Kei te pāngia tāu tamaiti e tēnei maremare "au"? Me kōrero tātou mō te mate korokoro!

Kua pāngia tō tamaiti e te maremare auau me te makariri, ā, kua uaua ki te manawa? Hei whaea, me tino mataku koe ina pā mai tēnei āhuatanga, tika? He mate noa te koropupū i waenga i ngā tamariki nohinohi, ā, e whakaatu ana i ēnei tohu. I tēnei rā, ka kōrerohia tēnei mea me te taipitopito, he tino māmā noa iho.

He aha tēnei pūhā?

Ki te kī ngāwari, ko te croup, arā, i roto i ngā kupu hauora, ko te "Laryngotracheobronchitis " he mate o te korokoro, arā, ko te larynx (te wāhi e puta mai ai te oro ina kōrero tātou) me te trachea (te ngongo matua mō te manawa) i roto i ngā tamariki nohinohi . Ko te mea ka tupu i roto i tēnei ko te pupuhi o te taha o runga o te ara manawa, arā, te wāhanga i raro i ngā taura reo. Whakaarohia, ina aukatia he paipa wai, he uaua ki te haere mā roto, ina pupuhi te ara manawa pēnei, ka whaiti. Kātahi ka uaua ki te tamaiti te manawa, ā, ka tīmata te rangona he oro rerekē i te wā e manawa ana.

He mea tino kitea tēnei i roto i ngā pēpi me ngā tamariki kei raro iho i te 3 tau te pakeke. I te pakeke haere o ngā tamariki, ka nui haere ō rātou ara manawa, nō reira, kāore pea tēnei momo pupuhi e whakararu i te manawa. Koia te take kāore pea ngā tamariki pakeke e pāngia e te mate puku.

Ko te tino take o tēnei ko ngā mate huaketo . Pērā i ngā huaketo e hua ai te makariri me te rewharewha, kāore e huri katoa ngā makariri huaketo hei mate pukupuku.

He aha te tangi o te maremare pūkahukahu?

Ko te āhuatanga matua, ā, ko te āhuatanga tino motuhake o te maremare ko tēnei maremare rerekē . He maremare "tau" kaha, pērā i te ngunguru o te kekeno, i te tau rānei o te kurī iti. Ka haere mai ētahi whaea ki ahau me te manukanuka, ka mea mai, "E te tākuta, i pāngia taku pēpi e te maremare tau, ā, i tino mataku ahau." Koinā te āhua o te tangi.

Ko tētahi atu mea, ina manawa te pēpi, ka rangona pea he tangi "whooping" he tangi kōroke rānei e puta mai ana i te korokoro . I roto i te rongoā, ka kiia tēnei he stridor . Ka puta tēnei tangi i te pupuhi me te whaiti o te ara manawa, me te wiri e puta ana ina haere te hau mā roto i taua wāhi whaiti.

He aha atu ētahi atu tohu?

He ngawari te mate pāwera, ā, ka memeha i roto i ētahi rā. Heoi, i ētahi wā ka kaha rawa ngā tohu. I te nuinga o te wā, ka tīmata mārire ngā tohu. I te tīmatanga, he rite ki te makariri ngawari, me te ihu pupuhi me te ihu pūngāwerewere. Kātahi, i roto i ngā haora 12 ki te 48, ka puta pea he mare auau. Ka kino haere ēnei tohu i te pō .

Ko ētahi atu tohu ka kitea pea i roto i te croup ngawari ko:

• Te pāorooro o te reo, te taumaha o te ngākau.
• Te kirika noa.
• I ētahi wā ka puta he ponana kiri.
• Te whero o ngā kanohi (conjunctivitis).
• Te pupuhi o ngā kōpū lymph i te kaki (te pupuhi o te kōpū lymph o te kaki).

