Now Urumqi is unblocked. I want to eat something to eat, and I can go out even if I want to take my children out for a walk, bask in the sun and breathe fresh air. Even if you really get infected and have some symptoms, you feel that a normal life may be more important to our body and mind. ”
December 11, He Miao's child subsided and his mental state gradually recovered. Photo provided by the interviewee
text丨Beijing News reporter Zhu Qinghua
Edited by Yuan Guoli
Proofreading丨Liu Yue
►This article 5933 words Read 10 minutes
26 days after birth, the child who was not yet full month old began to have a fever, and his body temperature reached 37.5℃. After that, the child began to make constant "ummy" sounds, and bubbles occasionally spit out in his mouth.
Youtang took the child to the Tongzhou District Maternal and Child Health Hospital in Beijing nearby. The nucleic acid test result showed that positive . Physical cooling and anti-heat patches were posted. Four days later, "the child's strength to eat milk has come back! "
Youtang is not the only anxious mother. Because her son was infected by 42 days of birth, Mi Jing cried for a day and a night. On social platforms, as long as you have followed the problem of the baby being infected with COVID-19 , the algorithm will recommend countless posts with similar situations. The sharers include mothers and fathers. The contents shared include early helplessness and anxiety, mid-term medication consultation, and experience after turning negative.
popular science knowledge about children's infection with the new coronavirus is not uncommon. Zhang Yi, a member of the Beijing Children's New Coronavirus Consultation Expert and deputy director of the pediatric department of Beijing Tongren Hospital, summarized a report on the symptoms and changes of children's infection with the new coronavirus in an interview with the media. Zhang Yi said that from the current clinical observation, the new coronavirus likes to anchor the upper respiratory tract of children rather than the lower respiratory tract, so there is few pneumonia , so parents do not need to worry too much. Pay attention to the symptoms in treatment Drug: The first three days of cooling down, the later goal is to relieve sputum.
Despite this, many people are still trapped in limited information.
We interviewed three cases of babies infected with the new coronavirus, namely babies born 26 days, 42 days, and 63 days. We hope that in addition to the popular science of experts, these specific individual experiences can be seen by more families.
Babies under the full month of the year, "the strength to eat milk is back"
The first symptoms of the disease were Youtang, who was still in confinement.
At around 9 pm on December 3, Youtang began to have dry mouth and tongue, and started to have a headache the next day, but she did not take her temperature. "Because I was in confinement and didn't go out much, so I didn't think about the new crown. "On the third day, Youtang's body temperature showed 37.5℃. She said that her constitution was not a high fever type. In the past, the fever was within 37.8℃.
Youtang tested antigen twice, and both showed positive. She immediately isolated her child and stopped breastfeeding on the same day.
On the morning of December 6, the family tested the child for antigen and showed negative results, but in the afternoon, the fever reached 37.5℃. In the past, she could feel that the child was "very strong and the strength to fight against you", but on this day, the child was "soft" all over and kept saying "Yeah um" The sound of the body temperature reached 37.8℃.
In the afternoon of that day, Youtang's family took the child to Tongzhou Maternal and Child Health Hospital. The medical treatment process was very smooth, there was no queue, and the whole process was about an hour. The doctor performed a blood test on the child, and the results showed that there was a viral infection. At the same time, the child was tested for nucleic acid, but had to wait for the result. The doctor prescribed a fever-reducing patch, and told him to go home for physical cooling and try not to take medicine.
That night, Youtang's family took turns to physical cooling for the child, taking the body temperature every half hour, applying a fever-reducing patch, wiping the body with warm water, and testing the breathing frequency.Before, Youtang's children had never drunk water and only drank milk, but after the virus was infected, the doctor recommended feeding water first and then breastfeeding, and appropriately reducing the amount of milk. Adjust the original amount of 100 ml of milk to 30 ml of water and add 70 ml of milk.
By the early morning of the next day, the child's body temperature was stable at around 37℃. The child's nucleic acid test results also came out on this day and showed positive. However, the dangerous night of fever has passed smoothly.
On the afternoon of December 7, the child's body temperature dropped below 37℃, and he no longer had bubbles in his mouth, but he was not willing to eat milk and his whole body was still soft. "When he was breastfeeding, he was not the kind that he couldn't wait for a second before, but he drank it all in one go." In the past, the child could drink 100 ml, but now he could only drink about 50 ml. Because breast milk has stopped, the child is drinking milk powder during this period. However, drinking water is relatively easy. Youtang guessed that the child may feel a little uncomfortable in his throat, but he just couldn't express it.
