婴儿的咳嗽可能意味着许多不同的事情,而且你也不能问你的婴儿怎么了。有时很难知道你是应该打电话给你的医生寻求建议,预约,还是直接去急诊室。
纽约东草甸拿骚县医疗中心儿科传染病主任霍华德巴尔比医学博士解释说,咳嗽是身体保护自己的方式。咳嗽是身体用来保持呼吸道畅通的方法,可以清除喉咙里的痰、鼻后滴漏(从喉咙后部滴下的鼻涕)或食物残渣。
RELATED: 儿童、幼儿和婴儿的6种咳嗽有两种咳嗽,分别是干咳和湿咳。
婴儿干燥综合症当婴儿感冒或过敏时,就会出现这种情况。干咳有助于清除喉咙痛引起的鼻后滴漏或刺激。
婴儿尿湿:这是由伴随细菌感染的呼吸道疾病引起的。湿咳会导致婴儿呼吸道中形成痰或粘液(含有白细胞,有助于对抗细菌)。
范德比尔特大学医学院儿科临床副教授、田纳西州古德莱特斯维尔的儿科医生凯瑟琳邓登(凯瑟琳邓登)医学博士说,4个月以下的孩子咳嗽不多,所以如果咳嗽了,那就很严重。例如,如果新生儿在冬天咳嗽得很厉害,这可能是呼吸道合胞病毒,一种对婴儿来说危险的病毒感染。一旦你的孩子超过一岁,咳嗽就不那么令人担忧了,它们通常只是感冒的信号。
RELATED: :当你的宝宝感冒时该怎么办想知道该为咳嗽的宝宝做些什么?为了帮助您区分观望性咳嗽和需要立即就医的咳嗽,请保持冷静,仔细倾听婴儿咳嗽,并遵循以下说明。
Baby Cough That Indicates a Cold
听起来像:干黑
可能表明感冒或流感的婴儿咳嗽迹象包括
tuffy or runny nose and sore throat. Coughs are usually dry, but depending on the severity of the cold, your baby can have rattling mucus and/or a slight fever at night.
Baby Cough Remedies for a Cold: Try your own mother's "lots-of-fluids-and-plenty-of-rest" routine. Although you may be eager to give Baby cough medicine or cough syrup, the American Academy of Pediatrics advises against using these for kids under 6 years because studies have shown that they don't work—and they can have potentially fatal side effects in those younger than 4. It's better to stick to natural baby cough remedies such as honey (for babies over a year), saline drops, and a cool-mist humidifier. Acetaminophen is safe to use to reduce a fever.
If your child's temperature is 100.4 degrees or higher and she looks sickly, call your doctor. It's likely that she has the flu. Also call your doctor immediately if your baby is 4 months old or younger and she has any signs of fever; even a slight fever is serious in infants.
READ MORE: All-Natural Toddler Cough Remedies
Baby Croup Cough
Usually caused by a viral infection, croup makes the lining of the trachea swell up and closes the airways, which makes it hard for Baby to breathe.
Sounds Like: Barking cough
Symptoms of Croup: The most telling croup cough symptom: hearing your baby coughing at night with a barking noise (the sound is hard to mistake) and difficulty breathing. The seal-like barking cough appears when Baby inhales (not on the exhale).
Croup typically affects children under age 5 and often begins with a normal cold or sniffle earlier in the day. After you first hear your baby coughing in sleep, croup should clear up in three or four days; if it doesn't, call your doctor.
Croup Treatment: First try to calm your child. Then consider one of the following techniques to ease her breathing:
- Run the shower, close the bathroom door, and let your child breathe in the steamy air.
- If it's a mild evening, take him outside; the damp air should make it easier for him to breathe.
- Have your child breathe the air from a cool-mist humidifier.
READ MORE: Croup Symptoms and Treatment
Baby Cough That Indicates Bronchiolitis
According to Ruffin Franklin, M.D. of Capitol Pediatrics and Adolescent Center in Raleigh, North Carolina, many things cause constriction of the airways, including environmental factors such as dust. The vast majority of cases of bronchiolitis in babies under age 1 are caused by respiratory syncytial virus (RSV). This virus causes a simple cold in kids older than 3, but it can penetrate the lungs of infants and can be potentially life-threatening, warns David Rubin, M.D., chief of pediatrics at St. Barnabas Hospital in the Bronx, New York.
Sounds Like: Wheezing
Symptoms: Bronchiolitis comes on after what seems to be a basic cold, with coughing and a runny nose. Since baby cough or wheezing is associated with both bronchiolitis and asthma, it can be hard to tell them apart. However, bronchiolitis is usually seen in the fall and winter and may be accompanied by a slight fever and loss of appetite.
Baby Cough Remedies for Bronchiolitis: You can treat bronchiolitis at home once Baby's breathing is under control. Give your baby lots of fluids, plenty of rest, and a cool-mist humidifier, and always keep an eye on your child's respiratory rate. If it gets too high—50 breaths per minute or more—your child is definitely in respiratory distress. Call 911.
READ MORE: Bronchiolitis Symptoms and Treatment
Whooping Cough in Babies
This life-threatening bacterial infection was a leading cause of infant illness and death until the DTaP vaccine was created in the 1960s, which practically eradicated it in the U.S. However, whooping cough has been making a comeback and there have been outbreaks in many states in recent years.
