Epiglottite, Croup Severo, Stridor, kei na Tarova na Sala ni Cagi e Cake¶

Na vakacacani ni sala ni cagi e cake e vakavuna na vuvuce ni veitiki ni yago e dua vei ira na leqa tubukoso totolo duadua ena veiqaravi vakavuniwai ni gone kei na qase. Ena loma ga ni vica na miniti ki na auwa, na vuvuce ni manumanu somidi ena sala ni domo (mate ni domo), vuvuce bibi ni manumanu somidi ena ruku ni dali ni domo (mate ni domo se croup), se dua na mate titobu ni sala ni cagi (mate ni manumanu somidi) e rawa ni vakalailaitaka sobu na sala ni cegu Baleta ni dua na gone windpipe e rauta ni diameter ni nodra iqaqalo lailai, dina ga ni 1 milimita (0.04 idi) ni mucosal vuvu ena loma ni dua na gone na sala ni cagi e vakalailaitaka na vanua ni cegu ni kauveilatai ena sivia na 60 na pasede ka vakalevutaka na veivakacacani ni cagi vakatinikaono.

Ni sa lailai sara na sala ni cagi e cake e vuvuce, ena bula ga o tauvimate ena nona dabe vakadodonu, vakanamata ki liu, ka taura tu na nodrau iqaqalo ena dua na itutu dodonu me dola tu kina e dua na tiki lailai ni cagi. Na leqa levu duadua ena gauna ni imatai ni veivuke ni bera na valenibula sai koya na iatrogenic taucoko ni sogo ni sala ni cagi vakavuna na dauveivueti vakasama vinaka ka vakasaurarataka e dua na gone se tamata qase rerevaki me davo vakadodonu ena nona itutuvi, tovolea me raica na loma ni gusuna ena dua na bilo se cina livaliva, se vakacudruya e dua na gone tagi. Ni o kila na sala mo vakaduiduitaka kina na rerevaki vakasauri, galu, kei na rerevaki ni epiglottitis mai na parasa, sila-kuli ni coka ni manumanu somidi, na vuna e dodonu kina mo maroroya na tauvimate me vakacegu ena nodra digitaka na ** itutu ni tripod **, kei na gauna e veivuke kina na kubou batabata se cagi batabata e rawa ni maroroya e dua na timi ni veiqaravi vakavuniwai me yacova ni sa yaco yani.

