He aha ka Croup? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka croup kahi maʻi maʻamau o nā keiki e hōʻailona ai i kahi kaʻe ʻauʻau a me ka pilikia o ka hanu. Hana ʻia kēia i ka wā e pehu a ʻulaʻula ai ka pahu leo ​​​​a me ka puka ea, ma muli pinepine o ka maʻi viral.

Hoʻōla ka hapa nui o nā keiki me ka croup i loko o hoʻokahi pule me ka mālama home maʻalahi. ʻOiai ke kani ʻino loa ka ʻauʻau, ʻo ka croup ka mea maʻalahi a hiki ke mālama ʻia i ka home.

He aha ka Croup?

ʻO ka croup kahi maʻi e hoʻoulu ai i ka pehu ʻana i ke ala ea kiʻekiʻe o kāu keiki, ʻoi aku ma kahi o ka pahu leo ​​(larynx) a me ka puka ea (trachea). Hoʻokumu kēia pehu i ka ʻauʻau ʻauʻau maʻamau e like me ka ʻauʻau ʻana o ka seal.

Hoʻopili pinepine ʻia ka maʻi i nā keiki ma waena o 6 mau mahina a 6 mau makahiki. ʻOi aku ka liʻiliʻi o ko lākou mau ala ea ma mua o nā mākua, ka mea e ʻoi aku ai ka maʻalahi o ka pilikia o ka hanu i ka wā e pehu ai.

Hoʻomaka pinepine ka croup e like me ka maʻi anu maʻamau me ka ihu kahe a me ke kuni. Eia naʻe, i loko o hoʻokahi a ʻelua lā paha, e ulu mai ka ʻauʻau ʻauʻau maʻamau, a pinepine hoʻi e ʻoi aku ka ʻino i ka pō.

He aha nā Hōʻailona o ka Croup?

ʻO ka hōʻailona nui o ka croup kahi ʻauʻau ʻino, ʻauʻau, e like pinepine me ka ʻauʻau ʻana o ka seal. Hoʻomaka pinepine kēia ʻauʻau ma hope o ka loaʻa ʻana o nā hōʻailona anu o kāu keiki no hoʻokahi a ʻelua lā paha.

Eia nā hōʻailona nui āu e ʻike ai:

• ʻAuʻau ʻauʻau e ʻoi aku ka ʻino i ka pō a me ke kakahiaka nui
• Leo ʻāpala a uē paha
• Hanu walaʻau i ka wā e hanu ai (i kapa ʻia ʻo stridor)
• Kuni, maʻamau haʻahaʻa
• Ihu kahe a me ka congestion
• Pilikia i ka ʻai ʻana
• Hoʻomaha ʻole, ʻoi aku hoʻi i ka wā e pilikia ai ka hanu

Hele pinepine mai nā hōʻailona a hele i nā nalu, me ka ʻoluʻolu o kāu keiki i ke ao a ʻoi aku ka ʻino i ka pō. Hana ʻia kēia ʻano no ka mea hiki i ka moe ʻana ke hoʻonui i ka pehu ʻana i nā ala ea.

He aha nā ʻAno o ka Croup?

Aia kekahi mau ʻano o ka croup, ʻoiai ʻo ka croup viral ka mea maʻamau loa. Hiki i ka hoʻomaopopo ʻana i nā ʻano like ʻole ke kōkua iā ʻoe e ʻike i ka mea e manaʻo ai.

ʻO ka croup viral ka mea e pili ana i ka 95% o nā hihia croup a pau. Hoʻokumu ʻia ia e nā maʻi viral maʻamau e like me ka parainfluenza virus, a mau loa ia no 3-7 mau lā me nā hōʻailona e hiki ke mālama ʻia i ka home.

Hana koke ʻia ka spasmodic croup, pinepine i ka pō, me ka ʻole o nā hōʻailona anu maʻamau ma mua. Hiki i nā keiki me kēia ʻano ke loaʻa nā hanana hou, a manaʻo ʻia e pili ana i nā allergies a i ʻole ka acid reflux.

