I fate hian khawsik a nei nghal a, chu chu khuh mak tak mai, bark tak leh thawk harsa tak takin a zui ta em? Nu leh pa kan nih angin hetiang thil a thlen hian hlauhthawn hi thil awmdan pangngai tak a ni. Heng symptoms te hi naupang te te ah a awm fo a , Croup tih hming pu natna chhinchhiahna a ni fo bawk . Nirogi Lanka-ah hian he dinhmun hi chiang tak leh awlsam taka hriatthiam theih nan kan pui duh che a ni.
Croup chu eng nge ni?
A awlsam zawngin, Croup—damdawi lama laryngotracheobronchitis tia hriat —chu naupang tê tête thawkna kawng chung lam, a bîk takin larynx (voice box) leh trachea (thlipui lian ber) a nghawng thei natna a ni. He hmun hi a lo inflamed chuan thawkna kawng a zim thin. Garden hose-a kink ang maiin han ngaihtuah teh; thawkna kawng a inkharkhip avângin, i fa chuan thawk a harsat phah thei a, chu chuan a thawk chhuah hunah thawm danglam tak, danglam tak a chhuah fo ṭhîn.
Croup hi naupang kum 3 hnuai lam ah a tam ber . Naupang an lo puitlin chuan an thawkna kawng a zau a, chu chuan he inflammation chi hi thawk harsatna a thlen tam lo hle. Hei vang hian naupang kum upa zawkah croup i hmu tlem hle.
A chhan ber chu virus infection a ni —chu chu common colds leh flu thlentu virus chi hrang hrang a ni. Mahse, khawsik apiang hian croup a thlen vek lo tih hriat reng a pawimawh.
Croup cough hi eng ang nge a ri?
Croup chhinchhiahna langsar ber chu a khuh danglam tak hi a ni . Seal honking emaw, ui te tak te bark ang maia ri na tak, raspy, “barking” cough a ni. Nu leh pa tam tak chuan, “Doctor, ka fa hian ui ri ang maia khuh a nei nghal a, a hlauhawm khawp mai,” tiin min hrilh a. Chutiang chiah chu a ni.
Chu bâkah, i fain a thawk chhuah laiin thawm sâng tak, vibrating, a nih loh leh whistling ri i hre thei bawk.Damdawi lamah chuan hei hi stridor kan ti a ni. Hei hi thlipui (windpipe)-a a hring hring, a zau zawnga thlipui (windpipe) a kal tlang theih loh avangin a lo awm a, chu chuan vibration a siam a ni.
Simptom dangte chu engte nge ni?
Croup hi a tlangpuiin a na lo va, ni engemaw zat chhungin a reh tlangpui. Mahse, symptoms chu a zual thei hle. Zawi zawiin an tan fo thin a, chu chu khawsik natna chhinchhiahna, hnar luang emaw, hnar hring emaw a ni. Darkar 12 atanga 48 vel hnuah chuan, a characteristic barking cough chu a lo chhuak thei a, zan lamah a na zual fo thin .
Mild Croup chhinchhiahna langsar tak takte chu:
- Hoarseness emaw, aw raspy tak emaw.
- Khawsik na lo tak a ni.
- A chang chuan vun rawng a lo chhuak thin.
- Mit sen (conjunctivitis) a awm.
- Kawngkhar chhunga lymph nodes a lo hring chhuak.
Moderate to Severe Croup chhinchhiahna te chu:
- Thâwk harsa tih chiang : I fa chu thawk lak tumin a chau tih hmuh theihin a lang thei.
- Restlessness emaw, thinrimna danglam tak emaw.
- Retractions : I fain a thawk chhuah hian a ruh inkar emaw, a rilru hnuai lam emaw a vun a rawn inhnukdawk tih i hmu thei a, hei hi thawk lak tumin an thawkrim lutuk tih chhinchhiahna a ni.
- Cyanosis (bluish tint) : Kut zungtang vel, hmui, lei emaw vun emaw a rawn sen chuan taksain oxygen a hmu tlem tihna a ni. Hei hi medical emergency a ni! 911 ah call emaw, i hnaih ber emergency department tlawh nghal rawh.
Croup, RSV leh Whooping Cough te hi engtin nge an danglam?
