Usuleleko oluqhelekileyo lweNtsholongwane kaGawulayo kunye noKhuhlane oluhlukileyo
I-Croup yintsholongwane yesifo segciwane lesandulela ngculaza esabonakala ngokulula ngenxa yeziganeko zayo ezahlukileyo. I-Croup , ebizwa nangokuthi i-laryngotracheobronchitis, ininzi ichaphazela abantwana phakathi kweenyanga ezi-6 kunye neminyaka emithathu, ngokuqhelekileyo ngexesha lokuwa kwexesha, ebusika, nasekuseni kwentwasahlobo. Iimpawu, eziqhelekileyo ziquka impumlo ye-runny kunye nokukhwehlela kwe-brassy, ukukhula malunga neentsuku ezimbini ukuya kweyesithandathu emva kokuvezwa komnye umntu onenkampu (eli lixesha lokuxubusha).
Iimpawu kunye neMpawu zeCroup
Enye yezinto zokuqala ezahlukileyo ze-croup kukuqala ngokukhawuleza okanye ngokukhawuleza kweempawu. Abantwana baya kudla kakuhle xa beya kulala, kodwa baya kuvuka phakathi kobusuku kunye nokukhwehlela kwe-croupy kunye neengxaki zokuphefumla. Isandi sokukhwehlela sikwahluke. Ngokungafani nezinye izifo zentsholongwane zokuphefumula, ezinokubangela ukomileyo, umanzi, okanye ukukhwehlela okujulileyo, ukuququzela kubangela ukukhwehlela okuzwakala ngathi ityw seal.
Olunye uphawu oluqhelekileyo okanye uphawu lwe-croup ngumgca wokuphefumula, ozwakalayo, ophakamileyo, ngomsindo ovuthayo, oonyana abanamaqhosha abahlala bephefumula xa bephefumula. I-Stridor ivame ukudideka ngevili, kodwa ngokungafaniyo ne-wheezing, edlalwa ukuvuvukala emiphakeni, umgca ubangelwa ukuvuvukala kwindlela ehamba phambili.
Umzekelo weempawu ze- croup nazo ziphawu. Ukongeza kokuqala phakathi kobusuku, iimpawu zisoloko zilungele emini, kuphela ukuba zibuye zibe zimbi ngakumbi ngobusuku obulandelayo.
Iimpawu ziba zibi nakakhulu xa umntwana wakho eba nexhala okanye ephazamiseka.
Iimpawu ze-croup zibangelwa ukuvuvukala, ukuvuvukala, kunye ne-buildup ye-mucus kwi-larynx, i-trachea (i-windpipe) kunye nama-tubon bronchial. Ekubeni abantwana abasebancinaneni nabantwana banomoya omncinci, kunengqiqo ukuba yizona ezichaphazelekayo yi-croup.
Ngokwahlukileyo, abantwana asebekhulile baya kudla ukuvelisa iimpawu ezibandayo xa besulelwe ngentsholongwane efanayo.
Ezinye iimpawu zentshukumo zingabandakanyeka ilizwi elivakalayo, umqala wakho umqala xa umntwana wakho ekhwehlela, unciphisa umdla kunye nomkhuhlane, oqhelekileyo kwibanga eliphantsi kodwa unokunyuka ukuya ku-104 F.
Ukuvavanya abantwana kunye neCroup
Ngenxa yezibonakaliso zezibonakaliso ze-croup, ukuxilongwa ngokuqhelekileyo kulula ukwenza. Ukuba ugqirha eva ukukhwehlela komntwana, unako ukutshela ukuba umntwana udibanise ngelixa besesegumbini lokulinda okanye phambi kokuba ugqirha angene kwigumbi lokuhlola. Ngoko ke, uvavanyo alisoloko luyimfuneko.
Ngokukodwa, i-X-ray ayisoloko ifunwa kwaye idla ngokukwenziwa kuphela ukulawula ezinye izifo, njengokungcoliswa kwamanye amazwe. Xa i-X-ray iyenziwe, ngokuqhelekileyo ibonisa uhlobo 'lwesigxina esibonakaliso,' esibonisa ukunciphisa umthamo.
