Koj tus me nyuam puas muaj hnoos 'qaug' zoo li no? Cia peb tham txog Croup! - Nirogi Lanka

Koj tus me nyuam puas tau mob khaub thuas tam sim ntawd, ua raws li qhov hnoos txawv txawv, thiab ua pa nyuaj? Ua ib tug niam txiv, nws yog ib qho ntuj tsim uas yuav ntshai thaum qhov no tshwm sim. Cov tsos mob no feem ntau tshwm sim rau cov menyuam yaus thiab feem ntau yog ib qho cim ntawm tus mob hu ua Croup . Ntawm Nirogi Lanka, peb xav pab koj nkag siab txog tus mob no kom meej thiab yooj yim.

Croup yog dab tsi?

Hais yooj yim xwb, Croup—uas hu ua laryngotracheobronchitis —yog ib qho kab mob uas cuam tshuam rau txoj hlab pa sab saud ntawm cov menyuam yaus, tshwj xeeb yog lub larynx (lub thawv suab) thiab trachea (lub raj cua loj). Thaum thaj chaw no o, txoj hlab pa yuav nqaim. Xav txog nws zoo li lub qhov dej hauv lub vaj; vim tias txoj hlab pa nqaim, koj tus menyuam yuav pom tias nws nyuaj rau ua pa, feem ntau ua rau muaj lub suab txawv txawv thaum lawv nqus pa.

Kab mob Croup feem ntau tshwm sim rau cov menyuam yaus hnub nyoog qis dua 3 xyoos . Thaum cov menyuam yaus loj hlob tuaj, lawv txoj hlab pa yuav dav dua, ua rau hom kev o no yuav tsis ua rau ua pa nyuaj. Qhov no yog vim li cas koj thiaj tsis tshua pom kab mob croup rau cov menyuam yaus loj dua.

Qhov ua rau mob yog los ntawm kev kis kab mob los ntawm cov kab mob sib kis - tib hom kab mob uas ua rau mob khaub thuas thiab mob ntsws. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias tsis yog txhua yam mob khaub thuas ua rau mob croup.

Kab mob Croup hnoos zoo li cas?

Qhov cim qhia txog tus kab mob croup yog nws cov hnoos tshwj xeeb . Nws yog ib qho hnoos hnyav, ntsws, "hnoos" uas suab zoo li lub suab ntawm cov ntses lossis tus dev me me quaj. Muaj ntau tus niam txiv hais rau kuv tias, "Kws kho mob, kuv tus menyuam tau pib hnoos uas suab zoo li tus dev quaj, thiab nws ua rau ntshai heev." Qhov ntawd yog qhov nws suab.

Tsis tas li ntawd xwb, tej zaum koj yuav hnov ​​lub suab nrov nrov, co, lossis hu nkauj thaum koj tus menyuam ua pa. Hauv kev kho mob, peb hu qhov no ua stridor . Qhov no tshwm sim vim tias huab cua tab tom tawm tsam kom dhau los ntawm qhov o thiab nqaim ntawm lub raj cua, tsim kev co.

Cov tsos mob ntxiv yog dab tsi?

Feem ntau tus mob croup tsis hnyav heev thiab feem ntau yuav ploj mus li ob peb hnub xwb. Txawm li cas los xij, cov tsos mob yuav hnyav zuj zus. Feem ntau lawv pib maj mam nrog cov cim qhia tias mob khaub thuas, xws li ntswg ntws los yog txhaws. Tom qab li 12 txog 48 teev , tus mob hnoos qeev yuav tshwm sim, feem ntau yuav hnyav zuj zus thaum hmo ntuj .

Cov tsos mob ntawm Mild Croup muaj xws li:

• Lub suab nrov dhau los yog lub suab tsis meej.
• Kub taub hau me ntsis.
• Qee zaum, ua pob khaus ntawm daim tawv nqaij.
• Qhov muag liab (mob qhov muag).
• Cov qog ntshav hauv caj dab o.