Heng dinhmun pathumte hian thawkna kawng a nghawng avangin an buai fo thin. An danglamna chu hetiang hi a ni:
RSV leh Croup te an ni
RSV (Respiratory Syncytial Virus) hi thawkna hrik awm fo a ni. Nausen leh puitling a nghawng a, khawsik ang chi a thlen laiin, RSV hi Croup tichhuak thei virus zinga mi a ni. Phên dangin sawi ila, RSV infection hi a chang chuan croup case-ah a kal thei a ni.
Khuh (Pertussis) leh Croup te a awm bawk
Whooping cough, a nih loh leh pertussis , hi thawkna lama natna dang a ni. An pahnih hian khuh chi hrang hrang an keng tel a ni. Mahse, whooping cough hi naupangin a khuh fit hnua boruak a zawn laiin “whooping” ri sang tak a awm tih a hriat theih.
A danglamna ber chu whooping cough hi bacteria vang a ni a, croup erawh chu viral a ni tlangpui thung. Chuvangin antibiotics (bacteria thattu mahse virus that lo) hian whooping cough a tidam thei a, mahse croup lakah chuan a hlawk lo. Whooping cough tan hian vaccine a awm a, mahse croup venna tur vaccine bik erawh a awm lo.
Croup hi engtiang chiahin nge a awm?
Ram tam takah chuan kum tin naupang 3% velin croup an vei a, naupang kum 5 hnuai lam damdawi ina luh zinga 7% vel a ni a , mipa naupangah a hluar deuh hlek a ni. Mahse, 85% chu a na lo hle a, 1% aia tlem chu na tak anga ngaih a ni tih i chiang thei ang.
Eng thilin nge Croup hi a thlen?
Kan sawi tawh ang khan virus infection hi a chhan ber a ni. Parainfluenza virus hi a mawhphurtu ber a ni a, mahse influenza, RSV, measles, leh adenovirus te pawhin a tichhuak thei bawk. Heng virus te hian thawkna kawng chunglam a ti na a, thawk harsatna a thlen thin. Heng virus te hi boruak ah a darh zau hle a, chuvang chuan naupang hri kai zawng zawng hian croup an nei vek lo. A tlem berah chuan secondary bacterial infection hian a ti buai thei a ni.
Croup hi a kai theih em?
Yes, croup is highly contagious , a thlentu virus te hi awlsam takin an darh thin avangin. Heng symptoms te hi him taka enkawl dan tur expert kaihhruaina dawng turin Nirogi Lanka ah ring rawh.
Croup thlentu virus emaw bacterial infection nei mi pakhatin a khuh emaw, a thawk hah emaw chuan thawkna tuikhuah te te chu boruakah an chhuah tir thin. I fa hian heng droplets te hi a thawk a nih chuan croup thlentu virus emaw bacteria emaw a kai thei a ni. Chu bâkah, i fain infiamna emaw, kawngkhâr emaw ang chi thil bawlhhlawh a khawih a, a hnuah anmahni hmui, hnar emaw, mit emaw a khawih chuan natna hi a darh thei bawk.
Croup hi natna lan chhuah tan atanga ni thum hmasa berah emaw, khawsik a reh vek hma emaw a kai thei a ni. A tlangpuiin, i fate chu khawsik tihziaawmna damdawi hmang lovin darkar 24 tal khawsik nei lo a nih hma chuan sikul kaltir leh suh.
Croup hian harsatna a thlen thei em?
A tam zawkah chuan croup hi a na lo a, in lamah pawh a tha thei ang bera enkawl theih a ni. Harsatna a awm lo hle a; croup vei naupang 5% aia tlem chuan damdawi inah dah an ngai a ni. I fain a hnuaia thilte hi a lantir chuan i doctor chuan damdawi ina enkawl a rawt thei ang:
- Oxygen level hrisel tak awm reng nan supplementary oxygen mamawhna .
- Dehydration nasa tak a awm avangin intravenous (IV) fluids a ngai thin.
- Thluak lama harsatna tihziaawmna turin nebulized breathing treatment tih nawn fo a ngai .
- Damdawi lam hmalakna hmasa ber hnua a ṭhat lohna symptom na tak tak .
Engtin nge ka naute hian croup a nei tih ka hriat theih ang?
Doctor-te chuan croup hi clinical symptoms , a langsar ber chu a characteristic "barking" cough leh inhalation laiin high-pitched sound, stridor tia hriat a ni. Croup hi thlasik leh thlasik lai hian a tam zawk. A tlem hle laiin, a lan chhuah dan a nasat chuan doctor chuan X-ray emaw laboratory test emaw a ti thei a, chu chuan natna dang a neih loh nan a ti thei a ni.
