He maremare 'au' pēnei tāu tamaiti? Me kōrero tātou mō te Croup! - Nirogi Lanka

Kua pāngia tō tamaiti e te makariri ohorere, ā, ka whai ake ko te maremare auau, me te uaua ki te manawa? Hei mātua, he mea maori te mataku ina pā mai tēnei. He mea noa ēnei tohu i roto i ngā tamariki nohinohi, ā, he maha ngā wā he tohu tēnei o tētahi mate e kiia nei ko te Croup . I Nirogi Lanka, e hiahia ana mātou ki te āwhina i a koe kia mārama ki tēnei mate me te mārama, me te ngāwari hoki.

He aha te Croup?

Ki te whakarapopoto, ko te Croup—e mōhiotia ana i roto i te rongoā ko te laryngotracheobronchitis —he mate e pā ana ki te ara manawa o runga o ngā tamariki nohinohi, inā koa te larynx (te pouaka reo) me te trachea (te pūwero matua). Ina mumura tēnei wāhi, ka whaiti te ara manawa. Whakaarohia he rite ki te piko o te ngongo māra; nā te mea kua kuiti te ara manawa, tera pea ka uaua ake te manawa o tāu tamaiti, ā, he maha ngā wā ka puta he tangi motuhake, he oro rerekē ina manawa ana.

Ko te koropupū te mea e tino kitea ana i roto i ngā tamariki kei raro iho i te 3 tau te pakeke . I te pakeketanga o ngā tamariki, ka whānui haere ō rātou ara manawa, ā, ka iti ake te tūponotanga o tēnei momo mumura ki te whakararu i te manawa. Koia te take kāore e kitea pinepine ai te koropupū i roto i ngā tamariki pakeke.

Ko te mate huaketo te tino take — arā, ngā momo huaketo e puta ai te makariri me te rewharewha noa. Heoi, he mea nui kia mahara ehara i te mea ko te makariri katoa ka arahi ki te mate pukupuku.

He aha te tangi o te maremare Croup?

Ko te tohu tino kitea o te maremare ko tōna momo maremare ahurei . He maremare kaha, he haruru, he "tau" e rite ana ki te tangi a te kekeno e tangi ana, te tau rānei a te kurī iti. He maha ngā mātua e kī mai ana ki ahau, "E Tākuta, i puta whakarere mai he maremare i taku tamaiti e rite ana ki te tangi a te kurī e tau ana, ā, he tino whakamataku." Koia tonu te tangi.

Hei tāpiritanga, tera pea ka rongo koe i tētahi oro teitei, wiri, whiowhio rānei ina manawa mai tāu tamaiti. I roto i te rongoā, ka kiia tēnei he stridor . Ka puta tēnei nā te mea kei te uaua te hau ki te haere i roto i te wāhanga pupuhi, whaiti o te pūhā, ka puta he wiri.

He aha atu ngā tohu?

He ngawari noa te mate pukupuku, ā, ka memeha haere i roto i ētahi rā. Heoi, ka kaha ake pea ngā tohu. He maha ngā wā ka tīmata mārire me ngā tohu o te makariri noa, pērā i te ihu pupuhi , te ihu pupuhi rānei. I muri i te 12 ki te 48 hāora , ka puta pea te mare auau, ā, ka kino haere i te pō .

Ko ngā tohu noa o te Croup Māmā ko:

• Te reo pāorooro, te reo pākiki rānei.
• He kirika ngawari.
• I ētahi wā, ka puta he ponana kiri.
• Ngā kanohi whero (conjunctivitis).
• Ngā kōpuku lymph pupuhi i te kaki.

Ko ngā tohu o te Croup Waenga ki te Kino:

• He uaua ki te manawa: Tērā pea ka kitea te ngenge o tāu tamaiti i a ia e ngana ana ki te manawa.
• Te kore okiokinga, te riri rerekē rānei.
• Ngā whakahokinga : Tērā pea ka kite koe i te kiri e kumea ana i waenganui i ngā rara, i te pūtake rānei o te korokoro ina manawa ana tō tamaiti, he tohu tēnei kei te kaha rawa tana mahi ki te manawa.
• Cyanosis (kikorangi) : Ki te kikorangi ngā ngutu, te arero, te kiri rānei e karapoti ana i ngā maikuku, ko te tikanga kāore te tinana e whiwhi ana i te nui o te hāora. He āhuatanga ohorere tēnei! Waea atu ki te 911, toro atu rānei ki tō tari ohorere tata tonu.

