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Loaʻa i kāu keiki liʻiliʻi kēia ʻū "hae"? E kamaʻilio kākou e pili ana i ka croup!

Loaʻa i kāu keiki liʻiliʻi kēia ʻū "hae"? E kamaʻilio kākou e pili ana i ka croup!

Ua loaʻa koke anei i kāu keiki liʻiliʻi kahi ʻū ʻana ʻē a me ke anu, a ua paʻakikī iā ia ke hanu? Ma ke ʻano he makuahine, pono ʻoe e makaʻu loa i ka wā e hana ʻia ai kēlā, ʻeā? ʻO ka Croup kahi maʻi maʻamau i waena o nā keiki ʻōpio a hōʻike i kēia mau hōʻailona. I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī, me ka maʻalahi loa.

He aha kēia croup?

I ka ʻōlelo maʻalahi, croup, a i ʻole ma nā huaʻōlelo lapaʻau, ʻo "Laryngotracheobronchitis" he maʻi ia o ka puʻu, ʻo ia hoʻi, ka larynx (kahi e puka mai ai ke kani ke ʻōlelo mākou) a me ka trachea (ka paipu nui no ka hanu ʻana) i nā keiki ʻōpio . ʻO ka mea e hana ʻia ma kēia, ʻo ia ka pehu ʻana o ka ʻaoʻao o luna o ke ala ea, ʻo ia hoʻi, ka ʻāpana ma lalo o nā kaula leo. E noʻonoʻo, i ka wā e ālai ʻia ai kahi paipu wai, he paʻakikī i ka wai ke hele ma waena, i ka wā e pehu ai ke ala ea ma kēia ʻano, e haiki ana ia. A laila paʻakikī i ka mea liʻiliʻi ke hanu, a hoʻomaka ka lohe ʻia ʻana o kahi leo ʻē i ka wā e hanu ana.

ʻO kēia ka mea maʻamau i nā pēpē a me nā keiki liʻiliʻi ma lalo o 3 mau makahiki. I ka wā e ʻelemakule ai nā keiki, e nui aʻe ana ko lākou mau ala ea, no laila ʻaʻole nui ka pilikia o ka hanu ʻana i kēia ʻano pehu. ʻO ia ke kumu e emi ai ka pilikia o ka loaʻa ʻana o ka croup i nā keiki makua.

ʻO ke kumu nui o kēia, ʻo ia nā maʻi viral . E like me nā virus e hoʻoulu ai i ke anu a me ka maʻi flū, ʻaʻole e lilo nā anu viral a pau i croup.

He aha ke kani o ka ʻūhū croup?

ʻO ke ʻano nui a ʻokoʻa loa o ka croup ʻo ia kēia ʻū ʻano ʻē . He ʻū ʻino, ʻino hoʻi ia, e like me ka ʻuwā ʻana o ke sila a i ʻole ka ʻīlio liʻiliʻi e ʻū ana. Hele mai kekahi mau makuahine iaʻu me ka hopohopo a ʻōlelo mai, "E ke kauka, ua loaʻa koke i kaʻu pēpē kahi ʻū ʻana, a ua makaʻu loa wau." ʻO ia ke ʻano o ia mea.

ʻO kekahi mea ʻē aʻe, ke hanu ka pēpē, hiki ke lohe ʻia kahi leo "whooping" a i ʻole ke kani ʻūlū e puka mai ana mai ka puʻu . I ka lāʻau lapaʻau, kapa mākou i kēia he stridor . Hoʻokumu ʻia kēia leo e ka pehu ʻana a me ka haiki ʻana o ke ala ea, a me ka haʻalulu e kū mai ana i ka wā e hele ai ka ea ma o kēlā wahi haiki.

He aha nā hōʻailona ʻē aʻe?

ʻO ka maʻamau, he ʻoluʻolu ka croup a hoʻopau ʻia i loko o kekahi mau lā. Eia nō naʻe, i kekahi manawa hiki ke koʻikoʻi nā hōʻailona. ʻO ka hapa nui, hoʻomaka mālie nā hōʻailona. I ka wā mua, ua like lākou me ke anu ʻoluʻolu, me ka ihu wai a me ka ihu paʻa. A laila, i loko o 12 a 48 mau hola, hiki iā ʻoe ke loaʻa kahi ʻū ʻaoa maʻamau. Hoʻonui pinepine kēia mau hōʻailona i ka pō .

ʻO nā hōʻailona ʻē aʻe e ʻike ʻia ma ka croup māmā:

  • Ka leo palahalaha, ka manaʻo kaumaha.
  • Kuni maʻamau.
  • I kekahi manawa he ʻulaʻula o ka ʻili.
  • ʻUlaʻula o nā maka (conjunctivitis).
  • Pehu nā ʻāpana lymph i ka ʻāʻī (pehu ʻana o ka ʻāʻī lymph node).

I ka croup waena a koʻikoʻi paha, hiki ke koʻikoʻi kēia mau hōʻailona:

  • Ka paʻakikī maopopo o ka hanu ʻana : Me he mea lā ke paʻakikī nei ka pēpē i ka hanu ʻana.
  • Hoʻomaha ʻole, hoʻonāukiuki.
  • Ka huki ʻana (ka huki ʻana o ka ʻili ma waena o nā iwi umauma a ma ka umauma o luna) i ka wā e hanu ana : Hōʻike kēia i ka nui o ka paʻakikī o ka pēpē i ka hanu ʻana.
  • ʻIli polū (cyanosis) : ʻO ka ʻili polū, ʻoiai a puni nā lehelehe, ke alelo, a me nā kui, ʻo ia hoʻi, ʻaʻole lawa ka oxygen i ke kino. He pilikia kēia!

He aha ka ʻokoʻa ma waena o ka croup, RSV, a me ka whooping cough?

Hoʻopilikia kēia mau maʻi ʻekolu i ka ʻōnaehana hanu a hiki ke huikau i kekahi manawa no ka mea loaʻa lākou i nā keiki ʻōpio. E nānā kākou i nā ʻokoʻa.

ʻO RSV a me Croup

ʻO RSV (Respiratory Syncytial Virus) kekahi maʻi ʻē aʻe e hoʻopilikia i ka ʻōnaehana hanu. Hiki iā ia ke hoʻopilikia i nā pēpē a me nā pākeke. Hoʻokumu ʻo RSV i nā hōʻailona anu e like me ke kunu a me ka ʻūhā. ʻO ka mea nui, ʻo RSV kekahi ʻano maʻi hiki ke hoʻoulu i ka croup. ʻO ia hoʻi, hiki i kahi maʻi RSV ke ulu i croup i kekahi mau keiki.

ʻO ka Pertussis a me ke Croup

ʻO ka ʻūhū ʻana, a i ʻole "Pertussis" e like me ka mea i ʻike ʻia ma ke ʻano lapaʻau, he maʻi hanu ia e hoʻopilikia ana i nā keiki ʻōpio, e like me ka croup. Loaʻa i nā mea ʻelua kahi ʻūhū ʻokoʻa. Eia nō naʻe , ʻo ka ʻūhū ʻana he ʻūhū e hele pū me kahi leo "whooping" kiʻekiʻe ke hanu ke kanaka.

ʻO ka ʻokoʻa nui, ʻo ka maʻi ʻūlū ka mea i hoʻoulu ʻia e kahi maʻi bacteria, ʻoiai ʻo ka croup ka mea i hoʻoulu pinepine ʻia e kahi maʻi viral. No laila, ʻaʻohe lāʻau pale e pale aku ai i ka croup, a ʻaʻole hiki ke mālama ʻia me nā antibiotics (ʻaʻole pepehi nā antibiotics i nā virus). Aia kahi lāʻau pale e pale aku ai i ka maʻi ʻūlū, a ʻaʻole ia e hoʻōla koke e like me ka croup.

