I-Stridor

IStridor umsindo ongajwayelekile, ophakeme kakhulu, ophefumulayo womculo. Kubangelwa ukuvimba umphimbo noma ibhokisi lezwi (umphimbo). Kuvame ukuzwakala lapho uphefumula.

Izingane zisengozini enkulu yokuvinjelwa komoya ngoba zinemigwaqo yomoya emincane kunabantu abadala. Ezinganeni ezincane, i-stridor iwuphawu lokuvinjelwa komoya. Kumele ilashwe khona manjalo ukuvimbela ukuthi umgudu womoya ungavali ngokuphelele.

I-airway ingavinjelwa yinto, izicubu ezivuvukile zomphimbo noma umoya ongaphezulu, noma ukuqhuma kwemisipha yomoya noma imicu yezwi.

Izimbangela ezivamile ze-stridor zifaka:

• Ukulimala komoya
• Ukusabela okweqile
• Inkinga yokuphefumula nokukhwehlela okukhonkothayo (croup)
• Izivivinyo zokuxilonga njenge-bronchoscopy noma i-laryngoscopy
• I-epiglottitis, ukuvuvukala koqwanga olumboze i-windpipe
• Ukuhogela into efana namantongomane noma imabula (ukulangazelela umzimba wangaphandle)
• Ukuvuvukala nokucasuka kwebhokisi lezwi (laryngitis)
• Ukuhlinzwa kwentamo
• Ukusetshenziswa kwepayipi lokuphefumula isikhathi eside
• Izimfihlo ezifana ne-phlegm (isikhwehlela)
• Ukuhogela intuthu noma okunye ukulimala kokuphefumula
• Ukuvuvukala kwentamo noma kobuso
• Ama-tonsils avuvukile noma ama-adenoids (njenge-tonsillitis)
• Umdlavuza wentambo yomlomo

Landela iseluleko somhlinzeki wakho wezempilo ukuze welaphe imbangela yenkinga.

IStridor ingaba uphawu lwesimo esiphuthumayo. Shayela umhlinzeki wakho khona manjalo uma kune-stridor engachazeki, ikakhulukazi enganeni.

Esimeni esiphuthumayo, umhlinzeki uzohlola ukushisa komuntu, ukushaya kwenhliziyo, izinga lokuphefumula, kanye nomfutho wegazi, futhi kungadingeka ukuthi enze ukuqunjelwa esiswini.

Ishubhu lokuphefumula lingadingeka uma umuntu engakwazi ukuphefumula kahle.

Ngemuva kokuba umuntu esezinzile, umhlinzeki angabuza ngomlando wezokwelapha womuntu, futhi enze ukuhlolwa komzimba. Lokhu kubandakanya ukulalela amaphaphu.

Abazali noma abanakekeli bangabuzwa imibuzo elandelayo yomlando wezokwelapha:

• Ingabe ukuphefumula okungavamile umsindo ozwakala uphakeme?
• Ingabe inkinga yokuphefumula iqale ngokuzumayo?
• Ngabe ingane ibingafaka okuthile emlonyeni wabo?
• Ingabe ingane iye yagula muva nje?
• Ngabe intamo noma ubuso bomntwana buvuvukele?
• Ingabe ingane ibilokhu ikhohlela noma ikhononda ngomphimbo obuhlungu?
• Yiziphi ezinye izimpawu ingane enazo? (Isibonelo, ukuqhuma kwamakhala noma umbala oluhlaza okwesibhakabhaka esikhumbeni, ezindebeni, noma kuzipikili)
• Ngabe ingane isebenzisa imisipha yesifuba ukuphefumula (ukuhlehliswa kwe-intercostal)?

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlaziywa kwegesi yegazi
• I-Bronchoscopy
• Isikena se-CT esifubeni
• I-Laryngoscopy (ukuhlolwa kwebhokisi lezwi)
• Pulse oximetry ukukala izinga le-oxygen yegazi
• I-X-ray yesifuba noma yentamo

Imisindo yokuphefumula - engavamile; Ukuvinjelwa komoya wangaphandle; Ukuqhaqhazela - i-stridor

UGriffiths AG. Izimpawu zokuphefumula ezingapheli noma eziphindaphindayo. 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 401.

Izimo eziphuthumayo zokuphefumula kwezingane zikaRose E. Pediatric: ukuvimba okuphezulu komoya kanye nezifo. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 167.