Croup ni iki? Ibimenyetso, Impamvu, n'Umuti

Croup ni indwara isanzwe mu bana itera inkorora ikaze cyane kandi igorana guhumeka. Ibayeho iyo igice cyo kuvuga n'umuyoboro w'umwuka byifubye bikaba byuzuye, akenshi biterwa n'ubwandu bwa virusi.

Abana benshi barwaye croup barakira neza mu cyumweru kimwe bakoresheje uburyo bworoshye bwo kuvura mu rugo. Nubwo inkorora ikaze ishobora gutera ubwoba, cyane cyane nijoro, croup isanzwe iba ari ntoya kandi ishobora kuvurwa mu rugo.

Croup ni iki?

Croup ni ubwandu butera kubyimba mu nzira y'umwuka hejuru, cyane cyane hafi y'igice cyo kuvuga (larynx) n'umuyoboro w'umwuka (trachea). Ibyo bibyimba biterwa n'inkorora ikaze cyane isomwa nk'iy'intare.

Iyi ndwara ikunda kwibasira abana bari hagati y'amezi 6 n'imyaka 6. Umuyoboro wabo w'umwuka uba muto kurusha uw'abakuze, bituma bahura n'ingorane zo guhumeka iyo habaye kubyimba.

Croup isanzwe itangira nk'umwijima usanzwe ufite irinya n'umuriro. Ariko, mu munsi umwe cyangwa ibiri, inkorora ikaze cyane ibaho, ikunda kuba mbi nijoro.

Ibimenyetso bya Croup ni ibihe?

Ikimenyetso gikomeye cya croup ni inkorora ikaze cyane, ikunda kumvikana nk'iy'intare. Iyi nkorora isanzwe ibaho nyuma y'uko umwana wawe amaze kugira ibimenyetso by'umwijima mu munsi umwe cyangwa ibiri.

Dore ibimenyetso by'ingenzi ushobora kubona:

• Inkorora ikaze cyane iba mbi nijoro no mu gitondo
• Ijwi ridafite imbaraga cyangwa gutaka
• Guhumeka ari kugaragara cyane (bitwa stridor)
• Umuriro, ubusanzwe uba muke
• Irinya n'amazuru yuzuye
• Gukomeretsa guhumeka
• Kudatuza, cyane cyane iyo guhumeka bigoye

Ibimenyetso bikunda kuza no kugenda mu buryo budasanzwe, umwana wawe akumva ameze neza ku manywa akaba mubi nijoro. Iyo mimerere ibaho kuko kuryamira hasi bishobora kongera kubyimba mu muyoboro w'umwuka.

Ubwoko bwa Croup ni ubuhe?

Hari ubwoko butandukanye bwa croup, nubwo croup iterwa na virusi ari bwo busanzwe. Gusobanukirwa ubwoko butandukanye bishobora kugufasha kumenya icyo witeze.

Croup iterwa na virusi igize 95% by'ibibazo byose bya croup. Iterwa na virusi zisanzwe nka parainfluenza virus, kandi isanzwe imara iminsi 3-7 ifite ibimenyetso bishobora kuvurwa mu rugo.

Croup iterwa no kubura umwuka ishobora kubaho mu buryo butunguranye, akenshi nijoro, idakurikiwe n'ibimenyetso bisanzwe by'umwijima. Abana bafite ubu bwoko bashobora kugira ibintu byisubiramo, kandi bihura n'allergie cyangwa reflux acide.

Croup iterwa na bagiteri ni gake cyane ariko ikaba ikomeye. Ishobora gutera ingorane zikomeye zo guhumeka n'umuriro mwinshi. Ubu bwoko busaba ubuvuzi bw'ihutirwa kandi akenshi bujyanwa mu bitaro.

Impamvu za Croup ni izihe?

Croup iterwa cyane na virusi zandura mu nzira y'umwuka hejuru. Virusi ya parainfluenza ni yo itera iyi ndwara, nubwo virusi nyinshi zishobora kuyitera.

Iyo izo virusi zandura mu muhogo n'igice cyo kuvuga, ziterwa n'ububabare n'ibyimba. Kubera ko umuyoboro w'umwuka w'abana ari muto kurusha uw'abakuze, n'ubwo kubyimba gake bishobora gutera ingorane zo guhumeka kandi bikaba bitera iyo nkorora ikaze.

Dore impamvu nyamukuru:

• Virusi ya Parainfluenza (isanzwe)
• Virusi ya Respiratory syncytial (RSV)
• Virusi ya Human metapneumovirus
• Virusi ya Influenza A na B
• Virusi ya Adenovirus
• Virusi ya Rhinovirus (virusi y'umwijima usanzwe)

Mu bihe bitoroshye, ubwandu bwa bagiteri nka Staphylococcus aureus cyangwa Streptococcus pneumoniae bishobora gutera croup. Ibyo bibazo bya bagiteri bisanzwe bikomeye kandi bishobora gusaba kuvurwa na antibiotique.

