Epiglotti ndi kachilombo kakang'ono kamene kamakhala pamapeto a lilime lomwe limatseka pakutha. Izi zimalepheretsa chakudya chapadera kuti zisalowe m'matumbo ndi m'mapapu. Epiglottitis ndi matenda a epiglottis ndi minofu yozungulira.
Kuyamba ndi kupitirira kwa epiglottitis kuli mofulumira kwa ana. Chifukwa cha malo a epiglotti, matenda, ndi kutupa kumeneku kumayambitsa mavuto aakulu opuma.
Zizindikiro zoyambirira zimaphatikizapo:
- malungo
- chikhure
- zovuta kumeza
- kumwa drooling kwambiri (monga chizindikiro chodziwitsa)
- kuchuluka kwa maselo oyera a magazi
Zizindikiro izi zimapitirizabe kupuma m'mbuyo maola 12 mpaka 24:
- kugwedeza
- mawu osalankhula
- nkhawa
- kupuma
- kukwiya
- cyanosis (dusky kapena mtundu wa buluu, makamaka kuzungulira milomo, yomwe imasonyeza kusowa kokwanira kwa oxygen)
Mwanayo akhoza kukhala ndi malo enaake pomwe amakhala pansi, akuyang'ana kutsogolo ndikukankhira chikho. Malo amenewa amatsegula mphepo ndipo amathandiza mwana kupuma. Chifukwa chakuti zizindikiro za kupuma zimawoneka ngati zochepa kwambiri kuposa momwe zilili, epiglottitis ingakhale yovuta kuchidziwitsa ndipo matendawa akhoza kupita ku dziko lopha anthu asanadziwe. Zizindikiro za kupuma popanda kutembenuzidwa zingayambitse kusowa kwa oxygen yokwanira ndi kupitirira muyezo wa carbon dioxide m'magazi omwe amachititsa kusintha koopsa pH level ya magazi, kumangidwa kwa mtima , ndi imfa.
Kuzindikira za epiglottitis kumapangidwa kuchokera pa momwe wodwala akufotokozera zizindikiro, kuwonetseratu za epiglotti ndi zikhalidwe za magazi kapena pamwamba pa epiglotti kuti adziwe tizilombo toyambitsa matenda. Chithandizo chikuphatikiza:
- kukonza ndege (monga kupatsa oxygen ndi / kapena kukhazikitsa njira yopangira mazira monga nasotracheal tube ndi mpweya wabwino)
- kupereka antibiotic ndi / kapena mankhwala ena ophera tizilombo
- kupereka mankhwala otchedwa corticosteroids omwe angachepetse kutupa
Palibe mankhwala a epiglottitis. Ngati mwana wanu amasonyeza zizindikiro za matendawa, pitani ku chipinda chanu chapafupi kwambiri kapena muitaneni 911 mwamsanga.
Chifukwa cha katemera wa katemera wa haemophilus, chiwerengero cha epiglottitis pakali pano n'chochepa. Ana a zaka zapakati pa zitatu ndi zitatu angathe kukhala ndi epiglottitis. Wodwala wamkulu ndi zizindikiro zochepa kwambiri zomwe zingakhalepo. Asanayambe kugwiritsidwa ntchito kwa katemera wa Hib m'mayiko otukuka bwino, epiglottitis inali yowonongeka kwa ana ndipo amayamba makamaka ndi tizilombo toyambitsa matendawa. Panopa, epiglottitis ndi yosavomerezeka ndipo kawirikawiri imayambitsidwa ndi tizilombo toyambitsa matendawa.
- haemophilus Influenza mtundu B, mtundu wa A, mtundu wa F, ndi mavuto ena osadziwika
- haemophilus parainfluenzae
- streptococcus chibayo
- staphyloccocus areaus
- beta-hemolytic streptococci, magulu A, B, C ndi F
Njira yabwino yopewera epiglottitis ndikuteteza majekeseni nthawi zonse ndikuyeretsa monga kusamba m'manja komanso kupewa matenda. Ngakhale kuti matendawa ndi oopsa kwambiri, ambiri mwa anthu omwe amazunzidwa amatha kupezeka popanda mavuto osatha.
Zotsatira:
Chipatala cha Medical University ku Maryland. Epiglottitis-Chithandizo.
Mitengo, CR Epiglottitis. www.uptodate.com, July, 2007. (Kulembetsa kumafunikira)