I-Epiglottitis

-Delile

• Yini i-epiglottitis?
• Yini ebangela i-epiglottitis?
• Ngubani osengozini ye-epiglottitis?
• Ubudala
• Ucansi
• Imvelo
• Amasosha omzimba abuthakathaka
• Ziyini izimpawu ze-epiglottitis?
• I-epiglottitis itholakala kanjani?
• Yini ukwelashwa kwe-epiglottitis?
• Ngabe i-epiglottitis ingavinjelwa?

Yini i-epiglottitis?

I-Epiglottitis ibonakala ngokuvuvukala nokuvuvukala kwe-epiglottis yakho. Kuyisifo esongela impilo.

Ama-epiglottis aphansi kolimi lwakho. Yakhiwe ikakhulu ngoqwanga. Isebenza njenge-valve ukuvikela ukudla noketshezi ukuthi kungene ku-windpipe yakho lapho udla futhi uphuza.

Izicubu ezakha i-epiglottis zingatheleleka, zikhukhumale, futhi zivimbe indlela ohamba ngayo. Lokhu kudinga usizo lwezokwelapha ngokushesha. Uma ucabanga ukuthi wena noma omunye umuntu une-epiglottitis, shayela u-911 noma funa usizo lwezokwelapha endaweni yangakini ngokushesha.

I-Epiglottitis ngokomlando iyisimo esivame kakhulu ezinganeni, kodwa kuya ngokuya kuvame kubantu abadala. Kudinga ukuxilongwa nokwelashwa ngokushesha kunoma ngubani, kepha ikakhulukazi ezinganeni, ezisengozini enkulu yezinkinga zokuphefumula.

Yini ebangela i-epiglottitis?

Ukutheleleka kwamagciwane kuyimbangela ejwayelekile kakhulu ye-epiglottitis. Amagciwane angangena emzimbeni wakho lapho uwuphefumulela ngaphakathi. Ngemuva kwalokho angathelela ama-epiglottis akho.

Uhlobo oluvame kakhulu lwama-bacterium abangela lesi simo ukuthi I-Haemophilus influenzae uhlobo b, owaziwa nangokuthi i-Hib. Ungabamba iHib ngokuhogela amagciwane asakazeka lapho umuntu onegciwane ekhwehlela, ethimula noma eshaya amakhala.

Ezinye izinhlobo zamagciwane ezingadala i-epiglottitis zifaka phakathi IStreptococcus A, B, noma C futhi I-Streptococcus pneumoniae. IStreptococcus A uhlobo lwama-bacteria angadala ne-strep throat. I-Streptococcus pneumoniae kuyimbangela evamile ye-pneumonia yebhaktheriya.

Ngokwengeziwe, amagciwane afana nalawo abangela i-shingles ne-chickenpox, kanye nalawo abangela izifo zokuphefumula, nawo angaholela ku-epiglottitis. Isikhunta, njengaleso esidala ukuqubuka kwamanabukeni noma ukutheleleka kwemvubelo, nakho kungaba nomthelela ekuvukeleni kwe-epiglottis.

Ezinye izimbangela zalesi simo zifaka:

• ukubhema i-crack cocaine
• ukuhogela amakhemikhali nokusha kwamakhemikhali
• ukugwinya into yangaphandle
• ukushisa umphimbo wakho kusiphunga noma eminye imithombo yokushisa
• ukulimala emphinjeni ngenxa yokuhlukumezeka, njengokugwazwa noma inxeba lokudutshulwa

Ngubani osengozini ye-epiglottitis?

Noma ngubani angaba ne-epiglottitis. Noma kunjalo, kunezici eziningana ezingakhuphula ubungozi bokuzihlakulela.

Ubudala

Izingane ezingaphansi kwezinyanga eziyi-12 ubudala zisengozini enkulu yokuthuthukisa i-epiglottitis. Lokhu kungenxa yokuthi lezi zingane azikaluqedi uchungechunge lokugoma i-Hib. Sekukonke, lesi sifo sivame ukwenzeka ezinganeni ezineminyaka emi-2 kuya kwengu-6 ubudala. Kubantu abadala, ukuba ngaphezulu kweminyaka engama-85 kuyingozi.

Ngokwengeziwe, izingane ezihlala emazweni angahlinzeki ngemithi yokugoma noma lapho kunzima ukufika khona zisengozini enkulu. Izingane ezinabazali abakhetha ukungazigomi ngomuthi wokugomela i-Hib nazo zisengozini enkulu ye-epiglottitis.

Ucansi

Abesilisa banamathuba amaningi okuthuthukisa i-epiglottitis kunabesifazane. Isizathu salokhu asicaci.

Imvelo

Uma uhlala noma usebenza nenani elikhulu labantu, kungenzeka ukuthi ubambe amagciwane kwabanye futhi uthuthukise ukutheleleka.

Ngokunjalo, izindawo ezinabantu abaningi njengezikole noma izikhungo zokunakekela izingane zingakhuphula ukuvezwa kwakho noma kwengane yakho kuzo zonke izinhlobo zezifo zokuphefumula. Ingozi yokuthola i-epiglottitis iyanda kulezo zindawo.

Amasosha omzimba abuthakathaka

Amasosha omzimba abuthakathaka angenza kube nzima kakhulu emzimbeni wakho ukulwa nezifo. Ukungasebenzi kahle komzimba kwenza kube lula ukuthi i-epiglottitis ikhule. Ukuba nesifo sikashukela kuboniswe ukuthi kuyingozi kubantu abadala.

