The main symptoms and principles of treatment of laryngitis in children. Treatment of laryngitis in children and as a kid's body signals that there is nothing to breathe

Good day, dear readers. Today we will talk about how to cure laryngitis in children. In this article, you will learn what this disease is, what kind of symptoms it is characterized by which factors affect its development, as well as it is diagnosed. After reading the material, you will be known what complications are possible, and what methods of treatment are applied during laryngitis. You find out what needs to be done to minimize the risk of disease.

Larygit and its types

Most often, this disease is developing due to a viral infection in a weakened organism. With Laryngitis there is inflammation of the larynx, which often develops into tracheitis. At the Karapusov up to three years high, the risk of a cereal syndrome is the narrowing of the lumen of the larynx. Distinguish false and true croup. In the first case, we are talking about the depletion of the mucous membrane on the background of allergies or due to the inflammatory process, and in the second, the larynges are clogged by diphtheria films. In most cases, there is a false croup.

There are such forms of laryngitis:

Catarial. Challenged are a small cough and a slight throat. The disease is almost imperceptibly for the child.
Hypertrophic. Specific nodules are formed in the laryrs warehouses. The temperature indicator remains normal.
Atrophic. It occurs as a consequence of chronic laryngitis. Cough is frequent, there is a thinning of the gentle fabrics, the baby disappears the opportunity to speak.
Hemorrhagic. There is dryness in the oral cavity, a sputum with bloody contents, the feeling of something extra in the throat. As a rule, this form develops as a result of a failure in the work of the hematopoietic, cardiovascular and excretory systems, also against the background of toxic flu. The hemorrhages in the mucous membrane are characteristic, also in voice ligaments.
Diffex form. It is characterized by the transition of an infectious process from the almond surface to the larynx.
Phlegmonous. As a rule, it develops with low immunite or, as a result of heavy infections. Characterized high temperature and respiratory failure.
Allergic. Characterized edema of the larynx.
Laringhotrachite or stenzing laryngitis. This disease includes defeats not only larynx, but also trachea. Disquires compensated, subcompensated, non-compatible laryngotrachite and asphyxia.

In addition, the disease can be sharp and chronic:

Acute. The emergence is unexpected. The first feature is a change in voice timbre. The acute course of the disease can be accompanied by a subfebrile temperature, sometimes this indicator rises to 39 degrees.
In the case of chronic form, frequent laryngitis are observed, larynx hypertrophy occurs, the vessels are expanding. The child slightly changes the voice, and Aphony and obvious hoarseness may arise.

Larygitis may be accompanied by a narrowing of the lumen of the larynx, such a process can occur in four stages:

The first degree of stenosis. The baby can breathe, the shortness of breath is absent, but at the slightest physical exertion, the area of \u200b\u200bthe area above the navel appears.
The second degree of stenosis. Baby is worried, pale, there is a formation of the nasolabial triangle, tachycardia. Characteristic is oxygen fasting fabrics.
Third degree of stenosis. There is no symptoms of respiratory failure, a noisy breath, characteristic sweating, the pallor of the skin, the child will shine lips.
Fourth degree of stenosis. Signs are characteristic, suffocation, Surface breath, bradycardia.

The reasons

Rarely when the disease causes one reason. As a rule, the advent of laryngitis affects the set of favorable factors. So, what can affect the development of laryngitis:

Allergic reactions that are manifested by the inflammatory process of the larynx.
Viral disease.
Polluted air, passive smoking.
Anatomical features in the structure of nasopharynx or larynx.
The supercooling, for example, inflated a draft or knocked out legs.
The consequence of long loads on voice ligaments.
Gastroesophageal reflux disease.
When removing a foreign body, when the lads are damaged mechanically.
In the history, having a history of chronic nasopharynk pathologies. In addition, in the risk area - children with dental problems.

A few years ago my sister had laryngitis. Once it woke up and could not speak at all, and everything happened because the day before it was raining and blew her legs strongly. The throat was a bit red, the temperature is 37, 1. closer to the night, it began to cough, but not much. The disease proceeded in a light form, the doctor discharged a list of drugs, the focus was made on a warm drink and rinse throat, antibiotics were not assigned. Already on the third day, the voice began to return, but on the recommendation of the doctor, Anya did not hurry to speak a lot. She completely recovered five days after the start of the disease.

Symptoms

This disease, as a rule, occurs sharply and has an acute course. Primary symptoms of laryngitis - a timbral change of voice and his insistence, the baby will have pain in the throat, which will lead to a decrease in appetite or its complete absence. In addition to these signs, these symptoms will be present at Laryngitis:

Changed respiratory frequency. It can be accelerated and slowed down to be difficult. This is due to the larynx spasm.
Possible seizures of suffocation.
The temperature during laryngitis is usually increasing slightly. Serious changes in this indicator are observed in rare cases, for example, with a weakened immunite or the attachment of a secondary infection.
Rubble.
Hyperemia throat.
Temporary voice loss.
Highland edema, bleeding in the area of \u200b\u200binflammation.
Dry in the oral cavity, a sense of deposits.
Dry cough with laryngitis nature is a specific feature of the disease. Its intensity increases in the morning. It gradually replaces wet, a meager sputum is formed.
Headaches.

Signs of the disease in infants

In time, to identify the cause of the disease in the children of the first year of life, it is much more difficult, because kids are unable to say or show where it hurts. The task of parents to be extremely attentive and at the first signs of deterioration of health, evaluate the entire clinical picture and seek help to the doctor. With laryngitis, there will be characteristic of such symptoms:

Restless condition, capriciousness.
Lost, drowsiness.
Rubble.
Voice's witness, crying accompanied by wheezing.
When listening, noises and whistles are observed in the lungs.
Summary of the skin in the area of \u200b\u200bthe nasolabial triangle. This indicator is evidence of the progression of the disease.

