Stenosis of the larynx in a child is a serious and dangerous disease that can have very serious consequences. The disease is characterized by a violation of breathing, sometimes reaching asphyxia. To treat stenosis is necessary, and it is best to start therapy at an early stage, when the disease has not yet hit the respiratory organs too much.
In this article we will pay attention to this issue: we will find out how and how to treat children's stenosis of the larynx, what symptoms and extent the disease has, how to prevent the child from developing this indisposition. In addition, we learn that the treatment of the disease advises the pediatrician Komarovsky.
Content
- 1 Symptoms
- 2 Degrees
- 2.1 Phase compensation
- 2.2 Stage incomplete compensation
- 2.3 decompensated
- 2.4 Terminal degree
- 3 Treatment
- 3.1 Prevention
- 4 that the Council Komorowski
- 5 Unwanted treatments
Symptoms
Unfortunately, the symptoms of stenosis is notalways visible clearly: sometimes parents do not understand that the child develops this disease. Especially when the disease struck the infant: the babies cry for any reason, so few of the parents will be able to suspect this particular cause of crying from their baby. However, the signs still exist: which ones, we learn.
In the photo - stenosis of the larynx:
Changing the rhythm of breathing - one of the mandatory signs of stenosis of the larynx. If the child used to breathe normally, and now starts periodically to frequent the air, this is an excuse to immediately show it to the doctor.
A specialist can observe changes in the rhythm of heartbeat in a child. But at home, the parents of this symptom, in most cases, can not be tracked.
An older child may complain of a sore throat. And the baby will just cry to indicate to you your discomfort. Sometimes a sore throat leads to the child's refusal to eat, drink.
On video stenosis of the larynx in children:
The behavior of the baby becomes restless, capricious. He can easily fall into hysterics, unusually sleeps a lot. The voice changes from normal to hoarse, in its sounds a husky sound is heard.
Degrees
Laryngeal stenosis has several distinct degrees. They are certain consecutive stages, each of which is characterized by its pronounced symptoms. Read more about this.
Compensation stage
Initial( 1st degree) degree of disease. Disturbances of breathing at this stage will not be manifested constantly, but only after the child actively plays, runs, and exercises any physical exercises. After crying, too, there may be shortness of breath.
Incomplete Compensation Stage
Here( 2nd degree) one can already notice a blanching of the mucous throat, and failures of breathing take on an increasingly pronounced and disturbing character. Strongly noticeable is the restless behavior of the child. Often at this stage, parents notice something is amiss, and turn to a specialist.
Decompensation stage
This is already a severe degree of respiratory tract damage. At this stage, all the unpleasant sensations are added and pain in the throat. When swallowing pain can occur in the esophagus, so most children refuse to eat.
It's even harder to breathe, and the heartbeat becomes unstable. Often children instinctively stand on all fours to free the diaphragm for more free breathing. Deficiency of oxygen leads to a noticeable blanching of mucous membranes. And besides, also because of a lack of oxygen, the child feels constant weakness, lethargy, fatigue.
Terminal degree
This is the last and most severe case of the disease. The child comes asphyxia, in other words - suffocation. The pulse gradually vanishes, the pressure level drops.
If the disease has reached such an extent, the child can often lose consciousness, recovering for a short time. You can not swallow a baby almost, cramps are possible. During convulsions, involuntary acts of defecation and urination occur. If you do not intervene and urgently do not provide competent medical assistance, the next stage is death due to complete paralysis of breathing.
As you can see, the symptoms of the disease are really scary. Therefore, if you notice a breathing disorder in a child, do not hesitate to contact your doctor. Like all other diseases, stenosis of the larynx is treated much easier in the early stages.
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Treatment of
Therapy for stenosis of the larynx depends entirely on the stage at which the disease is at the moment. If the initial stages require only medication, then with a more neglected disease, only special strong drugs or even urgent surgery can sometimes help.
Drug therapy for a child with stenosis should be aimed at the complete elimination of signs of suffocation. What therapeutic tools and methods can help children with this disease.
On video-acute stenosis of the larynx in children:
The treatment at the compensation stage is faster and easier, which is understandable: the disease has not yet progressed. Sometimes only Naphthyzin is enough to restore the respiratory rhythm, and rid the baby of the onset of the disease. These vasoconstrictive drops provide significant assistance in drug-based complex therapy. They are also useful for laryngitis, which is one of the causes of stenosis.
