Menene ya kamata a yi idan yaron yana asibiti
Bronchiolitis shine kamuwa da ƙwayar respiratory mai rauni wanda yake faruwa a yara a karkashin biyu. Yawancin lokaci ana haifar da cutar syncytial respiratory (RSV) wadda ta haifar da ƙananan ƙananan ƙananan iska ( bronchioles ). Ƙunƙasa yana haifar da ƙuntatawa ko ƙuntatawa na ƙananan bronchioles, wanda zai haifar da raguwa da rashin ƙarfi na numfashi.
Bronchiolitis ita ce babbar hanyar asibiti a jarirai da yara. Tun da babu magani don bronchiolitis, magani yana da farko don kawar da bayyanar cututtuka na zazzabi da matsalolin numfashi. Idan ana buƙatar asibiti, magani zai iya haɗawa da sauran iskar oxygen da ruwa mai kwakwalwa don hana rashin ruwa.
A baya, an yi amfani da albuterol na miyagun ƙwayoyi a asibitoci don taimakawa yaro numfashi. An tsara Albuterol a matsayin mai sashin jiki wanda ke aiki ta wurin tsokar da tsokoki a cikin sararin sama. Ana samuwa a cikin takarda, maganin, da kuma magungunan injectable kuma an ba da izini ga mutanen da ke fama da cututtuka na huhu (COPD) da kuma asma.
Duk da yake yana da kyau a yi amfani da albuterol a lokuta mai tsanani na bronchiolitis, jagorantar da aka tsara daga Cibiyar Harkokin Ilimin Harkokin Ilimin Amirka (AAP) yanzu ta bada shawara akan amfani da shi.
Dalilin da ya sa AAP ya bada shawara game da Albuterol
A cikin shawarwarin da aka sabunta na 2014, AAP ya yarda cewa albuterol na iya samar da agajin gaggawa a cikin yara tare da bronchiolitis kamar yadda yake yi da fuka .
Duk da haka, ainihin tasiri na miyagun ƙwayoyi a wannan labarin ya fi mayar da hankali. Binciken na yau da kullum ya nuna cewa amfani da albuterol a yara marasa lafiya baiyi kome ba don inganta sakamakon ko rage dakatarwar asibiti.
Bugu da ƙari, AAP yana bada shawara akan wasu jiyya da aka saba amfani da su a baya, ciki har da salin hypertonic nebulitan, corticosteroids , maganin maganin rigakafi, da kwakwalwa.
Gano lokacin da ake bugun asibiti
Bronchiolitis a cikin yara zai cigaba da bunkasa bayan kwana biyu zuwa uku na sanyi. Yawanci yana farawa tare da haɗin gwiwar jiki da kuma fitarwa, maganin mai laushi, da zazzaɓi fiye da 100.4 ° F. Idan kamuwa da ci gaba yana ci gaba da ƙananan sassa na iska, yanayin zai iya zama mai tsanani kuma zai haifar da alamun bayyanar:
- Saurin numfashi
- Wheezing
- Mawuyacin tari
- Difficulty ciyar
- Gaps a cikin numfashi (hakora)
Iyaye za su san cewa lokaci yayi da za a dauki yaron ya gaggawa idan harɗaɗɗen yana cigaba da fiye da kwana bakwai ko ci gaba zuwa grunting. Hakazalika, idan yaron ya raunana da yawa kuma yana da mummunan tinge ga fata ko laka ( cyanosis ), iyaye ya kamata suyi la'akari da gaggawa gaggawa da kuma kira 911.
Sanarwa na Asibitin na yanzu
Kimanin kashi uku cikin dari na yara tare da bronchiolitis zasu buƙaci asibiti. Jiyya zai kunshi kulawa da alamun alamu da kulawa bisa ga yanayin da yaron ya kasance da bayyanar cututtuka.
Ana iya buƙatar oxygen ƙarin don yara waɗanda ba su iya samun numfashi ba. Ana yin hakan wannan ta hanyar saka tube, wanda ake kira canal na hanci , a ƙarƙashin ƙuruciya ko ta amfani da mask fuska. Ga jarirai, ana iya amfani da akwatin akwatin oxygen.
Idan yaro bai iya cin abinci ko sha ba, ko dai saboda numfashi yana da sauri ko kuma numfashi yana da mummunar rauni, ruwa da abinci mai gina jiki zasu iya buƙatar a ba da shi cikin hanzari (a cikin wani nau'i) .Ba hana yaduwar cutar, yaro zai a ware daga 'yan uwa da sauran yara har sai an kammala yanayin.
Yawancin yara a asibiti don sunadaran sun isa isa gida bayan kwana uku zuwa hudu.
> Source:
> Hall, C. Weinberg, G .; Blumkin, A. et al. "Tsarin asibiti na kamuwa da cututtuka na kwayar cuta a tsakanin yara ƙanana da shekaru 24." Pediatrics . 2013; 132 (2): e341-e348. DOI: 10.1542 / peds.2013-0303.
> Ralston, S .; Lieberthal, A; Meissner, H. et al. "Harkokin Gudanar da Harkokin Gudanar da Harkokin Gudanar da Harkokin Gudanar da Harkokin Gudanar da Harkokin Gudanarwa: Ciwon Bincike, Gudanarwa da Rigakafin Bronchiolitis Pediatrics. 2014; 134 (5): e1474-e1502. DOI: 10.1542 / peds.2014-2742.