Palo ea moea matšoafong le ho hema ka tsela e tloaelehileng e netefatsoa ke lithane le likarolo tse ka holimo tsa trachea. Ts'ebetso ea ho ruruha lithong tsena li lebisa ho stenosis (ho fokotsa) ea pharynx, e bakang laryngotracheitis. Ho bonolo ho sebetsana ka katleho le lefu lena haeba u hlokomela matšoao a lona ka nako 'me u hlophise kalafo kalafo.
Leryngotracheitis ke eng?
Bothata bona ke ho ruruha ha tlhaho e tšoaetsanoang, ho ama karolo ea pele ea trachea le larynx. Ka maloetse a boima, lefu lena le kenyeletsa stenosis ea pampiri ea ho hema le leqeba la lithapo tsa lentsoe. Laryngotracheitis ho bana e ka ba le mokhoa o sa foleng. Maemong a joalo, ho fokotseha ha lumen ea pharynx ho hlaha feela ka morao ea ho mpefala ha mokhoa oa ho ruruha.
Laryngotracheitis - sesosa sa bana
Mechine ea nts'etsopele ea lefu lena le hlalositsoeng e nka edema ea pele ea lera. Ka lebaka la eona sebakeng sa trachea ho thata ho arola li-mucus, tse halefisang li-receptor tse khohlileng tse haufi le ho eketsa ho ruruha. Butle-butle, e fetela ho lithapo tsa lentsoe, ho baka tšenyo ea bona le ho ruruha, ho boloka metsi kapa mokokotlo ka phallnx.
Bakeng sa phekolo e nepahetseng ke habohlokoa ho fumana hore na ke hobane'ng ha laryngotracheitis e qalile - lisosa tsa bana li itšetlehile ka mofuta oa lefu le mofuta oa tsela ea eona. Ho phaella moo, ho hlokahala hore u nahane ka lintlha tse lebisang tlhokomelo ho lefu la pele:
- ho lla, ho lla;
- hypothermia ea 'mele;
- ho senya moea o lerōle kapa o pholileng;
- ho se lumellane ka bomong ho lintho tse itseng;
- ho pshatla ha maoto kamehla;
- ho itšireletsa mafung.
Ka boomo laryngotracheitis
Lebaka le ka sehloohong la lefu lena le hlahisitsoeng le nkoa e le tšoaetso ea pele ea lefu la tšoaetso. Lintho tse bohloko tsa laryngotracheitis ho bana li qala khahlanong le semelo sa lintlha tse latelang:
- feberu le parainfluenza ;
- adeno-, bina, enterovirus;
- likokoana-hloko tsa baktheria (mycoplasmas, strepto- le staphylococci, bacillus ea tubercle);
- masale ;
- herpes;
- ho itšoara habonolo;
- tikoloho e mpe.
Chronic laryngotracheitis
Mofuta o bobebe oa lefu kamehla o hlaha ka mor'a mofuta o thata. Ho bohlokoa ho khetholla laryngotracheitis ho bana ka nako e nepahetseng - matšoao le kalafo li itšetlehile haholo ka sethaleng sa ho kula. Haeba phekolo e khethiloe ka mokhoa o sa nepahalang kapa ha e eo ka ho feletseng, mokhoa oa ho ruruha o tla khutla hape. Chronic laryngotracheitis ho bana e bitsoa boloetse bo matlafatsang nako le nako.
Tšusumetso ea ho tsosoa ha ho ruruha ha lesira le likarolo tse ka holimo tsa trachea ke:
- mafu a tšoaetsanoang a matla;
- ho tsoa hohle ;
- supercooling;
- khatello ea maikutlo;
- ho tlōla tekano.
Laryngotracheitis ho bana - matšoao
Setšoantšo sa kliniki ea lefu lena ho na le matšoao a khethehileng, ho latela seo ho leng bonolo ho se lemoha. Laryngotracheitis - matšoao:
- omileng, ho khohlela ho bohloko;
- mocheso;
- tlōlo ea ho hema.