He aha ngā rerekētanga o te Croup, te RSV, me te Whooping Cough?

Nā te mea ka pāngia te pūnaha manawa e ēnei āhuatanga e toru, he maha ngā wā ka pōhēhētia. Anei ngā rerekētanga:

RSV me te Croup

He huaketo manawa noa te RSV (Respiratory Syncytial Virus). Ahakoa ka pāngia ngā pēpi me ngā pakeke, ka puta ngā tohumate rite ki te makariri, ko te RSV tētahi o ngā huaketo ka taea te whakaoho i te Croup. Ara, ka taea e te mate RSV te whanake hei take o te croup.

Maremare Wheoping (Pertussis) me te Croup

Ko te maremare pōturi, te maremare rānei, he mate manawa anō hoki. He rerekē ngā momo maremare e rua. Heoi, ko te tohu o te maremare pōturi he tangi "whooping" teitei i te wā e hōhā ana te tamaiti i muri i te maremare.

Ko te rerekētanga matua ko te huakita te take o te maremare, engari ko te mate pukupuku he huaketo. Nō reira, ka taea e ngā paturopi (e patu ana i ngā huakita engari kāore e patu i ngā huaketo) te rongoā i te maremare engari kāore e whai hua ki te maremare. Kei te wātea he kano ārai mate mō te maremare, engari kāore he kano ārai mate motuhake hei ārai i te maremare.

He pēhea te noa o te Croup?

I roto i te maha o ngā whenua, tata ki te 3% o ngā tamariki ka pangia e te mate korokoro i ia tau, ā, tata ki te 7% o ngā tamariki kei raro iho i te 5 tau te pakeke e whakaurua ana ki te hōhipera . He paku noa ake te kitea o tēnei mate i roto i ngā tama. Heoi, kia mārama koe he 85% o ngā mate he ngawari, ā, he iti iho i te 1% e kiia ana he kino rawa.

He aha te take o te Croup?

E ai ki te kōrero, ko te mate huaketo te tino take. Ko te huaketo parainfluenza te tino take, engari ka taea hoki e te rewharewha, te RSV, te rewharewha, me ngā adenovirus te whakaoho. Ka mumura te ara manawa o runga i ēnei huaketo, ka uaua ai te manawa. He whānuitia ēnei huaketo i roto i te taiao, koia te take kāore e pāngia ngā tamariki katoa e te mate pukupuku. He onge, ka taea e te mate huakita tuarua te whakararuraru i te mate.

He mate hopuhopu a Croup?

Ae, he tino hopuhopu te mate koropupū , nā te mea he tino ngāwari te horapa o ngā huaketo e hua ai. Whakawhirinaki ki Nirogi Lanka mō ngā tohutohu a ngā tohunga mō te whakahaere haumaru i ēnei tohu.

Ina maremare, ina tihe rānei te tangata kua pāngia e te mate huaketo, kitakita rānei e puta ai te mate puku, ka tukuna e ia ngā pata manawa ririki ki te rangi. Mēnā ka manawahia e tāu tamaiti ēnei pata, ka taea e ia te pangia e te huaketo, e te kitakita rānei e puta ai te mate puku. Hei tāpiri, ka horapa te mate mēnā ka pā tāu tamaiti ki ngā mata kua poke pērā i ngā taonga tākaro, ki ngā kakau tatau rānei, kātahi ka pā ki tōna ake waha, ihu, kanohi rānei.

Ka horapa te mate pāwera i ngā rā tuatahi e toru i muri i te tīmatanga o ngā tohu, kia memeha rawa rānei te kirika. Ko te tikanga whānui, kaua e whakahokia tāu tamaiti ki te kura kia kore ra ano e pāngia e te kirika mō te 24 hāora pea, me te kore e whakamahi i ngā rongoā whakaiti kirika.

Ka taea e te croup te whakararuraru?

I te nuinga o te wā, he ngawari te mate puku, ā, ka taea te whakahaere pai i te kāinga. He onge ngā raruraru; iti iho i te 5% o ngā tamariki e pāngia ana e te puku me kawe ki te hōhipera. Ka tūtohu pea tō tākuta kia tiakina tō tamaiti ki te hōhipera mēnā kei a ia ēnei āhuatanga e whai ake nei:

• Me whiwhi hāora tāpiri hei pupuri i ngā taumata hāora hauora.
• Te matewai nui e hiahiatia ana he wai ā-uaua (IV).
• Me whakamahi anō i ngā rongoā manawa i roto i te nebulization hei whakamama i te ahotea o te manawa.
• Ngā tohu kino kāore e pai ake i muri i te wawaotanga hauora tuatahi.

