Mwana wako akangoerekana aita chikosoro chinoshamisa, chinokuruma pamwe nedzihwa, uye akaomerwa nekufema here? Saamai, unofanira kunge uchitya zvikuru kana izvozvo zvikaitika, handiti? Croup chirwere chinowanzoitika kuvana vadiki uye chinoratidza zviratidzo izvi. Nhasi, tichataura nezvazvo zvakadzama, zviri nyore.

Chii chinonzi croup iyi?

Muchidimbu, croup, kana kuti mumashoko ekurapa, "Laryngotracheobronchitis " chirwere chehuro, kureva kuti, larynx (kwaunosvika ruzha patinotaura) uye trachea (chubhu huru yekufema) muvana vadiki . Chinoitika apa ndechekuti chikamu chepamusoro chenzira yekufema, kureva chikamu chiri pasi petambo dzenzwi, chinozvimba. Fungidzira, kana pombi yemvura yakavharwa, zvinonetsa kuti mvura ipfuure nepakati, kana nzira yekufema ichizvimba nenzira iyi, inotetepa. Ipapo kamwana kadiki kanoona zvakaoma kufema, uye ruzha rusinganzwisisike runotanga kunzwika kana kafema.

Izvi zvinonyanya kuitika kuvacheche nevana vadiki vari pasi pemakore matatu. Vana pavanokura, nzira dzavo dzekufema dzinokura, saka kuzvimba uku hakunyanyi kukonzera matambudziko makuru ekufema. Ndokusaka vana vakuru vasinganyanyi kukonzera croup.

Chikonzero chikuru cheizvi hutachiona hwemavhairasi . Kungofanana nemavhairasi anokonzera dzihwa nefuruu, haasi ese mavhairasi anoshanduka kuita croup.

Kukosora kwe croup kunonzwika sei?

Chinhu chikuru uye chinonyanya kusiyanisa croup ndiko kukosora kusinganzwisisike uku . Kukosora kwakasimba, kwakasimba "kunohukura", sekunge chisikwa chinodzvova kana imbwa diki ichihukura. Vamwe vanaamai vanouya kwandiri vachinetseka vachiti, "Chiremba, mwana wangu akangoerekana akosora, uye ndakatya zvikuru." Ndizvo zvinonzwika.

Chimwe chinhu ndechekuti kana mwana achifema, ruzha rwekuti "whooping" kana kudzipwa runogona kunzwika ruchibva pahuro . Mukurapa, tinodana izvi kuti stridor . Ruzha urwu runokonzerwa nekuzvimba uye kutetepa kwenzira yekufema, uye kudedera kunoitika kana mhepo inopfuura nepakati penzvimbo iyoyo yakamanikana.

Ndezvipi zvimwe zviratidzo?

Croup inowanzova isina kusimba uye inopera mukati memazuva mashoma. Zvisinei, dzimwe nguva zviratidzo zvinogona kuva zvakanyanya. Kazhinji, zviratidzo zvinotanga zvishoma nezvishoma. Pakutanga, zvinoita sedzihwa , mhino inoyerera uye mhino yakavharika. Zvadaro, mukati memaawa gumi nemaviri kusvika makumi mana nemasere, unogona kutanga kukosora kunorwadza. Zviratidzo izvi zvinowanzowedzera husiku .

Zvimwe zviratidzo zvinogona kuonekwa mu croup isina kunyanya kuoma zvinosanganisira:

• Kunzwa kurira kwezwi, kunzwa kurema.
• Fivha yakajairika.
• Dzimwe nguva mapundu eganda.
• Kutsvuka kwemaziso (conjunctivitis).
• Ma-lymph nodes akazvimba mumutsipa (kuzvimba kwe-lymph node mumutsipa).

Mukurwadziwa kuri pakati nepakati kusvika kwakanyanya, zviratidzo izvi zvinogona kunge zvakanyanya:

• Zviri pachena kuti mwana ari kunetseka kufema : Mwana wacho ari kuomerwa nekufema.
• Kusagadzikana, kusagadzikana.
• Kudzokera shure (kudhonza ganda riri pakati pemapfupa epazamu nepachipfuva chepamusoro) pakufema : Izvi zvinoratidza kuti mwana ari kuomerwa zvakadii nekufema.
• Ganda rebhuruu (cyanosis) : Ganda rebhuruu, kunyanya rakakomberedza miromo, rurimi, nenzara, zvinoreva kuti muviri hausi kuwana oxygen yakakwana. Izvi zvinokonzeresa emergency!

Chii chinosiyanisa croup, RSV, uye whooping cough?

