Kodi mwana wanu wayamba kudwala chimfine mwadzidzidzi, kenako chifuwa chachilendo, chokuwa komanso kupuma movutikira? Monga kholo, ndi zachibadwa kuchita mantha izi zikachitika. Zizindikiro izi ndizofala kwa ana aang'ono ndipo nthawi zambiri zimakhala chizindikiro cha matenda otchedwa Croup . Ku Nirogi Lanka, tikufuna kukuthandizani kumvetsetsa vutoli momveka bwino komanso mosavuta.
Kodi Croup ndi chiyani?
Mwachidule, Croup—yomwe imadziwika kuti laryngotracheobronchitis —ndi matenda omwe amakhudza njira yodutsa mpweya ya ana aang'ono, makamaka kholingo (bokosi la mawu) ndi trachea (msewu waukulu wa mphepo). Malo amenewa akatupa, njira yodutsa mpweya imachepa. Taganizirani ngati kugwedezeka mu payipi ya m'munda; chifukwa njira yodutsa mpweya imakhala yopapatiza, mwana wanu angavutike kupuma, zomwe nthawi zambiri zimapangitsa kuti amve phokoso losiyana komanso lachilendo akamapuma.
Matenda a Croup amapezeka kwambiri mwa ana osakwana zaka zitatu . Ana akamakula, njira zawo zopumira zimakula, zomwe zimapangitsa kuti kutupa kwamtunduwu kusabweretse mavuto opuma. Ichi ndichifukwa chake nthawi zambiri ana okulirapo samawona matenda a croup.
Choyambitsa chachikulu ndi matenda opatsirana ndi mavairasi —mitundu yomweyi ya mavairasi omwe amayambitsa chimfine ndi fuluwenza. Komabe, ndikofunikira kukumbukira kuti si chimfine chilichonse chomwe chimayambitsa chifuwa.
Kodi chifuwa cha Croup chimamveka bwanji?
Chizindikiro chodziwika bwino cha chifuwa chachikulu ndi chifuwa chake chapadera . Ndi chifuwa chowawa, chokwiya, "chokuwa" chomwe chimamveka ngati kulira kwa chisindikizo kapena galu wamng'ono akukuwa. Makolo ambiri amandiuza kuti, "Dokotala, mwana wanga mwadzidzidzi adayamba kutsokomola komwe kumamveka ngati galu akukuwa, ndipo kunali koopsa kwambiri." Umu ndi momwe zimamvekera.
Kuphatikiza apo, mungamve phokoso lamphamvu, logwedezeka, kapena lolira mluzu mwana wanu akamapuma. Mu zamankhwala, timatcha izi stridor . Izi zimachitika chifukwa mpweya ukuvutika kudutsa m'dera lotupa, lopapatiza la mphuno, zomwe zimapangitsa kugwedezeka.
Zizindikiro zina ndi ziti?
Matenda a Croup nthawi zambiri amakhala ofatsa ndipo nthawi zambiri amatha mkati mwa masiku ochepa. Komabe, zizindikiro zimatha kukulirakulira. Nthawi zambiri amayamba pang'onopang'ono ndi zizindikiro za chimfine, monga mphuno yotuluka madzi kapena kutsekeka. Pakatha maola 12 mpaka 48 , chifuwa choyabwa chimatha kuonekera, nthawi zambiri chikukulirakulira usiku .
Zizindikiro zodziwika bwino za Croup Wofatsa ndi izi:
- Mawu okweza kapena okweza.
- Malungo ochepa.
- Nthawi zina, pamakhala ziphuphu pakhungu.
- Maso ofiira (conjunctivitis).
- Ma lymph nodes otupa m'khosi.
Zizindikiro za Croup yapakati mpaka yoopsa ndi izi:
- Kuvuta kupuma bwino : Mwana wanu angawoneke wotopa pamene akuyesera kupuma.
- Kusakhazikika kapena kukwiya kosazolowereka.
- Kubwerera m'mbuyo : Mungaone khungu likukoka pakati pa nthiti kapena pansi pa pakhosi mwana wanu akamapuma, zomwe ndi chizindikiro chakuti akugwira ntchito molimbika kwambiri kuti apume.