Cov cim qhia ntawm Croup nruab nrab mus rau hnyav muaj xws li:

• Ua pa nyuaj : Koj tus menyuam yuav zoo li qaug zog thaum sim ua pa.
• Kev tsis xis nyob lossis kev chim siab tsis tshua muaj.
• Kev rub rov qab : Tej zaum koj yuav pom daim tawv nqaij rub ntawm cov tav lossis ntawm lub hauv paus ntawm caj pas thaum koj tus menyuam nqus pa, uas yog ib qho cim qhia tias lawv ua haujlwm hnyav dua los ua pa.
• Xim xiav (xim xiav) : Yog tias daim di ncauj, tus nplaig, lossis daim tawv nqaij nyob ib puag ncig cov rau tes hloov xiav, nws txhais tau tias lub cev tsis tau txais oxygen txaus. Qhov no yog xwm txheej ceev kho mob! Hu rau 911 lossis mus ntsib koj lub chaw kho mob xwm txheej ceev ze tshaj plaws tam sim ntawd.

Kab mob Croup, RSV, thiab Whooping Cough sib txawv li cas?

Vim tias peb yam mob no cuam tshuam rau lub cev ua pa, feem ntau lawv tsis meej pem. Nov yog lawv txawv li cas:

RSV thiab Croup

RSV (Respiratory Syncytial Virus) yog ib hom kab mob ua pa uas feem ntau kis tau. Txawm hais tias nws cuam tshuam rau cov menyuam mos thiab cov neeg laus, ua rau muaj cov tsos mob zoo li mob khaub thuas, RSV yog ib qho ntawm cov kab mob uas tuaj yeem ua rau mob Croup. Hauv lwm lo lus, kev kis tus kab mob RSV qee zaum tuaj yeem hloov mus ua mob croup.

Kab mob hnoos qhuav (Pertussis) thiab Croup

Kab mob hnoos qeev, lossis kab mob pertussis , yog lwm yam kab mob ua pa. Ob qho tib si muaj cov hnoos sib txawv. Txawm li cas los xij, kab mob hnoos qeev yog tus cwj pwm los ntawm lub suab "hnoos qeev" siab thaum tus menyuam nqus pa tom qab hnoos.

Qhov txawv tseem ceeb yog tias mob hnoos qeev yog los ntawm cov kab mob me me, thaum mob croup feem ntau yog los ntawm cov kab mob sib kis. Yog li ntawd, cov tshuaj tua kab mob (uas tua cov kab mob me me tab sis tsis tua cov kab mob sib kis) tuaj yeem kho mob hnoos qeev tab sis tsis ua haujlwm zoo rau mob croup. Muaj tshuaj tiv thaiv kab mob rau mob hnoos qeev, tab sis tsis muaj tshuaj tiv thaiv tshwj xeeb los tiv thaiv mob croup.

Croup feem ntau tshwm sim li cas?

Nyob rau ntau lub teb chaws, muaj li ntawm 3% ntawm cov menyuam yaus uas mob croup txhua xyoo, thiab nws yog kwv yees li ntawm 7% ntawm cov menyuam yaus hnub nyoog qis dua 5 xyoos uas raug mus pw hauv tsev kho mob . Nws muaj ntau dua me ntsis rau cov tub hluas. Txawm li cas los xij, koj tuaj yeem tso siab tau tias 85% ntawm cov neeg mob yog cov mob me me, thiab tsawg dua 1% yog cov mob hnyav.

Dab tsi ua rau Croup?

Raws li tau hais lawm, tus kab mob viral yog tus ua rau mob. Tus kab mob Parainfluenza yog tus ua rau mob feem ntau, tab sis tus kab mob influenza, RSV, measles, thiab adenoviruses kuj tuaj yeem ua rau mob. Cov kab mob no ua rau txoj hlab pa sab saud o, ua rau ua pa nyuaj. Cov kab mob no kis tau thoob plaws hauv ib puag ncig, yog vim li cas tsis yog txhua tus menyuam uas muaj tus kab mob no thiaj li mob croup. Tsis tshua muaj, tus kab mob bacterial thib ob tuaj yeem ua rau mob hnyav dua.

Croup puas kis tau?

Yog, tus kab mob croup kis tau yooj yim heev , vim tias cov kab mob uas ua rau nws kis tau yooj yim heev. Tso siab rau Nirogi Lanka kom tau txais kev qhia ntawm cov kws tshaj lij txog kev tswj cov tsos mob no kom muaj kev nyab xeeb.

