Mwana wako mudiki ane kukosora 'kunohukura' seizvi here? Ngatitaurei nezveCroup! - Nirogi Lanka

Mwana wako akangoerekana abatwa nedzihwa, zvichiteverwa nekukosora kusinganzwisisike, uye kunetseka kufema here? Semubereki, zvakajairika kuti utye kana izvi zvikaitika. Zviratidzo izvi zvinowanzoitika kuvana vadiki uye kazhinji chiratidzo chechirwere chinonzi Croup . KuNirogi Lanka, tinoda kukubatsira kunzwisisa chirwere ichi zvakajeka uye zviri nyore.

Chii chinonzi Croup?

Zvichitaurwa zviri nyore, Croup—inozivikanwa mukurapa selaryngotracheobronchitis —utachiona hunokanganisa nzira yepamusoro yekufema muvana vadiki, kunyanya larynx (voice box) uye trachea (mhepo huru). Kana nzvimbo iyi ikazvimba, nzira yekufema inotetepa. Funga nezvayo sekunge kuputika kuri muhosipaipi yebindu; nekuti nzira yekufema yakamanikana, mwana wako angaomerwa nekufema, zvichikonzera ruzha rwakasiyana, rusina kujairika paanofema.

Croup inonyanya kuwanikwa muvana vari pasi pemakore matatu . Vana pavanokura, nzira dzavo dzekufema dzinokura, zvichiita kuti rudzi urwu rwekuzvimba rusanyanya kukonzera matambudziko ekufema. Ndokusaka usingawanzooni croup muvana vakuru.

Chikonzero chikuru chirwere chemavhairasi —marudzi akafanana emavhairasi anokonzera dzihwa nefuruu. Zvisinei, zvakakosha kuyeuka kuti hazvisi dzihwa rega rega rinokonzera kurova kwemusoro.

Chikosoro cheCroup chinonzwika sei?

Chiratidzo chikuru che croup ndiko kukosora kwayo kwakasiyana . Kukosora kwakasimba, kunorwadza, "kuhukura" kunonzwika sekunge sembwa inohukura kana imbwa diki ichihukura. Vabereki vazhinji vanondiudza kuti, "Chiremba, mwana wangu akangoerekana atanga kukosora kunonzwika sembwa inohukura, uye zvaityisa zvikuru." Ndizvo chaizvo zvinonzwika.

Pamusoro pezvo, unogona kunzwa ruzha rwakakwirira, rwunodedera, kana kuridza muridzo kana mwana wako achifema. Mukurapa, tinodana izvi kuti stridor . Izvi zvinoitika nekuti mhepo iri kutadza kupfuura nepakati pepaipi yemhepo yakazvimba, zvichiita kuti pave nekudedera.

Ndezvipi zvimwe zviratidzo?

Croup inowanzova isina kusimba uye inowanzopera mukati memazuva mashoma. Zvisinei, zviratidzo zvinogona kuwedzera. Kazhinji zvinotanga zvishoma nezvishoma nezviratidzo zvechikosoro, zvakaita semhino inoyerera kana kuvharika. Mushure memaawa angangoita 12 kusvika 48 , kukosora kunorwadza kunogona kubuda, kuchiwanzowedzera husiku .

Zviratidzo zvinowanzoonekwa zveMild Croup zvinosanganisira:

• Kushoshoma kana kuti inzwi rine ruzha.
• Fivha isina kusimba.
• Dzimwe nguva, mapundu eganda.
• Maziso matsvuku (conjunctivitis).
• Ma lymph nodes akazvimba mumutsipa.

Zviratidzo zveCroup iri pakati nepakati kusvika yakanyanya zvinosanganisira:

• Kuoma kwekufema kwakajeka : Mwana wako anogona kuratidzika seaneta paanenge achiedza kufema.
• Kusagadzikana kana kushatirwa kusingawanzoitiki.
• Kudzokera shure : Unogona kuona ganda richidhonza pakati pembabvu kana pasi pehuro mwana wako paanofema, izvo zvinoratidza kuti ari kushanda nesimba kuti akwanise kufema.
• Cyanosis (ruvara rwebhuruu) : Kana miromo, rurimi, kana ganda rakatenderedza nzara zvikaita bhuruu, zvinoreva kuti muviri hausi kuwana okisijeni yakakwana. Iyi idambudziko rehutano! Fonera 911 kana shanyira dhipatimendi re emergency riri pedyo newe nekukasika.

