Croup

ʻO Croup kahi maʻi o nā alaloa kiʻekiʻe e kū i ka hanu paʻakikī a me ka ʻū "barking". Kūpono ʻo Croup i ka pehu a puni nā kaula leo. He mea mau ia i nā pēpē a me nā keiki.

Hoʻopili ka Croup i nā keiki mai nā makahiki 3 a 5 mau makahiki. Hiki iā ia ke hana i kēlā me kēia makahiki. Loaʻa paha kekahi mau keiki i ka croup a loaʻa iā ia i mau manawa. ʻO ka mea maʻamau ma waena o ʻOkakopa a ʻApelila, akā hiki ke hana i kēlā me kēia manawa o ka makahiki.

Hoʻokumu pinepine ʻia ʻo Croup e nā virus e like me parainfluenza RSV, measles, adenovirus, a me influenza. Hoʻokumu ʻia nā hihia ʻoi loa o ka croup e nā bacteria. Kapa ʻia kēia ʻano he tracheitis bacteria.

Hoʻokumu pū ʻia nā ʻōuli e like me ka Croup e:

• Nā Pāhoihoi
• Ka hanu ʻana i kekahi mea e hoʻonāukiuki i kou ala ea
• ʻO ka reflux ʻakika

ʻO ka hōʻailona nui o ka croup kahi ʻūhū e like me ke kani o ka sila.

ʻO ka hapanui o nā keiki e loaʻa i ke kuni anuanu haʻahaʻa a haʻahaʻa no kekahi mau lā ma mua o ka ʻū ʻana i ka ʻū a me ka leo uō. Ke hele pinepine a ka ʻūhū, pilikia paha ke keiki i ka hanu ʻana a i ʻole ke stridor (kahi kani ikaika, kani i ka wā e hanu ai).

ʻOi aku ka maikaʻi o ka Croup i ka pō. Lōʻihi pinepine ia i 5 a i ʻole 6 mau pō. ʻO ka pō mua a ʻelua paha ka mea i ʻoi aku ka maikaʻi ʻole. Kākaʻikahi, hiki i ka croup ke hala i mau pule.E kamaʻilio me kāu kahu mālama ola inā lōʻihi ka lōʻihi o ka croup ma mua o hoʻokahi pule a hoʻi pinepine paha.

E lawe kāu mea hoʻolako i ka mōʻaukala olakino a nīnau e pili ana i nā hōʻailona o kāu keiki. E nānā ka mea hāʻawi i ka umauma o kāu keiki e nānā no:

• Paʻa i ka hanu ʻana a i waho
• Pākuʻi kani (wheezing)
• Kani ka hanu hōʻemi
• Hoʻopau ka umauma me ka hanu ʻana

Hōʻike kahi hōʻike o ka puʻu i kahi epiglottis ʻulaʻula. I kekahi mau hihia, pono paha i nā kukuna x a i ʻole nā ​​hoʻokolohua ʻē aʻe.

Hōʻike kahi x-ray ʻāʻī i kahi mea haole a i ʻole ka ʻiki ʻana o ka trachea.

ʻO ka hapa nui o nā hihia o ka croup hiki ke mālama pono ʻia ma ka home. Eia nō naʻe, pono ʻoe e kāhea i kāu mea hoʻolako no nā ʻōlelo aʻo, i ke aumoe ʻana o ka pō.

Nā ʻanuʻu hiki iā ʻoe ke hana ma ka home e:

• Hōʻike i kāu keiki i ke anuanu a maʻū paha i ka ea, e like me i loko o ka lua holo wai uahi a i ʻole ma waho o ka ea hau anuanu. Hāʻawi paha kēia i kahi hanu hanu.
• E hoʻonohonoho i kahi vaporizer ea anuanu i loko o ka lumi moe o ke keiki a hoʻohana ia no kekahi mau pō.
• E hōʻoluʻolu i kāu keiki ma ka hāʻawi ʻana i ka acetaminophen. Hoʻohaʻahaʻa nō hoʻi kēia lāʻau i ke kuni, no laila ʻaʻole e hanu paʻakikī ke keiki.
• Hōʻalo i nā lāʻau batala ke ʻole ʻoe e kūkākūkā me lākou me ka mea hāʻawi mua.

