Recently, friends around us have joined the "flock" one after another and classified the "flock":
asymptomatic infection " Pleasant Goat Sheep ";
soreness all over the body "soft goat sheep";
continues to have low fever " Warm Sheep ";
high fever does not fade " Boiling Sheep ";
has not been yin " Slow Sheep ".
Adults are "sheep". What parents least want is that the baby at home becomes "little sheep". After all, many babies have not even received a shot of new crown vaccine . But the sky often does not follow others' wishes, and the children of friends around them are also infected one after another. Will the symptoms of becoming a "lamb man" after being infected and becoming an adult?
Example 1:
Xiaobao was only 3 months old. Since the epidemic, his family has paid great attention and basically never went out. Even the previous activity of going downstairs to bask in the sun was changed to basking in the sun on the balcony. Despite being so careful, the baby was still caught. The father was the first to "sheep". After knowing the sun, the father immediately isolated himself and did not contact the baby again.
But the baby started to get fever that night. At the beginning, I didn’t know that the baby was feverish. At night, the baby started crying for no reason. He stopped eating milk and ate for a few bites. He kept crying, and even cried while holding it. The old mother’s heart was about to break.
Later, I touched my forehead and felt it was a little hot. I quickly took my body temperature at 38.5℃ and fed the fever-reducing medicine (Tenolin) quickly and fed the baby water. After drinking the water, I quickly cooled the baby physically and scrubbed the baby with warm water. I felt that the body temperature dropped a little, but my skin soon became hot again. After struggling, Xiaobao sweated and the fever subsided.
After the fever was reduced, the mother dared to sleep, but she didn't dare to sleep too much. She basically woke up once an hour and touched whether the child had a fever again. At 2 or 3 a.m., Xiaobao started to get fever again. This time she reached 40℃, which was too high. She felt that the baby was shaking and shivering. At that time, she didn't care whether her father was a "sheep". She quickly helped the child reduce fever, fed antipyretics, and took a warm bath. It took almost an hour for the baby to reduce the fever.
just got a fever and subsided. After struggling for 3 days, Xiaobao stopped having a fever. After subsided, Xiaobao became the "little pig" that he used to sleep and eat after eating. But this time Xiaobao's fever caused a lot of trouble for his mother's friends, and he had hardly closed his eyes all these three days. Xiaobao tested positive for antigen the day after he had a fever, but Xiaobao had no other symptoms except for having a fever.
Case 2:
Xiao Meng is 3 years old this year. She has basically never went downstairs due to the epidemic for two months. In the past two days, due to the "policy relaxation", she went to grandma's house for dinner with her parents. The whole family hasn't had a meal together for a long time, so they have fun together and immediately drove home after dinner.
When Xiao Meng woke up the next morning, she felt sick and pointed at her throat and said it hurt. She didn't want to eat. She didn't want to eat her favorite breakfast. There must be something wrong if something goes wrong. I quickly touched Xiao Lemon's forehead. Sure enough, I had a fever and measured my body temperature by 39℃.
quickly fed the fever-reducing medicine and tried all her best to let her drink more water. The fever subsided in about 20 minutes. After the fever subsided, she tested a antigen . Sure enough, she was "a sheep". When she didn't have a fever, she jumped up and down like a person, and she was like a little troublemaker.
I burned again at night and also reached 39℃, but I was in good spirits. I fed antipyretics again, which cooled down physically, and my body temperature dropped after a while.
did not get any longer the next day. This time I became a "sheep" and experienced a day and night. Apart from fever and sore throat, there were basically no other symptoms.
These two examples are just a small part of reality. So what are the symptoms of the baby becoming a "lamb sheep"?
. What are the symptoms of a baby becoming a "lamb man"?
my country's "Expert Consensus on Diagnosis, Treatment and Prevention of Novel Coronavirus Infection in Children (Fourth Edition)" shows that according to the epidemiological study, the clinical manifestations of babies after infection are diverse. Most children's patients mainly have mild or asymptomatic symptoms, and mild symptoms are mainly symptoms of respiratory infection , with fever, dry cough, and fatigue as the main clinical manifestations. A few children are accompanied by nasal congestion, runny nose, sore throat, headache, abdominal pain, diarrhea, etc. [1].
A few children may experience fever convulsions, wheezing, and holding back during the fever. The entire heat range is about 2 to 3 days, and the disease course is about 3 to 5 days [2].
2. After becoming a "lamb man", how should people with mild symptoms take medication at home?
1 Fever
Fever is the main symptom of children after infection with the new coronavirus. You can take orally two antipyretic drugs: acetaminophen or ibuprofen . If the baby is a child over 6 months old, choose one of ibuprofen or acetaminophen; if the baby is a child over 2 months old and under 6 months old, you can only choose acetaminophen [2].
Each antipyretic drug is usually not used more than 4 times within 24 hours. Children with a history of febrile convulsions are advised to start taking medicine at 38°C. For children who have no history of fever convulsions, it is recommended to start taking medicine at 38.5℃. Antipyretics should be calculated according to the instructions and the dosage should be calculated based on age and weight. If the body temperature drops below 37.5℃, it is not recommended to take antipyretics again.