ʻOi aku ka liʻiliʻi o ka croup bacterial akā ʻoi aku ka nui o ka pilikia. Hiki iā ia ke hoʻoulu i nā pilikia hanu koʻikoʻi a me ke kuni kiʻekiʻe. Pono kēia ʻano i ka mālama lapaʻau koke a pinepine i ka hoʻokomo ʻia ʻana i ka haukapila.

He aha ka Mea e Hoʻoulu ai i ka Croup?

Hoʻokumu pinepine ʻia ka croup e nā maʻi viral e hoʻopilikia i ke ala hanu kiʻekiʻe. ʻO ka parainfluenza virus ka mea kuleana no ka hapa nui o nā hihia, ʻoiai hiki i kekahi mau maʻi viral ʻē aʻe ke hoʻoulu i ke kūlana.

Ke hoʻopilikia nei kēia mau maʻi i ka ʻāʻī a me ka pahu leo ​​o kāu keiki, hoʻoulu lākou i ka mumū a me ka pehu. No ka mea ʻoi aku ka liʻiliʻi o nā ala ea o nā keiki ma mua o nā mākua, hiki i kahi liʻiliʻi o ka pehu ke hana i ka pilikia o ka hanu a hoʻokumu i kēlā kani ʻauʻau.

Eia nā kumu nui:

• Parainfluenza virus (ka mea maʻamau loa)
• Respiratory syncytial virus (RSV)
• Human metapneumovirus
• Influenza A a me B nā maʻi
• Adenovirus
• Rhinovirus (maʻi anu maʻamau)

I nā hihia liʻiliʻi, hiki i nā maʻi bacterial e like me Staphylococcus aureus a i ʻole Streptococcus pneumoniae ke hoʻoulu i ka croup. ʻOi aku ka nui o kēia mau hihia bacterial a pono paha ka lapaʻau antibiotic.

I ka Wā e ʻIke ai i ke Kauka no ka Croup?

Hiki ke mālama ʻia ka hapa nui o nā hihia croup me ka palekana i ka home me nā lāʻau lapaʻau maʻalahi. Eia naʻe, pono ʻoe e kelepona i kāu kauka inā ʻike ʻia nā hōʻailona o kāu keiki e ʻoi aku ka ʻino a i ʻole inā hopohopo ʻoe e pili ana i ko lākou hanu.

E kelepona i kāu kauka i nā hola maʻamau inā loaʻa i kāu keiki ka kuni mau loa ma luna o 103°F (39.4°C), ʻaʻole inu lawa i nā wai, a i ʻole inā ke hoʻopilikia nui nei ka ʻauʻau i ka hiamoe no kekahi mau pō.

E ʻimi i ka mālama pilikia koke inā ʻike ʻoe i kēia mau hōʻailona hōʻailona:

• Pilikia hanu a i ʻole hana nui e hanu ai
• Hanu walaʻau i ka wā e hoʻomaha ai
• ʻIli e huki ana a puni nā iwi ʻaoʻao i ka wā e hanu ai
• Lanu uliuli a hina paha a puni ka waha, ihu, a i ʻole nā ​​manikū
• Hoʻomaha ʻole loa a i ʻole pilikia e noho ala
• Hoʻokahe a pilikia paha i ka ʻai ʻana
• Kuni kiʻekiʻe me ka hiʻohiʻona maʻi koʻikoʻi

E hilinaʻi i kou mau manaʻo ma ke ʻano he mākua. Inā ʻaʻole kūpono kekahi mea a i ʻole ke ʻano ʻino loa kāu keiki, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ka ʻōlelo aʻo lapaʻau.

He aha nā Rīkiko no ka Croup?

