Diseases of the upper respiratory tract in children
A little about SARS.
ARVI (acute respiratory viral infection) -Is a group of diseases accompanied by inflammation of the airways, characterized by a cyclic flow. The transmission of infection is airborne. The cause of this disease in children are viruses that cause various diseases, such as pharyngitis, scleritis, laryngotracheitis, rhinitis and so on. Regarding infants, such infections are very difficult for them, as they have almost no immunity. Symptoms: are determined taking into account the collected epidemiological anamnesis, that is, they must know the epidemic situation in their locality (also depends on seasonality). Further, the definition of the severity of the disease, subfebrile condition, the duration of the course of 5-7 days, eye symptoms (pain in the eyes, etc.), leading respiratory syndrome and assessment of non-respiratory symptoms (localization of the inflammation focus, lymph node enlargement).
About clinical manifestations.
Clinical manifestations: Rhinitis is an inflammation of the nasal mucosa, the child constantly cries and screams because the nose is stuffy, the baby does not suck the milk from the breast. This is caused by the absence of nasal breathing and the inability to breathe through the mouth during feeding. Eustachiitis - proceeds in the form of acute bilateral otitis. The disease develops as a result of blockage of the Eustachian tube. When you touch the treecat, the child will be particularly hurt. The child's sight is directed to the sick side. Purulent otitis - characterized by pus out from the ear, so does the body temperature. Laryngitis - this disease does not happen in a clean form, characterized by a "barking" cough and a change in the timbre of the child's voice. With laryngitis, there is edema of the garter space, which reduces its lumen, dyspnea occurs. There are 4 degrees of respiratory failure with laryngitis:
<! - [if! SupportLists] -> 1. <! - [endif] -> Breathing is deep, pauses are reduced, retraction of the jugular fossa.
<! - [if! SupportLists] -> 2. <! - [endif] -> The child takes a forced position, the entrainment of intercostal spaces, cyanosis of the nasolabial triangle.
<! - [if! SupportLists] -> 3. <! - [endif] -> Increased stenosis, as a result of respiratory acidosis, excitation appears, the respiratory rate increases, respiration is superficial, vomiting of the jugular fossa, intercostal spaces, subclavian fossa, increased heart rate, cyanosis.
<! - [if! SupportLists] -> 4. <! - [endif] -> Asphyxia - the consciousness is broken, Cheyne-Stokes breathing, the thread-like pulse, the heart rate decreases, a convulsive syndrome and total cyanosis occur.
In severe course, urgent hospitalization(Particularly laryngitis), provide adequate ventilation for the child, eliminate symptoms of heart failure, canard mustard, foot baths, pathogenic teas, inhalation therapy - use aerosol antibiotics or proteolytic enzymes (trypsin, acetylcysteine). Further, the description of treatment, which is used only by doctors and only for their purpose, in no case do not use it alone, can lead to complications of diseases of both upper respiratory and lower respiratory tract. For intravenous administration, 40% glucose solution is used, 5% vitamin C, 5% potassium chloride solution - 1 ml per 1 year of life, prednisolone 1, 5-3 mg per 1 kg. To correct or restore the correct pH, 4% soda solution is injected intravenously. With these diseases, dehydration therapy (dehydration - dehydration) can be performed, to prevent such a condition in the child as cerebral edema. To this end, prescribe drugs from a group of diuretics (diuretics). In order to prevent depression of cardiac activity, caffeine-sodium benzonate, euphilin can also be prescribed in case of respiratory center depression, in the same case, oxygen therapy is used, and at 3-4 degrees of asphyxia, even tracheostomy. Antipyretics can be used both for the doctor's prescription and for symptomatic treatment. Also, if the usual antipyretic drugs do not help you can use a lytic mixture (the way of preparing it and concentrating do not indicate that they are not self-medicated).
If your baby is at a temperature not higher than 38-38,5 sick, in your opinion, you should not immediately sound the alarm and urgently lead him to the doctor, but you need to find out the etiology of the temperature rise, that is, the reason that triggered the temperature rise. Perhaps this is overheating, since now various blankets are making that do not ventilate the air or the banal overheating of the child, which is often found in young parents who are bringing a child into the room, where it is already hot and will put him to sleep in three diapers. It is not necessary just to stuff the child with various drugs, which may not even be necessary to him. Remember the simplest treatment for diseases of the upper respiratory tract, as well as prevention is the regular airing of the apartment, it can be 15-20 minutes per every 3 hours, plenty of drink and food at the request of the child. Do not overfeed and do not give diuretics just the way or means that improve sweating, thereby you will provoke a large loss of fluid, which will greatly increase the recovery time. Airing room should be MANDATORY, abundant drink and feed on demand. Do not be ill.