- Cyanosis (mtundu wabuluu) : Ngati milomo, lilime, kapena khungu lozungulira misomali likusintha kukhala labuluu, zikutanthauza kuti thupi silikupeza mpweya wokwanira. Izi ndi zadzidzidzi zachipatala! Imbani 911 kapena pitani ku dipatimenti yazadzidzidzi yapafupi nthawi yomweyo.
Kodi Croup, RSV, ndi Whooping Cough zimasiyana bwanji?
Popeza matenda atatuwa amakhudza dongosolo la kupuma, nthawi zambiri amasokonezeka. Umu ndi momwe amasiyanirana:
RSV ndi Croup
RSV (Respiratory Syncytial Virus) ndi kachilombo kofala kwambiri kamene kamakhudza makanda ndi akuluakulu, zomwe zimayambitsa zizindikiro zofanana ndi chimfine, koma RSV ndi imodzi mwa mavairasi omwe angayambitse Croup. Mwa kuyankhula kwina, matenda a RSV nthawi zina amatha kukhala croup.
Chifuwa Chokoka (Chifuwa Chokoka) ndi Chifuwa Chokoka
Chifuwa chophwanyika, kapena kuti pertussis , ndi matenda ena opumira. Zonsezi zimakhala ndi chifuwa chosiyana. Komabe, chifuwa chophwanyika chimadziwika ndi phokoso lamphamvu la "chifuwa chophwanyika" pamene mwana akupuma movutikira atatha kutsokomola.
Kusiyana kwakukulu ndichakuti chifuwa chachikulu chimayamba chifukwa cha mabakiteriya, pomwe chifuwa chachikulu nthawi zambiri chimakhala ndi kachilombo. Chifukwa chake, maantibayotiki (omwe amapha mabakiteriya osati mavairasi) amatha kuchiza chifuwa chachikulu koma sagwira ntchito motsutsana ndi chifuwa chachikulu. Pali katemera wa chifuwa chachikulu, koma palibe katemera weniweni woletsa chifuwa chachikulu.
Kodi Croup ndi yofala bwanji?
M'mayiko ambiri, pafupifupi 3% ya ana amadwala matenda a chifuwa chaka chilichonse, ndipo ndi pafupifupi 7% ya ana osakwana zaka 5 omwe amalowa m'chipatala . Matendawa amapezeka kwambiri mwa anyamata. Komabe, mutha kutsimikizira kuti 85% ya matenda ndi ochepa, ndipo ochepera 1% amaonedwa kuti ndi oopsa.
Kodi chimayambitsa matenda a Croup ndi chiyani?
Monga taonera, kachilombo ka HIV ndiye chifukwa chachikulu. Kachilombo ka parainfluenza ndiye kamayambitsa matendawa, koma chimfine, RSV, chikuku, ndi adenovirus zimatha kuyambitsa matendawa. Mavairasi awa amachititsa kuti mpweya wa m'mwamba utuluke, zomwe zimapangitsa kuti kupuma kukhale kovuta. Mavairasi awa ndi ofala kwambiri m'chilengedwe, ndichifukwa chake si mwana aliyense amene ali ndi kachilomboka amene amadwala chifuwa cha m'mimba. Nthawi zambiri, kachilombo kena ka bakiteriya kangayambitse vutoli.
Kodi Croup imafalikira?
Inde, matenda a croup ndi opatsirana kwambiri , chifukwa mavairasi omwe amachititsa kuti afalikire mosavuta. Khulupirirani ku Nirogi Lanka kuti akupatseni malangizo a akatswiri pankhani yothana ndi zizindikirozi mosamala.
Munthu amene ali ndi kachilombo ka HIV kapena bakiteriya komwe kamayambitsa croup akatsokomola kapena kuyetsemula, amatulutsa madontho ang'onoang'ono opumira mumlengalenga. Ngati mwana wanu apuma madonthowa, amatha kutenga kachilomboka kapena mabakiteriya omwe amatsogolera ku croup. Kuphatikiza apo, matendawa amatha kufalikira ngati mwana wanu akhudza malo oipitsidwa monga zoseweretsa kapena zogwirira zitseko kenako n’kukhudza pakamwa pake, mphuno, kapena maso ake.