Croup, RSV, uye Whooping Cough zvinosiyana sei?

Sezvo zvirwere izvi zvitatu zvichikanganisa kufema, zvinowanzovhiringidzika. Heano kusiyana kwazvinoita:

RSV neCroup

RSV (Respiratory Syncytial Virus) ivhairasi yekufema yakajairika. Kunyange zvazvo ichibata vacheche nevakuru, ichikonzera zviratidzo zvakafanana nedzihwa, RSV ndeimwe yemavhairasi anogona kukonzera Croup. Nemamwe mashoko, hutachiona hweRSV dzimwe nguva hunogona kukura kuita croup.

Kukosora Kwechikosoro (Pertussis) uye Croup

Chikosoro chinoputika, kana kuti pertussis , chimwe chirwere chekufema. Zvese zvine kukosora kwakasiyana. Zvisinei, chikosoro chinoputika chinoratidzwa neruzha rwekuti "chinoputika" zvakanyanya apo mwana anofema mweya mushure mekukosora zvine simba.

Musiyano mukuru ndewekuti chikosoro chewhooping chinokonzerwa nemabhakitiriya, nepo croup inowanzova nemavhairasi. Saka, mishonga inorwisa mabhakitiriya (inouraya mabhakitiriya kwete mavhairasi) inogona kurapa chikosoro chewhooping asi haishande pakurwisa croup. Kune mushonga wekudzivirira chikosoro chewhooping, asi hapana mushonga chaiwo wekudzivirira croup.

Croup yakajairika zvakadii?

Munyika dzakawanda, vana vanosvika 3% vanobatwa nechirwere che croup gore rega rega, uye izvi zvinoita kuti vana vari pasi pemakore mashanu vapinde muchipatara . Chinonyanya kuitika muvakomana. Zvisinei, unogona kuva nechokwadi chekuti 85% yezvirwere zvacho hazvina kunyanya kuipa, uye pasi pe1% zvinoonekwa sezvisina kunaka.

Chii chinokonzera Croup?

Sezvambotaurwa, hutachiona hwehutachiona ndicho chikonzero chikuru. Parainfluenza virus ndiyo inonyanya kukonzera chirwere ichi, asi furuwenza, RSV, gwirikwiti, uye adenoviruses zvinogonawo kukonzera chirwere ichi. Mavhairasi aya anokonzera kuzvimba kwenzira yekufema yepamusoro, zvichikonzera matambudziko ekufema. Mavhairasi aya akapararira munharaunda, ndosaka asiri mwana wese ane hutachiona anowana croup. Kashoma kuti hutachiona hwechipiri huite kuti chirwere ichi chiome.

Croup inotapuriranwa here?

Ehe, croup inotapukira zvakanyanya , sezvo mavhairasi anokonzera ichipararira zviri nyore. Vimba neNirogi Lanka kuti uwane nhungamiro yehunyanzvi pakurapa zviratidzo izvi zvakachengeteka.

Kana munhu ane hutachiona hwemavhairasi kana hwebhakitiriya hunokonzera croup akakosora kana kuhotsira, anoburitsa madonhwe madiki ekufema mumhepo. Kana mwana wako akafema madonhwe aya, anogona kubata hutachiona kana mabhakitiriya anokonzera croup. Pamusoro pezvo, hutachiona hunogona kupararira kana mwana wako akabata nzvimbo dzakasvibiswa senge matoyi kana magonhi obva abata muromo wake, mhino, kana maziso ake.

Chirwere cheCroup chinotapukira kwemazuva matatu ekutanga mushure mekunge zviratidzo zvatanga, kana kusvika fivha yapera zvachose. Kazhinji, musadzose mwana wenyu kuchikoro kusvika apedza maawa makumi maviri nemana asina fivha pasina kushandisa mishonga inoderedza fivha.

Ko croup inogona kukonzera matambudziko here?

Kazhinji, croup haina kuoma uye inogona kurapwa zvakanaka kumba. Matambudziko haawanzoitiki; vana vasingasviki 5% vane croup vanoda kugara muchipatara. Chiremba wako anogona kukurudzira kurapwa kuchipatara kana mwana wako akaratidza zvinotevera:

• Kudiwa kwekuwedzera okisijeni kuti oxygen irambe iine hutano.
• Kushaya mvura yakakwana mumuviri kunoda mvura inopinzwa mutsinga (IV).
• Kudiwa kwekurapwa kwekufema kwakapfava kakawanda kuti kuderedze kutambudzika kwekufema.
• Zviratidzo zvakakomba zvisingavandudzike mushure mekupindira kwekutanga kwechiremba.