Urgent hospitalization

It is important to know, in what cases the child needs to be unreserved to the hospital. In such situations, the road has every minute. If you do not apply for qualified help in time, the risk of a serious form of the disease will significantly increase, and subsequently the emergence of serious complications.

Copy help must be called if:

The child, especially in the thoracic, has difficulty breathing, shortness of breath, short-term asphyxia.
With a serious narrowing of the lumen of the larynx. This state is especially characteristic of the first year of life. May lead to the stop of breathing.
The presence in history of a state that can aggravate the treatment of laryngitis, for example, allergic, nervous, respiratory or cardiovascular system pathology.
High temperature, which is held throughout the day and is not knocked down by medication.

Diagnostics

You do not need to try to make a diagnosis to the child. When parents notice that in the health state of their baby, there were some changes, it is necessary to immediately contact the clinic. In the case of symptoms of laryngitis, you can refer to the pediatrician, but the profile of this disease is for a otolaryngologist.

Initially, the doctor will ask you about the time of the very emergence of the first symptoms, it learns that it preceded the beginning of the ailment. After all, it is important for setting the correct diagnosis and clarify the approximate picture of the course of the disease. Otolaryngologist will ask what a small patient complains. Having collected the full history, the doctor will turn to a detailed inspection. He takes care of the ladies and lymph nodes, will make a conclusion about their pain and possible increase, check the skin and existence.
Laryngoscopy. The otolaryngologist should be inspected by the state of the larynx from the inside. For this purpose, a special mirror can be used, but it is possible that the doctor will take an endoscope. After this study, the doctor will be able to make a conclusion about the parameters of the voice gap. Based on this, it will come to the conclusion about the difficulty of breathing.
Study of blood to identify the causative agent of the disease. After analysis, the bacterial or viral laryngitis from the child will find out.
If it was found that the cause of the development of the pathological process of the larynx is bacteria, the smear smear will be assigned to accurate determination of the pathogen. Studies will also be conducted to determine the sensitivity of bacteria to specific types of antibiotics.

Possible complications

In the absence of timely therapy and adequate treatment, the kid may have serious consequences:

With frequent laryngitis - the transition to a chronic form.
Stenosis of the larynx.
Suffocation. Such a complication arises against the background of an allergic type of disease or with a serious course of laryngitis.
If the disease is accompanied by the separation of the pus, such pathologies may develop:

an abscess of light, in the case when the focus is localized in this organ;
mediastinitis, characteristic of the defeat of the sternum (its middle departments);
flegmon Neck;
septice, blood infection occurs.

Treatment of the disease

When the first symptoms appear, it is important to seek help from a specialist. Only the doctor will be able to put the correct diagnosis and appoints the appropriate treatment. Remember that it is impossible to rely on your knowledge of medicine and engage in self-medication, it is fraught with the development of serious consequences.

When severe the course of the disease, the baby will be hospitalized. In cases where the disease is not accompanied by stenosis, the child may assign treatment of laryngitis at home. It is very important to comply with the correct mode to speed up the recovery, but also should not forget about the reception of medicines.

Features of care

The temperature regime and moderate humidity in the room where the sick kid is located. Linengitis recommended a decrease in air temperature and enhance humidity. For this purpose, you need three times a day to arrange ventilation, make wet cleaning (you can purchase a special moisturizer).
You must often walk the baby. An important condition is the use of only warm beverages, the exception is acidic berries and fruits, an alkaline mineral water is recommended.
Strict bed mode. If your baby is fidget and it is impossible to force for a long time to be in bed, then you need to trace the decrease in physical activity.
It is very important to reduce the load on voice ligaments. Conversations should be at least then on low colors. If the child is completely small, then you need to not allow his cry or scream.
It is advisable to avoid hiking on the street, especially if there is a wind, cold or raining. It may aggravate the condition of the larynx.
If the child is hard to swallow, then you need to take care of the diet. Dishes must be crushed, in a liquid or semi-liquid state. It is also recommended to produce enveloping food, especially during the period of exacerbation. Baby You can offer a stuck soups, yogurt, meat minced meat, viscous porridge.

Drug Treatment of Larygitis by the Child

The course of treatment will be appointed depending on the severity of the disease, the reasons provoking its development and characteristic symptoms. So the baby can be assigned:

Antiviral drugs. Often the cause of laryngitis becomes viral diseases, so such therapy is relevant. Depending on the age of the child, such drugs can be appointed: Afludub, Anaferon or Viferon.
Immunostimulating drugs. Immunal or resistol may be assigned to enhance the protective functions of the organism.
Antihistamines. These medicines are prescribed to remove the ethony, inflammation and reduction of hyperemia on the slurry mucosa. Depending on the age, the baby can assign suprastin, zetrin, L - cset or claritine.
Beneficule. Since the disease accompanies the dry cough, in which the sputum does not leave, and the mucous membrane of the throat is inflated, the drugs blocking the cough reflex can be assigned. The doctor can register stop vehicles, synecode or, for example, speech ivy.
Expectorant drugs. Since over time, dry cough develops into a moistened, the child will be assigned to medicines that contribute to the discharge of sputum. It can be the ACC, Ambroben, Altayka, Lazolyvan or, for example, bromgexine.
Preparations of local action. In order to remove the ethnicity of the larynx, antiseptics, anti-inflammatory agents, as well as analgesics can be appointed. Depending on the age, the child will be registered: Faringosept, Anglex, Miramistin or Rotokan.
In the case of a temperature exceeding an indicator of 38 degrees, admission of antipyretic medicines is allowed. Most often prescribed nurofen or pandol.
Acceptance of antibiotics. Assign if the disease is accompanied by a bacterial infection. For example, supraks or Flemoclav Soluteab can assign. If the baby is recommended for the course of antibiotics, then the probiotics must be taken in parallel.
Inhalation are effective. They contribute to the moisturization of the cough and help relieve inflammation. Inhalations can be conducted on the basis of mineral water, herbs champs or saline. This procedure should be carried out twice a day at an interval per hour from feeding.
Physiotherapy. The child can be assigned:

electrophoresis with novocaine and 5 percent calcium chloride (low-frequency current);
ultraviolet with bactericidal action;
high-frequency ultrasound for inflammation;
soluxux.

