I naupang tê hian he "barking" cough hi a nei em? Croup chungchang hi han sawi ila!

I fa te hian khawsik rualin khuh mak tak, bark tak a nei nghal a, thawk harsa a ti em? Nu i nih angin chutiang thil a thlen chuan i hlau hle ngei ang, a dik em? Croup hi naupang tê tê zingah a awm fo a, heng symptoms te hi a langsar hle. Vawiin hian he thu hi chipchiar takin, awlsam takin kan sawi dawn a ni.

He croup hi eng nge ni?

A awlsam zawngin, croup, emaw, damdawi lam tawngkam chuan ``Laryngotracheobronchitis`` tih hi naupang tê tête rilru natna, chu chu larynx (kan thusawi laiin aw a lo chhuahna hmun) leh trachea (thâwk chhuahna tube bulpui) a ni Hemiah hian thil thleng chu thawkna kawng chunglam, chu chu vocal cord hnuai lam a lo hring chhuak a ni. Ngaihtuah teh, tui pipe a inkhar chuan tui kal tlang a harsa a, chutianga thawkna kawng a lo hring chuan a zim a ni. Tichuan naupang tê chuan thawk harsa a ti a, thawk a chhuah dawnin thawm mak tak mai a ri tan ta a ni.

Hei hi naute leh naupang kum 3 hnuai lam ah a tam ber a , naupang an lo upat deuh deuh chuan an thawkna kawng a lian chho zel a, chuvangin he natna chi khat hian thawk lama harsatna lian tham a thlen tam lo hle. Hei vang hian naupang kum upa zawkte chu croup an vei tlem zawk a ni.

Hei hi a chhan ber chu virus infection a ni . Khawsik leh flu thlentu virus ang bawkin viral cold zawng zawng hi croup-ah a chang vek lo.

Croup cough hi eng ang nge a ri?

Croup thil langsar ber leh danglamna ber chu he khuh mak tak hi a ni . Seal roaring emaw ui te tak te barking ang maia "barking" cough na tak, khauh tak a ni. Nu thenkhat chu lungngai takin ka hnenah an lo kal a, "Doctor, ka naute hian rang takin khuh a nei a, ka hlau hle a ni," an ti thin. Chu chu a ri chu a ni.

Thil dang chu naute hian a thawk chhuah hian "whooping" emaw choking sound emaw chu a rilru atanga lo chhuak a ni thei . Damdawi lamah chuan hei hi stridor kan ti a. He thawm hi thawkna kawng a lo hring leh a zim vang a ni a, chu hmun zau takah boruak a kal pelh chuan vibration a awm bawk.

Symptom dang engte nge ni?

Croup hi a tlangpuiin a na lo hle a, ni engemaw zat chhungin a reh thei. Mahse, a chang chuan a natna lan chhuah dan hi a na thei hle. A tam zawkah chuan a lan chhuah dan chu zawi zawiin a intan thin. A tirah chuan khawsik na lo ang mai an ni a, hnar a luang a, hnar a khuh bawk. Tichuan, darkar 12 atanga darkar 48 chhungin characteristic barking cough i nei thei a ni. Heng symptoms te hi zan lamah a na zual fo thin .

Mild croup-a hmuh theih symptom dangte chu:

• Aw ri bengchheng tak, rit lutuk tih hriatna.
• Khawsik pangngai (normal fever) a awm.
• A chang chuan vun rawng a awm thin.
• Mit sen (conjunctivitis) a awm.
• Kawngkhar chhunga lymph node hring (neck lymph node swelling) a awm.

Croup moderate to severe ah chuan heng symptoms te hi a na thei hle:

• Thâwk harsa tih a chiang : Naute hian thawk harsa a ti hle niin a lang.
• Restlessness, tihbuai.
• Thâwk lak laiin retractions (breastbones inkar leh a rilru chunglam vun a drawing in) : Hei hian naute thawk harsatna a tawh zia a tilang a ni.
• Blue skin (cyanosis) : Blue skin, a bik takin hmui, lei leh kut zungtang vel a awm chuan taksain oxygen a dawng tlem tihna a ni. Hei hi emergency a ni!

Croup, RSV, leh whooping cough te hi eng nge an danglamna?

