yu likl pikin geht dis "barking" kohf? Mek wi tok abaut krop!

Yu smɔl pikin dɔn gɛt wan strenj kɔf we de bark wit kol, ɛn i nɔ izi fɔ mek i blo? As mama, yu go mɔs de fred bad bad wan we dat apin, nɔto so? Krɔp na wan sik wae kin kam pan yɔŋ pikin dɛm ɛn i kin sho dɛn kayn sik ya. Tide, wi go tɔk bɔt dis ditayli, rili simpul wan.

Wetin na dis krop?

Fɔ tɔk am simpul wan, krɔp, ɔ insay mεdikal tεm, ``Laryngotracheobronchitis`` na infεkshכn na di trot, dat na, di larynx (we di sawnd de kam we wi de tok) εn di trachea (di men tכb fכ brith) na yכŋ pikin dεm . wetin kin apin pan dis na we di כp pat pan di aywe, dat na di pat we de dכn di vכkal kכd dεm, de swel. Imajin, we wata paip blok, i nɔ kin izi fɔ mek di wata pas, we di say we di briz de blo dis kayn we, i kin smɔl. Dɔn i nɔ kin izi fɔ di smɔl pikin fɔ blo, ɛn wan strenj sawnd kin bigin fɔ yɛri we i de blo.

Dis kin apin mɔ pan bebi ɛn yɔŋ pikin dɛn we nɔ rich 3 ia yet.As pikin dɛn de ol, dɛn aywe kin big, so dis kayn swel nɔ kin mek dɛn gɛt bɔku prɔblɛm wit dɛn brith. Dis na di rizin we mek big pikin dɛn nɔ kin gɛt krɔp.

Di men tin we kin mek dis apin na di vayral infɛkshɔn . Jɔs lɛk di vayrɔs dɛm we de mek pɔsin kol ɛn flu, nɔto ɔl di vayrɔs kol kin tɔn to krop.

Aw krɔp kɔf kin tan lɛk?

Di men ɛn difrɛn tin bɔt krɔp na dis strenj kɔf . Na harsh, harsh "barking" kɔf, lɛk we sil de ala ɔ smɔl dɔg we de bark. Sɔm mama dɛn kin kam to mi wit wɔri ɛn se, "Dɔkta, mi pikin bin gɛt kɔf we de bark wantɛm wantɛm, ɛn a bin rili fred." Na so i de soun.

כda tin na dat we di pikin inhal, dεn kin yεri "whooping" כ chok sawnd we de kכmכt frכm di trot . Insay mɛrɛsin, wi kin kɔl dis stridor . Dis sawnd de kam bikɔs di say we di briz de blo de swel ɛn smɔl, ɛn di vaybreshɔn we kin apin we di briz pas na da say de we smɔl.

Wetin na ɔda sayn dɛn we de sho se yu gɛt dis sik?

Bɔku tɛm, krɔp nɔ kin at ɛn i kin sɔlv insay sɔm dez. Bɔt sɔntɛnde, de sik kin tranga. Bɔrku tɛm, de sik kin bigin smɔl smɔl. Fɔs, dɛn kin tan lɛk kol kol, we nɔs de rɔn ɛn nos kin stɔp. Dɔn, insay 12 to 48 awa, yu kin gɛt wan kɔf we yu kin kɔl bark. Bɔku tɛm dɛn sik ya kin wɔs na nɛt .

Ɔda sayn dɛm wae kin si pan mild krɔp na:

• Di vɔys we de ala lawd lawd wan, we yu de fil se yu ebi.
• Nɔmal fiva.
• Sɔntɛnde, i kin gɛt rash na di skin.
• di yay dεm we de rεd (conjunctivitis).
• di limf no dεm we swεla na di nεk (nεk limf no dεm de swel).