Ndingaziva sei kana mwana wangu ane croup?

Vanachiremba vanowanzo ongorora croup zvichibva pazviratidzo zvekurapa , kunyanya kukosora kunonzi "kuhukura" uye ruzha rukuru panguva yekufema, kunozivikanwa se stridor. Croup inowanzoonekwa munguva yematsutso neyechando. Kunyange zvazvo isingawanzoitiki, kana zviratidzo zvacho zvakanyanya, chiremba anogona kuraira X-rays kana bvunzo dzemurabhoritari kuti aone kana paine zvimwe zvirwere.

Chironda chemudumbu chinorapwa sei?

Kurapwa kunoenderana nekuoma kwezviratidzo zvemwana wako uye njodzi yekuti chirwere ichi chiwedzere kuipa. Nhoroondo yezveutano hwemwana wako, senge matambudziko ekufema aaive nawo kare kana kuti akazvarwa nguva isati yakwana, zvichakanganisawo hurongwa hwekurapa.

Kuchengetwa Kwemba (Kune Croup Isina Kusimba)

Kana croup iri diki, unogona kuibata zvakanaka kumba.

Zvakakosha: Kana kuchengetwa kumba kusingavandudzi mamiriro emwana wako kana kuti zvichiratidza sekuti zviri kutowedzera kuipa, ndapota bvunza chiremba nekukasika.

• Chinotonhodza mhepo chinotonhodza: ​​Kushandisa chinotonhodza mhepo chinotonhodza muimba yekurara kunogona kubatsira kunyaradza nzira dzekufema dzakazvimba.
• Utsi hwemumba yekugezera: Shambi inopisa muimba yekugezera yakavharwa kuti imba ikwane utsi uye gara nemwana wako kwenguva pfupi. Chenjedzo: Usamboisa mwana wako mushawa kana pedyo zvakanyanya nemvura inopisa kuti usatsve.
• Mhepo inotonhorera yehusiku: Kana mwana wako achinetseka kufema husiku, unogona kuvhura gonhi kana hwindo kuti mweya unotonhorera upinde mumba (uchingova nechokwadi chekuti haapinzwe muchando chakanyanya).
• Kuderedza fivha: Kana paine fivha, shandisa mishonga inotengwa nechiremba yakadai separacetamol (semuenzaniso, Panadol, Calpol) kana ibuprofen (semuenzaniso, Brufen) sezvakakurudzirwa nachiremba wako. Usape vana Aspirin.
• Mvura inodziya: Kupa mvura yakachena uye inodziya (senge soup kana mvura inodziya) kunogona kubatsira kuderedza hurwa muhuro.
• Dzivisa utsi: Chengeta imba yako isina utsi, sezvo utsi hwefodya hunogona kutsamwisa nzira yekufema uye kukosora kwakanyanya.
• Simudza musoro: Kurara nepiro yekuwedzera kunogona kubatsira kuti kufema kuve nyore. Cherechedza: Usashandise mapiro evana vari pasi pegore rimwe chete.

Zvinokurudzirwa kurara muimba imwe chete nemwana wako kuti utarise kufema kwake husiku hwese.

Kurapwa (Kwechirwere Chepakati Nepakati Kusvika Chakanyanya Kurwadza)

Kana croup iri pakati nepakati kusvika yakanyanya, tsvaga rubatsiro rwekukurumidzira kuchipatara chiri pedyo newe (ED). Croup yakanyanya inogona kuva emergency inotyisidzira hupenyu, saka usanonoka.

Sarudzo dzekurapa muchipatara dzingasanganisira:

• Mhepo ine hunyoro kana rutsigiro rweokisijeni.
• Mvura inopinzwa mutsinga (IV) yekuchenesa muviri.
• Kuongororwa kwezviratidzo zvinokosha, zvakaita sekuwanda kweokisijeni mumuviri, kufema, uye kurova kwemoyo.
• Mishonga yemhando yepamusoro yecroup: Glucocorticoids uye mishonga ye nebulized yakaita se epinephrine.
• Muzviitiko zvakakomba, mhepo inofefetera inogona kudiwa.

Kunzwisisa Mishonga

Kana ukaendesa mwana wako kuchipatara kana kuchipatara che emergency, vanogona kumupa glucocorticoids uye nebulized epinephrine.