Croup hi engtin nge enkawl a nih?
Enkawlna chu i fa natna lan chhuah dan nasat dan leh a natna zual zel theihnaah a innghat a ni. I fate damdawi lam chanchin, thawkna lama harsatna awm tawh emaw, a hun hmaa piang a nih emaw pawhin enkawlna ruahmanna a nghawng dawn a ni.
In lama enkawlna (Mild Croup tan) .
Croup a na lo a nih chuan in lamah him takin i enkawl thei fo.
Pawimawh: In lama enkawl hian i fate dinhmun a titha lo emaw, a na zual zel nia a lan chuan doctor rawn nghal tur a ni.
- Cool mist humidifier: Bedroom chhunga cool mist humidifier hman hian thawkna kawng inflamed chu a ti reh thei a ni.
- Bathroom steam: Bathroom khar chhungah shower lum run la, steam-a khat room siam la, i fate nen hun rei vak lo ṭhu rawh. Fimkhur tur: I fa chu a kang lo turin shower hnuaiah emaw, tui lum hnaih lutuk emaw dah ngai suh.
- Zan boruak lum: I fain zan lama thawk a harsat chuan, pindan chhunga boruak lum luh theihna turin kawngkhar emaw, tukverh emaw i hawng thei bawk (chutih rualin khaw lum lutuk an tawrh loh nan i enfiah bawk ang).
- Khawsik tihziaawmna: Khawsik a awm chuan doctor-in a rawt angin damdawi lei theih loh, paracetamol (eg, Panadol, Calpol) emaw ibuprofen (eg, Brufen) emaw hmang thin ang che. Naupang hnenah Aspirin pek loh tur.
- Tui lum: Tui thianghlim, lum (soup emaw tui lum ang chi) pek hian rilru chhunga mucus awm chu a tithianghlim thei a ni.
- Meikhu pumpelh: I in chu meizuk lohna hmunah dah la, cigarette meikhu hian thawkna kawng a ti na thei a, khuh a ti na zual thei bawk.
- Lu chawi sang: Pillow dang nena mut hian thawk a ti awlsam thei. Note: Naute kum khat hnuai lam tan pillow hmang suh.
Zankhuain i fate thawk dan enfiah turin i fate nen room khatah mut a tha.
Damdawi lam enkawlna (Croup na tak atanga na tak tan) .
Croup hi a hniam lam atanga a nasat lutuk chuan i hnai ber hospital emergency department (ED) ah emergency medical attention zawng nghal rawh. Croup na tak chu nunna atana hlauhawm emergency a lo ni thei a, chuvangin tihkhawtlai suh.
Hospital-a enkawlna kawng hrang hrangte chu:
- Humidified air emaw oxygen support emaw a awm thei.
- Hydration atan intravenous (IV) fluids pek thin a ni.
- Signs pawimawh tak tak, oxygen saturation, thawkna rate, leh heart rate te enfiah.
- Croup damdawi bik: Glucocorticoids leh nebulized damdawi epinephrine ang chi te.
- A nasat lutuk chuan mechanical ventilation a ngai thei bawk.
Damdawi hriatthiamna
I fa chu emergency department emaw doctor emaw hnenah i hruai chuan glucocorticoids leh nebulized epinephrine te an pe thei a ni.
- Glucocorticoids te hi a awm a:
Hengte hi voice box (larynx) a inflammation tihziaawmna atana hman thin steroid te an ni. A tlangpuiin an dose hmasa ber atanga darkar 6 chhungin hna an thawk tan thin. He damdawi hi pek hian, mild croup tan pawh, damdawi lam pan leh ngai lohna a veng thei fo thin.
Damdawi hman tlanglawn tak takte chu dexamethasone leh prednisolone te an ni. Hengte hi oral dose khata pek thin a ni. I fa chu a luak chhuak emaw, damdawi a tihhniam theih loh emaw chuan doctor chuan IV emaw, intramuscular (IM) injection emaw hmangin dexamethasone a pe thei ang.