Pehea ka maʻamau o ka croup?

Ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, ua ʻōlelo ʻia ma kahi o 3% o nā keiki e loaʻa ana i ka croup i kēlā me kēia makahiki. Ua hōʻike ʻia hoʻi ʻo Croup ke kumu o 7% o nā keiki ma lalo o 5 mau makahiki e hoʻokipa ʻia ana i ka haukapila . ʻIke pinepine ʻia ia i nā keikikāne. Akā, ʻaʻohe mea e hopohopo ai, no ka mea, he 85% wale nō o nā keiki e loaʻa ana i ka croup he maʻi iki. ʻAʻole i hiki i ka 1% ke loaʻa i kahi maʻi koʻikoʻi.

He aha nā kumu o ka croup?

E like me kā mākou i kūkākūkā mua ai, ʻo ke kumu nui o ka croup he maʻi viral. ʻO kēia mau mea, ʻo ka mea maʻamau ka virus i kapa ʻia ʻo `(Parainfluenza virus). Ma waho aʻe o kēlā, ʻo nā virus e like me `(Influenza virus)` (ka virus e hoʻomaʻi ai iā mākou), `(RSV - Respiratory Syncytial Virus)`, ka virus measles, a me `(Adenovirus)` hiki ke hana i ka croup. Hoʻoulu kēia mau virus i nā ala ea ma luna o ka puʻu o ke keiki e pehu. ʻO kēia ka mea e paʻakikī ai ka hanu ʻana.

Akā, he mea maʻamau kēia mau maʻi i ke kaiapuni. ʻO ke ʻano kēia, ʻaʻole nā ​​keiki a pau i loaʻa i kahi maʻi viral e loaʻa i ka croup. He mea kākaʻikahi loa, hiki ke loaʻa kahi maʻi bacteria ma waho aʻe o ka maʻi viral, e hoʻonui ai i ke kūlana.

He maʻi lele anei ka croup?

ʻAe, he maʻi lele loa ka croup no ka mea ua laha maʻalahi nā virus e hoʻoulu ai.

Ke ʻū a ʻūhā paha kekahi kanaka me kahi maʻi viral a bacteria paha e hiki ai ke hoʻoulu i ka croup, e hoʻokuʻu ʻia nā kulu liʻiliʻi (nā kulu hanu) i ka lewa. Inā hanu kāu keiki i kēlā ea, hiki iā lākou ke loaʻa i nā germs a loaʻa i ka croup. Hiki iā lākou ke loaʻa ma ka hoʻopā ʻana i nā mea i haumia me nā germs, e like me nā mea pāʻani a i ʻole nā ​​​​puka puka, a laila hoʻopā i ko lākou waha a i ʻole ka ihu me ka lima hoʻokahi.

Hiki i ke keiki ke hoʻolaha i ka maʻi no nā lā ʻekolu mua ma hope o ka hoʻomaka ʻana o nā hōʻailona, ​​a hiki i ka emi loa ʻana o ke kuni . No laila, he mea nui e pale i ka hoʻouna ʻana i kāu keiki i ke kula a hiki i ka emi ʻana o ke kuni no 24 mau hola me ka ʻole o ka hāʻawi ʻana iā lākou i ka lāʻau hoʻohaʻahaʻa kuni.

Hiki i ka croup ke hoʻoulu i nā pilikia?

ʻO ka hapa nui o ka manawa, he maʻi palupalu ka croup hiki ke mālama ʻia ma ka home. He kākaʻikahi nā pilikia. ʻAʻole i hiki i ka 5% o nā keiki me ka croup ke pono e mālama ʻia i ka haukapila. Pono paha kāu keiki e mālama ʻia i ka haukapila inā:

  • Inā pono ʻoe e hāʻawi i ka oxygen e mālama i ka pae oxygen i loko o ke kino o ke keiki.
  • Inā loaʻa iā ʻoe ka dehydration nui a pono e hāʻawi ʻia i nā wai ma o kahi vein (IV - intravenous) .
  • Inā pono ʻoe e hāʻawi i kekahi mau lāʻau lapaʻau hanu nebulized no ka pilikia o ka hanu ʻana.
  • Inā hoʻomau nā hōʻailona ma hope o ka mālama mua ʻana.

Pehea e ʻike ai inā loaʻa ka croup i kaʻu pēpē?

ʻO ka hapa nui o ka manawa, e hoʻoholo ke kauka inā loaʻa i kāu keiki ka croup ma muli o nā hōʻailona a ke keiki e hōʻike nei . ʻO nā mea nui, ʻo ia ka ʻū ʻana o ka ʻaoa a me ke kani "stridor" i hana ʻia i ka wā e hanu ana. ʻIke nui ʻia kēia i ka hāʻule a me ka hoʻoilo (ma ko mākou ʻāina, i ka wā ua, i ka wā anuanu loa). Inā koʻikoʻi ke kūlana o ke keiki, hiki i ke kauka ke kauoha i nā X-ray a me nā hoʻokolohua lab i kekahi manawa, akā he mea kakaikahi loa kēia.

Pehea e mālama ʻia ai ka croup?

Aia ka lāʻau lapaʻau i ke koʻikoʻi o nā hōʻailona o kāu keiki a me ka pilikia o ka maʻi e ʻoi koke ana. Inā ua loaʻa i kāu keiki nā pilikia hanu ma mua, a inā paha i hānau mua ʻia lākou, e pili pū kēia i ke koho ʻana o ka lāʻau lapaʻau.

Nā lāʻau lapaʻau home (no ka croup akahai)

Inā akahai ke ʻano o ka croup, hiki ke mālama pinepine ʻia a ho'ōla ʻia ma ka home.

Mea nui: Inā ʻaʻole e hoʻomaikaʻi ke kūlana o kāu keiki me kēia mau lāʻau lapaʻau home, a inā paha e ʻoi aku ka ʻino, e ʻike pono i ke kauka.

  • Mea hoʻohaʻahaʻa noe anuanu: ʻO ka hoʻohana ʻana i kahi mea hoʻohaʻahaʻa noe anuanu, ka mea e hoʻohui ai i ka makū i ka lumi, hiki ke kōkua i ka hōʻoluʻolu ʻana i ka hanu maloʻo a paʻa.
  • Māhu o ka lumi ʻauʻau: E pani i ka puka o ka lumi ʻauʻau a hoʻā i ka wai wela mai ka ʻauʻau. A laila, e noho i loko o ka lumi ʻauʻau māhu me kāu keiki no kekahi manawa. Akā e makaʻala! Mai hoʻopā i ke keiki i loko o ka ʻauʻau a lawe mai iā lākou i kahi kokoke i ka wai wela, no ka mea hiki ke puhi iā lākou.
  • Ea anuanu: Inā pilikia kāu pēpē i ka hanu ʻana i ka pō, e wehe i ka puka a i ʻole ka puka makani e hoʻokuʻu i ka ea anuanu i loko o ka lumi (akā, mai hoʻokuʻu iā lākou i ke anu nui).
  • Lāʻau kuni: Inā loaʻa iā ʻoe ke kuni, e hāʻawi i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka (OTC) e like me ka paracetamol (e.g. Panadol, Calpol) a i ʻole ibuprofen (e.g. Brufen). Mai hāʻawi i ka aspirin i nā keiki ʻōpio.
  • Nā wai mehana no ke kuni: ʻO ka hāʻawi ʻana i nā wai mehana a maopopo (e like me ka sopa, ka wai mehana) i nā ʻāpana liʻiliʻi e hiki ke kōkua i ka wehe ʻana i ka huʻa i loko o nā kaula leo.
  • Mai puhi paka: Mai puhi paka i loko o ka hale. Hiki i ka uahi o ka paka ke hoʻonui i ka ʻūhū o kāu keiki.
  • E hoʻokiʻekiʻe i ke poʻo: I ka wā e hiamoe ana, e kākoʻo i ke poʻo o kāu pēpē me kahi uluna keu. Hiki i kēia ke kōkua iā lākou e hanu maʻalahi. Akā, mai kau i kahi moe ma luna o kahi pēpē ma lalo o hoʻokahi makahiki.

