Ukuqhuma kwempumlo

Ukuqhuma kwempumlo kwenzeka xa iimpumlo zanda ngelixa uphefumla. Ihlala iluphawu lwengxaki yokuphefumla.

I-Nasal flaring ibonakala ikakhulu kwiintsana nakubantwana abancinci.

Nayiphi na imeko ebangela ubunzima bokuphefumla kunokubangela impumlo. Izinto ezininzi ezibangela ukuba impumlo ngeempumlo azikho nzulu, kodwa ezinye zisongela ubomi.

Kwiintsana ezincinci, ukubetha ngeempumlo kunokuba ngumqondiso woxinzelelo lokuphefumla. Le yimeko enzulu yemiphunga ethintela ioksijini eyoneleyo ukuba ingene kwimiphunga nasegazini.

Ukubamba impumlo kungabangelwa nakuphi na oku kulandelayo:

• Ukuqaqanjelwa sisifuba
• Indlela yomoya evaliweyo (nasiphi na isizathu)
• Ukudumba kunye nokwakha i-mucus kwezona zincinci zincinci zomoya kwimiphunga (i-bronchiolitis)
• Ingxaki yokuphefumla kunye nokukhwehlela ukukhwehlela (croup)
• Ukuvuvukala okanye ukuvuvukala kwezicubu kwindawo egubungela i-windpipe (epiglottitis)
• Iingxaki zemiphunga, ezinjengosulelo okanye ukonakala kwexesha elide
• Ingxaki yokuphefumla kwiintsana ezisanda kuzalwa (okwethutyana tachypnea yosana olusandul 'ukuzalwa)

Funa uncedo olungxamisekileyo kwangoko ukuba wena okanye umntwana wakho unempawu zokuphefumla nzima.

Fowunela umboneleli wakho wezempilo ukuba:

• Kukho nakuphi na okuqhubekayo, okungachazwanga kweempumlo zempumlo, ngakumbi kumntwana omncinci.
• Umbala oluhlaza okwesibhakabhaka ukhula emilebeni, kwiibhedi zezikhonkwane, okanye kulusu. Olu luphawu lokuba ubunzima bokuphefumla bunzima. Isenokuthetha ukuba imeko engxamisekileyo iyaphuhliswa.
• Ucinga ukuba umntwana wakho unengxaki yokuphefumla.

Umboneleli uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu kunye nembali yezonyango. Imibuzo inokubandakanya:

• Ziqale nini iimpawu?
• Ngaba bayaphucuka okanye babe mandundu?
• Ngaba kukho ingxolo yokuphefumla, okanye ngaba kukho izandi ezibhudayo?
• Zeziphi ezinye iimpawu ezikhoyo, njengokujuluka okanye ukudinwa?
• Ngaba izihlunu zesisu, amagxa, okanye ubambo lutsala ngaphakathi xa uphefumla?

Umboneleli uya kumamela ngononophelo kwizandi zomoya. Oku kubizwa ngokuba kukuzonwabisa.

Uvavanyo olunokwenziwa lunokubandakanya:

• Uhlalutyo lwegesi yegazi
• Gcwalisa ubalo lwegazi (CBC)
• ECG ukukhangela intliziyo
• Pulse oximetry yokulinganisa inqanaba leoksijini yegazi
• I-X-ray yesifuba

Ioksijini inokunikwa ukuba kukho ingxaki yokuphefumla.

Ukubhabha kwe-alae nasi (impumlo); Impumlo - ukubhabha

• Ukuqhuma kwempumlo
• Ukuva ivumba

URodrigues KK. Roosevelt GE. Ukuphazamiseka kwendlela ephezulu yomoya (croup, epiglottitis, laryngitis, kunye ne-bacterial tracheitis). Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 412.

USarnaik AP, uClark JA, uHeidemann SM. Uxinzelelo lokuphefumla kunye nokusilela. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahl. 89.