Ese umwana wawe afite inkorora nk'iyi? Reka tuvuge kuri Croup! - Nirogi Lanka

Ese umwana wawe yafashwe n'ibicurane mu buryo butunguranye, agakurikirwa n'inkorora idasanzwe, ikaza irakurura no guhumeka bigoranye? Nk'umubyeyi, ni ibisanzwe kumva ufite ubwoba iyo ibi bibaye. Ibi bimenyetso bikunze kugaragara ku bana bato kandi akenshi ni ikimenyetso cy'indwara yitwa Croup . Muri Nirogi Lanka, turashaka kugufasha gusobanukirwa iyi ndwara neza kandi mu buryo bworoshye.

Croup ni iki?

Mu magambo make, Croup—izwi mu buvuzi nka laryngotracheobronchitis —ni indwara yibasira imyanya yo hejuru y’ubuhumekero mu bana bato, cyane cyane mu ruhu rw’amajwi (larynx) no mu muhogo (umuyoboro w’umwuka). Iyo aka gace kabyimbye, inzira y’ubuhumekero iragabanuka. Tekereza nk’aho umwuka urimo gucika mu muyoboro w’ubusitani; kubera ko inzira y’ubuhumekero iba ifunze, umwana wawe ashobora kugorwa no guhumeka, akenshi bigatuma yumva ijwi ridasanzwe iyo ahumeka.

Igifu cya Croup gikunze kugaragara cyane mu bana bari munsi y'imyaka 3. Uko abana bagenda bakura, inzira z'ubuhumekero zabo zirakura, bigatuma ubu bwoko bw'ububyimbirwe bugabanya amahirwe yo gutera ibibazo byo guhumeka. Niyo mpamvu udakunze kubona igifu cya Croup mu bana bakuru.

Impamvu nyamukuru ni ubwandu bwa virusi —ubwoko bumwe bwa virusi zitera ibicurane n'ibicurane. Ariko, ni ngombwa kwibuka ko atari ibicurane byose bitera indwara yo mu mutwe.

Inkorora ya Croup isa n'iki?

Ikimenyetso gikomeye cy’indwara ya croup ni inkorora yayo yihariye . Ni inkorora ikaze, ishyushye, "irimo kurira" isa n’aho imbwa nto irira cyangwa imbwa nto irarira. Ababyeyi benshi barambwira bati “Muganga, umwana wanjye yafashwe n’inkorora isa n’imbwa irira, kandi byari biteye ubwoba cyane.” Uko ni ko byumvikana.

Byongeye kandi, ushobora kumva ijwi rirenga, rihindagurika, cyangwa ricuragura iyo umwana wawe ahumeka. Mu buvuzi, ibi tubyita stridor . Ibi bibaho kubera ko umwuka uba ugorwa no kunyura mu gice cy'umuyoboro w'umuyaga cyabyimbye kandi gito, bigatuma habaho guhindagura.

Ni ibihe bimenyetso bindi?

Ubusanzwe indwara ya Croup iba yoroheje kandi akenshi ihita ishira mu minsi mike. Ariko, ibimenyetso bishobora kwiyongera. Akenshi bitangira buhoro buhoro n'ibimenyetso by'ibicurane, nko kuva izuru cyangwa kuziba izuru. Nyuma y'amasaha agera kuri 12 kugeza kuri 48 , inkorora idasanzwe ishobora kugaragara, akenshi ikongera kwiyongera nijoro .

Ibimenyetso bisanzwe bya Croup yoroshye birimo:

• Gutaka cyangwa ijwi rituje.
• Umuriro woroheje.
• Rimwe na rimwe, habaho uduheri ku ruhu.
• Amaso atukura (conjunctivitis).
• Utunyangingo tw'imitsi mu ijosi twabyimbye.