Ni ryari ukwiye kujya kwa muganga kubera Croup?

Ibibazo byinshi bya croup bishobora kuvurwa neza mu rugo hakoreshejwe uburyo bworoshye. Ariko, ugomba kuvugana na muganga niba ibimenyetso by'umwana wawe bigenda biba bibi cyangwa niba uhangayikishijwe no guhumeka kwe.

Hamagara muganga mu masaha asanzwe niba umwana wawe afite umuriro udashira hejuru ya 103°F (39.4°C), adashobora kunywa amazi ahagije, cyangwa niba inkorora imubuza gusinzira ijoro nyinshi.

Shaka ubuvuzi bw'ihutirwa niba ubona ibi bimenyetso byo kuburira:

• Gukomeretsa guhumeka cyangwa gukora cyane kugira ngo uhumeke
• Guhumeka ari kugaragara cyane igihe uri amahoro
• Uruhu rukuramo ibibyimba mu bibero igihe uhumeka
• Ibara ry'ubururu cyangwa icyatsi kibisi hafi y'akanwa, izuru, cyangwa imisumari
• Kudatuza cyane cyangwa kugorana gusinzira
• Gusuka amarira cyangwa kugorana kwishima
• Umuriro mwinshi ufite isura ikomeye y'uburwayi

Gira icyizere imitekerereze yawe nk'umubyeyi. Niba hari ikintu kitameze neza cyangwa umwana wawe asa n'umurwayi cyane, bihora ari byiza gushaka inama y'abaganga.

Ibyago byo kwibasirwa na Croup ni ibihe?

Ibintu bimwe bishobora gutuma umwana wawe afite amahirwe menshi yo kurwara croup cyangwa kugira ibimenyetso bikomeye. Imyaka ni yo kintu gikomeye cyane cy'ibyago, aho ibimenyetso byinshi biba mu bana bari munsi y'imyaka 6.

Abana bari hagati y'umwaka umwe n'imyaka ibiri bafite ibyago byinshi kuko umuyoboro wabo w'umwuka uba muto cyane. Abahungu nabo bafite amahirwe menshi yo kurwara croup kurusha abakobwa, nubwo abaganga batazi impamvu.

Ibindi byago birimo:

• Kuzalirwa imburagihe (umuyoboro w'umwuka muto)
• Amateka y'ibibazo bya croup byabanje
• Kumenya itabi
• Kwitabira ishuri cyangwa crèche
• Amateka y'umuryango wa croup
• Indwara zimwe na zimwe zifata umuyoboro w'umwuka

Kugira ibyo byago ntibisobanura ko umwana wawe azahita arwara croup. Abana benshi bafite ibyago ntibarwara iyo ndwara, naho abandi badafite ibyago barayirwara.

Ingaruka zishoboka za Croup ni izihe?

Abana benshi barwaye croup barakira neza nta ngaruka ziramba. Ingaruka zikomeye ni gake, ziba munsi ya 5% by'ibibazo, akenshi iyo umuyoboro w'umwuka uba wagabanutse cyane.

Ingaruka ikomeye cyane ni ingorane zikomeye zo guhumeka zisaba ubuvuzi bw'ihutirwa. Ibyo bibaho iyo kubyimba biba byinshi ku buryo bikomeretsa umuyoboro w'umwuka.

Ingaruka zishoboka harimo:

• Ingorane zikomeye zo guhumeka zisaba kujyanwa mu bitaro
• Ubundi bwandu bwa bagiteri mu bihaha
• Kubuza amazi kubera kugorana kurya no kunywa
• Ubwandu bw'amatwi (busanzwe mu ndwara za virusi)
• Kudasinzira neza bigatuma umuntu ananiwe

Mu bihe bitoroshye cyane, umuyoboro w'umwuka ushobora gufungwa burundu, ibyo bikaba ari ubutabazi bw'ihutirwa. Ariko, hakurikijwe gukurikirana neza no kwitaho, abana benshi barwaye croup ntibagira ingaruka zikomeye.

Croup imenyekanwa ite?

Abaganga bashobora kumenya croup gusa bumvise inkorora ikaze cyane y'umwana wawe kandi barebye uburyo ahumeka. Iyo nkorora iba ifite isura idasanzwe kandi itandukanye n'izindi nkorora.

Muganga azasuzumira mu muhogo w'umwana wawe, yumve uburyo ahumeka akoresheje stethoscope, kandi asuzume ibimenyetso byo guhumeka bigoye. Azabaza kandi igihe ibimenyetso byatangiye n'uburyo byagiye biba.

