He aha te Croup? Tohutohu, Take, me te Maimoatanga

Ko te croup tetahi mate tamariki noa e puta ai te kōhūhū karakara motuhake me te uaua ki te manawa. Ka puta mai ina pupū me te mumura te pouaka reo me te ngongo hau, te nuinga na te mate huaketo.

Ko te nuinga o ngā tamariki e pangia ana e te croup ka ora katoa i roto i te wiki mā te tiaki whare ngāwari. Ahakoa ka rongo wehi te kōhūhū karakara, ina koa i te pō, he ngāwari tonu te croup, ā, ka taea te whakahaere i te kāinga.

He aha te Croup?

Ko te croup tetahi mate e puta ai te pupū i te huarahi manawa o runga o tō tamaiti, ina koa te taha o te pouaka reo (larynx) me te ngongo hau (trachea). Ko te pupū nei te take o te kōhūhū karakara e rite ana ki te karakara a te titi.

Ko te tikanga ka pā te mate ki ngā tamariki kei waenga i te 6 marama me te 6 tau. He iti ake ngā huarahi manawa o rātou i ērā o ngā pakeke, ā, ka nui ake te tūpono ki te uaua ki te manawa ina pupū.

Ko te tikanga ka tīmata te croup me te mate huaketo noa, he ihu rere me te kirika. Heoi, i roto i te rā, rua rā rānei, ka puta mai te kōhūhū karakara motuhake, ā, ka kaha ake i te pō.

He aha ngā Tohutohu o te Croup?

Ko te tohu matua o te croup he kōhūhū karakara, e rite ana ki te karakara a te titi. Ko te tikanga ka puta mai tēnei kōhūhū i muri i te whai tohu mate huaketo o tō tamaiti mō te rā, rua rā rānei.

Ko ēnei ngā tohu matua ka kite koe:

• Kōhūhū karakara e kaha ake ana i te pō me te ata.
• Reo ngākau, karanga rānei.
• Te manawa haruru ina manawa (e kiia nei ko te stridor).
• Kirika, te nuinga he iti.
• Ihu rere me te kōpuku.
• Uaua ki te horomi.
• Te kore e ata noho, ina koa ina uaua te manawa.

Ko te tikanga ka haere mai, ka haere atu ngā tohu i roto i ngā ngaru, ka pai ake te ahua o tō tamaiti i te rā, ka kino ake i te pō. Ka puta tēnei āhua, no te mea ka nui ake te pupū o ngā huarahi manawa ina takoto.

He aha ngā momo Croup?

He maha ngā momo croup, engari ko te croup huaketo te tino noa. Ka āwhina te mārama ki ngā momo rerekē ki te mohio ki te aha e tatari ana.

Ko te croup huaketo te 95% o ngā keehi croup katoa. Ko te huaketo parainfluenza te take, ā, ko te tikanga ka roa te 3-7 rā, me ngā tohu ka taea te whakahaere i te kāinga.

Ka puta mai te croup spasmodic ngāwari, te nuinga i te pō, kāore he tohu mate huaketo noa i mua. Ka maha ngā wāhanga o ngā tamariki e pangia ana e tēnei momo, ā, e whakaarohia ana he hono ki ngā mate pāwera, ki te reflux waikawa rānei.

He tino onge te croup huaketo, engari he kino ake. Ka puta ai te uaua nui ki te manawa me te kirika teitei. Me whai āwhina hauora tonu tēnei momo, ā, me te noho i te whare hauora.

He aha ngā Take o te Croup?

Ko te nuinga o ngā take o te croup ko ngā huaketo e pangia ana te huarahi manawa o runga. Ko te huaketo parainfluenza te take o te nuinga o ngā keehi, ahakoa ka taea hoki e ētahi atu huaketo te whakaoho i te mate.

Ina pangia e ēnei huaketo te korokoro me te pouaka reo o tō tamaiti, ka puta ai te mumura me te pupū. No te mea he iti ake ngā huarahi manawa o ngā tamariki i ērā o ngā pakeke, ahakoa he iti te pupū, ka uaua te manawa, ka puta mai te tangi karakara.

Ko ēnei ngā take matua:

• Huaketo Parainfluenza (te tino noa)
• Huaketo Respiratory syncytial (RSV)
• Huaketo Human metapneumovirus
• Huaketo Influenza A me B
• Huaketo Adenovirus
• Huaketo Rhinovirus (huaketo mate huaketo noa)

I roto i ngā keehi onge, ka taea e ngā mate huaketo penei i te Staphylococcus aureus, i te Streptococcus pneumoniae rānei te whakaoho i te croup. Ko ēnei keehi huaketo te nuinga he kino ake, ā, me āwhina rongoā.

Nōhea te haere ki te Tākura mō te Croup?