• Glucocorticoids:

Aya masteroid anoshandiswa kuderedza kuzvimba mubhokisi renzwi (larynx). Anowanzo tanga kushanda mukati memaawa matanhatu kubva padosi yekutanga. Kupa mushonga uyu, kunyangwe kune croup isina kusimba, kunogona kudzivirira kudiwa kwekuenderera mberi nekurapwa.

Mishonga inowanzoshandiswa inosanganisira dexamethasone neprednisolone. Iyi inowanzopihwa kamwe chete. Kana mwana wako achirutsa kana kuti asingakwanise kuderedza mushonga, chiremba anogona kumupa dexamethasone kuburikidza nejekiseni remutsinga kana jekiseni remutsinga (IM).

• Epinephrine yakabviswa muropa:

Epinephrine inopihwa semhute diki kuburikidza nemuchina wenebulizer kuti ideredze kuzvimba kwemhepo nekukurumidza. Inowanzo tanga kushanda mukati memaminitsi gumi. Zvisinei, mhedzisiro yacho inogara kwenguva pfupi, inogara maawa maviri chete. Saka, kana zviratidzo zvacho zvakanyanya, mwana wako angada kurapwa kakawanda mumaminitsi gumi nemashanu kusvika makumi maviri ega ega.

Pane migumisiro yakaipa pakurapa here?

Migumisiro yakaipa inobva ku epinephrine haiwanzoitiki. Zvisinei, unogona kuona migumisiro yenguva pfupi yakaita sekuwedzera kwekurova kwemoyo (tachycardia). Chiremba anowanzo tarisa mwana wako kwemaawa matatu kusvika mana mushure memushonga wekupedzisira kuti ave nechokwadi chekuti anokwanisa kufema zvakanaka pasina zviratidzo zvinodzoka.

Mwana wangu anonzwa zviri nani nekukurumidza sei mushure mekurapwa?

Glucocorticoids inowanzotanga kushanda mukati memaawa matanhatu kubva pakutora mushonga wekutanga, nepo epinephrine ichikurumidza kuderedza kuzvimba kwemhepo.

Unofanira kunetseka nezveCroup rini?

Croup inogona kusiyana kubva padiki kusvika pakanyanya, zvichienderana nekuti mwana wako ane dambudziko rekufema rakadii . Kuoma kwekufema kunoenderana nekuti nzira yekufema yadzikira zvakadii nekuda kwekuzvimba. Yeuka kuti kana mwana wako akatanga kushushikana kana kuchema, zviratidzo zvekufema kwake zvinogona kuwedzera.

• Croup Nyoro:

Muzviitiko zvisina kunyanya kuoma, mwana wako anogona kunge aine kukosora kunorwadza uye ruzha rwekukosora kana achifema mukati (stridor). Zviratidzo zvinowanzowedzera husiku. Unofanira kunyatsotarisa mwana wako, asi zviitiko izvi zvinogona kurapwa zvakachengeteka kumba.

• Croup ine mwero:

Kana croup iri pakati nepakati, unogona kuona stridor pamwe chete nekudhonza (ganda richidhonza pakati pembabvu panguva yekufema). Mwana wako anogona kuratidzika kunge akavhiringidzika, akavhiringidzika, kana kuita seane kushungurudzika zvishoma. Panguva ino, unofanira kubvunza chiremba kuti akubatsire nezvehutano hwenyanzvi.

• Chirwere cheCroup Chakanyanya:

Kukweshana kwakanyanya kunosanganisira kufamba zvakanyanya uye kudhonza maoko. Mwana wako anogona kuratidzika kunge aneta, asina kugadzikana zvakanyanya, kana kuti aneta. Kutsvuka kweganda (cyanosis) kunogona kuitika. Kukweshana kwakanyanya idambudziko rinotyisidzira hupenyu! Ndokumbirawo mufonere 911 kana kuti muendese mwana wenyu kuDhipatimendi reEmergency riri pedyo nekukasika.

Croup inogara kwenguva yakareba sei?

Kune vana vazhinji, zviratidzo zvechikosoro zvinopera mukati memazuva maviri , kunyange hazvo zvisiri zvisinganzwisisike kuti zviratidzo zvidiki zvirambe zviripo kusvika vhiki.

Mwana wangu anogona kudzoka kuchikoro riini?

Chirwere cheCroup chinotapuriranwa zvakanyanya. Ndapota chengetai mwana wenyu kumba kusvika apera fivha kwemaawa makumi maviri nemana pasina kushandisa mishonga inoderedza fivha.