Heng natna pathumte hian thawkna kawng a nghawng vek a, naupang tê têah a awm avangin a chang chuan a buai thei bawk. A danglamna hi han thlir ila.

RSV leh Croup te an ni

RSV (Respiratory Syncytial Virus) hi virus dang, thawkna kawng tichhe thei a ni. Nausen leh puitling pawh a nghawng thei. RSV hian khawsik ang chi natna a thlen a, chu chu khuh leh thawk hah te a ni. Pawimawh tak chu RSV hi croup thlen thei virus chi khat a ni bawk. Hei hian RSV infection chu naupang thenkhatah croup-ah a lo chang thei tihna a ni.

Pertussis leh Croup natna te a awm

Whooping cough, a nih loh leh damdawi lama an hriat angin ``Pertussis'' hi thawkna lama natna hrik a ni a, naupang tê tête pawh croup ang bawkin a vei a ni. An pahnih hian khuh danglam tak an nei a. Mahse , whooping cough chu khuh a ni a, chu chu miin a thawk chhuah chuan "whooping" ri sang tak nen a inzawm a ni.

A danglamna ber chu whooping cough hi bacteria infection vang a ni a, croup hi viral infection vang a ni fo. Chuvangin croup venna tur vaccine a awm lo va, antibiotics hmanga enkawl theih a ni lo (antibiotics hian virus a that lo). Whooping cough venna vaccine a awm a, croup angin a dam thuai lo.

Croup hi engtiang chiahin nge a awm?

United States ang ramah chuan kum tin naupang 3% velin croup an nei niin an sawi. Naupang kum 5 hnuai lam damdawi ina dah zinga 7% chu Croup vang nia sawi a ni bawk a , mipa naupangah hian tlem a tam zawkin hmuh tur a awm. Mahse ngaihtuahawm tur a awm lo, a chhan chu naupang croup vei zinga 85% chauhvin natna khirh tak an nei a ni. 1% aia tlem chuan natna khirh tak an nei thin.

Croup hi engte nge ni?

Kan sawi tawh ang khan croup thlentu ber chu viral infection a ni. Chung zinga a tam ber chu `(Parainfluenza virus) an tih hi a ni. Chumi piah lamah chuan `(Influenza virus)` (min natna thlentu virus), `(RSV - Respiratory Syncytial Virus)`, measles virus, leh `(Adenovirus)` ang chi virus te pawhin croup a thlen thei bawk. Heng virus te hian naupang kawr chunglam a thawkna kawngte chu a ti hring chhuak thin. Hei hian thawk a ti harsa thin.

Mahse heng virus te hi environment-ah an awm fo thin. Hei hian naupang virus kai zawng zawng hian croup an nei vek dawn lo tihna a ni. A tlem hle a, virus infection bakah hian bacteria infection a awm thei a, chu chuan natna a ti na zual hle.

Croup hi a kai thei em?

Ni e, croup hi natna hrik kai theihna sang tak a ni a, a chhan chu a thlentu virus te hi an darh awlsam em em a ni.

Viral emaw bacterial infection nei mi pakhatin croup a khuh emaw, a thawk hah emaw a nih chuan boruakah hian droplet te te (respiratory droplets) a chhuak thin. I fain chu boruak chu a thawk a nih chuan natna hrik a kai thei a, croup a nei thei bawk. Tin, natna hrik chi hrang hrang, infiamna emaw, kawngkhar emaw ang chite khawih a, chuta tang chuan an hmui emaw, hnar emaw chu kut vek hmanga khawih pawhin an hmu thei bawk.

Naupang chu a natna lan chhuah tirh atanga ni thum hmasa berah a kai thei a, a nih loh leh a khawsik a reh vek hma loh chuan a kai thei bawk . Chuvangin, i fate chu khawsik tihziaawmna damdawi pe lovin darkar 24 chhung a khawsik a reh hma loh chuan sikul kaltir loh a pawimawh.

Croup hian harsatna a thlen thei em?

