Uyini i-Croup? Izimpawu, Izimbangela, Nokwelapha

I-Croup yisifo esivamile kubantwana esibangela ukukhokha okukhulu okufana nokukhokha kommbila nobunzima bokuqeda umoya. Kwenzeka lapho ibhokisi yezwi ne-windpipe zifuvukile futhi zivuvukile, ngokuvamile ngenxa yokutheleleka kwe-viral.

Abantwana abaningi abane-croup bayaphila ngokuphelele ngaphakathi kweviki ngokunakekelwa okulula ekhaya. Nakuba ukukhokha okukhulu kungase kuzwakale kukhulu, ikakhulukazi ebusuku, i-croup ngokuvamile ilula futhi ilawuleka ekhaya.

Uyini i-Croup?

I-Croup yisifo esibangela ukufuvukala endleleni yomoya ephezulu yengane yakho, ikakhulukazi eduze nebhokisi yezwi (larynx) ne-windpipe (trachea). Lokhu kufuvukala kudala ukukhokha okukhulu okufana nokukhokha kommbila.

Leli simo ngokuvamile lihlasela abantwana abaneminyaka engu-6 kuya kwengu-6. Izindlela zabo zomoya zincinyane kunabantu abadala, okwenza babe lula kakhulu ekuqedeni umoya lapho kufuvukala.

I-Croup ngokuvamile iqala njengesiqhingi esivamile ngempumulo ephumayo nomkhuhlane. Kodwa-ke, ngaphakathi kosuku noma amabili, ukukhokha okukhulu kuvela, ngokuvamile kuba kubi ebusuku.

Ziyini Izimpawu ze-Croup?

Uphawu olukhulu lwe-croup yikukhokha okukhulu, okukhulu, okufana nokukhokha kommbila. Lokhu kukhokha ngokuvamile kuvela ngemva kokuba ingane yakho inesimpawu esihlungu usuku noma amabili.

Nazi izimpawu eziyinhloko ongaziqaphela:

• Ukukhokha okukhulu okubi kakhulu ebusuku nasekuseni kwasekuseni
• Izwi elihluphekile noma ukukhala
• Ukuqeda umoya okukhulu lapho uqeda umoya (okubizwa ngokuthi yi-stridor)
• Umkhuhlane, ngokuvamile omncinyane
• Impumulo ephumayo nokuvalela
• Ubunzima bokuginya
• Ukuphazamiseka, ikakhulukazi lapho ukuqeda umoya kuqala ukuba nzima

Izimpawu ngokuvamile ziya futhi ziye, ingane yakho izizwe ilungile emini futhi ibe kubi ebusuku. Leli phethini liyenzeka ngoba ukuphumula phansi kungandisa ukufuvukala ezindleleni zomoya.

Ziyini Izinhlobo ze-Croup?

Kunezinhlobo eziningi ze-croup, nakuba i-croup ye-viral iyona evamile kakhulu. Ukuqonda izinhlobo ezahlukene kungakusiza wazi ukuthi yini okulindeleke.

I-croup ye-viral imelela cishe u-95% wazo zonke izimo ze-croup. Ibangelwa ama-virus avamile afana ne-parainfluenza virus, futhi ngokuvamile ihlala izinsuku ezingu-3-7 ngezimpawu ezilawuleka ekhaya.

I-croup ye-spasmodic ivela ngokuzumayo, ngokuvamile ebusuku, ngaphandle kwesimpawu esivamile sobuhlungu kuqala. Abantwana abanelilo hlobo bangaba nezimo eziphindaphindayo, futhi kubonakala sengathi kuhlobene nezifo ze-allergy noma i-acid reflux.

I-croup ye-bacterial iyincani kakhulu kodwa iyingozi kakhulu. Ingabangela ubunzima obukhulu bokuqeda umoya nomkhuhlane ophezulu. Lolo hlobo ludinga ukunakekelwa kwezokwelapha ngokushesha futhi ngokuvamile ukungena esibhedlela.

Yini ebangela i-Croup?

I-Croup ngokuvamile ibangelwa ama-virus athelelela indlela yomoya ephezulu. I-parainfluenza virus iyona ebangela izimo eziningi, nakuba amanye ama-virus amaningi angaqala leli simo.