Cakava oqo ena gauna oqo¶

1. Kaciva sara ga na nomu naba ni leqa tubukoso kevaka e dua e rogo levu na nona cegu ena gauna ni vakacegu (stridor), drodro mai na wai ni drodro ena sega ni rawa ni gunu, domo ni "pateta katakata" e vakanomodi, itutu ni tripod, se gusu vulavula. Qirita na 911 ena Amerika kei Kenada, 112 ena taudaku ni Matanitu o Iurope, Ositerelia se 900 Dairekita ni naba ni leqa tubukoso. Kerea e dua na motoka ni veivuke ni bula (ALS) ka tukuna vakamatata ni o nanuma ni vuvuce ni sala ni cagi e cake se mate ni gusu me ra toro yani vakamalua kina na dauveiqaravi vakavuniwai ka sega ni rorogo na sirene ena katuba.
2. KUA vakadua ni vakasaurarataka e dua na tamata e stridor, drooling, se vuvuce bibi ni kete me davo vakadodonu ena nona iqaqalo. Me dabe vakadodonu sara na tauvimate ena itutu cava ga e vakila ni rawarawa duadua me cegu, e dau vakanamata ki liu ena ligadra kei na nodra iqaqalo e vakaduria vakalailai ki liu (**na tripod se sniffing). Me baleta e dua na gonelailai se gone lailai, me ra dabe vakadodonu ka tauri vakamalua ena nona iqaqalo kei na ligadra na nodra itubutubu.
3. KUA vakadua ni biuta e dua na wainimate ni yame, bilo, iqaqalo, ivakarau ni katakata, se cina ena loma ni gusu me raica na gusu. Na tara na daku ni yame se vakasaurarataki na qaqalo me dolavi ena vakatitiqataki ni epiglottitis e vakavuna e dua na laryngospasm vagal totolo se toso sobu na qaqalo me vaka e dua na qaqalo vuvuce, qaqalo- vakavuna na vakataotaki ni sala ni cagi totolo ka sega ni veisautaki rawa.
4. Maroroya e dua na gone rere me vakacegu ka vakanomodi me vaka e rawa ena ligadrau na nodra itubutubu. Na tagi, tagi, kei na veivala e vakalevutaka na cagi veilecayaki ena loma ni gusu lailai (na kena revurevu ni Bernoulli), ka sucu na bai ni sala ni cagi vuvuce ki loma ka vakalevutaka na hypoxia. Kakua ni tawasei koya na gone mai vei koya e qaravi koya, kakua ni saga mo luvata na nona isulu vakavo ga ke gadrevi, ka vakalailaitaka na rarama rarama se rorogo levu.
5. Keep the patient strictly NPO (nothing by mouth). Do not offer water, milk, juice, popsicles, honey, or oral fever syrups (such as liquid paracetamol or ibuprofen) to anyone who is drooling, struggling to swallow, or making high-pitched stridor sounds at rest. Attempting to swallow liquid past a swollen epiglottis triggers violent choking and fatal laryngospasm.
6. If the child has a classic "barking seal" cough (viral croup) WITHOUT drooling, sits comfortably, and has mild stridor only when crying, expose them to cool night air or bathroom mist while monitoring closely. Sitting in a cool-mist bathroom or breathing cool outdoor night air for 10 to 15 minutes while comforting the child often shrinks subglottic viral swelling enough to ease mild croup, though any stridor present while the child is calm and resting requires immediate medical evaluation and prescription corticosteroids.

Vunikau ni vakatulewa ni leqa tubukoso me baleta na stridor bibi kei na vuvuce ni sala ni cagi e cake¶

flowchart TD
    Start["Sudden Noisy Breathing (Stridor), Hoarseness, Barking Cough, or Severe Throat Pain"]
    ChokeCheck{"Did this start INSTANTLY (within seconds)<br/>while eating, playing with small toys, or holding an object in the mouth,<br/>with NO fever or prior illness?"}
    ForeignBody["SUSPECTED FOREIGN-BODY CHOKING / AIRWAY OBSTRUCTION<br/>1. If unable to speak, cough, or breathe: Perform Back Blows & Abdominal Thrusts<br/>   (or Back Blows & Chest Thrusts for infants under 1 year)<br/>2. If coughing forcefully or breathing with stridor: Call EMS immediately;<br/>   do NOT perform blind finger sweeps; keep patient upright"]
    AllergyCheck{"Was the patient exposed to a bee sting, peanut/food allergen,<br/>medication, or has a history of hereditary angioedema,<br/>with swollen lips, tongue, or hives?"}
    Anaphylaxis["ANAPHYLACTIC AIRWAY EDEMA / ANGIOEDEMA<br/>1. Inject Epinephrine Auto-Injector into outer mid-thigh immediately<br/>2. Call EMS (911 / 112 / 999) for urgent transport<br/>3. Keep patient sitting upright if airway/tongue is swollen (unless hypotensive)<br/>4. Give second epinephrine dose at 5 to 15 minutes if no improvement"]
    RedFlagCheck{"Are ANY Epiglottitis or Severe Obstruction Red Flags Present?<br/>- Drooling saliva / unable to swallow own spit<br/>- Sitting upright leaning forward (Tripod / Sniffing posture)<br/>- Muffled 'Hot Potato' voice & absence of barking cough<br/>- High-pitched stridor heard even when resting quietly<br/>- Sternal/rib retractions, lethargy, or bluish/pale skin"}
    EpiglottitisProtocol["CRITICAL UPPER AIRWAY EMERGENCY (EPIGLOTTITIS / SEVERE CROUP / TRACHEITIS)<br/>1. Call EMS (911 / 112 / 999) immediately; request quiet ALS approach<br/>2. Keep patient sitting 100% UPRIGHT (child held in parent's lap)<br/>3. DO NOT look in mouth, DO NOT use tongue blade, DO NOT lay flat<br/>4. Keep strictly NPO (no water, no oral fever medicine)<br/>5. Keep child calm; allow parent to hold blow-by oxygen near face if EMS provides it"]
    MildCroup["LIKELY MILD TO MODERATE VIRAL CROUP (LARYNGOTRACHEOBRONCHITIS)<br/>(Barking seal-like cough, hoarse voice, able to swallow, NO drooling,<br/>NO stridor when resting quietly, alert and drinking fluids)<br/>1. Hold child upright and calm them immediately to stop crying<br/>2. Expose to cool outdoor night air (wrapped warmly) or cool-mist humidifier for 15 min<br/>3. Contact physician or urgent care for single-dose oral Dexamethasone<br/>4. Watch continuously for resting stridor or rib retractions"]

