Epiglottitis

Umxholo

• Yintoni epiglottitis?
• Yintoni ebangela i-epiglottitis?
• Ngubani osemngciphekweni we-epiglottitis?
• Ubudala
• Ukwabelana ngesondo
• Indalo esingqongileyo
• Amajoni omzimba abuthathaka
• Ziintoni iimpawu ze-epiglottitis?
• Ichongwa njani i-epiglottitis?
• Luyintoni unyango lwe-epiglottitis?
• Ngaba i-epiglottitis inokuthintelwa?

Yintoni epiglottitis?

I-Epiglottitis ibonakaliswa kukudumba kunye nokudumba kwe-epiglottis yakho. Sisifo esisongela ubomi.

I-epiglottis isisiseko solwimi lwakho. Yenziwe ikakhulu yintlala. Isebenza njengevalvu ukuthintela ukutya kunye nolwelo ekungeneni kumbhobho wakho xa usitya naxa usela.

Izicubu ezenza i-epiglottis zinokosuleleka, zidumbe, kwaye zivimbe indlela yakho yomoya. Oku kufuna unyango kwangoko. Ukuba ucinga ukuba wena okanye omnye umntu une-epiglottitis, tsalela umnxeba ku-911 okanye ufune uncedo olukhawulezileyo kwezonyango lwasekhaya.

I-Epiglottitis ngokwembali imeko exhaphake kakhulu ebantwaneni, kodwa iya isiba rhoqo kubantu abadala. Ifuna ukuxilongwa kwangoko kunye nonyango kuye nakubani na, kodwa ngakumbi ebantwaneni, abasesichengeni sokuphefumla.

Yintoni ebangela i-epiglottitis?

Usulelo lwebacteria lolona hlobo luqhelekileyo lwe epiglottitis. Intsholongwane inokungena emzimbeni wakho xa uyiphefumlela ngaphakathi. Inokosulela i-epiglottis yakho.

Olona hlobo luqhelekileyo lweebhaktiriya olwenza ukuba le meko ibe Haemophilus influenzae uhlobo b, ekwabizwa ngokuba yiHib. Ungayibamba iHib ngokuphefumla iintsholongwane ezisasazekayo xa umntu osulelekileyo ekhohlela, ethimla, okanye evuthela impumlo.

Ezinye iintlobo zebacteria ezinokubangela i-epiglottitis zibandakanya IStreptococcus A, B, okanye C kwaye IStreptococcus pneumoniae. IStreptococcus A Luhlobo lweebhaktheriya ezinokubangela nomqala womqala. IStreptococcus pneumoniae ngunobangela oqhelekileyo wenyumoniya yebacteria.

Ukongeza, ii-virus ezinje ngezo zibangela i-shingles kunye ne-chickenpox, kunye nezo zibangela usulelo lokuphefumla, zinokubangela i-epiglottitis. Iifungi, ezinje ngezo zibangela irhashalala okanye usulelo lwegwele, zinokuba negalelo kukudumba kwe-epiglottis.

Ezinye izizathu zale meko zibandakanya:

• ukutshaya icocaine
• ukusezela imichiza kunye nokutsha kwemichiza
• ukuginya into yangaphandle
• ukutshisa umqala wakho kumphunga okanye eminye imithombo yobushushu
• ukwenzakala emqaleni ngenxa yokwenzakala, njengokuhlaba okanye inxeba lokudutyulwa

Ngubani osemngciphekweni we-epiglottitis?

Nabani na onokuphucula i-epiglottitis. Nangona kunjalo, izinto ezininzi zinokunyusa umngcipheko wokuphuhlisa.

Ubudala

Abantwana abangaphantsi kweenyanga ezili-12 ubudala basemngciphekweni omkhulu wokukhula kwe-epiglottitis. Kungenxa yokuba aba bantwana abakagqibi uthotho lokugonya lwe-Hib. Ngokubanzi, esi sifo sihlala sivela kubantwana abaneminyaka emi-2 ukuya kwe-6 ubudala. Kubantu abadala, ukuba ngaphezulu kweminyaka engama-85 yinto enobungozi.

Ukongeza, abantwana abahlala kumazwe angabanikiyo izitofu zokugonya okanye apho kunzima ukufikelela khona basemngciphekweni wokonyuka. Abantwana abanabazali abakhetha ukungabagonyi nge-Hib vaccine basemngciphekweni omkhulu we-epiglottitis.

Ukwabelana ngesondo

Amadoda kunokwenzeka ukuba aphuhlise i-epiglottitis kunabasetyhini. Isizathu soku asicacanga.

Indalo esingqongileyo

Ukuba uhlala okanye usebenza nenani elikhulu labantu, kunokwenzeka ukuba ubambe iintsholongwane kwabanye kwaye uphuhlise usulelo.

Ngokunjalo, iindawo ezinabantu abaninzi ezinje ngezikolo okanye amaziko okhathalelo lwabantwana anokunyusa ukubonakaliswa kwakho ngumntwana wakho kuzo zonke iintlobo zezifo zokuphefumla. Umngcipheko wokufumana i-epiglottitis uyonyuswa kwezi ndawo.

Amajoni omzimba abuthathaka

Amajoni omzimba abuthathaka angenza kube nzima ngakumbi ukuba umzimba wakho ulwe nosulelo. Ukungasebenzi kakuhle komzimba kwenza ukuba kube lula ukukhula kwe-epiglottitis. Ukuba nesifo seswekile kubonisiwe njengomngcipheko kubantu abadala.