Depending on the severity of the disease, peculiarities of treatment may also be observed:

When easy to do:

antiviral agents;
inhalation with decoction or alkaline mineral water;
expectorant and antitussive drugs;
antiseptics and analgesics;
antihistamines;
UHF - therapy.

With a medium:

inhalation by hydrocortisone;
antiviral medicines;
analgesics;
antihistamines;
antiseptics;
administration of glucocorticoids intravenously (in the case of asphyxia);
if there is observed breathing - tracheotomy or intubation.

With a difficult degree, along with the main drugs will be assigned:

diuretic;
corticosteroids;
antibiotics;
probiotics;
in the case of abscess - its autopsy;
with increasing stenosis - tracheotomy.

Folk Methods

In the treatment of Larygitis, traditional medicine has a beneficial effect on the recovery process. However, the consultation of the doctor is recommended. It is important that the reception of any drugs agreed with the attending physician.

Nose wash with herbic decoction. Also, the procedure can be carried out with a solution of warm water and half a teaspoon of soda (salt).
Gargling. Can be used potato or beet juice; Money solution; Infusion of chamomile, calendula, sage, oak; Owl husk decoction.
Inhalation. You can breathe over a potato ferry, garlic or just over hot water.
When coughing you can drink decoction of the plantain. In order to relieve inflammation - carrot juice with honey. In order to normalize the voice - a decoction of honey and dried apples.

Preventive measures

In order to prevent the occurrence of laryngitis, it is necessary to follow these rules:

Isolate baby from possible infections. In the period of outbreaks of diseases, do not drive the baby in the places of large cluster of people, do not carry in public transport.
In the presence of chronic ailments - must observe the doctor and timely treatment.
It is impossible to allow the child to become a passive smoking object.
It is important to ensure that the baby does not injure the larynx, in particular, no burns on its mucous membrane.
Voice ligaments should be moderate.

If the child has already been diagnosed with laryngitis, then the task of parents to prevent the development of complications into chronic shape and prevent the development of complications:

When the first symptoms appear, turn to the doctor in time.
Observe the mode. The child needs the right departure during the disease.
It is very important to start the treatment process in a timely manner.
It is necessary to comply with all prescriptions at the attending doctor. Conduct adequate treatment.
Do not rely only on traditional medicine. It is unacceptable to engage in self-medication.

Now you know what laryngitis is and what is his danger. Remember that when the primary symptoms appear, you need to immediately contact the doctor. Only in the hospital will be able to put an accurate diagnosis. Do not self-medicate, remember that folk methods are permissible in a complex with medication treatment. Do not forget about the observance of preventive measures, because it is always easier to prevent the disease. Take care of your children and be healthy!

Larygitis in children is the inflammatory process of the larynx, at which it is almost immediately occasionally occasionally. Larygitis for newborns of babies is most dangerous and for children until three years, because the course of the disease is accompanied by insufficient air intake in the respiratory system. This may cause choking if parents do not provide early hospitalization.

Due to the fact that children have a little different structure of the larynx than in adults, the symptoms, the flow and treatment of the disease are significantly different. The younger than the child, the more the danger of damaging health. There is a chance that the disease may occur again, especially if the kids are often subjected to colds. The secondary exacerbation may come aged four to eight years. But since the child becomes older, the danger of health will gradually decline.

In children, Larygitis rarely flows independently. It may be accompanied by such diseases as or. Doctors note that often the first signs of the disease are expressed at night, so that parents should closely monitor the child's condition during sleep, especially in the early terms of his life. This disease is easy to diagnose, since, under the age of three years, Larygitis is almost the only respiratory disease.

Etiology

The reasons for the occurrence of laryngitis in infants and young children are currently unclear to the end, since each organism is individual and subjected to various pathogenic processes. The appearance of Larygitis is most often due to a combination of several reasons, including:

genetic predisposition;
frequent colds;
weak immunity;
allergies to substances or materials that inhale or with which contacts the child;
exposure to the faster body long-term finding in the cold;
abnormal structure of larynx and nasopharynx;
long stress of larynx due to a strong cry or singing;
the composition of the air. If it consists of a large accumulation of gases, dust, tobacco smoke, and at the same time not containing moisture, this is a favorable background for the appearance of the disease;
penetration of foreign objects in the air paths;
impact of medicines. During the use of therapeutic sprays, parents need to be especially attentive and careful. Do not give a strong jet, which can harm voice ligaments, because a small body can respond to such treatment by self-defense, thinking that alien items fall into the body;
a strong emotional splash can also cause ligament spasms;
viral microorganisms.

Varieties

Like most diseases, the laryngitis of the child exists in several forms:

acute - arising from the impact of the above reasons;
chronic - emerging due to improper or incomplete treatment of acute form of illness.

According to the presence of consequences for the body:

flowing without complications (if a quick and timely start treatment in the early stages);
complicated - can develop due to incompetent treatment or launched form.

Larygitis in infants and children also happens:

catarval - expressed by insignificant uncomfortable feelings in the throat, rare cough, small hoarseness. Is the easiest type of the inflammatory process of the larynx;
hypertrophic - characterized by the appearance of neoplasms on the voice ligaments that need to be removed, and also significantly increases in the dimensions of the larynx;
atrophic - at which the mucosa of the larynx is thinning;
hemorrhagic - when hemorrhage occurs in the mucous membrane of the larynx, hurt her ligaments. Children feel this process as an extraneous object in the throat;
diphtheria - inflammation on larynx and almonds;
stenozing - the disease applies to the trachea;
fLEGMONOS - in which painful sensations are felt in lymphatic nodes.