I roto i te mate puku ngawari ki te kino, ka kino pea ēnei tohu:

• Te uauatanga o te manawa : Te āhua nei kei te uaua te pēpi ki te manawa.
• Te kore okiokinga, te ohooho.
• Te hoki whakamuri (te kume o te kiri ki roto i waenga i ngā wheua ū me te uma o runga) i te wā e manawa ana : E whakaatu ana tēnei i te uaua o te manawa o te pēpi.
• Kiri kikorangi (cyanosis) : Ko te kiri kikorangi, inā koa i te taha o ngā ngutu, te arero, me ngā maikuku, ko te tikanga kāore te tinana e whiwhi ana i te nui o te hāora. He āhuatanga ohorere tēnei!

He aha te rerekētanga i waenga i te croup, te RSV, me te maremare whooping?

Ka pāngia te pūnaha manawa e ēnei mate e toru, ā, ka pōhēhētia i ētahi wā nā te mea ka pā ki ngā tamariki nohinohi. Me titiro tātou ki ngā rerekētanga.

RSV me te Croup

Ko te RSV (Huaketo Manawa Syncytial) tētahi atu huaketo e pā ana ki te pūnaha manawa. Ka pā ki ngā pēpi me ngā pakeke. Ka puta ngā tohu makariri pēnei i te maremare me te tihe i te RSV. He mea nui, he momo huaketo anō hoki te RSV ka taea te whakararu i te mate pukupuku. Ko te tikanga tēnei ka taea e te mate RSV te whanake hei mate pukupuku i roto i ētahi tamariki.

Te maremare me te koropupū

Ko te maremare pōturi, te "Pertussis" rānei e mōhiotia ana i roto i te rongoā, he mate manawa e pā ana ki ngā tamariki nohinohi, pērā i te croup. He maremare motuhake ō rāua tokorua. Heoi , ko te maremare pōturi he maremare e haere tahi ana me te tangi "whooping" teitei ina manawa te tangata.

Ko te rerekētanga matua ko te maremare i puta mai i te mate kitakita, ko te maremare ia he mate huaketo i puta mai i te mate pukupuku. Nō reira, kāore he kano ārai mate hei ārai i te maremare, ā, kāore e taea te rongoā ki ngā paturopi (kāore ngā paturopi e patu i ngā huaketo). He kano ārai mate hei ārai i te maremare, ā, kāore e tere te ora pērā i te maremare.

He pēhea te noa o te croup?

I ngā whenua pērā i te Hononga o Amerika, e kiia ana e 3% o ngā tamariki ka pāngia e te mate puku i ia tau. E kīia ana hoki ko te puku te take o te 7% o ngā tamariki kei raro iho i te 5 tau te pakeke e noho ana ki te hōhipera . He maha ake te kitea o tēnei mate i roto i ngā tama. Engari kāore he mea hei manukanuka, nā te mea ko te 85% anake o ngā tamariki e pāngia ana e te mate puku he mate ngawari. I raro iho i te 1% ka pāngia e te mate kino.

He aha ngā take o te croup?

E ai ki tā tātou i kōrero ai, ko te tino take o te mate pāwera he mate huaketo. O ēnei, ko te mea tino noa ko te huaketo e kiia nei ko te `(Parainfluenza virus). Haunga tēnā, ko ngā huaketo pēnei i te `(Influenza virus)` (te huaketo e mate ai tātou), `(RSV - Respiratory Syncytial Virus)`, te huaketo rewharewha, me te `(Adenovirus)` ka taea hoki te mate pāwera. Ka pupuhi ngā ara manawa o te tamaiti i ēnei huaketo. Nā tēnei ka uaua te manawa.

Engari he mea noa ēnei huaketo i roto i te taiao. Ko te tikanga o tēnei, ehara i te mea ka pāngia ngā tamariki katoa e te mate huaketo e te mate pukupuku. He tino onge, ka puta he mate kitakita i tua atu i te mate huaketo, ka kino ake te āhua.

He mate hopuhopu te croup?

