Pneumonia prevention, attention to detail
Speaking of the prevention of childhood diseases, parents may first think of respiratory infectious diseases such as flu, hand, foot and mouth disease, mumps, etc., and I will not talk about infectious diseases today, mainly in combination with our clinical treatment of children who are more common Pneumonia, let''s talk about a few details that need attention in the prevention of respiratory diseases.
Pneumonia is one of the common diseases of children, and almost every child has suffered from this disease. Don’t underestimate this disease, it is the number one cause of death of hospitalized children in China, and is listed by the Ministry of Health as One of the prevention and treatment of children''s four diseases. Severe pneumonia will not only cause congestion, edema, and exudation of inflammatory cells in the lung tissue, resulting in damage to the function of the human respiratory system, but also will lead to the disorder of the body''s acid-base balance, thereby invading the human digestive system, circulatory system, and even the nervous system. , Causing multiple organ damage and even life-threatening in children. The seemingly simple disease, which can cause catastrophe if not careless, is still better.
Pneumonia is not an infectious disease, can it be prevented? How to prevent it? Let me talk about some of my clinical experience. Although it is not as effective as the prevention of infectious diseases, some details I said may help parents realize the importance of details.
Pneumonia is not an infectious disease, but it is a respiratory disease, Judging from the anatomical structure of the children''s respiratory tract, their respiratory mucosa is immature, weak, short in lumen, narrow, and imperfect in function, so they are particularly vulnerable to pathogens such as viral bacteria. That is to say, pathogens such as bacteria or viruses cause the child to get sick through the human respiratory tract.
In clinical work, I see that the chance of the child getting pneumonia in two periods is relatively high, one is after one year of age The period of weaning infants is one of entering the kindergarten. The former, after the child is weaned, the immune material from the mother gradually disappears, and the child''s immune system is still immature, which is a period of physiological immune function. Therefore, when the child has a cold, if the care and treatment are not appropriate, it is easy to get pneumonia. The child is an older child. Many parents find that children rarely get sick when they bring it at home, but when they go to a nursery, the number of illnesses increases significantly. This is because of the bad environment, which leads to the chance of pathogens infecting the child. too much. But it is impossible for a child not to get sick, and it is impossible not to go to school, but we can reduce the chance of a child getting infection through some methods. This is the most important thing.
(1) Breastfeeding is the key
Old saying, many people know the benefits of breastmilk, but they can insist on feeding their children up to one year old parents and Not many, some parents are too busy to help, and some parents prefer to listen to advertisements for milk powder, and stop breast milk prematurely. Breast milk contains many immune substances, which is the best thing for children to resist disease. So, can insist Breastfeeding, just give your child more. This is a prerequisite for children getting sick less often.
(2) Don’t ignore reasonable diet
Everyone knows to give their children good food. In fact, many parents don’t know how to give their children good food. In other words, there is no time and effort to cook for children. Unreasonable addition of supplementary foods, early start to eat the same meals as adults, and blind accommodations are all reasons why children choose to eat and don’t like to eat.Nutrition intake Unreasonable and uneven nutrition are one of the reasons that cause the child''s immune function to be damaged and the chance of getting sick. Therefore, on weekends, try to keep your child from eating less "junk food" and spend more time cooking nutritious meals for the child. .
(3) Frequent hand washing, good environment
Since the occurrence of "SARS", people have realized the importance of good environment and hand washing, "Hand washing" used to be considered as a means to prevent infectious diseases of the digestive tract. Now, medical research has found that hand washing is also a good way to prevent the occurrence of respiratory diseases. Some people abroad have done an experiment and asked children in a school The first thing to go home is that after washing hands, the incidence of respiratory diseases of children has dropped significantly. Now, the Chinese media has also begun to publicize the methods and benefits of the "five-step hand-washing method." Yes, a good environment, good hygiene is It is a prerequisite for reducing the incidence of diseases. Therefore, we must teach our children to develop the good habit of washing hands frequently. At the same time, pay attention to the frequent opening of windows in the room to keep the air smooth and less to take children to crowded places.
(4) Respiratory care is very important
The throat of the child is the most easily overlooked place by parents, improper throat care is a child An important cause of repeated respiratory infections. I have found in clinical work that many children with pneumonia have a history of repeated pharyngeal inflammation and tonsil inflammation and swelling in the early stage. Many of them have a characteristic: holding a bottle before going to bed. My head told them that milk is a culture medium for bacteria. Drinking milk before going to bed, the throat is covered with milk, bacteria are easy to breed. So it is good to change this bad habit as soon as possible. If you can’t change it all at least, you should finish drinking milk. The habit of gargle. Many children have been diagnosed and treated by my parents. Parents listened to my advice and stopped the habit of breastfeeding their children before going to bed. The child''s repeated respiratory infections disappeared.
(5) Don’t ignore allergic constitutions
Clinically, children with allergic constitutions have a much higher chance of getting pneumonia than ordinary children, and have recovered from pneumonia The time is also too long. For children who love eczema and urticaria, they are prone to pneumonia. The special constitution makes their airways very sensitive and prone to high airway reactions, and some children may also become asthma in the future. Therefore, children with allergies have pneumonia. If it is not good for more than a week, they cannot just blindly know that they are treated with antibiotics. It is necessary to think of allergic factors. At the same time, anti-allergic drugs should be applied. At the same time, it must be distinguished from asthma and other diseases.
(6) Reasonable treatment is the key
Once a child has pneumonia, he needs to be hospitalized for regular treatment. Now, There are two kinds of "strange circles" in the hospital. First, regardless of the severity of the disease, more and more children have hanged the needle; second, the child has already got pneumonia, but the parents are not willing to cooperate with the doctor to be hospitalized for regular treatment. The treatment of pneumonia takes one to two weeks Even longer, this is related to the type and severity of pneumonia. Many parents often give up halfway, or frequently change hospitals. It has exacerbated the irrational application of antibiotics, making the resistance of pneumococcus to antibiotics increasingly serious. The reason for the status quo is multi-factorial. On the one hand, the lack of medical knowledge of the people, on the one hand, the doctor’s mission is insufficient.
(VII) Don’t forget about Chinese medicine treatment
I am a doctor of Western medicine, but I never reject Chinese medicine treatment. For children who have repeated respiratory infections, use Western medicine After solving the problem of infection, it is important to look at Chinese medicine and use Chinese medicine to increase resistance. For example, in clinical practice, we often take oral medicines such as astragalus to children with colds, which has a good preventive effect.
The above are some of the details that I can think of about the prevention of respiratory diseases, many parents may know. In fact, I am not talking enough, and the above methods are not all for the prevention of pneumonia, many The method is also applicable to the prevention of some common respiratory diseases. I hope that these small details I have mentioned will be helpful to parents.
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