Lapho la ma-virus ethelelela umlomo nengxenye yebhokisi yezwi yengane yakho, abangela ukufuvukala nokuvuvukala. Ngenxa yokuthi izindlela zomoya zabantwana zincinyane kakhulu kunabantu abadala, ngisho nokuvuvukala okuncane kungenza kube nzima ukuqeda umoya futhi kudale leso sikhulu.

Nazi izimbangela eziyinhloko:

• I-Parainfluenza virus (evamile kakhulu)
• I-Respiratory syncytial virus (RSV)
• I-Human metapneumovirus
• Ama-virus e-Influenza A ne-B
• I-Adenovirus
• I-Rhinovirus (i-virus yempumulo evamile)

Ezimweni ezingavamile, ukutheleleka kwe-bacterial njenge-Staphylococcus aureus noma i-Streptococcus pneumoniae kungabangela i-croup. Lezi zimo ze-bacterial ngokuvamile zibucayi kakhulu futhi zingadinga ukwelashwa ngama-antibiotic.

Nini Okufanele Ubone Udokotela Nge-Croup?

Izimo eziningi ze-croup zingaphathwa ngokuphepha ekhaya ngezindlela ezilula. Noma kunjalo, kufanele uxhumane nodokotela wakho uma izimpawu zengane yakho zibonakala ziba zimbi noma uma ukhathazekile ngokuqeda umoya kwayo.

Shaya udokotela wakho ngesikhathi samahora okuqala uma ingane yakho inomkhuhlane ophikelelayo ngaphezu kuka-103 ° F (39.4 ° C), ayiphuzi amanzi anele, noma uma ukukhokha kuphazamisa kakhulu ubuthongo ubusuku obuningi.

Funani ukunakekelwa okusheshayo kwezimo eziphuthumayo uma uqaphela lezi zibonakaliso zezixwayiso:

• Ubunzima bokuqeda umoya noma ukusebenza kanzima ukuqeda umoya
• Ukuqeda umoya okukhulu lapho ukhulu
• Ukudonsa kwesikhumba eduze kwamaphaphu lapho uqeda umoya
• Umbala oluhlaza okwesibhakabhaka noma oluhlaza olukhulu emlonyeni, empumulweni, noma ezinzipeni
• Ukuphazamiseka okukhulu noma ubunzima bokuhlala uphapheme
• Ukukhipha umthondo noma ubunzima bokuginya
• Umkhuhlane ophezulu ngesimo esibuhlungu kakhulu sesifo

Thembani izinzwa zakho njengomzali. Uma kukhona okungazweli kahle noma ingane yakho ibonakala ingaphili kahle, kuhlale kungcono ukufuna iseluleko sezokwelapha.

Ziyini Izici Zengozi ze-Croup?

Izici ezithile zingenza ingane yakho ibe lula kakhulu ekuthuthukiseni i-croup noma ibe nezimpawu ezimbi kakhulu. Ubudala yiyona nto eyingozi kakhulu, ngezimo eziningi ezenzeka kubantwana abaneminyaka engaphansi kwengu-6.

Abantwana abaneminyaka engu-1 kuya kwengu-2 banengozi enkulu kakhulu ngoba izindlela zabo zomoya zisesigabeni esincane sokuthuthuka. Abantwana besilisa nabo banengozi enkulu yokuthola i-croup kunabantwana besifazane, nakuba odokotela bangaqiniseki ukuthi kungani.

Ezinye izici zengozi zifaka:

• Ukuzalwa ngaphambi kwesikhathi (izindlela zomoya ezincane)
• Umlando wezimo ze-croup zangaphambili
• Ukudalulwa ukubhema utshwala
• Ukuya esikoleni sokuqala noma esikoleni
• Umlando womndeni we-croup
• Izimo ezithile zezokwelapha ezihlasela indlela yomoya

Ukuba nalezi zici zengozi akusho ukuthi ingane yakho izothola i-croup. Abantwana abaningi abanezici zengozi abazitholi leli simo, kanti abanye abangenazo izici zengozi bayazithola.

Ziyini Izingozi Ezingaba khona ze-Croup?