Ka taea te whakahaere i te nuinga o ngā keehi croup i te kāinga mā ngā rongoā ngāwari. Heoi, me whakapiri atu koe ki tō tākura ki te kitea e koe kei kino haere ngā tohu o tō tamaiti, ki te manukanuka koe ki tōna manawa.

Waea atu ki tō tākura i ngā hāora noa ki te whai kirika tonu tō tamaiti i runga ake i te 103°F (39.4°C), kāore e inu wai, ki te āwangawanga nui te kōhūhū ki te moe mō ngā pō maha.

Rapua te āwhina tūturu ina kite koe i ēnei tohu whakatūpato:

• Uaua ki te manawa, ki te mahi kaha rānei ki te manawa.
• Te manawa haruru ina okioki.
• Te kiri e kukume ana i te taha o ngā riu ina manawa.
• Te tae kikorangi, hina rānei i te waha, ihu, maihao rānei.
• Te kore e ata noho, te uaua rānei ki te noho ara.
• Te ngauwai, te uaua rānei ki te horomi.
• Kirika teitei me te ahua mate kino.

Whakawhirinaki ki ō tūmanako hei mātua. Ki te kore tetahi mea e pai ana, ki te ahua kino rawa atu tō tamaiti, he pai tonu te rapu tohutohu hauora.

He aha ngā Take Tūpono mō te Croup?

Ka taea e ētahi take te whakaiti i te tūpono o tō tamaiti ki te whiwhi croup, ki te whiwhi tohu kino ake rānei. Ko te tau te take tūpono nui rawa, me te nuinga o ngā keehi e puta ana i ngā tamariki kei raro i te 6 tau.

Ko ngā tamariki kei waenga i te 1 me te 2 tau te tūpono nui rawa, no te mea kei te iti rawa te whānuitanga o ō rātou huarahi manawa. He nui ake te tūpono o ngā tama ki te whiwhi croup i ngā kōhine, ahakoa kāore ngā tākuta e tino mōhio he aha.

Ko ēnei atu take tūpono:

• Te whānau wawe (ngā huarahi manawa iti)
• Hītori o ngā wāhanga croup o mua
• Te whakakī i te paowa hikareti
• Te haere ki te whare tiaki tamariki, ki te kura rānei
• Hītori whānau o te croup
• Ētahi āhuatanga hauora e pā ana ki te huarahi manawa

Ko te whai i ēnei take tūpono kāore e tikanga ka whiwhi croup tō tamaiti. He maha ngā tamariki e whai take tūpono ana kāore e whiwhi i te mate, ā, ko ētahi atu kāore he take tūpono e whiwhi ana.

He aha ngā Uaua Ka Pūāhua o te Croup?

Ko te nuinga o ngā tamariki e pangia ana e te croup ka ora katoa kāore he pānga roa. He onge ngā uaua kino, e puta ana i raro i te 5% o ngā keehi, te nuinga ina tino pōturi te huarahi manawa.

Ko te uaua tino awangawanga ko te uaua nui ki te manawa e hiahia ana ki te āwhina tūturu. Ka puta mai tēnei ina tino nui te pupū, ā, ka ārai nui ki te huarahi manawa.

Ko ēnei ngā uaua ka pūāhua:

• Uaua nui ki te manawa e hiahia ana ki te noho i te whare hauora.
• Ngā mate huaketo tuarua o ngā pūkahukahu.
• Te ngauwai mai i te uaua ki te kai me te inu.
• Ngā mate taringa (noa ki ngā mate huaketo).
• Te moe kore e pai e arahi ana ki te ngenge.

I roto i ngā keehi tino onge, ka taea te ārai katoa i te huarahi manawa, he āwangawanga hauora tūturu tēnei. Heoi, mā te tirotiro tika me te tiaki, ko te nuinga o ngā tamariki e pangia ana e te croup kāore e whiwhi uaua kino.

Me pēhea te Whakatau i te Croup?

Ka taea e ngā tākuta te whakatau i te croup mā te whakarongo noa ki te kōhūhū karakara motuhake o tō tamaiti me te tirotiro i ōna āhua manawa. He tino motuhake te tangi, he rerekē hoki i ētahi atu momo kōhūhū.

Ka tirotirohia e tō tākura te korokoro o tō tamaiti, ka whakarongo ki tōna manawa mā te stethoscope, ka tirotiro hoki i ngā tohu o te uaua ki te manawa. Ka ui atu rātou ki te wā i tīmata ai ngā tohu me te āhua o tō rātou haere.

I te nuinga o ngā keehi, kāore he whakamātautau motuhake e hiahiatia ana. Heoi, ki te manukanuka tō tākura ki te kino, ki te whakaaro rānei he uaua, ka taea e rātou te tūtohutia:

• Te pulse oximetry hei tirotiro i ngā taumata hau.
• Te X-ray uma hei whakakore i ētahi atu āhuatanga.
• Te X-ray kaki hei kite i te pupū o te huarahi manawa.
• Te horomia i te korokoro (he onge, hei tirotiro i te mate huaketo).

