False croup in children
Coughing and choking from a sick child can drive them into a panic any parent. Quite often the reason for such attacks is the so-called false croup. What do the parent when an attack of false croup? How to render help?
Croup is an inflammatory process in the larynx and trachea. True croup is observed only in diphtheria, in this case, the inflammation also extends to the vocal cords. And false croup (stenosis of larynx, acute stenosing laryngotracheitis ) is observed with the remaining acute respiratory diseases. In this case, the inflammation can spread up to the trachea and bronchi.
False croup is mainly a children's disease that is most common in children aged three months to three years. This is due to the characteristics of the structure of the respiratory system in children. In childhood, the trachea and bronchi are narrower, and their shape is not cylindrical, but funnel-shaped. In addition, in the walls of the larynx, children have more blood vessels. Therefore, the child's throat is more prone to swelling, which leads to spasms and even suffocation.
False croup usually comes on suddenly, most often, the attack happens at night when the baby is sleeping. The child stirs in her sleep, breathing heavily, then starts coughing. False croup can be recognized by characteristic dry "barking" cough. There may be nausea, fever. Because of the beginning suffocation, the child lacks oxygen, so the frequency of breathing increases to 50 breaths per minute (at a rate of 25-30).
If nothing is done, the cough may gradually become more rude. Signs critical degradation during an attack of croup - this is a constant salivation, blue skin (including the lips), greatly rapid breathing (about 80 breaths per minute).
Despite the fact that the attacks of false croup often unexpected, attentive parent, there were indications that can predict their occurrence. A signal that can attack the attack is wheezing. Wheeze may be barely audible, and becomes more noticeable when the baby cries. Wheeze in the respiratory tract in the quiescent state suggests that they began to shrink, and over time the narrowing may be critical, causing a false croup.
How to help your child when an attack of false croup? When the first symptoms (wheezing, shortness of breath, a very faint cough) need to open the window to ventilate the room. because fresh air is a source of oxygen. Take care that the air in the room is not too dry, take care of air humidification.
For a long time the only way to treat croup was inhalation. Now, this method is not unique, but the most affordable. During a seizure make the child inhalation of warm vapors mineral water or a solution of baking soda (1 teaspoon per 1 liter of water). If you do not have an inhaler on hand, the bathroom with hot water (do not put the child in there, but simply take it to the bathroom filled with steam) or a steam humidifier can help.
If the child has no elevated temperature, can help warm baths for feet and hands. Thanks to the baths the blood will retreat from the larynx to the extremities, and the swelling goes down. But the water temperature outside should be above 40°C. Even during attack it is important to give the child plenty of warm drinks (for example, milk with the addition of honey). You need to give a drink often, but little by little. You can give a sedative (for example, valerian), an antihistamine drug (for example, Tavegil) and a cure for spasms (for example, papaverine).
The most important thing — to remain calm and not to panic. To the child and so it is terrible, in fact he can not normally breathe, and your anxiety only will frighten it more strongly, it can only aggravate an attack.
If the attack fails, and compounded, or if attacks are repeated again and again, the child needs hospitalization. With cerebral cough or moderate to severe inhalation and warm milk is not enough, you may need an injection of adrenaline or taking antibiotics. In very rare cases, even intubation of the larynx is necessary.
False croup is always sudden stressful situation. It is therefore very important at the first symptoms to take himself in hand and to render necessary assistance .