Constrictive laryngitis: Sesosa, Matšoao, hlahloba le Phekolo

Hlobaetsang ruruha seo se etsahala ka larynx ea bitsoang constrictive laryngitis. Ka tloaelo ho, bolwetse ena e hlokomela bakeng sa SARS, empa ho ka ba le e complication ea tšoaetso ea baktheria, hammoho le kulisoa. Bana ba ho ruruha ho etsa hore koalo tsa lumen tsa larynx e, ho fellang ka bothata ba ho hema.

ke hobane'ng ha ho na le

Hangata ka ho fetisisa constrictive laryngitis le hlaha ka-ja ba kokoana-hloko ea ntaramane, parainfluenza, rhinovirus kapa enterovirus. Ka tlase ho tloaelehile hore batho bolwetse le hlaha ka complication ea herpes, maselese, khoho pox le mafu a mang a tšoaetsanoang.

Constrictive laryngitis ka e mong le e sebetsana le nyeoe ntshetswa pele ka tsela ena: ho mucosa fetoha edematous, ho na le mesifa spasm. Joale ho na le mucus ka lumen tsa larynx ena. 'mele o leka ho tlosa e, e spasm reflex eketsa. Ka lebaka la hypoxia.

The lintlha tse latelang ka 'na lebisa ho ntshetsopele ya laryngitis:

1. Ka tsela e feteletseng tsitsipano ea lithapo tsa ka lentsoe.
2. Kamohelo lino tena 'metso.
3. tshenyo Mechanical ho metso mucosa.
4. Hypothermia.
5. Fokotseha sireletsehile maloetseng ana.
6. E itsoara joang alejiki.

Laryngitis lerata ho hema ka bakiloeng ke ketsahalo e sa abscesses kapa retropharyngeal paratonsillar mofuta. Hape malwetse a ka bakoa ke metso o mosoeu, epiglottitis, ka lebaka la 'mele oa baditjhaba aspiration, ho sithabela laryngeal, chesa.

Maemong a mang, constrictive laryngitis fella:

• laryngospasm hypocalcemia fella ka rickets, hypothyroidism, renal insufficiency;
• congenital stridor;
• alejiki edema;
• hypertrophy tsa tonsils ea;
• papillomatosis;
• cysts;
• hemangioma tsa larynx.

Ka mor'a ho theha lisosa tsa ngaka khethang mokhoa oa kalafo. O ka thonya meriana kapa ho kgothaletsa ho buoa.

kotsi ea ho tšoaroa

Ka lebaka la litšobotsi mehaho ba bana larynx ho fihlela ho lilemo tse tšeletseng, 'me hangata le bothata ba ho stenosis. Pele 'mele ona ngoana lilemo e tšoauoa ka:

• tšesaane khetla ea larynx ea;
• submucosal hlephileng, haholo vascular ntshetsopeleng letlooeng;
• epiglottic lefufuru le bonolo, o molelele o;
• mesifa ea matšoafo fokolang.

Ho tswa ho qala ho ea SARS na laryngitis constrictive ka 'na etsahala ka letsatsi la bobeli. Hangata ka ho fetisisa, tšoaetso bontša ka boeona e bosiu. Ka ntshetsopele ya lefu lena le ha a ho qetela karolo e bapaloang ke ho ba teng ha allergy le hypersensitivity tsa pampitšana matšoafo ho susumetsa ba bang.

liponahatso tsa tleleniki

Constrictive laryngitis ka mekhahlelo ea pele ea ntshetsopeleng hangata fositse bakeng SARS. Matlafatsoa spasms hangata hlaha bosiu. Ka sebaka sa tshebetso sa larynx ho na le boikutlo ba ho ba tlas'a khatello e itseng.

Le tsoelo-pele ea ho kula ho na le ke o omileng, Hacking khohlela, nakong eo ka eona 'metso ruruhileng ikutloa soreness. Nasolabial triangolo nka ka tinge type genus, palo ea letlalo. Bokhutšoanyane phefumoloho, mokuli o qala ho hema ka botebo, o leka ho tšoara ka ea molomo, e nko e nyenyane hanyenyane ea moea. Ka lebaka leo, ho lera la mucous tsa molomo, nko le qoqotho qala ho omella. Ka larynx foromo crusts overlapping Lufthansa.

Bana constrictive laryngitis potlako fetoha bipetsana ka lebaka la ho likarolo mehaho ea larynx ho: lekhalo moqotetsane le ho ruruha ka potlako koetsoe, 'me ngoana o qala ho a bipetsa. Ho qoba sena, o lokela ho ba khona ho ka potlako ho hlwaya bolwetse kotsi le khetholla ho tloha ntaramane le pathologies tse ling a tšoaetsanoang.

Ho ruruha ho larynx ho tsoela pele ka mekhahlelo e 'maloa, e mong le e ba tsona e bontšoa ke matšoao a itseng.

croup lefu bonahatsa nakong ruruha larynx ena. Ena ke boemo litleleniki tsa tšoauoa ka hoarseness, e boholang khohlela, obstructive hema. Ka e mong croup cider e bitsoa stenosing laryngitis.

sethaleng pathological

Ho ruruha ha larynx sa le hlaha ka mekhahlelo e mene.