Na mכdarεt to siriכs krכp, dεn simptom ya kin bi siriכs:

• I klia se i nɔ izi fɔ blo : I tan lɛk se i nɔ izi fɔ di pikin fɔ blo.
• Restlessness, we pɔsin de agyu.
• di rεtrakshכn dεm (dεn de drכ di skin bitwin di brεstbon dεm εn na di כp chεst) we i de brith : Dis de sho aw di pikin de gεt difεlεns fכ brith.
• Blu skin (cyanosis) : Blu skin, spεshal wan arawnd di lip, tכng, εn finga nel, min se di bכdi nכ de gεt inof כksijεn. Dis na imejensi!

Wetin na di difrɛns bitwin krop, RSV, ɛn kɔf?

Ɔl dɛn tri sik ya kin afɛkt di we aw pɔsin de blo ɛn sɔntɛnde dɛn kin kɔnfyus bikɔs dɛn kin apin to yɔŋ pikin dɛn. Lɛ wi luk di difrɛns dɛn.

RSV ɛn Krɔp

RSV (Respiratory Syncytial Virus) na ɔda vayrɔs we de afɛkt di respiratory system. I kin afɛkt bebi ɛn big pipul dɛn. RSV kin mek yu gɛt sɔm kayn sik lɛk fɔ kɔf ɛn sniz. Impɔtant tin na dat, RSV na wan kayn vayrɔs bak we kin mek pɔsin krɔp. Dis min se wan RSV infεkshכn kin divεlכp to krכp pan sכm pikin dεm.

Pɛtɔsis ɛn Krɔp

Whooping cough, ɔ ``Pertussis'' as dɛn kin kɔl am na mɛrɛsin, na wan sik we de ambɔg di we aw dɛn de blo we kin afɛkt yɔŋ pikin dɛn, jɔs lɛk krɔp. Dɛn ɔl tu gɛt difrɛn kɔf. Bɔt , kɔf na kɔf we de kam wit ay-pitch "whooping" sawnd we di pɔsin inhal.

Di men difrɛns na dat, na baktriyal infɛkshɔn kin mek pɔsin kɔf, we bɔku tɛm na vayral infɛkshɔn kin kam wit krɔp. So, no vaysin nɔ de fɔ mek i nɔ gɛt krɔp, ɛn dɛn nɔ go ebul fɔ trit am wit antibayɔtik (antibaytik nɔ de kil vayrɔs). Vaysin de fɔ mek yu nɔ gɛt kɔf, ɛn i nɔ kin bɛtɛ kwik lɛk krɔp.

Aw kɔmɔn tin fɔ krɔp?

Na kɔntri dɛn lɛk Amɛrika, dɛn kin se lɛk 3% pan di pikin dɛn kin gɛt krɔp ɛvri ia. Dɛn ripɔt bak se krɔp na in de mek 7% pan di pikin dɛn we nɔ rich 5 ia yet na ɔspitul.Dɛn kin si am smɔl mɔ pan bɔy pikin dɛn. Bɔt natin nɔ de fɔ wɔri bɔt, bikɔs na 85% pan di pikin dɛn nɔmɔ we kin gɛt krɔp kin gɛt wan sik we nɔ kin izi fɔ dɛn. Les dan 1% de divεlכp wan siriכs kכndyushכn.

Wetin na di tin dɛn we kin mek pɔsin gɛt krɔp?

As wi bin dɔn tɔk, di men tin we kin mek pɔsin krɔp na di vayral infɛkshɔn. pan dεn wan ya, di wan we kכmכn pas כl na di vayrus we dεn kכl `(Parainfluenza virus). Apat frɔm dat, vayrɔs dɛm lɛk `(Influenza virus)` (di vayrɔs we de mek wi sik), `(RSV - Respiratory Syncytial Virus)`, mizɛl vayrɔs, ɛn `(Adenovirus)` kin mek bak krɔp. Dɛn vayrɔs ya kin mek di say dɛn we di pikin de blo ɔp di pikin in trot kin swel. Dis kin mek i nɔ izi fɔ blo.

Bɔt dɛn vayrɔs ya kin bɔku na di say we wi de. Dis min se nɔto ɔl pikin we gɛt vayral infɛkshɔn go gɛt krɔp. Na smɔl tɛm nɔmɔ, baktri infɛkshɔn kin apin apat frɔm di vayral infɛkshɔn, we kin mek di kɔndishɔn wɔs.

