Stridor

Stridor ndeye isina kujairika, yakakwira-yakadzika, mimhanzi yekufema kurira. Izvo zvinokonzerwa nekuvharika pahuro kana izwi bhokisi (larynx). Inonyanya kunzwika kana uchifema.

Vana vari panjodzi yakanyanya yekuvharika yemhepo nekuti vane nzira diki dzekufema kupfuura vanhu vakuru. Muvana vadiki, stridor chiratidzo chekuvharika kwemhepo. Inofanirwa kurapwa ipapo ipapo kudzivirira iyo nzira yemhepo kubva pakuvhara zvachose.

Iyo nzira yemhepo inogona kuvharirwa nechinhu, kuzvimba matishu epahuro kana epamusoro mweya, kana kuputika kwemhasuru dzemumhepo kana tambo dzenzwi.

Zvinowanzoitika zvikonzero zve stridor zvinosanganisira:

• Kukuvara kwemumhepo
• Allergic reaction
• Dambudziko kufema uye kuhukura chikosoro (croup)
• Ongororo dzekuongorora senge bronchoscopy kana laryngoscopy
• Epiglottitis, kuzvimba kwetiketi iyo inovhara mhepo
• Kufemera chinhu chakadai nzungu kana machena (chishuwo chekunze kwemuviri)
• Kuzvimba uye kutsamwa kwezwi bhokisi (laryngitis)
• Kuvhiya kwemutsipa
• Kushandiswa kwepombi yekufema kwenguva yakareba
• Zvinyorwa zvakadai sephlegm (sputum)
• Utsi inhalation kana imwe inhalation kukuvara
• Kuzvimba kwemutsipa kana kumeso
• Kuzvimba matoni kana adenoids (senge nematonillitis)
• Kanzera tambo kenza

Tevedza rairo yako yemubatsiri wezvehutano kuti ubate chinokonzera dambudziko.

Stridor inogona kunge iri chiratidzo che emergency. Fonera waunopa iye ipapo kana paine zvisingatsanangurike stridor, kunyanya mumwana.

Mune emergency, mupi anoongorora tembiricha yemunhu, kupomba, kufema, uye kuwedzerwa kweropa, uye angangoda kuita kukanda mudumbu.

Chubhu yekufema inogona kudikanwa kana munhu wacho asingakwanise kufema zvakanaka.

Mushure mekunge munhu agadzikana, mupi anogona kubvunza nezve nhoroondo yemunhu yekurapa, uye aite ongororo yemuviri. Izvi zvinosanganisira kuteerera kumapapu.

Vabereki kana vachengeti vanogona kubvunzwa inotevera nhoroondo yezvokurapa mibvunzo:

• Iko kufema zvisina kujairika kurira kwepamusoro?
• Dambudziko rekufema rakatanga kamwe kamwe here?
• Aigona here mwana kuisa chimwe chinhu mumuromo mavo?
• Mwana anga achirwara here nguva pfupi yadarika?
• Mutsipa kana kumeso kwemwana kuzvimba?
• Iye anga ari mwana kukosora kana kunyunyuta nezvehuro inorwadza?
• Ndezvipi zvimwe zviratidzo zvine mwana? (Semuenzaniso, kupenya kwemhino kana bhuruu paganda, miromo, kana zvipikiri)
• Iye mwana ari kushandisa mhasuru dzechipfuva kufema (intercostal retitions)?

Miedzo inogona kuitwa inosanganisira:

• Arterial ropa gasi kuongorora
• Bronchoscopy
• Chest CT scan
• Laryngoscopy (kuongororwa kwezwi bhokisi)
• Pulse oximetry kuyera mwero weropa okisijeni
• X-ray yechipfuva kana mutsipa

Kufema kurira - zvisina kujairika; Extrathoracic yekuvhara mweya; Kupera - stridor

Griffiths AG. Zvirwere zvenguva refu kana zvenguva dzose zvekufema. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 401.

Rose E. Pediatric kufema kwekukurumidzira: kumusoro kwekuvharika kwemhepo uye hutachiona. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 167.