Ziintoni iimpawu ze-epiglottitis?

Iimpawu ze-epiglottitis ziyafana ngaphandle kwesizathu. Nangona kunjalo, banokwahluka phakathi kwabantwana nabantu abadala. Abantwana banokuphuhlisa i-epiglottitis ngaphakathi komcimbi weeyure. Kubantu abadala, ihlala ikhula kancinci, ekuhambeni kweentsuku.

Iimpawu ze-epiglottitis eziqhelekileyo kubantwana zibandakanya:

• ifiva ephezulu
• ukunciphisa iimpawu xa uncike phambili okanye uhleli nkqo
• umqala obuhkungu
• ilizwi elirhabaxa
• ukuvuza amathe
• kunzima ukugwinya
• ukuginya okubuhlungu
• ukungazinzi
• ukuphefumla ngomlomo wabo

Iimpawu eziqhelekileyo kubantu abadala zibandakanya:

• ifiva
• ubunzima bokuphefumla
• kunzima ukugwinya
• ilizwi elirhabaxa okanye elingavakaliyo
• ngqwabalala, ukuphefumla okunengxolo
• umqala obuhlungu
• ukungakwazi ukubamba umphefumlo wabo

Ukuba i-epiglottitis ayinyangeki, inokuthintela indlela yakho yomoya ngokupheleleyo. Oku kungakhokelela ekungcolisweni ngombala oluhlaza okomhlaza ngenxa yokunqongophala kweoksijini. Le yimeko ebaluleke kakhulu kwaye ifuna unyango kwangoko. Ukuba ukrokrela i-epiglottitis, khangela unyango ngokukhawuleza.

Ichongwa njani i-epiglottitis?

Ngenxa yobuzaza bale meko, unokufumana ukuxilongwa kwisimo sokhathalelo olungxamisekileyo ngokujonga nje ngokwasemzimbeni kunye nembali yonyango. Kwiimeko ezininzi, ukuba ugqirha wakho ucinga ukuba unokuba ne-epiglottitis, baya kukungenisa esibhedlele.

Nje ukuba ungeniswe, ugqirha wakho angenza naluphi na olu vavanyo lulandelayo ukuxhasa ukuxilongwa:

• I-X-ray yomqala wakho nesifuba ukujonga ubuzaza bokudumba kunye nosulelo
• Umqala kunye neenkcubeko zegazi ukumisela unobangela wosulelo, ezinje ngeentsholongwane okanye intsholongwane
• uviwo lomqala usebenzisa ityhubhu ye-fiber optic

Luyintoni unyango lwe-epiglottitis?

Ukuba ugqirha wakho ucinga ukuba une-epiglottitis, unyango lokuqala lubandakanya ukubeka esweni amanqanaba akho eoksijini ngesixhobo se-pulse oximetry kunye nokukhusela indlela yakho yomoya. Ukuba amanqanaba eoksijini egazi aba phantsi kakhulu, uya kufumana ioksijini eyongezelelweyo ngombhobho wokuphefumla okanye imaski.

Ugqirha wakho unokukunika olunye okanye lonke unyango olulandelayo:

• ulwelo olufakwa ngaphakathi kwisondlo kunye nokuhambisa amanzi de ube uyakwazi ukugwinya kwakhona
• Amayeza okubulala iintsholongwane ukunyanga usulelo lwebhaktiriya olwaziwayo okanye olukrokrelwayo
• iyeza elichasayo, njenge-corticosteroids, ukunciphisa ukudumba emqaleni wakho

Kwiimeko ezinzima, unokufuna i-tracheostomy okanye i-cricothyroidotomy.

I-tracheostomy yinkqubo encinci yotyando apho kusenziwa into encinci phakathi kwamakhonkco e-tracheal. Emva koko ityhubhu yokuphefumla ibekwe ngokuthe ngqo entanyeni yakho nakwimibhobho yakho yomoya, ugqitha i-epiglottis yakho. Oku kuvumela ukutshintshwa kweoksijini kwaye kuthintele ukusilela kokuphefumla.

Indawo yokugqibela i-cricothyroidotomy kulapho ukufakwa okanye inaliti kufakwa kwi-trachea yakho ngaphantsi kwe-apile ka-Adam.

Ukuba ufuna unyango kwangoko, unokulindela ukubuyela kwimeko yesiqhelo kwiimeko ezininzi.

Ngaba i-epiglottitis inokuthintelwa?

Unokunceda ukunciphisa umngcipheko wokufumana i-epiglottitis ngokwenza izinto ezininzi.

Abantwana kufuneka bafumane iidosi ezimbini ukuya kwezintathu zokugonya kwe-Hib ukuqala kwiinyanga ezi-2 ubudala. Ngokwesiqhelo, abantwana bafumana idosi xa baneenyanga ezimbini, iinyanga ezi-4, kunye neenyanga ezi-6 ubudala. Umntwana wakho uya kufumana i-booster phakathi kweenyanga ezili-12 ukuya kwezi-15 ubudala.

Hlamba izandla zakho rhoqo okanye usebenzise isicoci setywala ukunqanda ukusasazeka kweentsholongwane. Kulumkele ukusela ikomityi efanayo nabanye abantu kunye nokwabelana ngokutya okanye ngezixhobo.

Gcina impilo elungileyo yamajoni omzimba ngokutya ukutya okunempilo, ukunqanda ukutshaya, ukuphumla ngokwaneleyo, kunye nokulawula ngokufanelekileyo zonke iimeko zonyango ezinganyangekiyo.