Isimo lapho i-lumen laryngeal iyingxenye encane noma ivalwe ngokuphelele ibizwa ngokuthi i-stenosis. Umoya kuleli cala ufika emaphashini ngobunzima, futhi ukuphefumula kunzima futhi.
Kunamafomu ajwayelekile futhi angapheli yalesi simo.
Izimbangela ze-stenosis ye-larynx
I-lumen yama-laryngeal inganciphisa ngenxa yemithi emithini noma ekudleni futhi ivame ukuhambisana ne-edema ka-Quincke. Ezinganeni, lesi simo ngokuvamile sibangelwa isifo esiyinhloko sokuphefumula esihambisana nokuvuvukala komzila wokuphefumula.
Futhi, i-stenosis ephawulekayo ye-larynx ibangela i-angina, i-chondroperichondritis (ukuvuvukala kwe-cartilage ye-laryngeal), ukungena kwendaba yangaphandle, ukulimala kwamanqamu, ukuthungathwa kwamakhemikhali, okulandelwa ukushiswa komzila wokuphefumula.
I-stenosis eqhubekayo ivela ngenxa yokushaya i-larynx, izicubu, ukuvuvukala, futhi kuzinkinga ezingavamile ukuhlukunyezwa kwe-syphilis ne- diphtheria .
Izigaba ze-stenosis ze-larynx
I-lumen laryngeal igxila ezinyathelweni, ngakho-ke izigaba eziningana zalesi simo ziyahlukahluka.
- Ukuxhaswa - izinga lokushaywa kwe-pulse lifingqiwe, ukuphambana phakathi kokuphefumula nokuphefumula kube mfushane.
- Isinxephezelo esingaphelele - ukungena kwe-inhalation kunzima, ukuphefumula okukhamuluka, izikhala ze-intercostal zidonsa phezu kwe-sternum ne-collarbones. Isikhumba somuntu sihamba, kukhona isimo sokukhathazeka. Kusukela ngalesi sikhathi, izimpawu zesimo somuntu okhulayo kubantu abadala ziqala ukukhula ngokushesha.
- Ukuhlukunyezwa - isiguli sizama ukuthatha indawo yokuhlala isigamu, siphonsa ikhanda lakhe emuva, isimo sakhe sinzima. Ngomoya wokuphefumula nokuphefumlelwa, ehambisana nomsindo, i-larynx ngokuyinhloko ihamba phezulu. Izindebe nezinyathelo zomzimba ziqala ukushintsha okwesibhakabhaka ngenxa yokungena okwanele kwe-oxygen, kanti izihlathi zingase zibe namahloni ngokuphambene nalokho.
- I-Asphyxia - abafundi bahlanjululwa, isiguli siziphatha ngokungenangqondo, sifuna ukulala. I-pulse iba buthakathaka, futhi isikhumba siyaba grey ephaphathekile. Ukuphefumula okuphakathi futhi okusheshayo. Ezimweni ezingavamile, bayaqaphela ukunyakaza kwamathumbu noma ukugcoba, ukulahlekelwa ulwazi.
Ukusiza kokuqala ngesimo sokushiswa kwe-larynx
Uma nje umuntu omdala noma ingane ethi "kunzima ukuphefumula," udinga ukubiza ngokushesha i-ambulensi. Ngaphambi kokufika kukadokotela, kufanelekile:
- Hlonipha umoya ekamelweni, usebenzisa i-humidifier ye-spray noma amaphepha amanzi ngenxa yokuntuleka kwe-humidifier ekhethekile.
- Ungase futhi ubeke isiguli endlini yokugezela ngokuvula itompom ngamanzi ashisayo.
- Kufakazela ukunakekelwa okuphuthumayo kwesimo sokushisa kwe-larynx nokuxubha izitho ukuze kuthuthukiswe ukujikelezwa kwegazi kuzo, kanye nokuphuza okuningi.
- Uma kutholakala ukuthi ukutholakala kwe-stenosis kuqinisekiswa, khona-ke isiguli kufanele sitholwe esibhedlela, ngakho-ke ngaphambi kokuba i-ambulensi ifakwe, ukuze singalahleki isikhathi esiyigugu.
- Kubaluleke kakhulu ukuba ungesabi futhi ungakhathazeki isiguli, ungamvumeli akhulume noma ahambe ngokuzenzekelayo.
Ukuxilongwa kombuso
Udokotela uzokwenza i-laryngoscopy, ehlola izinga lokunciphisa i-larynx lumen nezizathu ezibangele. Ezimweni ezingavamile, le ndlela ayikhombisi, bese kuvele ukucabangela kwe-magnetic resonance. Uma kunesidingo, i-histological
Kubalulekile ukuhlukanisa ubuchopho be-larynx ne-asthma e-bronchial, lapho umoya onzima kuphela, kanye nezifo zenhliziyo namaphaphu.
Ukwelashwa kwe-stenosis ye-larynx
Ukwelashwa kuxhomeke esibangweni esabangela ukugxilwa kwe-airway lumen. Nge -edema kaQuinck, i- glucocorticoids nama-antihistamine asetshenzisiwe.
Uma i-stenosis ye-larynx ishukunyiswa ngumzimba wangaphandle - isusiwe. Uma ukutheleleka kususwe, ukuvuvukala, bese kuthiwa ukwelashwa okuphikisana nokuvuvukala nokulwa namagciwane.
E-stenosis engavamile ye-larynx, izicubu nezibazi zikhishwa ngokuhlinzwa. Uma i-lumen ivaliwe cishe ngokuphelele noma ngokuphelele, intubation (i-tube yokungena ku-larynx) noma i-tracheotomy (ukumbozwa phambi kwentamo lapho ithubhu lokuphefumula lifakwe khona) kwenziwa.