Choyenera kuchitidwa ngati mwana akuloledwa m'chipatala
Bronchiolitis ndi matenda ochepetsa kupuma omwe amapezeka kawirikawiri ana osapitirira awiri. Kaŵirikaŵiri zimayambitsidwa ndi kupuma kwa sycytial virus (RSV) yomwe imayambitsa kutupa kwa ndime zing'onozing'ono za mpweya ( bronchioles ). Kutupa kumayambitsa kupunduka kwapadera kapena kwathunthu kwa bronchioles, komwe kumapangitsa kupuma ndi kupuma pang'ono.
Bronchiolitis ndiyomwe imayambitsa matenda opatsirana ana ndi ana. Popeza palibe mankhwala a bronchiolitis, mankhwala makamaka cholinga chake ndi kuchepetsa zizindikiro za malungo ndi kupuma. Ngati chipatala chikufunika, mankhwalawa angaphatikizepo mpweya wothandizira komanso madzi oteteza thupi kuti athetse madzi.
M'mbuyomu, mankhwalawa amawagwiritsa ntchito kuchipatala kuthandiza mwana kupuma. Albuterol imakhala ngati bronchodilator yomwe imagwira ntchito ndi minofu yotsitsimula m'magulu a mlengalenga. Amapezeka kudzera m'matumbo, m'kamwa, ndi mujakisoni ndipo amauzidwa kwa anthu omwe ali ndi matenda osokoneza bongo (COPD) ndi mphumu.
Ngakhale zingakhale zomveka kugwiritsira ntchito albuterol panthawi ya bronchiolitis yoopsa, ndondomeko yosinthidwa kuchokera ku American Academy of Pediatrics (AAP) tsopano ikutsutsana ndi ntchito yake.
Chifukwa chiyani AAP Adalangiza Against Albuterol
Muzokambirana zawo zatsopano za 2014, AAP inavomereza kuti albuterol ikhoza kupereka mpumulo wathanzi kwa ana omwe ali ndi bronchiolitis momwe amachitira asthma .
Komabe, kugwiritsidwa ntchito kwa mankhwala m'zochitikazi kunali kwakukulu kwambiri. Kafukufuku wamakono akuwonetsa kuti kugwiritsa ntchito albuterol mu ana omwe ali chipatala sikungapange kanthu kuti zikhale ndi zotsatira zabwino kapena kuchepetsa kuchepa kwa chipatala.
Komanso, AAP ikuyamikira motsutsana ndi mankhwala ena omwe kale amagwiritsidwa ntchito kale, kuphatikizapo nebulized hypertonic saline, systemic corticosteroids , antibiotics, ndi chifuwa cha physiotherapy.
Kudziwa Ngati Zipatala Zikufunika
Bronchiolitis kwa ana nthawi zambiri imakhala pakapita masiku awiri mpaka atatu pa chimfine. Amayamba kumayambitsa matenda osokoneza bongo komanso kutaya thupi, chifuwa chofewa, ndi kutentha thupi kwambiri pa 100.4 ° F. Ngati matendawa akupita ndipo mavesi a m'munsi akukhudzidwa, vutoli likhoza kukhala lalikulu ndikutsogolera zizindikiro za:
- Kupuma mwamsanga
- Kupuma
- Kupitiriza kutsokomola
- Kudyetsa zovuta
- Mipata yopuma (apnea)
Mayi amadziwa kuti ndi nthawi yoti mwanayo apite mwamsanga ngati maulendo amatha masiku opitirira asanu ndi awiri kapena akupita patsogolo. Mofananamo, ngati mwanayo akufooketsa kwambiri ndipo ali ndi bluish tinge khungu kapena milomo ( cyanosis ), kholo liyenera kuwona kuti ndilo vuto lachipatala ndipo imatumiza 911.
Malangizo Achipatala Amakono
Pafupifupi atatu peresenti ya ana omwe ali ndi bronchiolitis adzafuna chipatala. Kuchiza kudzaphatikizapo kuyang'anira zizindikiro zofunika ndi chisamaliro chothandizira chokhudzana ndi matenda a mwanayo.
Mpweya wothandizira ungafunikire ana omwe sangathe kugwira mpweya wawo. Izi kawirikawiri zimachitidwa poika chubu, yotchedwa canal , m'munsi mwa mphuno ya mwana kapena pogwiritsira ntchito mask nkhope. Kwa makanda, bokosi la mutu wa oxygen lingagwiritsidwe ntchito.
Ngati mwanayo sangathe kudya kapena kumwa, mwina chifukwa chakuti kupuma ndikuthamanga kwambiri kapena kupuma kuli kovuta kwambiri, madzi ndi zakudya zowonjezera zimayenera kuperekedwa mkati mwathu (mkati mwa mitsempha) .Kodi kuteteza kufalikira kwa kachilomboko, mwanayo khalani kutali ndi abale anu ndi ana ena mpaka mutatsimikiziridwa bwinobwino.
Ana ambiri akuchipatala chifukwa cha bronchiolitis ali bwino mokwanira kubwerera kwawo atatha masiku atatu kapena anayi.
> Chitsime:
> Hall, C ;; Weinberg, G ;; Blumkin, A. et al. "Kupuma kwa syncytial kachilombo koyambitsa matenda pakati pa ana osakwana miyezi 24." Matenda . 2013; 132 (2): e341-e348. DOI: 10.1542 / peds.2013-0303.
> Ralston, S .; Lieberthal, A .; Meissner, H. et al. "Malangizo Othandizira Pachipatala: Kuzindikira, Kulamulira, ndi Kupewa Bronchiolitis." Matenda. 2014; 134 (5): e1474-e1502. DOI: 10.1542 / peds.2014-2742.