A tam zawkah chuan croup hi natna na lo tak a ni a, in lama enkawl theih a ni. Complication a awm tlem hle. Croup vei naupang 5% aia tlem chu damdawi inah dah a ngai a ni. I fa chu damdawi inah dah a ngai mai thei a, chu chu:

• Naupang taksaa oxygen level vawng reng turin oxygen pek i mamawh a nih chuan .
• Dehydration nasa tak i neih a, vein kaltlangin tui pek i mamawh a nih chuan (IV - intravenous) .
• Thâwk harsat nâna nebulized breathing treatment engemaw zat pek i mamawh chuan .
• Enkawl hmasak hnuah pawh symptoms a awm reng chuan .

Engtin nge ka naute hian croup a nei tih ka hriat theih ang?

A tam zawkah chuan doctor chuan i fain croup a neih leh neih loh chu naupangin a lan chhuah dan a zirin a rel ang . A bulpui ber chu chu characteristic barking cough leh thawk chhuah huna ``stridor`` sound lo chhuak chu a ni. Hei hi a bik takin thlasik leh thlasik lai (kan ramah, ruahtui tlak lai, a vawt em em lai) hian kan hmu a ni. Naupang dinhmun a nasat chuan doctor-in a chang chuan X-ray leh lab test a ti thei a, mahse hei hi a tlem hle.

Croup hi engtin nge enkawl a nih?

Enkawlna chu i fate natna lan chhuah dan nasat dan leh a natna a zual thuai theihnaah a innghat a ni. I fa hian thawk lama harsatna a lo nei tawh a nih chuan, a nih loh leh a hun hmaa piang a nih chuan hei hian enkawlna thlan dan pawh a nghawng dawn a ni.

In lama damdawi (mild croup tan) .

Croup natna hi a na lo a nih chuan in lamah enkawl leh tihdam theih a ni fo.

Pawimawh: Heng in lama damdawi hmang hian i fa dinhmun a ṭhat loh chuan, a nih loh leh a zual zel nia a lan chuan doctor pan ngei ngei tur a ni.

• Cool mist humidifier: Cool mist humidifier hman hian room chhunga tui a belhchhah a, thawk vawt leh hrual lo chu a tiziaawm thei a ni.
• Bathroom steam: Bathroom kawngkhar kha khar la, shower atanga tui lum chu on rawh. Tichuan, i fate nen bathroom steamy takah hian rei vak lo awm rawh. Mahse, fimkhur rawh! Shower-ah naupang chu khawih suh la, tui lum bulah pawh hruai suh, a kang thei a ni.
• Thli lum: I naute hian zanah thawk a harsat hmel hle a nih chuan, kawngkhar emaw, tukverh emaw hawng la, room chhungah boruak lum engemaw zat a luh theih nan (mahse, khaw lum lutuk hnuaiah dah suh).
• Khawsik damdawi: Khawsik i neih chuan doctor-in a pek (OTC) damdawi, paracetamol (e.g. Panadol, Calpol) emaw, ibuprofen (e.g. Brufen) emaw pe thin ang che. Naupang tê tête chu aspirin pe suh.
• Khuh tan tui lum: Tui lum, thianghlim (e.g. soup, tui lum) tlemte pek hian vocal cords-a mucus awm chu a tizau thei a ni.
• Meizial zuk loh tur: In chhungah meizuk loh tur. Cigarette meikhu hian i fa khuh a ti na zual thei.
• Lu chu chawi sang rawh: Mut laiin i naute lu chu extra pillow hmangin prop up la. Hei hian thawk hahdam turin a pui thei a ni. Mahse naute kum khat hnuai lam chu crib dah suh.

A theih chuan i fate nen pindan khata mut chu a tha ber a, chuvangin i fain zan lama thawk harsatna a neih chuan i fimkhur thei ang.

Damdawi lam enkawlna (Croup na tak atanga na tak tan) .

Croup hi a hniam emaw, a na emaw a nih chuan i fa chu Emergency Department (ETU) hnai ber emaw doctor emaw hnenah i hruai nghal tur a ni. Croup na tak hian nunna a tichhe thei a, chuvangin tihkhawtlai a tha lo.

Chuta enkawlna pek dan chu naupang natna lan chhuah dan azirin a inang lo thei. Chung zinga ṭhenkhat chu:

• Humidified air emaw oxygen emaw pek.
• Dehydration a awm chuan IV fluids pek tur a ni.
• Vital signs enfiah: thil oxygen level, thawk chakna, leh heart rate ang chi te.
• Croup damdawi bik: steroid (glucocorticoids) leh nebulized damdawi (e.g. epinephrine) te.
• Thâwk harsatna a nasat chuan mechanical ventilation hi a tlem berah tih theih a ni.