Sounds Like: A loud, rapid whoop
Symptoms: In most cases of whooping cough (pertussis), baby has no cold symptoms or fever. Signs of whooping cough include:
- Frequent, alarming coughing spasms
- Tongue sticking out
- Bulging eyes
- Face discoloration
Preventing Whooping Cough: Make sure your baby has been immunized. And because babies aren't fully protected until they've received three doses of the vaccine, it's essential that you and all of your infants' caregivers get vaccinated with the Tdap (tetanus, diphtheria, pertussis) booster.
Treatment for Whooping Cough: If you suspect your baby is suffering from whooping cough, call 911 immediately. By the time the coughing fits develop, the infant must be hospitalized so he can receive oxygen during coughing spells, according to Dr. Franklin. Your baby—as well as every member of your household—will also be prescribed the antibiotic erythromycin to prevent the spread of this very contagious disease. If the child comes through the initial attack, whooping cough will need to run its course, which can take months.
READ MORE: Whooping Cough Symptoms and Treatment
Pneumonia Baby Cough
Pneumonia is a viral or bacterial infection of the lungs brought on by a number of conditions, including the common cold.
Sounds Like: Wet and phlegmy
Symptoms: A baby with pneumonia will be very fatigued. She will also have a "productive" wet baby cough, bringing up everything imaginable in shades of green and yellow.
Treatment for Pneumonia: Treatment depends on whether the cause is viral or bacterial, so call your doctor, especially if the baby has a fever. Bacterial pneumonia is usually more dangerous and is most commonly brought on by strep pneumoniae.
READ MORE: Pneumonia Symptoms and Treatment
Asthma Baby Cough
Doctors generally agree that asthma is not common in children younger than 2, unless the baby has had bouts of eczema and there's a family history of allergies and asthma. Until there is an absolute diagnosis of asthma, a tightening of baby's airways resulting in wheezing is referred to as Reactive Airway Disease.
Sounds Like: Wheezing
Symptoms: In the case of asthma symptoms, your baby will be suffering from retractions (a sucking in and out of the chest and diaphragm). Your infant will also probably start out with:
- Cold symptoms
- Itchy and runny eyes
How to Help Baby with a Cough from Asthma: Whatever the case, it's always best to call your doctor when you hear your infant wheezing. Even without a definitive diagnosis of asthma, doctors often use asthma medication to treat a bout of wheezing. Your doctor may prescribe a liquid form of albuterol to open the airways. If the asthma attacks are very severe, albuterol is administered via a nebulizer—a special device that delivers the medicine in a fine mist—sometimes used with an infant-sized face mask so baby can inhale the drug more easily.
If a young baby has a terrible cough or one that worsens after a day or two, and her breathing becomes labored, call your pediatrician immediately. As with bronchiolitis, keep an eye on your child's respiratory rate. If it gets too high—50 breaths per minute or more—your child is definitely in respiratory distress. Call 911.
READ MORE: Baby Asthma Basics
Baby Cough That Indicates Foreign Object
Small toys and food, such as a piece of carrot or hot dog, are the most common causes of choking. If a baby starts gasping or coughing suddenly while eating or playing with small toys, look in his mouth for an obvious culprit. He can usually cough it out himself.
Sounds Like: Small, persistent cough or gasping
Symptoms: Since babies are always sticking things in their mouth, it's possible to miss something that's been stuck for days. Symptoms of a baby cough from a foreign object include:
- An initial coughing spell followed by a persistent cough or slight wheezing over a period of days afterward—without any other cold symptoms and no recent history of cold or fever
- Pneumonia can also be a result of food that got swallowed the wrong way and stuck in Baby's lungs—peanuts are very common culprits, says Dr. Dundon.
If the object has totally blocked your baby's airway, she would exhibit the following symptoms:
- Appearing to be in obvious distress
- Making no sound at all
- Turning pale or blue
Treatment for Object Stuck in Baby’s Throat: If you suspect a totally blocked passageway, turn the baby over and immediately deliver five back blows between his shoulder blades. If you're unable to dislodge the foreign object, call 911.
In the case of a partially lodged object, try to help baby cough it up by tilting his head down and giving him a few gentle pats on the back. If you suspect your baby is suffering from a partially lodged object, but she doesn't appear able to cough it up, she'll need a chest x-ray. If a bit of food is indeed stuck, the doctor will refer you to a specialist who can perform a bronchoscopy. During the procedure, the child is put under general anesthesia, and a tiny fiber-optic tube with tweezers at the end goes down the airway and picks out the foreign body.
READ MORE: Choking Hazards and Your Baby
Baby Cough: When to Worry
Call your doctor if your baby has:
- Any cough, and she's younger than 4 months
- A dry cough related to a cold (a runny nose but no fever) that lasts more than five to seven days
- A dry or wet cough with a cold and a fever of 100 degrees or more
- Mild, light wheezing
- Fits of coughing
Call 911 if Baby is:
- Wheezing rapidly
- Grunting
- Unable to catch his breath
- Turning blue
- Rapidly retracting and expanding his stomach
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