Ncinane malunga neSARS.
I-ARVI (intsholongwane yentsholongwane yentsholongwane yokuphefumula) yiqela lezifo ezihamba kunye nokuvuvukala kwemimoya yomoya, ebonakaliswa yinkambo yebhayisiki. Ukudluliselwa kwesulelo kuhamba ngomoya. Isizathu sesi sifo kubantwana ziingcambu ezibangela iintlobo ezahlukeneyo zezifo, njenge-pharyngitis, i-scleritis, i-laryngotracheitis, i-rhinitis njalonjalo. Ngokubhekisele kwiintsana, ukusuleleka okunjalo kunzima kakhulu kubo, njengoko kungabikho mkhuhlane. Iimpawu: zizimisele ukuqwalasela i-epidemiological anamnesis, oko kukuthi, kufuneka bazi imeko yesifo kwiindawo zabo (kwakhona kuxhomekeke kwixesha lexesha). Ukongezelela, inkcazo yobunzima besifo, isifo esifanelekileyo, ubude bexesha leentsuku ezingama-5-7, iimpawu zamehlo (intlungu emehlweni, njl njl), ekhokelela kwisifo sokuphefumula kunye nokuvavanywa kwempawu ezingaphefumliyo (indawo yokugxilwa komzimba, ukugqithiswa kwe-lymph nodes).
Malunga nemiboniso yekliniki.
Imbonakalo yezitholampilo: I-Rhinitis yukuvuvukala kwe-mucosa yangasese, umntwana uhlala ekhala aze amemeza ngenxa yokuba impumlo iyaphuma, umntwana akanamlisi ubisi olubele. Oku kubangelwa ukungabikho kokuphefumla komzimba kunye nokungakwazi ukuphefumula ngomlomo ngexesha lokutya. I-Eustachiitis-ifumana ngendlela ye-otitis ephakathi. Esi sifo siphumela ngenxa yokucinywa kwebheyi ye-Eustachian. Xa uthinta i treecat, umntwana uya kuba yintlungu. Amehlo omntwana aqondiswe kwicala lokugula. I-otitis enobugqwetha-ibonakaliswa ngokuxhaswa kwindlebe, kunjalo nokushisa komzimba. I-Laryngitis - esi sifo asikwenzekanga kwifomu ecocekileyo, ebonakaliswe ukukhwehlela "ukukhwaza" nokutshintsha isandi somntwana. Nge-laryngitis, kukho i-edema ye-garter space, eyanciphisa i-lumen yayo, i-dyspnea iyenzeka. Kukho i-degrees 4 yokuphefumula ukuphefumula nge-laryngitis:
1. Ukuphefumula kunzulu, ukuphazamiseka kuncitshiswe, kuhoxiswa kwe-fossa yejugular.
2. Umntwana uthatha isikhundla esinyanzelekileyo, ukufakwa kweengingqi ze-intercostal, i-cyanosis yenxantathu ye-nasolabial.
3. Ukwandisa i-stenosis, ngenxa yokuphefumula kwe-acidosis, kubonakala, ukunyamezela kubonakala, ukunyusa ukuphefumula, ukunyamezela ukuphefumula, i-jugular fossa, i-intercostal spaces, i-subclavian fossa, isantya senhliziyo esandayo, i-cyanosis.
4. I-Asphyxia - ingqondo iyaphuka, ukuphefumula kwe-Cheyne-Stokes, ukupasa kwintambo, izinga lokushaya kwenhliziyo liyehla, i-convulsive syndrome kunye ne-cyanosis iyonke.
Ngonyango.
Kwiimeko ezinzima, ukulaliswa kwezibhedlele ngokukhawuleza (ngokukodwa i-laryngitis), ukunika umntwana ithuba lokuphuphuma ngokwaneleyo emiphakeni, ukupheliswa kweempawu ze-heart failure, isardard kufuneka isetyenziswe, iibhagi zokuhamba ngeenyawo, i-teas pathogenic, unyango lwe-inhalation - usebenzisa i-aerosol antibiotics okanye i-proteolytic enzymes (trypsin, acetylcysteine ). Ukongeza, inkcazo yonyango, esetyenziswe kuphela oogqirha kwaye kuphela ngenjongo yabo, kungakhathaliseki ukuba awuyisebenzisi ngokwakho, inokukhokelela kwiinkathazo zezifo zombini ophefumulayo kunye nesiphene sokuphefumula. Ulawulo lwe-glucose, isisombululo se-40% se-glucose, i-5% ye-vitamin C, i-5% ye-potassium i-chloride isisombululo - 1 ml ngomnyaka wokuqala wobomi, i-prednisolone 1, 5-3 mg nge-1 kg. Ukulungisa okanye ukubuyisela i-pH echanekileyo, isisombululo se-soda se-4% sijojowe nge-intravenously. Ngezi zifo, unyango lwe-dehydration (ukupheliswa kwamanzi - ukupheliswa kwamanzi) kungenziwa, ukukhusela loo mqathango kumntwana njenge-edema ye-cerebral. Kule nto, misela izidakamizwa ukusuka kwiqela lezidumbu ze-diuretics (i-diuretics). Ukuze kuphephe ukudakumba komsebenzi we-cardiac, i-caffeine-sodium benzonate, i-euphilin inokumiselwa xa kuxinzelelo lweziko lokuphefumula, kwimeko efanayo, unyango lwe-oksijeni lisetyenzisiweyo, kwaye kwi-degrees 3-4 ye-asphyxia, kwane-tracheostomy. I-Antipyretics ingasetyenziselwa kokubhaliweyo kunye neyonyango. Ngokufanayo, ukuba izidakamizwa eziqhelekileyo ze-antipyretic azikuncedi, ungasebenzisa umxube we-lytic (indlela yokuyilungisa kwaye uyigxilise engabonakaliyo, kungakhathaliseki ukuba yintoni isilwanyana esisetyenziswa ngayo).
Ukuba umntwana wakho akanakho umkhuhlane ophezulu kunama-38-38, u-5 uyagula, ngoluvo lwakho, akufanele uvuselele ngokukhawuleza kwaye ugxothise ngokukhawuleza ugqirha, kodwa kufuneka ufumane i-etiology yokuphakama kwamaqondo okushisa, oko kukuthi, isizathu esabangela ukuphakama kwamaqondo okushisa. Mhlawumbi oku kushushu, njengamanje iingubo ezininzi zenza loo nto ingenzi umoya okanye ukugqithiswa komngcipheko wengane, edlalwa kubazali abancinci abalethela umntwana egumbini, apho sele kushushu kwaye kuya kumbeka ebuthongweni abathathu. Akuyimfuneko nje ukufaka umntwana ngezilwanyana ezahlukahlukeneyo ezingenakuyimfuneko kuye. Khumbula ukunyanga okulula kwezifo zendlela yokuphefumula, kunye nokuthintela ukuqhuma rhoqo kwindlu, ungathatha imizuzu eyi-15-20 nganye iiyure ezingama-3, ukutya nokusela ngokutya komntwana. Ungagxininisi kwaye unganikeli i-diuretics ngendlela okanye iindlela zokuphucula ukujuluka, ngaloo ndlela uza kuphazamisa ukulahlekelwa okukhulu kwemithombo yamanzi, okuya kukwandisa kakhulu ixesha lokubuyisela. Igumbi lokukhenkcela kufuneka libe nguLUNKULU, uphuzo oluninzi kunye nokutya ngokufunwa. Musa ukugula.