Yu tink se krop kin pas?

Yɛs, krɔp na sik we kin pas bad bad wan bikɔs di vayrɔs dɛn we kin mek i gɛt am kin skata izi wan.

We pɔsin we gɛt vayral ɔ baktri infɛkshɔn we kin mek i kɔf ɔ sniz, smɔl smɔl drɔp dɛn (drɔp dɛn we de mek pɔsin blo) kin kɔmɔt na di ays. If yu pikin blo da briz de, i kin gɛt di jem ɛn gɛt krop. Dɛn kin gɛt am bak bay we dɛn tɔch tin dɛn we gɛt jem, lɛk tɔys ɔ domɔt knob, dɔn dɛn tɔch dɛn mɔt ɔ nos wit di sem an.

Pikin kin gɛt di sik fɔ di fɔs tri dez afta di sik bigin, ɔ te di fiva dɔn stɔp kpatakpata . So, i impɔtant fɔ mek yu nɔ sɛn yu pikin na skul te di fiva dɔn stɔp fɔ 24 awa ɛn yu nɔ gi am mɛrɛsin fɔ ridyus fiva.

Yu tink se krɔp kin mek prɔblɛm dɛn apin?

Bɔrku tɛm, krɔp na wan kayn sik wae nɔr kin pasmak wae dɛn kin trit na os. Kɔmplikɛshɔn dɛn nɔ kin apin so ɔltɛm. Lεs dan 5% pan di pikin dεm we gεt krכp nid fכ go na כspitul. Yu pikin kin nid fɔ go na ɔspitul if:

• If yu nid fɔ gi ɔksijɛn fɔ mek di ɔksijɛn kɔntinyu na di pikin in bɔdi.
• If yu gɛt siriɔs wata we nɔ de na yu bɔdi ɛn nid fɔ gi yu wata tru wan vein (IV - intravenous) .
• If yu nid fɔ gi sɔm nebulized brith tritmɛnt fɔ mek yu nɔ ebul fɔ blo.
• If di simptom dɛn kɔntinyu afta di fɔs tritmɛnt.

Aw a go no if mi pikin gɛt krop?

Bɔku tɛm, dɔktɔ go disayd if yu pikin gɛt krɔp bay di sayn dɛn we di pikin de sho . di men wan dεm na da kכntribyushכn de bark kכf εn di ``stridor`` sawnd we dεn de mek we yu de brith. Dis kin apin mɔ insay di fɔl ɛn winta (na wi kɔntri, insay ren sizin, we i kin rili kol). If di pikin in sik bad bad wan, sɔntɛnde di dɔktɔ kin ɔda fɔ mek dɛn du ɛkstrem rayt ɛn tɛst na lab, bɔt dis nɔ kin apin so ɔltɛm.

Aw dɛn kin trit krɔp?

Di tritmɛnt dipen pan aw yu pikin in sik tranga ɛn di risk fɔ mek di sik wɔs kwik kwik wan. If yu pikin dɔn gɛt prɔblɛm wit in brith bifo, ɔ if dɛn bɔn am bifo tɛm, dis go afɛkt bak di tritmɛnt we dɛn kin pik.

Ɔm mɛrɛsin (fɔ mild krop) .

If di kɔndishɔn fɔ krɔp nɔr tu, bɔrku tɛm dɛn kin trit am ɛn mɛn am na os.

Impɔtant: If yu pikin in sik nɔ de bɛtɛ wit dɛn mɛrɛsin ya na os, ɔ if i tan lɛk se i de wɔs, mek shɔ se yu go to dɔktɔ.