Drug cooling can assist in physical cooling at the same time. It is recommended to use warm water to wipe the neck, armpits, roots of thighs, etc. Don’t rush to cool down when your hands and feet are cold, rub your hands and feet to warm them up [3].
2 Cough
can be taken orally for the compound Fork oral solution or qiliced oral solution, and use for children with cough and stomatol or Bairui granules. Babies over 1 year old can take honey orally when they have severe coughs, about 2.5 to 5 mL each time. Children over 2 years old can take montelukast sodium chewable tablets before going to bed to reduce the airway inflammation reaction [3].
3 Running snot
If there is a lot of snot, you can use Olongma drops or you can also use normal saline to wash your nose [3].
4 Anti- virus
It is recommended to prepare Children's Salted Powder Cut Re Granules , Children's Heduqing Granules, Lianhua Qingwen Granules , Pudilan Oral Liquid and other Chinese patent medicines, any one of them [4].
5 Dizziness, decreased appetite
It is recommended to prepare probiotics such as bifidobacterium and Bacillus subtilis to reduce intestinal dysfunction and decreased appetite in the later stage of fever.
If it is mild, you can take medicine at home, but if the following conditions occur, you must seek medical treatment in time:
① Trouble or shortness of breath, drowsiness, continuous refusal to eat, difficulty feeding, continuous diarrhea or vomiting, and the original underlying disease is significantly worsened and cannot be controlled;
② After drug treatment, the body temperature continues to be higher than 38.5℃ for more than 3 days. It is recommended to transfer to the hospital for treatment immediately to avoid delaying the condition.
. What should I do if I experience high fever convulsions after infection?
The cause of hyperthermia is unclear, which is related to genetics, immature development of children's nervous system , and incomplete myelin formation. When fever occurs, parents must be alert to hyperthermia. The editor's baby has also had hyperthermia. I remember that the first time I was intimidated and at a loss, so I am particularly worried every time my baby has a fever.
When this happens to the child, please keep calm as much as possible and deal with it according to the following methods:
1 Keep breathing unobstructed: Let the child lie on his side on the bed or on the ground, or his head tilts to one side. Make the secretions in the mouth flow out and clean them in time to avoid suffocation.
2 Maintain a relaxed posture: Unlock the child's overly tight clothes to help dissipate heat, and remove sharp things on the child's body in time. Do not deliberately or force the child to correct the stiff limbs or body to avoid damage such as fractures caused by excessive strength.
3 Cooling treatment: children with high fever convulsions are often accompanied by increased body temperature. After awakening, oral or anal intravenous fever-reducing drugs can be used to help reduce fever.
4 Seek medical treatment in time: can relieve itself within 5 minutes of simple hyperthermia convulsions. After the child's symptoms are relieved, go to the hospital for treatment in time. If the child's convulsions have not been relieved for more than 5 minutes, please call 120 for emergency treatment in time, and continue to keep the child's respiratory tract unobstructed [5].
highlights! ! ! Avoid operations: Don’t pick up the baby and run to the hospital to avoid suffocation caused by foreign objects in the mouth! Don’t blindly pinch the child’s body, avoid the secondary damage caused by too much force! If you don’t bite your tongue, don’t stuff towels or other items into your mouth! Don't sting your baby's throat! Don't wrap too thickly to affect heat dissipation! Do not wipe it with alcohol to reduce heat to avoid causing alcohol poisoning! Don't feed the child medicine!
It should be noted that most children with first-time fever convulsions will relapse when they have fever in the future. Therefore, if the baby has a history of high fever convulsions, parents must pay attention to the baby's body temperature, cool down and treat the disease in time, and prevent relapses as much as possible.
. How to prevent it?
1 Children over 2 years old wear surgical masks, and high-risk children can choose N95 filter masks;
2 Correctly implement hand hygiene, and children are recommended to wash their hands with soap and running water;
3 Keep the room ventilated, and clean and disinfect the items after use of the child. 4 enhances immunity , balanced diet, adequate sleep, maintain oral health, moderate exercise, and regular routines, and improves your own immunity is an important means to avoid infection. 5 Vaccination is still an effective method to prevent viral infection and reduce the severity and mortality rate after infection [1].
References
[1] Chinese Practical Pediatric Clinical Journal "[Standards, Plans, Guidelines] Expert Consensus on Diagnosis, Treatment and Prevention of Novel Coronavirus Infection in Children (Fourth Edition)" https://mp.weixin.qq.com/s/Ft2yMto2zQPh4Hbiz6YrvA
[2] Beijing Radio News "How to use medicine and care for children after they are infected with the new coronavirus? Experts from Beijing Children's Hospital remind parents"
https://mp.weixin.qq.com/s/O3hi_c9pg8xrYrRm3LaXhQ
[3] Xiangwei Education "How parents respond to children infected with the new coronavirus? How to prepare medicine? See the guidance of pediatric experts" https://mp.weixin.qq.com/s/vbdGLQRgPS4zZROw16ZKEA
[4] "The First Edition of the Drug Catalog for People with New Coronavirus Infection"
[5] Tongzhou District Maternal and Child Health Hospital, Beijing "Children with Fever or High Fever Convulsions, Remember to Do This" https://mp.weixin.qq.com/s/bJED8AI6hLGSwSWRl5gYAQ
Review: Guo Yuchai