1. Mohato lefisa respiration. Ka qalong ea ponahalo lefu qala tse boholang khohlela ka ngoana ea nang le feberu. Ebe oona o kopanela hoarseness, ka 'na ba le litlhaselo tsa hanyenyane breathlessness.
2. Subindemnification. Mothating ona e hema fetoha ka potlako, lerata. Nasolabial triangolo o ka bitsoa putsoa bb. Boemo kakaretso oa mamello oa soahlamana, ho tšoenyeha bonahala a halefile ho robala.
3. Decompensation. Sehlopha sohle se koahetsoeng ka mofufutso theipi. E o ile a hlokomela e tsoakiloeng kapa inspiratory dyspnea. Ha ho ruruha ya larynx ka bana ba fihla sethaleng boraro, ho na le pherekano e bohale, ho hema fokola, barutoana dilated. Ka linako tse ling bana ba ka bontša pherekano.
4. Asphyxia. Constrictive laryngitis ka bana ba ka seoelo tsoela ka sethaleng bone. Ha sena se etsahala, tse tsoelang pele hypoxic coma le tlōlo e mpe ea 'mesebetsi eohle ea' mele. Bana ba lethargic, tšoeroe ke boroko, ba khoehlisa ho hema, ho fihlela e ema.

Maemong a sa tloaelehang, ho ba sethaleng bone ka talima ka ho ntša metsi involuntary le defecation, sethoathoa le bohlooho ea letlalo.

mathata khoneha

Haeba hantle fumanoa constrictive laryngitis, kalafo e qalile ka nako e itseng, le ho fola molemo. Ho seng joalo bolwetse siea liphello tse matla. Hangata ka ho fetisisa, ho ruruha le e thatafatsoa ke la bronchitis obstructive. Ka tlase ho tloaelehile hore batho boloetse tsoela ka pathologies latelang:

• sinusitis;
• nattokinase mecha ea litaba;
• tonsillitis;
• meningitis;
• conjunctivitis.

The complication kotsi ka ho fetisisa ke pneumonia. Ha a oona o kopanela ka laryngitis hore a ka isa lefung.

tlhathoba

Laryngitis fana ka maikutlo a ha e le lentsoe omeletse, tse boholang khohlela, bokhutšoanyane phefumoloho. Hape, ngaka nahanela historing, ya data ya laboratori ea le ho hlahloba ka liletsa. Ba thusa ho tiisetsa kapa hanyetsa tepelletse maikutlong ka.

Maemong a mang, o atlehe liteko virological ya belaela aetiology bongata ba kokwanahloko ea lefu lena. Hape, phuputso e entsoeng e tšoaroa ka ho ba teng ha tshwaetso baktheria. Ho e tlamang ho tla khethoa bacteriological phumano ya metso o mosoeu mucus a tsoang molomong le nasal cavity.

kalafo

Ha boholang khohlela hlaha ngoana e le feberu, o lokela ho hang-hang a bale ngaka.

Ka ho ba sethaleng sa pele sa ngaka lefu alakisi ho noa ho tlōla, inhalation litlama (Sage, camomile, joalo-joalo). Ngaka khethang livithamine le chelete, ntlafatsa sireletsehile maloetseng ana. Haeba phekolo eo ba ne ba sa fa lebaka ntle, ka nako eo etsoa novocaine thibela likepe ho imolla ho ruruha le spasm litemana le ho hema. Ka mohato pele ngaka e ka hlalosa tsela ea lithibela-mafu le meriana antiviral.

Ka Mokhahlelo oa bobeli le lefu ho oksijene ka holimo ho bolela humidified e phaella ka ho re, le mokhoa oa ho ba matlafatsa pelo, diuretics.

Mokhahlelo oa boraro hloka kalafo e khethehileng. Ka eona ka phekolo e kenyeletsa lithethefatsi li-hormone. Haeba phekolo eo ha e fane ka liphello tse ntle, o atlehe catheter tlosa mucus, ebe mucosa haholo lubricated ka oli.

Ho bohlokwa ba tsamaiso e tlaase ea phekolo ho mokuli a etsa tracheotomy intubation.

thuso ea pele

Ho fihlela ho fihla ha ambulense ke ho hlokahala hore ho bebofatsa boemo ba mokuli, e bontša constrictive laryngitis. thuso ea pele ke ho latelang:

1. Netefatsa fihlella oksijene. Ho etsa sena, ka nako eo khoehlisa marapo ao, e konopo tlhōrōng ea liaparo.
2. Beha mokuli robala le tlose headboard.
3. Fana ka o tletse mofuthu seno. Etsoe sena u ka sebelisa tee, mofuthu lebese.
4. Ka mariha, e kgothaletswa ho eketsa mongobo ka kamoreng.
5. Fana antihistamine.

Haeba ha ho na ntlafatso e hlokomela, e ke ho hlokahala hore ho etsa intramuscular kapa intravenous ente ea "Prednisolone": 4 mg, ka ho ya ka kilogerama ea boima ba 'mele ngwana.

Ka mor'a tlhahlobo ea ngaka mokuli ho a nkente ka e lithethefatsi antispasmodic.

thibelo

ho thibela ntshetsopele ya melao laryngitis bopilwe tse latelang:

• bohloeki ea botho;
• phepo e nepahetseng;
• ho ikopanya le e fokolang le ba nang le tšoaetso ea bongata ba kokwanahloko le baktheria.

Ho qoba ntshetsopele ya lefu lena le, e lokela kamehla hlokomela bophelo bo botle, eketsa a itsireletse maloetseng, nka divithamini, etsa dira dithutiso.