Cire a cikin yaro. Cutar cututtuka da magani na croup a cikin yara

Cututtuka na respiratory tract, wanda ya haifar da stenosis na larynx, a kimiyyar kiwon lafiya ake kira croup. Wannan ciwon yana tare da wadannan bayyanar cututtuka: murmushi yana aiki numfashi, damuwa, karfin "barking", rashin ƙarfi na numfashi. Cire a cikin jariri ba abu ne mai ban mamaki ba. A matsayinka na mai mulki, yana faruwa a kan bango daban-daban na cututtuka. A cikin wannan labarin, zamu tattauna dalla-dalla manyan batutuwa game da irin matsalar kamar croup a cikin yara.

Dalilin

Sau da yawa, cututtukan da aka ambata sun taso ne tare da cututtukan cututtuka daban daban, irin su kyanda, mura, pox na kaza, tarin fuka, typhoid zazzabi, syphilis. Koda banal ORZ zai iya haifar da wannan cututtuka. Sau da yawa, hatsi yana faruwa ne a matsayin ƙwayar diphtheria. A wasu lokuta, herpes na al'ada zai iya haifar da cutar. Bugu da ƙari, tare da edema na larynx mucosa da hyperemia, rashes zai iya bayyana. Da farko zai zama maki papules, sa'an nan kuma - raƙuman ruwa, an rufe shi da fim mai launin rawaya-fari. Ba lallai ba ne a manta da irin waɗannan abubuwa kamar ilimin kimiyyar ilimin kimiyya, rashin fahimtar yanayi, da yanayin yanayi. Mafi sau da yawa, ana gano cutar a cikin yara da ke zaune a cikin masana'antu (gurbata), da kuma kusa da hanyoyi masu galihu. Babban rawar da ake samu a ci gaba da ilimin pathology yana takaita ta hanyar mayar da hankali ga kwayar yaron. A dalilin wannan ne daban-daban iri sigogi da tamowa, encephalopathy, rickets, lymphoidotoxemia, exudative diathesis, ciwon huhu da kuma neurological Pathology. Wasu yara da ke da magungunan ƙwayar cuta suna da likita ko rashin lafiyar abinci, haɓakawa, ƙwayar magunguna.

Wane ne yake hadari?

Kwayar cututtuka na kwayar cutar ta fi sau da yawa an gano shi a cikin yara a karkashin shekara uku. Wannan shi ne saboda da ilimin Halittar Jiki da kuma physiological tsarin numfashi tsarin na yara. A cikin yara na wannan rukuni, laryngeal lumen ne mafi ƙanƙanci, kuma nau'in cartilaginous ya fi kyau da tausayi fiye da tsofaffi. Waƙoƙin murya suna takaice. Submucosa ya ƙunshi wani nau'in kayan haɗin kai. Wannan shine dalilin da ya sa kullun wasu sassan sassa na numfashi yana haifar da kumburi, wanda zai haifar da raguwa da larynx lumen.

Binciken

Larynx a cikin jikin yaro yana aiki ne da muryar murya, aikin motsa jiki da kuma karewa. Kowane daga cikin raunana zai iya haifar da saɓo na ɓangaren na numfashi na sama, da kuma ciwon oxygen na magunguna masu muhimmanci (zuciya, kwakwalwa, kodan, da dai sauransu). Cutar a cikin yarinya shine sakamakon mummunan lamari. Magunguna, kumburi, necrosis, ƙananan zazzabi, lalata ƙwayar mucous membrane, haifar da raguwa na tsokoki na larynx. Lokacin da stenosis sau da yawa tasowa oxygen rashi, karya da yanayin iska samun iska daga cikin babba respiratory fili. Sa'an nan kuma akwai kwayar halitta da kuma numfashi na numfashi, hypoxemia, kwakwalwar kwakwalwa. Irin wannan cuta yana ƙaddamar da hankalin stenosis.

Tsire-tsire a cikin yara: bayyanar cututtuka

Alamun farko na rashin lafiya ke faruwa a daren. Sakamakon su ne saboda abubuwan da suka shafi halittu da abubuwa masu ilimin lissafi: a wannan lokaci akwai babban sautin tsarin tsarin jin jiki, a cikin matsayi na kwance, a matsayin mulkin, yaduwar kwakwalwa ta karu. Yawancin lokaci, croup yaron ya fara da zazzaɓi (har zuwa digiri 39). Har ila yau, akwai sanyi mai ma'ana. A cikin shekaru goma sha biyu zuwa arbain da takwas, wani tarihin "barking" yana kama da zub da jini. Sau da yawa, an haɗa ta tare da ƙarawa mai zurfi, raguwa da intercostal sarari, rudani. A lokaci guda, a lokacin kuka, tari kawai ƙãra. Bayan bincike, likita ya lura da raguwa da larynx da trachea. Wannan yana haifar da bayyanar abin da ake kira motsa jiki mai kwakwalwa, wanda jariri yake da numfashi numfashi, da hoarseness da hoarseness. Lokacin da aka fallasa da sanyi da kuma tsaftace iska, alamu sun nuna taushi.