Heng damdawi te hi tlem han zir belh leh ila.

I fa chu doctor emaw emergency room emaw-a i hruai hian doctor chuan damdawi chi khat ``glucocorticoid'' leh ``nebulized epinephrine'' an tih chu a pe thei che a ni.

• Glucocorticoids te hi a awm a:

Hengte hi steroid chi khat a ni. He damdawi hian i fa larynx (voice box) a hring (swelling) a tihziaawmna hmangin hna a thawk a ni. A tlangpuiin a dose hmasa ber atanga darkar 6 chhungin hna a thawk tan thin. Naupang croup na lo nei hnenah he damdawi hi pek hian doctor emaw damdawi in emaw pan nawn fo ngai lohna a ti tlem thei a ni.

Damdawi hman tam ber chu `(dexamethasone)` leh `(prednisolone) te an ni. Hengte hi hmui hmanga pek a ni a, a tlangpuiin vawi khatah pek thin a ni. Naupang chu a luak chhuak a, damdawi a dah hniam thei lo a nih chuan `(dexamethasone)` chu thisenah `(IV)` emaw, taksa peng chhungah `(IM injection)` emaw pek theih a ni.

• Nebulized Epinephrine hmanga siam chu:

Epinephrine hi nebulizer hmangin mist angin pek a ni. Tin, thawkna kawng a hring (swelling) tihziaawmna hmangin hna a thawk bawk. Minute 10 chhungin hna a thawk tan tlangpui. Mahse, a nghawng chu darkar hnih vel chauh a ni. Chuvangin, symptoms a nasat chuan minute 15 atanga minute 20 danah enkawl nawn leh a ngai mai thei.

Enkawlna hian side effect a nei em?

Epinephrine hian side effect na tak a thlen tam lo hle. Mahse, heart rate sang (tachycardia) ang chi thil a thlen thei a ni. Doctor chuan naupang chu a dose hnuhnung ber a pek hnuah darkar thum atanga darkar li chhung a enfiah ang a, thawk lama harsatna a lo kir leh em tih a enfiah ang.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Glucocorticoids hian a dose hmasa ber atanga darkar 6 chhungin hna a thawk tan tlangpui. Epinephrine hian hna a thawk tan rang zawk.

Engtikah nge croup hi i ngaihtuah tur?

Croup hi a na lo thei a, a na lo thei a, a na thei bawk. Naupang tan chuan thawk a harsat danah a innghat . He natna nasat dan hi naupang thawkna kawng lian leh te (diameter) leh a hring avanga a zim danah a innghat a ni. Tin, naupang chu a lungawi loh emaw, a tap emaw chuan a natna a zual thei bawk.

• Mild Croup: A rilru a hah lutuk chuan a rilru a buai em em a.

Naupang croup na lo tak nei chuan khuh (barking cough) leh thawk hah (stridor) a nei thei. Zanah symptoms a na zual thei. Chuvangin i fate thawh danah fimkhur a ngai a, mahse a tam zawkah chuan in lamah enkawl theih an ni.

• Croup hniam tak: 1.1.

Naupang croup hniam tak nei chuan thawk a chhuah laiin thawk hah (stridor) leh retractions (ribs inkar vun) chhinchhiahna a nei thei. Tlem an buai thei a, an buai deuh a, thawk harsa deuh pawh an nei thei bawk. Hetih lai hian naupang chu doctor hnenah enkawl turin hruai tur a ni.

• Croup na tak: 1.1.

Naupang croup na tak nei chuan stridor leh retractions a nei vek ang. An buai hle a, an rilru a hah hle a, an chau hle thei bawk.Vun rawng blue (cyanosis) hi a awm fo thin. Croup na tak hi nunna atana hlauhawm tak a ni! Naupang chu emergency room (ETU) -ah hruai nghal rawh.

Croup hi eng chen nge a awm?

Naupang tam zawk chu ni hnih chhungin croup symptoms atang hian an dam leh thin , mahse a chang chuan symptoms hi kar khat thleng a awm thei.

Engtikah nge ka naute chu sikul kaltir leh theih ang?

