Chii chinofanira kuitwa kana mwana ari muchipatara
Bronchiolitis ndiyo yakaderera kuputika kwepachirwere chirwere chinowanzoitika kune vana pasi peviri. Inowanzokonzerwa nekuputika syncytial virus (RSV) iyo inokonzera kuputika kwemaduku maduku emhepo ( bronchioles ). Kuvhiringidza kunokonzera kusagadzikana kwakakwana kana kukwana kwebruchichioles, zvichiita kuti kuve nekufema uye kupererwa kwemhepo.
Bronchiolitis ndiyo chikonzero chinonyanya kukonzera kupararira mucheche nevana vaduku. Sezvo pasina mushonga webronchiolitis, kurapwa kunonyanya kunangwa kupedza zviratidzo zvefivha uye zvinetso zvokufema. Kana kuchipatara ichidiwa, kurapwa kunogonawo kusanganisira kuwedzera oksijeni uye mvura inopisa kuitira kudzivirira kupera simba.
Munguva yakapfuura, albuterol yemishonga yaiwanzoshandiswa muzvipatara kubatsira mwana kufema. Albuterol inorondedzerwa sebronchodilator iyo inoshanda kuburikidza nekudzikama kwemisimba mumhepo ndima. Inowanikwa mukuvhiringidzika, muromo, uye injectable formulations uye inowanzotaurwa kune vanhu vane chirwere chisingaperi chisingagadziriswa cheplm (COPD) uye chirwere chemafi.
Kunyange zvazvo zvingaita sezvine musoro kushandisa albuterol mune zviitiko zvebruchichiolitis yakaoma, kuongororwa mazano kubva kuAmerican Academy of Pediatrics (AAP) zvino inokurudzira kushandiswa kwayo.
Chikonzero nei AAP Inokurudzira Pamusoro peAluteruterol
Mune mazano avo matsva anowanikwa gore ra2014, AAP yakabvuma kuti albuterol inokwanisa kupa rubatsiro ruregerero kune vana vane bronchiolitis nenzira imwechete iyo inobata mweya .
Zvisinei, kubudirira chaiyo kwechirwere mumamiriro ezvinhu aya kwainyanya kutenderwa. Ongororo yemazuva ano yakaratidza kuti kushandiswa kweAlubuterol muvana vakagara muzvipatara hakuna chakaita kuti kuwedzere migumisiro kana kuderedza kugara kwechipatara.
Uyezve, AAP inokurudzira kune dzimwe nzira dzorapwa dzinowanzoshandiswa munguva yakapfuura, kusanganisira nebulized hypertonic saline, systemic corticosteroids , antibiotics, uye chifuyo chepiotherapy.
Kuziva Kana Chipatara Chinodiwa
Bronchiolitis muvana inowanzokura mushure memazuva maviri kusvika matatu echando. Inowanzotanga nekusanganiswa kwemasese uye kubuda, kuchena kwakanyanyisa, uye fivhiri inopfuura 100.4 ° F. Kana utachiona hunoenda uye mweya wepasi pasi unobatanidzwa, mamiriro acho anogona kuoma uye anotungamirira zviratidzo zve:
- Kukurumidza kufema
- Wheezing
- Kuramba uchikanganiswa
- Dambudziko rokudya
- Zvikwereti mukufema (apnea)
Mubereki achaziva kuti inguva yekutora mwana kumhanyiko kana mavhiri aripo kwemazuva anopfuura manomwe kana kuti anoenderera mberi kugunun'una. Saizvozvowo, kana mwana akaora mwoyo uye ane bluish tinge kune ganda kana miromo ( cyanosis ), mubereki anofanirwa kuzviona sechirwere chekukurumidzira uye akadana 911.
Current Hospital Recommendations
Inenge zvikamu zvitatu kubva muzana zvevana vane bronchiolitis inoda kuendeswa kuchipatara. Kurapa kunosanganisira kutarisa zviratidzo zvinokosha uye kutarisirwa kunotsigira zvichienderana nemamiriro emwana uye zviratidzo.
Kuwedzera okisijeni kunogona kudiwa kune vana vasingakwanisi kubata mweya yavo. Izvi zvinowanzoitwa kuburikidza nekuisa tube, inonzi " canal cannula" , pasi pemhuno wemwana kana kushandisa sachigaro chemaziso. Kune vacheche, bhokisi rehoksi rinogona kushandiswa.
Kana mwana wacho asingakwanisi kudya kana kunwa, zvichida nokuti kufema kunowedzera zvakanyanya kana kufema kunenge kusisina simba, mvura uye zvokudya zvinovaka muviri zvinogona kuendeswa mukati mega (mukati moutin). Kuti udzivise kupararira kwehutachiona, mwana ngazvive kure nevana vemunin'ina nemamwe vana kusvikira mamiriro acho akagadziriswa.
Vana vazhinji vari muchipatara chebronchiolitis vakanyatsokwana kudzokera kumba mushure memazuva matatu kana mana.
> Kwakabva:
> Hall, C .; Weinberg, G .; Blumkin, A. et al. "Kufuridzira syncytial virus-inobatanidzwa muzvipatara pakati pevana vasati vava nemwedzi 24." Pediatrics . 2013; 132 (2): e341-e348. DOI: 10.1542 / peds.2013-0303.
> Ralston, S .; Lieberthal, A .; Meissner, H. et al. "Clinical Practice Guideline: Kurapa, Kutungamira, nekudzivirira Bronchiolitis." Pediatrics. 2014; 134 (5): e1474-e1502. DOI: 10.1542 / peds.2014-2742.