Hoarseness wa mawu mwa mwana
Hoarseness mwa ana, monga lamulo, imawoneka ndi chimfine ndipo imatha msanga ndi chithandizo, koma zimachitika kuti kusintha kwa mawu kumawonetsa matenda aakulu - thupi lachilendo mu larynx, kuvulala, neoplasms.

Hoarseness ndi chiyani

Hoarseness ana ndithu wamba ngati chizindikiro cha chimfine, limodzi ndi zilonda zapakhosi ndi chifuwa.

Chowonadi ndi chakuti kholingo la ana lili ndi ulusi wambiri wotayirira pansi pa makwinya a mawu, kotero kuti mucous nembanemba imatupa mwachangu, glottis imachepa, ndipo makwinya amawu amakhala ochepa kwambiri. Choncho, liwu la mwanayo limasintha - limakhala lopanda phokoso, lotsika, lopanda phokoso komanso loyimba mluzu.

Zifukwa za hoarseness mwa ana

Hoarseness ana akhoza kukhala zifukwa zingapo. Taganizirani zofala kwambiri.

Virus

SARS ndi mphuno ndi chifuwa kungayambitse kutupa kwa pharynx ndi larynx. Izi zimakhudzanso mkhalidwe wa zingwe zapakhosi, motero mawuwo amakhala osamveka.

- Ichi chikhoza kukhala chiwonetsero choyambirira cha vuto lalikulu la matenda a virus monga croup yabodza. Akufotokozera mu sukulu ya pulayimale ana, pamene kutupa kwa subglottic danga la m`phuno kungachititse kuti kwambiri kuvutika kupuma ndipo ngakhale asphyxia. Matendawa amafunikira chithandizo chamankhwala mwachangu. Ndicho chifukwa chake madokotala amalangiza mwamphamvu za kuchiritsa ngakhale chimfine “chopanda vuto” mwa ana paokha ndi kukaonana ndi dokotala, akufotokoza motero. otorhinolaryngologist Sofia Senderovich.

Zovuta

Nthawi zina mawu osamveka mwa mwana angasonyeze kuti sakugwirizana ndi zomwe zimachitika, choncho muyenera kukhala tcheru, chifukwa edema ya laryngeal ndi asphyxia imatha kukula. Zikatero, muyenera kuyimbira ambulansi mwachangu.

Chinthu chachilendo pakhosi

Nthawi zambiri, ana, makamaka ang'onoang'ono, akamasewera, amalawa zinthu zing'onozing'ono - amaika mikanda yaing'ono, mipira, ndalama m'kamwa mwawo kapena m'mphuno, ndiyeno amakoka mpweya kapena kuwameza. Chinthucho chikhoza kumamatira m’njira ya mpweya, kholo silingazindikire, ndipo mwanayo angafotokoze zimene zinachitika. Choncho, ngati mwana wamng'ono mwadzidzidzi ali ndi mawu osamveka, muyenera kusewera bwino ndikuyitanira ambulansi kapena kuonana ndi dokotala.

Kuthamanga kwambiri kwa zingwe za mawu

Zingwe zapakamwa za ana zimakhala zofewa kwambiri, choncho kulira kapena kukuwa kwa nthawi yaitali, mawuwo amatha kufuula.

Neoplasms mu larynx 

Zotupa zosiyanasiyana ndi papillomas, ngakhale zazing'ono, zimatha kuyambitsa kusintha kwa mawu. Kukula, ma neoplasms amatha kufinya makwinya a mawu, omwe amatsogolera ku hoarseness.

Zaka zimasintha

Izi zimatchulidwa makamaka kwa anyamata pa msinkhu wa kusintha, pamene kusintha kwa mahomoni kumayambitsa "kusweka" kwa mawu. Kawirikawiri chodabwitsa ichi chimachoka chokha, koma ngati "kuchotsa" sikuchoka kwa nthawi yaitali, sonyezani mwanayo kwa dokotala wa ENT.

Zizindikiro za hoarseness mwa ana

Ndi kukula kwa matenda a ziwalo za ENT, mawu amawu amakula pang'onopang'ono, ndi zingwe zong'ambika, matupi awo sagwirizana kapena thupi lachilendo, zizindikiro zimawonekera nthawi yomweyo ndipo zimatha kutsagana ndi chifuwa chachikulu cha paroxysmal, kusowa kwa mpweya, cyanosis. khungu.

Ndi chimfine kapena mpweya wouma kwambiri m'chipindacho, kuwonjezera pa hoarseness, mwanayo akhoza kudandaula za kuuma ndi zilonda zapakhosi.

- Ndi stenosing laryngotracheitis (onyenga croup), hoarseness wa mawu limodzi ndi kuuwa chifuwa, - ndi otorhinolaryngologist akufotokoza.

Chithandizo cha hoarseness ana

Kudzipangira mankhwala nthawi zonse kumakhala koopsa, ngakhale ndi mawu owopsa, muyenera kusonyeza mwanayo kwa dokotala kuti athetse zoopsa za moyo. Dokotala yekha ndi amene angasankhe chithandizo choyenera chomwe chingathandize kuthetsa vutoli mwamsanga.

