Laryngotracheitis kurapwa uye Zviratidzo zviri vana nevakuru. chenjera laryngotracheitis

Nhasi isu vachakuudza zvakadzama pamusoro chii laryngotracheitis, chii vari zvinokonzera chirwere ichi, ayo zviratidzo uye kurapwa.

tsananguro

Laryngotracheitis (Zviratidzo uye kurapwa ichakurukurwa pazasi) chiri anogumbura chirwere kunokanganisa dokeriro uye trachea. Izvi imhaka munhu kwemabhakitiriya kana chaikonzerwa noutachiona.

Diagnostics

Usati kurapa laryngotracheitis, murwere vanofanira kuona chiremba. Pashure chirwere zvirwere zvakadai rinoitwa chete mukufamba pakuongorora murwere, auscultation uye percussion yemapapu mikrolaringoskopii, CT scan iri trachea uye dokeriro, zvemapapu X-ray, nemaziso uye bacteriological kuongorora sputum, uyewo mamwe miedzo kuti kuziva causative pomutumwa.

zvinokonzera

Chirwere kana chenjera laryngotracheitis kupfuura rinowanzoberekera somunhu kuomesa pamusoro pakanyorwa zvirwere zvakadai pharyngitis, laryngitis, tonsillitis, adenoids, rhinitis uye sinusitis. Uyezve, kutsauka ichi kunogona kuitika nokuda kupararira kuzvimba panzvimbo dzapasi Airways, izvo pamwe kukura bronchitis, bronchiolitis kana mabayo. Zvinokosha kucherechedza kuti laringotraheita zviratidzo vana vakasiyana zviratidzo hosha kwakacherechedzwa nedzevakuru. Uye ichi imhaka ndechokuti dokeriro vasati vava nemwana zvakanaka. Ndicho chikonzero vana pasi 6 Makore dzinoturwa kuzorwa chirwere kazhinji aumba kuderedza muviri, zvichiita kuti kufema matambudziko akadai croup venhema.

Uyezve, nemavhairasi laryngotracheitis zvinogona kukonzerwa adenovirus chirwere, parainfluenza, SARS, yokuSpain, rubella, gwirikwiti, nezvitsvuku nefivha uye huku pox. Kana utachiona chirwere, rinogona kukonzerwa staphylococci, Beta-hemolytic streptococcus, pneumococcus, Treponema pallidum (kazhinji tertiary njovhera), Mycobacterium tibhii (semuenzaniso, tiibhii pamusoro dokeriro) uye chlamydia kana mycoplasma hweHIV.

HweHIV chirwere kunoitika kuburikidza mumate (panguva sneezing kana vangakosora murwere). Asi kana munhu aine yakanaka rokuzvidzivirira, ipapo laringotraheita kukura havagoni kuitika.

Chenjera laryngotracheitis: Zviratidzo nedzevakuru nevana

Zviratidzo chenjera laryngotracheitis kuonekwe pamusoro pakanyorwa hunotovapo zviratidzo kufema turakiti zvirwere (repamusoro). kuratidzwa Idzi dzinosanganisira:

• fivhiri;
• runny mhino;
• nasal kuzara;
• marwadzo uye hosha huro;
• kusanzwa panguva pakuparadza.

Zvinofanira kucherechedzwa kuti rikwanise laryngotracheitis, kureva, ayo kurapwa zviratidzo zvingave kare pashure murwere tembiricha muviri achadonha kuti subfebrile. Izvi zvinhu zvinofanira pasvika munhu, nekuti nguva yose ezvinhu ake achava kuderera yekudyidzana.

Zviratidzo laryngotracheitis (chenjera) vanoonekwa ne kumbonyanya simba yakaoma chikosoro. Nokuda aienda pamusoro dokeriro , chikamu ichi anova "kuhukura". Panguva chikosoro ichi uye pashure murwere anganyunyuta kurwadziwa ari sternum. Kakawanda laringotraheita Zviratidzo mangwanani uye manheru. Asi kazhinji chikosoro anogona kunetserei henyu munhu uye zuva iri muchimiro kurwiswa kwakasimba. Kazhinji, izvi zvinoitika pashure Kufema guruva-akaremerwa mhepo kana kuchitonhora, achiseka, achidanidzira, uye dzimwe nguva kunyange nyore befu. Panyaya iyi, kuti chikosoro kunowanzoguma duku mucosal secretions uye viscous madzihwa. Sezvo chirwere mberi, inogona ichawanda uye zvokunwa kuwana purulent.

Uyezve kukosora, chenjera zviratidzo zvinofanira kunzi laryngotracheitis hoarseness kana hoarseness nenzwi, uyewo zvisingafadzi nezvekufadza ari dokeriro (semuenzaniso, nokutsva manyawi, tickling manyawi, vatorwa muviri manzwiro uye kuoma).

Varwere chirwere ichi kazhinji kuwana kukura uye anorwadza mutsipa node nodes.

Chirwere laryngotracheitis: Zviratidzo neMarapirwo

Akarambwawo ichi munhu anogona chokunyunyuta pamusoro chikosoro, inzwi zvirwere uye kusagadzikana mune huro (seri breastbone). Zvinokosha kucherechedza kuti dysphonia kushivirira laryngotracheitis kazhinji zvichisiyana munyoro hoarseness, riri kunyanya kuoneka mangwanani uye manheru, kuti kugara uye zvikuru hoarseness.

