When parents bring their children to health facilities, Coughs and colds are a frequent complaint submitted by a host of people who bring their children for treatment. There are times when coughs and colds easily treatable refractive even heal itself without treatment, but not infrequently difficult coughs and colds have been granted despite missing all sorts of drugs.
Coughing and sneezing is the body's natural defense effort, which is a primitive protective reflex to remove foreign objects or excessive lenders in the respiratory tract. This reflex occurs as a result cough receptors stimulation located inside or outside the respiratory tract, by the nature of chemical and mechanical stimuli. Stimuli that can trigger coughing: cold air, foreign bodies, inflammation / swelling of the mucous membranes of the respiratory tract, e.g., suppression of the respiratory tract by the tumor, presence of mucus or airway contraction.
Coughing becomes normal again when continuing a prolonged and was perceived as a disturbance. Prolonged cough in children is not uncommon even always cause anxiety in the elderly. Besides possible complications of the disease also causes coughing can interfere with sleep, growth and development of children.
Conventionally, chronic cough is a cough for more than three weeks, but respiratory infections can also give cough symptoms over three weeks to overcome the overlap in time, an ad which defines as a persistent cough for more than eight weeks. Chronic cough often occurs not only in one episode but it could happen again and again. So defined chronic recurrent cough is a cough that lasts at least three consecutive weeks or at least three episodes in three months with or without symptoms of other respiratory disorders.
Chronic cough sometimes, normal in young children and have a good prognosis, but if the cough is unusual and heavy, some of the underlying abnormalities may exist
Cause
Chronic cough is not a stand-alone disease, but symptoms of both diseases within and outside the respiratory tract. Possible causes of chronic cough in children:
Infection
Because of recurrent bronchitis virus is most commonly and classically symptomatic as cough along with upper respiratory tract infections.
Tuberculosis should also be considered in the presence of chronic cough, especially when there is secondary infection. Sinusitis, a clinical research claimed 37.1% of patients of chronic cough dg CT-scans showed sinusitis
Relationship Among Cough and Allergy
Allergies are abnormal reactions to one or certain materials, e.g., house dust, animal dander, pollens, drugs, or food, respiratory allergy may manifest clinically as asthma
Psychogenic cough
Chronic dry cough without evidence of underlying cause, usually a habit (tic-like cough) were lost during the night the child slept
Reflux and aspiration
Is the most common cause, both micro and aspirations of the vagal reflex. However, normal reflux is rarely associated with cough chronic cough in which there are abnormalities in the lung seriu Or warning signs for serious underlying lung disease further examination
- Cough during the newborn
- Chronic viral pneumonia (cytomegalovirus / CMV, Chlamydia)
- Cough after eating, gastro esophageal reflux, or direct aspiration into the lungs
- Cough began and again after the choke, the possibility of foreign objects
- Purulent cough of suppurative lung disease
Handling
The role of parents is very large, clear picture of knowing their children cough and cold, for example regarding the frequency, length of trigger factors, as well as other accompanying symptoms, that must be considered in children cough and cold again:
· Note the trigger factors (allergens) that cause the appearance of cough
· Keep away from exposure to cigarette asp Avoids drinking cold
· Sports to taste
Note the fluid intake, adequate fluid thins phlegm interchangeable and protect mucous membranes of the respiratory tract Consider the nutritional intake of children
source: perawatpskiatri
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