Hiki i kekahi mau mea ke hoʻolilo i kāu keiki i mea ʻoi aku ka maʻalahi o ka loaʻa ʻana o ka croup a i ʻole ka loaʻa ʻana o nā hōʻailona ʻoi aku ka nui. ʻO ka makahiki ka mea pilikia nui loa, me ka hapa nui o nā hihia i loaʻa i nā keiki ma lalo o 6 mau makahiki.

ʻO nā keiki ma waena o 1 a me 2 mau makahiki ka mea pilikia loa no ka mea ʻo ko lākou mau ala ea ka mea ʻoi aku ka liʻiliʻi o ka ulu ʻana. ʻOi aku ka nui o nā keikikāne e loaʻa i ka croup ma mua o nā kaikamāhine, ʻoiai ʻaʻole maopopo i nā kauka ke kumu.

ʻO nā mea pilikia ʻē aʻe e komo pū ana:

• Hānau ma mua (nā ala ea liʻiliʻi)
• Mōʻaukala o nā hanana croup ma mua
• Hōʻike ʻia i ka uahi sigareta
• Ke hele ʻana i ka mālama lā a i ʻole ke kula
• Mōʻaukala ʻohana o ka croup
• Kekahi mau kūlana lapaʻau e hoʻopilikia ana i ke ala ea

ʻAʻole manaʻo ia no ka loaʻa ʻana o kēia mau mea pilikia e loaʻa i kāu keiki ka croup. ʻAʻole loaʻa i nā keiki he nui me nā mea pilikia ke kūlana, ʻoiai ke loaʻa nei i nā poʻe ʻē aʻe me ka ʻole o nā mea pilikia.

He aha nā Pilikia Hiki o ka Croup?

Hoʻōla ka hapa nui o nā keiki me ka croup me ka ʻole o nā hopena mau loa. He mea liʻiliʻi nā pilikia koʻikoʻi, e loaʻa ana ma lalo o 5% o nā hihia, maʻamau i ka wā e lilo ai ke ala ea i mea ʻoi aku ka liʻiliʻi.

ʻO ka pilikia koʻikoʻi loa ka pilikia hanu koʻikoʻi e pono ai ka mālama pilikia. Hana ʻia kēia i ka wā e lilo ai ka pehu i mea nui e pani nui ana i ke ala ea.

ʻO nā pilikia hiki ke komo pū:

• Pilikia hanu koʻikoʻi e pono ai ka hoʻokomo ʻia ʻana i ka haukapila
• Nā maʻi bacterial lua o nā māmā
• Ka maloʻo ʻana mai ka pilikia o ka ʻai ʻana a me ka inu ʻana
• Nā maʻi pepeiao (maʻamau me nā maʻi viral)
• Hoʻopilikia ʻia ka hiamoe e alakaʻi ana i ka luhi

I nā hihia liʻiliʻi loa, hiki ke hana ʻia ka pani ʻana o ke ala ea, ʻo ia kahi pilikia lapaʻau. Eia naʻe, me ka nānā pono a me ka mālama, ʻaʻole loaʻa i ka hapa nui o nā keiki me ka croup nā pilikia koʻikoʻi.

Pehea e Hoʻomaopopo ʻia ai ka Croup?

Hiki i nā kauka ke hoʻomaopopo pinepine i ka croup ma ka hoʻolohe wale ʻana i ka ʻauʻau ʻauʻau maʻamau o kāu keiki a me ka nānā ʻana i ko lākou mau ʻano hanu. He ʻano maʻamau loa ka leo a ʻokoʻa mai nā ʻano ʻauʻau ʻē aʻe.

E nānā kāu kauka i ka ʻāʻī o kāu keiki, e hoʻolohe i ko lākou hanu me ka stethoscope, a e nānā i nā hōʻailona o ka pilikia hanu. E nīnau nō hoʻi lākou i ka wā i hoʻomaka ai nā hōʻailona a pehea lākou i holomua ai.

