Bronchiolitis imwe yezvirwere zvebronchi zvinowanzokonzera vana vaduku. Nokuda kwekuti nzira dzokudzivirira mumumuviri unokura zvisati dzagadziridzwa zvakakwana, zvirwere, kuwana mapepa ekufema, kupinda mukati, kusvika kune bronchi uye bronchioles. Idhiema yemakemukete inokonzerwa nevari inonyanya kudzivirira kufema kwevana, zvichiita kuti zviparare.
Risk boka
Vana vemakore maviri ekutanga ehupenyu vanoonekwa sevari pangozi yevana vanowanzotanga kukura bronchiolitis. Nhamba yepamusoro inowira pazera remwedzi 2-6.
Bronchiolitis inowanikwa muineonates kana iine utachiona nehutachiona hwepachirwere. Iyi ndiyo imwe yenzira yakaipisisa yechirwere, sezvo zviitiko zvinouraya kana kukurudzirwa kwezvirwere zvakakomba zvebronchopulmonary system hazvisi zvisizvo.
Zviratidzo zvebronchiolitis
Anenge 90% emhosva dzebronchiolitis mucheche dzinokonzera rhinosin cytial infection. Kazhinji kacho chirwere chinowedzera musi wechitatu weAARVI. Chiratidzo chikuru chekusimudzirwa kwebronchiolitis isimba yakasimba yekukanganiswa, iyo inotanga kutanga kufambidzana nekupfupika kwemhepo, kufema uye kurira. Mwana anova akaremara, chido chake chinowedzera zvakanyanya.
Nekuvandudzwa kweharukoni inonzi bronchiolitis, zvose zvinotevera zviratidzo zvevana zvine chisimba. Chirwere chinogona kuendesa cyanosis yechiso, kupera kwekuputika uye tachycardia yakasimba.
Zviratidzo zvekuparadzanisa bronchiolitis kuvana
Nzira yakasimba yehosha iyi inonzi bronchiolitis obliterans. Zvinowanzoitika zvakanyanya, saka, kwegore rimwe, kusvikira vana 4-5 vane chirwere ichi chinowira mu pulmonary centre. Muchikamu chino chebronchiolitis bronchioles uye maduku ebronchi akavharwa, uye pulmonary blood flow inoshungurudzwa.
Chiratidzo chikuru chekuparadzanisa bronchiolitis kuora kukuru kunowedzera dyspnea, iyo inoratidzika kunyange nechinetso chiduku pamuviri. Uyewo unhu hwemurwere huri kuputika, nyere uye fever. Chirwere ichi chinowanzosangana nenguva dze "kupera", kana pasina kuvandudzwa kana kuipa kwezviratidzo zviripo.
Kurapa kwebronchiolitis kuvana
Apo bronchiolitis kurapwa inorayirwa nachiremba, kubva pane chirwere chechirwere. Izvo zviyero zvakakosha zvinotarisirwa kubvisa zviratidzo: kuumbwa kweputum, kubviswa kwayo uye kuderera kwekushisa. Kuti uite izvi, mwana anorwara anorayirwa kuti anwe mvura inonwisa inopisa, expectorants nemishonga inoderedza kutonhora. Mishonga inorwisa mabhakitiriya inogonawo kunyorwa. Kana chirwere chechirwere ichi chakakomba, mwana wacho anotumirwa kurapwa.
Nenzira yakawanda, kufungidzira kwebronchiolitis hakusi kwakanyanya: vana vazhinji mushure mekunge chirwere chacho chiine chirwere chekunze kwekunze, bhonchial obstruction syndrome uye bronchopulmonary system pathology. Panewo mukana wekudzidzira kuputika kwechirwere, kunyanya kana mwana ari nyore kuitika.