Inā hiki, ʻoi aku ka maikaʻi o ka hiamoe ʻana ma ka lumi hoʻokahi me kāu keiki, i hiki iā ʻoe ke makaʻala inā pilikia kāu keiki i ka hanu ʻana i ka pō.

Lapaʻau Lapaʻau (No ka Croup Waena a Koʻikoʻi)

Inā he waena a koʻikoʻi paha ka croup, pono ʻoe e lawe koke i kāu keiki i ka ʻOihana Pilikia kokoke loa (ETU) a i ʻole ke kauka. Hiki i ka croup koʻikoʻi ke hoʻoweliweli i ke ola, no laila ʻaʻole kūpono ke hoʻopaneʻe.

Hiki ke ʻokoʻa nā lāʻau lapaʻau i hāʻawi ʻia ma laila ma muli o nā hōʻailona o ke keiki. ʻO kekahi o kēia mau mea:

  • Ke hāʻawi nei i ka ea pulu a i ʻole ka oxygen.
  • Inā maloʻo ka wai, e hāʻawi i nā wai IV.
  • Ka nānā ʻana i nā hōʻailona koʻikoʻi: nā mea e like me ka pae oxygen, ka wikiwiki o ka hanu ʻana, a me ka helu o ka puʻuwai.
  • Nā lāʻau lapaʻau kikoʻī no ka croup: steroids (glucocorticoids) a me nā lāʻau lapaʻau nebulized (e.g. epinephrine).
  • Inā koʻikoʻi nā pilikia hanu, hiki ke hana ʻia ka hoʻoulu ʻana i ka ea mechanical i nā hihia kakaikahi.

E aʻo iki kākou e pili ana i kēia mau lāʻau lapaʻau.

Ke lawe ʻoe i kāu keiki i ke kauka a i ʻole ke keʻena pilikia, hiki i ke kauka ke hāʻawi iā ʻoe i kahi ʻano lāʻau lapaʻau i kapa ʻia he "glucocorticoid" a me kahi "nebulized epinephrine".

  • Nā Glucocorticoids:

He ʻano steroid kēia. Hana kēia lāʻau lapaʻau ma ka hōʻemi ʻana i ka pehu ʻana i loko o ka larynx (pahu leo) o kāu keiki. Hoʻomaka pinepine ia e hana i loko o 6 mau hola o ka mahele mua. ʻO ka hāʻawi ʻana i kēia lāʻau lapaʻau i kahi keiki me ka croup akahai hiki ke kōkua i ka hōʻemi ʻana i ka pono no nā kipa pinepine ʻana i ke kauka a i ʻole ka haukapila.

ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia ʻo ia ka `(dexamethasone)` a me ka `(prednisolone). Hāʻawi ʻia kēia mau mea ma ka waha, maʻamau i hoʻokahi mahele lāʻau. Inā e luaʻi ana ke keiki a ʻaʻole hiki ke hoʻomau i ka lāʻau, hiki ke hāʻawi ʻia ka `(dexamethasone)` ma ke ʻano intravenous `(IV)` a i ʻole intramuscularly `(IM injection)`.

  • ʻEpinephrine i hoʻopili ʻia:

Hāʻawi ʻia ka Epinephrine ma ke ʻano he noe ma o kahi nebulizer. Hana pū ia ma ka hōʻemi ʻana i ka pehu ʻana i loko o nā alaloa hanu. Hoʻomaka pinepine ia e hana i loko o 10 mau minuke. Eia naʻe, ʻelua hola wale nō ka lōʻihi o kona hopena. No laila, inā koʻikoʻi nā hōʻailona, ​​​​pono paha ʻoe e hana hou i ka lāʻau i kēlā me kēia 15 a 20 mau minuke.

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

ʻAʻole pili pinepine ka Epinephrine me nā hopena ʻaoʻao koʻikoʻi. Eia nō naʻe, hiki iā ia ke hana i nā mea e like me ka piʻi ʻana o ka puʻuwai (tachycardia). E nānā ke kauka i ke keiki no ʻekolu a ʻehā hola ma hope o ka mahele hope loa e ʻike inā hoʻi hou mai nā pilikia hanu.

Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka lāʻau lapaʻau?

Hoʻomaka ka hana ʻana o nā Glucocorticoids i loko o 6 mau hola o ka mahele mua. Hoʻomaka ka hana ʻana o ka Epinephrine me ka wikiwiki.

I ka manawa hea ʻoe e hopohopo ai e pili ana i ka croup?

Hiki i ka croup ke ʻoluʻolu, waena, a koʻikoʻi paha. Aia ia i ka paʻakikī o ke keiki e hanu . ʻO ke koʻikoʻi o ke kūlana e pili ana i ka nui (ke anawaena) o ke ala ea o ke keiki a me kona haiki ʻana ma muli o ka pehu ʻana. Eia kekahi, hiki i ke kūlana ke ʻoi aku ka ʻino inā huhū a uē paha ke keiki.

  • ʻO ka ʻōpū palupalu:

Hiki i ke keiki me ka croup iki ke loaʻa i ka ʻū ʻaoa a me ke kani ʻana o ka wheezing (stridor). Hiki ke ʻoi aku ka ʻino o nā hōʻailona i ka pō. No laila pono ʻoe e makaʻala i ka hanu ʻana o kāu keiki, akā i ka hapa nui o nā hihia, hiki ke mālama ʻia ma ka home.

  • ʻO ka hui kaulike:

Hiki i ke keiki me ka croup kaulike ke loaʻa kahi leo wheezing (stridor) a me nā hōʻailona o ka retractings (ka ʻili ma waena o nā iwi ʻaoʻao) i ka wā e hanu ana. Hiki iā lākou ke hopohopo iki, huikau, a paʻakikī iki ka hanu ʻana. I kēia manawa, pono e lawe ʻia ke keiki i ke kauka no ka mālama ʻana.

  • ʻO ke koʻikoʻi koʻikoʻi:

ʻO ke keiki me ka croup koʻikoʻi e loaʻa iā ia ka stridor a me ka retractions. Hiki iā lākou ke hopohopo loa, hoʻomaha ʻole, a luhi hoʻi.He mea maʻamau ka polū ʻana o ka ʻili (cyanosis). He mea hoʻoweliweli ke croup koʻikoʻi i ke ola! E lawe koke i ke keiki i kahi lumi pilikia (ETU) .

Pehea ka lōʻihi o ka mau ʻana o ka croup?

Hoʻōla ka hapa nui o nā keiki mai nā hōʻailona croup i loko o ʻelua lā , akā i kekahi manawa hiki i nā hōʻailona ke mau a hiki i hoʻokahi pule.

Āhea e hiki ai iaʻu ke hoʻihoʻi i kaʻu pēpē i ke kula?

