Yintoni i-bronchiolitis obliterans, iimpawu, oonobangela kunye nendlela yokunyanga

Umxholo

• Iimpawu ze-bronchitis obliterans
• Izizathu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Unyango lwenziwa njani

I-Bronchiolitis obliterans luhlobo lwesifo esinganyangekiyo semiphunga apho iiseli zemiphunga zingenakuphila emva kokudumba okanye usulelo, kuthintelo lweendlela zomoya kwaye kubangele ubunzima ekuphefumleni, ukukhohlela okungapheliyo kunye nokuphefumla okufutshane, umzekelo.

Kwezi meko, iiseli ezivuthayo zemiphunga, endaweni yokuba zithatyathelwe indawo ziiseli ezintsha, ziyafa kwaye zenze isiva, esithintela ukuhamba komoya. Ke, ukuba kukho ukudumba okuninzi emiphungeni ngokuhamba kwexesha, inani lezikrakra liyonyuka kwaye imijelo emincinci yemiphunga, eyaziwa ngokuba ziibronchioles, iyonakaliswa, isenza kube nzima ukuphefumla.

Kubalulekile ukuba i-bronchiolitis obliterans ichongwe kwaye inyangwe ngokwesindululo sikagqirha, kuba ngale ndlela kunokwenzeka ukuthintela iingxaki kunye nokukhuthaza umgangatho wobomi.

Iimpawu ze-bronchitis obliterans

Uninzi lwexesha iimpawu zokuqala ze-bronchiolitis obliterans ziyafana nayo nayiphi na ingxaki yemiphunga, kubandakanya:

• Ukubila xa uphefumla;
• Ukuziva uphefumla kancinci kunye nobunzima bokuphefumla;
• Ukukhohlela okungapheliyo;
• Amaxesha obushushu obuphantsi ukuya kuma-38ºC;
• Ukudinwa;
• Kunzima ukondla, kwimeko yeentsana.

Ezi mpawu zihlala zibonakala kwaye zinyamalale kumaxesha aliqela anokuhlala iiveki okanye iinyanga.

Izizathu eziphambili

I-Bronchiolitis obliterans yenzeka xa, ngenxa yemeko ethile, kukho impendulo yokuvuvukala ekhokelela ekungeneni kwi-bronchioles kunye ne-alveoli, ekhuthaza ukuphazamiseka kwendlela engenakuphikiswa. Kwiimeko ezininzi, olu hlobo lwe-bronchitis lunxulunyaniswa nosulelo, ikakhulu yi-adenovirus. Nangona kunjalo, inokuthi yenzeke njengesiphumo sosulelo ngezinye iintlobo zentsholongwane, ezinjengeyenkukhu okanye intsholongwane yemasisi, okanye intsholongwane Mycoplasma pneumoniae, Legionella pneumophilia kwaye IBordetella pertussis.

Nangona uninzi lweziganeko zibangelwa kukosuleleka ziintsholongwane, i-bronchiolitis obliterans inokuvela ngenxa yezifo zethishyu, ngenxa yokuphefumla inetyhefu okanye kwenzeke emva komongo wethambo okanye ukufakelwa kwemiphunga.

Indlela yokuqinisekisa ukuxilongwa

Ukuxilongwa kwe-bronchiolitis obliterans kufuneka kwenziwe yi-pulmonologist yabantwana ngokwemiqondiso kunye neempawu ezinikezelwa ngumntwana, ngaphezu kweemvavanyo ezinceda ukuchonga imbangela ye-bronchitis kunye nobunzima bayo.

Ke, ugqirha unokucebisa ngesifuba i-X-reyi, ikhompyuter ye-tomography kunye ne-lung scintigraphy, ukunceda ukwahlula i-bronchiolitis obliterans kwezinye izifo zemiphunga eziqhelekileyo. Nangona kunjalo, ukuxilongwa okuqinisekileyo kunokuqinisekiswa kuphela yi-lung biopsy.

Unyango lwenziwa njani

Unyango lujolise ekuphuculeni amandla okuphefumla komntwana kwaye, ngenxa yoku, ugqirha unokucebisa ngokusetyenziswa kwe-anti-inflammatories zomlomo okanye zokurhogola kunye ne-bronchodilators, ezithi zinciphise ukudumba emiphungeni kwaye zinciphise inani le-mucus, ukunciphisa amathuba okubonakala yamanxeba amatsha kunye nokwenza lula ukuhamba komoya, ukongeza kunyango lweoksijini ekucetyiswa.

Unyango lokuphefumla lunokucetyiswa ukuze kuququzelelwe kwaye kuququzelelwe ukupheliswa kweemfihlo, ukuthintela ukubakho kolunye usulelo lokuphefumla. Qonda indlela eyenziwa ngayo i-physiotherapy yokuphefumula.

Kwimeko yezigulana ezinesifo se-bronchiolitis obliterans zikhulisa usulelo kwesi sifo, ugqirha unokucebisa ukuba kusetyenziswe ii-antibiotics ngokwe-arhente esosulelayo enoxanduva lweengxaki kunye nokwanda