Soon after they got married, Ms. Gao and Mr. Wang became expectant mothers and expectant fathers . Facing the upcoming little life, the two of them felt ecstatic, but at the same time they also had a lot of worries.
Nowadays, more and more people are experiencing fever symptoms due to new coronavirus , and even people around them are getting infected one after another. What should I do if my baby develops a fever not long after birth? Whenever she thinks of this, Ms. Gao is so worried that she can't sleep.
She finally adjusted herself this day and decided to learn relevant knowledge with her husband. The two believed that as long as they prepared in advance, they would not be in a hurry in the future, but the process was not smooth.
Ms. Gao said to her husband: " Ibuprofen and Acetaminophen are both antipyretics. What's the difference? If the child really has a fever, how should I choose?" These questions stumped the two of them at once.
As a new parent, do you have any such questions? Whether you are a child or an adult, how to choose is indeed a difficult question. After all, there are too many antipyretics on the market.
1. What are the common antipyretics for adults and children?
Although fever is very common in daily life, if measures are not taken in time, excessive fever will cause dysfunction of human body functions, such as coma, convulsions, cramps and other serious reactions. Therefore, when you are in a high fever state, it is very important to use antipyretics reasonably and promptly.
There are many antipyretics suitable for adults. For most people, metamizole is a familiar antipyretic drug. This kind of antipyretic drug has been used clinically since the 1920s. It is mainly used for antipyretic and analgesic, and it can reduce fever very quickly.
Because of this, many people will use metamizole as soon as they have a fever. However, they do not know that it is mainly used to relieve high fever. Because it may cause many side effects, it is not recommended to be the first choice drug for reducing fever. Otherwise, side effects such as collapse, allergies, and renal damage may occur. When you have an acute fever and cannot buy other antipyretics, you can consider using metamizole for emergency antipyretic .
In addition, aspirin can also be used as an antipyretic drug for adults. It can reduce fever and relieve pain . However, this drug cannot be used for colds and fever caused by cold viruses, because cold viruses are not easy to mess with. They will damage blood vessels, causing blood vessels to become brittle, and continue to ooze blood out. If taken at this time, it will aggravate the bleeding of capillaries and other blood vessels.
Compared with adults whose organs are fully developed and immunity is strong, children's body functions are not yet fully developed, and there are very few antipyretics that can be used. Some antipyretics that adults can take are not allowed to be used by children.. For example, nimesulide, a non-steroidal anti-inflammatory drug, although it has powerful anti-inflammatory, antipyretic, and analgesic effects, is banned for use in children because it can cause damage to the liver.
but WHO has recommended two antipyretics suitable for children - ibuprofen and acetaminophen , providing many parents with more choices.
Ibuprofen and acetaminophen - antipyretics suitable for both adults and children
Like Merrill Lynch, Chen Gong Zaixin , etc. are the trade names of ibuprofen. It reduces fever smoothly, has a long-lasting effect, and can control the body temperature within h~8h. Ibuprofen is a cyclooxygenase inhibitor. It mainly inhibits the synthesis of prostaglandin in the hypothalamus through , moving the central control point downward, so that has the antipyretic function .
Acetaminophen is also known as paracetamol . It selectively inhibits the hypothalamus body temperature regulation center , causing peripheral blood vessels to dilate and sweat, thus having an antipyretic effect. Faced with antipyretics that have the same effect, it is indeed difficult to choose.
2. Ibuprofen has strong antipyretic effect and acetaminophen has many functions. How to choose?
Although both ibuprofen and acetaminophen can be used to reduce fever, there are differences between the two. We can choose the appropriate antipyretic based on these differences.
What is the difference between ibuprofen and acetaminophen?
In terms of the effectiveness of drugs, , it is difficult to distinguish between the two drugs. A single dose of ibuprofen has a stronger antipyretic effect and lasts longer after cooling. However, half an hour after taking acetaminophen orally, has a better cooling effect than ibuprofen.
However, in terms of functions, , ibuprofen is better than . Although both fever reducers can be used for sore throat, there are slight differences in how they relieve pain in other areas. For example, ibuprofen is better for abdominal cramps during menstruation, while acetaminophen is better for headaches .
In addition, acetaminophen has no anti-inflammatory effect , while ibuprofen is effective in muscle pain and sinus pain related to inflammation.
Which medicine should you choose when your baby has a fever?
Different people have different choices when choosing these two drugs. If children need to choose between these two drugs, there are more things to pay attention to. For example, acetaminophen is suitable for children over 3 months old, and the maximum daily dosage cannot exceed 60 mg, while ibuprofen is suitable for children over 16 months old.