Xa uvavanya umntwana nge-croup, kubalulekile ukufumanisa ukuba unengxaki yokuphefumula. Ngethamsanqa, abaninzi abantwana banomphefumlo omncinci kwaye abanenkinga yokuphefumla, okanye banokuba ne-stridor kuphela xa bekhala okanye bexhala. Abantwana abanomdaka ophantsi okanye obunzima baya kuphefumla ngokukhawuleza kunye nokubuyisela, okuwuphawu lokunyusa umsebenzi wokuphefumula.
Basenokuba nesiteji xa bephumla.
Amanqaku e-croup yindlela elula kwaye echanekileyo yokujonga ukuba umntwana unomnene, u-moderation okanye u-croup okhuselekileyo, onokukunceda ukunyanzelisa ukuba zeziphi unyango olufunekayo. Amanqaku e-croup asekelwe kumbala womntwana (ubukho be-cyanosis), izinga lokulumkisa, izinga le-stridor, ukunyakaza kwemoya, kunye neqondo lokubuyiswa, kunye neengongoma zero zinikezelwe ukuba ezi ziphumo ziqhelekileyo okanye zingekho, kwaye zize zibe zintathu amanqaku anikezelwe iimpawu ezinzima.
Ngokuqhelekileyo, abantwana abaneenkampu zecroup ezingaphantsi kwezine zine-croup egciniweyo, ezintlanu ukuya ezintandathu zibonisa umququ omncinci / olinganisekileyo, amaqhosha asixhenxe ukuya kwelesibhozo ukuya kwi-croup ephakathi, kwaye ngaphezulu kwe-9 ibonisa i-croup.
Croup Treatments
Njengokusuleleka kwiintsholongwane zentsholongwane, akukho nonyango ye-croup, kukho ezininzi unyango ezingakunceda ukuphucula iimpawu kwaye wenze umntwana wakho azive engcono.
Izibonakaliso ezincinci ziyakwazi ukuphathwa ngokuphepha ekhaya. Iimpawu eziqhelekileyo zonyango ziquka ukusetyenziswa komoya odibeneyo , onokuhanjiswa ngumfaki we-mist humfier. Ukusebenzisa umphunga womoya wokutshisa i-steam vaporizer ngokuqhelekileyo kudikibala ngenxa yengozi yomntwana wakho ukuba atshiswe xa uyichukumisa. Endaweni yoko, i-steam efudumele iyakunikelwa ngokuguqula onke amanzi ashushu kwindawo yokuhlambela, kubandakanywa kwisitya kunye nokucima, uvale umnyango wendlu yokuhlambela kwaye ubambe umntwana wakho njengoko ephefumula emoyeni, emoyeni.
Ebusuku obupholileyo, ukubonakaliswa kwimoya yokuphola ebusuku kunokuncedisa iimpawu, kwaye le nto ibangela uxanduva olunezinye iziganeko zokufumana i-croup, into yokuba abantwana bahlala bebhetele ngakumbi endleleni eya kwimeko yokuphucula. Ukusebenzisa ngokunjalo oku, kunokukunceda ukukhanda umntwana wakho kwaye uhambe ngaphandle kweminye imizuzu. Mhlawumbi akusiyo ingcamango efanelekileyo yokugcina ifestile yakhe ivulekile, njengoko ungafuni ukuba aphephe.
Ezinye iindlela zonyango zingabandakanya ukusebenzisa i-fever reducer (iimveliso eziqukethe i-acetaminophen okanye ibuprofen) kunye / okanye isiraphu yokukhwehlela engekho-narcotic (nangona mhlawumbi abayi kuphelisa ukukhwehlela kwe-croup) ukuba umntwana wakho uneminyaka engaphezu kwe-4 ukuya kwe-6 ubudala.
Ekubeni iimpawu ziba nzima xa umntwana wakho ekhala kwaye ephazamisekile, ukuzama ukugcina umntwana wakho ozolile kunokuphucula iimpawu zakhe.