Ae, he mate tino hopuhopu te croup nā te mea ka horapa ngāwari ngā huaketo e hua ai.

Ina maremare, ina tihe rānei te tangata kua pāngia e te mate huaketo, kitakita rānei, ka puta he mate puku, ka tukuna ngā pata iti (ngā pata manawa) ki te hau. Mēnā ka manawahia e tāu tamaiti taua hau, ka pāngia rātou e ngā iroriki, ka pāngia hoki e te puku. Ka pāngia hoki rātou e te mate mā te pā atu ki ngā mea kua poke i ngā iroriki, pērā i ngā taonga tākaro, i ngā kakau tatau rānei, kātahi ka pā atu ki tōna waha, ki tōna ihu rānei ki te ringa kotahi.

Ka taea e te tamaiti te horapa i te mate mō ngā rā tuatahi e toru i muri i te tīmatanga o ngā tohu, tae noa ki te memeha rawa o te kirika . Nō reira, he mea nui kia kaua e tukuna tāu tamaiti ki te kura tae noa ki te memeha o te kirika mō ngā haora 24 me te kore e hoatu he rongoā whakaiti kirika ki a ia.

Ka taea e te croup te whakararuraru?

I te nuinga o te wā, he mate ngawari te croup ka taea te rongoā i te kāinga. He onge ngā raruraru. Neke atu i te 5% o ngā tamariki e pangia ana e te croup me kawe ki te hōhipera. Tērā pea me kawe tō tamaiti ki te hōhipera mēnā:

• Mena me hoatu he hāora hei pupuri i te taumata hāora i roto i te tinana o te tamaiti.
• Mena he nui te matewai i roto i tō tinana, ā, me hoatu he wai mā roto i te uaua (IV - intravenous) .
• Mena me hoatu e koe ētahi maimoatanga manawa i whakamahia ki te nebulizer mō te uaua ki te manawa.
• Mena ka mau tonu ngā tohu i muri i te maimoatanga tuatahi.

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

I te nuinga o te wā, ka whakatauhia e te tākuta mēnā he mate pukupuku tō tāu tamaiti i runga i ngā tohu e whakaatuhia ana e te tamaiti . Ko ngā tohu matua ko te mare auau me te tangi "stridor" e puta ana i te wā e manawa ana. Ka kitea tēnei i te ngahuru me te hotoke (i tō tātou whenua, i te wā ua, ina tino makariri). Mena he kino te mate o te tamaiti, ka tono pea te tākuta i ētahi wā kia tirohia he hihi-X me ngā whakamātautau taiwhanga, engari he tino onge tēnei.

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 tere kino haere o te mate. Mena kua pāngia tāu tamaiti e ngā raruraru manawa i mua, i whānau wawe rānei, ka pā anō hoki tēnei ki te whiriwhiri i te maimoatanga.

Ngā rongoā kāinga (mō te mate puku ngawari)

Mena he ngawari te āhua o te croup, ka taea te rongoā me te whakaora i te kāinga.

He mea nui: Ki te kore te āhua o tāu tamaiti e pai ake mā ēnei rongoā kāinga, ki te mea rānei kei te kino haere, me toro atu ki te tākuta.