Matenda a Croup amafalikira kwa masiku atatu oyambirira zizindikiro zitayamba, kapena mpaka kutentha thupi kutatha. Kawirikawiri, musabwezeretse mwana wanu kusukulu mpaka atakhala wopanda kutentha thupi kwa maola osachepera 24 popanda kugwiritsa ntchito mankhwala ochepetsa kutentha thupi.
Kodi croup ingayambitse mavuto?
Nthawi zambiri, matenda a croup ndi ofatsa ndipo amatha kuthandizidwa bwino kunyumba. Mavutowa ndi osowa; ana osakwana 5% omwe ali ndi matenda a croup amafunika kugonekedwa kuchipatala. Dokotala wanu angakulangizeni chithandizo cha kuchipatala ngati mwana wanu ali ndi zotsatirazi:
- Kufunika kwa mpweya wowonjezera kuti mpweya ukhale wabwino.
- Kutaya madzi m'thupi kwambiri kumafuna madzi olowa m'mitsempha (IV).
- Kufunika kwa mankhwala opumira mobwerezabwereza kuti achepetse vuto la kupuma.
- Zizindikiro zoopsa zomwe sizikuchira pambuyo poyambira kulandira chithandizo chamankhwala.
Ndingadziwe bwanji ngati mwana wanga ali ndi croup?
Madokotala nthawi zambiri amazindikira matenda a croup kutengera zizindikiro zachipatala , makamaka chifuwa chodziwika bwino cha "kukuwa" ndi phokoso lalikulu akamapuma, lotchedwa stridor. Matenda a croup amapezeka kwambiri m'miyezi ya autumn ndi yozizira. Ngakhale kuti matendawa ndi osowa, ngati zizindikiro zake zili zazikulu, dokotala angalamule kuti aone ngati pali matenda ena.
Kodi croup imachiritsidwa bwanji?
Chithandizo chimadalira kuopsa kwa zizindikiro za mwana wanu komanso chiopsezo cha matendawa. Mbiri ya matenda a mwana wanu, monga mavuto aliwonse okhudzana ndi kupuma kapena ngati anabadwa msanga, zidzakhudzanso dongosolo la chithandizo.
Chisamaliro cha Kunyumba (Cha Croup Yochepa)
Ngati croup ndi yofatsa, nthawi zambiri mutha kuisamalira bwino kunyumba.
Chofunika: Ngati chisamaliro cha kunyumba sichikuthandiza mwana wanu kapena ngati chikuoneka kuti chikuipiraipira, chonde funsani dokotala nthawi yomweyo.
- Choziziritsa mpweya m'chipinda chogona: Kugwiritsa ntchito choziziritsa mpweya m'chipinda chogona kungathandize kuchepetsa kutupa kwa mpweya.
- Nthunzi ya m'bafa: Yambitsani shawa yotentha mu bafa yotsekedwa kuti mupange chipinda chodzaza ndi nthunzi ndipo mukhale ndi mwana wanu kwa kanthawi kochepa. Chenjezo: Musamuike mwana wanu pansi pa shawa kapena pafupi kwambiri ndi madzi otentha kuti asapse.
- Mpweya wozizira usiku: Ngati mwana wanu akuvutika kupuma usiku, mungatsegule chitseko kapena zenera kuti mpweya wozizira ulowe mchipindamo (poonetsetsa kuti sakukhudzidwa ndi kuzizira kwambiri).
- Kuchepetsa kutentha thupi: Ngati kutentha thupi kukupitirira, gwiritsani ntchito mankhwala ogulitsidwa kunja kwa chipatala monga paracetamol (monga Panadol, Calpol) kapena ibuprofen (monga Brufen) monga momwe dokotala wanu wanenera. Musapatse ana Aspirin.
- Madzi ofunda: Kupereka madzi ofunda komanso ofunda (monga supu kapena madzi ofunda) kungathandize kuchepetsa ntchofu pakhosi.
- Pewani utsi: Sungani nyumba yanu yopanda utsi, chifukwa utsi wa ndudu ungakwiyitse njira yopumira komanso kukulitsa chifuwa.
