Monday, April 24, 2017

CROUP : understanding, symptom, Cause, diagnosis, Treatment and complication

Definition Croup

Croup is one type of respiratory infections commonly experienced children aged six months to three years, but can also affect children older. Croup usually caused by a virus that affects the larynx or voice box and trachea, or windpipe, both the entrance of air into the lungs. Infections of the upper respiratory tract have resulted in a typical sound like a barking cough.
CROUP : understanding, symptom, Cause, diagnosis, Treatment and complication

Causes Croup

A common cause of croup is a parainfluenza virus. Compared to other parainfluenza viruses that are in the family, parainfluenza virus type I is the most virus causes croup. The virus is spread through contact with people, objects, or any surface that has been contaminated. The virus can also spread through the air by sneezing and coughing. Several other viruses that can lead to croup are flu virus (influenza A and B), measles, common cold (rhinovirus), enterovirus (disease causing hand, foot, and mouth), and RSV (cause of pneumonia in infants).
Croup can be experienced more than once during childhood and generally occur at the same time with outbreaks of flu and colds. Boys are more affected by this disease than girls. Viral infections cause swelling of the larynx and trachea blockage which can also affect the lungs.
In addition to viral infections, bacterial infections can also be a cause. Several other conditions can also cause croup, such as accidentally inhaling a small object or substance (eg, peanuts), inflammation of the area of the epiglottis (epiglottitis), and allergies. Inhaling chemicals can also cause inflammation and trigger croup conditions, as well as the state of acid secretion from the stomach to the throat or acid reflux.

symptoms of Croup

Some of the symptoms that resemble the flu can be experienced by the child a few days before the onset of croup symptoms, such as a runny nose, sore throat, cough, and fever that can last up to several days.
Common symptoms of croup which then accompanies these conditions, such as difficulty breathing, hoarse voice, cough sounds like barking loud and high-pitched sounds rough when breathed. Voice and these symptoms will be more easily heard and get worse when the child cries or when they sleep at night. These symptoms can last a few days to two weeks.
See your doctor if your child has more serious symptoms, such as shortness of breath by breath taking distance is too close to the child difficult to speak or eat or drink. Listen to the sound of the child's chest to check breathing, heartbeat rhythm quickened or otherwise. Note the child becomes restless, easily annoyed, and always feel tired and sleepy. A cough aggravated, fever, skin changes color to turn blue or pale, as well as the sternum and the ribs, are increasingly seen also be considered a symptom that requires immediate medical treatment.
Examination conducted their own child's throat is not recommended because it can adversely affect the airways and increase swelling makes breathing becomes increasingly difficult. Bring your child to the doctor to get a diagnosis and treatment in accordance with the symptoms.

Diagnosis Croup

Learn the symptoms and check the physical condition of the patient, such as a cough and fever, can be done to narrow the alleged cause of croup. The doctor may perform a test to determine the levels of oxygen in the blood ( pulse OXYMETRY ) and determining the need for treatment in a hospital or at home.
Several other disorders, such as disorders of the airways, an abscess in the throat tissue, and allergic reactions have symptoms similar to croup. Therefore some additional tests, such as the scanning of the chest or the upper trachea, may be done to rule out factor is not the cause of this condition.

treatment of Croup

Provision of adequate fluid required in dealing with mild croup at home to prevent dehydration in children. Water, breast milk, or formula can be given to infants as well as older children. Make children feel comfortable and calm because crying may exacerbate the symptoms of this condition. Doctors can give a kind of oral corticosteroids medications that will help relieve swelling in the throat and special child paracetamol to relieve fever and pain that arise.
Note the side effects due to an administration of these drugs, such as anxiety, dizziness, stomach disorders, and vomiting. These drugs are also available in liquid form and can be obtained for free at the pharmacy or supermarket. Do not give cough medicines or decongestants because it can harm a child who was having trouble breathing. Children aged under 16 years old should not be given aspirin. Talk with your doctor or pharmacist about the kind of medicine that is appropriate for your child's condition and age.
Children who continue to experience respiratory problems should immediately consult a physician as it may require further treatment in the hospital. A shot of adrenaline through a nebulizer can reduce the symptoms of croup are getting worse. Kids will inhale the drug in the form of tiny water droplets.
In other cases, children may require intubation, namely the inclusion of a tube through the nostril or the mouth to pass through the trachea to facilitate breathing. This process requires general anesthesia so that children do not feel fear and pain.
Cases of child deaths due to croup is rare because in most cases, this condition will get better by itself within 48 hours. The symptoms of croup can last up to two weeks and if not treated immediately croup can cause complications such as middle ear infection or pneumonia. If after treatment in the hospital the child's condition does not improve, the doctor may recommend further tests to look for the possibility of other disorders, such as X-ray examination in the neck and chest area.

complications of Croup

Although rarely, croup can cause respiratory disorders that lead to severe breathing disorders and even respiratory failure. Respiratory failure condition characterized by cessation of breathing, but the heart still beating.
Another complication is inflammation of one or both of the lung tissue, known as pneumonia. Another infection is bacterial tracheitis (inflammation of the trachea), middle ear infections, and lymphadenitis (inflammation of the lymph nodes).

prevention Croup

Maintain cleanliness and keep children from other patients is the main thing in the prevention of the spread of croup. As with the flu, the disease can spread easily if you are not diligent diligently to get children to wash hands. Encourage the child to direct sneeze into the elbow area to reduce the risk of transmitting the virus to others. In addition, routine vaccination also is another way to protect children from these types of infections trigger croup condition. Some children who have preventive vaccines, among other MMR vaccine to protect against measles, German measles or rubella, and mumps. Then vaccine DTaP / IPV / Hib to protect against tetanus, polio, diphtheria, whooping cough and Haemophilus influenza type b causes pneumonia.

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