He ngāwari te whakatau, ā, ka taea te tīmata i te maimoatanga tonu i runga i te tirotiro hauora anake.

He aha te Maimoatanga mō te Croup?

Ko te aro o te maimoatanga mō te croup ko te whakaiti i te pupū o te huarahi manawa me te whakapai ake i te ahua o tō tamaiti. Ka taea te whakaora i te nuinga o ngā tamariki i te kāinga mā ngā mahi ngāwari me te tirotiro tata.

Mō te croup ngāwari, ko ngā mahi whakaora me ngā rongoā kāinga te nuinga o ngā mea e tika ana. Ka taea e tō tākura te tuhi i tetahi rongoā waha corticosteroids (penei i te prednisolone) hei whakaiti i te pupū, ka taea te whakaora i roto i ngā haora.

Ko ēnei ngā maimoatanga hauora:

• Corticosteroids waha (te maimoatanga tuhi tino noa)
• Epinephrine nebulized (mō ngā keehi kino i roto i ngā wā tūturu)
• Te rongoā hau (ki te iti ngā taumata hau)
• Ngā wai IV (ki te ngauwai tō tamaiti)
• Te noho i te whare hauora (mō te uaua nui ki te manawa)

Kāore ngā rongoā antibiotic e āwhina ki te croup huaketo, koia te take kāore e tuhia te nuinga. Ko te aro ko te tiaki tautoko me te whakaiti i te mumura i roto i ngā huarahi manawa.

Me pēhea te whakarato i te maimoatanga kāinga i te wā o te Croup?

He mea nui te tiaki kāinga ki te āwhina i tō tamaiti kia pai ake te ahua me te ora mai i te croup. Ko te mea nui ko te pupuri i tō tamaiti kia ata noho me te whakaora i a ia e tirotiro ana i tōna manawa.

Ka taea e te kohu te whakaiti i te pupū o te huarahi manawa me te whakapai ake i te manawa. Ka taea e koe te hanga i tetahi taiao kohu mā te whakahaere i te kaukau wera me te noho ki te ruma kaukau me tō tamaiti mō te 10-15 meneti.

Ko ēnei ngā rongoā kāinga whai hua:

• Whakamahia he humidifier kohu-mātiti i te ruma o tō tamaiti.
• Kawea tō tamaiti ki waho ki te manawa i te hau pō makariri.
• Pupuri i tō tamaiti kia ata noho, kia whakaora hoki ia ia ina pouri.
• Hoatu he nui o ngā wai hei ārai i te ngauwai.
• Whakaarahia te ulu o tō tamaiti iti ina moe.
• Hoatu acetaminophen, ibuprofen rānei mō te kirika me te mamae.

Kaua e hoatu ngā rongoā kōhūhū, no te mea kāore e āwhina ki te croup, ā, ka taea te whakamaori i tō tamaiti ina hiahia koe ki te tirotiro tata i tōna manawa.

Me pēhea te whakarite mō tō hui ki te Tākura?

Ko te whakarite mō tō haerenga ki te tākura ka taea te āwhina i te whakarite kia whiwhi koe i ngā korero me te mahere maimoatanga tino whai hua mō tō tamaiti. Tuhia ō patai i mua kia kaua e wareware i te wā o te hui.

Pupuri i ngā tohu o tō tamaiti, tae atu ki te wā i tīmata ai, te kaha o tō rātou ahua, me te aha e pai ake ana, e kino ake rānei. Ka āwhina ēnei korero i tō tākura ki te aromatawai tika i te āhuatanga.

Kawea mai ēnei korero ki tō hui:

• Rārangi o ngā tohu o nāianei me te wā i tīmata ai.
• Ngā rongoā e inu ana tō tamaiti.
• Ngā pūāhua pāmahana o tō tamaiti.
• Ngā patai mō te tiaki kāinga me te aha hei titiro atu.
• Te hītori hauora o tō tamaiti me ngā wāhanga croup o mua.

Kaua e whakaroa ki te ui mō ngā tohu whakatūpato e hiahia ana ki te āwhina hauora tūturu. Ko te mārama ki te wā hei rapu āwhina tūturu ka hoatu he rangimarie ngākau ki a koe.

Me pēhea te ārai i te Croup?

Ahakoa kāore e taea te ārai katoa i te croup, ka taea e koe te whakaiti i te tūpono o tō tamaiti mā te whai i ngā tikanga hauora pai me te whakaiti i te whakakī ki ngā huaketo manawa. Ko ngā tikanga ano e ārai ana i ngā mate huaketo me te rewharewha ka taea te āwhina i te ārai i te croup.