• Kaiwhakamakuku kohu matao: Mā te whakamahi i tētahi kaiwhakamakuku kohu matao, e tāpiri ana i te makuku ki te rūma, ka āwhina i te whakamama i te manawa maroke, pūngoi.
• Te mamaoa o te kaukau: Katia te tatau o te kaukau ka tahuri te wai wera mai i te ua. Kātahi, noho ki roto i te kaukau mamaoa me tāu tamaiti mō tētahi wā. Engari kia tūpato! Kaua e pā ki te tamaiti i roto i te ua, kaua hoki e whakatata atu ki te wai wera, nā te mea ka wera pea rātou.
• Hau mātao: Ki te mea kei te uaua te manawa o tō pēpi i te pō, whakatuwheratia he tatau, he matapihi rānei kia uru mai ai te hau mātao ki roto i te rūma (engari kaua e tukua kia tino makariri).
• Rongoā mō te kirika: Ki te pāngia koe e te kirika, hoatu he rongoā kua tohua e te tākuta (OTC) pērā i te paracetamol (hei tauira, Panadol, Calpol) ibuprofen rānei (hei tauira, Brufen). Kaua e hoatu he aspirin ki ngā tamariki nohinohi.
• Wai mahana mō te mare: Mā te hoatu i ngā wai mahana, mārama (hei tauira, te hupa, te wai māhana) i roto i ngā rahinga iti ka āwhina i te wetewete i te hūpē i roto i ngā taura reo.
• Kaua e momi hikareti: Kaua e momi hikareti i roto i te whare. Ka kino ake te maremare o tāu tamaiti i te paoa hikareti.
• Whakaarahia te upoko: I a koe e moe ana, tautokohia te upoko o tō pēpi ki runga mā te whakamahi i tētahi urunga anō. Mā tēnei ka āwhina i a ia ki te manawa ngāwari ake. Engari kaua e whakatakoto i te moenga pēpi ki runga i te pēpi kei raro iho i te kotahi tau te pakeke.

Ki te taea, he pai ake te moe tahi me tāu tamaiti i roto i te rūma kotahi, kia mōhio ai koe mēnā he uaua ki tāu tamaiti te manawa i te pō.

Maimoatanga Hauora (Mō te Croup Waenga ki te Kino)

Mena he pakupaku, he kino rānei te mate o te koropupū, me hari tonu e koe tāu tamaiti ki te Tari Whawhati Tata (ETU) tata rawa atu, ki te tākuta rānei. Ka taea e te koropupū kino te whakararu i te ora, nō reira kāore e pai kia whakaroa.

Tērā pea ka rerekē ngā maimoatanga e hoatu ana ki reira i runga i ngā tohumate o te tamaiti. Ko ētahi o ēnei ko:

• Te hoatu i te hau makuku, te hāora rānei.
• Mena ka matewai, hoatu he wai ki roto i te tinana.
• Te aro turuki i ngā tohu ora: ngā mea pēnei i te taumata hāora, te tere o te manawa, me te tere o te ngakau.
• Ngā rongoā motuhake mō te croup: ngā steroids (glucocorticoids) me ngā rongoā nebulized (hei tauira, epinephrine).
• Mena he nui ngā uauatanga o te manawa, ka taea pea te whakamahi i te pūnaha manawa ā-ringa i ētahi wā onge.

Kia ako tātou i ētahi atu kōrero mō ēnei rongoā.

Ina haria e koe tāu tamaiti ki te tākuta, ki te rūma whawhati tata rānei, ka hoatu pea e te tākuta he momo rongoā e kiia nei ko te "glucocorticoid" me te "nebulized epinephrine".

• Ngā Glucocorticoids:

He momo steroid ēnei. Ka mahi tēnei rongoā mā te whakaiti i te pupuhi i roto i te larynx (pouaka reo) o tāu tamaiti. Ka tīmata te mahi i roto i ngā haora e 6 i muri i te horopeta tuatahi. Mā te hoatu i tēnei rongoā ki tētahi tamaiti he mate puku ngawari ka āwhina i te whakaiti i te hiahia mō ngā haerenga maha ki te tākuta, ki te hōhipera rānei.

Ko ngā rongoā e whakamahia whānuitia ana ko te `(dexamethasone)` me te `(prednisolone). Ka hoatu mā te waha ēnei, kotahi te horopeta. Mena kei te ruaki te tamaiti, ā, kāore e taea te pupuri i te rongoā, ka taea te hoatu `(dexamethasone)` mā te uaua `(IV)`, mā te uaua rānei `(werohanga IM)`.