- Nebulized Epinephrine hmanga siam chu:
Epinephrine hi nebulizer machine hmangin mist tha tak angin pek a ni a, hei hian thawkna kawng inflammation chu rang takin a tihziaawm thei a ni. A tlangpuiin minute 10 chhungin hna a thawk tan thin. Mahse, a nghawng chu rei lo te chhung a ni a, darkar hnih vel chauh a awm. Chuvangin, symptoms a nasat chuan i fa chu minute 15–20 danah enkawl nawn leh a ngai thei a ni.
Enkawlna hrang hrangte hian side effect a nei em?
Epinephrine atanga side effect na tak tak a awm hi a tlem hle. Mahse, hun eng emaw chen atan chuan heart rate sang (tachycardia) ang chi a awm tih i hmu mai thei. Doctor chuan i fate chu a dose hnuhnung ber i pek hnuah darkar thum atanga darkar li chhung a enfiah tlangpui ang a, chu chuan natna lan chhuah dan a lo kir leh tawh loh nan hahdam takin a thawk thei ang.
Engtiang chiahin nge ka fa chu enkawl hnuah a dam thuai ang?
Glucocorticoids hian a tlangpuiin a dose hmasa ber atanga darkar 6 chhungin hna a thawk tan a, epinephrine erawh chuan airway inflammation tihziaawm nan a thawk rang zawk thung.
Croup hi engtikah nge i ngaihtuah tur?
Croup hi a na lo atanga na tak thlengin a awm thei a, chu chu i fain thawk a harsat zia a zirin a ni . A nasat dan chu a hring avanga thawkna kawng a zim zia atanga teh a ni. I fa chu a buai emaw, a tap tan emaw chuan an thawk chhuah dan a na zual thei tih hre reng ang che.
- Mild Croup: A rilru a hah lutuk chuan a rilru a buai em em a.
A nasat loh chuan i fa hian a characteristic barking cough leh a thawk chhuah laiin raspy sound (stridor) a nei thei. Zanah a natna lan chhuah dan hi a na zual fo thin. I fa chu uluk takin i enfiah tur a ni a, mahse heng case te hi in lamah him takin enkawl theih a ni tlangpui.
- Croup hniam tak: 1.1.
Croup moderate a nih chuan retractions (thâwk laiin vun ribs inkar a rawn inhnukdawk) bulah stridor i hmu mai thei. I fa chu a buai hle a, a buai hle a, a nih loh leh a lungngai tawk angin a lang thei bawk. Hetiang dinhmunah hian professional medical care atan doctor i pan a ngai a ni.
- Croup na tak: 1.1.
Croup na tak takah chuan stridor leh retractions nasa tak a awm thin. I fa chu a chau hle a, a rilru a hah hle a, a rilru a hah hle bawk. Vun ah hian blueish tint (cyanosis) a awm thei. Croup na tak hi nunna atana hlauhawm emergency a ni! Khawngaihin 911 ah call emaw, i fa chu Emergency Department hnai ber ah hruai nghal rawh.
Croup hian eng chen nge a daih?
Naupang tam zawk tan chuan croup symptoms chu ni hnih chhungin a resolve , mahse symptoms tenau te chu kar khat thleng a awm reng chu thil mak a ni lo.
Engtikah nge ka fa chu sikul a kir leh theih ang?
Croup hi a kai thei hle. Khawngaihin i fate chu khawsik tihziaawmna damdawi hmang lovin darkar 24 tal khawsik nei lo an nih hma chu in lamah dah la.
Croup natna darh zel tur hi engtin nge ka ven theih ang?
Croup hi direct contact emaw thawkna droplet hmanga darh a ni. Transmission venna atana pui turin heng step te hi zawm tur a ni:
- I fa i enkawl zawhah i kut chu sahbawn leh tuiin uluk takin sil thin ang che .
- Shared toys te chu tifai fo thin ang che.
- I fa chu a khuh emaw, a hah emaw chuan a hmui leh hnar khuh turin zirtir rawh.
- I fa a damloh chuan a dam hma chu sikul emaw daycare emaw atanga hla takah dah la.
- Tissue hman tawhte chu paih nghal tur a ni a, him takin paih vek tur a ni.
Engtikah nge doctor i hmuh ang emaw, Emergency Department-ah emaw i kal ang?
Nirogi Lanka naupang enkawltu doctor chu zawhfiah theih a ni a, chu chu:
- I fa hian ni thum aia rei a khawsik a nei a .
- Croup symptoms na lo tak tak chu kar khat aia rei a awm reng a ni .
- I fa dam leh tur chungchangah ngaihtuahna i nei emaw, i lungkham emaw a ni .
