Ingabe ingane yakho ivele yaqala ukuba nomkhuhlane ngokuzumayo, kulandele ukukhwehlela okungajwayelekile, okukhonkothayo kanye nobunzima bokuphefumula? Njengomzali, kungokwemvelo ukuzizwa wesaba lapho lokhu kwenzeka. Lezi zimpawu zivame ezinganeni ezincane futhi zivame ukuba uphawu lwesimo esibizwa ngokuthi iCroup . KwaNirogi Lanka, sifuna ukukusiza uqonde lesi simo ngokucacile nangokulula.
Kuyini i-Croup?
Kalula nje, i-Croup—eyaziwa ngokwezokwelapha ngokuthi i-laryngotracheobronchitis —iyisifo esithinta indlela yokuphefumula ephezulu ezinganeni ezincane, ikakhulukazi i-larynx (ibhokisi lezwi) kanye ne-trachea (umphimbo womoya oyinhloko). Lapho le ndawo ivuvukala, indlela yokuphefumula iyancipha. Cabanga ngayo njengokungathi i-kink epayipini lengadi; ngoba indlela yokuphefumula inciphile, ingane yakho ingase ikuthole kunzima ukuphefumula, okuvame ukuphumela emsindweni ohlukile nongajwayelekile lapho iphefumula.
I-Croup ivame kakhulu ezinganeni ezingaphansi kweminyaka emi-3 ubudala . Njengoba izingane zikhula, izindlela zazo zomoya ziyanda, okwenza lolu hlobo lokuvuvukala lube ncane amathuba okubangela ubunzima bokuphefumula. Yingakho ungavamile ukubona i-croup ezinganeni ezindala.
Imbangela eyinhloko ukutheleleka ngegciwane —izinhlobo ezifanayo zamagciwane abangela umkhuhlane ovamile kanye nomkhuhlane. Kodwa-ke, kubalulekile ukukhumbula ukuthi akuwona wonke umkhuhlane oholela ekuqhekekeni.
Kuzwakala kanjani ukukhwehlela kwe-Croup?
Uphawu oluvelele kakhulu lwe-croup ukukhwehlela kwayo okuhlukile . Kuwukukhwehlela okunamandla, okunolaka, “okukhonkothayo” okuzwakala sengathi ukukhonkotha kwendlu yangasese noma ukukhonkotha kwenja encane. Abazali abaningi bangitshela ukuthi, “Dokotela, ingane yami yavele yakhwehlela okuzwakala sengathi yinja ekhonkothayo, futhi kwakwethusa kakhulu.” Yileyo ndlela okuzwakala ngayo.
Ngaphezu kwalokho, ungase uzwe umsindo ophakeme, odlidlizayo, noma oshaya umlozi lapho ingane yakho iphefumula. Kwezokwelapha, lokhu sikubiza ngokuthi i-stridor . Lokhu kwenzeka ngoba umoya uyahluleka ukudlula engxenyeni evuvukele, encishisiwe yomphimbo womoya, okudala ukudlidliza.
Yiziphi ezinye izimpawu?
I-Croup ngokuvamile ithambile futhi ivame ukuphela ezinsukwini ezimbalwa. Kodwa-ke, izimpawu zingaba zimbi kakhulu. Ngokuvamile ziqala kancane kancane ngezimpawu zomkhuhlane ovamile, njengekhala eligobhozayo noma ukuminyana. Ngemva kwamahora angaba ngu-12 kuya kwangu-48 , ukukhwehlela okubonakalayo kungase kuvele, okuvame ukuba kubi ebusuku .
Izimpawu ezivamile ze-Mild Croup zifaka:
- Ukuhosha noma izwi elinomsindo.
- Umkhuhlane omncane.
- Ngezinye izikhathi, kuvela ukuqubuka kwesikhumba.
- Amehlo abomvu (conjunctivitis).
- Ama-lymph node avuvukele entanyeni.
Izimpawu ze-Croup Ephakathi kuya Kwesibi kakhulu zifaka:
- Ubunzima bokuphefumula obucacile : Ingane yakho ingase ibonakale ikhathele kakhulu ngenkathi izama ukuphefumula.
- Ukungahlaliseki noma ukucasuka okungavamile.
- Ukuhoxa : Ungase uqaphele isikhumba singena phakathi kwezimbambo noma phansi komphimbo lapho ingane yakho idonsa umoya, okuwuphawu lokuthi isebenza kanzima kakhulu ukuphefumula.