Hanyoyin cututtuka na crohtheria croup

Babban alamar ita ce karuwar haɓaka, wanda zai haifar da cigaba da ƙarfin yanayin. Alamar alamomi sune maɗaurar fata, mai laushi, sa'an nan kuma karar rikici. Daga hanci, saboda labarun da ke cikin launi, ruwa zai iya kwarara. Tsari a cikin yara, alamunta sune maras kyau, halin da ake samu akan tonsils na launin toka-mudu. A wannan yanayin, daga bakin, a matsayin mai mulkin, ya zama wari mai ban tsoro. Ya kamata a lura cewa a daren, saurin yanayin yanayin, wanda zai haifar da mummunar tsanani, har zuwa wani mummunan sakamako, zai yiwu. Sabili da haka, idan an gano alamun damuwa, kira gaggawa motar motar.

Diagnostics

Fahimci cutar, babban dalilin wannan cututtukan cututtuka, a cikin yara zai iya zama hanyoyin endoscopic. A lokacin nazarin larynx, ƙwayar mucous na kama da kumbura, tsalle, da sauƙi. A lokaci guda kuma, ana iya ganin mahallin rubutun da ke cikin sararin samaniya. An lalata ƙuƙwalwa na zobba na mashi da trachea. Muco-purulent exudate a wasu lokuta ne durƙusad da kuma ruwa, amma mafi sau da yawa shi ne lokacin farin ciki da kuma viscous. Sau da yawa kafa fibro-necrotic overlays. Bayan an cire simintin gyare-gyare da kwasfa, lumen na trachea ya zama fadi. Duk da haka, ganuwar tana ci gaba da ciwo jini. Harshen inflammatory na mucosa yana kaiwa ga gaskiyar cewa bakin bronchi ya zama nau'i-nau'i, kuma daga zurfin sputum ya bayyana (purulent).

Nazarin

Yau, hanya na ganewar maganganun hatsi na hatsi ya sami muhimmancin gaske. Ya dogara akan amfani da samfurori na kwayoyin cuta zuwa wasu ƙwayoyin cuta da kwayoyin cuta. Ana amfani da hanyar PCR (polymerase chain reaction) hanya. Duk da haka, wannan hanya zai zama tasiri ne kawai idan an dauki nauyin kwayar halitta daga farkon lokaci (a cikin wani lokaci mai mahimmanci). Tare da taimakon gwaje-gwaje na jini, za a iya gano canje-canje maras kyau. Saboda haka, tare da kwayar cuta croup, leukocytosis an lura, a cikin hoto ko bidiyo mai zagaya yanar gizo da sauri - leukopenia. Don ƙarin ganewar asali, da kuma lokacin da ake rikitarwa rikitarwa ana amfani da hanyoyi X-ray (hotuna na yankin mahaifa, sinadarai paranasal, kirji, da sauransu). Wata hanya ita ce ganewar asali. A nan mahimmin rawa ya takaita ta hoto na asibiti na cutar. Har ila yau, yana la'akari da kasancewar cututtuka na baya wanda zai iya haifar da wannan rikitarwa.

Hanyar farfadowa

An bada shawara a nuna dan yaron likita a wuri-wuri. Kula da hatsi a yara ya kamata a fara amfani da su don kawar da harshen da ke cikin sutura. A yau ana amfani da shirye-shiryen hormonal don waɗannan dalilai. Ana ba da shawara cewa ku ciyar ko shayar da jaririn sau da yawa don ku guje wa rashin ruwa. Don kawo saukar da zazzabi da kuma cire ciwo zai iya zama ibuprofen ko paracetamol. A wannan yanayin, ya kamata ka karanta mahimmanci umarnin don sashi ko tuntuɓi likita game da wannan. Hakanan zaka iya amfani da spasmolytics, irin su "Baralgin", "Maxigan", "Snazgan", da dai sauransu. A lokaci guda, an bada shawarar bada 1/3 na kwaya zuwa shekara daya da yara fiye da 1/2. Decongestants da sanyi shirye-shirye ba za su taimake warkar da croup a yara, amma ƙwarai sauƙaƙe Jihar wani jariri. Waɗannan su ne matakai na farko da za'a iya ɗauka kafin zuwan likita. Har ila yau, ya kamata ka tabbatar da zuwan iska mai sanyi a cikin dakin.