Ibimenyetso by'indwara yo mu nda iri hagati kugeza ku ikomeye birimo:

• Kunanirwa guhumeka neza : Umwana wawe ashobora kugaragara nk'unaniwe cyane mu gihe agerageza guhumeka.
• Kubura amahoro cyangwa kurakara bidasanzwe.
• Gusubira inyuma : Ushobora kubona uruhu rwinjira hagati y'imbavu cyangwa mu nsi y'umuhogo iyo umwana wawe ahumeka, iki kikaba ari ikimenyetso cy'uko arimo gukora cyane kugira ngo ahumeke.
• Cyanosis (umuhondo w'ubururu) : Iyo iminwa, ururimi, cyangwa uruhu rukikije inzara bihindutse ubururu, bivuze ko umubiri utari kubona umwuka uhagije wa ogisijeni. Iki ni ikibazo cyihutirwa cy'ubuvuzi! Hamagara 911 cyangwa usure ishami rishinzwe ubutabazi riri hafi yawe ako kanya.

Ni gute Croup, RSV, na Whooping Cough bitandukanye?

Kubera ko izi ndwara eshatu zigira ingaruka ku buryo bw'ubuhumekero, akenshi zirayoberana. Dore uko zitandukaniye:

RSV na Croup

Virusi ya RSV (Respiratory Syncytial Virus) ni virusi isanzwe ifata imyanya y'ubuhumekero. Nubwo ifata abana bato n'abantu bakuru, igatera ibimenyetso nk'ibicurane, RSV ni imwe muri virusi zishobora gutera Croup. Mu yandi magambo, ubwandu bwa RSV rimwe na rimwe bushobora gutera croup.

Inkorora Ikabije (Pertussis) na Croup

Inkorora yo mu bwoko bwa whooping, cyangwa pertussis , ni ubundi bwoko bw'indwara zo mu myanya y'ubuhumekero. Zombi zirimo inkorora yihariye. Ariko, inkorora yo mu bwoko bwa whooping irangwa n'ijwi ryumvikana cyane ry' "whooping" mu gihe umwana ahumeka cyane nyuma yo gukorora.

Itandukaniro rikomeye ni uko inkorora iterwa na bagiteri, mu gihe croup ikunze kuba virusi. Kubera iyo mpamvu, imiti yica udukoko (yica bagiteri ariko ntabwo yica virusi) ishobora kuvura inkorora iterwa na croup ariko ntacyo ikora kuri croup. Hariho urukingo rw'inkorora iterwa na croup, ariko nta rukingo rwihariye ruhari rwo gukumira croup.

Croup ikunze kugaragara gute?

Mu bihugu byinshi, hafi 3% by'abana barwara indwara yo mu nda buri mwaka, kandi ni 7% by'abana bari munsi y'imyaka 5 bakirwa mu bitaro . Ikunze kugaragara cyane ku bahungu. Ariko, ushobora kwemeza ko 85% by'abandura ari bato, naho munsi ya 1% bafatwa nk'abakomeye.

Ni iki gitera Croup?

Nkuko byavuzwe, ubwandu bwa virusi ni bwo butera. Virusi ya Parainfluenza ni yo ikunze kugaragara cyane, ariko ibicurane, RSV, measles, na adenovirus na byo bishobora kuyitera. Izi virusi zitera ubuhumekero bwo hejuru kubyimba, bigatera ibibazo byo guhumeka. Izi virusi zirakwirakwira mu bidukikije, niyo mpamvu atari buri mwana wese wanduye arwara croup. Ni gake cyane, ubwandu bwa kabiri bwa bagiteri bushobora kugora iyo ndwara.

Ese Croup yandura?

Yego, indwara ya croup yandura cyane , kuko virusi ziyitera zikwirakwira byoroshye cyane. Izere Nirogi Lanka kugira ngo ubone ubuyobozi bw'inzobere mu gucunga ibi bimenyetso mu buryo bwizewe.