- I-Cyanosis (umbala oluhlaza okwesibhakabhaka) : Uma izindebe, ulimi, noma isikhumba esizungeze izinzipho siphenduka sibe luhlaza okwesibhakabhaka, kusho ukuthi umzimba awutholi umoya-mpilo owanele. Lesi yisimo esiphuthumayo sezokwelapha! Shayela u-911 noma uvakashele umnyango wezimo eziphuthumayo oseduze nawe ngokushesha.
I-Croup, i-RSV, kanye ne-Whooping Cough zihluke kanjani?
Njengoba lezi zimo ezintathu zithinta uhlelo lokuphefumula, zivame ukudideka. Nansi indlela ezihluke ngayo:
I-RSV kanye ne-Croup
I-RSV (Respiratory Syncytial Virus) iyigciwane elivamile lokuphefumula. Nakuba ithinta izinsana nabantu abadala, ibangela izimpawu ezifana nomkhuhlane, i-RSV ingenye yamagciwane angabangela i-Croup. Ngamanye amazwi, ukutheleleka kwe-RSV ngezinye izikhathi kungadlulela ekubeni yi-croup.
Ukukhwehlela Okukhulu (i-Pertussis) kanye ne-Croup
Ukukhwehlela okukhwehlelayo, noma i-pertussis , kungenye indlela yokutheleleka kokuphefumula. Kokubili kuhilela ukukhwehlela okuhlukile. Kodwa-ke, ukukhwehlela okukhwehlelayo kubonakala ngomsindo ophakeme "okhwehlelayo" njengoba ingane ihefuzela ngemva kokukhwehlela.
Umehluko omkhulu ukuthi ukukhwehlela okubangelwa amagciwane kubangelwa amagciwane, kanti i-croup ivame ukuba yigciwane. Ngenxa yalokho, ama-antibiotic (abulala amagciwane kodwa hhayi amagciwane) angelapha ukukhwehlela okubangelwa amagciwane kodwa awasebenzi kahle ngokumelene ne-croup. Kukhona umuthi wokugomela ukukhwehlela okubangelwa amagciwane, kodwa awukho umuthi othize wokugomela i-croup.
Ivame kangakanani i-Croup?
Emazweni amaningi, cishe u-3% wezingane uhlaselwa yi-croup minyaka yonke, futhi lokhu kubala cishe u-7% wokungeniswa esibhedlela kwezingane ezingaphansi kweminyaka emi-5 . Kuvame kakhulu kubafana. Kodwa-ke, ungaqiniseka ukuthi u-85% wamacala alula, kanti angaphansi kuka-1% abhekwa njenganzima kakhulu.
Yini ebangela i-Croup?
Njengoba kuphawuliwe, ukutheleleka ngegciwane kuyimbangela eyinhloko. Igciwane le-parainfluenza yilona elivame kakhulu, kodwa umkhuhlane, i-RSV, isimungumungwane, kanye nama-adenovirus nawo angalibangela. Lawa magciwane abangela ukuthi indlela yokuphefumula ephezulu ivuvuke, okuholela ebunzimeni bokuphefumula. Lawa magciwane asakazeke kakhulu endaweni ezungezile, yingakho kungebona bonke abantwana abathelelekile abathola i-croup. Akuvamile ukuthi ukutheleleka kwesibili kwebhaktheriya kungenza lesi simo sibe nzima.
Ingabe i-Croup iyathelelana?
Yebo, i-croup iyathelelana kakhulu , njengoba amagciwane ayibangelayo asakazeka kalula. Themba iNirogi Lanka ukuthola isiqondiso sochwepheshe sokuphatha lezi zimpawu ngokuphephile.
Uma umuntu onesifo esibangelwa yigciwane noma igciwane esibangela i-croup ekhwehlela noma ethimula, ukhipha amaconsi amancane okuphefumula emoyeni. Uma ingane yakho iphefumula la maconsi, ingangenwa yigciwane noma amagciwane aholela ku-croup. Ngaphezu kwalokho, ukutheleleka kungasakazeka uma ingane yakho ithinta izindawo ezingcolile njengamathoyizi noma izibambo zomnyango bese izithinta umlomo, impumulo, noma amehlo ayo.