I ka hapa nui o nā hihia, ʻaʻole pono nā hoʻokolohua kūikawā. Eia naʻe, inā hopohopo kāu kauka e pili ana i ka nui a i ʻole ka manaʻo o nā pilikia, hiki iā lākou ke ʻōlelo aku:

• Pulse oximetry e nānā i nā pae oxygen
• Chest X-ray e kāpae i nā kūlana ʻē aʻe
• Neck X-ray e ʻike i ka pehu ʻana o ke ala ea
• Throat swab (liʻiliʻi, e nānā i ka maʻi bacterial)

He mea maʻalahi ka hoʻomaopopo ʻana, a hiki ke hoʻomaka koke ka lapaʻau ma muli o ka nānā lapaʻau wale nō.

He aha ka Lapaʻau no ka Croup?

Hoʻokumu ka lapaʻau no ka croup i ka hoʻemi ʻana i ka pehu ʻana o ke ala ea a me ka hoʻoluʻolu ʻana i kāu keiki. Hiki ke mālama ʻia ka hapa nui o nā keiki ma ka home me nā hana maʻalahi a me ka nānā pono.

No ka croup maʻalahi, lawa pinepine nā hana hōʻoluʻolu a me nā lāʻau lapaʻau home. Hiki i kāu kauka ke kuhikuhi i hoʻokahi lāʻau o nā corticosteroids waha (e like me ka prednisolone) e hoʻemi i ka pehu, hiki ke hāʻawi i ka hōʻoluʻolu i loko o nā hola.

Hiki i nā lapaʻau lapaʻau ke komo pū:

• Nā corticosteroids waha (ka lapaʻau kuhikuhi maʻamau loa)
• Nebulized epinephrine (no nā hihia koʻikoʻi i nā wahi pilikia)
• Oxygen therapy (inā haʻahaʻa nā pae oxygen)
• IV fluids (inā maloʻo kāu keiki)
• Hoʻokomo ʻia ʻana i ka haukapila (no ka pilikia hanu koʻikoʻi)

ʻAʻole kōkua nā antibiotics no ka croup viral, ʻo ia ke kumu e liʻiliʻi ai ka kuhikuhi ʻana. Ke noʻonoʻo nei ka manaʻo i ka mālama kākoʻo a me ka hoʻemi ʻana i ka mumū i nā ala ea.

Pehea e Hāʻawi ai i ka Lapaʻau Home i ka wā o ka Croup?

Ke pāʻani nei ka mālama home i kahi kuleana nui i ke kōkua ʻana i kāu keiki e ʻoluʻolu a hoʻōla mai ka croup. ʻO ke kī ka mālama ʻana i kou keiki me ka mālie a me ka ʻoluʻolu ʻoiai e nānā ana i ko lākou hanu.

Hiki i ka mahu ke kōkua i ka hoʻemi ʻana i ka pehu ʻana o ke ala ea a me ka maʻalahi o ka hanu. Hiki iā ʻoe ke hana i kahi wahi mahu ma ka holo ʻana i kahi ua wela a me ka noho ʻana i ka lumi ʻauʻau me kāu keiki no 10-15 mau minuke.

Eia nā lāʻau lapaʻau home maikaʻi:

• E hoʻohana i kahi humidifier cool-mist i loko o ka lumi o kāu keiki
• E lawe i kāu keiki i waho e hanu i ka ea pō anuanu
• E mālama i kou keiki me ka mālie a hōʻoluʻolu iā lākou i ka wā e huhū ai lākou
• E hāʻawi i nā wai nui e pale aku i ka maloʻo ʻana
• E hoʻokiʻekiʻe iki i ke poʻo o kāu keiki i ka wā e moe ai
• E hāʻawi i ka acetaminophen a i ʻole ibuprofen no ke kuni a me ka ʻoluʻolu ʻole

E pale i ka hāʻawi ʻana i nā lāʻau ʻauʻau, no ka mea ʻaʻole lākou e kōkua i ka croup a hiki ke hoʻoluhi i kāu keiki i ka wā e pono ai ʻoe e nānā pono i ko lākou hanu.

