Ukuqoqa

ICroup ukutheleleka kwemigwaqo yomoya engenhla edala ubunzima bokuphefumula kanye nokukhwehlela "kokukhonkotha". I-Croup ingenxa yokuvuvukala ezungeze izintambo zezwi. Kuvamile ezinganeni nasezinganeni.

I-Croup ithinta izingane ezineminyaka emithathu kuya kwengu-5 ubudala. Kungenzeka nganoma yisiphi isikhathi. Ezinye izingane zinamathuba amaningi okuthola i-croup futhi zingayithola kaningi. Kuvame kakhulu phakathi kuka-Okthoba no-Ephreli, kepha kungenzeka nganoma yisiphi isikhathi sonyaka.

I-croup ivame ukubangelwa amagciwane afana ne-parainfluenza RSV, isimungumungwane, i-adenovirus nomkhuhlane. Izimo ezinzima kakhulu ze-croup zingabangelwa amagciwane. Lesi simo sibizwa ngokuthi yi-bacterial tracheitis.

Izimpawu ezifana ne-croup nazo zingabangelwa:

• Ukungezwani komzimba
• Ukuphefumula okuthile okucasula indlela yakho yomoya
• I-Acid reflux

Uphawu olukhulu lwe-croup ukukhwehlela okuzwakala njengokukhonkotha kophawu.

Iningi lezingane lizoba nomkhuhlane ophansi obandayo futhi ophansi webanga izinsuku ezimbalwa ngaphambi kokukhwehlela ukukhwehlela nezwi elihoshozelayo. Njengoba ukukhwehlela kutholakala kaningi, ingane ingaba nenkinga yokuphefumula noma i-stridor (umsindo onzima, okhalayo owenziwe lapho uphefumula).

I-Croup imbi kakhulu ebusuku. Imvamisa ihlala ubusuku obungu-5 noma obungu-6. Ubusuku bokuqala noma obubili kuvame ukuba bubi kakhulu. Ngokuvamile, i-croup ingahlala amasonto.Khuluma nomhlinzeki wezokunakekelwa kwempilo yengane yakho uma i-croup ihlala isikhathi esingaphezu kwesonto noma ibuya kaningi.

Umhlinzeki wakho uzothatha umlando wezokwelapha futhi abuze mayelana nezimpawu zengane yakho. Umhlinzeki uzohlola isifuba sengane yakho ukuze ahlole:

• Kunzima ukuphefumula ngaphakathi nangaphandle
• Umsindo oshaywayo (ukushayana)
• Ukwehla komoya kuzwakala
• Ukuhoxiswa kwesifuba ngokuphefumula

Ukuhlolwa komphimbo kungaveza i-epiglottis ebomvu. Ezimweni ezimbalwa, ama-x-ray noma okunye ukuhlolwa kungadingeka.

I-x-ray yentamo ingaveza into yangaphandle noma ukunciphisa i-trachea.

Izimo eziningi ze-croup zingaphathwa ngokuphepha ekhaya. Kodwa-ke, kufanele ushayele umhlinzeki wakho ukuthola izeluleko, ngisho naphakathi kobusuku.

Izinyathelo ongazithatha ekhaya zifaka:

• Veza ingane yakho emoyeni opholile noma omanzi, njengasendlini yokugezela enesifutho noma ngaphandle emoyeni opholile wasebusuku. Lokhu kunganikeza ukukhululeka kokuphefumula.
• Setha i-vaporizer yomoya opholile ekamelweni lokulala lengane bese uyisebenzisa ubusuku obumbalwa.
• Yenza ingane yakho ikhululeke ngokunikeza i-acetaminophen. Lo muthi ubuye wehlise imfiva ngakho ingane ngeke kudingeke ukuthi iphefumule kanzima.
• Gwema imithi yokukhwehlela ngaphandle uma uxoxa ngayo nomhlinzeki wakho kuqala.

