Kodi Kuthamanga Kwambiri Kumayambitsa Khunyu?
Bronchiolitis ndi omwe amachititsa kuti ana azikhala ndi mphumu. Ngakhale kuti madokotala ambiri amachiza mwana wamwamunayo ndi bronchiolitis ngati ali ndi mphumu, mankhwalawa samagwira ntchito nthawi zambiri. Palinso funso loti ngati mwana wakhanda wa bronchiolitic kapena ayi ali ndi chiopsezo chowonjezereka cha kupuma ndi mphumu m'tsogolomu.
Kodi Bronchiolitis Ndi Chiyani?
Bronchiolitis ndi kutupa kwa mpweya wochepa wa m'mapapu, wotchedwa bronchioles, omwe amachititsa kuti mphepo imalowe mkati ndi m'mapapo.
Bronchiolitis nthawi zambiri imakhudza ana osakwana zaka ziwiri m'nyengo yozizira.
Bronchiolitis kawirikawiri imayambitsidwa ndi mavairasi otsatirawa:
- Mpweya wotchedwa syncytial virus (RSV)
- Adenovirus
- Influenza
- Parainfluenza
Bronchiolitis nthawi zambiri imadziletsa ndipo ana ambiri samakhala ndi zotsatira za nthawi yaitali. Magulu ena a makanda (asanakwane kapena omwe ali ndi matenda a mtima) ali pangozi ya mavuto monga apnea (kupuma pang'ono), kupsinjika kwakukulu komwe kumafuna mpweya wabwino, kapena matenda opatsirana.
Kodi Bronchiolitis ndi Phumu Ndizofanana?
Ayi! Sikuti onse amavutika ndi mphumu , koma nthawi zonse nthawi zonse muyenera kufufuza. Ngati mwana wanu sanayambe kuphulika ndipo mumamva phokoso, muyenera kumuitana dokotala ndikumufunsa zoyenera kuchita. Mavairasi ena omwe atchulidwa pamwambawa angayambitse mwana wanu kwa milungu ingapo ndipo akhoza kutsogolera kwa madokotala ambiri omwe amawatcha akuluakulu ngati "post viral syndrome."
Kodi Bronchiolitis imatsogolera ku mphumu?
Mafupa a syncytial kapena RSV angapangitse zizindikiro za mphumu monga kupuma, chifuwa cholimba , kupuma pang'ono ndi chifuwa . Pafupifupi ana anayi (10) aliwonse omwe amafuna kuti chipatala cha bronchiolitis chikhale chotheka kuchipatala chingathe kukhala ndi matenda a mphumu mtsogolo. Komabe, ana ambiri samapitiriza kupeza matendawa.
Izi zikhoza kukhala zovuta kwambiri kuti ziphunzire chifukwa cha zomwe zimayambitsa matenda a mphumu kuphatikizapo maonekedwe a chibadwa, zowonongeka kwa chilengedwe, ndi njira za umunthu.
Ngati mwana wanu ali ndi kachilombo ka RSV, ali ndi chiopsezo chowonjezereka cha kuphulika kwapadera ndi kapangidwe ka pulmonary kwa zaka khumi zoyambirira za moyo. Mu maphunziro, ana awa nthawi zambiri amatha kuyenda ndi kuchepetsa ntchito ya kupuma poyerekeza ndi ana omwe alibe HIV.
Kodi Ineyo Kapena Mwana Wanga Tidzagudubudwanso? Kodi Ndili ndi Phumu?
Yankho lalifupi ndilo. Pafupifupi ana amodzi (1) mwa atatu omwe ali ndi zaka zingapo zoyambirira za moyo adakali ndi zaka 6. Nthawi zambiri mumatha chaka chimodzi kapena mukusowa kuti steroid ndizozidziwikiratu zazikulu komanso kukhala ndi kholo lomwe liri ndi mphumu kapena matenda a atopic .
Mayesero Otani Angakhale Wotolo Wanga Akulamula Kodi Akuganiza Bronchiolitis?
Kwa ana aang'ono, adokotala sakhoza kuchita mayeso monga FEV1. Chitsanzo chodziwika kwambiri chomwe dokotala wanu adzalamula chidzakhala chifuwa cha x-ray. Izi zidzakuthandizani dokotala kunena ngati kachilombo kangayambitse kapenanso ngati pali vuto linalake limene likutsogolera kuyenda.
Kodi Bronchiolitis Ingapezeke?
Ngakhale adokotala akukonda katemera, pakalipano palibe katemera wokwanira kuteteza RSV kapena mavairasi ambiri omwe amabweretsa bronchiolitis.
Katemera wa pachaka wa fuluwenza akulimbikitsidwa kwa aliyense pa miyezi isanu ndi umodzi. Kuphatikizanso apo, aliyense wokhala m'nyumba ndi ana aang'ono ayenera katemera.
Kupitirizabe kusuta fodya, kusamba m'manja mwamphamvu, kupewa kukhudza pakamwa ndi mphuno, komanso kupeƔa kuyanjana ndi matenda opuma ndi njira zothandizira kuchepetsa kapena kufalitsa mavairasi omwe amabweretsa bronchiolitis.
M'gulu la ana omwe poyamba adatchulidwa kuti ali pangozi yaikulu ya mavuto, palivizumab amaperekedwa monga immunoprophylaxis. Izi zasonyezedwa kuti kuchepetsa chiopsezo cha mavuto kuchokera ku matenda a RSV.
M'zaka zaposachedwapa chiyeneretso cha mankhwalawa chakhala chovuta kwambiri chifukwa cha mtengo wake wapamwamba.
Kodi Bronchiolitis Imatha Kuchitidwa?
Kawirikawiri, kayendedwe ka kachitidwe ka ma bronchodilator osakanizidwa monga albuterol sichinawonekere kuti zikhoza kusintha bwino. ChizoloƔezi chimenechi sichitha kuonjezera mtengo wa chisamaliro, koma amapatsa makanda ku chiopsezo chowonjezeka cha zotsatirapo popanda phindu lenileni lopindula. Mankhwalawa amayamba kugwiritsidwa ntchito m'mbuyomo koma saperekanso phindu ndipo amakhala ndi chiopsezo chowonjezereka. Mofananamo, kuyendetsa bwino mankhwala osokoneza bongo steroid sikunapezeke kusintha kusintha kwa bronchiolitis.
Kuonjezera apo, palibe mankhwala opatsirana pogwiritsa ntchito steroid kapena leukotriene inhibitors omwe amapezeka kuti ateteze magulu omwe akuwombera ndipo sakuvomerezedwa pakalipano.
Dokotala wanu akhoza kuitanitsa mayeso a magazi ngati akukayika chifukwa cha zina zomwe zimayambitsa kuwomba.
> Zosowa
> 1. Castro-Rodriguez J. The Asthma Predictive Index: matenda oyambirira a > asthma. >. > Khwangwa la Opin lachilombo la Immunol. 2011 Jun; 11 (3): 157-61.
> 2. National Heart, Lung, ndi Blood Institute. Report of Panel Panel 3 (EPR3): Malangizo Othandizira Kuzindikira ndi Kusamalira Khunyu
> 3. Medline Plus. Mpweya wotchedwa syncytial virus (RSV)