Pehea ʻoe e Hoʻomākaukau ai no kāu Hoʻokolokolo Kauka?

Hiki i ka hoʻomākaukau ʻana no kāu kipa kauka ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka ʻike kōkua loa a me ka hoʻolālā lapaʻau no kāu keiki. E kākau i kāu mau nīnau ma mua e ʻaʻole ʻoe e poina iā lākou i ka wā o ka hoʻokolokolo.

E mālama i nā hōʻailona o kāu keiki, me ka wā i hoʻomaka ai, pehea ka nui o ko lākou ʻino, a me ka mea e ʻoi aku ka maikaʻi a i ʻole ka ʻino. Ke kōkua nei kēia ʻike i kāu kauka e loiloi pololei i ke kūlana.

E lawe mai i kēia ʻike i kāu hoʻokolokolo:

• Papa inoa o nā hōʻailona o kēia manawa a me ka wā i hoʻomaka ai lākou
• Kekahi mau lāʻau lapaʻau e inu nei kāu keiki i kēia manawa
• Nā helu mahana o kāu keiki
• Nā nīnau e pili ana i ka mālama home a me ka mea e nānā ai
• Ka mōʻaukala lapaʻau o kāu keiki a me nā hanana croup ma mua

Mai kānalua e nīnau e pili ana i nā hōʻailona hōʻailona e pono ai ka mālama lapaʻau koke. Hiki i ka hoʻomaopopo ʻana i ka wā e ʻimi ai i ka mālama pilikia ke hāʻawi iā ʻoe i ka maluhia o ka manaʻo.

Pehea e Pale ʻia ai ka Croup?

ʻOiai ʻaʻole hiki iā ʻoe ke pale loa i ka croup, hiki iā ʻoe ke hoʻemi i ka pilikia o kāu keiki ma ka hahai ʻana i nā hana hoʻomaʻemaʻe maikaʻi a me ka palena ʻana i ka hōʻike ʻia ʻana i nā maʻi viral hanu. ʻO nā hana like e pale aku ai i nā anu a me ka maʻi flu ke kōkua i ka pale ʻana i ka croup.

ʻO ka holoi pinepine ʻana o nā lima kekahi o nā ala maikaʻi loa e pale aku ai i ka hoʻolaha ʻana o nā maʻi e hoʻoulu ai i ka croup. E aʻo i kāu keiki e holoi pono i ko lākou mau lima, ʻoi aku ma mua o ka ʻai ʻana a ma hope o ka noho ʻana i nā wahi lehulehu.

ʻO nā hoʻolālā pale e komo pū ana:

• E holoi pinepine i nā lima me ka wai a me ke kopa
• E pale i ka pilina pili loa me nā poʻe maʻi
• E mālama i kāu keiki i ka home i ka wā maʻi
• E hōʻoia i ka loaʻa ʻana o kāu keiki i nā lāʻau lapaʻau i ʻōlelo ʻia
• E pale i ka hōʻike ʻia ʻana i ka uahi sigareta
• E mālama i ke olakino maikaʻi ma ka ʻai pono a me ka hiamoe

Inā loaʻa i kāu keiki ka croup ma mua, ʻoi aku paha ka nui o ka loaʻa hou ʻana. Eia naʻe, pinepine e emi iho ka nui o nā hanana i ka wā e ulu ai nā keiki a ulu nui aʻe ko lākou mau ala ea. Hoʻomaka ka hapa nui o nā keiki i ko lākou kūlana e loaʻa i ka croup ma ka makahiki 6.

He aha ka Mea Nui e Pili ana i ka Croup?

ʻO ka croup kahi maʻi maʻamau o nā keiki e kani nui aku ma mua o ka mea maʻamau. ʻOiai hiki i ka ʻauʻau ʻauʻau ke hopohopo, hoʻōla ka hapa nui o nā keiki ma ka home me ka mālama maʻalahi a me ka nānā.