Iyo umuntu ufite ubwandu bwa virusi cyangwa bagiteri butera gukorora cyangwa kwitsamura, arekura udutonyanga duto tw’ubuhumekero mu kirere. Iyo umwana wawe ahumeka utu dutonyanga, ashobora kwandura virusi cyangwa bagiteri biganisha ku gukorora. Byongeye kandi, ubwandu bushobora gukwirakwira iyo umwana wawe yakoze ku bintu byanduye nk'ibikinisho cyangwa ku rugi hanyuma akikora ku munwa we, ku mazuru ye, cyangwa ku maso ye.

Indwara ya Croup yandura mu minsi itatu ya mbere nyuma y’uko ibimenyetso bitangiye, cyangwa kugeza umuriro ugabanutse burundu. Muri rusange, ntugasubize umwana wawe ku ishuri kugeza igihe amaze nibura amasaha 24 nta muriro afite adakoresheje imiti igabanya umuriro.

Ese croup ishobora gutera ingorane?

Kenshi na kenshi, indwara ya croup iba yoroheje kandi ishobora gukemurwa neza mu rugo. Ingorane ni nke cyane; abana bari munsi ya 5% bafite croup bakeneye kujya mu bitaro. Muganga wawe ashobora kukugira inama yo kwita ku bitaro niba umwana wawe agaragaje ibi bikurikira:

• Hakenewe ogisijeni y'inyongera kugira ngo urwego rwa ogisijeni rukomeze kuba rwiza.
• Kubura amazi menshi bisaba amazi yo mu mitsi (IV).
• Gukenera uburyo bwo kuvura umwuka uhumeka mu buryo bwa "nebulised" kugira ngo bigabanye ibibazo byo guhumeka.
• Ibimenyetso bikomeye bitagenda neza nyuma yo kuvurwa bwa mbere n'abaganga.

Namenya nte ko umwana wanjye afite croup?

Ubusanzwe abaganga bapima indwara ya croup bashingiye ku bimenyetso by’uburwayi , cyane cyane inkorora igaragara nk’iy’ “icurabura” n’ijwi rirenga mu gihe cyo guhumeka, rizwi nka stridor. Croup ikunze kugaragara cyane mu mezi y’umuhindo n’ay’itumba. Nubwo idakunze kugaragara, iyo ibimenyetso bikomeye, muganga ashobora gutegeka ko hakorwa X-ray cyangwa ibizamini byo muri laboratwari kugira ngo hamenyekane izindi ndwara.

Indwara ya croup ivurwa ite?

Ubuvuzi buterwa n'uburemere bw'ibimenyetso by'umwana wawe n'ingaruka z'uko indwara irushaho kwiyongera. Amateka y'ubuzima bw'umwana wawe, nk'ibibazo by'ubuhumekero byari bisanzweho cyangwa niba yaravutse imburagihe, nabyo bizagira ingaruka kuri gahunda y'ubuvuzi.

Kwita ku Rugo (Ku ndwara yo mu bwonko idakomeye)

Iyo ikibyimba cyoroheje, akenshi ushobora kucyifata neza uri mu rugo.

Icy'ingenzi: Niba kwita ku mwana wawe mu rugo bidatuma amererwa neza cyangwa bikaba bigaragara ko birushaho kuba bibi, nyamuneka gisha inama muganga vuba.