    Start --> ChokeCheck
    ChokeCheck -->|Yes: Sudden Onset, No Fever| ForeignBody
    ChokeCheck -->|No: Preceded by Fever, Cold, or Sore Throat| AllergyCheck
    AllergyCheck -->|Yes: Hives, Lip/Tongue Swelling, Allergen| Anaphylaxis
    AllergyCheck -->|No: Infectious / Inflammatory Pattern| RedFlagCheck
    RedFlagCheck -->|Yes: ANY Red Flag Present| EpiglottitisProtocol
    RedFlagCheck -->|No: Barking Cough Only, Calm at Rest| MildCroup

Veivakatauvatani ni bula-vakarerevaki ni sala ni cagi e cake¶

Ni dua na gone se tamata qase e vakatorocaketaka na cegu rogorogo ca (stridor) se na leqa ni gusu, e lima na ituvaki lelevu ni veitauvi kei na sega ni veitauvi e dodonu me duidui totolo. E sega ni vaka na rorogo ni vuvuce (e dua na rorogo ni ivakatagi, rorogo ni vuvuce e rogoci vakalevu ena gauna ni cegu mai na sala ni cegu e ra ena mate ni uto), stridor e dua na rorogo kaukauwa, cecere, tagi se rorogo e rogoci taumada ena gauna ni cegu (se ruarua na cegu kei na cegu)g na cagi ena dua na tiki ni kete e cake, na kato ni domo (larynx), se na sala ni cagi (trachea).

Anatomía y física de la obstrucción de la vía superior¶

Na cava na vuna e dua na vuvuce 1-milimita e dua na leqa vua e dua na tamata qase ia e dua na leqa vua e dua na gone .¶

Me kilai na vuna e rawa ni vakaleqai kina e dua na gone lailai se gone lailai e tiko vua na mate ni cegu mai na rorogo ni cegu ki na vesu ni cegu ena vica na miniti, era vakayagataka na vuniwai ni leqa tubukoso na Lawa nei Poiseuille ni Laminar kei na drodro ni wai ni veilecayaki:

1. ** Na veivala-ki-Radius ikava-kaukauwa lawa ($ R propto frac {1} {r ^ 4} $):** Ni sa malumu na cagi (laminar), na veivakacacani ni sala ni cagi e veibasai kei na ikava ni kaukauwa ni radius ni sala ni cagi (kei na gauna e vakavuna kina na tagi na cagi veilecayaki, veivakacacani e vakatautauvatataki kei na ikalima ni kaukauwa ni radius).
2. Na veimama ni sala ni cagi ni gone kei na tamata qase:
3. Na sala ni cagi ni gonelalai se gone lailai ena mama ni sui ni cricoid e tiko kina e dua na kena rabailevu e loma ni 4 ga na milimita (0.16 na idi) (e dua na rabailevu ni 2 mm). Kevaka e vakavuna ga na croup ni manumanu somidi e 1 na milimita ni vuvuce ni mucosal vakavolivolita ena loma ni mama kaukauwa oya, na kena rabailevu e loma e lutu mai na 4 mm ki na 2 mm (na radius e lutu ena 50 na pasede mai na 2 mm ki na 1 mm). Baleta ni \(2^4 = 16\), na kena musuki na radius ni sala ni cagi ena veimama e vakalailaitaka na vanua ni cegu ena 75 na pasede ka vakalevutaka na cakacaka ni cegu ena 1,600 na pasede (16-vakarua).
4. Ena kena veibasai, e dua na sala ni tamata qase e tiko kina e dua na kena rabailevu e loma e rauta ni 20 na milimita (0.79 na idi) (e dua na rabailevu ni 10 mm). Na kena vata ga 1 na milimita ni vuvuce ni yago e vakalailaitaka na kena rabailevu na tamata qase mai na 20 mm ki na 18 mm, ka vakalevutaka na veivakacacani ni sala ni cagi ena rauta ni 50 ga na pasede (1.5-vakarua).
5. Na cava e vakavuna kina na tagi me lutu na sala ni cagi (Na kena revurevu ni Bernoulli kaukauwa): Vei ira na gone, na mama ni sui e tokona na sala ni cagi e cake kei na larynx e malumu qai rawarawa. Ni dua na gone rerevaki e tagi se tagi ka saga me sucuka na cagi kaukauwa ena dua na gusu lailai, na totolo cecere ni cagi e cici sivita na bai vuvuce e bulia e dua na kaukauwa ni veivakalolomataki ca ena loma ni lumen ni sala ni cagi (na Venturi / Bernoulli na kena revurevu). Na veivakasaurarataki ca oqo e sucuma dina na bai malumu, floppy ni gusu ni gone ki loma ena gauna ni cegu, veisautaka e dua na vakataotaki vakatikina ki na dua na voleka-taucoko ni lutu. Oqori na vuna na kena maroroi e dua na gone e tiko vua na stridor me vakacegu ka vakanomodi e sega walega ni veivakacegui; e dua na veivuke bibi ni veivakabulai vakamisini.

Na duidui ni yago ena maliwa ni vuvuce ni vosa kei na vuvuce ni vosa¶

• Na vakataotaki ni domo (Epiglottitis): E yaco **ena dela ni domo ena veitiki ni yago e vakaloloma ka rawa ni vakabalavutaki. Me vaka ni sa sega ni semati vinaka na yago e ubia na liga kei na liga, na wai ni manumanu somidi kei na sela vulavula ni dra e totolo sara na kena vakadrodroi na liga ki na dua na vanua levu e vuvuce ka dau lutu ena dela ni sala ni liga ena gauna ni veivakauqeti. E vakavuna na vakanomodi, malumu, lailai na domo ni veivakauqeti, e dua na domo ni "pateta katakata" vakanomodi, kei na drodro baleta ni sega ni rawa vua na tauvimate me gunu sivia na levu ni vuvuce, ia sega ni vuvuce.
• Vakacacani ni vosa (Viral Croup): E yaco ena ruku ni veitiki ni vosa ena loma ni veitiki ni yago ni cricoid, na veitiki ni yago duadua ga ena sala ni cagi taucoko ni tamata ka bulia e dua na mama ni ivakatakilakila taucoko ka kaukauwa ka 360 na diqiri. Me vaka ni sega ni rawa ni vakarabailevutaki na mama ni cricoid ki tautuba ni sa vuvuce na lining, na vuvuce kece e vakasaurarataki ki loma ki na paipo ni cegu, ka vakabalavutaka na dali ni domo e cake ka vakavuna e dua na domo levu, parasa "sila ni barking" cough, e dua na domo kaukauwa, kei na **domo kaukauwa, se