Thaum ib tug neeg uas muaj tus kab mob los yog kab mob bacterial uas ua rau mob croup hnoos los yog txham, lawv tso cov tee dej me me rau hauv huab cua. Yog tias koj tus menyuam ua pa hauv cov tee dej no, lawv tuaj yeem kis tus kab mob los yog kab mob bacterial uas ua rau mob croup. Tsis tas li ntawd, tus kab mob tuaj yeem kis tau yog tias koj tus menyuam kov cov chaw uas muaj kab mob xws li cov khoom ua si los yog cov qhov rooj thiab tom qab ntawd kov lawv lub qhov ncauj, qhov ntswg, lossis qhov muag.

Kab mob Croup sib kis tau rau peb hnub tom qab pib muaj cov tsos mob, lossis kom txog thaum qhov kub taub hau ploj mus tag. Feem ntau, tsis txhob xa koj tus menyuam rov qab mus kawm ntawv kom txog thaum lawv tsis kub taub hau tsawg kawg yog 24 teev yam tsis tau noj tshuaj txo qhov kub taub hau.

Kab mob croup puas ua rau muaj teeb meem?

Feem ntau, mob croup tsis hnyav heev thiab kho tau zoo hauv tsev. Tej yam teeb meem tsis tshua muaj; tsawg dua 5% ntawm cov menyuam uas mob croup yuav tsum tau mus pw hauv tsev kho mob. Koj tus kws kho mob yuav pom zoo kom mus pw hauv tsev kho mob yog tias koj tus menyuam muaj cov tsos mob hauv qab no:

• Xav tau cov pa oxygen ntxiv kom tswj tau cov pa oxygen kom zoo.
• Lub cev qhuav dej heev uas yuav tsum tau txhaj cov kua dej rau hauv cov hlab ntsha (IV).
• Yuav tsum tau siv tshuaj nebulized los kho kev ua pa kom txo tau kev nyuaj siab ntawm kev ua pa.
• Cov tsos mob hnyav uas tsis zoo dua tom qab kev kho mob thawj zaug.

Kuv yuav paub li cas yog tias kuv tus menyuam muaj mob croup?

Feem ntau cov kws kho mob kuaj mob croup raws li cov tsos mob hauv kev kho mob , qhov tseem ceeb tshaj plaws yog qhov hnoos "barking" thiab lub suab nrov thaum ua pa, hu ua stridor. Croup feem ntau tshwm sim thaum lub caij nplooj zeeg thiab lub caij ntuj no. Txawm hais tias tsis tshua muaj, yog tias cov tsos mob hnyav, tus kws kho mob yuav hais kom kuaj X-rays lossis kuaj hauv chaw kuaj mob kom paub tseeb tias tsis muaj lwm yam mob.

Yuav kho tus mob croup li cas?

Kev kho mob nyob ntawm seb koj tus menyuam cov tsos mob hnyav npaum li cas thiab qhov kev pheej hmoo ntawm qhov mob hnyav zuj zus. Keeb kwm kev kho mob ntawm koj tus menyuam, xws li tej teeb meem ua pa uas twb muaj lawm lossis yog tias lawv yug ua ntej lub sijhawm, kuj yuav cuam tshuam rau txoj kev npaj kho mob.

Kev Saib Xyuas Hauv Tsev (Rau Cov Neeg Mob Croup Me Me)

Yog tias qhov mob croup tsis hnyav heev, koj tuaj yeem tswj hwm nws tau zoo hauv tsev.

Tseem Ceeb: Yog tias kev saib xyuas hauv tsev tsis ua rau koj tus menyuam tus mob zoo dua lossis yog tias lawv zoo li hnyav zuj zus, thov mus ntsib kws kho mob tam sim ntawd.