• Igikoresho cyo guhumeka mu gihe cy'ubushyuhe: Gukoresha icyuma gishyushya mu gihe cy'ubushyuhe mu cyumba cyo kuraramo bishobora gufasha kugabanya ubushyuhe mu myanya y'ubuhumekero.
• Umwotsi wo mu bwiherero: Shyira ubwiherero bushyushye mu bwiherero bufunze kugira ngo ubone icyumba cyuzuyemo umwuka kandi wicare n'umwana wawe igihe gito. Icyitonderwa: Ntuzigere ushyira umwana wawe mu bwiherero cyangwa hafi y'amazi ashyushye kugira ngo wirinde gushya.
• Umwuka ukonje nijoro: Niba umwana wawe ananiwe guhumeka nijoro, ushobora gufungura urugi cyangwa idirishya kugira ngo umwuka ukonje winjire mu cyumba (mu gihe ugenzura neza ko adahura n'ubukonje bukabije).
• Kugabanya umuriro: Niba hari umuriro, koresha imiti igurishwa na muganga nka parasetamol (urugero: Panadol, Calpol) cyangwa ibuprofen (urugero: Brufen) nk'uko muganga yabigutegetse. Ntugahe abana Aspirine.
• Ibinyobwa bishyushye: Gutanga ibinyobwa bishyushye kandi bisobanutse neza (nk'isupu cyangwa amazi y'akazuyazi) bishobora gufasha kugabanya ururenda mu muhogo.
• Irinde itabi: Komeza umwotsi w'itabi mu rugo rwawe, kuko umwotsi w'itabi ushobora gukurura inzira z'ubuhumekero no kongera inkorora.
• Kuzamura umutwe: Kuryama ufite umusego wiyongereyeho bishobora gufasha koroshya guhumeka. Icyitonderwa: Ntugakoreshe imisego ku bana bari munsi y'umwaka umwe.

Ni byiza kurara mu cyumba kimwe n'umwana wawe kugira ngo ukurikirane uburyo ahumeka ijoro ryose.

Ubuvuzi (Ku ndwara yo mu nda iri hagati kugeza ku ikomeye)

Niba croup iri hagati cyangwa ikomeye cyane, shaka abaganga bihutirwa mu ishami rishinzwe ubutabazi bw’ibanze (ED). Croup ikomeye ishobora kuba ikibazo gikomeye gishobora gushyira ubuzima mu kaga, bityo ntutinde.

Uburyo bwo kuvurwa mu bitaro bushobora kuba burimo:

• Umwuka uhumeka cyangwa umwuka wa ogisijeni.
• Amazi yo mu mitsi (IV) yo kunywa amazi.
• Gukurikirana ibimenyetso by'ingenzi, nko kuzura umwuka wa ogisijeni, umuvuduko w'ubuhumekero, n'umuvuduko w'umutima.
• Imiti yihariye yo mu bwoko bwa croup: Glucocorticoids n'imiti ya nebulized nka epinephrine.
• Mu bihe bikomeye cyane, guhumeka hakoreshejwe ikoranabuhanga bishobora kuba ngombwa.

Gusobanukirwa imiti

Iyo ujyanye umwana wawe mu kigo cyita ku bibazo byihutirwa cyangwa kwa muganga, bashobora kumuha glucocorticoids na epinephrine ya nebulized.

• Glucocorticoids:

Izi ni steroid zikoreshwa mu kugabanya ububyimbirwe mu gasanduku k'ijwi (larynx). Ubusanzwe zitangira gukora mu masaha 6 uhereye ku gipimo cya mbere. Gutanga uyu muti, ndetse no ku ndwara yo mu nda yoroheje, akenshi bishobora gukumira gukenera kujya kwa muganga.

Imiti ikoreshwa cyane irimo dexamethasone na prednisolone. Iyi ikunze gutangwa nk'umuti umwe unyobwa. Niba umwana wawe aruka cyangwa adashobora kugabanya umuti, muganga ashobora kumuha dexamethasone binyuze mu gutera urushinge rwa IV cyangwa mu mitsi (IM).

• Epinephrine yo mu bwoko bwa Nebulized:

Epinephrine itangwa nk'igihu gito binyuze mu mashini ikoresha imashini igabanya ubushyuhe mu myanya y'ubuhumekero kugira ngo igabanye vuba ubushyuhe bw'imiyoboro y'ubuhumekero. Muri rusange itangira gukora mu minota 10. Ariko, ingaruka zayo zimara igihe gito, zimara amasaha abiri gusa. Kubwibyo, niba ibimenyetso bikomeye, umwana wawe ashobora gukenera kuvurwa inshuro nyinshi buri minota 15-20.