Luvu titobu: Epiglottitis bibi vei ira na gone kei na qase¶

Na veisau ni mata ni Epiglottitis: Na cava era sa leqa levu kina na qase ena gauna oqo¶

Ni bera ni dau vakayagataki na wainimate ni veivakabulabulataki ni Haemophilus influenzae mataqali b (Hib) ena iotioti ni yabaki 1980 kei na 1990, na mate ni gusu bibi e dau tauvi ira na gone yabaki 2 ki na 7 na mate ni gusu. Nikua, e rua na ka bibi ni mate veitauvi e dodonu me kilai mai vei ira na matavuvale yadua kei na imatai ni veivuke: 1. E se yaco tikoga na mate ni uto vei ira na gone: E dau tauvi ira na gone era sega ni cula se lailai na nodra cula mai na Hib, o ira na gone ena veivanua e sega ni cula kina na Hib raraba, kei ira sara mada ga na gone era sa cula taucoko ni vakavuna na manumanu somidi tale eso me vaka na Streptococcus pneumoniae * aureus, se ena mavoa ni katakata (gunu wai katakata se ceguva na kaukauwa). 2. Sa tubu cake tikoga na mate ni gusu / mate ni gusu vei ira na qase: Na levu ni kisi ni mate ni gusu ena veimatanitu era sa cula oti sa yaco tiko ena gauna oqo vei ira na tamata qase era yabaki 20 ki na 65. Na epiglottitis ni tamata qase e dau cala ena imatai ni gauna me vaka e dua na "kisi ca ni strep ni gusu" baleta na gusu ni tamata qase e vaka me veivakacalai na kena ivakarau ni dua na vuniwai e raica na tonsils ena dua na cina (me vaka ni dabe sobu na epiglottis, mai na rai vakadodonu).

Na "Va na Ds" ni mate ni gusu bibi¶

Era vakavulica na vuniwai na kalasi Va na Ds me kilai na epiglottitis ena dua ga na rai ka sega ni bau tara na tauvimate: 1. Drodro (Sialorrhea): E drodro tikoga na wai mai na qaqalo baleta ni kena gunuvi e vakavuna na mosi ni kete ka vakarerevaki me vakamalumalumutaka na sala ni cagi. 2. Dysphagia kei na Odynophagia bibi: Na sega ni rawa ni gunuva vakaoti na wai se kakana kaukauwa. Ena tamata qase, na #1 ivakatakilakila ni epiglottitis e bibi, vakaloloma na mosi ni kete ("10 mai na 10 na mosi") ka sa sega sara ga ni veiganiti kei na dua na kena irairai ni gusu kei na tonsils. 3. Dysphonia ("Pateta katakata" Vosa): Na domo e rogo kaukauwa, vakamalumalumutaki, ka vakaloloma, me vaka ni sa saga tiko na tamata me vosa ni taura tiko e dua na tiki ni pateta katakata katakata ena daku ni nodra iqaqalo. 4. Rarawa (Stridor ni veivakauqeti kei na itutu ni Tripod): Na tauvimate e dabe ka sega ni yavala, vakanamata ki liu kei na ligana e vakadeitaki ena durudrau (ituvaki ni tripod), na domona e vakabalavutaki ki liu kei na qaqalo e vakanamata cake (ituvaki ni sniffing), cegu vakamalua ka qarauna me kakua ni vakavuna na veilecayaki ni cagi.