- Kwezani mutu: Kugona ndi pilo yowonjezera kungathandize kuti kupuma kukhale kosavuta. Dziwani: Musagwiritse ntchito mapilo kwa ana osakwana chaka chimodzi.
Ndibwino kugona m'chipinda chimodzi ndi mwana wanu kuti muwone momwe akupumira usiku wonse.
Chithandizo Chachipatala (Cha Croup Yapakati Mpaka Yaikulu)
Ngati croup ndi yocheperako kapena yoopsa, funani thandizo lachipatala mwamsanga ku dipatimenti yadzidzidzi ya chipatala chapafupi (ED). Croup yoopsa ikhoza kukhala ngozi yaikulu, choncho musazengereze.
Njira zothandizira kuchipatala zingaphatikizepo:
- Mpweya wonyowa kapena thandizo la okosijeni.
- Madzi olowa m'mitsempha (IV) kuti munthu asungunuke madzi.
- Kuyang'anira zizindikiro zofunika kwambiri, monga kuchuluka kwa mpweya m'thupi, kuthamanga kwa mpweya, ndi kuthamanga kwa mtima.
- Mankhwala apadera a croup: Glucocorticoids ndi mankhwala opangidwa ndi nebulized monga epinephrine.
- Pa milandu yoopsa kwambiri, mpweya wopumira ungafunike.
Kumvetsetsa Mankhwala
Ngati mupita ndi mwana wanu ku dipatimenti yodzidzimutsa kapena kwa dokotala, akhoza kukupatsani glucocorticoids ndi nebulized epinephrine.
- Glucocorticoids:
Izi ndi ma steroid omwe amagwiritsidwa ntchito kuchepetsa kutupa mu bokosi la mawu (larynx). Nthawi zambiri amayamba kugwira ntchito mkati mwa maola 6 kuchokera pa mlingo woyamba. Kupereka mankhwalawa, ngakhale kwa croup yocheperako, nthawi zambiri kungathandize kupewa kufunikira kopita kuchipatala china.
Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi monga dexamethasone ndi prednisolone. Mankhwalawa nthawi zambiri amaperekedwa ngati mlingo umodzi wa pakamwa. Ngati mwana wanu akusanza kapena akulephera kuchepetsa mankhwalawo, dokotalayo angapereke dexamethasone kudzera mu jekeseni wa IV kapena intramuscular (IM).
- Epinephrine Yopangidwa ndi Nebulized:
Epinephrine imaperekedwa ngati utsi wochepa kudzera mu makina oyeretsera mpweya kuti ichepetse kutupa kwa mpweya. Nthawi zambiri imayamba kugwira ntchito mkati mwa mphindi 10. Komabe, zotsatira zake zimakhala za kanthawi kochepa, zomwe zimatha pafupifupi maola awiri okha. Chifukwa chake, ngati zizindikiro zili zazikulu, mwana wanu angafunike chithandizo mobwerezabwereza mphindi 15-20 zilizonse.
Kodi pali zotsatirapo zoyipa pa mankhwala?
Zotsatira zoyipa kwambiri zochokera ku epinephrine sizimachitika kawirikawiri. Komabe, mungazindikire zotsatirapo zakanthawi monga kugunda kwa mtima (tachycardia). Dokotala nthawi zambiri amamuyang'anira mwana wanu kwa maola atatu kapena anayi atatha kumwa mankhwala omaliza kuti atsimikizire kuti akhoza kupuma bwino popanda zizindikiro zobwerera.
Kodi mwana wanga adzamva bwino msanga bwanji atatha kulandira chithandizo?
Glucocorticoids nthawi zambiri imayamba kugwira ntchito mkati mwa maola 6 kuchokera pamene mlingo woyamba waperekedwa, pomwe epinephrine imagwira ntchito mwachangu kwambiri pochepetsa kutupa kwa mpweya.
Kodi muyenera kuda nkhawa ndi Croup liti?
Croup ikhoza kukhala yofatsa mpaka yoopsa, kutengera momwe mwana wanu akuvutikira kupuma . Kuopsa kwake kumadalira momwe njira yopumira mpweya yachepa chifukwa cha kutupa. Kumbukirani kuti ngati mwana wanu ayamba kukwiya kapena kulira, zizindikiro zake zopumira zimatha kukulirakulira.
