He aha kāu e ʻike ai e pili ana iā Stridor

Anter

• Nā ʻano stridor
• Stridor ala hele
• Stridor ala hele
• Pākuʻi ʻo Biphasic
• He aha ke kumu stridor?
• Stridor i nā mākua
• Stridor i nā pēpē a me nā keiki
• ʻO wai e makaʻu i ka stridor?
• Pehea e ʻike ʻia ai ka stridor?
• Pehea e mālama ʻia ai ka stridor?
• Āhea pono pono ka mālama pilikia?

Hōʻike Overview

ʻO Stridor kahi kani kiʻekiʻe, kani kani i hoʻokumu ʻia e ka lele air. Hiki ke kapa ʻia ʻo Stridor he hanu mele a i ʻole extrathoracic airway obstruction.

Hoʻokaʻawale pinepine ʻia ka Airflow e kahi paʻa i ka larynx (pahu leo) a i ʻole trachea (windpipe). Hoʻololi pinepine ʻo Stridor i nā keiki ma mua o nā mākua.

Nā ʻano stridor

ʻEkolu mau ʻano stridor. Hiki i kēlā me kēia ʻano ke hāʻawi i kāu kauka i kahi hōʻailona e pili ana i ke kumu o ia.

Stridor ala hele

I kēia ʻano, lohe wale ʻoe i ke kani maʻamau ke hanu ʻoe. Hōʻike kēia i kahi pilikia me nā kiko ma luna aʻe o nā kaula leo.

Stridor ala hele

ʻO ka poʻe me kēia ʻano stridor ʻike wale lākou i nā leo maʻamau ke hanu lākou. ʻO ka ālai ʻana i ka puhi ʻōkuhi ke kumu o kēia ʻano.

Pākuʻi ʻo Biphasic

Kuhi kēia ʻano i ke kani maʻamau ke hanu a hele aku kekahi i loko. Ke kāʻei ke cartilage kokoke i nā kaula leo, hana ia i kēia mau leo.

He aha ke kumu stridor?

Hiki ke hoʻomohala i ka stridor i kēlā me kēia makahiki. Eia nō naʻe, ʻoi aku ka maʻamau o ke stridor i nā keiki ma mua o nā mākua no ka mea ʻoi aku ka palupalu a me ka liʻiliʻi o nā ala o nā keiki.

Stridor i nā mākua

Hoʻokumu pinepine ʻia ʻo Stridor i nā mākua e nā ʻano aʻe:

• he mea e ālai ana i ke ala ea
• ka pehu ʻana i kou ʻāʻī a i ʻole ke ala kiʻekiʻe o luna
• trauma i ke ala ea, e like me ka haki o ka ʻāʻī a i ʻole kekahi mea i paʻa i ka ihu a i ʻole ka ʻāʻī
• thyroid, umauma, esophageal, a i ʻole ka ʻoki ʻana o ka ʻāʻī
• hoʻopulapula ʻia (me ka ʻōmole hanu)
• puhi ana i ka uahi
• e ale ana i kahi mea hoʻopōʻino e hōʻino ai i ke alaloa
• lolo uila
• ʻo bronchitis, kahi hoʻāhu o nā alaloa e alakaʻi i nā māmā
• tonsillitis, kahi hoʻāhu o nā lymph node ma ka hope o ka waha a me ka piko o ka puʻu e nā virus a i ʻole bacteria
• epiglottitis, kahi hoʻāhu o nā mea i uhi ʻia i ke aniani i hoʻokumu ʻia e ka H. influenza koʻohune
• tracheal stenosis, kahi ākea o ka puka makani
• ʻōiwi
• abscesses, kahi hōʻiliʻili o ka pā a wai paha

Stridor i nā pēpē a me nā keiki

I nā pēpē, ʻo kahi ʻano i kapa ʻia ʻo laryngomalacia ke kumu o ke stridor. Nā hale palupalu a me nāʻaʻaʻa e keʻakeʻa i ke ala ākea e kumu ai i ka laryngomalacia.

Hele pinepine ia i ka wā e ʻelemakule ai kāu keiki a paʻakikī hoʻi ko lākou ala ea. ʻOi aku paha ka mālie ke moe ana kāu keiki ma ko lākou ʻōpū, a ʻoi aku ka nui o ka leo i ka wā e moe ana ma ko lākou kua.