Me pēhea taku mōhio mēnā he mate pukupuku tō taku pēpi?

Ko te tikanga, ka tātaritatia e ngā tākuta te mate puku i runga i ngā tohu haumanu , ko te mea nui ko te mare "au" me te tangi nui i te wā e manawa ana, e mōhiotia ana ko te stridor. He nui ake te kitea o te puku i ngā marama o te ngahuru me te takurua. Ahakoa he onge, ki te kaha ngā tohu, ka tono pea te tākuta i ngā hihi-X, i ngā whakamātautau taiwhanga rānei hei whakakore i ētahi atu mate.

Me pēhea te rongoā mō te croup?

Ko te maimoatanga e whakawhirinaki ana ki te kaha o ngā tohu o tāu tamaiti me te mōrearea o te kino haere o te mate. Ka pāngia hoki te mahere maimoatanga e te hītori hauora o tāu tamaiti, pērā i ngā raruraru manawa o mua, i te whānautanga mai rānei i mua i te wā.

Te Tiaki Kāinga (Mō te Croup Ngāwari)

Mena he ngawari te mate pukupuku, ka taea e koe te rongoā haumaru i te kāinga.

He mea nui: Ki te kore te tiaki kāinga e whakapai ake i te āhua o tāu tamaiti, ki te āhua kino haere rānei, me toro atu ki te tākuta tonu.

• Whakamakuku hau mātao: Mā te whakamahi i tētahi whakamakuku hau mātao i roto i te rūma moe ka āwhina i te whakamarie i ngā ara manawa e mumura ana.
• Te mamaoa o te kaukau: Whakahaerehia he kaukau wera i roto i te kaukau kua kati hei hanga i tētahi rūma kī tonu i te mamaoa, ā, noho tahi me tāu tamaiti mō tētahi wā poto. Kia tūpato: Kaua rawa e waiho tāu tamaiti ki raro i te kaukau, kaua hoki e waiho kia tata rawa ki te wai wera kia kore ai e wera.
• Te hau mātao o te pō: Mena kei te uaua te manawa o tāu tamaiti i te pō, ka taea e koe te whakatuwhera i te tatau, i te matapihi rānei kia uru mai ai te hau mātao ki roto i te rūma (me te whakarite kia kaua ia e pāngia e te tino makariri).
• Whakaora i te kirika: Ki te pāngia koe e te kirika, whakamahia ngā rongoā ka taea te hoko kore rongoā pērā i te paracetamol (hei tauira, Panadol, Calpol) ibuprofen rānei (hei tauira, Brufen) e ai ki te taunakitanga a tō tākuta. Kaua e hoatu he Āpipirini ki ngā tamariki.
• Wai mahana: Mā te whakarato i ngā wai mārama, mahana (pēnei i te hupa, i te wai māhana rānei) ka āwhina i te angiangi o te hūpē i roto i te korokoro.
• Āta karohia te auahi: Kaua e auahi tō whare, nā te mea ka taea e te auahi hikareti te whakararuraru i te ara manawa me te whakararuraru i te mare.
• Whakaarahia te upoko: Mā te moe me tētahi urunga tāpiri ka māmā ake te manawa. Kia mōhio: Kaua e whakamahia he urunga mō ngā pēpi kei raro iho i te kotahi tau te pakeke.

He mea tika kia moe tahi kōrua ko tāu tamaiti i roto i te rūma kotahi hei aroturuki i tōna manawa puta noa i te pō.

Maimoatanga Hauora (Mō te Croup Waenga ki te Kino)

Mena he pakupaku ki te kino te mate, rapua tonutia te awhina hauora ohorere i te tari ohorere (ED) o te hōhipera tata. Ka taea e te mate pukupuku kino te noho hei āhuatanga ohorere morearea, no reira kaua e whakaroa.

Ko ngā kōwhiringa maimoatanga hōhipera pea ko:

• Tautoko hau makuku, hāora rānei.
• Ngā wai ā-uaua (IV) hei whakamakuku i te tinana.
• Te aro turuki i ngā tohu ora, pērā i te mākū o te hāora, te tere o te manawa, me te tere o te ngakau.
• Ngā rongoā motuhake mō te croup: Ngā glucocorticoids me ngā rongoā nebulized pērā i te epinephrine.
• I ngā wā tino kino, me whakamahi pea te hauhautanga ā-ringa.