Umhlinzeki wakho angakunikeza imithi, efana nale:

• Imithi ye-steroid ethathwe ngomlomo noma nge-inhaler
• Imithi elwa namagciwane (kwabanye, kepha hhayi ezimeni eziningi)

Ingane yakho ingadinga ukwelashwa egumbini lezimo eziphuthumayo noma ukuhlala esibhedlela uma:

• Yiba nezinkinga zokuphefumula ezingapheli noma eziba zimbi kakhulu
• Ukhathele kakhulu ngenxa yezinkinga zokuphefumula
• Yiba nombala wesikhumba oluhlaza okwesibhakabhaka
• Awuphuzi uketshezi olwanele

Imithi kanye nokwelashwa okusetshenziswa esibhedlela kungafaka:

• Imithi yokuphefumula enikezwe ngomshini we-nebulizer
• Imithi ye-steroid enikezwa ngomthambo (IV)
• Itende le-oxygen elibekwe phezu kombhede
• Uketshezi olunikezwa ngomthambo wokuphelelwa amandla emzimbeni
• Ama-antibiotic anikezwa ngomthambo

Imvamisa, ithubhu lokuphefumula ngamakhala noma ngomlomo liyodingeka ukusiza ingane yakho ukuthi iphefumule.

I-Croup ivame ukuba mnene, kepha isengaba yingozi. Imvamisa iyahamba ngezinsuku ezi-3 kuye kwezi-7.

Izicubu ezihlanganisa i-trachea (i-windpipe) ibizwa nge-epiglottis. Uma i-epiglottis ingenwa yileli gciwane, i-windpipe yonke ingavuvukala ivaleke. Lesi yisimo esisongela impilo.

Uma ukuvinjelwa komoya kungalashwa ngokushesha, ingane ingaba nenkinga enkulu yokuphefumula noma ukuphefumula kungama ngokuphelele.

Iningi le-croup lingaphathwa ngokuphepha ekhaya ngosizo lwefoni oluvela kumhlinzeki wakho. Shayela umhlinzeki wakho uma ingane yakho ingaphenduli ekwelashweni kwasekhaya noma yenza okucasulayo ngokwengeziwe.

Shayela ku-911 ngokushesha uma:

• Izimpawu ze-Croup kungenzeka ukuthi zibangelwe ukuntinyelwa yizinambuzane noma into ehogelwayo.
• Ingane yakho inezindebe eziluhlaza okwesibhakabhaka noma umbala wesikhumba.
• Ingane yakho iconsa amathe.
• Ingane yakho inenkinga yokugwinya.
• Kukhona i-stridor (umsindo lapho uphefumula).
• Kukhona ukudonswa kwemisipha phakathi kwezimbambo lapho uphefumulela ngaphakathi.
• Ingane yakho inenkinga yokuphefumula.

Ezinye zezinyathelo okufanele zithathwe ukuvikela ukutheleleka yilezi:

• Geza izandla zakho njalo futhi ugweme ukuxhumana okuseduze nabantu abanesifo sokuphefumula.
• Ukugonywa ngesikhathi esifanele. Udiphtheria, Haemophilus influenzae (Hib), kanye nemithi yokugomela isimungumungwane ivikela izingane kwezinye izinhlobo eziyingozi kakhulu ze-croup.

I-croup yegciwane; I-Laryngotracheobronchitis; I-Spasmodic croup; Ukukhwehlela ukukhwehlela; I-Laryngotracheitis

• Amaphaphu
• Ukwakheka komphimbo
• Ibhokisi lezwi

UJames P, uHanna S. Ukuvinjelwa komoya phezulu ezinganeni. Ku: Bersten AD, Handy JM, eds. Ibhukwana Lokunakekela Abagula Ngokujulile. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 106.

URodrigues KK, uRoosevelt GE. Ukuvinjelwa okunamandla okuphefumulayo okuphezulu komoya (i-croup, i-epiglottitis, i-laryngitis, ne-tracheitis yebhaktheriya). Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 412.

Izimo eziphuthumayo zokuphefumula kwezingane zikaRose E. Pediatric: ukuvimba okuphezulu komoya kanye nezifo. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 167.

I-Yellon RF, i-Chi DH. I-Otolaryngology. Ku: Zitelli BJ, McIntire Sc, Nowalk AJ, ama-eds. UZitelli noDavis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 24.