Hoʻomaopopo loa ʻia ʻo Laryngomalacia ke hiki i kāu keiki. E hoʻomaka paha ma kahi o kekahi mau lā ma hope o ka hānau ʻana. Hele pinepine ʻo Stridor i ka manawa o 2 mau makahiki o kāu keiki.

ʻO nā kumu ʻē aʻe i kumu i ke stridor i nā pēpē a me nā keiki e komo pū ana:

• croup, ʻo ia kahi maʻi hanu viral
• subglottic stenosis, kahi e pili ana ke hāiki ka pahu leo; nui nā keiki i waho o kēia ʻano, ʻoiai he pono ke kaha ʻana ma nā hihia koʻikoʻi
• subglottic hemangioma, i kū i ka wā e hana ai kahi nui o nā kīʻaha koko a ālai i ke ala ea; laha ʻole kēia ʻano a koi paha i ke ʻoki
• nā apo vascular, i hana ʻia ke kaomi ʻana o ke aʻa o waho a i ʻole ka aa koko i ka puka makani; ʻoki ke kala i ke kaohi.

ʻO wai e makaʻu i ka stridor?

ʻOi aku nā keiki i nā ala uila, palupalu ma mua o nā mākua. ʻOi paha lākou e hoʻomohala i ka stridor. I mea e pale hou ai i ka paʻa ʻana, e mālama koke i ke ʻano. Inā paʻa loa ke ala ea, ʻaʻole hiki i kāu keiki ke hanu.

Pehea e ʻike ʻia ai ka stridor?

E hoʻāʻo kāu kauka e ʻike i ke kumu o ke ala hele o kāu keiki. Hāʻawi lākou iā ʻoe a i kāu keiki paha i kahi hoʻokolokolo kino a nīnau i nā nīnau e pili ana i ka mōʻaukala.

E nīnau paha kāu kauka e pili ana i:

• ke kani o ka hanu kino ʻole
• i kou ʻike mua ʻana i ke ʻano
• nā ʻōuli ʻē aʻe, e like me ke kala polū i kou alo a i ʻole ke alo a i ʻole ʻili o kāu keiki
• inā ua maʻi ʻoe a ʻo kāu keiki paha
• inā hiki i kāu keiki ke waiho i kahi mea haole i ko lākou waha
• inā ʻo ʻoe a ʻo kāu keiki paha e hakakā nei i ka hanu

E kauoha paha kāu kauka i nā hoʻokolohua, e like me:

• X-kukuna e nānā iā ʻoe a i ʻole ka umauma o kāu keiki a me ka ʻāʻī no nā hōʻailona o ka palaka
• CT scan o ka umauma
• bronchoscopy e hāʻawi i kahi ʻike akāka o ke ala air
• laryngoscopy e nānā i ka pahu leo
• ka lāʻau pulse oximetry a me nā kinoea arterial blood test e ana i ka nui o ka oxygen i loko o ke koko

Inā kānalua kāu kauka i kahi maʻi, e kauoha lākou i kahi moʻomeheu sputum. Kuhi kēia hōʻaʻo i nā mea āu a i kāu keiki paha e moe ai mai nā ake māmā no nā mea hoʻomaʻi a me nā koʻohune. Kōkua ia i kāu kauka e ʻike inā loaʻa kahi maʻi, e like me croup.

Pehea e mālama ʻia ai ka stridor?

Mai kali a ʻike inā hele aku ke stridor me ka ʻole o ka lāʻau lapaʻau. E kipa i kāu kauka a hāhai i kā lākou ʻōlelo aʻo. Pili nā koho lapaʻau i ka makahiki a me ke olakino o ʻoe a o kāu keiki, a ʻo ke kumu a me ke koʻikoʻi o ke alaloa.

Hiki i kāu kauka:

• kuhikuhi iā ʻoe i kahi loea, ihu, a me ka ʻāʻī puʻukū
• hāʻawi i ka lāʻau waha a i ʻole injected e hōʻemi i ka pehu ʻana ma ke alaloa
• Paipai i ka haukapila a i ʻole ke ʻoki kino i nā hihia koʻikoʻi
• koi hou aku ka nānā ʻana

Āhea pono pono ka mālama pilikia?

E kāhea koke i kāu kauka inā ʻike ʻoe:

• i kahi kala polū i loko ou a i ʻole nā ​​lehelehe o kāu keiki, ke alo, a i ʻole ke kino
• hōʻailona o ka paʻakikī hanu ʻana, e like me ka hāhā ʻana o ka umauma i loko
• Kaumaha emi
• pilikia i ka ʻai ʻana a i ʻole ka hānai ʻana