ʻO ka mea nui loa e hoʻomanaʻo ai ʻo ka croup e maikaʻi maoli i loko o hoʻokahi pule. Hiki i nā lāʻau lapaʻau home e like me ka mahu, ka ea anuanu, a me ka mālama ʻana i kāu keiki me ka mālie ke hāʻawi i ka hōʻoluʻolu nui.

E hilinaʻi i kou mau manaʻo makua a mai kānalua e ʻimi i ka mālama lapaʻau inā hopohopo ʻoe e pili ana i ka hanu o kāu keiki a i ʻole ke ʻano ʻino loa lākou. Hana maikaʻi ka hapa nui o nā keiki me ka croup me ka mālama kākoʻo a hoʻi i ko lākou mau hana maʻamau i loko o kekahi mau lā.

Nā Nīnau Pinepine e Pili ana i ka Croup

Pehea ka lōʻihi o ka croup?

ʻO ka hapa nui o nā hihia croup e mau ana no 3-7 mau lā, me nā hōʻailona ʻino loa e hana pinepine ana i ka lua a i ʻekolu pō paha. Hiki ke mau ka ʻauʻau ʻauʻau no hoʻokahi pule, akā emi iho ia i ka nui. Pono e hoʻomaka kāu keiki e ʻoluʻolu i ke ao ʻoiai ke hoʻomau nei nā hōʻailona pō.

He mea hoʻopilikia anei ka croup?

ʻAe, he mea hoʻopilikia ka croup no ka mea ua hoʻokumu ʻia e nā maʻi viral e hoʻolaha ma o nā droplets i ka wā e ʻauʻau ai a i ʻūlū paha kāu keiki. ʻOi aku ka hoʻopilikia o kāu keiki i nā lā mua i ka wā e loaʻa ai iā lākou ke kuni a me nā hōʻailona anu. Hiki iā lākou ke hoʻi i ke kula a i ʻole ka mālama lā ma hope o ka pau ʻana o ke kuni a ʻoluʻolu lākou.

Hiki i nā mākua ke loaʻa i ka croup?

ʻAʻole pinepine nā mākua e loaʻa i ka croup no ka mea ʻoi aku ka nui o ko lākou mau ala ea ma mua o nā ala ea o nā keiki. Ke hoʻopilikia ʻia nā mākua e nā maʻi like e hoʻoulu ai i ka croup i nā keiki, hoʻomaka pinepine lākou i kahi anu maʻamau a i ʻole ka maʻi hanu kiʻekiʻe maʻalahi. ʻO ka ʻauʻau ʻauʻau maʻamau a me nā pilikia hanu he mea kūikawā ia i nā ala ea liʻiliʻi o nā keiki ʻōpio.

I ka wā e lawe ai au i kaʻu keiki i ka lumi pilikia no ka croup?

E lawe koke i kāu keiki i ka lumi pilikia inā loaʻa iā lākou ka pilikia hanu koʻikoʻi, ke hana nei i nā walaʻau nui i ka wā e hanu ai i ka hoʻomaha, loaʻa iā lākou ka uliuli a hina paha a puni ko lākou waha a i ʻole nā ​​manikū, hoʻomaha ʻole loa a i ʻole hiki ʻole ke hōʻoluʻolu, a i ʻole ke ʻano luhi loa a paʻakikī hoʻi e ala.

E loaʻa hou anei i kaʻu keiki ka croup inā loaʻa iā lākou ma mua?

Loaʻa hou i kekahi mau keiki ka croup, ʻoi aku inā ma waena o 1-3 mau makahiki lākou. Eia naʻe, pinepine e emi iho ka nui o nā hanana hou ma mua o ka mea mua. I ka wā e ulu nui ai nā ala ea o kāu keiki me ka makahiki, lilo lākou i mea ʻoi aku ka liʻiliʻi o ka pilikia hanu e hōʻailona ai i ka croup. Hoʻomaka ka hapa nui o nā keiki i ko lākou kūlana e loaʻa i ka croup ma ka makahiki 6.