He maʻi laha loa ka Croup. Mai hoʻouna i kāu keiki i ke kula a pau loa ko lākou kuni (pono lākou e ʻole ke kuni no 24 mau hola me ka ʻole o ka hāʻawi ʻana i ka lāʻau hoʻohaʻahaʻa kuni).

Pehea e pale ai i ka laha ʻana o ka croup?

Hiki ke laha ka croup ma o ka hoʻopā ʻana a i ʻole ma o ka lewa. No ka pale ʻana, e hana i kēia mau mea:

  • Ma hope o ka mālama ʻana i ke pēpē , e holoi pono i kou mau lima me ke kopa a hoʻomaloʻo iā lākou.
  • E holoi pono i nā mea pāʻani ma hope o ka hoʻohana ʻana.
  • E aʻo aku i kāu keiki e uhi i ko lākou waha a me ko lākou ihu i ka wā e ʻū ana a i ʻole e ʻūhā ana.
  • Mai hoʻouna i kāu keiki i ke kula/nā kikowaena mālama keiki i ka wā e maʻi ana lākou, a i ʻole inā e laha ana ka maʻi ma nā wahi e like me ke kula.
  • E hoʻolei pono i nā ʻili i hoʻohana ʻia.

Āhea wau e ʻike ai i ke kauka? / Āhea wau e hele ai i kahi lumi pilikia?

I kēia hihia, e kamaʻilio me ke kauka o kāu keiki:

  • Inā loaʻa ke kuni o ke keiki no nā lā ʻekolu a ʻoi .
  • Inā he mau hōʻailona croup iki kou no ka ʻoi aku ma mua o hoʻokahi pule .
  • Inā he mau nīnau a hopohopo paha kāu e pili ana i ke kūlana o kāu keiki.

Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e lawe koke i kāu keiki i kahi lumi pilikia (ETU) :

  • Inā maopopo ka paʻakikī o ka hanu ʻana .
  • Inā polū ka ʻili (cyanosis) (ʻoi aku hoʻi a puni nā lehelehe, ke alelo, a me nā kui).
  • Inā hoʻomau ka ʻūhū nui.
  • Inā pilikia ʻoe i ka ale ʻana, a inā paha e puka mai ana ka lawai mai kou waha mai.
  • Inā ʻaʻole hiki iā ʻoe ke hanu, ʻaʻole hiki iā ʻoe ke ʻuwā.
  • Inā ʻoe e hana i kahi leo hū kiʻekiʻe i kou hanu ʻana.
  • Inā huki ka ʻili ma waena o nā iwi umauma a ma ka umauma luna i loko (retractions) i ka wā e hanu ana.

No ke aha e loaʻa mau ai i kaʻu pēpē ka croup?

Inā hoʻomau ka loaʻa ʻana o ka croup i kāu keiki, he hōʻailona paha ia e kū ana ka haiki o ko lākou mau ala ea . ʻOi aku ka maʻalahi o kēia iā lākou i nā maʻi. Hiki ke loaʻa kēia haiki i ka wā hānau a i ʻole e ulu aʻe ma hope. Inā hoʻomau ka ʻino o ka croup, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi loea pepeiao, ihu a me ka ʻāʻī (otolaryngologist) a i ʻole kahi loea hanu (pulmonologist) .

Hiki i nā pākeke ke loaʻa i ka croup?

Hiki i nā pākeke ke loaʻa i ka croup, akā he mea kākaʻikahi loa ia. Loaʻa i nā pēpē a me nā keiki liʻiliʻi ka croup no ka mea he haiki ko lākou mau ʻōpū makani (tracheas) a ʻaʻole i ulu piha. I ka wā e ʻelemakule ai nā keiki, e nui aʻe ko lākou mau ʻōpū makani a ulu piha. ʻOiai inā pehu lākou, ʻaʻole ia e hoʻopilikia nui i ka hanu ʻana. No ka mea, he nui nā ala ea o nā pākeke, ʻaʻole pinepine ka croup iā lākou. Eia nō naʻe, inā loaʻa i kahi pākeke ka croup, hiki i kā lākou mau hōʻailona ke ʻoi aku ka koʻikoʻi a pono paha lākou i ka mālama koke ʻia.

Nā mea nui e pono ai ʻoe e hoʻomanaʻo (Leka Lawe-Home)

He maʻi hanu lele loa ka Croup e hoʻopilikia ana i nā pēpē a me nā keiki ʻōpio. Hiki iā ʻoe ke ʻike inā he croup ia ma o ke ʻano "barking" ʻokoʻa o kāu keiki. ʻO ka hapa nui o ka manawa, he akahai ka croup a nalowale wale nō, akā i kekahi manawa hiki ke lilo koke i mea ʻino a paʻakikī i kāu keiki ke hanu.

No laila, inā ʻaʻole e hoʻomaikaʻi ka croup o kāu keiki, a i ʻole e ʻoi aku ka ʻino, mai hoʻokaʻulua a ʻike i ke kauka no ka nānā ʻana a me ka mālama ʻana. ʻO ka mea nui loa, ʻaʻole e hopohopo a hana i ka mea kūpono. ʻAʻole ʻoe hoʻokahi, aia mākou a pau me ʻoe!

👩🏽‍⚕️ Nā nīnau hou aku (FAQs)

💬 He hōʻailona anei ka croup (ka ʻū ʻana e like me ka ʻīlio e ʻaoa ana) i nā keiki ʻōpio o ka niumonia?

ʻAʻole! He maʻi maʻamau loa kēia, ʻokoʻa mai ka maʻi niumonia. Hoʻopilikia nui ia i nā keiki ma waena o 6 mahina a me 3 mau makahiki. Hoʻokumu ʻia ia e kahi maʻi (Parainfluenza virus) e hoʻoulu ai i ka pehu o ka larynx a me ka trachea (windpipe), e paʻakikī ai ka hanu ʻana.

💬 No ke aha i ʻōlelo ʻia ai ua ʻaoa ke keiki e like me ka ʻīlio ke loaʻa iā ia kēia ʻū?

Ma muli o ka pehu ʻana a me ka haiki ʻana o ka ʻōpū hanu, hana ia i kahi leo ʻē a ʻinoʻino i ka wā e hanu ana a me ke kuʻi ʻana, e like me ka 'kuʻi ʻaoa'. ʻOi aku ka hopohopo, i ka wā e hanu ai ke keiki, lohe ʻia kahi leo ʻūlū ʻē (stridor). ʻIke nui ʻia kēia i ka pō.

💬 He mea weliweli anei kēia? He aha ka hōʻoluʻolu e hiki ke hāʻawi ʻia i ka pēpē ma ka home?

ʻAʻole weliweli ka hapa nui o lākou a e hoʻopau ʻia i loko o kekahi mau lā. E hoʻomau i ke keiki me ka mālie (ʻo ka uē ʻana e hoʻonui i ka paʻakikī o ka hanu ʻana). ʻO ka hāʻawi ʻana i kahi ea anuanu a pulu paha (cool mist humidifier) ​​ma ka home hiki ke hāʻawi i ka hōʻoluʻolu wikiwiki. Eia nō naʻe, inā polū nā lehelehe o ke keiki a inā paʻakikī ke hanu, pono ʻoe e lawe koke iā ia i ka haukapila a hāʻawi iā ia i nā steroids / epinephrine.


ʻO ka ʻōpū, ka ʻūlū ʻana, nā maʻi kamaliʻi, nā maʻi hanu, Stridor, paʻakikī i ka hanu ʻana

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.