Mu bihe byinshi, nta bipimo bidasanzwe bikenewe. Ariko, niba muganga ahangayikishijwe n'uburemere cyangwa akeka ingaruka, ashobora kugutegeka:

• Pulse oximetry kugira ngo arebe urwego rw'oxygène
• Radiographie y'ibituza kugira ngo akureho izindi ndwara
• Radiographie y'umutwe kugira ngo arebe kubyimba mu muyoboro w'umwuka
• Gupima mu muhogo (gake, kugira ngo arebe ubwandu bwa bagiteri)

Kumenya iyi ndwara bisanzwe biroroshye, kandi ubuvuzi bushobora gutangira ako kanya hashingiwe ku isuzuma ry'abaganga.

Umuti wa Croup ni uwuhe?

Ubuvuzi bwa croup bugamije kugabanya kubyimba mu muyoboro w'umwuka no gutuma umwana wawe aruhuka. Abana benshi bashobora kuvurwa neza mu rugo hakoreshejwe uburyo bworoshye no gukurikirana hafi.

Kubera croup ntoya, uburyo bwo kuruhuka n'uburyo bwo kuvura mu rugo busanzwe buhagije. Muganga ashobora kwandika imiti imwe y'amavuta ya corticoïdes (nka prednisolone) kugira ngo agabanye kubyimba, ibyo bishobora gufasha mu masaha make.

Ubuvuzi bw'abaganga bushobora kuba:

• Corticoïdes (uburyo bwo kuvura busanzwe)
• Epinephrine mu buryo bwa nebulization (mu bihe bikomeye mu bitaro)
• Ubuvuzi bwa oxygène (niba urwego rw'oxygène ruke)
• Amazi ya IV (niba umwana wawe adashobora kunywa amazi ahagije)
• Kujyanwa mu bitaro (kubera ingorane zikomeye zo guhumeka)

Antibiotique ntabwo ifasha croup iterwa na virusi, niyo mpamvu idakunze kwandikwa. Icyo tugomba gukora ni ugufasha no kugabanya kubyimba mu muyoboro w'umwuka.

Uburyo bwo kuvura mu rugo igihe ufite Croup?

Kwitaho mu rugo bigira uruhare rukomeye mu gufasha umwana wawe kuruhuka no gukira croup. Icy'ingenzi ni uguha umwana wawe amahoro no kumuruhuka ukurikira uburyo ahumeka.

Ibirimo by'amazi ashyushye bishobora gufasha kugabanya kubyimba mu muyoboro w'umwuka no koroshya guhumeka. Urashobora gukora ahantu hashyushye hafi y'amazi ashyushye ukaryama muri salle de bain hamwe n'umwana wawe iminota 10-15.

Dore uburyo bwo kuvura mu rugo bukoreshwa:

• Koresha humidifier mu cyumba cy'umwana wawe
• Jyana umwana wawe hanze guhumeka umwuka ukonje nijoro
• Komeza umwana wawe amahoro kandi umuruhuke iyo atabyishimiye
• Muhe amazi ahagije kugira ngo adapfa kubura amazi
• Shyira umutwe w'umwana wawe hejuru gato igihe aryamye
• Muhe acetaminophen cyangwa ibuprofen kubera umuriro n'ububabare

Kwirinda guha imiti yo kurwanya inkorora, kuko ntabwo ifasha croup kandi ishobora gutuma umwana wawe aryama igihe ukeneye gukurikirana uburyo ahumeka hafi.

Uko wakwitegura gusura muganga?

Kwitoza gusura muganga bishobora gufasha kugira ngo ubone amakuru n'uburyo bwo kuvura umwana wawe. Andika ibibazo byawe mbere kugira ngo utabyibagirwa igihe uri kwa muganga.

Komeza ukure ibimenyetso by'umwana wawe, harimo igihe byatangiye, uko byari bikomeye, n'icyo bisa n'ikiborohereza cyangwa kibitera. Ibyo bintu bifasha muganga gusuzuma neza.

Zana ibi bintu igihe ugiye kwa muganga:

• Urutonde rw'ibimenyetso ubu ufite n'igihe byatangiye
• Imiti yose umwana wawe afata ubu
• Ubushyuhe bw'umwana wawe
• Ibibazo ku bijyanye no kwitaho mu rugo n'icyo ukwiye kwitondera
• Amateka y'ubuzima bw'umwana wawe n'ibibazo bya croup byabanje

Ntugatinye kubabaza ibibazo byo kuburira bisaba ubuvuzi bw'ihutirwa. Gusobanukirwa igihe ukwiye gushaka ubuvuzi bw'ihutirwa bishobora kugutera amahoro.

Croup irashobora kwirindwa ite?