If the disease has entered the stage of incomplete compensation, more "heavy artillery" is already in use. Naphthyzine also needs to be used, but with it, Prednisolone( and here's how to use Prednisolone for stenosis of the larynx in children, this article will help you understand).
This hormonal drug is quite potent and, thanks to this, an effective medicine.
Types of medicines:
- Antibiotics for the elimination of inflammatory infectious process in the larynx.
- Antiviral and antihistamines to relieve swelling of the larynx.
- Hormonal preparations.
- Vasoconstrictive.
Very good effect is given when treating the stenosis of inhalation with special preparations that purify the respiratory organs. Especially well-proven, and almost mandatory application Berodual and Pulmicort. These same medicines are known for their effectiveness in asthma and other diseases associated with shortness of breath.
Erespal is an effective drug against stenosis of the larynx, which perfectly relaxes the respiratory muscles, and helps to speed up the sputum production.
This procedure, like staying in a salt cave, is also very popular and effective measure. It can also be used as a preventive agent too. Many children's polyclinics now have special "salt rooms" where the child can breathe clean sea air - healing and antibacterial.(and here's how to use Erespal for barking cough, this article will help to understand)
If the condition of the child is already very difficult, only the operation will help. It is conducted under general anesthesia and, as a rule, gives good results. However, surgical intervention is used only if there is no hope of helping the child medically.
A special tube is inserted into the throat of the diseased person, through which air enters the lungs. This method is called intubation, and it provides a small patient with the ability to breathe.
Attention: in the treatment of stenosis a child is obligatory under the supervision of doctors in the hospital at a 24-hour in-patient clinic.
Prevention
What measures can be taken to exclude or reduce the risk of the child developing stenosis of the larynx.
Be sure to focus on strengthening the immunity of the baby. Carry out tempering procedures, walk, ventilate the room. In winter, give the child vitamins, and enter into the diet more useful dishes. Let the baby have more fruits and greens.
Herbal preparations are also useful for preparing medicinal infusions, strengthening the immune system and saturating the body with vitamins.
If the child is prone to allergies, then stenosis is dangerous to him especially: the allergy is an asphyxia provocateur. In this case, make sure that you do not get into the diet of the baby that causes a negative reaction in his body.
Naphthysin in the early stages of the disease will prevent its further development. In addition, this drug is suitable for infants.
Do not self-medicate. All ailments of the child should be treated under the supervision of a doctor - only in this case the help will be rendered skillfully and competently. Noticing the child's alarming symptoms, consult an ENT specialist and therapist. Early qualified diagnosis is the key to an easy and quick recovery.
What advises Komarovsky
We learn what recommendations are given on this problem by the famous children's doctor EO Komarovsky. The pediatrician states that the children have two main causes of stenosis:
Anatomical individual features of the structure of the larynx, expressing in the congenital narrowing of its lumen. This reason can be explained by the fact that one child may suffer from suffocation attacks with any cold, and the other does not know what it is.
The second reason is the lack of air humidification in the room where the child is. If a baby with a cold gets to sleep in a dry room, then the mucus in the nose and throat is likely to dry up, causing difficulty in breathing.
On the video view of Dr. Komarovsky:
When providing emergency care, Komarovsky advises giving the child more drinks of warm drinks and water and necessarily letting fresh air into the room. Or yourself to go outside to breathe.
The pediatrician considers hormonal therapy as the best treatment, focusing on the fact that this is a worldwide modern practice of stenosis therapy. But about antibiotics, the doctor's opinion is not too positive. These medicines, according to the doctor, have nothing to do with therapy with laryngitis and viral croup( the main "culprits" for the development of stenosis).
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Undesirable methods of treatment
We learn which methods are not recommended for treating stenosis of the larynx in children.
Do not give suppressive cough medications. Cough is a reflex reaction of the body, helping to clear the respiratory tract from mucus in a natural way.
Inhalations with essential oils and mustard plasters are also prohibited. These methods of treatment can cause muscle spasms of the larynx, than only exacerbate the situation.
Homemade steam inhalers like pots with hot water, too, should not be used. If they are not used carefully, they can lead to a burn of the respiratory tract, which are already affected. Children with allergies should be more careful with products that can cause a reaction in the body.
We examined the features of stenosis of the larynx in children. Diseases are characterized by a severe course, and there is a possibility of terrible consequences. Take your attention to the health of your child, and do not start worrying signs on your own. A competent timely treatment can quickly put the baby on its feet even if the disease is already progressing.