Uma ikhala nekhwehlela egijima ihlupha ingane yakho noma ingane yakho, ukuxilongwa okungenzeka kube yinkinga enkulu yokuhamba emgwaqeni efana nokutheleleka okubandayo noma kwesine- ikakhulukazi uma ikhala eligijimayo liwuphawu oluvelele kakhulu.
Kodwa uma ukukhwehlela kuwuphawu oluvelele kakhulu, i-bronchitis ivame ukutholakala. Ngokuphambene nomkhuhlane, i-bronchitis ivame ukucabanga ukuthi iyisifo esingaphansi kwe-airway, nakuba, empeleni, ngokuvamile kunzima ukutshela umehluko.
Umbuzo owodwa omkhulu ukuthi ngabe ubaluleke kakhulu ngoba akukho bronchitis ebandayo noma ephuza ngokuvamile ephathwe ngama-antibiotics.
Izimpawu zeBronchitis
I-brronchitis isifo esitholwa yi-clinical-based based on the signs that the patient has-and often does not depend on any tests.
Njengabanye ukutheleleka kokuphefumula, izingane ezine-bronchitis zizoba nephunga elikhishwayo kanye nokukhwehlela, futhi zingase zibe nomkhuhlane nomphimbo. Kodwa izinga lezimpawu ezihlukahlukene, ngokuvamile, likhulu kunezinye izifo. Ukuqhubeka kwezimpawu ze-bronchitis kuzoqala ngekhala eligijimayo, umphimbo wesihlungu (kusuka ekudoneni okuqhubekayo), nangomkhuhlane ophansi. Ezinsukwini ezintathu noma ezine kamuva, ingane ene-bronchitis izokwakha ukukhwehlela okumile, okukhwehlela.
Ezinye izibonakaliso nezimpawu ze-bronchitis zingabandakanya ukuthi ukukhwehlela okuvame kakhulu futhi:
- kungase kukhiqize (ingane ikhokhisa phezulu, ephuzi, noma ehlaza okwesibhakabhaka)
- kungase kuhlotshaniswe nokuhlanza (ngokuvamile ngenxa yezingane ezigwinya amanzi)
- kungabangela ubuhlungu besifuba (ngenxa yesisindo somzimba esihambisana nokukhwehlela njalo)
- ingase ihambisane nemisindo yokuphefumula okujulile kanye / noma isondo
Okubaluleke kakhulu, abazali kufanele baqonde ukuthi izingane ezine-bronchitis zivame ukukhwehlela okuhlala amasonto amabili kuya kwamathathu.
Ingabe i-brronchitis Ngempela?
Akufanele kusimangaze ukuthi i-bronchitis ivame ukudideka nezinye izimo eziningi ezingabangela ukukhwehlela okuqhubekayo.
Futhi lokhu kungamangaza abazali abaningi-eziningi zalezi zimo azidingi ukwelashwa ngama-antibiotic.
Ezinye izimbangela ezivamile zokukhwehlela ngezinye izikhathi ezingaphathwa kabi njenge-bronchitis zingabandakanya:
- umkhuhlane ovamile.
- i-rhinitis ye-allergen-ingaba yonyaka futhi ivame ukufaka impumu ecacile ephuthumayo, amehlo ahlobisayo , nokuxubana.
- ukukhwehlela kwamagciwane-ukukhwehlela okuhlala emasontweni ambalwa ngemva kokuba ingane isuke igula noma enye isifo sofuba , ngisho nangemva kokuba ezinye izimpawu ezibandayo seziphelile.
- ukukhwehlela okungafani ne-asthma-lokhu kuyi-asthma ngaphandle kwesondo elinojwayelekile ukuthi ezinye izingane ezine-asthma zinakho, okwenza kube nzima ukubona.
- ukuphefumula okubangelwa yi-asthma-asthma kufanele kukhishwe emntwaneni eneziqephu ezivame ukuhlasela noma ukuhlaselwa kwe-asthma yangaphambilini.
- Umkhuba wokukhwehlela-ukukhwehlela owomile okuvame ukuchazwa ngokuthi "ukuhlonipha" umsindo. Esinye isici somkhuba wokukhwehlela umkhuba ukuthi akukwenzeka lapho ingane ilele.
- Isifo se-reflux se-GERR-gastroesophageal yisisusa esivamile esivamile sokukhwehlela okungapheli ezinganeni.
- ukuhamba nge-pneumonia-nakuba eziningi zebhaktheriya ezibangela ukuhamba nge-pneumonia, njenge- Mycoplasma pneumoniae , zingabangela nokushiswa kwe-bronchitis, izimpawu zokuhamba nge-pneumonia ngokuvamile ziba nzima kakhulu.
