Ukudla okungamanga kuyisifo sengane abazali abaningi abaye bakuzwa futhi bafunda ngakho, kodwa cishe akekho owaziyo ngalutho ngokwanele. Isihloko esithi "Ukudla okungamanga ezinganeni: izimbangela, ukunakekelwa okuphuthumayo" kukhonza njengomsizi ekuqedeni ukungabi nalwazi ngolwazi ngalesi sifo. Uma lesi sifo singumgogodla wamanga ku-larynx ne-trachea yengane, inqubo yokuvuvukala kwenzeka, ukuba khona kwenani elikhulu lezicubu ezixekethile kuzo kuholela ku-edema yokuqina okuhlukahlukene.
Ukudla okungamanga: izimbangela
Ukubonakala kwamathanga amanga ezimweni eziningi kunomthelela ekutheleleni kwe-adenovirus yesifo, umkhuhlane, umkhuhlane omnyama, ukukhwehlela okukhwehlela noma isishubhu. Phakathi kwezinye izinto, ngokuvamile lesi sifo sibangelwa ukuhlasela kokungezwani komzimba. Isizathu esenza lesi sifo sithinteke kakhulu yizingane kuyisakhiwo se-anatomical se-respiratory tract. I-bronchi ne-trachea yezingane ziyi-funnel, futhi hhayi yinkimbinkimbi, njengomuntu omdala, ngaphezu kwalokho, ezinganeni zincane kakhulu.
Inombolo yemikhumbi e-larynx enganeni ingaphezu kwenani lemikhumbi ku-larynx yomuntu omdala. Konke lokhu kuchaza ukuthi izingane zikwazi ukuhlela i-edema nezipasimali ze-larynx, okuyizikhathi eziningi eziholela ekuguleni. Ingane encane ingane, isisindo esinzima kakhulu.
Izici ze-groats zamanga
Kunezinhlobo ezimbili ze-groats - i-diphtheria yamanga neyiqiniso. Zombili izinhlobo zisebenza njengezimbangela zokukhwehlela kanye nobunzima ohlelweni lokuphefumula. Kodwa ngayinye yazo inezici ezihlukile, ezivezwe ezimpawu zesici ngasinye se-groats.
I-Diphtheria, noma i-croup yeqiniso, ikhula kancane kancane: lesi sifo siqala ngokubukeka kwamafilimu aminyene ku-larynx yengane. Khona-ke inani lala mafilimu landa futhi ukuphefumula kuba nzima. Khona-ke ama-lymph nodes akhula, ingane inomkhuhlane.
Ama-groats amanga ezinganeni azikho izimpawu zokuthuthukiswa, ngakho-ke kuyingozi kakhulu. Ukuhlaselwa kwe-cereal yamanga kungazelelwe, ukuthuthukiswa kwayo kuyingozi kuwo wonke amacala aziwayo. Ukuphefumula kuphazanyiswa ukuvuvukala kwamangqamuzana omzimba wephefumula.
Ukuvimbela i-croup yamanga
Akunakwenzeka ukuqinisekisa ingane ekuhlaselweni okungazelelwe kommbila wamanga, kodwa ingavimbela ukuvela kwayo. Ngokuvamile ukuthuthukiswa kwe-croup yamanga kuhlotshaniswa nesifo esithile somntwana sokuphefumula (rhinitis, pharyngitis, rhinopharyngitis). Ukuvimbela uketshezi wamanga kufanele kuqale ngokuvimbela izifo ezibandayo nezifo.
Indlela engcono kakhulu ukuqinisa umphimbo. Ukuzikhandla akulona kunzima kakhulu. Ingane kufanele inikezwe amanzi ukuze ihlanza umphimbo, leyo yinkqubo yonke. Ekuqaleni, izinga lokushisa kwamanzi okukhuni kufanele libe sezingeni lokushisa. Khona-ke izinga lokushisa kufanele lihlehliswe, lenziwa kancane kancane, izinyanga ezimbalwa, emva kwalokho, amanzi okuhlanza kufanele abe yingqikithi. Awukwazi ukusheshisa, inqubo kumele ihambe kancane, kungenjalo kukhona ingozi ukuthi ingane izogula.
Ukunakwa okukhethekile kufanele kuhokhwe ekudleni kwengane. Isizathu sokuhlaselwa kwamakhemikhali angamanga kwezinye izimo kungase kube ukuphendula okweqile ekudleni. Buza udokotela, uzokweluleka ukuthi yikuphi ukudla okungabandakanyi ekudleni kwengane, ukuze ugweme ukuthuthukiswa kokudla kokudla. Ngesikhathi esifanayo, qiniseka ukuthi ingane idla izinto eziningi ze-kefir nezinye imikhiqizo ye-lactic.