Zvirwere izvi zvitatu zvinokanganisa kufema uye dzimwe nguva zvinogona kuvhiringika nekuti zvinoitika kuvana vadiki. Ngatitarisei mutsauko.

RSV neCroup

RSV (Respiratory Syncytial Virus) imwe hutachiona hunokanganisa kufema. Hunogona kukanganisa vacheche nevakuru. RSV inokonzera zviratidzo zvakaita sedzihwa zvakaita sekukosora nekuhotsira. Zvakakosha kuti RSV imhando yehutachiona hunogona kukonzera croup. Izvi zvinoreva kuti hutachiona hweRSV hunogona kukura kuita croup mune vamwe vana.

Chikosoro neCroup

Chikosoro chinoputika, kana kuti "Pertussis" semazivirwo azvinoitwa pakurapa, chirwere chekufema chinobata vana vadiki, kungofanana necroup. Zvose zvine chikosoro chakasiyana. Zvisinei , chikosoro chinoputika chikosoro chinoperekedzwa neruzha rwe "whooping" rukuru kana munhu achifema.

Musiyano mukuru ndewekuti chikosoro chinokonzereswa nehutachiona hwebhakitiriya, nepo chikosoro chinowanzo kukonzerwa nehutachiona. Saka, hapana mushonga wekudzivirira chikosoro, uye hachigone kurapwa nemishonga inorwisa mabhakitiriya (mishonga inorwisa mabhakitiriya haiuraye mavhairasi). Kune mushonga wekudzivirira chikosoro chinokonzereswa, uye hachikurumidzi kupera sechikosoro.

Chirwere checroup chakajairika zvakadii?

Munyika dzakadai seUnited States, zvinonzi vana vanosvika 3% vanorwara necroup gore rega rega. Croup inonziwo ndiyo inokonzera 7% yevana vari pasi pemakore mashanu kuti varare muchipatara . Inoonekwa kakawanda muvakomana. Asi hapana chekunetseka nacho, nekuti 85% chete yevana vanorwara necroup vane chirwere chisina kunyanya kuoma. Vasingasviki 1% vanorwara zvakanyanya.

Ndezvipi zvinokonzera croup?

Sezvatakambokurukura, chikonzero chikuru checroup chirwere chehutachiona. Panyaya idzi, chinonyanya kuzivikanwa ihutachiona hunonzi `(Parainfluenza virus). Kunze kweizvozvo, mavhairasi akaita se`(Influenza virus)` (hutachiona hunotirwarisa), `(RSV - Respiratory Syncytial Virus)`, measles virus, uye `(Adenovirus)` anogonawo kukonzera croup. Mavhairasi aya anokonzera kuti nzira dzekufema dziri pamusoro pehuro yemwana dzizvimbe. Izvi zvinoita kuti zviome kufema.

Asi mavhairasi aya anowanikwa munharaunda. Izvi zvinoreva kuti havasi vana vese vanobatwa nehutachiona vanozobatwa nechirwere chemhino. Kashoma, hutachiona hwebhakitiriya hunogona kuitika pamusoro pehutachiona hwehutachiona, zvichiita kuti dambudziko racho riwedzere kuipa.

Chikosoro chinotapuriranwa here?

Ehe, croup chirwere chinotapuriranwa zvakanyanya nekuti mavhairasi anokonzera chirwere ichi anopararira zviri nyore.

Kana munhu ane hutachiona hwemavhairasi kana hwebhakitiriya hunogona kukonzera kukosora kana kuhotsira, madonhwe madiki (madonhwe ekufema) anoburitswa mumhepo. Kana mwana wako akafema mweya iwoyo, anogona kuwana utachiona uye obatwa necroup. Anogonawo kubata nekubata zvinhu zvakasvibiswa nehutachiona, zvakaita sematoyi kana zvigunwe zvemasuo, uye obva abata muromo kana mhino neruoko rumwe chete.

Mwana anogona kutapurirana chirwere ichi kwemazuva matatu ekutanga mushure mekunge zviratidzo zvatanga, kana kusvika fivha yapera zvachose . Saka, zvakakosha kuti mwana wako asaende kuchikoro kusvika fivha yapera kwemaawa makumi maviri nemana usingamupe mushonga wekuderedza fivha.

Ko croup inogona kukonzera matambudziko here?