On the third day, in addition to continuing to observe the fever, Youtang's family also continued to observe the child's nasal congestion. In addition to physical cooling, I began to clean the child's nasal cavity with normal saline. "There is indeed more secretions in the child's nasal cavity than before." On that day, the child's appetite recovered and his mental state gradually improved.
On the fourth day, "The child's strength to eat milk has come back and will interact with people!"
Youtang's family's first symptoms were Youtang, then the child, and finally the child's father. In this process, the most anxious day is the night the child has a fever.
Before deciding whether to go to the hospital, Youtang consulted a large number of popular science articles. After reading the introductions of many doctors, she knew that the baby recovered quickly after being infected with the new coronavirus and was generally not too serious. "I felt a little relieved at that time." Because her child was not yet full months old, after consulting the doctor by phone, Youtang learned that children under three months old had to seek medical treatment.
These available information and telephone consultation greatly alleviated her helplessness. During the quarantine period with the child, Youtang continued to have a fever for two days, and then her body temperature returned to normal. On the fifth and sixth day, she basically had a mild cough and runny nose. She only took Pudilan anti-inflammatory drugs throughout the whole process.
On December 10, both Youtang and the child were negative.
December 10, all the antigens of Youtang's children were negative. Photo provided by the interviewee
was infected 42 days after birth and improved one day and one night
Mi Jing's child showed symptoms, Urumqi was still in the lockdown period.
In October, when she was still breastfeeding, she read a lot of articles and prepared antipyretics and antiviral drugs for breastfeeding women. At that time, there were many new cases in Urumqi, and she also had friends who were infected during pregnancy. "I even had a friend who gave birth to a child when she was 'yang'. The amniotic fluid broke while having a fever, but in the end they all went well. After the child was born, they were isolated from her for seven days."
On October 17, Mi Jing's husband first developed symptoms. From that day on, he was isolated in the study and the guest bathroom next door. In addition to placing the rice on a tray at the door, Mi Jing and her husband tried to avoid the intersection of public spaces. Once you walk out, the door handles and other places you have touched will be disinfected.
Mijing's husband drank a lot of water during the quarantine, ate ibuprofen and sweated when he was sleeping. After two and a half days, the symptoms almost disappeared.
To prevent infection from being transmitted to newborns, Mi Jing and confinement nanny wore N95 masks early. However, by October 20, the child still had symptoms.
After coaxing to bed that night, the child "humiliated" in the bed. The first thing that came to mind was intestinal flatulence . "Because it was 42 days, two months old, it was the time for the child to have a flatulence, so I didn't care much."
month nanny took the child away and then broke back a while later, and she suggested that the child might have a fever.The measurement results showed that 38.8℃, "We must have reasonably suspected that it was the new crown at that time."
On October 21, Mi Jing's child, who was still having a fever, was drinking milk. Photo provided by the interviewee
Mi Jing immediately contacted the community and drove the child to the hospital for examination. Because the adults tested positive for nucleic acid, they were consulted in the car at the entrance of the hospital. The doctor performed antigen and nucleic acid tests on the child, and suggested that the child try not to take antipyretic drugs as much as possible, and prescribed children's soybean Qiao Qingre Granules and antipyretic patch. When
was in the car, Mi Jing was panicked and kept crying. After listening to the doctor's advice, she felt a little relieved. After returning home, Mi Jing physically cooled the child every 40 minutes, wiped groin , armpits, back of knees and other parts with warm water, and wiped them for 10 minutes each time. The next morning, the child's temperature dropped below 38℃, and Mi Jing did not choose to feed the medicine. In the afternoon, the child's fever subsided. It took a day and a night from the appearance of symptoms to the improvement.
After the child got better, Mi Jing began to have a fever. On the third day of the fever, my throat felt like I had swallowed a blade, coughing, vomiting, and unable to eat. During her period in "Yang", she continued to wear an N95 mask for breastfeeding. Because I didn't buy acetaminophen that breastfeeding women could eat, Mijing chose ibuprofen to reduce fever. Within 24 hours of taking ibuprofen, she temporarily stopped breastfeeding and her child switched to milk powder.
What medicine can I take to feed and which kind of medicine can not be fed? Mi Jing is a popular science online. She feels that instead of being anxious and panic, it is better to be good at using online tools and do not accept it completely when searching for relevant popular science knowledge. Try to choose information released by authoritative doctors and media.
MJing also had a friend's child around him who was infected, "I was infected 3 days earlier than our family." The child was a baby girl who gave birth to a caesarean section and was fed with milk powder. She recovered in about three days.
In the process of communicating with friends, Mi Jing felt that she was not alone and that she could share her feelings with her peers. More than a month have passed, and she chose to make her experience public. "It's just now that she has really recovered. You can go and review this process." Her post was liked by more than 30,000 people, and collected by more than 30,000 people, and a row of "Thank you for sharing" messages. Mi Jing realized that after the epidemic prevention policy is optimized, there will be a large number of mothers and fathers who need these strategies.