Matšoao a mantlha a tlatsetsoa ke mathata a latelang:
- e eketsehile lymph nodes tse haufi;
- ho hlobaela;
- ho senyeha ha takatso ea lijo;
- ho tšoenyeha, ho teneha;
- bofokoli, ho otsela;
- lentsoe le phatsimang kapa le phatsimang;
- ho chesa, ho omella, mofufutso molaleng;
- ho hlomoha le bohloko ka mor'a sternum.
Hlama ka laryngotracheitis
Ka lebaka la ts'ebetso e matla ea ho ruruha, ho na le edema ea li-membrane tsa larynx le trachea. Sena se baka moferefere o lerata le o monate. Ho senya laryngotracheitis ho bana hangata ho tsamaisana le ho fokotseha ha pharyngeal lumen. Ka linako tse ling sena se lebisa ho tlōlo e kotsi ea ts'ebetso ea ho hema le ho tsieleha, haholo-holo ho ngoana e monyane. Ho hlokahala hang-hang ho tsoela pele ho phekoloa haeba laryngotracheitis e belaelloa ho bana - matšoao le phekolo li bonolo ha lefu lena le le boemong ba pele. Lintlheng tsa pele ho bonolo ho qoba mathata le ho thibela phetoho ea ho ruruha ka mokhoa o sa foleng.
Mocheso o nang le laryngotracheitis
Mocheso o ikhethang ho ts'ebetso e bohloko e bakoang ke letheba la kokoana-hloko kapa baktheria. Haeba sesosa sa ho itšireletsa kapa lintho tse ling tse sa tšoaetseng li bakile laryngotracheitis, matšoao a ka 'na a fapana. Maemong a joalo, mocheso oa 'mele o lula o tloaelehile kapa o eketsa hanyenyane, ho lits'ebetso tsa subfebrile (hoo e ka bang likhato tse 37,5).
Stenosis ea lekhoakhoa le laryngotracheitis
Mathata ka phefumoloho hangata a hlokomeloa ho bana ba ka tlase ho lilemo tse tharo. Ho kokotseha ha li-laryngeal lumen le li-groats tsa bohata ke mathata a bakang stenosing laryngotracheitis . Tsena ke liphello tse kotsi tsa lefu lena, hobane li ka lebisa khatellong e matla le khaello ea oksijene ea lisele tsa boko. Lingaka li khothalletsa hang-hang ho buisana le tliliniki haeba laryngotracheitis e qala ho bana - matšoao le phekolo li bonolo habonolo ka lefu lena. Phekolo ea nako e nepahetseng le e nepahetseng e nka nako e fetang libeke tse peli ho qeta ho hlaphoheloa.
Laryngotracheitis ho bana - kalafo
Mekhoa ea ho loantša lefu le hlalositsoeng e itšetlehile ka lisosa le matla a eona. Kalafo e bohloko le e sa foleng ea laryngotracheitis e akarelletsa tse latelang:
- phomolo ea ho khohlela;
- ho felisoa ha stenosis ea pampiri ea ho hema;
- ho phunya ts'ebetso ea ho ruruha;
- ho khomarela litlhahiso tsa lijo;
- tsosoloso ea phefumoloho e tloaelehileng;
- ho matlafatsa ho itšireletsa mafung.
Tlhokomelo ea tšohanyetso ea ho senya laryngotracheitis ho bana
Haeba mokhoa oa ho ruruha o lebisa ho tšesaane ea laryngeal lumen, 'me matšoao a bontša hore ngoana o tsielehile, ngaka e lokela ho bitsoa hang-hang. Bothata bo kotsi ka ho fetisisa bo bakang laryngotracheitis ke stenosis. E tletse ho fokotseha le oksijene ea tlala ea boko.
Le hoja e le litsebi tsa tsela, ho hlokahala hore u nke mehato ea tšohanyetso:
- Kenya ngoana hae betheng, u se ke ua mo tlohela hore a robale, e le hore ho e-na le likhahla tse nyane li tla bokella ka har'a lehare
- Tobetsa monoana kapa khaba ka mokokotlo oa leleme, etsa hore motho a hlatsoe ke maikutlo a hlatsa.
