Kufanele kwenziwe uma ingane ingene esibhedlela
I-brronchiolitis yisifo esiphansi sokutheleleka kokuphefumula okuvame ukuvela ezinganeni ezingaphansi kokubili. Ngokuvamile kubangelwa igciwane lokuphefumula le-syncytial (i-RSV) elenza ukuvuvukala kwezingxenye ezincane zomoya (i- bronchioles ). Ukuvuvukala kubangela ukunciphisa okuyingxenye noma okuphelele kwe-bronchioles, okuholela ekuphefumuleni nasekuphefumuleni.
I-brronchiolitis iyimbangela ehamba phambili yokwelashwa kwabantwana nezingane ezincane. Njengoba kungekho ukwelashwa kwe-bronchiolitis, ukwelashwa ngokuyinhloko kuhloswe ukunciphisa izimpawu ze-fever kanye nobunzima bokuphefumula. Uma kudingwa esibhedlela, ukwelashwa kungase kuhlanganise ne- oksijeni eyengeziwe kanye namanzi okuvikela ukuvimbela ukungcola.
Esikhathini esidlule, i- albuterol yezidakamizwa yayivame ukusetshenziswa ezibhedlela ukuze kusize ingane iphefumule. I-Albuterol ihlukaniswa njenge- bronchodilator esebenza ngokuzihlanza okuphumuzayo emazwini emoyeni. Itholakala ekufakweni okufakiwe, okukhulunywa ngomlomo, kanye nama-injection futhi kuvame ukushiwo kubantu abane- chronic obstructive pulmonary disease (COPD) nesifo se-asthma.
Nakuba kungase kubonakale kunengqondo ukusebenzisa i-albuterol uma kwenzeka i-bronchiolitis enzima, isiqondiso esisha esivela ku-American Academy of Pediatrics (AAP) manje sincoma ngokusetshenziswa kwayo.
Kungani i-AAP iyelulekisa ngokumelene ne-Albuterol
Ezincomo zabo ezibuyekeziwe zango-2014, i-AAP yavuma ukuthi i-albuterol ingahlinzeka ukuphumula okwesikhashana ezinganeni ezine-bronchiolitis ngendlela efanayo eyenza i-asthma .
Kodwa-ke, ukuphumelela kwangempela kwalesi sidakamizwa kuleso simo kwakuyi-subjective. Ucwaningo lwamanje lubonise ukuthi ukusetshenziswa kwe-albuterol ezinganeni ezibhedlela kwakwenzi lutho ukuthuthukisa imiphumela noma ukunciphisa ukuhlala esibhedlela.
Ngaphezu kwalokho, i-AAP itusa ngokumelene nezinye izifo ezivame ukusetshenziswa esikhathini esidlule, kuhlanganise ne-nebulized hypertonic saline, i- corticosteroids yesistimu, i-antibiotics, ne-physiotherapy yesifuba.
Ukuqaphela Lapho Kudingeka Isibhedlela
I-brronchiolitis ezinganeni ngokuvamile izokukhula emva kwezinsuku ezimbili kuya kwezintathu zomkhuhlane ovamile. Ngokuvamile kuqala ngokuxubana kwamanzi futhi kukhishwe, ukukhwehlela okuncane, nomkhuhlane ngaphezu kwe-100.4 ° F. Uma ukutheleleka kuqhubeka futhi izingxenye zomoya eziphansi zihilelekile, isimo singaba sína futhi sibangele izimpawu ze:
- Ukuphefumula ngokushesha
- Ukushisa
- Ukukhwehlela okuqhubekayo
- Ukudla okunzima
- Izikhala ekuphefumuleni (i-apnea)
Umzali uzokwazi ukuthi sekuyisikhathi sokuthatha ingane kuphuthumayo uma isondo lihlala isikhathi esingaphezu kwezinsuku eziyisikhombisa noma liqhubekela phambili ukukloloda. Ngokufanayo, uma ingane iyanciphisa kakhulu futhi inesifo se-bluish isikhumba noma izindebe (i- cyanosis ), umzali kufanele akubheke njengesimo esiphuthumayo sezokwelapha futhi abize u-911.
Iziphakamiso zezibhedlela zamanje
Cishe amaphesenti amathathu ezingane ezine-bronchiolitis zizodinga ukunakekelwa esibhedlela. Ukwelashwa kwakuyobandakanya ukuqapha izimpawu ezibalulekile nokunakekelwa okusekela ngokusekelwe esimweni sengane nempawu.
I-oksijeni eyengeziwe ingadingeka ezinganeni ezingakwazi ukuphefumula. Lokhu kuvame ukwenza ngokubeka ithubhu, ebizwa ngokuthi i- cannula yamanzi , ngaphansi kwekhaleni lomntwana noma ngokusebenzisa imaski yobuso. Ezinganeni, ibhokisi lekhanda le-oxygen lingasetshenziswa.
Uma ingane ingakwazi ukudla noma ukuphuza, noma ngenxa yokuthi izinga lokuphefumula liyashesha kakhulu noma ukuphefumula kuyingozi kakhulu, uketshezi nokudla okungase kudingeke kuhanjiswe kwangaphakathi (ngaphakathi kwesisu) .Ukuze uvikele ukusabalala kwegciwane, umntwana kungabodwa kubantwana bakithi kanye nezinye izingane kuze kube yilapho isimo siphendululwe ngokugcwele.
Iningi lezingane ezibhedlela ngenxa ye-bronchiolitis kahle ngokwanele ukubuyela ekhaya emva kwezinsuku ezintathu kuya kwezine.
> Umthombo:
> Hall, C .; I-Weinberg, i-G .; I-Blumkin, A. et al. "I-virus yokuphefumula ebizwa ngokuthi i-syncytial virus ehambisana nezifo ezinganeni ezingaphansi kwezinyanga ezingu-24 ubudala." Izingane zokwelapha . 2013; 132 (2): e341-e348. I-DOI: 10.1542 / peds.2013-0303.
> Ralston, uS .; U-Lieberthal, A .; Meissner, H. et al. "Umhlahlandlela Wokusebenza Ngokwemitholampilo: Ukuhlonza, Ukuphathwa Nokuvimbela I-Bronchiolitis." Izingane zokwelapha. 2014; 134 (5): e1474-e1502. I-DOI: 10.1542 / ama-peds.2014-2742.