Ziyini izimpawu ze-epiglottitis?

Izimpawu ze-epiglottitis ziyefana kungakhathalekile ukuthi iyini imbangela. Kodwa-ke, zingahluka phakathi kwezingane nabantu abadala. Izingane zingakhula i-epiglottitis kungakapheli amahora ambalwa. Kubantu abadala, ivame ukukhula kancane, ngokuhamba kwezinsuku.

Izimpawu ze-epiglottitis ezivamile ezinganeni zifaka:

• umkhuhlane omkhulu
• ukunciphisa izimpawu lapho uncika phambili noma uhleli uqonde
• Umphimbo obuhlungu
• izwi elihoshozelayo
• ukumunca amathe
• ubunzima bokugwinya
• ukugwinya okubuhlungu
• ukungahlaliseki
• bephefumula ngomlomo wabo

Izimpawu ezivamile kubantu abadala zifaka:

• imfiva
• ukuphefumula kanzima
• ubunzima bokugwinya
• izwi eli-raspy noma elingahambi kahle
• ukuphefumula kanzima, okunomsindo
• umphimbo obuhlungu obukhulu
• ukwehluleka ukubamba umoya

Uma i-epiglottitis ingelashwa, ingavimba umoya wakho ngokuphelele. Lokhu kungaholela ekushintsheni kombala okuluhlaza okwesibhakabhaka ngenxa yokushoda komoya-mpilo. Lesi yisimo esibucayi futhi sidinga usizo lwezempilo ngokushesha. Uma usola i-epiglottitis, funa usizo lwezokwelapha ngokushesha.

I-epiglottitis itholakala kanjani?

Ngenxa yobucayi balesi simo, ungathola ukuxilongwa esimweni sokunakekelwa kwezimo eziphuthumayo ngokumane ubheke ngokomzimba nangomlando wezokwelapha. Ezimweni eziningi, uma udokotela wakho ecabanga ukuthi ungaba ne-epiglottitis, bazokungenisa esibhedlela.

Uma usuvunyelwe, udokotela wakho angenza noma yikuphi ukuhlolwa okulandelayo ukusekela ukuxilongwa:

• Ama-X-ray womphimbo nesifuba sakho ukubuka ukuqina kokuvuvukala nokutheleleka
• umphimbo negazi amasiko ukuthola imbangela yokutheleleka, njengamagciwane noma igciwane
• ukuhlolwa komphimbo usebenzisa ishubhu ye-fiber optic

Yini ukwelashwa kwe-epiglottitis?

Uma udokotela wakho ecabanga ukuthi une-epiglottitis, imishanguzo yokuqala ibandakanya ukuqapha amazinga akho e-oxygen ngedivayisi ye-oximetry ye-pulse nokuvikela indlela ohamba ngayo. Uma amazinga eoksijini egazi eba phansi kakhulu, cishe uzothola i-oxygen eyengeziwe ngepayipi lokuphefumula noma imaski.

Udokotela wakho angakunikeza nokwelashwa okukodwa noma konke okulandelayo:

• uketshezi olufakwa emithanjeni lokudla okunomsoco kanye ne-hydration uze ukwazi ukugwinya futhi
• ama-antibiotic ukwelapha ukutheleleka kwamagciwane okwaziwayo noma okusolwayo
• imithi elwa nokuvuvukala, efana ne-corticosteroids, ukunciphisa ukuvuvukala emphinjeni wakho

Ezimweni ezinzima, ungadinga i-tracheostomy noma i-cricothyroidotomy.

I-tracheostomy inqubo encane yokuhlinzwa lapho kwenziwa imbobo encane phakathi kwezindandatho zethracheal. Ngemuva kwalokho ishubhu lokuphefumula lifakwa ngqo entanyeni yakho nasempikweni wakho womoya, kudlula i-epiglottis yakho. Lokhu kuvumela ukushintshaniswa komoya-mpilo futhi kuvimbela ukwehluleka kokuphefumula.

Indawo yokugcina i-cricothyroidotomy yilapho kufakwa khona imbobo noma inaliti kudoti wakho ongaphansi kwe-aphula lika-Adam.

Uma ufuna ukwelashwa ngokushesha, ungalindela ukululama ngokugcwele ezimweni eziningi.

Ngabe i-epiglottitis ingavinjelwa?

Ungasiza ekunciphiseni ubungozi bokuthola i-epiglottitis ngokwenza izinto eziningana.

Izingane kufanele zithole imithamo emibili kuya kwemithathu yomuthi wokugoma we-Hib oqala ezinyangeni ezimbili ubudala. Imvamisa, izingane zithola umthamo lapho zinezinyanga ezimbili, izinyanga ezine, nezinyanga eziyisithupha ubudala. Ingane yakho cishe nayo izothola i-booster phakathi kwezinyanga eziyi-12 nezingu-15 ubudala.

Geza izandla zakho njalo noma usebenzise i-sanitizer yotshwala ukuvimbela ukusabalala kwamagciwane. Gwema ukuphuza enkomishini efanayo nabanye abantu futhi nabelane ngokudla noma ngezitsha.

Gcina impilo enhle yokuzivikela komzimba ngokudla izinhlobo eziningi zokudla okunempilo, ugweme ukubhema, ukuphumula ngokwanele, nokuphatha kahle zonke izimo zezokwelapha ezingalapheki.