Croup

Croup hutachiona hwemweya wekumusoro unokonzeresa kufema uye "kuhukura" kukosora. Croup inokonzerwa nekuzvimba kwakatenderedza tambo dzenzwi. Zvakajairika muvacheche nevana.

Croup inobata vana vane makore matatu kusvika pamakore mashanu. Zvinogona kuitika chero zera. Vamwe vana vanowanzoita croup uye vanogona kuiwana kanoverengeka. Inowanzoitika pakati paGumiguru naApril, asi inogona kuitika chero nguva yegore.

Croup inowanzo kukonzerwa nemavirusi senge parainfluenza RSV, gwirikwiti, adenovirus, uye furuwenza. Zvimwe zvakakomba zviitiko zve croup zvinogona kukonzerwa nehutachiona. Mamiriro aya anonzi bacterial tracheitis.

Croup-senge zviratidzo zvinogona zvakare kukonzerwa ne:

• Allergies
• Kufema mune chimwe chinhu chinotsamwisa nzira yako yemhepo
• Acid Reflux

Chiratidzo chikuru che croup chikosoro chinoita kunge chisimbiso chiri kuhukura.

Vazhinji vana vanozove nehusina kutonhora uye yakaderera giredhi fivhiri kwemazuva akati wandei vasati vave nekuhukura chikosoro uye izwi rakashoshoma. Sezvo kukosora kunowedzera kuwanda, mwana anogona kunetseka kufema kana tambo (irwo ruzha, ruzha rwunoita kana uchifemera mukati).

Croup inowanzo nyanyisa usiku. Inowanzoita mashanu kana matanhatu husiku. Husiku hwekutanga kana maviri anowanzo kuve akaipisisa. Kazhinji, croup inogona kugara kwemavhiki.Taura nemubatsiri wehutano hwemwana wako kana croup ichigara kwenguva yakareba kupfuura vhiki kana ichidzoka kazhinji.

Wako mupi anotora nhoroondo yekurapa uye obvunza nezve zviratidzo zvemwana wako. Iye mupi anoongorora chipfuva chemwana wako kuti atarise:

• Zvakaoma kufema mukati nekunze
• Kuridza muridzo (kurira)
• Kupera kwekufema kunonzwika
• Kudzorera chifuva nekufema

Kuongorora kwehuro kunogona kuratidza epiglottis tsvuku. Mune zviitiko zvishoma, x-ray kana imwe bvunzo inogona kudikanwa.

Mutsipa x-ray inogona kuburitsa chinhu chekunze kana kudzikisira kwetrachea.

Mazhinji kesi ecroup anogona kuchengetedzwa zvakachengeteka kumba. Nekudaro, iwe unofanirwa kufonera mupiki wako kuti akupe mazano, kunyangwe pakati pehusiku.

Matanho aunotora kumba anosanganisira:

• Fumura mwana wako kunotonhorera kana kunyorova mweya, senge mune inopisa mvura yekugezera kana kunze mukati memhepo inotonhorera yehusiku. Izvi zvinogona kupa zororo kufema.
• Gadzira inotonhorera mweya vaporizer mukamuri yekurara yemwana uye uishandise kwehusiku hushoma.
• Ita kuti mwana wako ave akasununguka nekupa acetaminophen. Mushonga uyu unodzikisirawo fivhiri saka mwana haafanire kufema zvakanyanya.
• Dzivisa mishonga yekukosora kunze kwekunge iwe uchikurukura nezvayo nemupi wako kutanga.

Mubatsiri wako anogona kupa mishonga, yakadai se:

• Steroid mishonga inotorwa nemuromo kana kuburikidza neinhaler
• Mishonga inorwisa mabhakitiriya (kune vamwe, asi kwete kazhinji kesi)

Mwana wako angangoda kurapwa mukamuri rekukurumidzira kana kugara muchipatara kana:

• Iva nedambudziko rekufema risingapfuuri kana kutowedzera
• Iva wakaneta zvakanyanya nekuda kwematambudziko ekufema
• Iva neruvara rweganda rebhuruu
• Hausi kunwa zvinwiwa zvakakwana

Mishonga uye marapirwo anoshandiswa pachipatara anogona kusanganisira:

• Kufema mishonga inopihwa nebulizer muchina
• Steroid mishonga inopihwa kuburikidza netsinga (IV)
• Tende reokisijeni rakaiswa pamusoro pemubhedha
• Mvura inopihwa kuburikidza netsinga yekushayiwa mvura
• Mishonga inorwisa mabhakitiriya inopihwa kuburikidza netsinga

Kazhinji, chubhu yekufema kuburikidza nemhuno kana muromo ichadikanwa kubatsira mwana wako kufema.

Croup inowanzo nyoro, asi inogona kuve nenjodzi. Inowanzoenda mumazuva matatu kusvika manomwe.

Iyo turu inovhara trachea (windpipe) inonzi epiglottis. Kana iyo epiglottis ikatapukirwa, iyo yose mhepo inoputika inogona kuzvimba yakavharwa. Ichi chiitiko chinotyisidzira hupenyu.

Kana kuvharika kwemumhepo kukasarapwa nekukasira, mwana anogona kunetseka zvakanyanya kufema kana kufema kunogona kumira zvachose.

Mazhinji croup anogona kuchengetedzwa zvakachengeteka kumba nerutsigiro rwefoni kubva kune wako mupi. Fonera waunopa kana mwana wako asiri kupindura kurapwa kwemba kana ari kuita zvinotsamwisa.

Fonera 911 ipapo kana:

• Zviratidzo zvecroup zvinogona kunge zvakakonzerwa nehutachiona kana chinhu chemukati.
• Mwana wako ane miromo yebhuruu kana ruvara rweganda.
• Mwana wako ari kumedzera mate.
• Mwana wako ari kunetseka kumedza.
• Kune stridor (ruzha kana uchifemera mukati).
• Iko kune kukwevera-mukati kwemhasuru pakati pembabvu kana uchifemera mukati.
• Mwana wako ari kunetseka kufema.

Mamwe matanho anofanirwa kutorwa kudzivirira hutachiona ndeaya:

• Geza maoko ako nguva zhinji uye dzivisa kusangana kwepedyo nevanhu vane chirwere chekufema.
• Kubaya majekiseni panguva yakakodzera. Iyo diphtheria, Haemophilus influenzae (Hib), uye majekiseni ejecha rinodzivirira gwirikwiti rinodzivirira vana kubva kune dzimwe nzira dzinotyisa dze croup.

Viral croup; Laryngotracheobronchitis; Spasmodic croup; Kuhukura chikosoro; Laryngotracheitis

• Mapapu
• Huro anatomi
• Izwi bhokisi

James P, Hanna S. Kumusoro kwekumisa nzira yemhepo muvana. Mune: Bersten AD, Handy JM, eds. Chinyorwa Chekuchengetedza Kwakanyanya. 8th ed. Philadelphia, PA: Elsevier; 2019: chits. 106.

Rodrigues KK, Roosevelt GE. Yakasimba yekumusoro yepamusoro yekuvharika yemhepo (croup, epiglottitis, laryngitis, uye bhakitiriya tracheitis). Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 412.

Rose E. Pediatric kufema kwekukurumidzira: kumusoro kwekuvharika kwemhepo uye hutachiona. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 167.

Yellon RF, Chi DH. Otolaryngology. Mune: Zitelli BJ, McIntire Sc, Nowalk AJ, eds. Zitelli naDavis 'Atlas yePediatric Panyama Kuongorora. 7th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 24.