Iningi labantwana abane-croup liyaphila ngokuphelele ngaphandle kwemiphumela ehlala njalo. Izingozi ezinkulu zingezona ezivamile, ezenzeka ngaphansi kuka-5% yezimo, ngokuvamile lapho indlela yomoya icishe ivalwe ngokuphelele.

Ingozi ephazamisayo kakhulu yilona bunzima obukhulu bokuqeda umoya oludinga ukwelashwa okusheshayo. Lokhu kwenzeka lapho ukufuvukala kuba khulu kangangokuthi kuvala indlela yomoya.

Izingozi ezingaba khona zifaka:

• Ubunzima obukhulu bokuqeda umoya oludinga ukungena esibhedlela
• Ukutheleleka okubili kwe-bacterial kwamaphaphu
• Ukuphelelwa amanzi ngenxa yobunzima bokuqeda ukudla nokuphuza
• Ukutheleleka kwezindlebe (okuvamile ngezifo ze-viral)
• Ukuphazamiseka kokulala okubangela ukukhathala

Ezimweni ezingavamile kakhulu, ukuvalwa okuphelele kwendlela yomoya kungenzeka, okuyisimo esiphuthumayo sezokwelapha. Noma kunjalo, ngokubeka iliso okulungile nokunakekelwa, abantwana abaningi abane-croup abazitholi izingozi ezinkulu.

I-Croup Ihlonishwa Kanjani?

Odokotela ngokuvamile bangakwazi ukuxilonga i-croup ngokulalela ukukhokha okukhulu kwengane yakho nokuqaphela izindlela zokuqeda umoya kwayo. Isandi siyingqayizivele futhi sihlukile kwezinye izinhlobo zokukhokha.

Udokotela wakho uzohluza umlomo wengane yakho, alalele ukuqeda umoya kwayo nge-stethoscope, futhi ahlole izimpawu zobunzima bokuqeda umoya. Bayobuza futhi ngesikhathi izimpawu zaqala nokuthi ziye zathuthuka kanjani.

Ezimeni eziningi, azikho izivivinyo ezikhethekile ezidingekayo. Noma kunjalo, uma udokotela wakho ekhathazekile ngobunzima noma ecindezela izingozi, angase ancome:

• I-Pulse oximetry ukuhlola amazinga oksijini
• I-Chest X-ray ukuqeda ezinye izimo
• I-Neck X-ray ukubona ukufuvukala kwendlela yomoya
• I-Throat swab (ngokungavamile, ukuhlola ukutheleleka kwe-bacterial)

Ukuhlonishwa ngokuvamile kulula, futhi ukwelashwa kungaqala ngokushesha ngokuhlolwa kwezokwelapha kuphela.

Uyini Ukwelashwa kwe-Croup?

Ukwelashwa kwe-croup kugxila ekunciphiseni ukufuvukala kwendlela yomoya nokwenza ingane yakho izizwe iphephile. Abantwana abaningi bangaphathwa ngempumelelo ekhaya ngezindlela ezilula nokuqapha okuqonde.

Nge-croup elula, izindlela zokunethezeka nezindlela zokwelapha ekhaya ngokuvamile zanele. Udokotela wakho angase ancome umthamo owodwa we-oral corticosteroids (njenge-prednisolone) ukunciphisa ukufuvukala, okungase kunikeze impumuzo ngaphakathi kwamahora ambalwa.

Ukwelashwa kwezokwelapha kungafaka:

• I-Oral corticosteroids (ukwelashwa okuvamile kakhulu okuqokiwe)
• I-Nebulized epinephrine (ezimweni ezinkulu ezimweni eziphuthumayo)
• Ukwelashwa ngokusiza ngokusiza (uma amazinga oksijini ephansi)
• Amanzi e-IV (uma ingane yakho iphelelwa amanzi)
• Ukungeniswa esibhedlela (ngobunzima obukhulu bokuqeda umoya)

Ama-antibiotic awusizi nge-croup ye-viral, kungakho angaqokwa kancane. Ukuqapha kugxile ekunakekelweni okusiza nokunciphisa ukufuvukala ezindleleni zomoya.

Indlela Yokunikeza Ukwelashwa Ekhaya Ngesikhathi se-Croup?