Lesi sifo sivame ukuzibonakalisa phakathi nonyaka. Akukho lutho okumangazayo kulokhu. Izimo zezulu zalesikhathi azigcini njalo. Esimo sezulu esibanda kakhulu, umoya onqenqema ungabetha. Akukhona njalo ukuthi kucacise ukuthi yini okufanele ifakwe kumntwana ezimweni ezinjalo. Ngenxa yalokho, izifo ze-catarrhal zihlasela umzimba womntwana, futhi ngenxa yalokho, ukuxoshwa kwe-croup yamanga kuthuthuke ngokuzenzakalelayo.
Ukubonakaliswa kwe-groin yamanga
Izibonakaliso zokusanhlamvu okungamanga zifana nokuthi ukubonakaliswa kwazo kuyabethusa abazali. Ngaphandle kwalokho akufanele ukwesaba kulokhu, udinga ukunikeza usizo oluphuthumayo kwengane. Ukuhlasela kwenzeka kaningi ebusuku, ngesikhathi sokulala. I-symptomatology ye-croup yamanga ibukeka kanje: kusasa ngaphambi kokuhlaselwa, ukuphefumula kwengane kuba nzima kakhulu, kunezinkinobho ezilula ukuthi noma yimuphi udokotela angazibona. Noma kunjalo, abazali ngeke bakwazi ukubona noma yiziphi izinguquko. Kodwa lokho abazali bengane abangase bakubone ukuthi isimo sokunganaki kwengane, esichazwa ubukhona begciwane emzimbeni. Ngenxa yalesi sizathu, ingane ayilali kahle, ngoba ukuvuvukala komphimbo sekuqalile kakade, kuba nzima ukuphefumula. Ngesikhathi lapho ukuvuvukala kuqina ngokwanele, ukubonakala kobuhlungu, ukukhwehlela "okomile". Ungabheka ukuphefumula kwengane. Esizweni esivamile, inani lokuphefumula ngomzuzu alikho ngaphezu kwengamashumi amathathu. Nge-croup yamanga, ukuphefumula kuya ngokuphindaphindiwe kuya kwenani lama-50-60 okuphefumula-ukuphuma kwamanzi ngomzuzu. Lokhu ukusheshisa kuchazwa yisifiso somzimba ukugcwalisa ukungabi khona kwe-oxygen.
Usizo lokuqala lwe-croup yamanga
Phakathi nokuhlaselwa, izingane zithola ukuntuleka okukhulu kwe-oksijeni, ngakho-ke isidingo somoya omusha esikwazi ukunciphisa isimo somntwana kulesi simo. Ngakho-ke, ngokushesha nje lapho umntwana ekhwehlela futhi ekhwehlela isondo, okokuqala kudingekile ukuvula wonke amafasitela egumbini lapho ingane egulayo khona.
Kubalulekile ukungakhohlwa ukugcina umswakama okwanele emoyeni ekamelweni. Kuwusizo ngesikhathi sokuhlaselwa ukufeza inhalation, kusebenza kahle ezimweni ezinjalo. Ngokulondolozwa komswakama emoyeni ekamelweni, kungenzeka ukuvimbela ukuthuthukiswa kokuhlaselwa okusha kwe-croup yamanga. Kuthengiswa kukhona ama-humidifiers emoyeni abakhelwe ngokukhethekile. Kodwa ukuze uzuze umswakama okwanele ekamelweni elilula, udinga ukufaka ilineni elimanzi ngemuva kombhede wengane noma ebhethri ekamelweni lakhe.
Kubalulekile ukwazi ukuthi ingane enesimweni esivumelanayo iqhutshelwa kakhulu ngokuhlaselwa, ngakho-ke ingane kufanele ifakwe. Uma ingane encane kakhulu, udinga ukuyifaka ezandleni zakho bese ufika kuye nge-window ajar, ngaphambi kokuyihlanganisa ngengubo.
Khona-ke kufanele uthathe usizo lwe-antihistamines. Banike ingane, bayisusa ingxenye ye-allergen bese banciphisa izinga le-edema.
Isinyathelo esilandelayo ukubiza ithimba le-ambulensi. Udokotela uzohlola ingane bese ebeka ukuxilongwa okufanele, ngenkathi eveza izinga le-stenosis ye-larynx yengane.
Ungamlahli ukubeletha ingane, uma udokotela ephikelela kulo. Ezimweni zokugula kwengane nge-croup yamanga, ukwelashwa kungase kube yingozi kakhulu, kungadingeka ukuthi kutholakale ukubhekwa kwe-trachea. Naphezu kokuthi lokhu kuhlaselwa kwavinjelwa ngalesi sikhathi, akukho siqinisekiso sokuthi ngeke siphinde sibe khona emahoreni ambalwa alandelayo ngesimo esibi kakhulu. Ezimweni zomtholampilo, ngokuhlaselwa okunamandla okusha, kuyokwenzeka ukuba ufake ngokushesha ithubhu ye-intubation engxenyeni yokuphefumula yengane.
Ungalimazi impilo yengane kanye nokuphila kwakhe. Kufanele uthembele ithimba le-ambulensi futhi uvumele ukuhanjelwa esibhedlela.