Constrictive laryngitis: Zvinokonzera, Zviratidzo, kuongorora chirwere neMarapirwo

Chenjera kushoma kuti rikaitika dokeriro, rinonzi constrictive laryngitis. Kazhinji, zvokurwara izvi akacherechedza kuti SARS, asi pangava kuomesa kwemabhakitiriya zvirwere, uyewo Kurwara. Vana kuzvimba hunokonzera kuvhara zviri lumen ari dokeriro, zvichiguma arikutadza kufema.

nei

Kakawanda constrictive laryngitis kunoitika kuburikidza ingestion kweutachiwana ose yokuSpain, parainfluenza, rhinovirus kana enterovirus. Ishoma zvokurwara kunoitika somunhu kuomesa kwakaita herpes, gwirikwiti, huku pox nezvimwe zvirwere.

Constrictive laryngitis neimwe nyaya yakatanga sezvinotevera: ari mucosa anova edematous, pane tsandanyama spasm. Zvadaro pane madzihwa ari lumen pamusoro dokeriro. The muviri anoedza arubvise, dzepanguva spasm muedzo. Somugumisiro hypoxia.

Zvinotevera zvingakonzera kutungamirira kukudziri- laryngitis:

1. Kunwisa Makakatanwa pamusoro pahuro zvinokonzera.
2. Kugamuchira kunetsa huro hwahwa.
3. Zvokuimba kuvadza huro mucosa.
4. Hypothermia.
5. Ungaderedza kutapata.
6. An sema kuita.

Laryngitis ruzha kufema anogona kukonzerwa panowanikwa abscesses retropharyngeal paratonsillar mhando kana. Uyewo zvokurwara anogona kukonzerwa diphtheria, epiglottitis, somugumisiro vanorumwe muviri chido, laryngeal kunotevera, kutsva.

Mune zvimwe zviitiko, constrictive laryngitis kuguma:

• laryngospasm hypocalcemia zvichiguma kusimba, hypothyroidism, renal insufficiency;
• vachiberekwa stridor;
• sema edema;
• hypertrophy of tonsils;
• papillomatosis;
• cysts;
• hemangioma kuti dokeriro.

Mushure pave zvinokonzera chiremba anosarudza nzira kurapwa. Vave mishonga kana kuvakurudzira kuvhiyiwa.

pangozi yokuita

Nokuda STRUCTURAL zviri dokeriro vana makore matanhatu, kazhinji kutambura stenosis. Asati muviri zera iri yomwana dzinoratidzwa:

• dzakaonda goko of dokeriro;
• submucosal unzenza, zvikuru vascular kukura pajira riya;
• epiglottic shwashwa munyoro, elongated;
• kufema tsandanyama simba.

Kubva pakatanga SARS ane constrictive laryngitis kungaitwa zuva rechipiri. Kakawanda, utachiona pachena pacharo usiku. In kukura chirwere haisi yokupedzisira basa reDare pamberi chisimbwa uye hypersensitivity ari kufema turakiti kuitika.

zvekuchipatara kuratidzwa

Constrictive laryngitis pakutanga mumatanho okukura kazhinji kururama kuti SARS. Yanyatsosimba kurwadza kwacho kazhinji kuitika usiku. Munzvimbo yacho dokeriro pane kunzwa dzvinyiriro.

With kukura chirwere pane chakaoma, kugura chikosoro, umo mune zvomoto pahuro akanzwa soreness. Nasolabial netriangle anotanga rinokwanisa kucheneruka tinge, hapana ganda. Kupfupika mweya, murwere anotanga kufema zvikuru, vachiedza kuti tibatisise mumuromo, mhuno zvishoma mhepo. Somugumisiro, mashoko mucous membranes mumuromo, mhuno uye pahuro dzinotanga dziome. On dokeriro fomu crusts pindana Airways.

Vana constrictive laryngitis nokukurumidza anova kubitirirwa nokuda STRUCTURAL zviri dokeriro: nhete mukaha pamwe kuzvimba nokukurumidza makavhara, uye mwana anotanga kumudzipa. Kuti izvi zvisaitike, unofanira kukwanisa kukurumidza kuona zvokurwara ngozi uye kusiyanisa kubva dzihwa uye zvimwe zvirwere pathologies.

Kushoma ari dokeriro anobuda mumatanho dzakawanda, imwe neimwe kunoratidzwa zvimwe zviratidzo.

croup chirwere akaratidza panguva kuzvimba dokeriro. Ichi chiremba chirwere hwokuratidza hoarseness, mumwe kuhukura chikosoro, obstructive kufema. Mune imwe cider croup nayo inonzi stenosing laryngitis.

pathological Danho

Kuzvimba dokeriro kunoitika mumatanho mana.