Croup hi natna hrik kai theihna sang tak a ni. I fate chu an khawsik a bo vek hma loh chuan sikul kaltir loh tur a ni (khawsik tihziaawmna damdawi pe lovin darkar 24 chhung chu khawsik nei lovin an awm tur a ni).

Croup darh zel tur hi engtin nge kan ven theih ang?

Croup hi contact emaw boruak kaltlangin emaw a darh thei. A ven nan hengte hi ti rawh:

• Naute enkawl hnuah , i kut chu sahbawn hmangin uluk takin sil la, vawt rawh.
• Toys hman zawhah uluk takin silfai thin ang che.
• I fa chu a khuh emaw, a hah emaw chuan a hmui leh hnar khuh turin zirtir rawh.
• I fa damloh lai emaw, sikul ang hmuna natna a darh zel a nih chuan sikul/daycare center-a thawn kha pumpelh rawh.
• Tissue hman tawhte chu uluk takin paih vek tur a ni.

Engtikah nge Doctor ka hmuh ang? / Engtikah nge emergency room-ah ka kal ang?

Chutiang a nih chuan i fa doctor nen inbia ang che :

• Naupang chu ni thum aia rei a khawsik chuan .
• Kar khat aia tam croup symptoms na lo tak i neih chuan .
• I fa dinhmun chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan .

A hnuaia symptoms te hi i hmuh chuan i fa chu emergency room (ETU) ah hruai nghal rawh:

• Thâwk harsa tih chiang tak a awm chuan .
• Vun chu a sen (cyanosis) a nih chuan (a bik takin hmui, lei leh kut zungtang vel).
• Khuh na tak chu a awm reng chuan.
• I ei harsat a nih chuan, a nih loh leh i ka atanga hmui a chhuak a nih chuan.
• I thaw thei lo a nih chuan i au thei lo.
• I thawk chhuah laiin whistling ri sang tak i siam chuan.
• Thâwk lak laiin hnute ruh inkar leh rilru chunglam vun chu chhung lam hawia a inher (retractions) chuan.

Engvangin nge ka naute hian croup a neih chhunzawm zel?

I fa chu croup a vei reng a nih chuan, an thawkna kawng a zim tih chhinchhiahna a ni thei . Hei hian hri kai an vei awlsam zawk a ni. He narrowing hi pian tirh lamah a awm thei a, a hnuah pawh a lo awm thei bawk. Croup a na zual zel chuan i doctor chuan beng, hnar leh kawr lam specialist (otolaryngologist) emaw thawkna lama specialist (pulmonologist) emaw hnenah a refer thei che a ni.

Puitlingte hian croup an nei thei em?

Puitling chuan croup an nei thei a, mahse a tlem hle. Nausen leh naupang tê tête chu an thlipui (tracheas) a tawi a, a lo ṭhang kim loh avangin croup an nei ṭhin. Naupangte an lo upat deuh deuh chuan an thlipui (windpipe) te chu a lian a, a lo thang chak hle bawk. An lo hring chhuak a nih pawhin thawk a nghawng vak lovang. Puitling hian thawkna kawng lian zawk an neih avangin croup hian a nghawng lo tlangpui. Mahse, puitlingin croup a vei chuan an natna lan chhuah dan chu a na zawk thei tlangpui a, enkawl vat a ngai mai thei.

I hriat reng tur pawimawh ber berte (Take-Home Message) .

Croup hi thawkna lama natna hrik kai theihna sang tak a ni a, naute leh naupang te te a vei a ni. I fain a neih "barking" cough danglam tak atang hian croup a nih leh nih loh i hre thei ang. A tam zawkah chuan croup hi a na lo va, a mah chauhin a bo thin a, mahse a chang chuan a na zual thuai thei a, i fate thawk pawh a ti harsa thei bawk.

Chuvangin, i fa croup a dam loh chuan, a nih loh leh a na zual ang tih a hriat chuan, tihkhawtlai suh la, doctor pan la, checkup leh enkawl rawh. A pawimawh ber chu hlauthawng lo leh thil dik tih hi a ni. Nangmah chauh i ni lo, i bulah kan awm vek!

` Croup, Barking cough, Naupan lai natna, Thluak lam natna, Stridor, Thâwk harsa