesondlo kunokudinga ukuhanjiswa kwangaphakathi (kwisithambiso) .Ukuba ukhusele ukusasazeka kwegciwane, umntwana uya zingabandakanywa nabantakwabo kunye nabanye abantwana kude kube yimeko.
Uninzi lwabantwana ababhedlele esibhedlele ngenxa ye-bronchiolitis bayakwazi ukubuyela ekhaya emva kweentsuku ezintathu ukuya kwezine.
> Umthombo:
> IHolo, iC .; Weinberg, G; Blumkin, A. et al. "Iintsholongwane zentsholongwane yokuphefumula-ezinxulumene nezibhedlele eziphakathi kwezingane ezingaphantsi kweenyanga ezi-24 ubudala." Pediatrics . 2013; 132 (2): e341-e348. I-DOI: 10.1542 / iipeds.2013-0303.
> Ralston, S .; Lieberthal, A .; Meissner, H. et al. Isikhokelo seNkcazo yokuCwangcisa: UkuHlola, ukuLawula kunye nokuPhepha kweBronchiolitis. " Pediatrics. 2014; 134 (5): e1474-e1502. INGXELO: 10.1542 / iiped.2014-2742.