Te Mārama ki ngā Rongoā

Ki te haria e koe tāu tamaiti ki te wāhanga whawhati tata, ki te tākuta rānei, ka hoatu pea e rātou he glucocorticoids me te nebulized epinephrine.

• Ngā Glucocorticoids:

He steroids ēnei e whakamahia ana hei whakaiti i te mumura i roto i te pouaka reo (larynx). I te nuinga o te wā ka tīmata te mahi i roto i ngā haora e 6 i muri i te horopeta tuatahi. Mā te hoatu i tēnei rongoā, ahakoa he mate puku ngawari, ka ārai i te hiahia mō ētahi atu haerenga hauora.

Ko ngā rongoā e whakamahia whānuitia ana ko te dexamethasone me te prednisolone. Kotahi te horopeta e hoatu ana i ēnei. Mēnā kei te ruaki tāu tamaiti, kāore rānei e taea e ia te pupuri i te rongoā, ka hoatu pea e te tākuta te dexamethasone mā te werohanga IV, mā te werohanga intramuscular rānei (IM).

• Epinephrine i Whakakīia ki te Nebulizer:

Ka tukuna te Epinephrine hei kohu pai mā roto i te mīhini nebulizer hei whakaiti tere i te mumura o te ara manawa. I te nuinga o te wā ka tīmata te mahi i roto i te 10 meneti. Heoi, he poto noa te pānga, e rua hāora noa iho. Nō reira, ki te kaha ngā tohu, me mahi tonu pea tāu tamaiti i ia 15–20 meneti.

He pānga taha kei ngā maimoatanga?

He tino onge ngā pānga kino kino o te epinephrine. Heoi, tera pea ka kite koe i ngā pānga rangitahi pēnei i te pikinga o te tere o te ngakau (tachycardia). Ka tirotirohia e te tākuta tō tamaiti mō ngā haora e toru ki te whā i muri i te horopeta whakamutunga kia pai ai te manawa me te kore e hoki mai ngā tohu.

Kia pēhea te tere o te pai ake o taku tamaiti i muri i te maimoatanga?

Ko te tikanga ka tīmata te mahi a ngā glucocorticoids i roto i ngā haora e ono i muri i te horopeta tuatahi, ko te epinephrine ia ka tere ake te mahi ki te whakamamae i te mumura o te ara manawa.

Āhea koe me āwangawanga ai mō Croup?

Ka rerekē te kaha o te mate pukupuku mai i te ngawari ki te kino, i runga i te uaua o te manawa o tāu tamaiti . Ka whakatauhia te kaha o te mate e te nui o te whaiti o te ara manawa nā te pupuhi. Kia maumahara mēnā ka oho ake tāu tamaiti, ka tīmata rānei te tangi, ka kino ake pea ngā tohu o te manawa.

• Te mate pāwera ngawari:

I ngā āhuatanga ngawari, ka pāngia pea tō tamaiti e te mare auau me te tangi pākiki ina manawa ana (stridor). Ka kino haere ngā tohu i te pō. Me aroturuki tonu koe i tō tamaiti, engari ko ēnei āhuatanga ka taea te whakahaere haumaru i te kāinga.

• Te Pūpū Waenga:

Mēnā he iti te kaha o te koropupū, ka kite pea koe i te stridor me te hoki whakamuri (te kiri e kumea ana i waenga i ngā rara i a koe e manawa ana). Tērā pea ka puta te āhua ohorere, te pōhēhē, te āhua pouri rānei o tō tamaiti. I tēnei wā, me toro atu koe ki te tākuta mō te tiaki hauora ngaio.

• Te mate pukupuku nui:

Ko te croup nui he nui ngā stridor me ngā repe. Tērā pea ka kitea tō tamaiti he ngenge, he tino marino, he ngoikore rānei. Tērā pea ka puta he tae kikorangi ki te kiri (cyanosis). He āhuatanga ohorere morearea te croup nui! Tena koa waea atu ki te 911, haria rānei tō tamaiti ki te Tari Ohorere tata tonu.

Kia pēhea te roa o te ora o Croup?

Mo te nuinga o ngā tamariki, ka memeha haere ngā tohu o te croup i roto i ngā rā e rua , ahakoa he mea onge ka roa pea ngā tohu iti mō te wiki.

Āhea ka taea e taku tamaiti te hoki ki te kura?

He tino hopuhopu te mate pāwera. Me noho tāu tamaiti ki te kāinga kia kore rawa e pāngia e te kirika mō te 24 hāora pea, kaua hoki e whakamahia he rongoā whakaheke kirika.

Me pēhea te ārai i te horapa o te Croup?