• Lub tshuab ua kom huab cua txias: Siv lub tshuab ua kom huab cua txias hauv chav pw tuaj yeem pab ua kom cov hlab pa o.
• Chav Dej Siv Pa: Qhib lub dab da dej kub hauv chav dej kaw kom ua chav uas muaj pa thiab zaum nrog koj tus menyuam ib ntus. Ceev faj: Tsis txhob muab koj tus menyuam tso rau hauv qab da dej lossis ze dhau rau dej kub kom tsis txhob kub hnyiab.
• Huab cua txias thaum hmo ntuj: Yog tias koj tus menyuam ua pa nyuaj thaum hmo ntuj, koj tuaj yeem qhib lub qhov rooj lossis qhov rai kom cua txias nkag mus rau hauv chav (thaum xyuas kom lawv tsis raug cua txias heev).
• Kev txo qhov kub taub hau: Yog tias muaj qhov kub taub hau, siv cov tshuaj uas yuav tsis tas yuav muaj ntawv yuav tshuaj xws li paracetamol (piv txwv li, Panadol, Calpol) lossis ibuprofen (piv txwv li, Brufen) raws li koj tus kws kho mob pom zoo. Tsis txhob muab Aspirin rau cov menyuam yaus.
• Cov kua dej sov: Kev muab cov kua dej ntshiab thiab sov (xws li kua zaub lossis dej sov so) tuaj yeem pab ua kom cov hnoos qeev hauv caj pas nyias.
• Tsis txhob haus luam yeeb: Khaws koj lub tsev kom tsis txhob haus luam yeeb, vim tias cov pa luam yeeb tuaj yeem ua rau khaus thiab ua rau hnoos hnyav dua.
• Tsa lub taub hau kom siab: Pw nrog ib lub hauv ncoo ntxiv yuav pab ua kom ua pa tau yooj yim dua. Lus Cim: Tsis txhob siv cov hauv ncoo rau cov menyuam mos hnub nyoog qis dua ib xyoos.

Nws yog ib qho zoo kom pw hauv tib chav nrog koj tus menyuam kom saib xyuas lawv txoj kev ua pa thoob plaws hmo ntuj.

Kev Kho Mob (Rau Mob Croup Nruab Nrab Mus Rau Hnyav)

Yog tias tus mob croup no muaj qhov nruab nrab mus rau qhov hnyav, nrhiav kev kho mob ceev nrooj tam sim ntawd ntawm koj lub tsev kho mob chav kho mob ceev (ED) ze tshaj plaws. Tus mob croup hnyav tuaj yeem ua rau muaj kev phom sij rau lub neej, yog li ntawd tsis txhob ncua sijhawm.

Cov kev xaiv kho mob hauv tsev kho mob yuav muaj xws li:

• Kev txhawb nqa cua noo lossis oxygen.
• Cov kua dej hauv cov hlab ntsha (IV) rau kev ua kom lub cev muaj dej.
• Kev saib xyuas cov cim tseem ceeb, xws li kev nqus cov pa oxygen, kev ua pa ceev, thiab lub plawv dhia ceev.
• Cov tshuaj kho mob croup tshwj xeeb: Glucocorticoids thiab cov tshuaj nebulized xws li epinephrine.
• Yog tias muaj mob hnyav heev, yuav tsum tau siv tshuab ua pa.

Kev Nkag Siab Txog Tshuaj

Yog koj coj koj tus menyuam mus rau chav kho mob ceev lossis mus rau kws kho mob, lawv yuav muab glucocorticoids thiab nebulized epinephrine rau.

• Glucocorticoids:

Cov no yog cov tshuaj steroids siv los txo qhov o ntawm lub suab (larynx). Feem ntau lawv pib ua haujlwm hauv 6 teev tom qab noj thawj zaug. Kev muab cov tshuaj no, txawm tias rau cov kab mob croup me me, feem ntau tuaj yeem tiv thaiv qhov xav tau mus ntsib kws kho mob ntxiv.

Cov tshuaj uas siv ntau suav nrog dexamethasone thiab prednisolone. Feem ntau cov no yog muab ib zaug xwb. Yog tias koj tus menyuam ntuav lossis tsis tuaj yeem noj tshuaj kom txaus, tus kws kho mob yuav muab dexamethasone los ntawm kev txhaj tshuaj IV lossis txhaj tshuaj rau hauv cov leeg (IM).

• Epinephrine uas muaj tshuaj tsuag:

Epinephrine yog muab ua ib qho tshuaj me me los ntawm lub tshuab nebulizer kom txo qhov o ntawm txoj hlab pa sai sai. Feem ntau nws pib ua haujlwm hauv 10 feeb. Txawm li cas los xij, qhov tshwm sim tsuas yog luv luv xwb, kav ntev li ob teev xwb. Yog li ntawd, yog tias cov tsos mob hnyav heev, koj tus menyuam yuav xav tau kev kho mob dua txhua 15-20 feeb.

Puas muaj cov kev mob tshwm sim rau cov kev kho mob?