Hoʻohui i kāu manaʻo

E ʻoluʻolu e helu: 3 + 7 =
Loaʻa i kāu keiki liʻiliʻi kēia ʻū "hae"? E kamaʻilio kākou e pili ana i ka croup!

Loaʻa i kāu keiki liʻiliʻi kēia ʻū "hae"? E kamaʻilio kākou e pili ana i ka croup!

Ua loaʻa koke anei i kāu keiki liʻiliʻi kahi ʻū ʻana ʻē a me ke anu, a ua paʻakikī iā ia ke hanu? Ma ke ʻano he makuahine, pono ʻoe e makaʻu loa i ka wā e hana ʻia ai kēlā, ʻeā? ʻO ka Croup kahi maʻi maʻamau i waena o nā keiki ʻōpio a hōʻike i kēia mau hōʻailona. I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī, me ka maʻalahi loa.

He aha kēia croup?

I ka ʻōlelo maʻalahi, croup, a i ʻole ma nā huaʻōlelo lapaʻau, ʻo "Laryngotracheobronchitis" he maʻi ia o ka puʻu, ʻo ia hoʻi, ka larynx (kahi e puka mai ai ke kani ke ʻōlelo mākou) a me ka trachea (ka paipu nui no ka hanu ʻana) i nā keiki ʻōpio . ʻO ka mea e hana ʻia ma kēia, ʻo ia ka pehu ʻana o ka ʻaoʻao o luna o ke ala ea, ʻo ia hoʻi, ka ʻāpana ma lalo o nā kaula leo. E noʻonoʻo, i ka wā e ālai ʻia ai kahi paipu wai, he paʻakikī i ka wai ke hele ma waena, i ka wā e pehu ai ke ala ea ma kēia ʻano, e haiki ana ia. A laila paʻakikī i ka mea liʻiliʻi ke hanu, a hoʻomaka ka lohe ʻia ʻana o kahi leo ʻē i ka wā e hanu ana.

ʻO kēia ka mea maʻamau i nā pēpē a me nā keiki liʻiliʻi ma lalo o 3 mau makahiki. I ka wā e ʻelemakule ai nā keiki, e nui aʻe ana ko lākou mau ala ea, no laila ʻaʻole nui ka pilikia o ka hanu ʻana i kēia ʻano pehu. ʻO ia ke kumu e emi ai ka pilikia o ka loaʻa ʻana o ka croup i nā keiki makua.

ʻO ke kumu nui o kēia, ʻo ia nā maʻi viral . E like me nā virus e hoʻoulu ai i ke anu a me ka maʻi flū, ʻaʻole e lilo nā anu viral a pau i croup.

He aha ke kani o ka ʻūhū croup?

ʻO ke ʻano nui a ʻokoʻa loa o ka croup ʻo ia kēia ʻū ʻano ʻē . He ʻū ʻino, ʻino hoʻi ia, e like me ka ʻuwā ʻana o ke sila a i ʻole ka ʻīlio liʻiliʻi e ʻū ana. Hele mai kekahi mau makuahine iaʻu me ka hopohopo a ʻōlelo mai, "E ke kauka, ua loaʻa koke i kaʻu pēpē kahi ʻū ʻana, a ua makaʻu loa wau." ʻO ia ke ʻano o ia mea.

ʻO kekahi mea ʻē aʻe, ke hanu ka pēpē, hiki ke lohe ʻia kahi leo "whooping" a i ʻole ke kani ʻūlū e puka mai ana mai ka puʻu . I ka lāʻau lapaʻau, kapa mākou i kēia he stridor . Hoʻokumu ʻia kēia leo e ka pehu ʻana a me ka haiki ʻana o ke ala ea, a me ka haʻalulu e kū mai ana i ka wā e hele ai ka ea ma o kēlā wahi haiki.

He aha nā hōʻailona ʻē aʻe?

ʻO ka maʻamau, he ʻoluʻolu ka croup a hoʻopau ʻia i loko o kekahi mau lā. Eia nō naʻe, i kekahi manawa hiki ke koʻikoʻi nā hōʻailona. ʻO ka hapa nui, hoʻomaka mālie nā hōʻailona. I ka wā mua, ua like lākou me ke anu ʻoluʻolu, me ka ihu wai a me ka ihu paʻa. A laila, i loko o 12 a 48 mau hola, hiki iā ʻoe ke loaʻa kahi ʻū ʻaoa maʻamau. Hoʻonui pinepine kēia mau hōʻailona i ka pō .

ʻO nā hōʻailona ʻē aʻe e ʻike ʻia ma ka croup māmā:

  • Ka leo palahalaha, ka manaʻo kaumaha.
  • Kuni maʻamau.
  • I kekahi manawa he ʻulaʻula o ka ʻili.
  • ʻUlaʻula o nā maka (conjunctivitis).
  • Pehu nā ʻāpana lymph i ka ʻāʻī (pehu ʻana o ka ʻāʻī lymph node).

I ka croup waena a koʻikoʻi paha, hiki ke koʻikoʻi kēia mau hōʻailona:

  • Ka paʻakikī maopopo o ka hanu ʻana : Me he mea lā ke paʻakikī nei ka pēpē i ka hanu ʻana.
  • Hoʻomaha ʻole, hoʻonāukiuki.
  • Ka huki ʻana (ka huki ʻana o ka ʻili ma waena o nā iwi umauma a ma ka umauma o luna) i ka wā e hanu ana : Hōʻike kēia i ka nui o ka paʻakikī o ka pēpē i ka hanu ʻana.
  • ʻIli polū (cyanosis) : ʻO ka ʻili polū, ʻoiai a puni nā lehelehe, ke alelo, a me nā kui, ʻo ia hoʻi, ʻaʻole lawa ka oxygen i ke kino. He pilikia kēia!

He aha ka ʻokoʻa ma waena o ka croup, RSV, a me ka whooping cough?

Hoʻopilikia kēia mau maʻi ʻekolu i ka ʻōnaehana hanu a hiki ke huikau i kekahi manawa no ka mea loaʻa lākou i nā keiki ʻōpio. E nānā kākou i nā ʻokoʻa.

ʻO RSV a me Croup

ʻO RSV (Respiratory Syncytial Virus) kekahi maʻi ʻē aʻe e hoʻopilikia i ka ʻōnaehana hanu. Hiki iā ia ke hoʻopilikia i nā pēpē a me nā pākeke. Hoʻokumu ʻo RSV i nā hōʻailona anu e like me ke kunu a me ka ʻūhā. ʻO ka mea nui, ʻo RSV kekahi ʻano maʻi hiki ke hoʻoulu i ka croup. ʻO ia hoʻi, hiki i kahi maʻi RSV ke ulu i croup i kekahi mau keiki.

ʻO ka Pertussis a me ke Croup

ʻO ka ʻūhū ʻana, a i ʻole "Pertussis" e like me ka mea i ʻike ʻia ma ke ʻano lapaʻau, he maʻi hanu ia e hoʻopilikia ana i nā keiki ʻōpio, e like me ka croup. Loaʻa i nā mea ʻelua kahi ʻūhū ʻokoʻa. Eia nō naʻe , ʻo ka ʻūhū ʻana he ʻūhū e hele pū me kahi leo "whooping" kiʻekiʻe ke hanu ke kanaka.

ʻO ka ʻokoʻa nui, ʻo ka maʻi ʻūlū ka mea i hoʻoulu ʻia e kahi maʻi bacteria, ʻoiai ʻo ka croup ka mea i hoʻoulu pinepine ʻia e kahi maʻi viral. No laila, ʻaʻohe lāʻau pale e pale aku ai i ka croup, a ʻaʻole hiki ke mālama ʻia me nā antibiotics (ʻaʻole pepehi nā antibiotics i nā virus). Aia kahi lāʻau pale e pale aku ai i ka maʻi ʻūlū, a ʻaʻole ia e hoʻōla koke e like me ka croup.