Ko te horoi ringa maha tetahi o ngā huarahi tino whai hua hei ārai i te hora o ngā huaketo e whakaoho ana i te croup. Akohia tō tamaiti ki te horoi pai i ōna ringa, ina koa i mua i te kai me muri i te noho i ngā wāhi tūmatanui.

Ko ēnei ngā rautaki ārai:

• Horomia ngā ringa maha me te hopi me te wai.
• Kaua e whakapiri tata ki ngā tāngata e mate ana.
• Pupuri i tō tamaiti i te kāinga ina mate.
• Whakarite kia whiwhi tō tamaiti i ngā whakakōhatu e tūtohutia ana.
• Kaua e whakakī ki te paowa hikareti.
• Pupuri i te hauora pai katoa mā te kai pai me te moe.

Ki te whai croup tō tamaiti i mua, ka nui ake pea te tūpono ki te whiwhi ano. Heoi, ko te tikanga ka iti ake te kino o ngā wāhanga ina pakeke ngā tamariki, ka nui ake ngā huarahi manawa.

He aha te mea nui mō te Croup?

Ko te croup he mate tamariki noa e rongo nui atu ana i te tikanga. Ahakoa ka rongo wehi te kōhūhū karakara, ko te nuinga o ngā tamariki ka ora katoa i te kāinga mā te tiaki me te tirotiro ngāwari.

Ko te mea nui hei mahara ko te croup te tikanga ka pai ake i roto i te wiki. Ka taea e ngā rongoā kāinga penei i te kohu, te hau makariri, me te pupuri i tō tamaiti kia ata noho te whakaora nui.

Whakawhirinaki ki ō tūmanako mātua, kaua hoki e whakaroa ki te rapu āwhina hauora ki te manukanuka koe ki te manawa o tō tamaiti, ki te ahua kino rawa atu rānei. Ko te nuinga o ngā tamariki e pangia ana e te croup ka pai rawa atu mā te tiaki tautoko, ka hoki ki ō rātou mahi noa i roto i ngā rā torutoru.

Ngā Pātai Nui e Uihia Ana Mō te Croup

E hā roa te roa o te croup?

Ko te nuinga o ngā keehi croup ka roa te 3-7 rā, me ngā tohu kino rawa e puta ana i te pō tuarua, tuatoru rānei. Ka taea te roa o te kōhūhū karakara tae noa ki te wiki, engari ka iti haere te kino. Me tīmata te pai ake o te ahua o tō tamaiti i te rā ahakoa kei te haere tonu ngā tohu i te pō.

He mate pāhoko te croup?

Ae, he mate pāhoko te croup, no te mea ko ngā huaketo te take e horapa ana mā ngā matūriki ina kōhūhū, ina ngunguru rānei tō tamaiti. Ko te nuinga o te pāhoko o tō tamaiti i ngā rā tuatahi ina whai kirika me ngā tohu mate huaketo. Ka taea e rātou te hoki ki te kura, ki te whare tiaki tamariki rānei ina ngaro te kirika, ā, kei te pai ake te ahua.

Ka taea e ngā pakeke te whiwhi croup?

He onge te whiwhi croup e ngā pakeke, no te mea he nui ake ngā huarahi manawa i ērā o ngā tamariki. Ina pangia ngā pakeke e ngā huaketo ano e whakaoho ana i te croup i ngā tamariki, ko te tikanga ka whiwhi noa rātou i te mate huaketo noa, i te mate huaketo iti o runga rānei. Ko te kōhūhū karakara motuhake me te uaua ki te manawa he motuhake ki ngā huarahi manawa iti o ngā tamariki.

Nōhea te kawea atu i taku tamaiti ki te ruma tūturu mō te croup?

Kawea atu tō tamaiti ki te ruma tūturu tonu ki te uaua nui te manawa, kei te hanga haruru nui ina manawa ina okioki, kei te tae kikorangi, hina rānei te waha, maihao rānei, kei te kore e ata noho, kāore rānei e taea te whakaora, ki te ahua ngenge rawa atu rānei, te uaua rānei ki te ara. Ka whakaatu ēnei tohu kei te kino te pupū o te huarahi manawa, ā, e hiahia ana ki te āwhina hauora tūturu.

Ka whiwhi ano taku tamaiti i te croup ki te whai i mua?

Ka maha ngā tamariki e whiwhi croup neke atu i te kotahi, ina koa ki te kei waenga i te 1-3 tau. Heoi, ko te tikanga ka iti ake te kino o ngā wāhanga tuarua i te tuatahi. Ina nui ake ngā huarahi manawa o tō tamaiti i te tau, ka iti ake te tūpono ki te uaua ki te manawa e tohu ana i te croup. Ko te nuinga o ngā tamariki ka mutu te tūpono ki te whiwhi croup i te tau 6.