• Kul mist humidifier: If yu yuz kol mist humidifier, we de ad moisture to di rum, i kin ɛp fɔ mek yu nɔ blo dray ɛn stɔp.
• Bathroom steam: Klos di bathroom doa ɛn on di hot wata we de kɔmɔt na di shawa. Dɔn, de na di batrum we gɛt stim wit yu pikin fɔ sɔm tɛm. Bɔt tek tɛm! Nɔ tɔch di pikin na di shawa ɔ briŋ am nia di ɔt wata, bikɔs i kin bɔn am.
• Kul briz: If i tan lɛk se yu pikin gɛt prɔblɛm fɔ blo na nɛt, opin domɔt ɔ winda fɔ mek sɔm kol briz kam insay di rum (bɔt nɔ mek i kol pasmak).
• Fiva mɛrɛsin: If yu gɛt fiva, gi yu mɛrɛsin we dɔktɔ gi yu (OTC) lɛk paracetamol (e.g. Panadol, Calpol) ɔ ibuprofen (e.g. Brufen). Nɔ gi smɔl pikin dɛn aspirin.
• wam wata fכ kכf: If yu gi wam, klia wata (e.g. sup, lכm wata) sכm sכm i kin εp fכ lכs di mכkus na di vכkal kכd dεm.
• Nɔ smok: Nɔ smok insay os. Sigrɛt smok kin mek yu pikin in kɔf wɔs.
• Ɛlevɛt di ed: We yu de slip, prɔp yu pikin in ed ɔp wit ɛkstra pilo. Dis kin ɛp dɛn fɔ blo izi wan. Bɔt nɔ put krib pan bebi we nɔ rich wan ia yet.

If i pɔsibul, i go fayn fɔ mek yu slip na di sem rum wit yu pikin, so dat yu go no if i nɔ izi fɔ yu pikin fɔ blo na nɛt.

Mɛdikal Tritmɛnt (Fɔ Mɔdaret to Siva Krɔp) .

If di krɔp nɔ bɔku ɔ i bad, yu fɔ kɛr yu pikin go na di Imejɛnsi Dipatmɛnt (ETU) we de nia yu ɔ dɔktɔ wantɛm wantɛm. Siriɔs krɔp kin mek yu layf de pan denja, so i nɔ fayn fɔ delay.

Di tritmɛnt dɛm wae dɛn kin gi de kin difrɛn difrɛn wan fɔ di pikin in sayn dɛm. Sɔm pan dɛn tin ya na:

• Gi humidified air ɔ ɔksijɛn.
• If di wata nɔ de na di bɔdi, gi IV wata.
• Fɔ wach di impɔtant sayn dɛm: tin dɛm lɛk di ɔksijɛn lɛvɛl, di rit we yu de blo, ɛn di at rit.
• spεsifi k mεdikeshכn dεm fכ krכp: stεroyd (glucocorticoids) εn nεbulized mεdikeshכn dεm (e.g. epinephrine).
• If i nɔ izi fɔ blo, dɛn kin du mɛkanikal ventileshɔn pan di kes dɛm we nɔ kin apin so ɔltɛm.

Lɛ wi lan smɔl mɔ bɔt dɛn mɛrɛsin ya.

We yu kɛr yu pikin go na dɔktɔ ɔ imejensi rum, di dɔktɔ kin gi yu wan kayn mɛrɛsin we dɛn kɔl ``glucocorticoid'' ɛn ``nebulized epinephrine''.

• Glukokɔtikoyd dɛn: .

Dis na wan kayn stɛroyd. Dis mɛrɛsin de wok bay we i de ridyus di swɛlin na yu pikin in larynx (voys bɔks). I kin bigin fɔ wok insay 6 awa frɔm di fɔs doz. If yu gi dis mɛrɛsin to pikin we gɛt mild krɔp, i kin ɛp fɔ mek yu nɔ nid fɔ go to dɔktɔ ɔ ɔspitul bɔku tɛm.

Di mɛrɛsin dɛn we dɛn kin yuz mɔ na `(dexamethasone)` ɛn `(prednisolone). Dɛn kin gi dɛn tin ya bay mɔt, bɔku tɛm na wan doz. If di pikin de vɔmit ɛn i nɔ ebul fɔ kip di mɛrɛsin dɔŋ, dɛn kin gi am `(dexamethasone)` insay in bɛlɛ `(IV)` ɔ insay di mɔsul `(IM injɛkshɔn)`.