Symptoms

The progression of laryngitis is observed a few days after the infectious disease. Often, signs of illness manifest unexpectedly. The child may have the following symptoms:

runny nose;
changing the height of the voice;
a little hoist;
cough without sputum isolation. There is an increase in its frequency in the morning or at night;
loss of appetite due to severe pain during swallowing;
frequent, or, on the contrary, difficult breathing;
edema and redness of the throat;
dry oral cavity;
headache;
heart palpitations;
the weakness of the body;
whistling and wheezing when inhaling air;
increase body temperature.

Complications

The consequences of the course of the disease can cause serious harm to the health of the child (especially if laryngitis develops in infants). One of the most common complications of the ailment is a transition of a disease in chronic form.

Other complications include:

the narrowing of the larynx, in which the process of inspire the air is hampered, which can entail the suffocation. In this case, the baby must be immediately hospitalized;
allergic laryngitis;
purulent manifestation of this disease, which may cause inflammation of neck and chest tissues;
in which the virus is distributed throughout the body with blood flow;
storage of pus in lungs, which can lead to.

Diagnostics

To determine the diagnosis of the children's otolaryngologist is easy - he has enough of the information reported by parents, and the inspection of a small patient, during which the doctor conducts:

inspection of the pharynx with a special light;
study of earcons;
study of the nasal cavity;
tearing lymphatic nodes.

In order to determine the causes of the disease, the child has a sample of fluid from the nose, and sometimes it may be necessary. If there are changes in voice when the disease occurred, then further consult a phonopeda and speech therapist.

In addition, during the diagnosis, it is necessary to check the presence of foreign objects in the larynx, an allergic influence on the organ, and exclude diphtheria.

Treatment

Treatment of laryngitis in children under two years should be under the complete supervision of the doctor, in stationary conditions. The main therapy is aimed at eliminating the disease that caused the disease. For this, the child is prescribed anti-inflammatory and decreasing drugs drugs, as well as antibiotics.

At the first symptoms of the disease, parents can independently help the child. To do this, you need to try in any way to moisten the air indoors, and if it is impossible, resort to the help of mustard pieces or warm feet. The use of a special children's home inhaler will be a good tool, which will warm the child's throat and voice ligaments.

It is erroneous is that any throat disease can be treated with warm milk and honey. But this in no case cannot be done, since these products may aggravate the manifestation of symptoms. Also do not heal children up to a year with various herbal decoctions or tincture. It is important that parents have always been near, so the baby calms down, and will feel defense.

In the hardest stages of the disease, when the body temperature rises, the attacks of suffocation occur, the treatment is carried out only by a doctor, in stationary conditions. The child is prescribed antipyretic medicines, inhalations and droppers.

If the disease was caused by allergies, then in hospital conditions, the state of the child is significantly improved, since there is no irritating source. But when returning to home conditions, the child becomes worse again. Parents tend to blame in this doctors, arguing that they did not fully cure a child. And the problem is that the causative agent is in the residential premises. Until the cause of allergies, will be determined, will be returned.

Sometimes an operational medical intervention may be required if the threat of respiratory stop at the kid arises. To do this, he is conducted by tracheostomy - while the special tube is inserted into the throat, with which breathing resumes. After the patient's condition comes to normal, the tube is removed, and the child can freely breathe through the nose.

Prevention

Preventive measures of Larygitis in children must perform parents. It is necessary to follow these rules:

timely treat any infectious or inflammatory processes in the children's body;
follow the humidity of the air in the room where the child sleeps and plays;
constantly air housing;
strengthen immunity with hardening;
find out in advance what the baby is allergic, and limit it from such pathogens;
observe the voice ligaments to be overdress;
regularly drive children, especially infant to the doctor's examination;
do not smoke in the presence of a child, and in the apartment where he lives.

How does laryngitis have a one-year-old child? This question is worried about many parents. The body of the kid is always more vulnerable to infections and viruses than an adult organism. That is why kids are much more often sick with various infectious diseases, such as laryngitis.

Larygitis in children under year is found very often and is the most common form of the flow of sharp respiratory diseases. This is due to the fact that the immunity of a one-year-old child is not yet able to fulfill its protective functions in full.

Approximately 3 months in kids ends with a stock of antibodies in the blood, which come from the mother's organism during pregnancy. It is during this period that the risk is increasing that the child can get larging. This disease is distributed not only to very small, but also in children up to 3-4 years.

How does laryngitis manifest

Larygit is inflammation of the larynx, the most common form of flu flowing and respiratory infections in children. There is a disease solely against the background of the weakening of natural immunity, when overcooling or contact with a high concentration of the causative agent. The occurrence of acute laryngitis in allergic reactions is also recorded, although this etiology occurs much less and has a different course.

A one-year-old child disease caused by viral agents can flow in different ways.

In most cases, laryngitis begins suddenly with a rather strong increase in temperature.

In children, under a year, there is a danger of narrowing the lumen of the respiratory tract, which can lead to the development of obstructive laryngitis and respiratory failure. Such a state is extremely dangerous, therefore, in the event of strong kola attacks, and difficulty becoming urgently consult a doctor.

Larygitis in a one-year-old child is usually manifested as follows:

A sharp increase in temperature.
Strong pasta cough.
Voice change.

Since inflammation can affect and voice ligaments, it is possible to complete the disappearance of the voting during the period of the most powerful development of the disease.

The greatest danger in acute laryngitis in small children is precisely the narrowing of the lumen of the larynx. Inflammation of the mucous membrane often leads to the development of such a state, as a false croup, which can grow into a suffocation. At the same time, the acute phase of laryngospasm most often falls at night, so many parents decide to call ambulance.

A few days later the child begins a wet cough with the experience of a small amount of sputum. This is a completely normal phenomenon, since the infection gets out of the larynx to bronchi, where the immune response is developing. The chronic form of flow occurs only in older children.

