Tawg

Croup yog ib qhov mob ntawm cov hlab cua sab saud uas ua rau ua pa nyuaj thiab hnoos "ua nplaum". Croup yog vim o ntawm ncig lub suab. Nws yog tus nquag muaj rau menyuam yaus thiab menyuam yaus.

Croup cuam tshuam rau cov menyuam muaj hnub nyoog 3 hlis txog 5 xyoos. Nws tuaj yeem tshwm sim tsis hais hnub nyoog li cas. Qee tus menyuam yaus feem ntau yuav mob plab thiab yuav kis tau ntau zaus. Feem ntau nws yog nruab nrab ntawm Lub Kaum Hli thiab Plaub Hlis, tab sis tuaj yeem tshwm sim thaum twg los xij ntawm lub xyoo.

Croup feem ntau yog tshwm sim los ntawm cov kab mob xws li parainfluenza RSV, qhua pias, adenovirus, thiab mob npaws. Yog muaj mob hnyav mas yuav ua mob nyoos. Tus mob no yog hu ua kab mob tua kab mob.

Croup-xws li cov tsos mob kuj yuav yog los ntawm:

• Kev ua xua
• Kev ua pa rau qee yam ua rau koj txoj hlab pa
• Acid tsis kam

Cov tsos mob tseem ceeb ntawm croup yog hnoos uas suab zoo li lub pob ntseg foob.

Cov menyuam feem ntau yuav tau khaub thuas txias thiab ua npaws kub rau ntau hnub ua ntej yuav hnoos thiab txhaws qa. Thaum uas hnoos heev zuj zus, tus menyuam yuav muaj teebmeem ua tsis taus pa lossis tsis muaj zog (ua pa nyuaj, ua nrov nrov thaum ua pa)

Croup yog li ib txwm ntau zuj zus thaum hmo ntuj. Nws feem ntau kav 5 los 6 hmo. Thawj hmo lossis ob zaug feem ntau yog qhov tsis zoo. Tsis tshua, croup tuaj yeem nyob rau lub lim tiam.Tham nrog koj tus menyuam tus kws saib xyuas kev noj qab haus huv yog tias kev mob caj dab ntev tshaj li ib lub lim tiam lossis rov qab los ua ntu zus.

Koj tus kws khomob yuav kuaj mob yav dhau los thiab nug koj tus menyuam cov tsos mob. Tus kws zov me nyuam yuav tshuaj xyuas koj tus menyuam lub hauv siab kom kuaj xyuas:

• Ua pa nyuaj hauv thiab tawm
• Whistling suab (hawb pob)
• Tsis hnov ​​suab cua kom tsawg
• Lub hauv siab rov qab ua pa nrog kev ua pa

Txoj kev kuaj mob caj pas yuav qhia ua pob liab qog. Hauv qee kis, xoo hluav taws xob lossis lwm yam kev ntsuas yuav xav tau.

Lub caj dab xoo hluav taws xob yuav qhia tawm cov khoom txawv teb chaws los yog txoj kev nqaim ntawm lub txaij.

Feem ntau ntawm cov croup yuav tswj tau muaj kev nyab xeeb hauv tsev. Txawm li cas los xij, koj yuav tsum hu rau koj tus kws kho mob kom muab tswv yim, txawm tias thaum ib tag hmo.

Cov kauj ruam koj nqa tau tom tsev muaj xws li:

• Tsuav koj tus menyuam kom txias lossis huab cua noo, xws li hauv chav da dej lossis sab nraum zoov hauv nruab hnub cua txias. Qhov no yuav muaj kev ua pa zoo.
• Teeb cua tshuab pa kom zoo rau hauv chav pw ntawm tus menyuam chav pw thiab siv nws li ob peb hmo.
• Ua kom koj tus menyuam nyob tau yooj yim dua los ntawm kev muab tshuaj acetaminophen. Cov tshuaj no tseem ua rau kub taub hau kom tus menyuam tsis ua pa nyuaj.
• Zam txhob siv cov tshuaj hnoos tshwj tsis yog tias koj tham nrog koj tus kws kho mob ua ntej.