I-Croup iyathelelana ezinsukwini ezintathu zokuqala ngemva kokuqala kwezimpawu, noma kuze kube yilapho umkhuhlane usuphelile ngokuphelele. Njengomthetho ojwayelekile, ungayibuyiseli ingane yakho esikoleni kuze kube yilapho ingenawo umkhuhlane okungenani amahora angama-24 ngaphandle kokusebenzisa imithi yokwehlisa umkhuhlane.
Ingabe i-croup ingabangela izinkinga?
Ezimweni eziningi, i-croup ilula futhi ingaphathwa kahle ekhaya. Izinkinga azivamile; ngaphansi kuka-5% wezingane ezine-croup ezidinga ukulaliswa esibhedlela. Udokotela wakho angase ancome ukunakekelwa esibhedlela uma ingane yakho ibonisa okulandelayo:
- Isidingo somoya-mpilo owengeziwe ukuze kugcinwe amazinga omoya-mpilo anempilo.
- Ukuphelelwa amanzi emzimbeni okudinga uketshezi olufakwa emthanjeni (IV).
- Isidingo sokwelashwa kokuphefumula okuphindaphindwayo ukuze kuncishiswe ukucindezeleka kokuphefumula.
- Izimpawu ezinzima ezingathuthuki ngemva kokungenelela kokuqala kwezokwelapha.
Ngingazi kanjani ukuthi ingane yami ine-croup?
Odokotela bavame ukuxilonga i-croup ngokusekelwe ezimpawu zomtholampilo , ikakhulukazi ukukhwehlela okubonakalayo "okukhonkothayo" kanye nomsindo ophezulu ngesikhathi sokuphefumula, okwaziwa ngokuthi i-stridor. I-Croup ivame kakhulu phakathi nezinyanga zasekwindla nasebusika. Nakuba ingavamile, uma izimpawu zinzima, udokotela angase acele ukuhlolwa kwe-X-ray noma kwelebhu ukuze anqume ezinye izimo.
Iphathwa kanjani i-croup?
Ukwelashwa kuncike ebunzimeni bezimpawu zengane yakho kanye nengozi yokuthi isimo sibe sibi kakhulu. Umlando wezokwelapha wengane yakho, njenganoma yiziphi izinkinga zokuphefumula ezikhona noma uma wazalwa ngaphambi kwesikhathi, nawo uzothinta uhlelo lokwelashwa.
Ukunakekelwa Kwasekhaya (Kwe-Croup Encane)
Uma i-croup ithambile, ungayiphatha ngokuphepha ekhaya.
Okubalulekile: Uma ukunakekelwa ekhaya kungayithuthukisi isimo sengane yakho noma uma kubonakala sengathi iya iba yimbi, sicela uxhumane nodokotela ngokushesha.
- I-cool mist humidifier: Ukusebenzisa i-cool mist humidifier ekamelweni lokulala kungasiza ekunciphiseni ukuvuvukala kwemigudu yomoya.
- Umusi wendlu yokugezela: Shayela ishawa eshisayo endlini yokugezela evaliwe ukuze wakhe igumbi eligcwele umusi bese uhlala nengane yakho isikhashana. Isexwayiso: Ungalokothi ubeke ingane yakho ngaphansi kweshawa noma eduze kakhulu namanzi ashisayo ukuze ugweme ukusha.
- Umoya opholile wasebusuku: Uma ingane yakho inenkinga yokuphefumula ebusuku, ungavula umnyango noma ifasitela ukuze uvumele umoya opholile ungene ekamelweni (ngenkathi uqinisekisa ukuthi ayivezwa emakhazeni amakhulu).
- Ukuqeda umkhuhlane: Uma kunomkhuhlane, sebenzisa imithi etholakala ngaphandle kwemithi kadokotela efana ne-paracetamol (isib. i-Panadol, i-Calpol) noma i-ibuprofen (isib. i-Brufen) njengoba kunconywe udokotela wakho. Ungayiniki izingane i-Aspirin.
- Uketshezi olufudumele: Ukunikeza uketshezi olucacile nolufudumele (njengesobho noma amanzi afudumele) kungasiza ekunciphiseni uketshezi emphinjeni.
- Gwema intuthu: Gcina ikhaya lakho lingenantuthu, njengoba intuthu kagwayi ingacasula indlela yokuphefumula futhi ibhebhethekise ukukhwehlela.