Cov kev mob tshwm sim loj heev los ntawm epinephrine tsis tshua muaj. Txawm li cas los xij, koj yuav pom cov teebmeem ib ntus xws li lub plawv dhia ceev (tachycardia). Tus kws kho mob feem ntau yuav saib xyuas koj tus menyuam li peb txog plaub teev tom qab noj tshuaj kawg kom paub tseeb tias lawv ua pa tau zoo yam tsis muaj tsos mob rov qab los.

Tom qab kho mob tas, kuv tus menyuam yuav zoo dua sai npaum li cas?

Feem ntau cov tshuaj Glucocorticoids pib ua haujlwm hauv 6 teev tom qab noj thawj zaug, thaum cov tshuaj epinephrine ua haujlwm sai dua los txo qhov o ntawm txoj hlab pa.

Thaum twg koj yuav tsum txhawj xeeb txog Croup?

Kab mob Croup muaj peev xwm sib txawv ntawm qhov me me mus rau qhov hnyav, nyob ntawm seb koj tus menyuam ua pa nyuaj npaum li cas . Qhov hnyav yog txiav txim siab los ntawm seb txoj hlab pa nqaim npaum li cas vim yog o. Nco ntsoov tias yog tias koj tus menyuam ntxhov siab lossis pib quaj, lawv cov tsos mob ua pa yuav hnyav zuj zus.

• Mob Croup me me:

Yog tias koj tus menyuam mob me me xwb, tej zaum nws yuav hnoos qeev thiab ua pa nrov nrov (stridor). Cov tsos mob feem ntau yuav hnyav zuj zus thaum hmo ntuj. Koj yuav tsum saib xyuas koj tus menyuam kom zoo, tab sis feem ntau cov mob no tuaj yeem kho tau zoo hauv tsev.

• Croup nruab nrab:

Yog tias koj tus menyuam mob croup nruab nrab, koj yuav pom tias nws lub suab stridor ua ke nrog rau qhov rub rov qab (daim tawv nqaij rub ntawm cov tav thaum ua pa). Koj tus menyuam yuav zoo li ntxhov siab, tsis meej pem, lossis zoo li ntxhov siab nruab nrab. Thaum lub sijhawm no, koj yuav tsum sab laj nrog kws kho mob kom tau txais kev kho mob zoo.

• Kab mob Croup hnyav heev:

Yog mob croup hnyav ces yuav ua rau koj lub qhov ncauj qhuav thiab mob heev. Tej zaum koj tus menyuam yuav zoo li qaug zog, tsis xis nyob, lossis qaug zog heev. Tej zaum yuav muaj daim tawv nqaij xiav (cyanosis). Mob croup hnyav yog ib qho xwm txheej ceev uas txaus ntshai rau lub neej! Thov hu rau 911 lossis coj koj tus menyuam mus rau Chav Kho Mob Xwm Ceev ze tshaj plaws tam sim ntawd.

Croup kav ntev npaum li cas?

Rau feem ntau cov menyuam yaus, cov tsos mob ntawm tus kab mob croup yuav ploj mus li ntawm ob hnub , txawm hais tias nws tsis yog ib qho txawv txawv uas cov tsos mob me me yuav nyob ntev txog ib lub lim tiam.

Thaum twg kuv tus menyuam thiaj li rov qab mus kawm ntawv tau?

Kab mob Croup sib kis tau yooj yim heev. Thov cia koj tus menyuam nyob hauv tsev kom txog thaum lawv tsis kub taub hau tsawg kawg 24 teev yam tsis tau noj tshuaj txo qhov kub taub hau.

Kuv yuav ua li cas thiaj tiv thaiv tau qhov kis tus kab mob Croup?

Croup kis tau los ntawm kev sib chwv ncaj qha lossis cov tee dej uas ntws los ntawm kev ua pa. Yuav kom pab tiv thaiv kev sib kis, ua raws li cov kauj ruam no:

• Ntxuav koj txhais tes kom huv si nrog xab npum thiab dej tom qab saib xyuas koj tus menyuam.
• Ntxuav cov khoom ua si sib koom tsis tu ncua.
• Qhia koj tus menyuam kom npog lawv lub qhov ncauj thiab lub qhov ntswg thaum hnoos lossis txham.
• Yog koj tus menyuam mob, cia lawv nyob deb ntawm tsev kawm ntawv lossis chaw zov menyuam kom txog thaum lawv zoo dua.
• Pov tseg cov ntaub so ntswg uas siv lawm tam sim ntawd thiab kom muaj kev nyab xeeb.