Pehea ka maʻamau o ka croup?

Ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, ua ʻōlelo ʻia ma kahi o 3% o nā keiki e loaʻa ana i ka croup i kēlā me kēia makahiki. Ua hōʻike ʻia hoʻi ʻo Croup ke kumu o 7% o nā keiki ma lalo o 5 mau makahiki e hoʻokipa ʻia ana i ka haukapila . ʻIke pinepine ʻia ia i nā keikikāne. Akā, ʻaʻohe mea e hopohopo ai, no ka mea, he 85% wale nō o nā keiki e loaʻa ana i ka croup he maʻi iki. ʻAʻole i hiki i ka 1% ke loaʻa i kahi maʻi koʻikoʻi.

He aha nā kumu o ka croup?

E like me kā mākou i kūkākūkā mua ai, ʻo ke kumu nui o ka croup he maʻi viral. ʻO kēia mau mea, ʻo ka mea maʻamau ka virus i kapa ʻia ʻo `(Parainfluenza virus). Ma waho aʻe o kēlā, ʻo nā virus e like me `(Influenza virus)` (ka virus e hoʻomaʻi ai iā mākou), `(RSV - Respiratory Syncytial Virus)`, ka virus measles, a me `(Adenovirus)` hiki ke hana i ka croup. Hoʻoulu kēia mau virus i nā ala ea ma luna o ka puʻu o ke keiki e pehu. ʻO kēia ka mea e paʻakikī ai ka hanu ʻana.

Akā, he mea maʻamau kēia mau maʻi i ke kaiapuni. ʻO ke ʻano kēia, ʻaʻole nā ​​keiki a pau i loaʻa i kahi maʻi viral e loaʻa i ka croup. He mea kākaʻikahi loa, hiki ke loaʻa kahi maʻi bacteria ma waho aʻe o ka maʻi viral, e hoʻonui ai i ke kūlana.

He maʻi lele anei ka croup?

ʻAe, he maʻi lele loa ka croup no ka mea ua laha maʻalahi nā virus e hoʻoulu ai.

Ke ʻū a ʻūhā paha kekahi kanaka me kahi maʻi viral a bacteria paha e hiki ai ke hoʻoulu i ka croup, e hoʻokuʻu ʻia nā kulu liʻiliʻi (nā kulu hanu) i ka lewa. Inā hanu kāu keiki i kēlā ea, hiki iā lākou ke loaʻa i nā germs a loaʻa i ka croup. Hiki iā lākou ke loaʻa ma ka hoʻopā ʻana i nā mea i haumia me nā germs, e like me nā mea pāʻani a i ʻole nā ​​​​puka puka, a laila hoʻopā i ko lākou waha a i ʻole ka ihu me ka lima hoʻokahi.

Hiki i ke keiki ke hoʻolaha i ka maʻi no nā lā ʻekolu mua ma hope o ka hoʻomaka ʻana o nā hōʻailona, ​​a hiki i ka emi loa ʻana o ke kuni . No laila, he mea nui e pale i ka hoʻouna ʻana i kāu keiki i ke kula a hiki i ka emi ʻana o ke kuni no 24 mau hola me ka ʻole o ka hāʻawi ʻana iā lākou i ka lāʻau hoʻohaʻahaʻa kuni.

Hiki i ka croup ke hoʻoulu i nā pilikia?

ʻO ka hapa nui o ka manawa, he maʻi palupalu ka croup hiki ke mālama ʻia ma ka home. He kākaʻikahi nā pilikia. ʻAʻole i hiki i ka 5% o nā keiki me ka croup ke pono e mālama ʻia i ka haukapila. Pono paha kāu keiki e mālama ʻia i ka haukapila inā:

  • Inā pono ʻoe e hāʻawi i ka oxygen e mālama i ka pae oxygen i loko o ke kino o ke keiki.
  • Inā loaʻa iā ʻoe ka dehydration nui a pono e hāʻawi ʻia i nā wai ma o kahi vein (IV - intravenous) .
  • Inā pono ʻoe e hāʻawi i kekahi mau lāʻau lapaʻau hanu nebulized no ka pilikia o ka hanu ʻana.
  • Inā hoʻomau nā hōʻailona ma hope o ka mālama mua ʻana.

Pehea e ʻike ai inā loaʻa ka croup i kaʻu pēpē?

ʻO ka hapa nui o ka manawa, e hoʻoholo ke kauka inā loaʻa i kāu keiki ka croup ma muli o nā hōʻailona a ke keiki e hōʻike nei . ʻO nā mea nui, ʻo ia ka ʻū ʻana o ka ʻaoa a me ke kani "stridor" i hana ʻia i ka wā e hanu ana. ʻIke nui ʻia kēia i ka hāʻule a me ka hoʻoilo (ma ko mākou ʻāina, i ka wā ua, i ka wā anuanu loa). Inā koʻikoʻi ke kūlana o ke keiki, hiki i ke kauka ke kauoha i nā X-ray a me nā hoʻokolohua lab i kekahi manawa, akā he mea kakaikahi loa kēia.

Pehea e mālama ʻia ai ka croup?

Aia ka lāʻau lapaʻau i ke koʻikoʻi o nā hōʻailona o kāu keiki a me ka pilikia o ka maʻi e ʻoi koke ana. Inā ua loaʻa i kāu keiki nā pilikia hanu ma mua, a inā paha i hānau mua ʻia lākou, e pili pū kēia i ke koho ʻana o ka lāʻau lapaʻau.

Nā lāʻau lapaʻau home (no ka croup akahai)

Inā akahai ke ʻano o ka croup, hiki ke mālama pinepine ʻia a ho'ōla ʻia ma ka home.

Mea nui: Inā ʻaʻole e hoʻomaikaʻi ke kūlana o kāu keiki me kēia mau lāʻau lapaʻau home, a inā paha e ʻoi aku ka ʻino, e ʻike pono i ke kauka.

  • Mea hoʻohaʻahaʻa noe anuanu: ʻO ka hoʻohana ʻana i kahi mea hoʻohaʻahaʻa noe anuanu, ka mea e hoʻohui ai i ka makū i ka lumi, hiki ke kōkua i ka hōʻoluʻolu ʻana i ka hanu maloʻo a paʻa.
  • Māhu o ka lumi ʻauʻau: E pani i ka puka o ka lumi ʻauʻau a hoʻā i ka wai wela mai ka ʻauʻau. A laila, e noho i loko o ka lumi ʻauʻau māhu me kāu keiki no kekahi manawa. Akā e makaʻala! Mai hoʻopā i ke keiki i loko o ka ʻauʻau a lawe mai iā lākou i kahi kokoke i ka wai wela, no ka mea hiki ke puhi iā lākou.
  • Ea anuanu: Inā pilikia kāu pēpē i ka hanu ʻana i ka pō, e wehe i ka puka a i ʻole ka puka makani e hoʻokuʻu i ka ea anuanu i loko o ka lumi (akā, mai hoʻokuʻu iā lākou i ke anu nui).
  • Lāʻau kuni: Inā loaʻa iā ʻoe ke kuni, e hāʻawi i ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka (OTC) e like me ka paracetamol (e.g. Panadol, Calpol) a i ʻole ibuprofen (e.g. Brufen). Mai hāʻawi i ka aspirin i nā keiki ʻōpio.
  • Nā wai mehana no ke kuni: ʻO ka hāʻawi ʻana i nā wai mehana a maopopo (e like me ka sopa, ka wai mehana) i nā ʻāpana liʻiliʻi e hiki ke kōkua i ka wehe ʻana i ka huʻa i loko o nā kaula leo.
  • Mai puhi paka: Mai puhi paka i loko o ka hale. Hiki i ka uahi o ka paka ke hoʻonui i ka ʻūhū o kāu keiki.
  • E hoʻokiʻekiʻe i ke poʻo: I ka wā e hiamoe ana, e kākoʻo i ke poʻo o kāu pēpē me kahi uluna keu. Hiki i kēia ke kōkua iā lākou e hanu maʻalahi. Akā, mai kau i kahi moe ma luna o kahi pēpē ma lalo o hoʻokahi makahiki.