- Croup Wofatsa:
Muzochitika zochepa, mwana wanu akhoza kukhala ndi chifuwa cholira komanso phokoso losasangalatsa akamapuma (stridor). Zizindikiro nthawi zambiri zimakula usiku. Muyenera kuyang'anitsitsa mwana wanu mosamala, koma nthawi zambiri matendawa amatha kuchiritsidwa bwino kunyumba.
- Gulu Lochepa:
Ngati croup yapakati, mungaone stridor pamodzi ndi kubweza (khungu likukoka pakati pa nthiti pamene mukupuma). Mwana wanu angawoneke wosokonezeka, wosokonezeka, kapena wovutika maganizo pang'ono. Pa nthawiyi, muyenera kuonana ndi dokotala kuti akuthandizeni.
- Kutupa Kwambiri kwa Chifuwa:
Kutsekeka kwa khosi kwakukulu kumafuna kutsekeka kwakukulu ndi kubweza msana. Mwana wanu angawoneke wotopa, wosakhazikika kwambiri, kapena wotopa. Khungu likhoza kukhala ndi mtundu wabuluu (cyanosis). Kutsekeka kwa khosi kwakukulu ndi ngozi yowopsa! Chonde imbani 911 kapena pitani mwana wanu ku Dipatimenti Yoona za Zadzidzidzi yapafupi nthawi yomweyo.
Kodi Croup imatenga nthawi yayitali bwanji?
Kwa ana ambiri, zizindikiro za croup zimatha mkati mwa masiku awiri , ngakhale kuti sizachilendo kuti zizindikiro zazing'ono zipitirire kwa sabata imodzi.
Kodi mwana wanga angabwerere liti kusukulu?
Matenda a Croup ndi opatsirana kwambiri. Chonde sungani mwana wanu kunyumba mpaka atasiya kutentha thupi kwa maola osachepera 24 osagwiritsa ntchito mankhwala ochepetsa kutentha thupi.
Kodi ndingatani kuti ndipewe kufalikira kwa Croup?
Matenda a Croup amafalikira kudzera mu kukhudzana mwachindunji kapena madontho a mpweya. Kuti mupewe kufalikira kwa matendawa, tsatirani njira izi:
- Sambani m'manja mwanu bwino ndi sopo ndi madzi mukatha kusamalira mwana wanu.
- Tsukani zoseweretsa zomwe mumagwiritsa ntchito nthawi zonse.
- Phunzitsani mwana wanu kuphimba pakamwa ndi mphuno yake akamatsokomola kapena kutsekula m'mimba.
- Ngati mwana wanu akudwala, musungeni kutali ndi sukulu kapena malo osamalira ana mpaka atachira.
- Tayani minofu yogwiritsidwa ntchito nthawi yomweyo komanso mosamala.
Kodi muyenera kupita liti kwa dokotala kapena ku Dipatimenti Yothandiza Anthu Pangozi?
Lumikizanani ndi dokotala wanu wa ana ku Nirogi Lanka ngati:
- Mwana wanu ali ndi malungo omwe amapitilira masiku atatu .
- Zizindikiro zochepa za croup zimapitirira kwa nthawi yoposa sabata imodzi .
- Muli ndi nkhawa kapena nkhawa iliyonse yokhudza kuchira kwa mwana wanu.
Funani chithandizo chamankhwala mwamsanga ku Emergency Treatment Unit (ETU) ngati chimodzi mwa izi chichitika:
- Kuvuta kooneka kupuma.
- Khungu limaoneka ngati labuluu (cyanosis) , makamaka kuzungulira milomo, lilime, kapena misomali.
- Kutsokomola koopsa komanso kosalekeza.
- Kuvuta kumeza kapena kutulutsa madzi ambiri.
- Kulephera kulankhula kapena kulira chifukwa cha vuto la kupuma.
- Phokoso la mluzu lokwera kwambiri mukamapuma.
- Kuwonekera kwa khungu pakati pa nthiti kapena pansi pa khosi.
Nchifukwa chiyani mwana wanga amadwala Croup yobwerezabwereza?