Ese hari ingaruka mbi ku miti?

Ingaruka mbi zikomeye zituruka kuri epinephrine ni gake cyane. Ariko, ushobora kubona ingaruka z'igihe gito nko kwiyongera k'umutima (tachycardia). Mu bisanzwe, umuganga azakurikirana umwana wawe amasaha atatu kugeza kuri ane nyuma y'umuti wa nyuma kugira ngo arebe ko ashobora guhumeka neza nta bimenyetso bigaruke.

Ni gute umwana wanjye azumva amerewe neza nyuma yo kuvurwa?

Glucocorticoids muri rusange itangira gukora mu masaha 6 nyuma yo gufata dose ya mbere, mu gihe epinephrine ikora vuba kurushaho mu kugabanya ububabare bw'imiyoboro y'ubuhumekero.

Ni ryari wagombye guhangayikishwa na Croup?

Igifu gishobora kuva ku gifu cyoroheje kugeza ku gikomeye, bitewe n'uburyo umwana wawe afite ikibazo cyo guhumeka . Ubukana bw'indwara buterwa n'uburyo inzira y'ubuhumekero yagabanutse bitewe no kubyimba. Ibuka ko niba umwana wawe agize ubwoba cyangwa agatangira kurira, ibimenyetso byo guhumeka bishobora kwiyongera.

• Croup yoroshye:

Mu bihe byoroheje, umwana wawe ashobora kugira inkorora idasanzwe ndetse n'urusaku rusakuza iyo ahumeka (stridor). Ibimenyetso bikunze kwiyongera nijoro. Ugomba gukurikiranira hafi umwana wawe, ariko ubusanzwe ibi bibazo bishobora kwitabwaho mu mutekano mu rugo.

• Croup iringaniye:

Iyo ufite croup iri hagati y’umubiri, ushobora kubona stridor iri kumwe n’aho isubira inyuma (uruhu rwinjira hagati y’imbavu mu gihe uhumeka). Umwana wawe ashobora kugaragara nk’ufite ubwoba, utazi icyo atekereza, cyangwa asa n’ufite agahinda gake. Muri iki cyiciro, ugomba kugisha inama muganga kugira ngo agufashe mu buvuzi bw’inzobere.

• Igisebe gikomeye:

Gukomereka cyane bikubiyemo stridor ikomeye no kwisubira inyuma. Umwana wawe ashobora kugaragara nk'unaniwe, udatuje cyane, cyangwa ufite intege nke. Ibara ry'uruhu rishobora kugaragara nk'ubururu (cyanosis). Gukomereka cyane ni ikibazo gikomeye gishobora gushyira ubuzima mu kaga! Hamagara 911 cyangwa ujyane umwana wawe mu ishami rishinzwe ubutabazi riri hafi yawe ako kanya.

Croup imara igihe kingana iki?

Ku bana benshi, ibimenyetso bya croup bishira mu minsi ibiri , nubwo bidakunze kubaho ko ibimenyetso bito bimara icyumweru kimwe.

Ni ryari umwana wanjye ashobora gusubira ku ishuri?

Indwara ya Croup yandura cyane. Nyamuneka shyira umwana wawe mu rugo kugeza igihe nta muriro afite nibura amasaha 24 adakoresheje imiti igabanya umuriro.

Nigute nakwirinda ikwirakwira rya Croup?

Igisebe cyandura binyuze mu gukora ku buryo butaziguye cyangwa mu bitonyanga by'ubuhumekero. Kugira ngo wirinde kwandura, kurikiza izi ntambwe:

• Karaba intoki zawe neza n'isabune n'amazi nyuma yo kwita ku mwana wawe.
• Sukura ibikinisho bisangiwe buri gihe.
• Igisha umwana wawe gupfuka umunwa n'amazuru mu gihe arimo gukorora cyangwa kwitsamura.
• Niba umwana wawe arwaye, mushyire kure y'ishuri cyangwa irerero kugeza igihe akize.
• Shyira imyanya yakoreshejwe ako kanya kandi mu mutekano.