Diagnostics

- Kupeza zomwe zimayambitsa kulira kwa mwana, dokotala amawunika madandaulo, anamnesis, amawunika pafupipafupi kupuma, zizindikiro za kulephera kupuma. Waukulu njira zida diagnostics ndi endolaryngoscopy Kupenda m`phuno ntchito kusinthasintha kapena okhwima endoscopes. Phunziroli limakupatsani mwayi wodziwa momwe ma pathological process amathandizira, kutanthauzira kwake, kuchuluka, kuchuluka ndi kuchuluka kwa lumen ya airway, akufotokoza otorhinolaryngologist Sofya Senderovich.

Mankhwala amakono

Chithandizo cha hoarseness mwana mwachindunji zimadalira chifukwa chake. Mwachitsanzo, ndi SARS, laryngitis, pharyngitis ndi matenda ena a nasopharynx, mankhwala ena enieni omwe amakhudza zingwe zapakamwa samaperekedwa. Matenda oyambitsa matendawa amachiritsidwa, ndipo kupsa mtima ngati chizindikiro kumachoka kokha. Chinthu chokhacho chomwe dokotala angalangize kuti athetse zizindikirozo ndikupatsa mwanayo madzi otentha kuti amwe momwe angathere, kuyang'anira kutentha ndi chinyezi m'nyumbamo, kulembera gargles, wothandizira resorption.

- Ndi croup zabodza, chithandizo chikuchitika m'chipatala, - Sofya Senderovich akufotokoza.

Ngati kusowa mphamvu kumayamba chifukwa cha ziwengo, dokotala adzapereka antihistamines. Ngati akukayikira matenda bakiteriya, dokotala ayambe kutenga swab kukhosi, kudziwa causative wothandizila matenda, ndiyeno mankhwala mankhwala ndipo ngati n`koyenera, mankhwala.

Ngati kusintha kwa mawu kumayambitsidwa ndi kupwetekedwa mtima kapena kuwonjezereka kwa zingwe za mawu, ndiye njira yaikulu ya chithandizo apa ndi kupuma kwa mawu, kuti musamangirire zingwe kachiwiri. Palibe chifukwa cholankhula mokweza, kukhala chete kapena kuyankhula monong'ona. Komanso, dokotala akhoza kulangiza kukonzekera kwanuko kwa resorption ndi inhalations yapadera yamankhwala - izi zimachepetsa kutupa, zimathandiza kutsegula glottis, kubwezeretsa kupuma ndi mawu.

- Yesetsani nthawi zonse kuonetsetsa kuti chipinda chomwe mwanayo amagona chili ndi mpweya wabwino, wozizira, wonyowa (pafupifupi 18 - 20 ° C), akatswiri amalangiza.

Kupewa hoarseness ana kunyumba

Chofunika kwambiri kupewa hoarseness mwana ndi kupewa chimfine. M'nyengo yozizira komanso m'nyengo yozizira, muyenera kukulunga pakhosi lanu ndi mpango, yesetsani kupuma pamphuno, osati pakamwa panu, kuvala kutentha, onetsetsani kuti mapazi anu akutentha. Komanso, onetsetsani kuti mwanayo sakonda ayisikilimu ndi zakumwa zoziziritsa kukhosi, makamaka ngati awonjezera ayezi.

Ngati, komabe, mwanayo akudwala, muyenera kusonyeza dokotala mwamsanga ndi kuyamba mankhwala, kupereka chisamaliro chapadera pakhosi - ntchito absorbable lozenges kapena lozenges, opopera, rinses. Komanso, ngati ali ndi vuto la pakhosi, ndi bwino kuti mwanayo ayese kulankhula mochepa kuti asagwedezenso zingwe zapakhosi, kapena kulankhula monong'onezana.

Komanso, kuti musakhumudwitse pakhosi, m'pofunika kuchepetsa momwe mungathere zonunkhira, mchere ndi zakudya zosuta fodya, zomwe, makamaka, sizothandiza kwa ana a m'mimba. Kuonjezera apo, kuyenera kupewedwa nthawi yayitali m'zipinda zokhala ndi utsi kapena fumbi.

Mafunso ndi mayankho otchuka

Otorhinolaryngologist Sofia Senderovich amayankha.

Kodi n'zotheka kuchitira hoarseness ana ndi wowerengeka azitsamba?

Mankhwala amtundu, monga zakumwa zotentha, zotsukira zitsamba, zingagwiritsidwe ntchito ngati chithandizo chamankhwala ngati ntchito yawo ikuvomerezedwa ndi dokotala.

Kodi zovuta za hoarseness mwa ana ndi zotani?

Kufuula kwa mawu kungakhale chizindikiro cha matenda aakulu, choncho vutoli liyenera kuperekedwa kwa dokotala mwamsanga. Popanda chithandizo, kusokonezeka kwa mawu kumatha kukhala kwanthawi yayitali.

Ndi liti pamene angafunike kuchipatala kapena chithandizo cha opaleshoni?

Ndi matenda monga stenosing laryngotracheitis, kuchipatala ndikofunikira. Pazovuta kwambiri za asphyxia, tracheal intubation imachitidwa, ndipo ngati sizingatheke, tracheotomy imachitika. Ndi ma neoplasms a larynx, mwachitsanzo, papillomatosis, chithandizo cha opaleshoni chimachitidwa.

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