Nubwo udashobora kwirinda croup burundu, ushobora kugabanya ibyago by'umwana wawe ukurikije uburyo bwiza bwo kwita ku isuku no kugabanya kumenya virusi zandura mu nzira y'umwuka. Ibintu bimwe na bimwe byo kwirinda umwijima n'umuriro bishobora gufasha kwirinda croup.

Kwoza intoki kenshi ni kimwe mu bintu bikomeye byo kwirinda ikwirakwira rya virusi ziterwa na croup. Bigisha umwana wawe kwoza intoki neza, cyane cyane mbere yo kurya nyuma yo kuba ahantu hahurira abantu benshi.

Uburyo bwo kwirinda harimo:

• Kwoza intoki kenshi n'amazi n'isabune
• Kwirinda kwegera abantu barwaye
• Komeza umwana wawe mu rugo iyo arwaye
• Komeza umwana wawe ahabwe inkingo zisabwa
• Kwirinda kumenya itabi
• Kugira ubuzima bwiza muri rusange ukoresheje imirire myiza n'amasinziro

Niba umwana wawe amaze kugira croup, ashobora kongera kuyirwara. Ariko, ibintu bikunda kuba bito kurusha ibyabanje iyo abana bakuze kandi umuyoboro wabo w'umwuka ukura.

Icyo ukwiye kumenya kuri Croup?

Croup ni indwara isanzwe mu bana ishobora gutera ubwoba kurusha uko isanzwe imeze. Nubwo inkorora ikaze ishobora gutera ubwoba, abana benshi barakira neza mu rugo hakoreshejwe uburyo bworoshye bwo kwitaho no gukurikirana.

Icy'ingenzi cyo kwibuka ni uko croup isanzwe ikira yonyine mu cyumweru kimwe. Uburyo bwo kuvura mu rugo nko gukoresha amazi ashyushye, umwuka ukonje, no gutuma umwana wawe aruhuka bishobora gufasha cyane.

Gira icyizere imitekerereze yawe nk'umubyeyi kandi ntutinye gushaka ubuvuzi niba uhangayikishijwe no guhumeka kw'umwana wawe cyangwa niba asa n'umurwayi cyane. Abana benshi barwaye croup barakira neza bakoresheje uburyo bwo kwitaho kandi bagaruka mu mirimo yabo isanzwe mu minsi mike.

Ibibazo byakunda kubazwa kuri Croup

Croup imara igihe kingana iki?

Ibibazo byinshi bya croup bimara iminsi 3-7, ibimenyetso bikomeye bikunda kuba ku ijoro rya kabiri cyangwa rya gatatu. Inkorora ikaze ishobora kumara igihe kigera ku cyumweru kimwe, ariko igenda igabanuka. Umwana wawe agomba gutangira kuruhuka ku manywa nubwo ibimenyetso byijoro bikomeza.

Croup yandura?

Yego, croup yandura kuko iterwa na virusi zikwirakwira mu matonyanga iyo umwana wawe akose cyangwa akorora. Umwana wawe arandura cyane mu minsi mike ya mbere iyo afite umuriro n'ibimenyetso by'umwijima. Ashobora gusubira mu ishuri cyangwa crèche iyo umuriro umushize kandi akumva ameze neza.

Abakuze barwara croup?

Abakuze ntibakunda kurwara croup kuko umuyoboro wabo w'umwuka ari munini kurusha uw'abana. Iyo abakuze banduye virusi zimwe na zimwe ziterwa na croup mu bana, isanzwe iba umwijima usanzwe cyangwa indwara ntoya y'ubuhumekero. Inkorora ikaze cyane n'ingorane zo guhumeka ni ibintu byihariye ku muyoboro w'umwuka muto w'abana bato.

Ni ryari ukwiye kujyana umwana wawe mu bitaro kubera croup?

Jyana umwana wawe mu bitaro ako kanya niba afite ingorane zikomeye zo guhumeka, akora urusaku rukomeye igihe ahumeka ari amahoro, afite ibara ry'ubururu cyangwa icyatsi kibisi hafi y'akanwa cyangwa imisumari, adatuza cyane cyangwa adashobora guhumurizwa, cyangwa asa n'umurwayi cyane cyangwa bigoye kumukangurira. Ibyo bimenyetso bigaragaza ko kubyimba mu muyoboro w'umwuka ari byinshi kandi bisaba ubuvuzi bw'ihutirwa.

Umwana wanjye azongera kurwara croup niba amaze kuyirwara?

Abana bamwe barwara croup incuro nyinshi, cyane cyane niba bari hagati y'imyaka 1-3. Ariko, ibintu byisubiramo bikunda kuba bito kurusha ibyabanje. Umuyoboro w'umwuka w'umwana wawe ugenda ukura uko akura, bituma adahura n'ingorane zo guhumeka ziranga croup. Abana benshi barareka kurwara croup iyo bageze ku myaka 6.