- Khutsisa moea ka kamoreng. Haeba ho se na sesebelisoa se ikhethileng, u ka kenya kamoreng ea metsi ka har'a kamoreng ea metsi, e-na le lithaole tsa metsi tse pholileng, u isa lesea ka ho hlapela 'me u fetise pompong e batang ka matla a feletseng.
- Fokotsa mocheso oa moea ka tlung ho sebelisa mochini oa mocheso kapa o bula lifensetere le mathule.
- Etsa hore ho be le nebulizer ho nosetsa mongobo. Mokhoa o nang le saline kapa meriana e khethehileng e tla thusa ho fokotsa matšoao.
Laryngotracheitis - lithethefatsi
Khetho ea lithethefatsi tsa meriana e lokela ho sebetsoa ke ngaka ea bana ka mor'a hore ho netefatsoe hore na lefu lena le fumanoa joang. Antibiotic e nang le laryngotracheitis e behiloe feela bakeng sa tšebetso ea baktheria ea mokhoa oa ho ruruha. Maemong a mang, tšebeliso ea eona ha e na thuso ebile e kotsi, kaha lithethefatsi tse thibelang likokoana-hloko li fokotsa mosebetsi oa sesole sa 'mele. Haeba likokoana-hloko tsa baktheria tsa tšoaetso li fumanoa, mefuta e latelang ea lithibela-mafu e sebelisoa:
- penicillin ( Augmentin , Amoxiclav);
- li-macrolides (Clacid, Sumamed);
- cephalosporins (Cefalexin, Ceftriaxone).
Likokoana-mafu ha li hlokehe ha likokoana-hloko tsa laryngotracheitis li tsoela pele ho bana - matšoao le phekolo ea lefu lena li kenyeletsa mehato e akaretsang ea ho matlafatsa tšoaetso le phekolo e fokotsang matšoao a lefu lena. Haeba lefu lena le ne le fumanoa qalong ea ho ruruha (lihora tse 72 tsa pele), o ka fa ngoana meriana e khethehileng:
- Ergoferon;
- Anaferon ;
- Viferon.
Ka mocheso o fokolang (ho fihlela ho 38-38,5 ka holimo), ha ho kgothaletswe ho nka lithethefatsi tsa antipyretic. Ho eletsoa ho li sebelisa ha lesea le e-na le feberu. Litsebelisuoa tse latelang tsa meriana li loketse:
- Paracetamol;
- Tylenol;
- Nurofen;
- Dofalgan;
- Mexalen le tse ling.
Matšoao a kang ho tsuba le ho khohlela, a emisoa ke meriana e loketseng:
- Lazolvan;
- Kodelak;
- ATSTS;
- Panathus;
- Sinecod;
- Broncholitin;
- Libexin;
- Glycodine;
- Alex Plus;
- Bronchoton le li-synonyms.
Inhalation le laryngotracheitis
Nakong e thata, mokhoa ona o thusa ho potlakisa ho hlaseloa ha metsi le ho khutlisa phefumoloho e tloaelehileng. Ho ruruha ho nkoa e le tlamo ha ho hlaolela stenosing laryngotracheitis ho bana - matšoao le phekolo ea malapeng li bontša tšebeliso ea nebulizer. Haeba tharollo ea 'mele e sa sebetse ka mokhoa o lekaneng, ho kgothaletswa hore o sebelise Lazolvan kapa ho lokisetsa ho tšoanang ho thibela ho khohlela ho bohloko. Kgetho e 'ngoe, mokhoa oa ho phekola laryngotracheitis le stenosis - Pulmicort.
Ka mor'a ho felisa tlhaselo eo le ho phefumoloha ka tsela e tloaelehileng, ho lokela ho ts'oaetsoe ka nako e telele, e le hore lesela le leng le le leng la moriri le lula le kolobisitsoe. Bakeng sa lits'ebeletso tsa malapa, u ka reka tharollo ea 'mele kapa metsi a alkaline a nang le diminerale ntle le khase. Ha u khohlela, u ka khutlisetsa nebulizer ka meriana e khethehileng:
- ATSTS;
- Lazolvan;
- Fluimucil;
- Tonzylgon H;
- Rotokan le ba bang.