• Epinephrine i Whakakīia ki te Nebulizer:

Ka hoatu te Epinephrine hei kohu mā roto i te nebulizer. Ka mahi anō hoki mā te whakaiti i te pupuhi i roto i ngā ara manawa. I te nuinga o te wā ka tīmata te mahi i roto i te 10 meneti. Heoi, e rua hāora noa iho te roa o ōna pānga. Nō reira, ki te kaha ngā tohu, me mahi anō pea te maimoatanga i ia 15 ki te 20 meneti.

He pānga taha kei te rongoā?

Kāore i te maha ngā pānga kino o te epinephrine. Heoi, ka taea e ia te whakaputa i ngā āhuatanga pēnei i te pikinga o te tere o te manawa (tachycardia). Ka tirotirohia te tamaiti e te tākuta mō ngā haora e toru ki te whā i muri i te horopeta whakamutunga kia kite ai mēnā ka hoki mai ngā raruraru manawa.

Kia pēhea te tere o taku ora ake i muri i te maimoatanga?

I te nuinga o te wā ka tīmata te mahi a ngā glucocorticoids i roto i ngā haora e ono i muri i te horopeta tuatahi. Ka tere ake te mahi a te Epinephrine.

Āhea koe me āwangawanga ai mō te croup?

Ka taea e te mate pāwera te ngawari, te āhua whakarara, te kino rānei. Kei te uaua o te tamaiti ki te manawa . Ko te kaha o te mate ka whakawhirinaki ki te rahi (te whānui) o te ara manawa o te tamaiti me te whaiti o te pupuhi. Waihoki, ka kino haere te mate mena ka pouri, ka tangi rānei te tamaiti.

• Te mate pāwera ngawari:

Tērā pea ka pāngia te tamaiti e te maremare auau me te tangi wheezing (stridor) e te mate puku ngawari. Tērā pea ka kino ake ngā tohu i te pō. Nō reira, me tūpato koe ki te manawa o tāu tamaiti, engari i te nuinga o te wā, ka taea te rongoā i te kāinga.

• Te Pūpū Waenga:

Tērā pea ka puta he tangi wheezing (stridor) me ngā tohu o te hoki whakamuri (te kiri i waenganui i ngā rara) i te wā e manawa ana te tamaiti he croup āhua-waenga. Tērā pea ka paku ohorere, ka pōhēhē, ā, ka uaua ki te manawa. I tēnei wā, me kawe te tamaiti ki te tākuta kia rongoatia.

• Te mate pukupuku nui:

Ka pāngia te tamaiti e te mate puku kino e te stridor me te repeure. Tērā pea ka tino oho, ka noho pōrearea, ka ngenge hoki.He mea noa te kikorangi o te kiri (cyanosis). He mea morearea te mate i te croup kino! Kawea tonutia te tamaiti ki te rūma whawhati tata (ETU) .

Kia pēhea te roa o te mate pūkahukahu?

Ka ora te nuinga o ngā tamariki i ngā tohumate o te croup i roto i ngā rā e rua , engari i ētahi wā ka roa pea ngā tohu tae atu ki te wiki.

Āhea ahau ka taea te whakahoki i taku pēpi ki te kura?

He mate tino hopuhopu te koropupū. Kaua e tukuna tāu tamaiti ki te kura kia kore rawa tōna kirika (me noho kore kirika ia mō ngā hāora 24, me te kore e hoatu he rongoā whakaiti kirika).

Me pēhea te ārai i te horapa o te croup?

Ka taea te horapa o te mate pukupuku mā te pā atu, mā te hau rānei. Hei ārai i tēnei, me mahi ēnei mea:

• I muri i te tiaki i te pēpi , horoia ō ringaringa ki te hopi ka whakamaroke.
• Horoia pai ngā taonga tākaro i muri i te whakamahinga.
• Whakaakona tāu tamaiti kia taupokina tōna waha me tōna ihu ina maremare, ina tihe rānei.
• Kaua e tuku i tāu tamaiti ki te kura/ngā whare tiaki tamariki ina mate ana ia, mēnā rānei kei te horapa te mate ki ngā wāhi pēnei i te kura.
• Makahia ngā tauera kua whakamahia kia tika.

