Umxhasi

I-Stridor sisandi esingaqhelekanga, esiphakamileyo, nesomculo wokuphefumla. Kubangelwa kukuvaleka emqaleni okanye kwibhokisi yelizwi (kwingqula). Kuqhele ukuviwa xa uphefumla.

Abantwana basemngciphekweni omkhulu wokuvalwa komoya kuba banendlela encinci yomoya kunabantu abadala. Kubantwana abancinci, i-stridor luphawu lothintelo lomoya. Kufuneka inyangwe ngoko nangoko ukuthintela ukuba umoya ungavali ngokupheleleyo.

Indlela yomoya inokuthintelwa yinto, ukudumba kwethishu yomqala okanye yomoya ongaphezulu, okanye ispasm semisipha yomoya okanye imicu yezwi.

Izizathu eziqhelekileyo ze-stridor zibandakanya:

• Ukulimala komoya
• Ukuphendula ngokuchaseneyo
• Ingxaki yokuphefumla kunye nokukhwehlela ukukhwehlela (croup)
• Uvavanyo lokuchonga njenge-bronchoscopy okanye i-laryngoscopy
• I-Epiglottitis, ukudumba kwe-cartilage egubungele i-windpipe
• Ukungena ngaphakathi kwinto efana nepanutan okanye imarble
• Ukudumba kunye nokucaphuka kwebhokisi yelizwi (laryngitis)
• Utyando lwentamo
• Ukusetyenziswa kombhobho wokuphefumla ixesha elide
• Iimfihlo ezifana ne-phlegm (isikhohlela)
• Ukutshaya umsi okanye enye into eyenzakalisayo
• Ukudumba kwentamo okanye kobuso
• Ukudumba iitoni okanye iadenoids (ezinje ngetonillitis)
• Umhlaza wentambo yezwi

Landela ingcebiso yomboneleli wakho wezempilo ukunyanga unobangela wengxaki.

IStridor inokuba ngumqondiso wexesha likaxakeka. Fowunela umboneleli wakho kwangoko ukuba kukho i-stridor engachazwanga, ngakumbi emntwaneni.

Ngexesha likaxakeka, umboneleli uya kujonga ubushushu bomntu, ukubetha kwentliziyo, izinga lokuphefumla, kunye noxinzelelo lwegazi, kwaye unokufuna ukwenza isisu esiswini.

Umbhobho wokuphefumla unokufuneka ukuba umntu akakwazi ukuphefumla kakuhle.

Emva kokuba umntu ezinzile, umboneleli angabuza malunga nembali yonyango lomntu, kwaye enze uvavanyo lomzimba. Oku kubandakanya ukuphulaphula imiphunga.

Abazali okanye abanonopheli banokubuzwa le mibuzo ilandelayo ngembali yezonyango:

• Ngaba ukuphefumla okungaqhelekanga sisandi esiphakamileyo?
• Ngaba ingxaki yokuphefumla iqale ngesiquphe?
• Ngaba umntwana angayifaka into emlonyeni wabo?
• Ukhe wagula umntana kutshanje?
• Ingaba intamo okanye ubuso bomntwana budumbile?
• Ngaba umntwana ukhohlele okanye ukhalaza ngomqala obuhlungu?
• Zeziphi ezinye iimpawu anazo umntwana? (Umzekelo, ukubetha kwempumlo okanye umbala oluhlaza okwesikhumba, imilebe, okanye iinzipho)
• Ngaba umntwana usebenzisa izihlunu zesifuba ukuphefumla (ukurhoxiswa kwe-intercostal)?

Uvavanyo olunokwenziwa lunokubandakanya:

• Uhlalutyo lwegesi yegazi
• Bronchoscopy
• Isifuba se-CT scan
• I-Laryngoscopy (uvavanyo lwebhokisi yelizwi)
• Pulse oximetry yokulinganisa inqanaba leoksijini yegazi
• I-X-ray yesifuba okanye yentamo

Izandi zokuphefumla - ezingaqhelekanga; Uthintelo lomoya wangaphandle; Ukubheja-stridor

IGriffiths AG. Iimpawu zokuphefumla ezingapheliyo okanye eziphindaphindayo. 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 401.

URose E. Unyango olungxamisekileyo lokuphefumla kwabantwana: ukuphazamiseka kwendlela yomoya ephezulu kunye nosulelo. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 167.