Laryngotracheitis - litlhare tsa batho
Ha ho phekoloa lapeng, mekhoa ea tlhaho e amoheloa, empa ke feela liphello tse thusang. Ngaka ea bana e lokela ho buella mokhoa oa ho phekola laringotraheitis ho ngoana, ka mor'a hore a netefatse hore na o fumanoa joang le hore ha a na tšusumetso e fokolang ho lesea ho ea likarolong tsa chelete e khethiloeng. Haeba phekolo ea batho e sa sebetse kapa e baka ho eketseha ha matšoao a lefu lena, ho molemo ho le tlohela.
Laryngotracheitis ho bana - phekolo lapeng le litlama
Lijo :
- motso oa licorice - 30 g;
- makhasi a 'mè le motsoetse-40 g;
- litholoana tsa fennel - 20 g;
- motso oa althea ke 40 g;
- Lipalesa tsa Mullein - 20 g;
- metsi - khalase e le 'ngoe.
Tokisetso, kopo
- Hlakola 'me u kopanye limela tsa meriana.
- Tšela pokello ea 1 ea tablespoon ea metsi a batang a batang.
- Kamor'a lihora tse peli tsa tsitlalletso, pheha moriana.
- Fokotsa tharollo, senya.
- Noa pheko ea ngoana nakong ea letsatsi ka likaroloana tse nyane.
Moro oa anti-inflammatory
Lijo :
- khalase ea koro - 1.5 tbsp. likhaba;
- metsi a phehang - linoelo tse peli;
- Fresh juice ea lemone - 0.5 tsp.
Tokisetso, kopo
- Hlatsoa bran.
- Ba tšollele ka metsi a belang mme u kopanye.
- Fana ka lithethefatsi bakeng sa lihora tse 1.5.
- Qobella moro.
- Kenya lero la lemone ho metsi a hlahisoang ke seo.
- Fa ngoana 1 teaspoon ea lithethefatsi ka makhetlo a 4-7 ka letsatsi.
Tea e tsoang ho khohlela e omeletseng
Lijo :
- setho sa setlama sa St. John's - 3 tbsp. likhaba;
- metsi - 1 l;
- jeme, mahe a linotši kapa tsoekere-ho latsoa (ka mamello).
Tokisetso, kopo
- Senya limela tse tala 'me u li tšollele ka thermos.
- Tšela setopo sa St. John ka metsi a phehang.
- Tsitlella joang ho lihora tse 2-3.
- Qoba meriana.
- Kenya sweetener ho tee.
- Fa ngoana lesea le le leng. khaba ea pheko ea halofo ea hora pele u ja.
- Pheta ka makhetlo a 1-2 ka letsatsi.
Mathata a laryngotracheitis
Ho ruruha ha lesela le leholo la larynx le trachea ho ka baka boemo bo bobe ka mokhoa oa ho khomarela tera ea moea. Ho hlajoa hamonate ka laryngotracheitis ho tletse ho felloa ke matla, e tsamaeang le matšoao a latelang:
- ho silafatsa letlalo;
- leqhoa la bluse la boraro ba bone;
- mebala e lefifi tlas'a mahlo;
- ho tepella;
- botsoa;
- lethargy, thahasello;
- cyanosis ea matsoho le maoto;
- ho phefumoloha habonolo le marang-rang;
- mokokotlo o sa tsitsang;
- ho tšoaroa pelo.
Tlhaloso ena e hloka phekolo ea hang-hang, hobane ngoana a ka shoa ka lebaka la khaello ea oksijene. Ka pel'a mekhoa efe kapa efe e thathamisitsoeng, ke habohlokoa ho bitsa sehlopha sa ambulense mme o latele litlhahiso tsa motheo tsa litsebi:
- Hlahisa gag reflex ho ngoana.
- Boholo bo pholile 'me bo monya moea ka kamoreng.
- Etsa ho phunyeletsa Pulmicort.