Imeko apho i-lumine ye-laryngeal inqunyanyiswe okanye ivalwe ngokupheleleyo ibizwa ngokuba yi-stenosis. Umoya kule meko ufika emiphakeni ngobunzima, kwaye ukuphefumula kunzima.
Kukho iifom ezinzima kunye ezingapheliyo kule meko.
Iimbangela ze-stenosis ye-larynx
I-lumen ye-laryngeal ingancinci ngenxa yokunyuka kwamayeza kumayeza okanye ukutya kwaye ihamba rhoqo i-edema ka-Quincke. Kubantwana, le meko idla ngokubangela isifo esibalulekileyo sokuphefumula esihamba kunye nokuvuvukala kwendlela yokuphefumula.
Kwakhona, i-stenosis ephawulekayo ye-larynx ibangela i-angina, i-chondroperichondritis (ukuvuvukala kwe-carrylage ye-laryngeal), ukungena kwezinto zangaphandle, ukuxakeka komoya, ukutshatyalaliswa kweekhemikhali, kulandelwa ukutshiswa kwendlela yokuphefumula.
I-stenosis engapheliyo ivela ngenxa yokukhanda kwi-larynx, i-tumor, ukuvuvukala, kwaye kwiimeko ezinqabileyo zincinci ye-syphilis ne- diphtheria .
Amanqanaba esitoliyx
I-lumine ye-laryngeal igxininisa kwiinqanaba, ngoko ke amanqanaba amaninzi kule mqathango ayahlukana.
- Ukuhlawulelwa - isantya se-pulse sifutshane, ikhefu phakathi kokuphefumula kunye nokuphuma kwamanzi kuya kuba mfutshane.
- Inxephezelo engapheliyo- ukuvuthwa kunzima, ukuphefumula, izithuba ze-intercostal zithathwa kwi-sternum kunye ne-collarbones. Ulusu lomntu uphawula, kukho imeko yokuxhalabisa. Ukususela kulo mzuzu, iimpawu zesimo sokuqhaqhazela kwe-larynx kubantu abadala ziqala ukukhula ngokukhawuleza.
- Ukugwetywa - isigulane sizama ukuthatha isikhundla sesesiqingatha-sihlalo, siphosa intloko yakhe, imeko yakhe inzima. Ngomoya wokuphefumlelwa kunye nokuphefumlelwa, ehamba kunye nesandi, i-larynx ihamba ngokunyuka iphantsi. Izindebe kunye neenwebe ziqala ukuguquka okwesibhakabhaka ngenxa yokunikezela okwaneleyo oksijini, kwaye izihlathi zingabonakalisa into echaseneyo.
- I-Asphyxia - abafundi baxula, isigulane siziphatha kakuhle, sifuna ukulala. I-pulse iba buthathaka, kwaye ulusu luba luhlaza. Umphunga ophakathi kwaye ukhawuleza. Kwiimeko ezinqabileyo, bayibona intshukumo yokungasebenzi okanye ukungcola, ukulahleka kwengqondo.
Uncedo lokuqala lwe-stenosis ye-larynx
Ngokukhawuleza xa umntu omdala okanye umntwana echaza ukuba "kunzima ukuphefumula," kufuneka ucele i-ambulensi ngokukhawuleza. Ngaphambi kokufika kogqirha, kuyafaneleka:
- Hlonipha umoya ekamelweni, usebenzisa i-humidifier ye-spray okanye ama-wet sheets ngenxa yokungabikho komxumi okhethekileyo.
- Unokusihlalisa isigulane kwindawo yokuhlambela ngokuvula ibhotile ngamanzi ashushu.
- Ibonisa ukunakekelwa kwimeko yexinzelelo ye-stenosis ye-larynx kunye nokuxubhoza izitho ukuze kuphuculwe ukujikeleza kwegazi kuwo, kunye nokusela kakhulu.
- Ukuba ukuxilongwa kwe-stenosis kuqinisekiswa, ngoko isigulane kufuneka sibekwe esibhedlele, ngoko ke ngaphambi kokufika kwe-ambulensi kufuneka ihlanganisane, ukuze ingalahleki ixesha elixabisekileyo.
- Kubalulekile ukuba ungakhathazeki kwaye ungakhathazeki isigulane, ungamvumeli ukuba athethe okanye ahambe.
Ukuxilongwa kwekarhulumente
Ugqirha uya kwenza i-laryngoscopy, ukuvavanya izinga lokunciphisa i-larynx lumen kunye nezizathu ezibangele. Kwiimeko ezinqabileyo, le ndlela ayibonakali, kwaye i-imagination magontic resonance imaging isenziwa. Ukuba kuyimfuneko, i-histological
Kubalulekile ukwahlula i-stenosis ye-larynx ene-asthma ye-bronchial, apho kuphela umoya ophefumulayo, kunye nezifo zentliziyo nemiphunga.
Unyango lwe-stenosis ye-larynx
Unyango luxhomekeke kwisizathu esibangela ukunciphisa i-lumen yomoya. Nge -edema kaQuinck, i- glucocorticoids kunye nama-antihistamines asetyenziswa.
Ukuba i-stenosis ye-larynx icatshiswa ngumzimba wamanye amazwe - isuswa. Xa isifo sisuswe, ukuvuvukala, kwaye emva koko kunikwa unyango olwachasayo kunye ne-antibacterial therapy.
Kwi-stenosis engapheliyo i-larynx, izicubu kunye nezikrakra zisuswa. Ukuba i-lumen ivaliwe phantse ngokupheleleyo okanye ngokupheleleyo, intubation (ukufakwa kwefayili kwi-larynx) okanye i-tracheotomy (ukuphambana phambi kwentamo apho i-tube yokuphefumula ifakwe) iyenziwa.