- Phakamisa ikhanda: Ukulala nomcamelo owengeziwe kungasiza ekwenzeni ukuphefumula kube lula. Qaphela: Ungasebenzisi imicamelo yezingane ezingaphansi konyaka owodwa ubudala.
Kunconywa ukulala ekamelweni elifanayo nengane yakho ukuze uqaphe ukuphefumula kwayo ubusuku bonke.
Ukwelashwa (Kokuqaqamba Okuphakathi Kuya Kokubi)
Uma i-croup iphakathi nendawo kuya kwembi kakhulu, funa usizo lwezokwelapha oluphuthumayo ngokushesha emnyangweni wezimo eziphuthumayo wesibhedlela esiseduze nawe (ED). I-croup ebuhlungu ingaba yisimo esiphuthumayo esisongela ukuphila, ngakho ungalibali.
Izindlela zokwelapha esibhedlela zingafaka:
- Ukusekelwa komoya omanzi noma umoya-mpilo.
- Uketshezi olufakwa emthanjeni (IV) ukuze kufakwe amanzi emzimbeni.
- Ukuqapha izimpawu ezibalulekile, njengokugcwala komoya-mpilo, izinga lokuphefumula, kanye nezinga lokushaya kwenhliziyo.
- Imithi ekhethekile ye-croup: Ama-Glucocorticoids kanye nemithi ye-nebulized efana ne-epinephrine.
- Ezimweni ezimbi kakhulu, kungadingeka umoya womoya osebenza ngomshini.
Ukuqonda Imithi
Uma uyisa ingane yakho emnyangweni wezimo eziphuthumayo noma kudokotela, bangase bakunike ama-glucocorticoids kanye ne-nebulized epinephrine.
- Ama-glucocorticoids:
Lawa ama-steroid asetshenziselwa ukunciphisa ukuvuvukala ebhokisini lezwi (i-larynx). Ngokuvamile aqala ukusebenza zingakapheli amahora ayi-6 kusukela kumthamo wokuqala. Ukunikeza lo muthi, ngisho naku-croup encane, kungavimbela isidingo sokuya odokotela okwengeziwe.
Imithi evame ukusetshenziswa ihlanganisa i-dexamethasone kanye ne-prednisolone. Le mithi ivame ukunikezwa njengomthamo owodwa womlomo. Uma ingane yakho ihlanza noma ingakwazi ukugcina umuthi uphansi, udokotela angase anikeze i-dexamethasone ngomjovo we-IV noma we-intramuscular (IM).
- I-Nebulized Epinephrine:
I-Epinephrine inikezwa njengenkungu encane ngomshini we-nebulizer ukuze kuncishiswe ngokushesha ukuvuvukala komoya. Ngokuvamile iqala ukusebenza zingakapheli imizuzu eyi-10. Kodwa-ke, umphumela uhlala isikhathi esifushane, uhlala cishe amahora amabili kuphela. Ngakho-ke, uma izimpawu zinzima, ingane yakho ingadinga ukwelashwa okuphindaphindiwe njalo ngemizuzu eyi-15-20.
Ingabe ikhona imiphumela emibi ekwelashweni?
Imiphumela emibi kakhulu evela ku-epinephrine ayivamile. Kodwa-ke, ungase uqaphele imiphumela yesikhashana njengokwanda kwenhliziyo (i-tachycardia). Udokotela uzoqapha ingane yakho amahora amathathu kuya kwamane ngemva komthamo wokugcina ukuqinisekisa ukuthi ingaphefumula kahle ngaphandle kokubuya kwezimpawu.
Ingane yami izozizwa ingcono ngokushesha kangakanani ngemva kokwelashwa?
Ama-glucocorticoids ngokuvamile aqala ukusebenza zingakapheli amahora ayi-6 kusukela kumthamo wokuqala, kuyilapho i-epinephrine isebenza ngokushesha okukhulu ekunciphiseni ukuvuvukala komoya.
Kunini lapho kufanele ukhathazeke khona nge-Croup?
I-Croup ingahluka kusukela kwencane kuya kwenzima kakhulu, kuye ngokuthi ingane yakho inobunzima obungakanani bokuphefumula . Ubunzima bunqunywa ukuthi indlela yokuphefumula inciphe kangakanani ngenxa yokuvuvukala. Khumbula ukuthi uma ingane yakho iphazamiseka noma iqala ukukhala, izimpawu zayo zokuphefumula zingase zibe zimbi kakhulu.