Treatment of laryngitis in children up to year

In the overwhelming majority of cases, viral agents are causative agents. That is why the treatment of antibiotics and antihistamine drugs is ineffective. Unfortunately, the antiviral tools do not always have a visible positive effect.

That is why the treatment of this pathology is based on symptomatic therapy. The most effective means in the fight against laryngitis in children are abundant warm drinking and constant ventilating room.

The use of large amounts of fluid affects the rheological properties of blood, diving it. After some time after making big quantities of warm water, the child becomes easier to breathe. This is due to the fact that not only blood is diluted, but also the sputum forming in the lungs when infections from the upper respiratory tract in them.

The dilution of mucus contributes to a lighter and rapid disbelief from the lungs, and also does not allow it to linger in the inflamed larynx and slow down the process of recovery.

Extremely important is the condition of air in the room where the baby is located. It should be fresh and cool. The intake of cold air through the larynx contributes to the narrowing of the vessels, weakening the inflammatory processes and swelling.

In addition, the symptomatic treatment is worth specifying drugs. It is extremely important that the inflammatory process does not move to the baby's nasal mucosa. If this happened, the nose of the baby does not breathe, it is recommended that the use of local vesseloring drugs is recommended. They will not only improve the overall condition of the child, but also will contribute to the easier intake of cool air.

When maintaining a high temperature, the use of antipyretic agents is recommended.

Video about the cereal and laryngitis in children:

It is worth remembering that the use of expectorant drugs in the treatment of laryngitis is not recommended, as this may lead to blockage of the lumen of the larynx.

Of course, the main method in the fight against laryngitis in young children is prevention. It consists in maintaining a normal microclimate in the apartment, the right and diverse nutrition, as well as in walks. Despite the widespread misconception, young children are useful to be on the street, as it contributes to a more proper and rapid formation of immunity.

A less developed immune system and relatively narrow larynx in children lead to the fact that Larygitis occurs in them much more often and proceeds more violently than in adults.

Larygitis in children is inflammation of the larynx. At the same time, voice bundles swell, the voice hoarse, it will appear and can completely disappear.

In contact with

Spread

Children under 2 years old are most susceptible to the disease - laryngitis is found in each third. In the risk group, children with allergic diseases, overweight and with an enlarged fork iron. Chronic laryngitis is more often fixed in boys up to 10 years.

The greatest number of cases are observed among children living in dusty and tanned industrial areas, next to major highways, intersections and industrial facilities.

Peak diseases fall on spring and autumn, as often laryngitis develops against the backdrop of cold and influenza.

Children's nasophaling is not yet sufficiently developed to hold microorganisms falling from the outside. As a result, the pathogenic microflora quickly penetrates below. The inflammation caused by microbes causes edema, which may result in squeezing the respiratory tract. The younger child, the harder the disease can occur.

Laringgitis study has a thousand-year history. The inflammation of the larynx studied more hippocrates (IV B BC), Galen in I B BC. Made the first description. The term "croup" is introduced into terminology in 1765

Until the middle of the twentieth century, the croup was considered a terrible disease that caused a huge childhood mortality.

The croup that occurred during diphtheria was called true, and with other infections - false. Now this separation is not relevant.

Causes of the disease

Viruses (influenza, paragrippa, adeno and RS viruses) - cause the overwhelming majority of laryngitis cases (up to 90%);
bacteria (stafilo, streptop-pneumococci, intestinal and cinema sticks) - rarely become the causes of acute laryngitis, but their connection to infection causes severe and protracted disease;
a loud, darling children's cry - one of the main causes of acute laryngitis;
the impact of harmful substances is dusty, gasped air;
allergic reactions - on dust, paints and varnishes, animal wool.

Symptoms of laryngitis in children

Acute current

Acute laryngitis in children - emerging suddenly and fast-growing inflammation.

Voice change - hoarseness appears, rudeness. There may be complete voices;
cough at the beginning of the disease - dry, suffocating, then - wet, with sputum of sputum;
runny nose;
increase temperature (not always) - it is possible to 40 ° C. In case of easy cases, the temperature may not rise;
difficulty, breathing, because of the edema of the larynx;
pain, dryness and sore throat.

Chronic flow

Chronic laryngitis in children - Long-term disease with periodic exacerbations.

Hoarseness, voting change;
feeling coma, error and dry throat;
cough is a different, from constant silent passing to painful suffocating attacks.

In exacerbation - the rise of temperature, fatigue, headaches. When remission - the symptoms are poorly expressed, with exacerbation - enhanced.

Species and features in children

Catarial laryngitis - easily treatable, most common;
hypertrophic laryngitis - often occurs. Differs hyperplasia of the mucous membrane;
hemorrhagic laryngitis - a feature of hemorrhage into a shell of larynx and ligaments, blood streaks in sputum;
diffex form - inflammation with almonds goes into the larynx;
fLEGREMA LARIARGIT - a heavy, but rarely found form, is characterized by inflammation of the muscular and submucosal layers of larynx, schlards, ligaments;
stenzing laryngitis is the most dangerous variety (false croup). It is characterized by narrowing the respiratory tract, the rapid development of the lack of oxygen, cyanosis of the nasolabial triangle. Requires immediate hospitalization, and it happens that resuscitation.

Diagnostic methods

Collecting anamnesis - Inspection with the establishment of symptoms, the establishment of larynx redness;
larianingoscopy is an inspection with a laryngoscope with a flashlight for detecting edema, hemorrhages in the mucous membrane, amplification of vascular pattern, thickening and incomplete closure of ligaments;
pharisingoscopy - inspection of the pharynx with special lighting;
rososcopy is the study of the state of the nasal cavity with the help of special mirrors;
study of wasches from larynx (virological, bacteriological) - to establish a causative agent of the disease.