Kazhinji, croup chirwere chisina kunyanya kuipa chinogona kurapwa kumba. Matambudziko haawanzoitiki. Vana vari pasi pe5% vane croup vanofanira kuendeswa kuchipatara. Mwana wenyu angangoda kuendeswa kuchipatara kana:

• Kana muchida kupa oxygen kuti muviri wemwana urambe uine oxygen yakakwana.
• Kana uine dambudziko rekushaya mvura mumuviri zvakanyanya uye uchida kupiwa mvura kuburikidza netsinga (IV - intravenous) .
• Kana uchida kurapwa kakawanda kwekufema kwakapfava kana paine dambudziko rekufema.
• Kana zviratidzo zvikaramba zviripo mushure mekurapwa kwekutanga.

Ndingaziva sei kana mwana wangu ane croup?

Kazhinji, chiremba ndiye anosarudza kana mwana wako aine croup zvichienderana nezviratidzo zviri kuratidzwa nemwana . Zvikuru zvacho kukosora kunoshamisa uye ruzha rwe "stridor" runonzwika pakufema. Izvi zvinonyanya kuonekwa mumatsutso nechando (munyika medu, munguva yemvura, kana kuchitonhora zvikuru). Kana mamiriro emwana akanyanya, chiremba anogona dzimwe nguva kuraira X-rays uye bvunzo dzemurabhoritari, asi izvi hazviwanzoitiki.

Chironda chemudumbu chinorapwa sei?

Kurapwa kunoenderana nekuoma kwezviratidzo zvemwana wako uye njodzi yekuti chirwere ichi chiwedzere nekukurumidza. Kana mwana wako akambova nematambudziko ekufema kare, kana kuti akazvarwa nguva isati yakwana, izvi zvinokanganisawo sarudzo yekurapwa.

Mishonga yekumba (yechikosoro chisina kusimba)

Kana chirwere che croup chiri chidiki, chinogona kurapwa nekupora kumba.

Zvakakosha: Kana mamiriro emwana wako asingavandudzike nemishonga iyi yekumba, kana kuti zvichiita sekuti zviri kuramba zvichiipa, iva nechokwadi chekuona chiremba.

• Chinotonhodza mhepo chinotonhodza: ​​Kushandisa chinotonhodza mhepo chinotonhodza mhepo, chinowedzera hunyoro muimba, kunogona kubatsira kuderedza kufema kwakaoma uye kwakaoma.
• Utsi hwemumba yekugezera: Vhara gonhi rekugezera wovhura mvura inopisa inobva mushawa. Wobva wagara muimba yekugezera ine utsi nemwana wako kwenguva yakati. Asi chenjera! Usabata mwana ari mushawa kana kumuswededza pedyo nemvura inopisa, nekuti inogona kumupisa.
• Mhepo inotonhorera: Kana mwana wako achiita seane dambudziko rekufema husiku, vhura gonhi kana hwindo kuti mweya unotonhorera upinde mumba (asi usamuise munzvimbo inotonhora zvakanyanya).
• Mushonga wefivha: Kana uine fivha, ipa mushonga wakanyorwa nachiremba (OTC) wakadai separacetamol (semuenzaniso Panadol, Calpol) kana ibuprofen (semuenzaniso Brufen). Usape vana vadiki aspirin.
• Zvinonwiwa zvinodziya zvechikosoro: Kupa zvinwiwa zvinodziya uye zvakajeka (semuenzaniso soup, mvura inodziya) zvishoma kunogona kubatsira kusunungura madzihwa ari mutsinga dzenzwi.
• Dzivisa kusvuta: Dzivisa kusvuta mumba. Utsi hwefodya hunogona kuwedzera kukosora kwemwana wako.
• Simudza musoro: Paunenge wakarara, simudza musoro wemwana wako nepiro yekuwedzera. Izvi zvinogona kumubatsira kufema zviri nyore. Asi usaise mubhedha wemwana ari pasi pegore.

Kana zvichibvira, zvakanaka kurara muimba imwe chete nemwana wako, kuitira kuti uzive kana mwana wako achinetseka kufema husiku.

Kurapwa (Kwechirwere Chepakati Nepakati Kusvika Chakanyanya Kurwadza)

Kana croup iri pakati nepakati kana kuti yakanyanya, unofanira kuenda nemwana wako kuEmergency Department (ETU) iri pedyo kana kuna chiremba. Croup yakanyanya inogona kuisa upenyu panjodzi, saka hazvikurudzirwi kunonoka.

