Tracheitis utachiona hwetrachea (kufema kana kuputika kwemhepo) iyo inowanzokonzerwa nebhakitiriya. Bhakitiriya inowanzobatanidzwa inosanganisira Staphylococcus aeureus , Streptococcus pneumoniae , uye Pseudomonas aeruginosa . Tracheitis inowanzoitika muvana vaduku uye inogona kuita kuti zvive zvakaoma kufema. Zvinyorwa zvinosanganisira:
- Hondo yehutachiona hwehutachiona hunosangana nepamusoro pemhepo
- Kazhinji inowanzoitika isati yava nemakore matatu (asi inogona kuitika kusvika kune makore gumi nemaviri)
- Measles
- Down syndrome
Tracheitis haiwanzoitiki chete inenge inenge 1 mu1 000 000 mhosva uye inofungidzirwa kuva yakawanda kune vakomana kupfuura vasikana. Nemhaka yokuti iyo isingawanzoitiki, kana chirwere ichi chiripo, zvinowanzokanganisa nekuda kwehutachiona hwechirwere, iyo yakawanda zvikuru munharaunda yako. Tichakurukura zvimwe zvekufananidza uye zvimwe zvekusiyana nekuti tracheitis inowedzera kuuraya uye kazhinji inoda mwana wako kuti awane rubatsiro rwekufema kana chiri chechokwadi chetracheitis.
Zviratidzo
Zviratidzo zvetracheitis zvinosiyana kubva kumunhu kusvika kumunhu, asi zvinogona kusanganisira:
- Chikoro icho chinonzwika "croupy" uye vanogona kufukidzira zvinyorwa
- Kuporesa zvinetso
- Gwara kana kufema mukati (kazhinji)
- Kugurusa kana kufema kunze (zvisingawanzoitiki)
- High fever; kazhinji kakura kupfuura 102 ° F kana 39 ° C
- Miromo yebhuruu (chiratidzo che cyanosis kana kuti epo oxygen levels), kana kukwanisa kufema kuri kuderera
A "chifukidziro chinokonzera" chiratidzo chakakosha chechirwere chechirwere. Inowanzotsanangurwa se "kubvunda", "brassy", kana kuti yakafanana necheki yechisimbiso. Izvi zvinogonawo kunge zviripo mutracheitis ndiyo chikonzero nei ichiwanzovhiringidzika nehuwandu hwechirwere chechirwere.
Kusiyanisa Pakati Pezviratidzo zveTracheitis uye Croup
Kunyange zvazvo kukohwa kunogona kuve kwakafanana zvakafanana pakati petracheitis uye viral croup, pane zvinhu zvakawanda zvinogona kushandiswa kubatsira kusiyanisa pakati pezvinetso zviviri. Kazhinji, virusi croup icharamba ichiwedzera kuwedzera, apo tracheitis zviratidzo zvinokurumidza kukurumidza. Fivhiri dzimwe nguva inogona kunge yakasiyana, uye croup yehutachiona ichibatanidzwa nefivha yakadzika kupfuura tracheitis; kazhinji kuva yakakwirira kudarika 39 ° C. Iyo fever yakanyanya inowanzoendesa vanhu kune dhipatimendi rekukurumidzira.
Kurapa kwakakwana kweviral croup, humidified oksijeni uye inhale epinephrine (racemic epi), inogona kushandiswawo kusiyanisa tracheitis. Ichokwadi kuti tracheitis haigoni kupindura kune idzirapa uye dzimwe nguva dzakaratidzwa kuwedzera kuipa kwemamiriro acho ezvinhu. Kana ukacherechedza kuti mwana wako ari kunyanya kuipa paanenge achiwana kurapwa, iwe unofanirwa kumhan'ara mukoti kana chiremba.
Kuziva
A tracheitis diagnostic inogona kunge yakabva kune zviratidzo, uyewo nhoroondo yevarwere uye kuongorora. Kuongororwa kwezviitiko zvinogona kuitwa nehutano hwehutano hwako hunosanganisira:
- Chiyero chemhepo yakakosha muropa (pulse oximetry)
- Chimiro chinobva mutirachea, inounganidzwa panguva ye laryngoscopy
- I -x-ray yemapapu uye mapefu anofema
Munguva iyi, chiremba wako achange achishandisa zvitsva kuti abatsire kusiyanisa kubva epiglottitis chimwe chirwere chisingawanzoitiki chingadikanwa kuponeswa kwekufema kwekufema.
Mishonga
Kurwisana nehasha kunotanga kuitika kunokosha pakugadzirisa zvakanaka tracheitis. Munguva ye laryngoscopy, chiremba wako achajekesa zvakawanda zvekufamba kwepamhepo sezvinogona, sezvo pangangodaro kuve nokuvhara uye membrane inogona kukonzera kushandiswa kwemhepo. Pakutanga kutungamira kunowanzodikanwa kupinda muchikwata chekuchengetedza zvakanyanya apo mwana wako anogona kuonekwa uye akaiswa (kufema kufungidzirwa mukati) kana zvichidiwa.
Kuva nechirwere chokufema kunobvumirawo vanachire veCI kuti vaite zvinotyisa zvekufambisa ndege kuitira kuti mwana wenyu afufuke zvakanyanya sezvinobvira.
Mishonga inorwisa mabhakitiriya yehutachiona hunobatsirawo. Kazhinji mishonga inorwisa mabhakitiriya inosanganisira IV ceftriaxone uye IV vancomycin. Kana tsika dzichidzoka dzichirwisana nemishonga inorwisa mabhakitiriya, regimen yemwana wenyu ichashandurwa. IV ma antibiotic achaenderera mberi kwemazuva mashanu kusvika kumatanhatu panguva iyo iwe unogona kuchinjwa kumuromo wemishonga inorwisa mabhakitiriya. Nguva yose yemishonga inorwisa mabhakitiriya ichaparara pakati pevhiki ne1.
Iyo inozivikanwawo seye: tracheobronchitis, bhakitiriya croup, laryngotracheobronchitis
Kunobva:
Ferri, FF (2016). Tracheitis. Ferri's Clinical Advisor 2016. http://www.clinicalkey.com (Kubhadharwa Kunodiwa)
Rajan, S. & Steele, RW (2015). Bacterial Tracheitis. http://emedicine.medscape.com/article/961647-overview