Ukukhathalela ekhaya kudlala indima ebalulekile ekusizeni ingane yakho izizwe ilungile futhi iphulukane ne-croup. Okubalulekile ukuthi ugcine ingane yakho ithulile futhi iphephile ngenkathi uqapha ukuqeda umoya kwayo.

Umgqomo ungasiza ekuthuthukiseni ukufuvukala kwendlela yomoya nokwenza ukuqeda umoya kube lula. Ungadala indawo enomqomo ngokugijimisa i-shower eshisayo nokuhlala egumbini lokugezela nengane yakho imizuzu engu-10-15.

Nazi izindlela zokwelapha ekhaya eziphumelelayo:

• Sebenzisa i-humidifier enomqomo opholile egumbini lengane yakho
• Thatha ingane yakho ngaphandle ukuze iqede umoya opholile ebusuku
• Gcina ingane yakho ithulile futhi uyiduduze lapho ikhathazekile
• Nikeza amanzi amaningi ukuvimbela ukuphelelwa amanzi
• Phakamisa ikhanda lengane yakho kancane ngenkathi iphumula
• Nikeza i-acetaminophen noma i-ibuprofen ngomkhuhlane nangosizi

Gwema ukunikeza imithi yokukhokha, njengoba ayisizi nge-croup futhi ingenza ingane yakho ibe buthuntu lapho udinga ukuqapha ukuqeda umoya kwayo eduze.

Kufanele Uzilungiselele Kanjani Ukuya Kulodokotela Wakho?

Ukuba ulungile ukuya kudokotela wakho kungasiza ukuqinisekisa ukuthi uthola ulwazi oluwusizo kakhulu nenqubo yokwelapha yengane yakho. Bhala phansi imibuzo yakho ngaphambili ukuze ungayikhohlwa ngesikhathi sokuya kudokotela.

Gcina ulandelela izimpawu zengane yakho, kufaka phakathi ukuthi zaqala nini, zazingakanani, nokuthi yini ebonakala izenza zibe ngcono noma zibe zimbi. Lolu lwazi lusiza udokotela wakho ahlole isimo ngokuqondile.

Letha lolu lwazi ekuhambeni kwakho kudokotela:

• Uhlu lwezimpawu zamanje nokuthi zaqala nini
• Imithi yengane yakho esiyithathayo
• Ukufunda komkhuhlane wengane yakho
• Imibuzo mayelana nokukhathalela ekhaya nokuthi yini okufanele uyilandele
• Umlando wezokwelapha wengane yakho nanoma yiziphi izimo ze-croup zangaphambili

Ungangabazi ukubuza ngezibonakaliso zezixwayiso ezizodinga ukunakekelwa kwezokwelapha okusheshayo. Ukuqonda ukuthi nini kufanele ufunane ukunakekelwa okusheshayo kungakunika ukuzola kwengqondo.

I-Croup Ingavimbeka Kanjani?

Nakuba ungakwazi ukuvimbela ngokuphelele i-croup, unganciphisa ingozi yengane yakho ngokulandela izindlela ezinhle zokuhlambalaza nokunciphisa ukudalulwa kuma-virus omkhuhlane. Izindlela ezifanayo ezivimbela izifo zokuphefumula kanye ne-flu zingasiza ekuvimbeleni i-croup.

Ukugeza izandla njalo yindlela ephumelelayo kakhulu yokuvimbela ukusabalala kwama-virus abangela i-croup. Fundisa ingane yakho ukugeza izandla kwayo ngokuphelele, ikakhulukazi ngaphambi kokudla nangemva kokuba ibe ezindaweni zomphakathi.

Izindlela zokuvimbela zifaka:

• Geza izandla njalo ngesepha namanzi
• Gwema ukuxhumana eduze nabantu abagulayo
• Gcina ingane yakho ekhaya lapho igulayo
• Qinisekisa ukuthi ingane yakho ithola ukugonywa okuqokiwe
• Gwema ukudalulwa ukubhema utshwala
• Gcina impilo enhle ngokudla okulungile nokulala

Uma ingane yakho inesifo se-croup ngaphambili, ingase ibe lula kakhulu ukuyithola futhi. Noma kunjalo, izimo ngokuvamile ziyahlala ziba zimbi kakhulu njengoba abantwana bekhula futhi izindlela zabo zomoya zikhula.