Kurapa kunopiwa ikoko kunogona kusiyana zvichienderana nezviratidzo zvemwana. Zvimwe zvacho zvinosanganisira:

• Kupa mweya wakanyorova kana okisijeni.
• Kana mvura ikabuda mumuviri, ipai mvura inobuda mumuviri.
• Kutarisa zviratidzo zvakakosha: zvinhu zvakaita semazinga eokisijeni, mwero wekufema, uye kurova kwemoyo.
• Mishonga chaiyo yekurapa croup: steroid (glucocorticoids) uye mishonga ye nebulized (semuenzaniso epinephrine).
• Kana kufema kwakaoma zvakanyanya, kufefetera kwemuchina kunogona kuitwa mune dzimwe nguva dzisingawanzoitiki.

Ngatidzidzei zvishoma nezvemishonga iyi.

Kana uchienda nemwana wako kuna chiremba kana kuchipatara che emergency, chiremba anogona kukupa mushonga unonzi "glucocorticoid" uye "nebulized epinephrine".

• Glucocorticoids:

Iyi mhando yemushonga westeroid. Mushonga uyu unoshanda nekuderedza kuzvimba kwegurokuro remwana wako (voice box). Unowanzo tanga kushanda mukati memaawa matanhatu kubva padosi yekutanga. Kupa mushonga uyu kumwana ane croup isina kusimba kunogona kubatsira kuderedza kudiwa kwekudzokera kuna chiremba kana kuchipatara kakawanda.

Mishonga inonyanya kushandiswa ndeye `(dexamethasone)` uye `(prednisolone). Iyi inopihwa nemuromo, kazhinji kacho kamwe chete. Kana mwana achirutsa uye asingakwanise kuderedza mushonga, `(dexamethasone)` inogona kupihwa ne `(IV)` kana intramuscularly `(IM injection)`.

• Epinephrine yakabviswa muropa:

Epinephrine inopihwa semhute kuburikidza ne nebulizer. Inoshandawo nekuderedza kuzvimba munzira dzemhepo. Inowanzo tanga kushanda mukati memaminitsi gumi. Zvisinei, mhedzisiro yayo inongogara maawa maviri chete. Saka, kana zviratidzo zvakanyanya, ungangoda kudzokorora kurapwa kwemaminitsi gumi nemashanu kusvika makumi maviri ega ega.

Pane migumisiro yakaipa here yekurapwa kwacho?

Epinephrine haiwanzo kukonzera migumisiro yakaipa. Zvisinei, inogona kukonzera zvinhu zvakaita sekuwedzera kwekurova kwemoyo (tachycardia). Chiremba achatarisa mwana kwemaawa matatu kusvika mana mushure memushonga wekupedzisira kuti aone kana matambudziko ekufema achidzoka.

Ndichakurumidza sei kupora mushure mekurapwa?

Glucocorticoids inowanzotanga kushanda mukati memaawa matanhatu kubva pakutora mushonga wekutanga. Epinephrine inotanga kushanda nekukurumidza.

Unofanira kunetseka nezve croup rini?

Croup inogona kunge iri diki, iri pakati nepakati, kana kuti yakanyanya kuoma. Zvinoenderana nekuti zvakaoma sei kuti mwana akwanise kufema . Kuoma kwechirwere kunoenderana nehukuru (dhayamita) hwenzira yekufema yemwana uye kuti inodzikira zvakadii nekuda kwekuzvimba. Zvakare, chirwere ichi chinogona kutowedzera kuipa kana mwana akagumbuka kana kuchema.

• Croup Nyoro:

Mwana ane croup isina kusimba anogona kunge aine chikosoro chinohukura uye ruzha rwekufemera (stridor). Zviratidzo zvinogona kutowedzera husiku. Saka unofanira kungwarira kufema kwemwana wako, asi kazhinji, zvinogona kurapwa kumba.

• Croup ine mwero:

Mwana ane croup iri pakati nepakati anogona kunge aine ruzha rwekufemera (stridor) uye zviratidzo zvekudhonza (ganda riri pakati pembabvu) paanenge achifema. Anogona kunge achinetseka zvishoma, achivhiringidzika, uye achinetseka kufema. Panguva ino, mwana anofanira kuendeswa kuna chiremba kuti arapwe.

• Chirwere cheCroup Chakanyanya:

Mwana ane dumbu rakakomba achave ne stridor uye anodzokera shure. Anogona kunge akatsamwa zvikuru, asina kugadzikana, uye aneta.Kuchinja kweruvara rwebhuruu paganda (cyanosis) kwakajairika. Kukuvara kwakanyanya kweganda kunogona kuisa upenyu panjodzi! Enda nemwana kuchipatara che emergency (ETU) nekukasika.

Croup inogara kwenguva yakareba sei?

Vana vazhinji vanopora mushure mezviratidzo zvechikosoro mukati memazuva maviri , asi dzimwe nguva zviratidzo zvinogona kugara kusvika vhiki.