Ndingadzivirira sei kupararira kweCroup?

Croup inopararira kuburikidza nekubata zvakananga kana madonhwe ekufema. Kuti ubatsire kudzivirira kutapurirana, tevera matanho aya:

• Gezai maoko enyu nesipo nemvura mushure mekuchengeta mwana wenyu.
• Chenesa matoyi anoshandiswa pamwe chete nguva dzose.
• Dzidzisai mwana wenyu kufukidza muromo nemhino dzake paanokosora kana kuhotsira.
• Kana mwana wako achirwara, muchengete kure nechikoro kana nzvimbo yekuchengetera vana kusvika apora.
• Rasa matishu akamboshandiswa nekukasika uye zvakachengeteka.

Unofanira kuona chiremba riini kana kuenda kuEmergency Department?

Bata chiremba wevana wako wekuNirogi Lanka kana:

• Mwana wako ane fivha inogara kwemazuva anopfuura matatu .
• Zviratidzo zvechikosoro zvinogara kwenguva inopfuura vhiki .
• Une zvinokunetsa kana kuti unonzwa kunetseka nezvekupora kwemwana wako.

Tsvaga rubatsiro rwekukurumidzira nekukasika kuEmergency Treatment Unit (ETU) kana chimwe chezvinotevera chikaitika:

• Kutadza kufema zvakanaka zvinoonekwa.
• Ganda rinoita seruvara rwebhuruu (cyanosis) , kunyanya pedyo nemiromo, rurimi, kana mibhedha yenzara.
• Kukosora kwakanyanya uye kunoramba kuripo.
• Kuoma kumedza kana kudonhedza mate zvakanyanya.
• Kutadza kutaura kana kuchema nekuda kwekushaya simba rekufema.
• Ruzha rwemuridzo rwakakwirira kana uchifema.
• Kuonekwa kwekudhonzwa kweganda pakati pembabvu kana pasi pemutsipa.

Sei mwana wangu achirwara neCroup zvakare?

Kugara uchirwara necroup kunogona kuratidza kuti nzira yekufema yadzikira, izvo zvinoita kuti mwana wako ave panjodzi yekubatwa nezvirwere. Kudzikira uku kunogona kuva kwekuzvarwa nako (kubva pakuzvarwa) kana kuwanikwa. Kana mwana wako achigara achirwara necroup, chiremba wako anogona kukutumira kuna chiremba wemaziso (ENT specialist) kana chiremba wemapapu evana kuti aongororwe zvakanyanya.

Vanhu vakuru vanogona kubatwa necroup here?

Ehe, vanhu vakuru vanogona kubatwa necroup, kunyange zvazvo zvisingawanzoitiki. Croup inowanzobata vacheche nevana vadiki nekuti mapombi avo emhepo akatetepa uye achiri kukura. Vana pavanokura, nzira dzavo dzekufema dzinokura uye dzinokura, zvichireva kuti kuzvimba hakuzodziviri kufema kwavo. Nekuti nzira dzekufema dzevanhu vakuru dzakakura zvikuru, croup kazhinji haikonzeri njodzi yakakura kwauri. Zvisinei, kana munhu mukuru akabatwa necroup, zviratidzo zvinogona kunge zvakanyanya, uye ungangoda kupindira kwakasimba kwechiremba.

Zvinhu Zvakakosha Kufungisisa

Croup chirwere chekufema chinotapukira zvikuru chinowanzoonekwa muvacheche nevana vadiki. Unogona kuchiona nekukosora kunonzi "kuhukura" . Kunyange hazvo zvirwere zvakawanda zviri zvishoma uye zvichipera zvega, chirwere ichi chinogona dzimwe nguva kukura nekukurumidza, zvichikonzera matambudziko makuru ekufema kumwana wako.

Saka, kana mamiriro emwana wako asingaratidzi zviratidzo zvekuvandudzika, kana kuti ukaona zviratidzo zvake zvichiwedzera kuipa, ndapota tsvaga rubatsiro rwechiremba nekukasika. Usazeza kutaura nachiremba kana kushanyira dhipatimendi rekukurumidzira. Kuramba wakadzikama uye kutora matanho akakodzera kwakakosha. Hausi wega; Nirogi Lanka aripo kuti akutsigire.

Mazwi akakosha: Croup, kukosora kunohukura, hutano hwevana, hutachiona hwekufema, stridor, kuoma kufema