- I-Croup Encane:
Ezimweni ezincane, ingane yakho ingaba nokukhwehlela okubonakalayo kanye nomsindo ozwakalayo lapho iphefumula ngaphakathi (i-stridor). Izimpawu zivame ukuba zimbi kakhulu ebusuku. Kufanele uyiqaphelisise ingane yakho, kodwa lezi zimo ngokuvamile zingaphathwa ngokuphephile ekhaya.
- I-Croup Ephakathi:
Uma ukhwehlela kancane, ungase uqaphele i-stridor eceleni kokuhoxa (isikhumba sidonsa phakathi kwezimbambo ngenkathi siphefumula). Ingane yakho ingase ibonakale ikhathazekile, ididekile, noma ibonakale icindezelekile. Kulesi sigaba, kufanele uthintane nodokotela ukuze uthole ukunakekelwa kochwepheshe bezokwelapha.
- I-Croup Enzima:
Ukuqunjelwa okukhulu kuhilela ukuqunjelwa okukhulu kanye nokuhoxa. Ingane yakho ingase ibonakale ikhathele, ingaphumuli kakhulu, noma ikhathele. Umbala oluhlaza okwesibhakabhaka esikhumbeni (i-cyanosis) ungaba khona. Ukuqunjelwa okukhulu kuyisimo esiphuthumayo esisongela impilo! Sicela ushayele u-911 noma uyise ingane yakho eMnyangweni Wezimo Eziphuthumayo oseduze ngokushesha.
I-Croup ihlala isikhathi esingakanani?
Kwabaningi bezingane, izimpawu ze-croup ziyaphela zingakapheli izinsuku ezimbili , nakuba kungavamile ukuthi izimpawu ezincane zihlale isikhathi esingangesonto.
Ingane yami ingabuya nini esikoleni?
I-Croup iyathelelana kakhulu. Sicela ugcine ingane yakho ekhaya ize ingabi nomkhuhlane okungenani amahora angama-24 ngaphandle kokusebenzisa imithi yokwehlisa umkhuhlane.
Ngingakuvimbela kanjani ukusabalala kwe-Croup?
I-Croup isakazeka ngokuthintana ngqo noma ngamaconsi okuphefumula. Ukuze usize ekuvimbeleni ukudluliselwa, landela lezi zinyathelo:
- Geza izandla zakho kahle ngensipho namanzi ngemva kokunakekela ingane yakho.
- Hlanza amathoyizi ahlanganyelwe njalo.
- Fundisa ingane yakho ukuvala umlomo nekhala layo uma ikhwehlela noma ithimula.
- Uma ingane yakho igula, yigcine kude nesikole noma indawo yokunakekela izingane kuze kube yilapho isingcono.
- Lahla izicubu ezisetshenzisiwe ngokushesha nangokuphephile.
Kufanele ubonane nini nodokotela noma uye nini eMnyangweni Wezimo Eziphuthumayo?
Xhumana nodokotela wezingane waseNirogi Lanka uma:
- Ingane yakho inomkhuhlane ohlala isikhathi esingaphezu kwezinsuku ezintathu .
- Izimpawu ezincane ze-croup ziqhubeka isikhathi esingaphezu kwesonto .
- Unezinkinga noma uzizwa ukhathazekile ngokululama kwengane yakho.
Funa usizo lwezokwelapha oluphuthumayo ngokushesha e-Emergency Treatment Unit (ETU) uma kwenzeka noma yikuphi kwalokhu okulandelayo:
- Ubunzima obubonakalayo bokuphefumula.
- Isikhumba sibonakala siluhlaza okwesibhakabhaka (cyanosis) , ikakhulukazi eduze kwezindebe, ulimi, noma imibhede yezinzipho.
- Ukukhwehlela okukhulu nokungapheli.
- Ubunzima bokugwinya noma ukuvuza amathe ngokweqile.
- Ukungakwazi ukukhuluma noma ukukhala ngenxa yokucindezeleka kokuphefumula.
- Umsindo wokukhala kwekhwela ophakeme lapho uphefumula.
- Ukuhoxa okubonakalayo kwesikhumba phakathi kwezimbambo noma phansi kwentamo.
Kungani ingane yami ithola i-Croup ephindaphindayo?