• Nebulized Epinephrine we dɛn kin yuz:

Dɛn kin gi epinephrine as mist tru wan nebulizer. I de wok bak bay we i de ridyus di swɛlin na di say dɛn we di briz de blo. Bɔku tɛm, i kin bigin fɔ wok insay 10 minit. Bɔt di tin dɛn we i kin du kin las fɔ lɛk tu awa so. So, if de sik tranga, yu kin nid fɔ ripit di tritmɛnt ɛvri 15 to 20 minit.

Ɛni bad tin de we di tritmɛnt kin du?

Epinephrine nɔ kin gɛt siriɔs sayd ɛfɛkt. Bɔt i kin mek tin dɛn lɛk we di at de rit (tachycardia). Dɔktɔ go wach di pikin fɔ tri to 4 awa afta di las doz fɔ si if di prɔblɛm we i gɛt fɔ blo bak.

Aw kwik a go wɛl afta dɛn dɔn trit mi?

Glucocorticoids kin stat fɔ wok insay 6 awa frɔm di fɔs doz. Epinephrine kin bigin fɔ wok kwik kwik wan.

Ustɛm yu fɔ wɔri bɔt krop?

Krɔp kin bi smɔl, smɔl, ɔ i kin rili bad. I dipen pan aw i at fɔ mek di pikin blo . di kayn we aw di sik kin tranga de dipכnt pan di sayz (dayamita) fכ di pikin in aywe εn aw i sכmtεm bikoz fכ swel. Dɔn bak, di sik kin wɔs if di pikin vɛks ɔ kray.

• Mild Krɔp: .

Pikin we gɛt smɔl krɔp kin gɛt kɔf we de bark ɛn sawnd we de swɛt (stridor). Di sayn dɛm kin wɔs na nɛt. So yu nid fɔ tek tɛm wit aw yu pikin de blo, bɔt bɔku tɛm, dɛn kin trit am na os.

• Modaret Krɔp: .

Pikin we gɛt mɔdaret krɔp kin gɛt sawnd we i de blo (stridor) ɛn sayn dɛn we de sho se i de tɔn bak (di skin bitwin di rib dɛn) we i de blo. Dɛn kin at pwɛl smɔl, dɛn kin kɔnfyus, ɛn dɛn kin gɛt smɔl prɔblɛm fɔ blo. Dis tɛm ya, dɛn fɔ kɛr di pikin go to dɔktɔ fɔ mek dɛn trit am.

• Sivɛri Krɔp:

Pikin we gɛt siriɔs krɔp go gɛt ɔl tu stridor ɛn retraction. Dɛn kin rili vɛks, dɛn nɔ kin rɛst, ɛn dɛn kin taya.Blu we di skin kin chenj (cyanosis) na tin we kin apin. Sivɛri krɔp kin mek pɔsin in layf de pan denja! Tek di pikin go na imejensi rum (ETU) wantɛm wantɛm.

Aw lɔng krop kin las?

Bɔrku pikin dɛn kin wɛl frɔm krɔp sik insay tu dez , bɔt sɔmtɛm di sik kin te fɔ wan wik.

Ustɛm a go sɛn mi pikin bak na skul?

Krɔp na sik we kin pas bad bad wan. Nɔ sɛn yu pikin na skul te dɛn fiva dɔn kpatakpata (dɛn fɔ nɔ gɛt fiva fɔ 24 awa ɛn nɔ gi am mɛrɛsin fɔ ridyus fiva).

Aw fɔ mek di krɔp nɔ skata?

Krɔp kin skata bay we yu kɔntakt ɔ tru di briz. Fɔ mek yu nɔ gɛt am, du dɛn tin ya:

• Afta yu dɔn kia fɔ di pikin , was yu an dɛn fayn fayn wan wit sop ɛn drɛy am.
• Wash di tɔys dɛn fayn fayn wan afta yu dɔn yuz am.
• Tich yu pikin fɔ kɔba in mɔt ɛn in nos we i de kɔf ɔ sniz.
• Nɔ sɛn yu pikin na skul/dekɛr sɛnta we i sik, ɔ if di sik de skata na ples lɛk skul.
• Trowe di tisu dɛn we yu dɔn yuz fayn fayn wan.

