Okudingeka Ukwazi Nge-Stridor

-Delile

• Izinhlobo ze-stridor
• I-stridor yokuphefumula
• I-stridor yokuphefumula
• I-Biphasic stridor
• Yini ebangela i-stridor?
• Stridor kubantu abadala
• I-Stridor ezinganeni nasezinganeni
• Ubani osengozini ye-stridor?
• I-stridor itholakala kanjani?
• Iphathwa kanjani i-stridor?
• Kudingeka nini ukunakekelwa okuphuthumayo?

Ukubuka konke

IStridor umsindo ophakeme, onomsindo odalwa ukuphazamiseka komoya. I-Stridor ingabizwa nangokuthi ukuphefumula komculo noma ukuvinjelwa komoya wangaphandle.

Ukuhamba komoya kuvame ukuphazanyiswa ukuvinjelwa komphimbo (ibhokisi lezwi) noma i-trachea (i-windpipe). I-Stridor ithinta izingane kaningi kunabantu abadala.

Izinhlobo ze-stridor

Kunezinhlobo ezintathu ze-stridor. Uhlobo ngalunye lunganikeza udokotela wakho umkhondo wokuthi kubangelwa yini.

I-stridor yokuphefumula

Kulolu hlobo, ungezwa kuphela umsindo ongajwayelekile lapho uphefumula. Lokhu kubonisa inkinga ngezicubu ezingaphezulu kwezintambo zezwi.

I-stridor yokuphefumula

Abantu abanalolu hlobo lwe-stridor bathola imisindo engajwayelekile lapho bephefumula. Ukuvaleka ku-windpipe kubangela lolu hlobo.

I-Biphasic stridor

Lolu hlobo lubanga umsindo ongajwayelekile uma umuntu ephefumulela ngaphakathi nangaphandle. Lapho uqwanga eduze kwemisipha yezwi lucipha, kubanga le misindo.

Yini ebangela i-stridor?

Kungenzeka ukuthuthukisa i-stridor nganoma yisiphi isikhathi. Kodwa-ke, i-stridor ivame kakhulu ezinganeni kunabantu abadala ngoba izindlela zomoya zezingane zithambile futhi zinciphile.

Stridor kubantu abadala

I-Stridor kubantu abadala ivame ukubangelwa yile mibandela elandelayo:

• into evimba indlela yomoya
• ukuvuvukala emphinjeni wakho noma emoyeni ongaphezulu
• ukuhlukumezeka emoyeni, njengokuphuka entanyeni noma into ebhajwe emakhaleni noma emphinjeni
• ukuhlinza i-thyroid, isifuba, isisu, noma intamo
• i-intubated (ineshubhu yokuphefumula)
• ukuhogela intuthu
• ukugwinya into enobungozi edala ukulimala kwe-airway
• ukukhubazeka kwentambo yezwi
• i-bronchitis, ukuvuvukala kwemigwaqo yomoya eholela emaphashini
• i-tonsillitis, ukuvuvukala kwama-lymph node ngemuva komlomo nangaphezulu komphimbo ngamagciwane noma amabhaktheriya
• i-epiglottitis, ukuvuvukala kwezicubu ezimboza i-windpipe ebangelwe yi- H. umkhuhlane ibhaktheriya
• tracheal stenosis, ukuncipha kophiko lomoya
• izimila
• amathumba, iqoqo lobomvu noma uketshezi

I-Stridor ezinganeni nasezinganeni

Ezinsaneni, isimo esibizwa ngokuthi i-laryngomalacia imvamisa siyimbangela ye-stridor. Izakhiwo nezicubu ezithambile ezivimbela indlela yomoya zibanga i-laryngomalacia.

Imvamisa iyaphela njengoba ingane yakho iguga nemigwaqo yomoya iba lukhuni. Kungathula lapho ingane yakho ilele ngesisu, futhi ikhulu kakhulu lapho ilele ngomhlane.

ILaryngomalacia ibonakala kakhulu lapho ingane yakho injalo. Ingase iqale ngokushesha ngemuva kwezinsuku ezimbalwa izelwe. I-Stridor ivame ukuhamba lapho ingane yakho ineminyaka emibili ubudala.