Ndingadzosera mwana wangu kuchikoro riini?

Chirwere cheCroup chirwere chinotapuriranwa zvakanyanya. Dzivisa kuendesa mwana wako kuchikoro kusvika fivha yake yapera zvachose (anofanira kunge asina fivha kwemaawa makumi maviri nemana asingape mushonga wekuderedza fivha).

Nzira yekudzivirira kupararira kwecroup?

Chikosoro chinogona kupararira nekusangana kana nemhepo. Kuti udzivise, ita zvinhu zvinotevera:

• Mushure mekuchengeta mwana , gezai maoko enyu nesipo zvakanaka moaomesa.
• Shamba matoyi zvakanaka mushure mekushandisa.
• Dzidzisai mwana wenyu kufukidza muromo nemhino dzake paanokosora kana kuhotsira.
• Dzivisai kutumira mwana wenyu kunzvimbo dzekuchengetera vana kuchikoro/kukireshi kana achirwara, kana kana chirwere ichi chiri kupararira munzvimbo dzakadai sechikoro.
• Rasa matishu akamboshandiswa nemazvo.

Ndinofanira kuona chiremba rini? / Ndinofanira kuenda kuchipatara rini?

Muchiitiko ichi, taura nachiremba wemwana wako:

• Kana mwana aine fivha kwemazuva anopfuura matatu .
• Kana uine zviratidzo zvechikosoro zvishoma kwenguva inopfuura vhiki .
• Kana muine mibvunzo kana zvinokunetsai nezvechirwere chemwana wenyu.

Kana ukaona chimwe chezviratidzo zvinotevera, endesa mwana wako kukamuri rekukurumidzira (ETU) nekukasika:

• Kana paine dambudziko rekufema zviri pachena .
• Kana ganda rikashanduka kuita bhuruu (cyanosis) (kunyanya kutenderedza miromo, rurimi, uye nzara).
• Kana kukosora kwakanyanya kukaramba kuripo.
• Kana uchinetseka kumedza, kana mate achibuda mumuromo mako.
• Kana usingakwanise kufema, haugone kuridza mhere.
• Kana ukaridza muridzo wepamusoro-soro paunofema .
• Kana ganda riri pakati pemapfupa epazamu nepachipfuva chepamusoro richidhonza mukati (kudzokera shure) panguva yekufema.

Sei mwana wangu achiramba achirwara ne croup?

Kana mwana wako akaramba achirwara necroup, zvinogona kuva chiratidzo chekuti nzira dzake dzekufema dziri kutetepa . Izvi zvinoita kuti ave nyore kubatwa nezvirwere. Kutetepa uku kunogona kuitika pakuzvarwa kana kuti kunogona kuitika gare gare. Kana croup ikaramba ichikura, chiremba wako anogona kukutumira kuna chiremba wezvenzeve, mhino nepahuro (otolaryngologist) kana nyanzvi yekufema (pulmonologist) .

Vanhu vakuru vanogona kubatwa necroup here?

Vanhu vakuru vanogona kubatwa necroup, asi hazviwanzoitiki. Vacheche nevana vadiki vanobatwa necroup nekuti mapombi avo emhepo (tracheas) akatetepa uye haana kukura zvakakwana. Vana pavanokura, mapombi avo emhepo anokura uye anowedzera kukura zvakakwana. Kunyangwe vakazvimba, hazvikanganisi kufema zvakanyanya. Nekuti vanhu vakuru vane nzira huru dzekufema, croup kazhinji haivabate. Zvisinei, kana munhu mukuru akawana croup, zviratidzo zvavo zvinogona kunge zvakanyanya uye vangada kurapwa nekukurumidza.

Zvinhu zvinonyanya kukosha zvaunofanira kuyeuka (Mharidzo Yekuenda Kumba)

Croup chirwere chinotapukira zvikuru chinobata vacheche nevana vadiki. Unogona kuona kana chiri croup nekukosora kwemwana wako "kuhukura" . Kazhinji, croup haina kusimba uye inopera yoga, asi dzimwe nguva inogona kukurumidza kuipa zvoita kuti mwana wako aomerwe nekufema.

Saka, kana dumbu remwana wako risingapore, kana kuti richiratidzika kunge riri kuipa, usanonoka kuenda kuna chiremba kuti anoongororwa uye arapwe. Chinhu chakakosha ndechekusavhunduka uye kuita zvakanaka. Hausi wega, tese tiri newe!

Chikosoro , Kukosora kwakakora, Zvirwere zvevana, Utachiona hwekufema, Stridor, Kutadza kufema