Kubwerezabwereza kwa croup kungasonyeze kuchepa kwa kapangidwe ka njira yopumira, zomwe zimapangitsa kuti mwana wanu akhale pachiwopsezo chachikulu chotenga matenda. Kuchepa kumeneku kungakhale kobadwa nako (komwe kulipo kuyambira kubadwa) kapena komwe kumachitika. Ngati mwana wanu akukumana ndi croup pafupipafupi, dokotala wanu angakutumizireni kwa katswiri wa otolaryngologist (ENT specialist) kapena dokotala wa mapapo wa ana kuti akawunikenso.
Kodi akuluakulu angadwale matenda a croup?
Inde, akuluakulu amatha kudwala matenda a croup, ngakhale kuti nthawi zambiri samachitika kawirikawiri. Matenda a Croup nthawi zambiri amakhudza makanda ndi ana aang'ono chifukwa ma trachea awo ndi ochepa ndipo amakulabe. Ana akamakula, njira zawo zopumira zimakula ndikukula, zomwe zikutanthauza kuti kutupa sikungalepheretse kupuma kwawo. Chifukwa njira zopumira za akuluakulu zimakhala zazikulu kwambiri, croup nthawi zambiri sizikhala pachiwopsezo chachikulu kwa inu. Komabe, ngati munthu wamkulu agwidwa ndi croup, zizindikiro zake zimatha kukhala zazikulu kwambiri, ndipo mungafunike thandizo lachipatala lamphamvu kwambiri.
Mfundo Zofunika Kuziganizira
Croup ndi matenda opatsirana kwambiri opumira omwe amapezeka mwa makanda ndi ana aang'ono. Mutha kuwazindikira pogwiritsa ntchito chifuwa choyabwa . Ngakhale kuti matenda ambiri amakhala ofatsa ndipo amatha okha, nthawi zina matendawa amatha kukula mofulumira, zomwe zimapangitsa kuti mwana wanu avutike kupuma.
Choncho, ngati vuto la mwana wanu silikuwonetsa zizindikiro za kusintha, kapena ngati mukuona kuti zizindikiro zake zikuipiraipira, chonde funani thandizo lachipatala nthawi yomweyo. Musazengereze kulankhula ndi dokotala kapena kupita ku dipatimenti yothandiza anthu mwadzidzidzi. Kukhala chete ndikuchita zinthu zoyenera n'kofunika kwambiri. Simuli nokha; Nirogi Lanka ali pano kuti akuthandizeni.
👩🏽⚕️ Mafunso Ofunsidwa Kawirikawiri (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi croup mwa ana ndi mtundu wa chibayo?
Ayi. Ndi matenda ofala kwambiri osiyana ndi chibayo. Nthawi zambiri amakhudza ana a miyezi 6 mpaka zaka 3. Amayamba pamene kachilombo (kawirikawiri kachilombo ka parainfluenza) kamayambitsa kutupa kwa kholingo ndi trachea, zomwe zimapangitsa kuti njira yodutsa mpweya ikhale yochepa.
💬 N’chifukwa chiyani zimayambitsa phokoso lolira?
Chifukwa chakuti mphuno ya mpweya imatupa komanso ndi yopapatiza, mpweya umatulutsa phokoso loopsa, "lokuwa" akamatsokomola. Chodetsa nkhawa kwambiri ndi "stridor," phokoso lofuula kwambiri lomwe limamveka mwana akamapuma. Zizindikirozi nthawi zambiri zimakula usiku.
💬 Kodi ndi zoopsa, ndipo ndingapereke bwanji chithandizo kunyumba?
Matenda ambiri si owopsa ndipo amatha pakatha masiku ochepa. Khalani bata mwana wanu, chifukwa kulira kungawonjezere mavuto opuma. Kugwiritsa ntchito choziziritsira mpweya kunyumba kungathandize nthawi yomweyo. Komabe, ngati milomo ya mwana wanu yasanduka buluu kapena akuvutika kupuma, mutengereni ku chipinda chadzidzidzi chapafupi nthawi yomweyo kuti akalandire chithandizo chamankhwala monga steroids kapena epinephrine.
Mawu Ofunika: Chifuwa chachikulu, chifuwa chowuma, thanzi la ana, matenda opumira, stridor, kupuma movutikira