Ezinye izimo ezingadala i-stridor ezinganeni nasezinganeni zifaka:

• croup, okuwukutheleleka okuphefumula ngegciwane
• i-subglottic stenosis, eyenzeka lapho ibhokisi lezwi lincane kakhulu; izingane eziningi ziyasidlula lesi simo, yize ukuhlinzwa kungadingeka ezimweni ezinzima
• i-subglottic hemangioma, eyenzeka lapho isisindo semithambo yegazi sakha futhi siphazamisa indlela yomoya; lesi simo asijwayelekile futhi singadinga ukuhlinzwa
• izindandatho zemithambo, ezenzeka lapho umthambo wangaphandle noma umthambo ucindezela uqhoqhoqho; ukuhlinzwa kungakhulula ukucindezelwa.

Ubani osengozini ye-stridor?

Izingane zinemigwaqo yomoya emincane, ethambile kunabantu abadala. Banamathuba amaningi okuthuthukisa i-stridor. Ukuvimbela ukuvimba okuqhubekayo, lapha lesi sifo ngokushesha. Uma umgudu womoya uvinjelwe ngokuphelele, ingane yakho ngeke ikwazi ukuphefumula.

I-stridor itholakala kanjani?

Udokotela wakho uzozama ukuthola imbangela yakho noma i-stridor yengane yakho. Bazokunika noma ingane yakho ukuhlolwa ngokomzimba futhi babuze imibuzo ngomlando wezokwelapha.

Udokotela wakho angabuza imibuzo mayelana:

• umsindo wokuphefumula okungavamile
• ngesikhathi uqala ukubona isimo
• ezinye izimpawu, ezifana nombala oluhlaza okwesibhakabhaka ebusweni bakho noma ubuso noma isikhumba sengane yakho
• uma wena noma ingane yakho igula muva nje
• uma ingane yakho ibingafaka into engaziwa emlonyeni wayo
• uma wena noma ingane yakho kunzima ukuphefumula

Udokotela wakho angaphinde ahlele ukuhlolwa, okufana nalokhu:

• Ama-X-ray okuhlola wena noma isifuba nentamo yengane yakho ukuthola izimpawu zokuvaleka
• I-CT scan yesifuba
• i-bronchoscopy ukunikeza umbono ocacile womoya
• i-laryngoscopy ukuhlola ibhokisi lezwi
• i-pulse oximetry ne-arterial blood gas test ukukala inani le-oxygen egazini

Uma udokotela wakho esola ukutheleleka, bazo-oda isiko lesikhwehlela. Lokhu kuhlolwa kubheka izinto wena noma ingane yakho okhwehlela ngazo emaphashini ukuthola amagciwane kanye namagciwane. Kuyasiza udokotela wakho ukuthi abone ukuthi kukhona yini ukutheleleka, okufana ne-croup.

Iphathwa kanjani i-stridor?

Ungalindi ukubona ukuthi i-stridor iyahamba ngaphandle kokwelashwa. Vakashela udokotela wakho bese ulandela izeluleko zabo. Izinketho zokwelashwa zincike ebudaleni nasempilweni yakho noma yengane yakho, kanye nembangela nobukhali be-stridor.

Udokotela wakho anga:

• ikudlulisele kuchwepheshe wendlebe, impumulo, nomphimbo
• nikeza ngomlomo noma ngemijovo yokwehlisa ukuvuvukala emoyeni
• batusa ukulaliswa esibhedlela noma ukuhlinzwa ezimweni ezinzima
• kudinga ukuqapha okwengeziwe

Kudingeka nini ukunakekelwa okuphuthumayo?

Xhumana nodokotela wakho ngokushesha uma ubona:

• umbala oluhlaza okwesibhakabhaka kuwe noma ezindebeni, ebusweni, noma emzimbeni wengane yakho
• izimpawu zokuphefumula kanzima, njengesifuba esibhidlika ngaphakathi
• ukuncipha komzimba
• unenkinga yokudla noma yokondla