Iyini Iphuzu Eliyinhloko Mayelana ne-Croup?

I-Croup yisifo esivamile kubantwana esizwakala sikhulu kakhulu kunalokho okuvamile. Nakuba ukukhokha okukhulu kungase kuvele, abantwana abaningi bayaphila ngokuphelele ekhaya ngokunakekelwa okulula nokuqapha.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-croup ngokuvamile iphulukana ngokwayo ngaphakathi kweviki. Izindlela zokwelapha ekhaya njengomgqomo, umoya opholile, nokuhlala ingane yakho ithulile kungakunikeza impumuzo enkulu.

Thembani izinzwa zakho njengomzali futhi ungangabazi ukufuna ukunakekelwa kwezokwelapha uma ukhathazekile ngokuqeda umoya kwengane yakho noma uma ibonakala ingaphili kahle. Abantwana abaningi abane-croup bayenza kahle kakhulu ngokunakekelwa okusiza futhi babuyele emisebenzini yabo evamile ngaphakathi kwezinsuku ezimbalwa.

Imibuzo Evamile Ebuzwayo Mayelana ne-Croup

I-Croup ihlala isikhathi esingakanani?

Izimo eziningi ze-croup zihlala izinsuku ezingu-3-7, ngezimpawu ezimbi kakhulu ezivela ngokuvamile ebusuku lesibili noma lesithathu. Ukukhokha okukhulu kungase kuqhubeke kuze kube yiviki, kodwa kancane kancane kuya kuba buthuntu. Ingane yakho kufanele iqale izizwe ilungile emini ngisho noma izimpawu zobusuku ziqhubeka.

Ingabe i-croup iyadluliseka?

Yebo, i-croup iyadluliseka ngoba ibangelwa ama-virus asabalala ngamaconsi lapho ingane yakho ikhokha noma ikhala. Ingane yakho iyadluliseka kakhulu ezinsukwini ezimbalwa zokuqala lapho inomkhuhlane nezimpawu zokuphefumula. Ngavamile bangabuyela esikoleni sokuqala noma esikoleni uma umkhuhlane usudlulile futhi bazizwa bephilile.

Abantu abadala bangayithola yini i-croup?

Abantu abadala abayitholi kancane i-croup ngoba izindlela zabo zomoya zikhulu kakhulu kunabantwana. Lapho abantu abadala batheleleka ngama-virus afanayo abangela i-croup kubantwana, ngokuvamile bathola isiqhingi esivamile noma ukutheleleka okuncane kwesigaxa somoya. Ukukhokha okukhulu nobunzima bokuqeda umoya kuqondene nezindlela zomoya ezincane zabantwana abancane.

Nini okufanele ngiyithathe ingane yami e-emergency room ngenxa ye-croup?

Thatha ingane yakho e-emergency room ngokushesha uma inobunzima obukhulu bokuqeda umoya, yenza umsindo omkhulu lapho iqeda umoya, inombala oluhlaza okwesibhakabhaka noma oluhlaza olukhulu emlonyeni noma ezinzipeni, iphazamiseke kakhulu noma ingadudulwa, noma ibonakala ilalele kakhulu noma kunzima ukuyivusa. Lezi zimpawu zibonisa ukuthi ukufuvukala kwendlela yomoya kukhulu futhi kudinga ukunakekelwa kwezokwelapha okusheshayo.

Ingane yami izothola yini i-croup futhi uma isike yaba nayo ngaphambili?

Abantwana abathile bayithola i-croup ngaphezu kwesikhathi esisodwa, ikakhulukazi uma baneminyaka engu-1-3. Noma kunjalo, izimo eziphindaphindayo ngokuvamile azibi kakhulu kuneyokuqala. Njengoba izindlela zomoya zengane yakho zikhula ngokukhula, ziyahlala ziba lula kakhulu ekuqedeni umoya okubangela i-croup. Abantwana abaningi bayakhula ngokuthambekela ekuthuthukiseni i-croup ngeminyaka engu-6.