Differential diagnosis

It is necessary to differentiate laryngitis from diphtheria, foreign body, cap abscesses, papillomatosis. At diphtheria, a raid on the almonds is found and around them, the suffocity develops gradually, with and an increase in cervical lymph nodes. In the plot, the difficulty of breathing is characteristic, no cough and hoarse voice.

With a foreign body in a larynx symptoms arise suddenly during games or food. Cough - up to vomiting. The main role in differentiation belongs to laryngoscopy.

With papillomatosis of the larynx against the background of long-term hoarseness, the progressive difficulty of breathing is gradually developing. For differentiation use laryngoscopy data.

Treatment of laryngitis in children

General rules:

Elimination of the causes of the disease (more often - treatment from influenza or ORVI);
strict bed mode;
ensuring in the room of freshly moisturized air;
silence mode - to talk as little as possible, it is impossible to whisper too;
warm abundant drink (herbal decoctions,);
diet - food must be warm, exclude everything sharp, salty, spicy, allergenic products.

Treatment of acute flow

Acute laryngitis in children is incredibly cured by a complex of measures:

inhalation - in the first days every 2 hours to 5 minutes, then - through longer intervals;
warm compresses - on the neck or warm scarf;
anti-inflammatory drugs - in the form of sprays (,) or pills for resorption (Faringosept, Strepsils);
antibiotics are prescribed by a doctor in a bacterial infection;
antitussive preparations (,);
expectorant medicines - to facilitate wetting (thermopsis,);
antihistamines - to reduce edema and calm the child (claritine, zoda, zetrin);
antipyretic - (Panadol, Ibufen, Effergangan);
physiosters (electrophoresis, UFO, UHF).

Treatment of easy degree

It is produced at home, consists of compliance with the general rules, and if necessary, symptomatic treatment:

Inhalation with alkaline solutions (sodium chloride or alkaline mineral water), vasoconductive means;
UHF therapy;
antiseptic sprays and preparations for resorption.

Middle degree

Treatment is made in the hospital. The treatment uses:

Inhalation by hydrocortisone;
- intravenous administration of glucocorticoids;
when gaining difficulty, breathing is resorted to intubation or tracheotomy.

Heavy degree

Treatment only in the hospital. Used:

Antibiotics (amoxiclav, ceftriaxone, azithromycin);
antihistamines and diuretic drugs;
corticosteroids;
in the formation of abscesses resort to its opening;
with increasing stenosis - urgent tracheotomy.

Treatment of chronic flow

A combination of general rules and symptomatic treatment is used:

Inhalation with alkaline solutions;
antiseptic sprays and tablets for resorption;
antitussive and expectorant drugs;
physiotics in periods of remission: UFO, UHF, Solux, electrophoresis;
removal of hyperplasted sections with a laser, ultrasound.

Physiotherapy

Electrophoresis on the region of the larynx - the introduction of drugs (novocaine, 5% calcium chloride) with a constant low-frequency current.
UFO - the use of ultraviolet increases the absorption of oxygen, increases the resistance of the infection. It has a bactericidal action.
UHF - high-frequency ultrasound is used, acting in contactless way. Most effective in inflammatory processes.
Soluxux - the action of an artificial light source on the front of the neck is directed.

Inhalation with laryngitis in children

Effective treatment facility. With the help of inhalations additionally moisturize the larynx to relieve cough, which can accompany laryngitis ,. For the prescription of the doctor in the inhaler add anti-ethics and antiseptic agents. Inhalation with essential oils is better not to use.
Produce inhalation with inhalers, nebulizers.

Treatment with folk remedies

Inhalation:

Potato ferry. Watch crude potatoes, put on mint or chamomile. Breathe over a ferry of 10 minutes;
garlic. Garlic finely to nourish and decompose the patient around the room, around his bed;
hot ferry. Turning on hot water, fill the bathroom with steam. Sit in it 15 minutes.

It is impossible to carry hot inhalation if the child has wheezing and difficulty breathing. It can provoke even greater obstruction of the respiratory tract, right up to their full overlap.

Rinse:

Beet and potato juice;
honey (1 spoon dissolve in glass of boiling water);
ribs (calendula, sage, chamomile, oak);

Nose washing:

informed herbs;
a solution of sea salt or soda (0.5 spoons per glass of water).

For reception inside:

2 spoons of plantain leaves brew boiling water, insist. Drink with cough;
carrot juice with honey - anti-inflammatory and constructive.
a decoction of dried apples with honey or carrot in milk - when weapping.

Treatment of laryngitis in children at home

Houses are successfully treated with uncomplicated form of laryngitis. Use a combination of general rules, medical and folk treatment methods.

Prevention of the disease

Primary prevention:

Personal hygiene;
elimination of contact with patients with colds;
child hardening - gradual;
not allowing the hypothermation of the child's body, during the cold season, a scarf and cap are required;
maintain cleanliness, fresh and wet air in the house.

Secondary prophylaxis:

Timely treatment of nasopharynx diseases;
vaccination against childhood diseases;
with forced contact with harmful substances (residence in a contaminated area) - periodic prophylactic inhalations.

Forecast

In children with acute not complicated laryngitis a favorable forecast. Timely treatment will allow forget about the disease after 2 weeks. In case of violations in the treatment (non-compliance with the general rules) and frequent occurrence of laryngitis, a chronic form of illness may develop. With the development of the stenosis form, the forecast depends on the timeliness of treatment, otherwise the stenosis of the larynx can lead to death as a result of asphyxia.

When detecting a cough, high temperature (39aboutC), difficulty breathing and swallowing, a whistle with breathing immediately refer to the doctor - therapist, a otolaryngologist, a pulmonologist.

Useful video

Children's laryngitis (especially sampling form) is a severe disease that requires immediate medical care, in detail in this video:

Larygit is an inflammatory process that often develops in children. Why does the disease occur? What symptoms indicate that the baby fell ill with Larygitis? How to provide first help to the child and do you need to call "ambulance"? Is there a risk of complications, how to treat and prevent this disease? Tell together.