- Ukukhwehlela okukhwehlelayo-kuvamile kubantu abasha abangenasidingo kanye nabantu abadala abanomkhuhlane wokukhwehlela (pertussis) okungaqondakali ukuthi bane-bronchitis engapheli. Khumbula ukuthi i- B. pertussis , amabhaktheriya abangela ukukhwehlela, angase angabangela ukuthi i-bronchitis, ikakhulukazi ngesikhathi sokuqubuka komphakathi.
- i-pneumonia- ngaphezu kokukhwehlela okukhiqizayo, izingane ezine-pneumonia zivame ukuba nomkhuhlane, izinga lokuphefumula, ukuphefumula nobunzima, nokuhlolwa kwekhanda okutholakele okuphazamisa ukuphefumula. I-x-ray yesifuba ingenziwa uma ungaqiniseki ukuthi ingane yakho ine-pneumonia noma i-bronchitis.
Nakuba ukuthola izimpawu ze-bronchitis ezixubene nezimpawu ezivamile ezibandayo noma ukukhwehlela komzimba okungekho emthethweni ngeke kube yingozi ngoba zonke lezo zimo zihamba ngaphandle kokwelashwa, izimpawu zezingane zakho zingase zenziwe ngokweqile uma kwenzeka kucatshangwa ukuthi i-bronchitis ukwelashwa, isifo se-asthma, noma i-pneumonia.
I-Bronchitis engapheli
Incazelo yesikhohlela esingapheli kanye ne-bronchitis engapheli kubantu abadala ikhwehlela ehlala isikhathi eside ngaphezu kwezinyanga ezimbili kuya kwezingu-3.
Lapho uhlola ukuhlukunyezwa kwengane engapheli ezinganeni, ochwepheshe abaningi basebenzisa isikhathi esifushane samasonto amane.
Ngaphandle kokuhlala isikhathi eside kwezimpawu, omunye umehluko phakathi kwe-bronchitis eyingozi futhi engapheli yilapho i-bronchitis engapheli inokuxhumana okuqinile nokubhema ugwayi. Iningi labantu abane-bronchitis engapheli baye baphuza, lapho bebhema kakhulu, kungenzeka ukuthi babe nokuhlaselwa kwe-bronchitis engapheli.
Okudingeka Ukwazi Nge-brronchitis
I-brronchitis cishe yinye yezimo ezingaphezu kwezifo ezitholakalayo futhi ezingaphathwa kabi ezingabangela ukukhwehlela. Lokhu kuyadabukisa ngoba lokhu kusho imishanguzo eminingi ye-antibiotic engadingekile, engabangela imiphumela emibi kanye nokulwa nokulwa namagciwane.
Ezinye izinto zokwazi mayelana ne-bronchitis zihlanganisa ukuthi:
- Abantu abaningi bacabanga ukuthi i-bronchitis ibe "isibindi esibandayo."
- Njengomkhuhlane ovamile, i-bronchitis yisimo lapho ama-antibiotic avame ukugqithiswa khona.
- Izimbangela ezivamile ze-bronchitis zihlanganisa i-rhinovirus, i- influenza , i-parainfluenza, i- RSV , i- Mycoplasma pneumoniae , ne- Chlamydophila pneumoniae .
- Nakuba ukusetshenziswa kwesidingo sokucindezela ukukhwehlela kwesinye isikhathi kusetshenziselwa ukunciphisa izimpawu kwezinye izingane ezine-bronchitis, ama-expectorants ngokuvamile awacatshangwa ukuthi ayasiza. Imithi ye- bronchodilator , njengaleyo esetshenziselwa izingane ezine-asthma, ingaba usizo kwezinye iziguli ezine-bronchitis ezigubha kodwa akufanele zisetshenziswe njalo.
- I-pulmonologist yezingane ingasiza ekuxilongeni nasekuphatheni ingane yakho ovame ukuthola i-bronchitis.
Okubaluleke kakhulu, uma uqaphela ukuthi ingane yakho inezibonakaliso zesifo sohlobo lwe-bronchitis kodwa unikezwa umshwalense we-antibiotic ngudokotela wezingane zakho, cabanga ukuthi ubuza ngempela yini.
Imithombo
- Isikhathi eside: Izimiso Nezenzo Zezifo Ezithathelwanayo Zengculazi Ukuphrinta Okubukeziwe, 3rd ed.
- I-Kliegman: UNelson Bookbook of Pediatrics, 19th ed.
- USidney S. Braman. Isikhukhula Esingapheli Ngenxa Yobuningi Bronchitis: I-ACCP Imikhombandlela Yokwenziwa Kokutholwa Kwemininingwane Yokwelashwa. Isifuba. NgoJanuwari 2006 129: 1 i-95S-103S.