Āhea ahau me haere ki te tākuta? / Āhea ahau me haere ki te rūma ohorere?

I tēnei āhuatanga, kōrero ki te tākuta o tāu tamaiti:

• Mena he kirika te tamaiti mō ngā rā e toru neke atu .
• Mena he iti noa ngā tohu o te mate pukupuku mō te wiki neke atu .
• Mena he pātai, he āwangawanga rānei āu mō te āhua o tāu tamaiti.

Ki te kite koe i tētahi o ngā tohu e whai ake nei, haria tonutia tāu tamaiti ki te rūma whawhati tata (ETU) :

• Mena he mārama te uaua ki te manawa .
• Mena ka kikorangi te kiri (cyanosis) (ina koa ki te taha o ngā ngutu, te arero, me ngā maikuku).
• Mena ka mau tonu te maremare kino.
• Mena he uaua ki te horomi, ki te puta mai rānei te huware i tō waha.
• Ki te kore e taea e koe te manawa, e kore e taea e koe te hamama.
• Ki te mea ka puta he oro whiowhio teitei i a koe e manawa ana.
• Mena ka kume te kiri i waenganui i ngā wheua ū me te uma o runga ki roto (ka hoki whakamuri) i te wā e manawa ana.

He aha i pāngia tonu ai taku pēpi e te croup?

Ki te pāngia tonutia tō tamaiti e te mate pūkahukahu, he tohu pea tēnei kei te whaiti haere ōna ara manawa . Nā tēnei ka ngāwari ake rātou ki te pangia e ngā mate. Tērā pea kei te whānau mai tēnei whaiti, ka puta rānei i muri mai. Ki te kino haere tonu te mate pūkahukahu, ka tukuna pea koe e tō tākuta ki tētahi tohunga taringa, ihu me te korokoro (otolaryngologist) ki tētahi tohunga manawa rānei (pulmonologist) .

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

Ka pāngia ngā pakeke e te mate koropupū, engari he tino onge. Ka pāngia ngā pēpi me ngā tamariki nohinohi e te mate koropupū nā te mea he whaiti ō rātou pūwero hau (trachea), ā, kāore anō kia tino whanake. I a ngā tamariki e pakeke haere ana, ka nui haere, ka tino whanake haere ō rātou pūwero hau. Ahakoa ka pupuhi, kāore e nui te pānga ki te manawa. Nā te mea he nui ake ngā ara manawa o ngā pakeke, kāore te mate koropupū e pā ki a rātou. Heoi, ki te pāngia te pakeke e te mate koropupū, ka kaha ake pea ō rātou tohu, ā, me tere pea te maimoatanga.

Ngā mea tino nui hei maumahara māu (Karere hei kawe ki te kāinga)

He mate manawa hopuhopu te koropupū e pā ana ki ngā pēpi me ngā tamariki nohinohi. Ka taea e koe te mōhio mēnā he koropupū mā te mare "au" motuhake a tāu tamaiti. I te nuinga o te wā, he ngawari te koropupū, ā, ka memeha noa iho, engari i ētahi wā ka tere te kino haere, ka uaua ai te manawa o tāu tamaiti.

Nō reira, ki te kore te mate pukupuku o tāu tamaiti e pai ake, e ahua kino haere ana rānei, kaua e whakaroa, me toro atu ki te tākuta mō te tirotiro me te maimoatanga. Ko te mea nui kia kaua e mataku, me mahi i te mea tika. Kāore koe i te mokemoke, kei a koe mātou katoa!

` Te maremare auau, Ngā mate o te tamarikitanga, Ngā mate manawa, Te uaua ki te manawa