Bronchiolitis ndi imodzi mwa matenda a bronchi omwe nthawi zambiri amakhudza ana aang'ono. Chifukwa chakuti njira zotetezera mu thupi lokula sizinakwaniridwe bwino, matenda, kutenga mpweya wambiri, zimadutsa patali, kufika ku bronchi ndi bronchioles. Mphuno ya mitsempha yowonongeka imayambitsanso kupuma kwa ana, zomwe zimapangitsa kuti zisawonongeke.
Gulu la ngozi
Ana a zaka ziwiri zoyambirira za moyo amaonedwa kuti ali pachiopsezo cha ana omwe amayamba kupanga bronchiolitis. Chiwombankhanza chikugwa pa miyezi 2-6.
Matenda a bronchiolitis amapezeka mthupi mwawo ngati ali ndi matenda a intrauterine. Imeneyi ndi imodzi mwa njira yoopsa kwambiri ya matendawa, chifukwa zotsatira zoopsa kapena kupangika kwa zovuta zovuta za dongosolo la bronchopulmonary si zachilendo.
Zizindikiro za bronchiolitis
Pafupifupi 90 peresenti ya matenda a bronchiolitis m'matumba amachititsa kuti rhinosin cytial infection. Nthawi zambiri matendawa amayamba pa tsiku lachitatu la ARVI. Chizindikiro chachikulu cha chitukuko cha bronchiolitis ndi chifuwa cholimba, chomwe chimafika poyendetsedwa ndi kupuma pang'ono, kupuma ndi kuwomba mluzu. Mwanayo amakhala wopusa, ndipo chilakolako chake chimachepa kwambiri.
Ndi chitukuko chachikulu cha bronchiolitis, zizindikiro zonsezi ndizo zachiwawa. Matendawa amatha kuyenda ndi cyanosis pa nkhope, kupuma kwa mpweya komanso tachycardia.
Zizindikiro zowononga bronchiolitis kwa ana
Matenda aakuluwa amatchedwa bronchiolitis obliterans. Zimapezeka kawirikawiri, choncho kwa chaka chimodzi, ana okwana 4-5 omwe ali ndi matendawa amalowa mu pulmonary center. Pachigawo ichi cha bronchiolitis bronchioles ndi tizilombo toyambitsa matenda timene timakhala tikutsekemera, ndipo magazi amatha kuthamanga.
Chizindikiro chachikulu cha kuchotsa bronchiolitis ndi chifuwa chachikulu ndi kuwonjezeka kwa dyspnea, komwe kumawonekera ngakhale pang'ono ndi thupi. Komanso khalidwe la wodwala likuwomba, mluzu ndi malungo. Matendawa nthawi zambiri amaphatikizidwa ndi nthawi ya "kufalikira", pamene palibe kusintha kapena kuwonjezereka kwa zizindikiro zomwe zilipo kale.
Kuchiza kwa bronchiolitis kwa ana
Pamene chithandizo cha bronchiolitis chimaperekedwa ndi dokotala, pogwiritsa ntchito chitsanzo cha matenda. Njira zazikuluzikulu zimayesetseratu kuthetsa zizindikiro: kupanga mapulaneti, kuchoka kwake komanso kuchepa kwa kutentha. Pochita izi, mwana wodwala amauzidwa kuti amwe madzi otentha kwambiri, mankhwala osokoneza bongo ndi mankhwala omwe amachepetsa kutentha. Maantibayotiki angathenso kulangizidwa. Ngati matendawa ali oopsa, mwanayo amatumizidwa kuchipatala.
Kawirikawiri, zizindikiro za bronchiolitis sizowopsya: ana ambiri atatha matendawa ali ndi vuto la kupuma kwa kunja, matenda obisala ndi a bronchopulmonary system. Palibenso chiopsezo chokhala ndi mphumu yowonongeka, makamaka ngati mwanayo ali ndi vuto lopweteka.