Thaum twg koj yuav tsum mus ntsib kws kho mob lossis mus rau Chav Kho Mob Thaum Muaj Xwm Ceev?

Hu rau koj tus kws kho mob menyuam yaus Nirogi Lanka yog tias:

• Koj tus menyuam muaj mob kub taub hau ntev tshaj peb hnub .
• Cov tsos mob me me ntawm tus kab mob croup yuav kav ntev tshaj ib lub lim tiam .
• Koj muaj kev txhawj xeeb lossis ntxhov siab txog kev rov zoo ntawm koj tus menyuam.

Nrhiav kev kho mob thaum muaj xwm txheej ceev tam sim ntawd ntawm Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) yog tias muaj ib qho ntawm cov hauv qab no tshwm sim:

• Pom tau tias ua pa nyuaj.
• Daim tawv nqaij zoo li xiav (cyanosis) , tshwj xeeb tshaj yog nyob ib ncig ntawm daim di ncauj, tus nplaig, lossis txaj rau tes.
• Hnoos hnyav thiab tsis tu ncua.
• Nyuaj nqos los yog ntuav ntau dhau.
• Tsis muaj peev xwm hais lus lossis quaj vim yog ua pa nyuaj.
• Lub suab nrov nrov thaum nqus pa.
• Pom tau qhov rub rov qab ntawm daim tawv nqaij ntawm cov tav lossis ntawm lub hauv paus ntawm lub caj dab.

Vim li cas kuv tus menyuam thiaj li mob Croup rov qab los?

Qhov mob croup uas rov tshwm sim dua tej zaum yuav qhia tau tias txoj hlab pa nqaim, ua rau koj tus menyuam yooj yim kis kab mob. Qhov nqaim no tuaj yeem yog los ntawm yug los (muaj txij thaum yug los) lossis tau txais los. Yog tias koj tus menyuam muaj mob croup ntau zaus, koj tus kws kho mob yuav xa koj mus rau kws kho mob pob ntseg (ENT specialist) lossis kws kho mob ntsws rau menyuam yaus kom tau txais kev soj ntsuam ntxiv.

Cov neeg laus puas tuaj yeem mob croup?

Yog, cov neeg laus tuaj yeem mob croup, txawm hais tias nws tsis tshua muaj. Croup feem ntau cuam tshuam rau cov menyuam mos thiab cov menyuam yaus vim tias lawv cov hlab cua (cov hlab cua) nqaim thiab tseem tab tom loj hlob. Thaum cov menyuam yaus loj hlob, lawv txoj kev ua pa dav dua thiab loj hlob, txhais tau tias kev o yuav tsis cuam tshuam lawv txoj kev ua pa. Vim tias cov hlab pa ntawm cov neeg laus loj dua, feem ntau croup tsis muaj kev pheej hmoo loj rau koj. Txawm li cas los xij, yog tias ib tug neeg laus mob croup, cov tsos mob tuaj yeem hnyav dua, thiab koj yuav xav tau kev kho mob ntau dua.

Cov Lus Qhia Tseem Ceeb

Kab mob Croup yog ib yam kab mob sib kis tau yooj yim heev uas feem ntau pom muaj rau cov menyuam mos thiab cov menyuam yaus. Koj tuaj yeem paub nws los ntawm kev hnoos "ua pa nrov nrov" . Txawm hais tias feem ntau cov mob tsis hnyav thiab ploj mus ntawm lawv tus kheej, qee zaum tus mob tuaj yeem loj hlob sai, ua rau koj tus menyuam ua pa nyuaj heev.

Yog li ntawd, yog tias koj tus menyuam tus mob tsis qhia tias zoo dua, lossis yog tias koj pom lawv cov tsos mob zuj zus tuaj, thov nrhiav kev kho mob tam sim ntawd. Tsis txhob yig tiv tauj kws kho mob lossis mus rau chav kho mob ceev. Nyob twj ywm thiab ua raws li txoj cai yog qhov tseem ceeb heev. Koj tsis nyob ib leeg; Nirogi Lanka nyob ntawm no los txhawb koj.

Cov Lus Tseem Ceeb: Croup, hnoos qhuav, kev noj qab haus huv ntawm menyuam yaus, kab mob ua pa, stridor, ua pa nyuaj