Kauoha paha kāu mea hāʻawi i nā lāʻau, e like me:

• Lawe ʻia nā lāʻau Steroid e ka waha a i ʻole ma o ka inhaler
• ʻO ka lāʻau Antibiotic (no kekahi, akā ʻaʻole ka hapanui o nā hihia)

Pono e mālama ʻia kāu keiki i ka lumi pilikia a i ʻole noho ma ka haukapila inā lākou:

• Loaʻa nā pilikia hanu e hele ʻole a maikaʻi ʻole paha
• Luhi nui loa ʻoe no ka pilikia o ka hanu
• E ʻili kaʻili bluish
• ʻAʻole lawa ka inu ʻana i nā wai

ʻO nā lāʻau a me nā lāʻau i hoʻohana ʻia ma ka haukapila e hoʻopili pū paha:

• Hāʻawi ʻia nā lāʻau hanu me ka mīkini nebulizer
• Hāʻawi ʻia nā lāʻau Steroid ma o ke aa (IV)
• ʻO kahi hale lole oxygen e kau ʻia ma luna o kahi moe
• Hāʻawi ʻia nā wai i loko o ke aa no ka make wai
• Hāʻawi ʻia nā antibiotic ma o ke aa

Kākaʻikahi ka puʻuwai hanu ma ka ihu a me ka waha e pono ai e kōkua i kāu keiki e hanu.

Māmā pinepine ka Croup, akā hiki ke makaʻu. Hele pinepine ia i 3 a 7 mau lā.

ʻO kaʻiʻo e uhi ana i ka trachea (windpipe) i kapa ʻia ʻo epiglottis. Inā hele a maʻi ka epiglottis, hiki i ka pehu holoʻokoʻa ke pehu. He kūlana hoʻoweliweli kēia i ke ola.

Inā ʻaʻole e mālama koke ʻia kahi kahakaha airway, hiki i ke keiki ke loaʻa i kahi pilikia koʻikoʻi ka hanu ʻana a i ʻole ka hanu ʻana e pau loa.

Hiki ke mālama palekana ʻia ka hapa nui o ka croup ma ka home me ke kākoʻo kelepona mai kāu mea hāʻawi. Kāhea i kāu mea hāʻawi inā ʻaʻole kāu keiki e pane i ka mālama ʻana i ka home a i ʻole ke huhū nei.

Kāhea koke iā 911 inā:

• Hoʻokumu ʻia nā ʻōuli o ka croup e kahi mea kolo a i ʻole mea i huki ʻia.
• He lehelehe bluish a ʻokoʻa ka ʻili o kāu keiki.
• Ke hoʻoheheʻe nei kāu keiki.
• Pilikia kāu keiki i ka ale ʻana.
• Aia ke stridor (kahi walaʻau ke hanu i loko).
• Aia kekahi komo ʻana o nā mākala ma waena o nā iwi ʻaoʻao i ka hanu ʻana i loko.
• Ke hakakā nei kāu keiki e hanu.

ʻO kekahi o nā kaʻina e lawe ʻia e pale i ka maʻi.

• E holoi pinepine i kou mau lima a pale i ka pili kokoke me nā poʻe i loaʻa i ka maʻi hanu.
• Hoolauna manawa pono. ʻO ka diphtheria, Haemophilus influenzae (Hib), a me nā lāʻau koʻokoʻo no ka maʻi ʻula e pale aku i nā keiki mai kekahi o nā ʻano weliweli loa o ka croup.

Virgo croup; Laryngotracheobronchitis; Pāpaʻa Spasmodic; ʻUha kukū; Laryngotracheitis

• Lungs
• Anatomia kuʻi
• Pahu leo

ʻO James P, Hanna S. ʻO ke alaloa o ke ala kiʻekiʻe i nā keiki. I: Bersten AD, Handy JM, nā huahana. Manuahi Manaʻo Kākoʻo Oh. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 106.

ʻO Rodrigues KK, Roosevelt GE. ʻO ke ākea o ke ala ākea ākea ākea (croup, epiglottitis, laryngitis, a me ka tracheitis bacteria). I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 412.

ʻO Rose E. Pediatric respiratory respiratory emergency: ʻo ke alalai ākea o luna a me nā maʻi. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 167.

ʻO Yellon RF, ʻo Chi DH. ʻĀtolaryngology. I: Zitelli BJ, McIntire Sc, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 24.