1. Step ndanyarara hangu afemeruke. Panguva kutanga kwekupwanyiwa kuratidzwa chirwere rinotanga kuhukura chikosoro ari mwana nefivha. Zvadaro anobatana hoarseness, tingasangana zvishomanana yokurwiswa breathlessness.
2. Subindemnification. Panguva iyi kufema kunova nokukurumidza, ruzha. Nasolabial netriangle anotanga kutaurwa mutema tint. The vakawanda ezvinhu omurwere kuipa, kufunganya anooneka anetseka hope.
3. Decompensation. The muviri wose akafuka Sticky ziya. Yakati chakakanyiwa kana inspiratory dyspnea. Kana kuzvimba dokeriro muvana kunosvika Danho rechitatu, pane rakapinza nokusagadzikana, kufema simba, dilated vadzidzi. Dzimwe nguva vana vanoratidza kuvhiringidzika.
4. Asphyxia. Constrictive laryngitis muvana Kashoma zvinopinda Danho wechina. Kana izvi zvaitika, dzichiri hypoxic chaanoziva zvakaoma. kutyora zvose pamuviri mabasa. Vana vanova lethargic, hope, ivo seiyi kufema, kusvikira anomira.

Mune zvisingawanzoitiki Muzviitiko, chikuva chechina hwuratidzwe ne involuntary weti uye defecation, pfari uye ndachena musoro ruvara rweganda.

zvinogoneka yematambudziko

Kana zvakanaka chirwere constrictive laryngitis, kurapwa iri Akatanga kwenguva, fungidziro akanaka. Zvikasadaro zvokurwara kunosiya kwazvo nemigumisiro. Kakawanda, chokutsva rakaoma nokuda obstructive bronchitis. Ishoma chirwere achipinda anotevera pathologies:

• sinusitis;
• otitis nhau;
• tonsillitis;
• yomumuzongoza;
• conjunctivitis.

The kuomesa kupfuura ngozi ndiyo nemabayo. Kana iye inobatanawo laryngitis kuti kurufu.

Diagnostics

Laryngitis anoratidza kana munhu shoshoma inzwi, kuhukura chikosoro, kupfupika mweya. Uyewo, chiremba inorangarira nhoroondo, mashoko ose kwomurabhoritari uye richishanda kuzviongorora. Vanobatsira zvisimbiswe kana ndeyenhema zviratidzo.

Mune zvimwe zviitiko, akaita virological kuidzwa vanofungidzirwa nemavhairasi aetiology chirwere chacho. Uyewo, iyo Ongororo iri kuitwa pamberi noutachiona. Zviri fanira vanogadzwa bacteriological chirwere kuti diphtheria madzihwa pamuromo uye nasal mhango.

mabatiro

Kana kuhukura chikosoro anooneka mwana nefivha, unofanira pakarepo kubvunza chiremba.

Panguva Danho rokutanga chiremba chirwere prescribes kudhakwa, inhalation miriwo (somuzivi, camomile the, etc.). Doctor Anosarudza mavhitaminzi uye mari, uchagadzikana kutapata. Kana marapirwo haana kupa yakanaka mugumisiro, ipapo vakatakura novocaine blockade kuderedza kuzvimba uye spasm ari kufema ndima. In danho rokutanga chiremba anogona mishonga mararamiro inorwisa mabhakitiriya uye zvinodhaka antiviral.

In chechipiri Danho chirwere kune apa rinoreva humidified okisijeni iri akawedzera, nzira kusimbisa zvemwoyo, diuretics.

Wechitatu Danho kunoda vavashandire. Pairi kurapa zvinosanganisira kemikari zvinodhaka. Kana marapirwo asingadi kupa migumisiro yakanaka, akaita anobudisa mushonga zvishoma nezvishoma Kubviswa madzihwa, uye ipapo mucosa zhinji lubricated namafuta.

Yakaderera efficacy yokurapa murwere akaita tracheotomy intubation.

rwekutanga

Kusvikira pakasvika amburenzi zvakafanira aivabatsira murwere ezvinhu, izvo hworatidza constrictive laryngitis. rubatsiro rokutanga zvinotevera:

1. Nechokwadi kuwana reokisijeni. Kuti aite izvi, ipapo anoputsa pamusoro bhatani nguo.
2. Isa murwere kunorara uye kusimudza headboard.
3. Ipai zhinji inodziya zvinobata. Nokuti ichi unogona kushandisa tii, inodziya mukaka.
4. Munguva yechando, Zvinokurudzirwa kuwedzera mwando muimba.
5. Ipa antihistamine.

Kana pasina kuvandudzika kuri kuchengetwa, zvinokosha kuti intramuscular kana intravenous jekiseni "Prednisolone": 4 MG chete kilogram kuti uremu hwomwana.

Pashure vakaongorora chiremba murwere kuti baya jekiseni ane antispasmodic zvinodhaka.

dziviriro

kudzivisa kukura laryngitis mitemo ine zvinotevera:

• utsanana;
• kudya zvinovaka muviri;
• kumboparadzaniswa vaya vanotambura nemavhairasi uye zvirwere zvinokonzerwa noutachiona.

Kuti tidzivise kukura chirwere, vanofanira kuramba kuongorora utano, chinogonesa kutapata, tora mavhitaminzi, ita maekisesaizi.