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How to understand that a child has croup, and what to do next
How to understand that a child has croup, and what to do next
Anonim

How dangerous is a "barking" cough and when to call an ambulance.

How to understand that a child has croup, and what to do next
How to understand that a child has croup, and what to do next

What is croup

False croup (there is still a true, diphtheria Diphtheria, but it almost never occurs due to widespread vaccination, so we will not talk about it) is a CROUP infection that causes a sharp edema of the larynx (mainly) and trachea. Scientifically it is called acute obstructive laryngitis Acute obstructive laryngitis [croup] and epiglottitis (J05).

It is usually the culprit in CHILDREN'S ACUTE OBSTRUCTIVE LARINGITIS ICD-10 J 05.0 Clinical guidelines in it parainfluenza viruses, influenza and adenoviruses. Also, croup can develop with measles, chickenpox, pharyngeal abscess and some other conditions. Most often, the infection suffers from CRUISE IN CHILDREN ACUTE OBSTRUCTIVE LARYNGITIS ICD-10 J 05.0. Clinical guidelines for children aged 6 months to 5 years.

Croup is a harsh, dry cough that is often compared to the barking of a small dog. This cough is very special, so it is difficult to confuse it with something. In this case, the child, as a rule, becomes restless, fussy, and often cries.

Croup may begin as a cold, with a high fever and a runny nose that persist for several days. Symptoms usually appear late in the evening or at night and quite suddenly, after the temperature has subsided and the child seems to be relieved.

The condition may improve during the day, and worsen in the evening, and this is normal. Most children get rid of their croup within two CROUP days, although some symptoms persist for up to a week.

But it also happens that a child begins a CROP IN CHILDREN ACUTE OBSTRUCTIVE LARINGITIS ICD-10 J 05.0. Clinical guidelines gasp for breath and may even die if not acted upon in time.

When to call an ambulance

Dial CROUP 103 or 112 immediately if:

  • the child has bluish lips or nails;
  • he starts drooling or has trouble swallowing;
  • he has noisy breathing;
  • the child is very restless;
  • is unconscious;
  • has difficulty breathing when not coughing or stops breathing.

Even at the first signs of narrowing of the larynx lumen (this is called stenosis) and minor manifestations of croup, it is necessary to have CRUPS IN CHILDREN ACUTE OBSTRUCTIVE LARINGITIS ICD-10 J 05.0. Clinical guidelines call an ambulance if:

  • the child was born prematurely;
  • he is less than a year old;
  • he has abnormalities in the development of the larynx or comorbidities.
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Ekaterina Morozova

Croup is a serious condition that can end sadly. So, if this is the first time you encounter him, call the doctors. The ambulance has everything you need to help your child.

When to call a pediatrician

Call your doctor if:

  • Symptoms CROP IN CHILDREN ACUTE OBSTRUCTIVE LARYNGITIS ICD-10 J 05.0 Clinical guidelines croup (shortness of breath, cough, change in the strength and timbre of the voice, shortness of breath) in a child does not disappear within 3-5 days When should I call the doctor about croup?;
  • the temperature does not go astray for 5 days;
  • the child does not tolerate the temperature;
  • you have any questions or concerns.
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Ekaterina Morozova

If the patient has had croup at least once in his life, you can do without the participation of an ambulance. Because, firstly, mom already knows how this disease sounds, and secondly, she understands what needs to be done with it. I always tell my patients with croup to have the drug and nebulizer (a kind of inhaler) in their home. And let it be better for the medicine to end its shelf life, and it will never be useful, than you will think about where to run after it in the middle of the night.

Which children are more likely to get croup?

Because of the small Croup of the airways and mucous membranes, which swell easily, croup is primarily a childhood infection. ACUTE OBSTRUCTIVE LARINGITIS ICD-10 J 05.0 can increase the risks even more. Clinical guidelines:

  • lymphatic-hypoplastic About the role of lymphatic-hypoplastic diathesis in the fatal development of pathological processes in children and the criteria for its diagnosis type of constitution (enlarged lymph nodes and dysfunction of the endocrine system speak about it, such children do not tolerate infectious diseases);
  • the child's tendency to allergies (doctors call this an atopic phenotype);
  • structural features of the larynx, which are accompanied by a congenital stridor (whistling sound when breathing);
  • intrauterine disorders of the central nervous system;
  • prematurity of the child.

How croup is usually treated

Treatment will always depend on the severity of the symptoms. If they are minor and the patient's life is not in danger, it usually boils down to the following things Croup:

  • Comfort or distract your child (for example, play a cartoon or read a book), as crying makes breathing even more difficult.
  • Sit down the patient or, if he is in bed, place the CROUP TREATMENT under his back with a high pillow so that he reclines. This will help make breathing easier. If a baby has a croup, take it in your arms.
  • Try to get the sick person to sleep more. Sleep will help fight infection.
  • Make sure your child drinks a lot. For infants, you can express the milk and dilute it with plenty of water to keep only the milky flavor. If the patient is older, give him water to drink (it is better to refuse juices, since acid can irritate the mucous membranes).
  • If the temperature is high, undress the child and give him an over-the-counter antipyretic.
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Ekaterina Morozova

Also try putting your child in the bathroom (not in the water) with a hot shower. This will significantly humidify the air and alleviate the patient's condition.

According to Morozova, the doctor who came to the call can prescribe inhalations and antihistamines, bronchodilators and steroids. Sometimes dexamethasone or prednisolone is required to quickly relieve breathing and relieve swelling.

What should be done to prevent cereals

All the same Croup as for the prevention of common colds and flu.

  • Wash your hands often and with good quality, especially after outdoors: with warm water and soap for at least 20 seconds. How to wash your hands.
  • Try not to contact people who are sick.
  • Make sure your child has all the vaccinations he needs. National immunization schedule.

Well, do not forget about the classic ways to strengthen the immune system. Children should walk enough, get enough sleep, stay physically active, and eat healthy foods.

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