Na imatai ni veivuke ena veikalawa me baleta na vakatitiqataki ni Epiglottitis¶

1. Kaciva na 911 / 112 / 999 ena gauna sara ga oqo ka kerea e dua na ilawalawa ni veiqaravi vakavuniwai ni ALS. Tukuna vua na dauveivakau: "E tiko e dua na noqu gone/tamata qase ka nanumi ni tauvi koya na mate ni gusu ka sa drodro tiko, dabe tiko ena dua na itutu ni tolu na yavana, ka sasagataka tiko me cegu."
2. Vakayagataka e dua na ivakarau kaukauwa ni "Liga-Off, Vakacegu-Vanua":
3. Vakamalumalumutaka na marama kaukauwa e cake ka bokoca na retioyaloyalo rogolevu se na manumanu era tagi.
4. Kevaka e gone na tauvimate, biuti ira ena ligadra na nodra itubutubu se o koya e qaravi ira. Kakua vakadua ni tovolea mo vakasuka e dua na gone lailai lomaocaoca mai vei tinana se tamana me dikevi ira.
5. Me taura na tauvimate e dua na tauwelu se bilo volekata na nodra iqaqalo me taura na drool me ra kakua ni vakila e dua na gagadre me ra gunuva.
6. Kakua vakadua ni davo sobu na tauvimate ka kakua vakadua ni raica na gusuna: Kakua ni kerea na tauvimate me "dolava raraba ka kaya ahh." Kakua ni vakacilava e dua na rarama ni talevoni sobu ki na nodra gusu.
7. Kevaka e yali na nona vakasama o tauvimate ka sa mudu vakadua na nona cegu ni bera ni ra yaco yani na dauveiqaravi vakavuniwai:
8. If the airway closes completely and the patient becomes unresponsive, cyanotic, and apneic, gently lay them supine to begin CPR (se pediatric CPR).
9. Rescue Breathing Rule in Complete Epiglottitis Arrest: Even when the swollen epiglottis blocks spontaneous inhalation, firm, slow positive-pressure rescue breaths (mouth-to-mouth or a paramedic's bag-valve-mask) can often force small, life-saving puffs of air past the swollen tissue into the lungs while chest compressions circulate oxygen until paramedics arrive to perform an emergency surgical airway.

Deep dive: Viral Croup (Laryngotracheobronchitis) and Spasmodic Croup¶

Recognizing the classic midnight presentation of Croup¶

Unlike epiglottitis, viral croup accounts for the vast majority of acute stridor cases in children between 6 months and 3 years of age. * Na cava e dau tauvi koya kina na Croup ena maliwa ni 11:00 PM kei na 4:00 AM: Na gone lailai e dau drodro vakalailai na nona iqaqalo, e dau rogo lailai na nona iqaqalo, ka lailai na nona katakata ena siga. Ena lomaloma ni bogi, e yadra mai na gone ka cegu ena dua na domo levu, kaukamea, coka ni kuli ni sila kei na dua na rorogo kaukauwa, ka tagi ni cegu (stridor ni veivakauqeti). E dau tubu cake na croup ena bogi baleta ni dau lutu sobu na ** cortisol ** (na homoni ni yago) ki na kena ivakatagedegede lailai duadua ena maliwa ni lomaloma ni bogi kei na 4:00 ena mataka, ni davo vakadodonu ena idavodavo e vakalevutaka na dra ni veisele ena ilatilati ni liga. * Spasmodic Croup: E dua na veimataqali veivolekati sara ka dau moce bulabula kina e dua na gone ka sega na nona katakata ka yadra ena 2:00 ena mataka kei na dua na vuvuce kei na vuvuce mai na vuvuce vakasauri ni gusuna.

Vakatovotovotaka na bibi ni mate: Na idusidusi ni bibi ni mate ni Westley vei ira na itubutubu kei ira na dau sauma¶

Na kena vakadeitaki kevaka e dua na gone e tauvi koya na mate ni kete e rawa ni vakacegui ena cagi batabata ka kau vua e dua na vuniwai, se gadrevi kina e dua na motoka ni tauvimate totolo 911 / 112 / 999, e vakatau ena kevaka e tiko na stridor kei na vakasukai ni kete ena gauna e vakacegu kina na gone ka vakacegu:

Safe home and prehospital first aid for Viral Croup¶

1. Pick the child up and hold them upright immediately: Sitting upright reduces blood engorgement in the swollen subglottic mucosa and uses gravity to assist the diaphragm.
2. Soothe and calm the child with quiet reassurance: Sing softly, read a favorite book, or put on a quiet video while holding the child on your lap. Stopping the child from crying immediately converts turbulent airflow back into smooth laminar airflow, often cutting their breathing effort in half within 2 minutes.
3. Apply the Cool Night Air or Cool-Mist Bathroom Protocol (10 to 15 minutes):
4. Option A (Cool Outdoor Night Air or Open Freezer Door): Wrap the child warmly in a blanket and carry them upright onto a porch, by an open window, or in front of an open refrigerator/freezer door to breathe cool, humid night air for 10 to 15 minutes. Cool air causes vasoconstriction of the dilated blood vessels in the subglottic lining, visibly shrinking the swelling and easing the barking cough.
5. Option B (Cool-Mist Humidifier or Bathroom Mist): Run a clean cool-mist humidifier right beside the child, or sit upright with the child in a closed bathroom while running the shower to create a humid mist.
6. CRITICAL BURN WARNING: Never hold a child over a pot of boiling water, a hot stove, or a hot steam vaporizer. Hot steam vaporizers and pots of boiling water cause catastrophic facial and airway scald kama in squirming toddlers, and hot steam can actually increase mucosal blood flow and worsen airway edema.
7. Why every child with croup should be evaluated by a clinician for corticosteroids:
8. Even if cool night air stops a mild croup attack at 2:00 AM, viral subglottic inflammation lasts 3 to 5 days and frequently rebounds the following night.
9. Current international pediatric guidelines (American Academy of Pediatrics, UK NICE, Canadian Paediatric Society, WHO) recommend that all children with croup (even mild croup) receive a single prescribed oral dose of a corticosteroid (typically Dexamethasone) from a physician or urgent care clinic. A single dose of dexamethasone begins shrinking airway swelling within 2 to 4 hours, lasts up to 72 hours, and slashes emergency department return visits and hospitalizations by more than 50 percent.

Ono na cala vakadomobula me kua ni caka ena leqa tubukoso ni cagi e cake¶

1. Cala 1: Saga mo dikeva na gusu ena dua na bilo, iqaqalo, se cina livaliva. Kakua vakadua ni tabaka sobu na yame se kerea e dua na tauvimate drooling kei na stridor me dolava raraba. Ena epiglottitis, lailai duadua na veivakauqeti vakamisini ni pharynx e vakavuna na sogo taucoko ni sala ni cagi kei na vesu ni bradycardic vagal.
2. Cala 2: Na kena soli na wai ni gusu, oni, se wainimate ni katakata vua e dua na tauvimate e vakacegu tiko na nona stridor se drodro. Na kena soli e dua na ka ena gusu vua e dua na tauvimate e sogo tu na sala ni cagi e cake e rawa ni vakaleqa na nona gagadre, na vuvuce bibi ni vuvuce, kei na vuvuce ni gusu.
3. Cala 3: Na kena vakayacori na veivakalolomataki ni kete (Heimlich maneuver) vua e dua na gone e tauvi koya na mate ni kete se mate ni kete. Na veivakalolomataki ni kete e vakarautaki vakatabakidua me vakasavi kina e dua na yago vulagi vakamisini kaukauwa. Ena mate ni gusu se croup, na kena vakataotaki na vuvuce ni yago bula; na thrusts ni kete e sega ni rawa ni vakasavi ira tani na yago vuvu ka vakarerea ga na gone ka vakacacana na sala ni cagi totolo cake.
4. Cala 4: Na kena soli na wainimate ni matenisuka, wainimate ni matenisuka, se wainimate ni vakacegu. Na vakacegui ni dua na gone se tamata qase e cakacaka vakaukauwa tiko me cegu ena dua na sala ni cagi lailai e kauta laivi na nodra draiva ni cegu vakasama ka vakaceguya na masela ni pharyngeal e taura tu na nodra vesu ni cegu rapid, precipitatory vesu. Na wainimate gaga e vakamamacataka tale ga qai vakamamacataka na veika e drodro mai na sala ni cagi ena croup ni manumanu somidi kei na manumanu somidi, e vakavuna me curuoso na ibulibuli ni mucus ena dela ni sala ni cagi lailai.
5. Cala 5: Na draivataki ni dua na gone e kaukauwa sara na nona vuvuce, drodro, se vakasukasuka ki valenibula ena idabedabe e muri ni dua na motoka vakaitaukei. Dau qirita na 911 / 112 / 999 me baleta e dua na motoka ni tauvimate ni ALS ni sa tiko na vakaloloma ni vakacegu, drodro, se vakasukasuka.
6. Cala 6: Veilecayaki na stridor ni sala ni cagi e cake kei na dua na mate ni uto ka vakasaurarataki e dua na inhaler ki na gusu ni gone lailai e tagi tiko. Na uto e vakavuna na vuvu ni cegu (dredre ni kena tosoi na cagi mai mai na mavoa e ra), ia na croup kei na epiglottitis e vakavuna na *momosi na qaqalo e cake). Na ivakatagedegede ni salbutamol karakarawa se albuterol ni cegu ni cegu e vakaceguya na masela malumu ni cegu ena mavoa e ra; era sa sega ni dua na kena revurevu ena vuvuce ni liga ena liga e cake ka rawa ni vakalevutaka na totolo ni uto kei na veilecayaki.