Ka horapa te mate pukupuku mā te whakapā atu, mā te maturuturunga rānei o te manawa. Hei āwhina i te ārai i te horapa, whai i ēnei mahi:

• Horoia pai ō ringaringa ki te hopi me te wai i muri i te tiaki i tāu tamaiti.
• Horoia ngā taonga tākaro e tohaina ana i ia wā, i ia wā.
• Whakaakona tāu tamaiti kia taupokina tōna waha me tōna ihu ina maremare, ina tihe rānei.
• Ki te mate tāu tamaiti, kaua e tukua kia haere ki te kura, ki te whare tiaki tamariki rānei kia ora rā anō ia.
• Maka atu ngā tauera kua whakamahia i taua wā tonu, me te haumaru hoki.

Āhea koe me toro atu ki te tākuta, me haere rānei ki te Wāhanga Ohotata?

Whakapā atu ki tō tākuta tamariki o Nirogi Lanka mēnā:

• He kirika tō tamaiti mō te roa atu i te toru rā .
• Ka roa ake i te wiki te roa o ngā tohu ngawari o te croup.
• He āwangawanga āu, he manukanuka rānei mō te oranga o tāu tamaiti.

Rapua tonutia te awhina hauora ohorere ki te Wāhanga Maimoatanga Ohotata (ETU) mēnā ka puta tētahi o ēnei e whai ake nei:

• Te kitea o te uaua ki te manawa.
• He kikorangi te kiri (cyanosis) , inā koa ki te taha o ngā ngutu, o te arero, o ngā moenga maikuku rānei.
• Te maremare kino me te mau tonu.
• Te uaua ki te horomi, te nui rawa rānei o te huware.
• Te kore e taea te kōrero, te tangi rānei nā te uaua o te manawa.
• He tangi whiowhio teitei i te wā e manawa ana.
• Te kitea o te hoki whakamuri o te kiri i waenganui i ngā rara, i te pūtake rānei o te kaki.

He aha i pāngia ai taku pēpi e te Croup anō?

Ko te pūhā e hokihoki mai ana he tohu pea kei te whaiti te hanganga o te ara manawa, ka nui ake te pāngia o tāu tamaiti e ngā mate. Tērā pea he whānautanga tēnei whaiti (mai i te whānautanga) he mea whiwhi rānei. Mēnā he maha ngā wā ka pāngia tāu tamaiti e te pūhā, ka tukuna pea koe e tō tākuta ki tētahi tohunga otolaryngology (tohunga ENT) ki tētahi tohunga pūkahukahu tamariki rānei mō ētahi atu aromatawai.

Ka taea e ngā pakeke te pāngia e te mate pukupuku roro?

Ae, ka pāngia ngā pakeke e te mate pūkahukahu, ahakoa he tino onge. Ko te mate pūkahukahu ka pā ki ngā pēpi me ngā tamariki nohinohi nā te mea he whaiti, kei te whanake tonu ō rātou ara manawa (trachea). I a ngā tamariki e tipu haere ana, ka whānui, ka pakeke hoki ō rātou ara manawa, ko te tikanga he iti ake te tūponotanga o te mumura ki te aukati i ō rātou manawa. Nā te mea he nui ake ngā ara manawa o ngā pakeke, ko te tikanga kāore te mate pūkahukahu e tino mōrearea ki a koe. Heoi, ki te pāngia tētahi pakeke e te mate pūkahukahu, ka kaha ake ngā tohu, ā, me nui ake te wawaotanga hauora.

Ngā Whakaaro Nui

He mate manawa tino hopuhopu te koropupū, e kitea whānuitia ana i roto i ngā pēpi me ngā tamariki nohinohi. Ka taea te tautuhi mā te mare "au" . Ahakoa he ngawari te nuinga o ngā mate, ā, ka memeha haere, ka tere haere te whanaketanga o te mate, ka raru ai te manawa o tāu tamaiti.

Nō reira, ki te kore te āhua o tāu tamaiti e whakaatu i ngā tohu e pai ake ana, ki te kite rānei koe i te kino haere o ōna tohu, rapua tonutia he awhina hauora. Kaua e mangere ki te whakapā atu ki te tākuta, ki te toro atu rānei ki te tari whawhati tata. He mea nui te noho marino me te mahi i ngā mahi tika. Kāore koe i te mokemoke; kei konei a Nirogi Lanka hei tautoko i a koe.

Ngā Kupumatua: Te mare auau, te hauora o ngā tamariki, ngā mate manawa, te stridor, te uaua ki te manawa