Causes of laryngitis in children

Larygitis in children can flow in chronic or acute form. Everyone is characterized by a complex of reasons. A long-term and regular stay in dusty premises leads to the development of chronic disease, constant overvoltage of voice ligaments, while the acute form of the disease has a viral or bacterial origin.

Experts allocate the following factors provoking the pathology in a child:

large spasm due to strong psycho-emotional shocks;
frequent use of drugs in the form of spray or aerosol - they can provoke a reflex reduction in ligaments, irritating the nerve ending of the larynx;
lymphatic and hypoplastic diathesis (congenital);
allergic reaction;
overvoltage of the voice apparatus (when screaming or singing);
consumption of very cold or too hot drinks;
inhalation of the throat of dusty, hot or cold air;
supercooling;
physical overwork;
complications after suffered scarletin or measles;
bacterial infection;
viral infection.

Symptoms and types of laryngitis

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The symptoms of laryngitis, as a rule, manifest unexpectedly. In most cases, the first signs of the disease occur in the morning, during awakening, or in the middle of the night, when parents and the child sleep well.
The classic clinical picture of Larygitis includes the appearance of the discharge from the nose, dry cough, hoarse in his voice (sometimes it disappears at all). Children have the following characteristic symptoms of laryngitis:
swallowing pain;
burning, feeling of an extraneous subject in larynx;
"Live" dry cough;
loss of votes or wheezes;
whistling breathing (the sound is heard on the breath), which becomes superficial and heavy;
heat to 39 degrees;
choosing (with the formation of the skin around the mouth).

Acute and chronic course

Symptoms of Larygita
Acute laryngitis in children is usually accompanied by not only sore throat and increasing body temperature. The development of this form of the disease also testifies swelling and hyperemia of mucous laundry (they sometimes appear dark-red dots). Collective ligaments are becoming fat and blundes, the folds are swelling. You can clearly see these symptoms in the photo.
In children, such a form of illness is developing very quickly - in just a few days, but also flows for a short time. How long does laurengit last? With a competent treatment of a child, you can cure for 7-10 days.
If the inflammatory process goes into a chronic form, the characteristic clinical picture undergoes changes. The main sign of chronic laryngitis is considered a clearly modified voice. The disease is accompanied by shaking, hoarse, periodically in the throat. Respiratory problems, as in acute form, does not occur. The disease is delayed indefinitely.
Molds of inflammation of the larynx
According to the presence of complications, uncomplicated and complicated laryngitis are distinguished. The latter develops if the patient neglects treatment or the therapeutic strategy is incorrectly chosen. Doctors also distinguish four main forms of the inflammatory process developing in the larynx. Each of them has its own characteristic features and features.

Form Larygita Specific traits Note
Obstructive ("false croup") (we recommend reading :) Starts suddenly. In the early stages, the clinical picture is similar to ORVI. Accompanied by heat. Catarial symptoms grow for 24-72 hours. Most often, children of 2-3 years old are suffering from the disease. Breeding from 6 to 12 months, pathology develops less frequently. In patients over 5 years old, false croup is diagnosed extremely rarely.
Allergic The process of non-infectious origin, provoked by stimuli substances (artificial or natural). It is dangerous in that it often leads to the spasms of the upper respiratory tract and their swelling. Immunity weakens, therefore it is often complicated by an acceding bacterial infection.
Catarova The clinical picture includes a slight increase in body temperature, pain in swallowing, reddish redness. One of the light forms of Larygitis. If you start therapy on time, then the cure will take five days. The most severe becomes the first 48 hours. During this period, air access to the larynx can be blocked due to edema mucous membranes.
Bacterial (diphtheria and influentes) The symptoms of the early stage is similar to the signs of other forms of the disease. However, on the third day on the surface of the mucous membrane, ulcers coated with a film of yellowish color appear. With influenza laryngitis, which develops due to streptococcus infection, abscesses are formed. Bacterial form treat antibiotics.
Diagnosis of disease

Laryngitis is inherent in a characteristic clinical picture with specific symptoms, so a specialist will be able to diagnose the disease on the basis of inspection and results of laboratory research. When diagnosing laryngitis, a child will need a pediatrician and otolaryngologist consultation:
The visual inspection suggests that the doctor will appreciate what state is the mucous membranes of the nose and throat, the cervical lymph nodes are placed (in order to evaluate their dimensions, to identify an increase), familiar with the anamnesis.
If the child fell ill with Larygitis, then the overall blood test will also show deviations from the norm - the level of EEE and leukocytes will be elevated (we recommend reading :).
To determine the pathogenic microorganism, provoked a disease, the doctor will send a smear of the throat.

If necessary, one (or more) from diagnostic methods can be assigned:
microlaryngoscopy;
laryngoscopy;
goboscopy larynx;
large study (including functional);
radiographic diagnostics of the state of the pharynx and larynx.

First aid in the attack
What to do with the attack of the disease? If this happened, parents must immediately call the ambulance brigade. Difficult breathing is a dangerous symptom, even if its manifestations seem insignificant. While doctors on the way, the main thing is not to panic and provide the child first help to facilitate his condition before their arrival. It is recommended to perform the following activities:
if a child has a high temperature, give the antipyretic;
it is possible to alleviate a strong dry cough with a nebulizer with salvory (we recommend reading :);
slavsmolitics will help to weaken the spasm (if there are no children's drugs, it will also be suitable, but it will be necessary to carefully examine the instructions and pay attention to the dosage) (we recommend reading :);
if the kid is allergic laryngitis, then a suprastine or other antihistamine drug will help him;
to increase the humidity of the air in the room, you can turn on the humidifier or put on the floor several tanks with water (more in the article :);
it is advisable to give a child an alkaline drink of 1 tbsp. l. with an interval of 10-15 minutes (you can stir a teaspoon of drinking soda in a liter of boiled water or buy mineral water, such as Borjomi);
it is necessary to reassure the child - crying and nervous tension exacerbate the larynx spasm.

