Treatment of laryngitis in children
How to treat laryngitis in children with a nebulizer? What drugs can be used in the process of treatment? What complications of laryngitis in children
Many respiratory infections in children are accompanied by an inflammatory process in larynx tissues, or acute laryngitis. Main pathogen – Respiratory viruses, secondary bacterial infection can join later.
In early age children, the larynges are surrounded by a loose connective tissue, the lumen of the larynx is relatively narrow, therefore the disease is dangerous by the development of edema of the mucous membrane and the loose connective tissue.
It becomes dense and further reduces the lumen of the larynx, making it difficult to pass the air through it. This condition is called a crop, or by stenzing laryngitis. In older children, the disease proceeds much easier due to the anatomical features of the building of the larynx.
It is observed that the disease is more often evolving in children from 6 months to 3 years, especially those of those who have overweight or an increase in Timus. For the disease, the seasonality of spring-autumn is characteristic, since the number of ORVI is growing at this time.
What to do?
Treatment of laryngitis in children includes events that can be independently held at home.
They will greatly facilitate the state before the arrival of physicians:
- Check the room where the patient is. Many parents mistakenly believe that the air should be high temperatures. In fact, the cool wet microclimate will facilitate the breath of the patient of the baby. It is important to preserve the nasal breathing, since the air cavity is moistened, so you have to use vasoconducting drugs. If the kid feels relatively well, keep walking in the fresh air;
- Keep track of the baby’s menu. Products should not have allergenity. Chocolate, sweets, smoked foods, spices, cocoa, citruses and many exotic fruits can provoke the development of cereals and allergies to immediate type;
- Distractive procedures are effective. It is noted that such events reduce cough frequency;
- Try to tell the baby in a whisper, did not shout, because it increases the load on voice ligaments. Explain that during the disease it is necessary to talk quietly;
- Abundant warm drink. It can be compotes from dried fruits, fruits, warm milk with honey or «Borjomi».
Treatment of laryngitis in children nebulizer recently becomes more popular. With the help of the nebulizer, you can carry out the respiratory tract, and with the help of special forms of drugs (in nebulas or solutions in ampoules), remove spasm and make inhalation with expectorant drugs, if there is a wet cough.
Inhalation with mineral alkaline waters or warm saline is carried out in the first days often, once every 1.5-2 hours, then up to 3-4 times a day. Baby breathe with a special mask, and older children through the mouthpiece.
If your baby is inclined to frequent recurrences of trigising laryngitis, respiratory diseases, recommended parents to purchase nebulizer.
The rest of children can be enhanced by a moisturized air, for example, in the bathroom. To do this, it is enough just to dial hot water into the bath and go to the baby for 7-10 minutes.
Do not make inhalation children over saucepans with boiling water or hot potato decoction, this can worsen the condition of the respiratory tract and provoke a mucous burner. Allergys can also be used by brave of herbs and essential oils, they increase the risk of developing allergic reactions of immediate type.
Treatment of laryngitis in children, what drugs can be used?
There are special preparations for use in nebulizers:
- Ambroxol and its various analogues manufactured by pharmaceutical companies (Lazolvan, Ambroben). Dilutes the sputum, reduces its viscosity, which makes it easier to expectoration. It is recommended to dilute the medicine with saline in the ratio of 1: 1. Inhalations with expectorant means are used with a wet cough, in no case cannot be combined with anti-binding agents: codeine, libexin, synecode;
- When viscating or purulent sputum (the addition of secondary bacterial infection) is prescribed ADC or Fluimucil. These medicines facilitate the separation of the mystery of sputum from the upper and lower respiratory tract. Drugs are divorced 1: 1 with saline. Duration of the course up to 10 days;
- Sinupret. Increases local immunity and reduces swelling. Sinupere is also divorced by saline, to use up to 3 times a day;
- Rotokan. Medicinal based on chamomile extract, yarrow, calendula. Can be used with laryngitis, bronchitis, acute inflammatory diseases of the upper respiratory tract in children not inclined to an allergic reaction;
- Spazm Large remove some medicines: Salbutamol, Berodal, Berretk, Atrovant. The most famous – salbutamol, which is also used in the form of an emphailer. In its effectiveness is a little inferior to the Beroe. Used to relieve acute attacks of laryngo and bronchospasm, as well as as part of the complex therapy of obstructive respiratory diseases. Less effective atrovent, but the most secure. It can be used in children in obstructive diseases of the respiratory tract;
Acute laryngitis can have a different nature, so the treatment in children should be aimed at eliminating the causes and the creation of the most comfortable microclimate conditions.
Laryngitis in infants is accompanied by frequent attacks of spasm, especially at night, so the treatment is better carried out in the hospital. It is directed mainly to eliminate symptoms: compliance with beddown, abundant drinking regime, antipyretic drugs.
If a strong dry cough is tormented, the doctor will appoint antitussive tools, provided that the infection did not spread to the bronchial tree. In the case of bacterial or fungal nature, antibacterial or antifungal drugs are prescribed.
Preparations for the treatment of laryngitis with signs of cereals in children
All children with symptoms of cereals are subject to hospitalization in the hospital, as the state requires emergency medical care.
From the drugs intramuscularly introduced Supratine 2% solution. If there is no suprastin, you can use pipolfen and diphroll. These drugs increase the viscosity of sputum, delay the lifting of inflammatory fluid, so it is better to use suprastin.
If the patient is strongly excited, there is a chance of developing seizures, so it is recommended to apply sedatives: Droperidol, Sedukene and Oxybutirate sodium.
Children with pronounced symptoms of the stenosis of the larynx are injected intramuscularly preparations of hydrocortisone. If necessary, antipyretic drugs and drugs are introduced to maintain cardiac activity.
Larygitis has symptoms of choking, treatment in a child even in the hospital conditions should be carried out in a comfortable microclimate environment, it is necessary to regularly moisten the air with a steam, combine with hydroxiotherapy. It is convenient for this to use paroxogeneous tents, where the temperature of 30 degrees is constantly maintained and 100% humidity.
The concentration of oxygen in such tents reaches 40-50%. Special devices provide spraying of drugs in the form of an aerosol (Ehufillin, sodium bicarbonate, hydrocortisone and suprastin). It is well helped inhalation of pre-moisturized oxygen.
If the treatment with conservative methods did not give the result, and the respiratory failure increases, experts carry out tracheostomy or naocheral intubation.
With diphtheria nature, simultaneously at the initial stages of treatment, antidifteric serum is injected according to the undertaking method, and viral-bacterial laryngitis is treated with antibacterial agents.