Na leqa tubukoso ni sala ni cagi e cake e gadrevi kina na cakacaka vakacegu kei na kila na gauna me maroroi kina e dua na tauvimate me kakua ni vakaleqai. Vakasamataka mo taura e dua na vuli ni imatai ni veivuke vakadonui ena nomu isoqosoqo ni Kauveilatai Damudamu se na Vula Damudamu ni matanitu, na iSoqosoqo ni Loma ni Amerika, se na St John Ambulance.

Na taro e dau tarogi wasoma .¶

Vakadikevi na ivurevure¶

• Na Koronivuli ni Veiqaravi ni Gone e Amerika (AAP, Amerika) & Veitokoni ni Bula ni Veiqaravi ni Gone (PALS / AHA): Na kena kilai kei na kena qaravi na kena vakatabui na sala ni cagi e cake, na mate ni manumanu somidi, na mate ni gusu, kei na mate ni uto.
• Na iSoqosoqo ni Matanitu me baleta na Bula kei na Veiqaravi Vinaka (NICE, Matanitu Cokovata) & NHS: Vakalekalekataki ni kila vakavuniwai: Croup, mate ni gusu bibi, kei na vakatovotovo ni Stridor vei ira na gone kei na qase.
• Soqosoqo ni Veiqaravi ni Gone e Kenada (CPS, Kenada): Na kena qaravi vakatotolo na Croup ena Tabana ni Veivakaleqai kei na vanua ni veiqaravi ni bera na valenibula.
• Soqosoqo ni Bula e Vuravura (WHO, Veimatanitu): Ivola ni Taga ni Veiqaravi e Valenibula vei ira na Gone: Na Mate ni Gusu, Na Mate ni Gusu, kei na Mate ni Gusu.
• Valenibula ni Gone vakatui e Melipoane (RCH, Ositerelia): Idusidusi ni veiqaravi vakavuniwai: Na vakacacani ni sala ni cagi e cake kei na vakacacani.

Na idusidusi veiwekani¶

• CPR ni gone kei na gonelalai kei na sucu
• Choking imatai ni veivuke vei ira na qase kei na gone
• Na veivakacacani ni aleji kei na imatai ni veivuke ni anaphylaxis
• Veiqaravi vakatotolo ni mate ni uto
• CPR ni tamata qase kei na cegu ni veivueti
• Naba ni leqa tubukoso kei na vakau vakamatanitu