Ukuqhuma kwamakhala

Ukuqhuma kwamakhala kwenzeka lapho amakhala ekhula ngenkathi uphefumula. Imvamisa kuyisibonakaliso senkinga yokuphefumula.

I-nasal flaring ibonakala ikakhulu ezinganeni nasezinganeni ezisencane.

Noma yisiphi isimo esidala ubunzima bokuphefumula singadala ukuqhuma kwamakhala. Izimbangela eziningi zokuphefumula kwamakhala azinkulu, kepha ezinye zingasongela impilo.

Ezinsaneni ezisencane, ukubamba kwamakhala kungaba uphawu lokucindezeleka kokuphefumula. Lesi yisimo esibi samaphaphu esivimbela umoya-mpilo owenele ukuthi ungangeni emaphashini nasegazini.

Ukuqhuma kwamakhala kungabangelwa noma yikuphi okulandelayo:

• Ukuqhuma kwesifuba somoya
• I-airway evinjiwe (noma isiphi isizathu)
• Ukuvuvukala nokwakha amafinyila ezindimeni zomoya ezincane kakhulu emaphashini (i-bronchiolitis)
• Inkinga yokuphefumula nokukhwehlela okukhonkothayo (croup)
• Izicubu ezivuvukile noma ezivuthayo endaweni emboza i-windpipe (epiglottitis)
• Izinkinga zamaphaphu, njengokutheleleka noma ukulimala kwesikhathi eside
• Isifo sokuphefumula ezinganeni ezisanda kuzalwa (i-tachypnea yesikhashana yengane esanda kuzalwa)

Funa usizo oluphuthumayo ngokushesha uma wena noma ingane yakho unezimpawu zobunzima bokuphefumula.

Shayela umhlinzeki wakho wezempilo uma:

• Kukhona noma iyiphi impumulo ephikelelayo, engachazeki, ikakhulukazi enganeni encane.
• Umbala oluhlaza okwesibhakabhaka uvela ezindebeni, emibhedeni yezipikili, noma esikhunjeni. Lokhu kuyisibonakaliso sokuthi ubunzima bokuphefumula bunzima. Kungasho ukuthi isimo esiphuthumayo siyakhula.
• Ucabanga ukuthi ingane yakho inenkinga yokuphefumula.

Umhlinzeki uzokwenza ukuhlolwa komzimba abuze ngezimpawu nomlando wezokwelapha. Imibuzo ingafaka:

• Zaqala nini izimpawu?
• Ingabe ziba ngcono noma ziba zimbi?
• Ngabe ukuphefumula kunomsindo, noma kunemisindo eshaywayo?
• Yiziphi ezinye izimpawu ezikhona, njengokujuluka noma ukuzwa ukhathele?
• Ngabe imisipha yesisu, amahlombe, noma ubambo luhudulela ngaphakathi ngesikhathi sokuphefumula?

Umhlinzeki uzolalela ngokucophelela imisindo yokuphefumula. Lokhu kubizwa ngokuthi yi-auscultation.

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlaziywa kwegesi yegazi
• Qedela ukubalwa kwegazi (CBC)
• ECG ukuhlola inhliziyo
• Pulse oximetry ukukala izinga le-oxygen yegazi
• I-X-ray yesifuba

Umoya-mpilo unganikezwa uma kunenkinga yokuphefumula.

Ukuqhwaza kwe-alae nasi (amakhala); Amakhala - ukubhuza

• Ukuqhuma kwamakhala
• Inzwa yokuhogela

URodrigues KK. Roosevelt GE. Ukuvinjelwa okunamandla okuphefumulayo okuphezulu komoya (i-croup, i-epiglottitis, i-laryngitis, ne-tracheitis yebhaktheriya). Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 412.

USarnaik AP, uClark JA, uHeidemann SM. Ukucindezeleka kokuphefumula nokwehluleka. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 89.