Inā hiki, ʻoi aku ka maikaʻi o ka hiamoe ʻana ma ka lumi hoʻokahi me kāu keiki, i hiki iā ʻoe ke makaʻala inā pilikia kāu keiki i ka hanu ʻana i ka pō.

Lapaʻau Lapaʻau (No ka Croup Waena a Koʻikoʻi)

Inā he waena a koʻikoʻi paha ka croup, pono ʻoe e lawe koke i kāu keiki i ka ʻOihana Pilikia kokoke loa (ETU) a i ʻole ke kauka. Hiki i ka croup koʻikoʻi ke hoʻoweliweli i ke ola, no laila ʻaʻole kūpono ke hoʻopaneʻe.

Hiki ke ʻokoʻa nā lāʻau lapaʻau i hāʻawi ʻia ma laila ma muli o nā hōʻailona o ke keiki. ʻO kekahi o kēia mau mea:

  • Ke hāʻawi nei i ka ea pulu a i ʻole ka oxygen.
  • Inā maloʻo ka wai, e hāʻawi i nā wai IV.
  • Ka nānā ʻana i nā hōʻailona koʻikoʻi: nā mea e like me ka pae oxygen, ka wikiwiki o ka hanu ʻana, a me ka helu o ka puʻuwai.
  • Nā lāʻau lapaʻau kikoʻī no ka croup: steroids (glucocorticoids) a me nā lāʻau lapaʻau nebulized (e.g. epinephrine).
  • Inā koʻikoʻi nā pilikia hanu, hiki ke hana ʻia ka hoʻoulu ʻana i ka ea mechanical i nā hihia kakaikahi.

E aʻo iki kākou e pili ana i kēia mau lāʻau lapaʻau.

Ke lawe ʻoe i kāu keiki i ke kauka a i ʻole ke keʻena pilikia, hiki i ke kauka ke hāʻawi iā ʻoe i kahi ʻano lāʻau lapaʻau i kapa ʻia he "glucocorticoid" a me kahi "nebulized epinephrine".

  • Nā Glucocorticoids:

He ʻano steroid kēia. Hana kēia lāʻau lapaʻau ma ka hōʻemi ʻana i ka pehu ʻana i loko o ka larynx (pahu leo) o kāu keiki. Hoʻomaka pinepine ia e hana i loko o 6 mau hola o ka mahele mua. ʻO ka hāʻawi ʻana i kēia lāʻau lapaʻau i kahi keiki me ka croup akahai hiki ke kōkua i ka hōʻemi ʻana i ka pono no nā kipa pinepine ʻana i ke kauka a i ʻole ka haukapila.

ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia ʻo ia ka `(dexamethasone)` a me ka `(prednisolone). Hāʻawi ʻia kēia mau mea ma ka waha, maʻamau i hoʻokahi mahele lāʻau. Inā e luaʻi ana ke keiki a ʻaʻole hiki ke hoʻomau i ka lāʻau, hiki ke hāʻawi ʻia ka `(dexamethasone)` ma ke ʻano intravenous `(IV)` a i ʻole intramuscularly `(IM injection)`.

  • ʻEpinephrine i hoʻopili ʻia:

Hāʻawi ʻia ka Epinephrine ma ke ʻano he noe ma o kahi nebulizer. Hana pū ia ma ka hōʻemi ʻana i ka pehu ʻana i loko o nā alaloa hanu. Hoʻomaka pinepine ia e hana i loko o 10 mau minuke. Eia naʻe, ʻelua hola wale nō ka lōʻihi o kona hopena. No laila, inā koʻikoʻi nā hōʻailona, ​​​​pono paha ʻoe e hana hou i ka lāʻau i kēlā me kēia 15 a 20 mau minuke.

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

ʻAʻole pili pinepine ka Epinephrine me nā hopena ʻaoʻao koʻikoʻi. Eia nō naʻe, hiki iā ia ke hana i nā mea e like me ka piʻi ʻana o ka puʻuwai (tachycardia). E nānā ke kauka i ke keiki no ʻekolu a ʻehā hola ma hope o ka mahele hope loa e ʻike inā hoʻi hou mai nā pilikia hanu.

Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka lāʻau lapaʻau?

Hoʻomaka ka hana ʻana o nā Glucocorticoids i loko o 6 mau hola o ka mahele mua. Hoʻomaka ka hana ʻana o ka Epinephrine me ka wikiwiki.

I ka manawa hea ʻoe e hopohopo ai e pili ana i ka croup?

Hiki i ka croup ke ʻoluʻolu, waena, a koʻikoʻi paha. Aia ia i ka paʻakikī o ke keiki e hanu . ʻO ke koʻikoʻi o ke kūlana e pili ana i ka nui (ke anawaena) o ke ala ea o ke keiki a me kona haiki ʻana ma muli o ka pehu ʻana. Eia kekahi, hiki i ke kūlana ke ʻoi aku ka ʻino inā huhū a uē paha ke keiki.

  • ʻO ka ʻōpū palupalu:

Hiki i ke keiki me ka croup iki ke loaʻa i ka ʻū ʻaoa a me ke kani ʻana o ka wheezing (stridor). Hiki ke ʻoi aku ka ʻino o nā hōʻailona i ka pō. No laila pono ʻoe e makaʻala i ka hanu ʻana o kāu keiki, akā i ka hapa nui o nā hihia, hiki ke mālama ʻia ma ka home.

  • ʻO ka hui kaulike:

Hiki i ke keiki me ka croup kaulike ke loaʻa kahi leo wheezing (stridor) a me nā hōʻailona o ka retractings (ka ʻili ma waena o nā iwi ʻaoʻao) i ka wā e hanu ana. Hiki iā lākou ke hopohopo iki, huikau, a paʻakikī iki ka hanu ʻana. I kēia manawa, pono e lawe ʻia ke keiki i ke kauka no ka mālama ʻana.

  • ʻO ke koʻikoʻi koʻikoʻi:

ʻO ke keiki me ka croup koʻikoʻi e loaʻa iā ia ka stridor a me ka retractions. Hiki iā lākou ke hopohopo loa, hoʻomaha ʻole, a luhi hoʻi.He mea maʻamau ka polū ʻana o ka ʻili (cyanosis). He mea hoʻoweliweli ke croup koʻikoʻi i ke ola! E lawe koke i ke keiki i kahi lumi pilikia (ETU) .

Pehea ka lōʻihi o ka mau ʻana o ka croup?

Hoʻōla ka hapa nui o nā keiki mai nā hōʻailona croup i loko o ʻelua lā , akā i kekahi manawa hiki i nā hōʻailona ke mau a hiki i hoʻokahi pule.

