Ngaba Ukufudumala Kwangaphambili Kukukhokelela Kwisifuba?
I-brronchiolitis yimbangela eqhelekileyo yokuqhuma abantwana abane-asthma. Nangona oogqirha abaninzi besayiphatha intsana enomhlaza nge-bronchiolitis njengokuba bane-asthma, ezo zonyango azivame ukusebenza. Kukho umbuzo malunga nokuba umntwana okanye i-bronchiolitic ingena engozini yokwanda kwe-whem and asthma kwikamva.
Yintoni iBronchiolitis?
I-Bronchiolitis ukuvuvukala kweendlela ezincinci zeempompo, ezibizwa ngokuba yi-bronchioles, ezibangela ukuba i- wheezing ifakwe emoyeni nasemapapeni.
I-brronchiolitis ivame ukuchaphazela abantwana abaneminyaka engaphantsi kwe-2 ubudala kwiminyaka yebusika.
I-brronchiolitis ngokubanzi ibangelwa enye yee virus ezilandelayo:
- Intsho ye-syncytial virus (RSV)
- Adenovirus
- Influenza
- IParainfluenza
I-brronchiolitis ivame ukuzikhawulela kwaye iintsana ezininzi azifumaneki nemiphumo emide. Amanye amaqela ezintsana (ngaphambi kokuqala okanye abo abaneentliziyo zesifo senhliziyo) basengozini yokuxilongwa, njengokuphelisa ukuphefumla), uxinzelelo olunzulu lokuphefumula oludinga ukuqhubela umoya, okanye ukusuleleka kubaktheriya.
Ngaba i-Bronchiolitis ne-asthma efanayo?
Hayi! Akusiyo yonke into ehamba ngayo i-asthma , kodwa i-wheezing kufuneka ihlale ihlolwe. Ukuba umntwana wakho akazange akhuphe kwaye uva ukuvutha, kufuneka ubizele ugqirha wakho uze ubuze ukuba wenzeni. Ezinye zegciwane ezibhalwe apha ngasentla zingenza umntwana wakho aphephe iiveki ezimbalwa kwaye anokukhokelela ekubeni oogqirha abaninzi babhekisela kubantu abadala ngokuthi "post post syndrome."
Ngaba i-Bronchiolitis ikhokelela kwi-asthma?
Intsholongwane ye-syncytial virus okanye i-RSV inokukhokelela kwimpawu zesifo se-asthma ezifana nesondo, ubungqina besifuba , ukuphefumula nokuphefumula . Phantse abantwana aba-4 kwabantwana aba-10 abafuna ukulaliswa esibhedlele ngenxa ye-bronchiolitis banokupheliswa ukuba bafumene i-asthma kamva ebomini. Nangona kunjalo, ininzi abantwana abaqhubeki ekuhlakuleleni ukuxilongwa.
Oku kunzima kakhulu ukufundisisa ngenxa yezizathu ezininzi ze-asthma ezibandakanya izidalwa zendalo, ukungcola kwendalo, kunye neendlela zokuzikhusela nge-immunological.
Ukuba umntwana wakho unentsholongwane ka-RSV, basengozini enkulu yokwenza umsebenzi oqhelekileyo wepommune kunye nokungaqhelekanga kwiminyaka yokuqala yokuphila. Kwizifundo, aba bantwana banezihlandlo ezi-4 ezinokwenzeka ukuba bahambe kwaye baye banciphisa umsebenzi wokuphefumula xa kuthelekiswa nabantwana abangenayo i-RSV.
Ngaba Ngaba Umntwana Wami Uya Kugula kwakhona? Ngaba Ndinayo I-asthma?
Impendulo emfutshane mhlawumbi. Abantwana aba-1 kwabantwana aba-3 abahlala kwiminyaka embalwa yokuqala yobomi baya kuba bebuhlungu kwiminyaka engama-6. Ngamaxesha aninzi ohamba ngawo ngonyaka okanye ufuna ukuba i-steroids ibe zimbini zezinto eziphambili zokuxela kunye nokuba nomzali onesifo se-asthma okanye isifo se-atopic .