Jiyya a asibitin

A mataki na farfadowa, mayar da hankali shine mayar da layin iska da kuma yakar cutar da cutar ta cutar. Ga waɗannan dalilai, ana amfani da hanyar intubation na nasotracheal. Shaida don amfani da shi shine cututtuka na zuciya da nakasa wanda ya haifar da lalacewa na larynx 2, 3 da 4 digiri, kazalika da kara yawan hypoxia da hypercapnia. An yi amfani da intubation a karkashin janar cutar. Duk da haka, wannan hanya yana da abubuwan da take da shi. Da farko dai, shi ne chondroperichondritis na post-indubation na trachea da kuma larynx da ke haifar da stenoses na cicatricial. Don hana irin waɗannan matsalolin, ana bada shawara don amfani da shamban tubal na musamman. Bugu da ƙari kuma, maganin croup a cikin yara ba zai yiwu ba ne ba tare da maganin maganin maganin maganin maganin maganin maganin maganin maganin kwayoyin cutar ba, wanda likitan ya tsara, bisa ga dabi'un mutum guda. Da wannan cututtuka, a matsayin mai mulkin, an tsara kwayoyi na hormonal da ke taimakawa wajen yaduwa da sauri, wanda ya haifar da mummunar kumburi na laryngeal mucosa. A wasu lokuta, ana amfani da kwayoyi glucocorticoid ga marasa lafiya. Idan a cikin sa'o'i biyu na farko bayan shan hormones ba'a gano tasirin su ba, kara amfani da wadannan kwayoyi ba daidai ba ne. A cikin gwagwarmayar da toxemia amfani da jiko far.

Jiyya na croup

Da wannan cututtukan, ana amfani dasu masu amfani da bronchodilators, mucolytics, etiotropic da anti-inflammatory agents. Kwancen masu amfani da ƙwayar cuta. Dole ne a biya hankali musamman ga kawar da rubutun da ke haifar da spasms. Mucolytic kwayoyi zai taimakawa sake dawo da al'ada aiki na numfashi na numfashi. Secretolitics ("Ambroxol" da "Bromhexin") suna taimakawa wajen yaduwa da sputum, ta daɗawar samuwar mahaifa a cikin huhu. A matsayin Ma'aikatan anti-inflammatory, a matsayin mulkin, ana amfani da shirye-shiryen cromoglicate. Bayan taimako na bayyanar da hankalin croup, don hana cututtuka na bronchi da larynx, dole ne ku ciyar tsawon lokaci (kimanin watanni biyu) da magungunan masu karɓar H1 (maganin nan "Ceirizine"). A lokacin da aka yi amfani da shi, an tsara wa kwayoyi masu ci gaba da rigakafi. Sakamakon su ya dogara ne da shekarun yaron, da kasancewa da kwayar cutar, yaduwar mummunan tsari. Irin waɗannan kalmomin sun hada da "Bronchomunal" da kuma shirye-shiryen interferon. Yawancin magani bayan fitarwa daga asibiti ya zama akalla wata daya.

Yin rigakafi na croup

Dole ne a biya babbar kulawa don shayar da yaro. Ya kamata ya zama sau da yawa don tafiya tare da yaro a cikin iska mai iska. Wannan zai taimaka wajen inganta aikin ƙwayar respiratory na sama da ƙarfafa damuwa. Zaka kuma iya yin hardening na makogwaro. Don yin wannan, a kowace rana, wanke shi da ruwa mai sanyi, sannu-sannu rage yawan zafin jiki na ruwa. Duk da haka, a wannan yanayin, babu buƙatar gaggauta. Tsarin al'ada ya kamata ya dauki akalla watanni biyu. A cikin karshe version, da yawan ruwa zazzabi game da 14-15 digiri. Don ƙananan yara, za a iya amfani da kankara a matsayin hardening. Ruwa yana da kyau daskararre a cikin nau'i tare da kananan kwayoyin, yada shi tare da ruwan 'ya'yan lemun tsami. A ranar da za'a iya bai wa yaro daya.

Rigakafin cututtukan cututtuka na yara a cikin yara shine kiyaye ka'idojin abinci mai kyau da kuma amfani da bitamin. Wannan zai taimaka wajen kare kariya ta jiki kuma zai inganta ci gaban jariri. Yana da amfani sosai wajen ci kayan lambu da 'ya'yan itatuwa, sha na ganye da kayan ado. Ba wai kawai ƙarfafa rigakafi ba, amma kuma taimaka wajen yakin da aka fara haifar da cututtuka da ƙwayoyin cuta. Ana bada shawara don ba wa yara abinci mai arziki a cikin bitamin C da A. Very kayan kiwon lafiya da kiwo, musamman live kefir.

Yana da muhimmanci cewa iska a cikin ɗakin yana da dumi da sabo. A lokaci guda, dole ne a kiyaye wani zafi. Kada ka manta game da dokokin tsabta. Kuma shan taba kusa da yaron ya haramta. Haka kuma ba a bada shawarar yin amfani dashi a cikin dakin inda jaririn yake ba, mai kayan mai, kyandiyoyi, da dai sauransu. Za su iya haifar da mummunan haɗari na fili na respiratory.