It is worth noting that children with dehydration and renal insufficiency must be cautious when using ibuprofen. Because ibuprofen is excreted through the kidneys, and the body will sweat a lot during the medication, this is not friendly to the disease you have.
Colds and fevers usually cause uncomfortable symptoms, such as nasal congestion, runny nose, sore throat, etc. If you can take preventive measures in your life, you can reduce physical discomfort.
3. Preventing colds and fevers is a heavy responsibility, but small things can make a difference
Proper exercise enhances physical fitness, improves immunity and reduces the incidence of illness.
In the current epidemic, no matter whether you have a cold or a fever, you should take preventive measures in your daily life. Among them, the importance of exercise in disease prevention must be mentioned.
You should develop a good habit of exercise in daily life. Choose to do moderate amounts of abdominal breathing, chest expansion exercises and other exercises related to the respiratory system. You can also do moderate amounts of jogging, gymnastics and other exercises. In the process of exercise, it can not only enhance physical fitness, but also improve one's own immunity, which to a certain extent reduces the incidence of diseases .
Wear a mask when going out to keep your nasal mucosa healthy and prevent the invasion of germs.
The nose is a very important organ of the human body. We can sense external things through it, but we often ignore its blocking effect on external germs. At the moment of the epidemic, we must develop the habit of wearing masks when going out to keep our nasal mucosa healthy and avoid giving viruses the opportunity to take advantage of us.
Bad emotions increase the prevalence, stay optimistic and talk to others.
Although the role of emotion in preventing disease is not obvious, its impact on the body is very critical. For example, being in negative emotions such as depression and anxiety for a long time will interfere with the normal operation of endocrine system and nerve system, and may also increase the chance of illness.
Therefore, you must maintain a cheerful and optimistic attitude in life, and do not put yourself in an overly depressing environment. When faced with worries, you must dare to seek answers and talk about them, and do not hold them in your heart. Only in this way can you keep yourself in a healthy mental state and prevent some diseases from coming to your door.
Through Wearing a mask when going out, developing the habit of exercising, and maintaining an optimistic mood can prevent colds and fevers to a certain extent. These things may seem trivial, but they can play a role during the epidemic. In our traditional understanding, severe fever and cough may eventually lead to pneumonia, especially in young children, but the fact is that this statement is not necessarily correct.
4. Is pneumonia caused by "burning" or "coughing"?
We often talk about new coronavirus pneumonia and , but do you know what kind of pneumonia it is? In fact, according to the cause, new coronavirus pneumonia belongs to viral pneumonia, and others include bacterial pneumonia, pulmonary mycosis, pneumonia caused by atypical pneumophila, etc.
Many people think that fever and coughing will cause pneumonia or pneumonia. This is actually confusing the symptoms and causes.
Because the fever, cough, etc. we have are clinical symptoms, but pneumonia is an infectious disease of the lungs. In other words, cough is a clinical manifestation of pneumonia, but pneumonia is one of the causes of cough. It can be seen that pneumonia is not coughed up .
The same goes for fever. It is just a common symptom, not the cause of pneumonia. What really causes pneumonia are those invisible microorganisms. Sometimes we find that although many patients with viral colds have fever, they are in good mental and physical condition. This is because the infection caused at this time is limited to the upper respiratory tract and does not affect the lower respiratory tract. This means that a fever does not necessarily "burn" pneumonia.
Although pneumonia is not caused by "burning", if you have a high fever for a long time, it will indeed have an adverse effect on the body. Because being in a high fever state will increase the body's consumption of oxygen and organic matter, and it will also increase the burden on the lungs and heart. Especially for infants and young children, it will also affect their nervous system .
You must know how fragile the nervous system of infants and young children is. When the brain is not yet mature, excessive body temperature may cause coma and convulsions. It can also damage brain cells , affect intelligence , and even endanger the lives of infants and young children in severe cases.
References:
[1] Meng Desheng, Guo Hanlin, Yang Chunxia. The "protagonist" and "supporting role" of adult antipyretics [J]. Family Medicine . Medical Selection of Drugs, 2016.
[2] Yang Ni. Classification and correct selection of children's cold antipyretics [J]. Health Care Literature, 2020(6):1.
[3] Chen Xiaomei. Why should children use antipyretics when the temperature is above 88.5℃?[J]. Health Must-read Issue 27, 2019, Page 201, 2019.
[4]Fu Qiong. Rational use of antipyretics[J]. Health Care Wenhui, 2019(11):1.
