False groats- a common phenomenon in young children, which leads to a violation of breathing in a child, since its development is associated with swelling of the larynx of the larynx under the vocal cords. I must say that a false cereal is a night sickness. Even in the evening - the child seemed to be healthy, although he coughed a little, but suddenly in the middle of the night his wheezing sounds begin to be heard, the baby's sleep is restless and he suddenly wakes up from a rough paroxysmal cough and is afraid of breathing difficulties.
Causes, Symptoms and Signs
One time you will hear a characteristic coarse "barking" cough, in order to later recognize a false groove, with "closed" eyes.
An attack of false croup (wheezing and coughing) begins in the larynx, in a restricted area under the vocal cords, where there is a loose connective tissue richly endowed with blood and lymphatic vessels, which makes it extremely prone to swelling for any reason: an allergic reaction, respiratory infection or viral disease (measles, chicken pox, etc.).
In a healthy child, the laryngeal lumen is equal to the thickness of its little finger.
This is not so much, but it is enough for the normal passage of air during inspiration and exhalation. Now imagine that, due to the edema of the laryngeal wall, it became thicker by at least one millimeter. The laryngeal clearance immediately decreases by half, the resistance of the air flow to the inspiration increases several times, the respiratory musculature is forced to expend increased effort to overcome it. Therefore, breathing becomes difficult, noisy, wheezing, audible at a distance.
Especially difficult breathing, as evidenced by the westing of the intercostal spaces and supraclavicular pits.
In the development of cereals, not only the edema plays a role, but also the accumulation of viscous mucous sputum in the respiratory tract, from which the child tries to get rid by coughing.
Cough is rough, "barking" or "croaking," unpleasant for the ears, frightening parents, but it is protective, releasing the larynx from the accumulated mucus. Sometimes the cough ends with vomiting, which even more frightens the parents, but after it almost always there is an improvement, as the vomitive movements of the esophagus draw a closely related larynx and trachea and help to free them from phlegm. Therefore, there is always a large amount of mucus in the vomit.
The child's voice, especially when crying, is hoarse, but it does not disappear at all, in contrast to the true croup observed during severe diphtheria, when the larynx is covered with films.
Causes of an attack
Why does the croup choose the night time for attack?During sleep, the child in the horizontal position, increases blood flow to the larynx, and the outflow decreases, which contributes to edema. If the child has a stuffy nose, and he breathes his mouth, then during sleep, the sputum accumulated in the larynx and nasopharynx dries and becomes thick, viscous, which makes breathing even more difficult.
For the first time, arose croup quite often causes parents a panic, which prevents them from concentrating and taking the right actions.
Treatment and first emergency care in case of an attack
The main thing is do not show your fear to the child, behave calmly and confidently. Anxiety, crying and cry of the baby strengthen the degree of stenosis and worsen the condition. Call the ambulance, but before the brigade arrives, do not sit idly by, but try to help the suffering child.
Moisten the air
It is not difficult to do this. Fill the tub with hot water from the shower, add baking soda to it. In the enclosed space of the bathroom, the air will become wet, warm and alkaline. And let the child breathe this air before the brigade of the ambulance arrives. Warm moist air will help to relieve spasm of the muscles of the larynx, and alkaline vapor will facilitate the dilution of sputum and its escape.
Baths and alkaline drink
Simultaneously, make the baby hot baths for hands and feet with a water temperature of +40 ° C. Give a warm alkaline drink: milk, in which you can add a little soda, any mineral bicarbonate water without gas (Borjomi, Essentuki 4 or 17, Slavyanovskaya, Smirnovskaya, etc.).
Help clear your throat.
Now, help the child clear his throat and remove phlegm from the respiratory tract. For this purpose, a technique called "cough stimulation" is used: with a teaspoon or with your clean finger, press down on the root of the tongue or tickle the back of the pharynx to cause a cough reflex. It does not matter if the baby is upset. You already know that coughing and vomiting help to get rid of phlegm.
With all the seeming simplicity, alkaline inhalations and warm alkaline drinking are the most effective methods of treating false croup.
After these accessible to all events the state of the child will improve, but the need for medical examination has not disappeared. Only a doctor can determine the degree of stenosis, the severity of the child's condition and the indication for hospitalization.
Danger of suffocation
If the doctor insists on continuing treatment in the hospital, do not argue and convince him that "everything has passed and the baby is breathing well."
Remember that the croup has an undulating course, and a favorable period unexpectedly quickly can be replaced by suffocation, requiring emergency care right up to surgical intervention -tracheotomy,when through the incision on the neck into the trachea, below the level of the edema, a tube is inserted through which the child breathes until the danger of choking is overcome. After a few days, it is removed, and in the future the tragic events will be reminiscent of only a thin scar on the neck.
Medical products, drugs and medicines
If the child's condition allows you to stay at home, the doctor will recommend taking antiallergic drugs that reduce edema (suprastin, diazolin, tavegil, claritin), muscle relaxant (papaverine, no-shpa), expectorant medicines and soothing drugs (valerian, novopassit).
Preventing attacks of false croup
That the attack does not develop again(remember the wavy current?), the child must continue to breathe warm wet and alkaline air. How to be? Do not keep the same baby all night in the bathroom. He wants to sleep and asks from the steam shelter to his crib. Lay the baby in his rightful place and create the right atmosphere in the room with the help of simple ways, prompted by life.