She also received a lot of private messages for consultation. Someone left her a message saying that after seeing this sharing, "I felt a little better. I was very anxious before."
The advice Mi Jing most wanted to give her new parents is to take good care of herself first. "If you insist on taking care of your children, this process will actually cause great physical damage to your body."
On the evening of October 20, Mi Jing took her child away from the hospital, holding the medicine prescribed by the doctor and the anti-heat patch in her hand. Photo provided by the interviewee
63-day baby, physical cooling dropped 24 hours later,
On December 8, in Chaoyang District, Beijing, He Miao's wife first had a fever, and she returned to her room to self-isolate.
At night, He Miao's child also began to have a fever, rising from a low fever to 38.5℃. While constantly doing physical cooling and applying anti-heating patches for the child, He Miao has been hesitating whether to go to the hospital. In the second half of the night, the child's body temperature rose again, approaching 39℃. Although He Miao felt that he should go to the hospital immediately, he was still worried that he would run around and that if he had been queuing for too long, he would have tormented his child. He chose to continue to physically cool down at home, open the windows to ventilate, "I just carried it all night."
Before this, He Miao called the pediatrician who had seen a doctor before. The doctor did not recommend children of young months of age to take medicine, and said that if they had a fever for more than 24 hours, they must seek medical treatment in time. In addition to having a fever, the children of He Miao's family were in good condition in all aspects. He decided to "see what's going on" the next day.
The next morning, the aunt at home got antigen and was isolated in another room.He Miao was left alone to take care of the child. During the day, he continued to physically cool the child over and over again until the ear thermometer no longer showed red, and his body temperature dropped to 37.5℃. On that day, the child's antigen showed shallow yang. The child had no other symptoms except for fever. He subsided that night and after drinking the milk powder, the child slept "extremely good".
Children's COVID-19 seven-day symptoms. Image source: Capital Pediatrics Institute Popular Science Number
On the third day, He Miao did exhaust fuck for the child, "I pulled a lot of it, it smelled so much, it was considered to be eliminating poison gas."
He Miao said that every newborn family will be caught off guard when the child gets sick, but after this wave, he felt, "Actually, we still accept it quite. It's nothing, it's okay if you get it."
However, He Miao's wife is obviously more anxious. "Although I'm very anxious, the anxiety actually needs to be solved bit by bit. Maybe I'll get infected sooner or later, but it's obvious that you're well prepared or not. Although we do a good job in physical cooling, we don't prepare medicine well in advance. We only ask others to borrow medicine when I have a fever. So my suggestion is to prepare early and solve the problem step by step when encountering problems."
Date 11, He Miao's child's nose was a little blocked. He Miao used saline and nasal sprayer to deal with it. These are the nursing tools he has used recently. Photo provided by the interviewee
Pediatrician reminded that "beware of the second crackdown"
Li Long is the director of the Newborn Diagnosis and Treatment Center of Xinjiang Hospital of Beijing Children's Hospital. During the lockdown of Urumqi, she went to the designated hospital for the new crown to support her work. During the entire epidemic, she has diagnosed and treated some newborn cases of newborns infected with the new crown.
In her experience, the common symptom of newborns after infection with the new coronavirus is fever, but each child's body temperature will vary. Some children have high fevers to 39℃, while others have low fever. Some children will have diarrhea, while others will have poor appetite, not many children with nasal congestion, and have mild coughs.
Hydrome In the "Expert Consensus on Diagnosis, Treatment and Prevention of Novel Coronavirus Infection in Children (Fourth Edition)", my country, the epidemiological study of epidemiological in China shows that most children with Omickron variant infection have relatively mild clinical manifestations, no fever or pneumonia, and most of them recover within 2-5 days. Fever, dry cough and fatigue are the main clinical manifestations, and a few children are accompanied by nasal congestion, runny nose, sore throat, headache, etc. Some children and newborn cases may have or manifest themselves as digestive tract symptoms such as vomiting and diarrhea.
Zhang Yi, a member of the expert group for the consultation of children's new crown in Beijing and deputy director of the pediatric department of Tongren Hospital, said in an interview with the Beijing News reporter that almost all symptoms of the child after acute respiratory infection are fever. Fever in other systemic diseases is generally mainly low and moderate heat, with a long duration and a certain regularity, such as low fever in the afternoon and day and night differences. Acute infection of the new coronavirus often has no signs, and the onset is acute and the body temperature rises rapidly, which can be used as one of the characteristics of identification.
