Tracheitis ndi matenda a trachea (kupuma kapweya kapena mphepo) yomwe nthawi zambiri imayambitsa mabakiteriya. Mabakiteriya ambiri omwe amapezeka nawo ndi Staphylococcus aeureus , Streptococcus pneumoniae , ndi Pseudomonas aeruginosa . Tracheitis kawirikawiri imapezeka ana ang'onoang'ono ndipo amatha kupangitsa kuti zikhale zovuta kupuma. Zinthu zojambulidwa ndi izi:
- Matenda opatsirana asanakhalepo omwe amakhudza mpweya wam'mwamba
- Ambiri amapezeka asanakwanitse zaka zitatu (koma akhoza kufika pafupifupi zaka 13)
- Zakudya
- Down syndrome
Matenda oterewa sachitika kawirikawiri m'mabuku okwana 1,000,000 ndipo amawoneka kuti ali anyamata ambiri kuposa atsikana. Chifukwa ndizodziwika kwambiri, pamene matendawa alipo, nthawi zambiri amavomereza chifukwa cha kachilombo ka HIV, kamene kakufala kwambiri m'deralo. Tidzakambirana zina mwazofanana ndi zina zomwe zimasiyana chifukwa matenda a tracheitis ndi oopsa kwambiri ndipo amafuna kuti mwana wanu alandire chithandizo pamene ali ndi vuto la matenda a tracheitis.
Zizindikiro
Zizindikiro za tracheitis zimasiyana pakati pa munthu ndi munthu, koma zikhoza kuphatikizapo:
- Kukoma kumene kumawoneka "kovuta" ndipo iwo akhoza kukoketsa zinsinsi
- Zovuta kupweteka
- Mzere pamene mukupuma (wamba)
- Kupuma panthawi yopuma (osadziwika)
- Kutentha kwakukulu; kawirikawiri ndiposa 102 ° F kapena 39 ° C
- Milomo ya buluu (chizindikiro cha cyanosis kapena mpweya wochepa wa oxygen), ngati mphamvu ya kupuma ikukulirakulira
"Chifuwa cholimba" ndi chizindikiro chodziwikiratu cha nthendayi. Kaŵirikaŵiri imatchulidwa ngati "kukunkha", "brassy", kapena ngati makungwa a chisindikizo. Izi zikhoza kukhalapo mu tracheitis yomwe ndi chifukwa chake nthawi zambiri zimasokonezeka ndi kachilombo ka HIV.
Kusiyana pakati pa Zizindikiro za Tracheitis ndi Croup
Ngakhale kuti chifuwachi chimakhala chofanana kwambiri pakati pa tracheitis ndi kachilombo kameneka, pali zinthu zingapo zomwe zingagwiritsidwe ntchito kuthandizira kusiyanitsa pakati pa zovuta ziwirizo. Nthawi zambiri, chifuwa cha tizilombo chidzayamba kuwonjezereka, pamene zizindikiro za tracheitis zimachitika mofulumira. Kutentha thupi nthawi zina kumakhala kosiyana, kumakhala ndi kachilombo kamene kamakhala ndi malungo otsika kuposa tracheitis; kawirikawiri kukhala pamwamba kuposa 39 ° C. Chiwopsezo chachikulu ndi chimene chimapangitsa anthu ku dipatimenti yowopsa.
Chithandizo choyenera cha tizilombo ta tizilombo toyambitsa matenda, humidified oxygen ndi kuika epinephrine (racemic epi), chingagwiritsidwe ntchito posiyanitsa tracheitis. Zovuta za tracheitis sizidzayankhidwa ndi mankhwalawa ndipo nthawi zina zakhala zikudziwika kuti zikuipiraipira. Ngati muwona kuti mwana wanu akukulirakulira pamene akulandira mankhwalawa, muyenera kuchenjeza namwino kapena dokotala.
Kudziwa
Matenda a tracheitis angakhale okhudzana ndi zizindikiro, komanso mbiri ya odwala komanso kufufuza. Mayesero opatsirana omwe angapangidwe ndi wothandizira zaumoyo anu ndi awa:
- Kuyeza kwa mpweya kumayambira m'magazi (kuthamanga kwa oximetry)
- Chikhalidwe cha trachea, chomwe chimasonkhanitsidwa pa laryngoscopy
- X-ray ya mapapo ndi njira zopuma
Pogwiritsa ntchito njirayi, dokotala wanu akugwiritsa ntchito zomwe adazipeza kuti athandizidwe ndi epiglottitis matenda ena omwe sapezeka omwe angafune kupulumutsidwa pofuna kupuma.
Kuchiza
Kuchitira nkhanza msanga n'kofunika kwambiri pakuyang'anira bwino tracheitis. Pogwiritsa ntchito laryngoscopy, dokotala wanu adzachotsa njira yochulukirapo, chifukwa mwina padzakhala zobisala ndi zingwe zomwe zingayambitse zowonongeka. Kuyang'anira koyambirira kawirikawiri kumafuna kuvomereza ku chimbudzi chokwanira kumene mwana wanu angakhoze kuwonedwa ndi kuvulala (kupuma mankhwala omwe amaikidwa) ngati kuli kofunikira.
Kukhala ndi chipangizo chopuma kupuma kumathandizanso anthanzi a ICU kuti azipuma mofulumira kuti apume mpweya wabwino kwambiri.
Chithandizo cha antibiotic cha matenda a bakiteriya ndi chofunikira. Kawirikawiri mankhwala opha majeremusi omwe ali osankhidwa amakhala ndi IV ceftriaxone ndi IV vancomycin. Ngati zikhalidwe zimabwerera kutsutsana ndi mankhwalawa, regimen ya mwana wanu idzasinthidwa. Ma antibayotiki a IV adzapitirira masiku asanu ndi asanu ndi asanu (6) kapena asanu ndi awiri (6) pa nthawi yomwe mungasinthidwe ku ma antibayotiki. Njira yonse ya maantibayotiki idzakhala pakati pa masabata 1 ndi 2.
Amatchedwanso: tracheobronchitis, chingwe cha bakiteriya, laryngotracheobronchitis
Chitsime:
Ferri, FF (2016). Tracheitis. Ferri's Clinical Advisor 2016. http://www.clinicalkey.com (Kulembetsa Kuyenera Kuyenera)
Rajan, S. & Steele, RW (2015). Bacterial Tracheitis. http://emedicine.medscape.com/article/961647-buwonetsero