A hnuaia thilte hi a lo awm a nih chuan Emergency Treatment Unit (ETU)-ah emergency medical care zawng nghal rawh:
- Hmuh theiha thawk harsatna.
- Vun hi a sen (cyanosis) , a bik takin hmui, lei emaw, nail bed vel ah a lang .
- Khuh na tak leh awm reng.
- Chaw ei harsa emaw, tui chhuah tam lutuk emaw.
- Thluak lama harsatna avanga tawng thei lo emaw, tap thei lo emaw .
- Inhal laiin whistling ri sang tak .
- Rib inkar emaw, kawr bul emaw a vun retraction hmuh theih .
Engvangin nge ka naute hian Croup a vei leh thin?
Croup lo lang leh hian thawkna kawng structural narrowing a tilang thei a, chu chuan i fa chu natna hrik a vei awlsam zawk a ni. He narrowing hi congenital (pian atanga awm) emaw, acquired emaw pawh a ni thei. I fain croup natna a neih fo chuan i doctor chuan otolaryngologist (ENT specialist) emaw, pediatric pulmonologist emaw hnenah evaluation neih belh turin a refer thei che a ni.
Puitlingte hian croup an nei thei em?
Ni e, puitlingte chuan croup an vei thei a, mahse a tlem hle. Croup hian naute leh naupang te a vei tlangpui a, a chhan chu an tracheas (windpipes) te chu a tawi a, a la thang zel a ni. Naupangte an lo puitlin chuan an thawkna kawng a zau a, an puitling a, chu chu inflammation hian an thawk a tikhawtlai lo tihna a ni. Puitling thawkna kawng a lian zawk avangin croup hian a tlangpuiin i tan hlauhawmna lian tham a thlen lo. Mahse, puitlingin croup a vei a nih chuan a natna lan chhuah dan chu a na zawk thei a, damdawi lam panna nasa zawk i mamawh thei bawk.
Takeaways pawimawh tak tak
Croup hi thawkna lama natna hrik kai theih tak a ni a, naute leh naupang tête zingah hmuh tur a awm fo. A ziarang “barking” cough hmangin i hre thei ang . Case tam tak chu a na lo va, a mah chauhin a reh thei a, mahse, a chang chuan he natna hi a zual chak hle thei a, chu chuan i fa tan thawk harsatna nasa tak a thlen thei a ni.
Chuvangin, i fate dinhmun a ṭhat chhoh theihna tur chhinchhiahna a lan loh chuan, emaw, an natna lan chhuahna a zual zel tih i hriat chuan damdawi lam pan vat rawh. Doctor biak hreh suh, emergency department tlawh pawh hreh suh. Thlamuang taka awm leh hmalakna dik tak zawh hi a pawimawh hle. Nangmah chauh i ni lo; Nirogi Lanka chuan a thlawp che u a ni.
👩🏽 ⚕️ Zawhna tam tak (FAQs) .
💬 Naupang croup hi pneumonia chi khat a ni em?
No. Pneumonia atanga danglam, natna tlanglawn tak a ni. Naupang thla 6 leh kum 3 inkar a nghawng tam ber. Virus (a tlangpuiin parainfluenza virus) hian larynx leh trachea a ti na a, thawkna kawng a ti tawi a, a awm thin.
💬 Engvangin nge bark thawm a siam?
Thlipui chu a hring a, a zim avangin boruak chuan khuh laiin thawm na tak, “barking” a siam thin. Chu aia ngaihtuahawm zâwk chu “stridor” a ni a, chu chu naupangin a thawk chhuah huna hriat theih tûr thawm ri sang tak a ni. Heng symptoms te hi zan lamah a na zual fo thin.
💬 A hlauhawm em, engtin nge in lamah chhawmdawlna ka pek theih ang?
Case tam zawk hi a hlauhawm lo va, ni rei lo te chhungin a reh thin. I fa chu thlamuang takin awmtir la, tap hian thawk harsatna a tizual thei a ni. In lama cool-mist humidifier hman hian hahdamna a pe nghal thei. Mahse, i fa hmui a rawn sen emaw, thawk a harsat emaw a nih chuan, emergency room hnai berah hruai nghal la, steroid emaw epinephrine emaw ang chi medical intervention atan hruai nghal rawh.
Thupui: Croup, barking cough, naupang hriselna, thawkna lama natna, stridor, thawk harsa