Āhea e hiki ai iaʻu ke hoʻihoʻi i kaʻu pēpē i ke kula?

He maʻi laha loa ka Croup. Mai hoʻouna i kāu keiki i ke kula a pau loa ko lākou kuni (pono lākou e ʻole ke kuni no 24 mau hola me ka ʻole o ka hāʻawi ʻana i ka lāʻau hoʻohaʻahaʻa kuni).

Pehea e pale ai i ka laha ʻana o ka croup?

Hiki ke laha ka croup ma o ka hoʻopā ʻana a i ʻole ma o ka lewa. No ka pale ʻana, e hana i kēia mau mea:

  • Ma hope o ka mālama ʻana i ke pēpē , e holoi pono i kou mau lima me ke kopa a hoʻomaloʻo iā lākou.
  • E holoi pono i nā mea pāʻani ma hope o ka hoʻohana ʻana.
  • E aʻo aku i kāu keiki e uhi i ko lākou waha a me ko lākou ihu i ka wā e ʻū ana a i ʻole e ʻūhā ana.
  • Mai hoʻouna i kāu keiki i ke kula/nā kikowaena mālama keiki i ka wā e maʻi ana lākou, a i ʻole inā e laha ana ka maʻi ma nā wahi e like me ke kula.
  • E hoʻolei pono i nā ʻili i hoʻohana ʻia.

Āhea wau e ʻike ai i ke kauka? / Āhea wau e hele ai i kahi lumi pilikia?

I kēia hihia, e kamaʻilio me ke kauka o kāu keiki:

  • Inā loaʻa ke kuni o ke keiki no nā lā ʻekolu a ʻoi .
  • Inā he mau hōʻailona croup iki kou no ka ʻoi aku ma mua o hoʻokahi pule .
  • Inā he mau nīnau a hopohopo paha kāu e pili ana i ke kūlana o kāu keiki.

Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e lawe koke i kāu keiki i kahi lumi pilikia (ETU) :

  • Inā maopopo ka paʻakikī o ka hanu ʻana .
  • Inā polū ka ʻili (cyanosis) (ʻoi aku hoʻi a puni nā lehelehe, ke alelo, a me nā kui).
  • Inā hoʻomau ka ʻūhū nui.
  • Inā pilikia ʻoe i ka ale ʻana, a inā paha e puka mai ana ka lawai mai kou waha mai.
  • Inā ʻaʻole hiki iā ʻoe ke hanu, ʻaʻole hiki iā ʻoe ke ʻuwā.
  • Inā ʻoe e hana i kahi leo hū kiʻekiʻe i kou hanu ʻana.
  • Inā huki ka ʻili ma waena o nā iwi umauma a ma ka umauma luna i loko (retractions) i ka wā e hanu ana.

No ke aha e loaʻa mau ai i kaʻu pēpē ka croup?

Inā hoʻomau ka loaʻa ʻana o ka croup i kāu keiki, he hōʻailona paha ia e kū ana ka haiki o ko lākou mau ala ea . ʻOi aku ka maʻalahi o kēia iā lākou i nā maʻi. Hiki ke loaʻa kēia haiki i ka wā hānau a i ʻole e ulu aʻe ma hope. Inā hoʻomau ka ʻino o ka croup, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi loea pepeiao, ihu a me ka ʻāʻī (otolaryngologist) a i ʻole kahi loea hanu (pulmonologist) .

Hiki i nā pākeke ke loaʻa i ka croup?

Hiki i nā pākeke ke loaʻa i ka croup, akā he mea kākaʻikahi loa ia. Loaʻa i nā pēpē a me nā keiki liʻiliʻi ka croup no ka mea he haiki ko lākou mau ʻōpū makani (tracheas) a ʻaʻole i ulu piha. I ka wā e ʻelemakule ai nā keiki, e nui aʻe ko lākou mau ʻōpū makani a ulu piha. ʻOiai inā pehu lākou, ʻaʻole ia e hoʻopilikia nui i ka hanu ʻana. No ka mea, he nui nā ala ea o nā pākeke, ʻaʻole pinepine ka croup iā lākou. Eia nō naʻe, inā loaʻa i kahi pākeke ka croup, hiki i kā lākou mau hōʻailona ke ʻoi aku ka koʻikoʻi a pono paha lākou i ka mālama koke ʻia.

Nā mea nui e pono ai ʻoe e hoʻomanaʻo (Leka Lawe-Home)

He maʻi hanu lele loa ka Croup e hoʻopilikia ana i nā pēpē a me nā keiki ʻōpio. Hiki iā ʻoe ke ʻike inā he croup ia ma o ke ʻano "barking" ʻokoʻa o kāu keiki. ʻO ka hapa nui o ka manawa, he akahai ka croup a nalowale wale nō, akā i kekahi manawa hiki ke lilo koke i mea ʻino a paʻakikī i kāu keiki ke hanu.

No laila, inā ʻaʻole e hoʻomaikaʻi ka croup o kāu keiki, a i ʻole e ʻoi aku ka ʻino, mai hoʻokaʻulua a ʻike i ke kauka no ka nānā ʻana a me ka mālama ʻana. ʻO ka mea nui loa, ʻaʻole e hopohopo a hana i ka mea kūpono. ʻAʻole ʻoe hoʻokahi, aia mākou a pau me ʻoe!

👩🏽‍⚕️ Nā nīnau hou aku (FAQs)

💬 He hōʻailona anei ka croup (ka ʻū ʻana e like me ka ʻīlio e ʻaoa ana) i nā keiki ʻōpio o ka niumonia?

ʻAʻole! He maʻi maʻamau loa kēia, ʻokoʻa mai ka maʻi niumonia. Hoʻopilikia nui ia i nā keiki ma waena o 6 mahina a me 3 mau makahiki. Hoʻokumu ʻia ia e kahi maʻi (Parainfluenza virus) e hoʻoulu ai i ka pehu o ka larynx a me ka trachea (windpipe), e paʻakikī ai ka hanu ʻana.

💬 No ke aha i ʻōlelo ʻia ai ua ʻaoa ke keiki e like me ka ʻīlio ke loaʻa iā ia kēia ʻū?

Ma muli o ka pehu ʻana a me ka haiki ʻana o ka ʻōpū hanu, hana ia i kahi leo ʻē a ʻinoʻino i ka wā e hanu ana a me ke kuʻi ʻana, e like me ka 'kuʻi ʻaoa'. ʻOi aku ka hopohopo, i ka wā e hanu ai ke keiki, lohe ʻia kahi leo ʻūlū ʻē (stridor). ʻIke nui ʻia kēia i ka pō.

💬 He mea weliweli anei kēia? He aha ka hōʻoluʻolu e hiki ke hāʻawi ʻia i ka pēpē ma ka home?

ʻAʻole weliweli ka hapa nui o lākou a e hoʻopau ʻia i loko o kekahi mau lā. E hoʻomau i ke keiki me ka mālie (ʻo ka uē ʻana e hoʻonui i ka paʻakikī o ka hanu ʻana). ʻO ka hāʻawi ʻana i kahi ea anuanu a pulu paha (cool mist humidifier) ​​ma ka home hiki ke hāʻawi i ka hōʻoluʻolu wikiwiki. Eia nō naʻe, inā polū nā lehelehe o ke keiki a inā paʻakikī ke hanu, pono ʻoe e lawe koke iā ia i ka haukapila a hāʻawi iā ia i nā steroids / epinephrine.


ʻO ka ʻōpū, ka ʻūlū ʻana, nā maʻi kamaliʻi, nā maʻi hanu, Stridor, paʻakikī i ka hanu ʻana

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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