Chirwere laryngotracheitis vamwe vanhu vakaratidza muchimiro kuneta pashure mutoro izwi chakazvibata. Dysphonia zvinogonawo kuwedzera nokuti vabereki isina okunze, uye naka pabonde - pamwe hormone nokubatanidzwazve (somuenzaniso, panguva pamuviri, kubereka uye kutanga varikutsika).

Permanent arasikirwa inzwi anoratidza STRUCTURAL kuchinja nemarunda, idzo kunyanya keratosis kana hypertrophic hunhu. Kana munhu aidaro mumabasa akadai kuti zvinoda kutaura unyanzvi, ipapo chirwere kungava anoshungurudza zvinhu, izvo pakupedzisira kutungamirira mwoyo, hope zvirwere uye neurasthenia.

Sezvataurwa pamusoro apa, laryngotracheitis Zviratidzo zviri vakuru nevana siyana. Zvisinei, kuramba chikosoro mune chirwere kunoratidza pacharo zvachose. Zvinokosha kucherechedza kuti chiratidzo kwakadaro pamwe zvishoma expectoration. Constant uye kwazvo chikosoro pavarwere vakawanda kazhinji kunokonzerwa dzakadaro kusanzwa pahuro somunhu sekenyedzo, akaoma, tickling, etc.

zvinogoneka yematambudziko

Kana kutapuriranwa gadziriro tracheal kupararira dzakaderera Mapoka kufema ezvinhu, zvichakutungamirira kuti chidzoke nemabayo kana tracheobronchitis. In chisingaperi laryngotracheitis muvana rinowanzoberekera bronchiolitis. Kazhinji, chirwere achiperekedzwa yakakwirira muviri tembiricha, uyewo kuwedzera muna kudhaka zviratidzo. Panyaya iyi, kuti chikosoro ave zvachose. Nokuti mune chakasimba lagingotraheite madzihwa rinoungana nevanhu laryngeal lumen, mwana muduku anogona kuva chimiro bhari kwenhema kuti chinomiririra aurayiwe.

With anoramba kutsamwa ari mucous membranes ari trachea uye dokeriro panguva vangakosora uye somugumisiro chirwere kuzvimba laryngotracheitis kunogona kukonzera kukura benign anomera mitumbi. Uyezve, chirwere ichi, uye zvikurukuru ayo hypertrophic chimiro, anorondedzera kuti inonzi pre-kenza inoti. Pashure pezvose, zvinogona kutungamirira nyore kuti zvemamiriro muchitokisi nokuchinja mucosa, iyo zvino kukonzera kukura namamota yacho dokeriro. Ndokusaka haufaniri kunonoka kurapa chirwere ichi, kunyanya kuvana vaduku.

Kuchirapa matanho ari laryngotracheitis

Kana uine chinhu zviratidzo laryngotracheitis, unofanira kutsvaka kurapwa nokukurumidza. Kazhinji, kurapwa chirwere akadaro kuita antibacterial kana antiviral kurapa umo murwere yakatarwa mucolytics, antitussives, antihistamines, antipyretics, uye zvimwe zvinodhaka, uyewo physiotherapy. Kakawanda laringotraheita kurapa rinoitwa pamusoro outpatient hwaro. Kana mwana akaonekwa croup kwenhema, kunodiwa pakarepo kuti hospitalize naye kuchipatara.

Mishonga marapirwo

Kuti tinzwisise sei uye chii kubata chakasimba kana chirwere laryngotracheitis, akati kuva zvinodhaka rakajairika uye inobudirira rakashandiswa chirwere ichi:

• Antivirals: "Nazoferon", "Arbidol", "Rimantadine" uye "Proteflazid".
• Inorwisa mabhakitiriya yomuchipatara (makawanda kwemabhakitiriya uye laryngotracheitis): "Cefuroxime", "amoxicillin", "Sumamed", "Tseftriokson", "azithromycin".

Mukuwedzera, zvikuru chakabatsira pavarwere vane laryngotracheitis vane alkali uye mafuta inhalation uye electrophoresis pamusoro nzvimbo yacho trachea uye dokeriro.

Kunorapwa echirwere nezvirwere immunomodulatory yomuchipatara anoshandiswa (semuenzaniso, "Broncho-mwedzi", "Immunal", "Likopid") uye karbotsestein, vhitamini C nezvimwe multivitamin zvivako. Mukuwedzera, murwere akatumira physiotherapy, zvinoti somushonga electrophoresis, UHF, inductothermy uye masaja.

Kana murwere ane rikwanise exacerbation ane chirwere kana laryngotracheitis, kunze Pharmaceuticals, Zvinokurudzirwa Inwa inodziya emura (tii, muto, mondo, etc.). Mukamuri apo murwere iri, mhepo inofanira kuva zvakakwana manyoro uye kwete chando.

Nyaya yaida Kuvhiya

Kuvhiya Kupindira panguva zvirwere zvakadai kunoratidzwa chete nomumwe nguva hypertrophic laryngotracheitis (kazhinji refu). Uyewo, pokuvhiyiwa iri basa, kana somushonga kurapwa asina kupiwa kutsvakwa mugumisiro, uye pane ngozi zvikuru nekenza.