Koj tus kws kho mob yuav sau ntawv tshuaj, xws li:

• Cov tshuaj steroid uas tau noj los ntawm qhov ncauj lossis los ntawm kev nqus tshuaj
• Tshuaj tua kab mob (rau qee yam, tab sis feem ntau tsis mob)

Koj tus menyuam yuav raug coj mus khomob hauv chav kub ntxhov lossis mus pw hauv tsev khomob yog tias:

• Muaj teeb meem ua pa uas tsis ploj lossis mob heev dua
• Ua rau nkees dhau vim yog ua pa teeb meem
• Muaj bluish daim tawv nqaij xim
• Yog tsis haus cov dej txaus

Cov tshuaj thiab kev kho mob siv hauv tsev kho mob suav nrog:

• Ua pa tshuaj uas muab lub tshuab pa tshuaj
• Cov tshuaj steroid tau muab los ntawm txoj hlab ntshav (IV)
• Lub tsev pheebsuab oxygen tso rau saum lub txaj menyuam yaus
• Dej muab los ntawm txoj hlab ntshav kom lub cev qhuav dej
• Tshuaj tua kab mob muab los ntawm txoj hlab ntshav

Tsis tshua muaj, yuav tau siv txoj hlab ua pa los ntawm qhov ntswg lossis qhov ncauj yuav pab tau koj tus menyuam ua pa.

Croup feem ntau yog mob sib khuav xwb, tab sis nws tseem tuaj yeem yog ib qho txaus ntshai. Feem ntau nws ploj mus hauv 3 rau 7 hnub.

Cov ntaub so ntswg uas npog lub caj pas (ua pa) yog hu ua epiglottis. Yog tus mob epiglottis kis tau, tag nrho cov hlab cua txhaws yuav tuaj yeem kaw. Nov yog kev phom sij.

Yog hais tias cov hlab cua txhaws ua tsis tau kho tam sim, tus me nyuam muaj teeb meem loj ua tsis taus pa lossis ua pa tau tag nrho.

Croup feem ntau tuaj yeem tswj hwm kev nyab xeeb hauv tsev nrog kev txhawb nqa xov tooj los ntawm koj tus kws kho mob. Hu rau koj tus kws kho mob yog koj tus me nyuam tsis teb kev kho mob hauv tsev los yog ua yeeb yam dua.

Hu 911 tamsis yog:

• Cov tsos mob mob caj dab yuav yog tshwm sim los ntawm cov ntxig lossis ntxig cov khoom.
• Koj tus menyuam muaj daim di ncauj xiav lossis tawv xim.
• Koj tus me nyuam ua poob.
• Koj tus me nyuam muaj teeb meem nqos.
• Muaj tawv ncauj (suab nrov thaum ua pa nkag).
• Muaj txoj hlua rub tawm ntawm cov leeg ntawm tus tav thaum twg ua pa.
• Koj tus menyuam tau ua pa nyuaj.

Qee cov kauj ruam los tiv thaiv kev kis mob yog:

• Ntxuav koj ob txhais tes kom ntau thiab zam kev nyob ze cov neeg muaj kab mob.
• Kev txhaj tshuaj kom raws sijhawm. Tus kab mob caj pas, Haemophilus mob npaws (Hib), thiab tshuaj tiv thaiv qhua pias pov hwm tiv thaiv menyuam yaus los ntawm qee qhov kev txaus ntshai tshaj plaws ntawm nyoos.

Viral croup; Laryngotracheobronchitis; Spasmodic croup; Tawv qhuav hnoos; Laryngotracheitis

• Lub ntsws
• Caj dab anatomy
• Lub thawv ntim

James P, Hanna S. Cov hlab pas thaiv ob sab sauv rau menyuam yaus. Hauv: Bersten AD, Handy JM, eds. Huag phau ntawv qhia kev saib xyuas hnyavCov. 8 tus ed. Philadelphia, PA: Elsevier; 2019: chap 106.

Rodrigues KK, Roosevelt GE. Acute inflammatory sab hauv txoj hlab pa phem (croup, epiglottitis, laryngitis, thiab kab mob tracheitis). Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: cha 412.

Rose E. Cov txheej txheem ua pa ceev ceev: txheej txheem hla ua pa thiab ua paug. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 167.

Yellon RF, Chi DH. Otolaryngology. Hauv: Zitelli BJ, McIntire Sc, Nowalk AJ, eds. Zitelli thiab Davis 'Atlas Kev Kuaj Mob Rau Menyuam yausCov. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 24.