Zhang Yi also reminded that infants and young children under the age of 3 are at the susceptibility stage. Babies under one year old have short airways. After upper respiratory tract infection with , it is easy to invade the lower respiratory tract. Children are prone to fever and wheezing. Parents should pay attention to whether their children have symptoms of dyspnea.
Zhang Yi introduced that winter is originally the flu season. In the past, pediatrics treated children with febrile convulsions almost every day in this season. When the flu encounters the new coronavirus, you should be even more vigilant. Clinically, many children with new coronavirus have experienced fever convulsions after infection.
Hyperconvulsions may occur during the rising, peak and antipyretic periods of body temperature. They are generally divided into simple febrile convulsions and complex febrile convulsions. Simple febrile convulsions are more common between 6 months and 3 years old, and usually only convuls once during the course of the disease, and lasts within 10 minutes. Complex febrile convulsions usually have a family tendency, and the convulsions last longer. They can occur in a single attack or recurrence during one course of the disease.Zhang Yi suggested that after a simple treatment of fever convulsions at home, you must call 120 in time or send it to the hospital for further treatment.
Children should be wary of secondary attacks 1-2 weeks after they are cured of the new coronavirus. Zhang Yi said: "If there are patients with other infections at home, try not to contact the child, because the child's immune function has not yet recovered at this time, do not cause the child to have secondary infection with ."
Many families are not sure whether to go to the hospital. Dr. Li Long suggested that generally speaking, for newborns (below 28 days of birth), when a fever occurs, you should seek medical treatment in time. Some hospitals have a higher rating on emergency for babies who are not full months old. After explaining the situation with the nurse at the triage desk, there is no need to wait too long to see a doctor. For slightly older infants and young children, if they have a fever but are mentally ill and have no other symptoms, they can continue to observe at home through the Internet.
Dr. Li Long introduced that "the fever lasts for a newborn after infection with the new coronavirus, and it is not very long like an adult or an older child. Some children will have a fever after one day, and most of them will return to normal after 2-3 days." At the same time, the cough symptoms of newborns are not as obvious as those of adults, and are relatively mild. As long as the body temperature drops, most children will be able to recover well to breastfeeding within two or three days, and the overall course of the disease is shorter than that of adults.
As for whether mothers can continue to feed after being infected during breastfeeding, the doctor recommends that if the mother is infected, they can squeeze out the milk in advance and feed it to the baby with a bottle. If parents are really worried, they can stop breastfeeding for a few days and feed their children with milk powder.
78-year-old pediatric expert Zhang Silai is the former director of the pediatric department of the Integrated Traditional Chinese and Western Medicine Hospital Affiliated to Beijing University of Traditional Chinese Medicine. She has more than 4 million fans on Weibo . These days she has received many questions from netizens about "What should I do if a child is infected with the new coronavirus?"
In addition to the suggestions mentioned above, Zhang Silai also recommends that the home should be ventilated for 30 minutes in the afternoon. During the ventilation process, change the child to another room to keep the air in the house fresh. In addition, in cities like the northern ones, the relative humidity in the room is about 30%, but the recommended relative humidity for newborns is at least 50% to 60%.
In terms of medication, since the central development of the newborn is not particularly mature, once you take antipyretics, the child is prone to hypothermia, and the damage to the newborn is much greater than that of a fever, so it is generally not recommended for newborns to take antipyretics. However, for children over three months, acetaminophen can be taken.
Dr. Zhang Silai introduced that acetaminophen is suitable for children over three months of age, and children under two months of age need to be used under the guidance of a doctor. And when children take antipyretics, they cannot take compound cold medicine at the same time, because compound cold medicine contains ingredients for antipyretics. "For example, acetaminophen, it is very safe to use it at normal doses, but once you overdose it, it will cause great damage to the liver."
Mi Jing still remembers how nervous the child was on the first night of illness. "I was so worried that his brain would be burned. I cried that day and night, and later my family was always enlightening me because I was my son. As he grew up, there must be something naughty and bumpy. If this is something that must be faced, we may still need to believe in the child's resistance ." After the
Urumqi was unblocked, the confinement nanny who had been "sealed" with Mi Jing's family of three for more than 100 days left. The child's grandparents and grandparents can finally come to meet. Since Mi Jing gave birth to a child during the lockdown period, this is the first time that the two elderly people have seen a child.
"I definitely hope that the two parents can also look at their children. When they see that they like their children very much, they will feel quite happy.Now Urumqi has been unsealed. I want to eat something to eat, and I can go out even if I want to take my children out for a walk, bask in the sun and breathe in fresh air. Even if you really get infected and have some symptoms, you feel that a normal life may be more important to our body and mind. ”
(Mi Jing is a pseudonym)
