Tracheitis wani kamuwa da cuta ne na trachea (numfashi mai kwakwalwa ko iska) wadda yawancin kwayoyin cutar ke haifarwa. Mafi yawan kwayoyin kwayoyin sun hada da Staphylococcus aeureus , Streptococcus pneumoniae , da Pseudomonas aeruginosa . Tracheitis mafi yawanci yakan faru a kananan yara kuma zai iya sa shi da wuya numfashi. Hanyoyi masu mahimmanci sun haɗa da:
- Abun kamuwa da cutar ta farko da ke shafar iska
- Yawanci yakan faru kafin shekaru 3 (amma zai iya faruwa har zuwa kimanin shekaru 13)
- Matakan
- Down ciwo
Tracheitis yana da wuya kawai yana faruwa a kusan 1 a 1,000,000 lokuta kuma ana zaton ana zama mafi yawan maza a maimakon maza. Saboda yana da wuya, a lokacin da wannan cuta ta kasance, akwai kuskuren da ya saba wa croup mai bidiyo, wanda ya fi yawa a cikin al'umma. Za mu tattauna wasu kamance da kuma wasu bambance-bambance saboda tracheitis yafi mutuwa kuma yana buƙatar yaro ya karbi goyon bayan numfashi lokacin da yake da gaskiya game da tracheitis.
Cutar cututtuka
Hanyoyin cututtuka na tracheitis sun bambanta daga mutum zuwa mutum, amma zasu iya hada da:
- Abin da ke sauti "croupy" kuma suna iya ƙin ɓoyewa
- Mawuyacin matsaloli
- Hadin wuta lokacin da numfashi a (na kowa)
- Tsuntsu lokacin da numfasawa (wanda ba a sani ba)
- Babban zazzabi; yawanci fiye da 102 ° F ko 39 ° C
- Launi launi (alamar cyanosis ko ƙananan yanayin oxygen), idan ikon numfashi yana ci gaba
"Tarin croupy" shine alamar alama ga croup mai hoto. Ana bayyana shi a matsayin "barking", "tagulla", ko kuma kama da hatimi. Wannan zai iya kasancewa a cikin tracheitis wanda shine dalilin da ya sa yake da rikitacciyar rikici tare da croup mai cike da sauri.
Differences tsakanin Tsarin cututtuka na Tracheitis da Croup
Yayin da tari zai iya zama kamar kamanni tsakanin tracheitis da croup viral, akwai wasu siffofin da za a iya amfani da su don taimakawa wajen rarrabe tsakanin matsaloli biyu.Bayan haka, croup na kyamara zai ci gaba da ƙara tsanantawa, yayin da bayyanar cututtuka na faruwa da sauri. Yaduwar zazzabi na iya zama daban-daban, yayin da ake cike da croup mai kyakwalwa tare da ƙananan zafin jiki fiye da tracheitis; yana da wuya fiye da 39 ° C. Babban zazzabi shine yawan abin da ke tura mutane zuwa sashen gaggawa.
Ana iya amfani da tsinkayen magani na tsirrai na kyakyafan kyamara, da oxygen da aka shakewa da kuma shafa epinefrin (tsauraran tsirrai), kuma za'a iya amfani dasu don bambanta tracheitis. Kyakkyawan tracheitis ba zai amsa wadannan maganin cutar ba, kuma wani lokacin an lura da cewa ƙara da yanayin. Idan ka lura cewa yaronka yana karuwa yayin karbar waɗannan jiyya, ya kamata ka faɗakar da likita ko likita.
Sanin asali
Harshen ganewar ƙwayar cuta zai iya dogara ne akan bayyanar cututtuka, da tarihin haƙuri da jarrabawa. Kwayoyin gwaje-gwajen da mai yiwuwa naka zai iya yi sun hada da:
- Gwargwadon matakan oxygen a cikin jini (buguwar bugun jini)
- A al'adu daga trachea, tattara a lokacin laryngoscopy
- X-ray daga cikin huhu da numfashi na numfashi
A lokacin wadannan hanyoyi, likitanku zaiyi amfani da binciken da za a taimakawa wajen bambanta daga epiglottitis wani cuta mai wuya wanda zai iya buƙatar aiwatarwa na ceto don numfashi.
Jiyya
Aminiya mai tsanani a farkon lokaci yana da mahimmanci a kula da tracheitis. A lokacin laryngoscopy, likitanku zai share yadda yawancin jirgin sama zai iya yiwuwa, saboda akwai yiwuwar ɓoyewa da membranes waɗanda zasu iya haifar da hanzarin iska. Maganin farko zai buƙaci shigarwa a cikin ɗakin kulawa mai kulawa mai tsanani wanda za'a iya lura da shi kuma yana fushi (numfasa motsa jiki) idan ya cancanta.
Samun motsaccen motsi zai kuma bada izinin masu aikin jinya na ICU su yi mota da iska mai tsauri don yuwu da yaro yana motsa jiki kamar yadda ya kamata.
Yin maganin rigakafi don kamuwa da cutar kwayan ma dole ne. Mafi yawan maganin rigakafi na zaɓa sun hada da IV ceftriaxone da IV vancomycin. Idan al'adu sun sake magance wadannan maganin rigakafi, za a canza tsarin tsarin jaririn. IV maganin rigakafi za su ci gaba da kwanaki 5 zuwa 6 a lokacin da za a iya canzawa zuwa maganin maganin rigakafi. Kwayar tsarin maganin rigakafi za ta kasance tsakanin 1 zuwa 2 makonni.
Har ila yau aka sani da: tracheobronchitis, kwayan cuta croup, laryngotracheobronchitis
Source:
Ferri, FF (2016). Tracheitis. Ferri na Clinical Advisor 2016. http://www.clinicalkey.com (Abinda ake buƙata)
Rajan, S. & Steele, RW (2015). Kwayoyin cuta na kwayar cutar. http://emedicine.medscape.com/article/961647-overview