Ustɛm a fɔ go to dɔktɔ? / Ustɛm a fɔ go na imejensi rum?

If na so i bi, tɔk to yu pikin in dɔktɔ :

• If di pikin gɛt fiva fɔ pas tri dez .
• If yu gɛt smɔl smɔl krɔp simptom fɔ pas wan wik .
• If yu gɛt kwɛstyɔn ɔ wɔri bɔt yu pikin in kɔndishɔn.

If yu si ɛni wan pan dɛn sayn ya, kɛr yu pikin go na imejensi rum (ETU) wantɛm wantɛm:

• If i klia se i nɔ izi fɔ blo .
• If di skin tɔn blu (saynosis) (espɛshali rawnd di lip, tɔŋ, ɛn finga nel).
• If di bad bad kɔf kɔntinyu fɔ de.
• If i nɔ izi fɔ yu fɔ swɛla, ɔ if saliva kɔmɔt na yu mɔt.
• If yu nɔ ebul fɔ blo, yu nɔ go ebul fɔ ala.
• If yu mek ay-pitch wispa sawnd we yu de blo.
• if di skin bitwin di brεstbon dεm εn na di כp chεst de pul insay (retractions) we yu de brith.

Wetin mek mi pikin kin kɔntinyu fɔ gɛt krɔp?

If yu pikin de kɔntinyu fɔ gɛt krop, dat kin bi sayn fɔ se di say dɛn we dɛn de blo dɔn smɔl . Dis kin mek dɛn kin gɛt infɛkshɔn mɔ. dis narrowing kin de we dεn bכn am כ i kin divεlכp leta. If krop de kɔntinyu fɔ wɔs, yu dɔktɔ kin sɛn yu to spɛshal pɔsin we de mɛn yu yes, nos ɛn trot (otolaryngologist) ɔ pɔsin we sabi bɔt aw fɔ blo (pulmonologist) .

Yu tink se big pipul dɛn kin gɛt krɔp?

Big pipul kin gɛt krɔp, bɔt i kin rili rare. Bebi dεm εn yכŋ pikin dεm kin gεt krכp biכs dεn winda paip dεm (tracheas) sכmtεm εn dεn nכ de divεlכp ful wan. As pikin dɛn de ol, dɛn winda paip dɛn kin big ɛn ful-ɔp. Ivin if dɛn gɛt swel, i nɔ go afɛkt di we aw dɛn de blo bɛtɛ. Bikɔs big pipul dɛn gɛt big aywe, krɔp nɔ kin afɛkt dɛn. Bɔt if big pɔsin gɛt krɔp, dɛn kin gɛt mɔ sik ɛn dɛn kin nid fɔ gɛt tritmɛnt kwik kwik wan.

Di impɔtant tin dɛn we yu nid fɔ mɛmba (Take-Home Message) .

Krɔp na wan sik we de ambɔg di we aw pɔsin de blo we kin ambɔg bebi ɛn yɔŋ pikin dɛn. yu kin no if na krop bay di difrεnt "barking" kכf we yu pikin gεt. Bɔku tɛm, krɔp nɔ kin at ɛn i kin go fɔ insɛf, bɔt sɔntɛnde i kin wɔs kwik kwik wan ɛn mek i nɔ izi fɔ yu pikin fɔ blo.

So, if yu pikin in krop nɔ de bɛtɛ, ɔ i tan lɛk se i de wɔs, nɔ delay ɛn go to dɔktɔ fɔ mek dɛn chɛk am ɛn trit am. Di tin we impɔtant pas ɔl na fɔ nɔ panik ɛn du di rayt tin. Nɔto yu wan de, wi ɔl de wit yu!

` Krɔp, Kɔf we de bark, Sik dɛn we pikin kin gɛt, Infɛkshɔn we pɔsin kin gɛt we i de blo, Stridor, I nɔ kin izi fɔ blo