Ni ryari wagombye kujya kwa muganga cyangwa kujya mu ishami rishinzwe ubutabazi bwihutirwa?

Hamagara muganga w'abana wawe wa Nirogi Lanka niba:

• Umwana wawe afite umuriro umara iminsi irenga itatu .
• Ibimenyetso byoroheje bya croup bimara igihe kirenga icyumweru .
• Ufite impungenge cyangwa wumva uhangayitse ku bijyanye no gukira k'umwana wawe.

Shaka ubuvuzi bwihutirwa vuba mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) niba hari kimwe muri ibi bikurikira kibayeho:

• Kubona bigoye guhumeka.
• Uruhu rusa n'urusa n'umukara (cyanosis) , cyane cyane hafi y'iminwa, ururimi, cyangwa inzara.
• Inkorora ikomeye kandi idashira.
• Kugorwa no kumira cyangwa gutemba cyane.
• Kutabasha kuvuga cyangwa kurira bitewe n'ikibazo cyo guhumeka.
• Ijwi ry'umuriri mwinshi iyo uhumeka.
• Uruhu rugaragara hagati y'imbavu cyangwa hasi y'ijosi.

Kuki umwana wanjye arwara Croup isubira?

Kurwara croup isubira inyuma bishobora kugaragaza ko imiterere y'inzira y'ubuhumekero ifunganye, bigatuma umwana wawe ashobora kwandura indwara zoroshye. Uku kugabanuka gushobora kuba umwana avukana (kuva avutse) cyangwa kuboneka. Niba umwana wawe akunze kugira croup, muganga wawe ashobora kukwohereza kwa muganga w'indwara z'amaso (ENT) cyangwa umuganga w'indwara z'ibihaha by'abana kugira ngo barebe ko yakwitabwaho.

Ese abantu bakuru bashobora kurwara croup?

Yego, abantu bakuru bashobora kurwara croup, nubwo ari gake cyane. Croup ikunze kwibasira impinja n'abana bato kuko imiyoboro yabo y'umuyaga iba mito kandi ikomeza gukura. Uko abana bakura, inzira zabo z'ubuhumekero zirakura kandi zigakura, bivuze ko kubyimba bidakunze kubangamira guhumeka kwabo. Kubera ko inzira z'ubuhumekero z'abantu bakuru ari nini cyane, croup muri rusange ntabwo igutera ibyago bikomeye. Ariko, iyo umuntu mukuru arwaye croup, ibimenyetso bishobora kuba bikomeye cyane, kandi ushobora gukenera ubufasha bwihuse bwa muganga.

Ibintu by'ingenzi byatekerejweho

Croup ni indwara y’ubuhumekero yandura cyane ikunze kugaragara mu bana bato n’impinja. Ushobora kuyimenya ukoresheje inkorora igaragara nk’iyitwa "irimo gukaka" . Nubwo indwara nyinshi ziba zoroshye kandi zigakira ubwazo, rimwe na rimwe indwara ishobora kwiyongera vuba, bigatuma umwana wawe agira ibibazo bikomeye byo guhumeka.

Kubwibyo, niba ikibazo cy'umwana wawe kidagaragaza ibimenyetso byo koroherwa, cyangwa niba ubona ibimenyetso bye birushaho kwiyongera, nyamuneka shakisha ubufasha bwa muganga ako kanya. Ntugatinye kuvugana na muganga cyangwa kujya mu ishami rishinzwe ubutabazi bwihuse. Gutuza no gufata ingamba zikwiye ni ingenzi. Nturi wenyine; Nirogi Lanka irahari kugira ngo igufashe.

Amagambo ahinnye: Igifu, inkorora ishyushye, ubuzima bw'abana, indwara zo mu myanya y'ubuhumekero, stridor, kugorwa no guhumeka