Pour water into an electric kettle or samovar, add baking soda, put it in the nursery and plug it into a socket. After boiling the water, leave the appliance on for 20-30 minutes, then turn it off. Repeat this operation every 1.5-2 hours. If your kettle switches off automatically when the water boils, remove the lid from it, or use a sticky tape to secure the button in the on position, and it will boil as much as necessary.
The best way for this purpose is an electric hotplate with a heating regulator. When the water boils, put the tile in the lowest power mode, and let it boil slowly, secreting the healing steam.
If you do not have these items, another way will do. Boil the water in a large saucepan, add soda and put it near the baby bed. As the water cools, you will have to replace it with a new portion.
Do not do inhalation "grandmother" method:to breathe over a potato or boiled water, holding the kid on hands and having covered with a blanket. The kid is hot, scared and uncomfortable, he resists, screams, tries to free himself from the strong mother's embrace. From such treatment there is no use, and it is not far from disaster. If the baby manages to escape, the pan overturns and burns are unavoidable. Do not make inhalation into a torture chamber. Treatment should be comfortable. Replace the blanket with an umbrella, and the same procedure will turn into a game.
A child older than can breathe over the neck of the thermos, in it the water remains hot for a long time. You can put the funnel on the tip of the kettle and breathe through it. If there is a cosmetic inhaler, it will come in handy. In general, there is one thousand and one methods of inhalation at home, choose any. Do not forget only about precautions and do not leave your child alone with boiling water.
Significantly facilitates the conduct of inhalations and makes them completely safe special device designed for this purpose - a nebulizer.
Its mechanism of action is based on the spraying of the drug, which is passed through the mask or mouthpiece into the airway of the patient and removes the mucosal edema in the airways.
What can not be done with a false rump?
Do not usegopher and rubbing, containing essential oils and having sharp odors. They are capable of causing a reflex spasm of the muscles of the larynx.
Do not usehoney, raspberry jam, citrus juices - in children who are allergic they can promote swelling.
Do not giveto the child of preparations suppressing cough (coterpine, tablets against cough, containing codeine, sinecode, etc.). Remember that cough performs a protective function, and it should not be suppressed, but stimulated.
There is a group of children whose false cereal occurs with any cold. These are children with a tendency to allergic reactions, with increased nervous excitability, having lymphoid growths in the nasopharynx (adenoids and hypertrophy of the tonsils), deprived of their mother's milk from an early age.
Such children should be protected from infectious diseases, pay great attention to quenching procedures and other measures that increase immunity. And when the first signs of a cold develop, it is urgent to take measures to prevent the development of croup (moistening the air in the room, warm alkaline drink and expectorant medicines, taking antiallergic drugs and vitamin C, ventilating the room, etc.).
Acute laryngotracheitis - false croup: advice to parents - Union of Pediatricians of Russia
How to treat false croup? - Doctor Komarovsky
Dr. Komarovsky will tell you what is the real croup, and also list the symptoms of false croup and the conditions under which hospitalization is needed, and when and how one can treat a false croup of a house.
False groats and laryngitis: first aid
False groats are a development against the background of inflammation in the larynx of edema, accumulation of mucus and spasm of muscles of the larynx. Like bronchial obstruction, false cereal often develops in light "puffy" children, prone to swelling of tissues against the background of others. (for example, a tendency to urticaria and swelling after mosquito bites) The probability of developing a false croup is higher at night, and also in a dry and warm room. False cereals are a complication of viral infections, usually parainfluenza virus (true croup is cereal in diphtheria, now almost does not occur). It often occurs in the autumn-winter period, during the period of the most frequent acute respiratory viral infection. Due to anatomical features, the most common false cereal develops in children from 6 months. up to 2-3 years, and after 5-6 years almost does not occur.
Signs of false croup (appearing more often at night and worse with agitation, movement and crying): shortness of breath and noisy breathing dry barking cough hoarse, sighing voice
The child may have a hoarse voice (a sign of inflammation of the vocal cords) and a "barking" cough, but without shortness of breath it is a laryngitis, it can precede a false rump, but can pass without consequences.
Croup can last up to 3-5 days, gradually decreasing.
Treatment: breathing in fresh cool moist air; emotional and physical rest (to the child and parents!) To facilitate nasal breathing (wash the nose with saline solution and, if necessary, use vasoconstrictive); decrease in body temperature; warm frequent frequent drinking with inhalations with steroids (more often with pulmicort).
DO NOT: Carry out steam inhalations, breathe hot steam / air (may lead to an increase in mucus in the larynx lumen and aggravate the difficulty of breathing + cause burns of the respiratory tract). You can not give mucolytics (this will lead to an even greater secretion of mucus and blockage of the laryngeal lumen). If all of the above does not lead to relief of breathing - you need to call an ambulance. First aid is needed for a child who: high fever, swallowed saliva (signs of epiglottitis), lethargy / arousal, face pale / bluish.
On the video - cough with laryngitis.
- Video on the topic.
- "Pediatrics: A complete reference book for parents / L. Sh. Anikeev ": Moscow: Publishing house" Exmo ".