When is it required to call ambulance?
You need to call an ambulance when the first signs of suffocation appear. If you do not take urgent measures, then asphyxia can develop for just a few hours, which is deadly.
If a little patient has a breath and begins to light the skin near the lips, you need to immediately call the ambulance.
Treatment with the help of drugs and antibiotics
Choose tablets, drops, syrup or spray for the treatment of Larygitis can only doctor after the cause of the disease is established. Antibiotics with laryngitis in children are extremely rare. Only if the laryngitis is caused by a bacterial infection, it can be treated with antibiotics. Against the remaining forms of the disease, including viral, antibiotics are ineffective.
Group of drugs Examples of drugs Form release Age restrictions, years Note
Antibiotics Amoxicillin Tablets, capsules, suspension granules From 12 years old, granules - from birth Until two years, the daily dose of amoxicillin suspension should be no more than 20 mg / kg of weight.
Antispasmodics, Broncholitiki Eufillin Tablets, injection mortar From 6 and 14 years Eufillin can be used in the treatment from an early age on life indications. Until 3 years, the solution cannot be administered intravenously. Up to 14 years, the course of treatment with Euphillin can continue no longer than two weeks.
Antimicrobials Miramistin Spray, mortar for local applications Has no age limit It is used in the treatment of children up to three years only by testimony. Until the year, Miramistin is used under the control of the doctor. Miramistin (spray) is used for breast therapy (we recommend reading :). Replacing Miramistin chlorhexidine is not recommended.
Antitussive Synecode Drops, syrup, dragee From 2 months, from 3 and 6 years It is recommended to take a cinema before meals.
Antihistamine Zetrin Tablets, syrup From 6 and 2 years Dosage of syrup or tablets For small patients with renal failure, the doctor selects individually.
NSAID Ibufen. Children's syrup From 6 months Before taking the bottle you need to shabby. The medicine contains sugar.
Haspid voice and bouts of dry cough in a child? Soreness with breathing and shortness of breath? Most likely, your baby worries Larygit. Are you afraid to apply chemicals? Ask the doctor about homeovox E - universal complex medicine for the treatment of laryngitis. The advantages of homeowx: the absence of contraindications, side effects, speed, only natural components in the preparation. Minimal risks - maximum effect!
Physiotherapeutic procedures at home

You can speed up recovery using physiotherapy procedures that are conducted including at home. The most popular and effective includes inhalations - classic steam and more progressive using nebulizer. Before holding procedures, you need to consult a doctor.
Steam inhalation
Treatment of laryngitis in children at home may include steam inhalations. This method is suitable if the therapy is exposed to a child of school age - the kids are difficult to undergo such procedures.
It is permissible to make inhalation over ordinary boiled potatoes, but it is better to take therapeutic herbs. This will require:
pour a liter of water into a wide saucepan;
push into the container dried medicinal herbs (chamomile, sage, hypership, eucalyptus) - only 3 tbsp. l.;
boil 2-3 minutes;
add 2-3 teaspoons of soda (optional);
if the baby is small - move the pan in the bathroom and just sit over it along with the baby 10-15 minutes.

Inhalation nebulizer

Cover with symptoms of laryngitis at home is possible if you use the nebulizer. Such devices do not irritate the nervous endings of the larynx, do not cause spasms of voice ligaments. Due to the fact that the nebulizer "breaks" the solution into small droplets, the healing substance penetrates even into the hard-to-reach places of the respiratory system.
As a solution for inhalation, the nebulizer can be used:
0.5 ml of prednisolone + 2 ml sodium chloride 9%;
0.5 ml of euphilline + 2 ml sodium chloride 9%;
non-carbonated natural mineral water.

Folk remedies
Larygitis in the child is not treated among the folk remedies. However, they may well act as an element of complex therapy. Before applying any folk recipes and give the baby to the baby, it is necessary to consult with the doctor. It should be borne in mind that Sage, St. John's wort, honey and milk are allergens, therefore, the means containing these ingredients cannot be treated with children under 3 years old.

A chamomile decoction is a good assistant in the fight against laryngitis in a child.
Popular folk recipes from Larygitis:
Cutlery spoon of daisy flowers of pharmacy or lime color pour 0.5 l boiling water and insist 2 hours. Rinse the throat with warm presentation 5-6 times a day. After the procedure, it is impossible to drink 30 minutes.
Sweep hot water berries cranberries, put it on gauze and squeeze juice. Mix 0.1 liters of juice and honey. The resulting mixture of giving a child on a teaspoon every 30-40 minutes during the day.
Pour 0.5 l boiling water 1 tbsp. l. Sea buckthorn berries. Cook a couple of minutes on slow fire. Let it brew for an hour (the container at this time should be closed with a lid). Rinse the throat throat three times a day or drink 5 times a day at 1 tbsp. l.

With inflammatory diseases of the larynx, many children face, sometimes developing lacenters in infants. The main goal of the parents in such situations is not to launch the course of the disease, to fulfill the recommendations of the doctor and create the baby optimal conditions for recovery.
call "ambulance" if the baby became difficult to breathe;
distract the child from the disease - read more with him, watch cartoons, play, draw;
bring air humidity in the children's room to 60%;
regularly ventilate the room;
giving a baby abundant drink - compote, tea with sugar, decoction of rose hips;
with an increase in temperature, use medicines: ibuprofen, paracetamol or other antipyretic drugs (in the form of tablets or syrups);
in the chronic form of illness, the child is useful to visit the sea every year.

Possible complications
Larygitis is dangerous with its complications. In the absence of timely treatment, the disease passes into a chronic form (then its treatment will be delayed for many years) - the functioning of voice ligaments is violated. The neck, the stenosis of the larynx, abscessive pneumonia, purulent abscess and sepsis can also develop.