Abantwana abanesigxina esilinganiselweyo okanye esichukumisayo, okanye abangakhange baphendule ngokukhawuleza unyango lwekhaya, baya kufuna unyango lwezonyango ezongezelelweyo, eziqhelekileyo ziquka ukulawula i-steroid ukuze kunciphise ukukhukhumeza nokuvuvukala nokuphucula ukuphefumla. Injection ye-dexamethasone ibe yindlela efanelekileyo yokulawula le steroid, kodwa iziphumo ezintsha zibonise ukuba i-steroid yomlomo (Ukuqalwa, ukuguqulwa, njl.) Okanye i-steroid ekhutshwa yi-nebulizer (Pulmicort) inokusebenza.
Kubantwana abanobunzima bokuphefumula, unyango, kwisikolo esibhedlele kunokubandakanya ukunyanga okuphefumulayo kunye ne-epinephrin. Ngenxa yokuba kukho umngcipheko wokuphefumula nokuphefumula, abantwana ngokuqhelekileyo babonwa kwiiyure ezimbini ukuya kwezine emva kokufumana i-epinephrin. Abantwana abaqhubeka bephefumula, okanye abafuna unyango olungaphezu kweyodwa, bahlala esibhedlele.
Unyango olutsha oluphandwayo lusetyenziso lwe-helium-oxygen mix for children with croup.
Yintoni Oyaziyo NgeCroup
Ukongeza kwezi mphulo ekuqapheliseni nasekuphatheni i-croup, ezinye izinto ezaziyo malunga ne-croup ziquka:
- Umntwana wakho unokufumana i-croup ngaphezulu kweyodwa, njengoko kukho ezininzi iintsholongwane ezinokubangela ukuba i-croup, kuquka i-parainfluenza, i-adenovirus, intsholongwane ye-syncytial virus (RSV) kunye nomkhuhlane (igciwane lesifo sengculazi), kwaye kukho iindidi ezininzi zegciwane ngalinye.
- Ukuba umntwana wakho ufumana i-croup kaninzi, ngoko unokuba ne-spasmodic croup (i-spasmodic laryngitis), enokubangelwa yi-virus, i-allergies, okanye i-reflux. Nangona banokuba neengxaki zokuphefumla, abantwana abane-spasmodic croup kaninzi abanakho umkhuhlane kwaye bahamba bhetele emva kweeyure eziliqela.
- Abantwana abafumana i-croup ngezihlandlo eziliqela rhoqo ngonyaka banokufuna ukuba bavavanywe nge-asthma.
- Ngaphandle kokuba umntwana wakho anentsholongwane yesibini yentsholongwane, njenge-infection ear, i-antibiotics ayiyi kusebenza ngokubhekiselele kwiintsholongwane ezibangela ukuba i-croup.
- Iimpawu eziphambili ze-croup zihlala ziphela iintsuku ezi-2 ukuya kwezi-5 kuphela, kodwa kuncinci, zinokuhlala iiveki ezimbalwa. Emva kokuba ukukhwehlela ukugquma kunye nokuphefumula ukuphefumula kuphucule, umntwana wakho unokuqhubeka nokufumana iimpawu ezibandayo iintsuku ezi-7 ukuya kwi-10.
Nangona kungekho sitofu sokugonya (ngaphandle kwesitofu sokugonya umkhuhlane) okanye amayeza anokuthintela umntwana wakho ukuba angaboni, unganciphisa ithuba lokuba umntanakho uya kuthoba ngokunciphisa ukubonakala kwakhe kwabanye abantu abagulayo. Kwakhona, khuthaza ukuhlamba izandla kwaye ugweme ukutya kunye neziphuzo kunokuncedisa ukunciphisa amathuba omntwana wokugula.
> Imithombo:
> Croup. Clinical Mayo. https://www.mayoclinic.org/diseases-conditions/croup/diagnosis-reatreatment/drc-20350354.
> Mandell GL, Douglas RG, uBennett JE, Dolin R, uBlaser MJ. Mandell, Douglas, kunye ne-Bennetts Principles and Practice of Infectious Diseases . ENew York: Elsevier / Churchill Livingstone; 2015.