Ukuqubuka kwesisu okuphindaphindwayo kungase kubonise ukuqubuka kwesakhiwo sendlela yokuphefumula, okwenza ingane yakho ibe sengozini enkulu yokuthola izifo. Lokhu kuqubuka kwesisu kungaba yinto yokuzalwa (ekhona kusukela ekuzalweni) noma etholakala. Uma ingane yakho ihlangabezana nezimo ezivame ukuba khona zokuqubuka kwesisu, udokotela wakho angakudlulisela kudokotela wezifo zamehlo (uchwepheshe we-ENT) noma kudokotela wezifo zamaphaphu ezingane ukuze ahlolwe kabanzi.
Ingabe abantu abadala bangathola i-croup?
Yebo, abantu abadala bangaba ne-croup, nakuba kuyivelakancane kakhulu. I-Croup ivame ukuthinta izinsana nezingane ezincane ngoba ama-trachea abo (amapayipi omoya) amancane futhi asakhula. Njengoba izingane zikhula, izindlela zabo zomoya ziyanda futhi zivuthwe, okusho ukuthi ukuvuvukala cishe akuvimbeli ukuphefumula kwazo. Ngenxa yokuthi izindlela zomoya zabantu abadala zinkulu kakhulu, i-croup ngokuvamile ayibeki ingozi enkulu kuwe. Kodwa-ke, uma umuntu omdala ethola i-croup, izimpawu zingaba zimbi kakhulu, futhi ungadinga ukungenelela okunzulu kwezokwelapha.
Izinto Ezibalulekile Okufanele Uzithathe
I-Croup yisifo sokuphefumula esithelelanayo kakhulu esivame ukubonakala ezinganeni nasezinganeni ezincane. Ungasibona ngokukhwehlela okubonakalayo "okukhonkothayo" . Nakuba izimo eziningi zilula futhi zixazululeka zodwa, lesi simo singathuthuka ngokushesha ngezikhathi ezithile, okuholela ebunzimeni obukhulu bokuphefumula enganeni yakho.
Ngakho-ke, uma isimo sengane yakho singabonisi izimpawu zokuthuthuka, noma uma ubona izimpawu zayo ziba zimbi kakhulu, sicela ufune usizo lwezokwelapha ngokushesha. Ungangabazi ukuxhumana nodokotela noma uvakashele umnyango wezimo eziphuthumayo. Ukuhlala uzolile futhi uthathe izinyathelo ezifanele kubalulekile. Awuwedwa; iNirogi Lanka ilapha ukuzokusekela.
👩🏽⚕️ Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)
💬 Ingabe i-croup ezinganeni iwuhlobo lwe-pneumonia?
Cha. Yisimo esivame kakhulu esihlukile kwi-pneumonia. Sivame ukuhlasela izingane eziphakathi kwezinyanga eziyi-6 neminyaka emi-3 ubudala. Sivela lapho igciwane (ngokuvamile igciwane le-parainfluenza) libangela ukuvuvukala kwe-larynx kanye ne-trachea, okunciphisa indlela yokuphefumula.
💬 Kungani kubangela umsindo wokukhonkotha?
Ngenxa yokuthi umphimbo uvuvukile futhi umncane, ukuhamba komoya kukhiqiza umsindo onzima, “okhonkothayo” ngesikhathi sokukhwehlela. Okukhathaza kakhulu yi-“stridor,” umsindo ozwakala kakhulu lapho ingane iphefumula. Lezi zimpawu zivame ukuba zimbi ebusuku.
💬 Ingabe kuyingozi, futhi ngingakunikeza kanjani usizo ekhaya?
Iningi lamacala aliyona ingozi futhi liyaphela zingakapheli izinsuku ezimbalwa. Gcina ingane yakho izolile, njengoba ukukhala kungenza ubunzima bokuphefumula bube bubi nakakhulu. Ukusebenzisa i-cool-mist humidifier ekhaya kunganikeza impumuzo ngokushesha. Kodwa-ke, uma izindebe zengane yakho ziphenduka zibe luhlaza okwesibhakabhaka noma zinenkinga yokuphefumula, ziyise ekamelweni eliphuthumayo eliseduze ngokushesha ukuze zithole usizo lwezokwelapha njenge-steroids noma i-epinephrine.
Amagama angukhiye: I-croup, ukukhwehlela okukhonkothayo, impilo yezingane, izifo zokuphefumula, i-stridor, ubunzima bokuphefumula