Ziziphi iilingo zokuba uMgqirha wam oLawulayo Batshutshise iBronchiolitis?
Kubantwana abancinci, ugqirha wakho akakwazi ukwenza iimvavanyo ezifana ne- FEV1. Uvavanyo oluqhelekileyo lwakho ugqirha uya kuyala luya kuba x-ray esifubeni. Oku kuya kukunceda ugqirha uthi ukuba usulelo lusenokubangela ukuba i-wheezing okanye ukuba kukho uhlobo lweengxaki zesakhiwo esikhokelela ekuqhubeni.
Ngaba i-Bronchiolitis ingabanjwa?
Nangona abantwana bezonyango bathanda iigciwane, akukho okwamanje isitofu esinokukhusela i-RSV okanye uninzi lwezinye iintsholongwane ezibangela i-bronchiolitis.
Unconywa wonyaka wokukhusela umkhuhlane uphakanyiswa kuwo wonke umntu ngaphezu kweenyanga ezili-6. Ukongezelela, wonke umntu ohlala kwindlu eneentsana ezincinane kufuneka agonywe.
Ukunciphisa ukutshaya utshayi, ukuhlamba izandla, ukuphepha ukuthintela umlomo kunye neempumlo, kwaye ukuphepha ukudibana nezifo zokuphefumula kuyindlela yokunciphisa ubungozi bokuthengisa okanye ukusabalalisa iintsholongwane ezikhokelela kwi-bronchiolitis.
Kwinqanaba leentsana ezikhankanywe ngaphambili ukuba zisengozini enkulu yeengxaki, i-palivizumab inikwe i-immunoprophylaxis. Oku kuye kwaboniswa ukunciphisa umngcipheko weengxaki kwi-RSV.
Kwiminyaka yakutshanje i-qualification yeli gciwane iye yaba nzima kakhulu ngenxa yeendleko zayo eziphezulu.
Ngaba I-Bronchiolitis Ingenziwa?
Ngokuqhelekileyo, ukulawulwa ngokuqhelekileyo kwe-bronchodilators engabonakaliyo njenge-albuterol ayifumanekanga ukuba iphucule kakhulu iziphumo. Lo mkhuba awukwenyusa kuphela iindleko zokunyamekela, kodwa ubeka iintsana ezinobungozi obunzima beemiphumo ngaphandle kokungenako ukufumana inzuzo. I-bronchodilator yomlomo isetyenziswe rhoqo kwixesha elidlulileyo kodwa ayinakubonelela ngenzuzo kwaye inxulumene nomngcipheko ophezulu wemiphumo emibi. Ngokufanayo, ukulawulwa ngokukodwa kwe-steroid enganyangekiyo akuzange kufunyaniswe ukutshintsha ikhosi ye-bronchiolitis.
Ukongezelela, akukho nto i-steroids okanye i-leukotriene inhibitors ezithe zafunyanwa ukukhusela iziganeko ezijikelezayo ezizayo kwaye azicetyiswa kwangoku.
Ugqirha wakho unokuyalela iimvavanyo zegazi xa bekrokrelwa kwezinye izizathu zokuvutha.
> Imithombo
> 1. I-Castro-Rodriguez J. I-Asthma Predictive Index: ukuxilongwa kwangaphambili kwe > asthma. >. > Curr Opin Allergy Clinic Immunol. 2011 Juni; 11 (3): 157-61.
> 2. Intliziyo yeSizwe, iLung, kunye neNgcaciso yeGazi. Ingxelo yePhaneli yeNgcali 3 (EPR3): Izikhokelo zoLwazi kunye noLawulo lwe-Asthma
> 3. I-Medline Plus. Intsho ye-syncytial virus (RSV)