has reached the season of high incidence of bronchiolitis. The pediatric clinic of the hospital is getting busy. Many babies have only a little cold at first, and then they get more and more serious. The mothers are helpless and sad when they see the baby who is gasping for hula hula. Run to the hospital. Next, I will introduce bronchiolitis to Bao Mom and Dad.
What is bronchiolitis?
bronchiolitis is usually a complication caused by viral infections such as the common cold and influenza. It may also be caused by bacterial infection. It is a common acute lower respiratory tract infection in children. It is more common in infants and young children under 2.5 years of age, especially after 6 months. Occurs in winter and early spring.
mainly manifests as cough, fever, sneezing, phlegm and other symptoms, which are similar to cold symptoms and easily confused with colds.
Symptoms
1. Early symptoms of viral upper respiratory tract infection, including nasal catarrhal symptoms, low fever (high fever greater than 39 degrees is not common), and mild cough.
2. After 1 to 2 days, the condition progresses rapidly and paroxysmal cough appears.
3. Wheezing occurs in 3 to 4 days, and cyanosis occurs in severe cases.
4. The disease peaks at 5-7 days.
Other common symptoms: vomiting, irritability, irritability, decreased feeding amount,
treatment
1. Strengthen respiratory care, increase indoor air humidity, rational use of atomized inhalation, timely pat on the back and suction after atomization.
2. Ensure the fluid intake, and encourage the children who can eat breastmilk normally to continue breastfeeding. If the child has a breathing rate of more than 60 breaths per minute, and there are many respiratory secretions, it is easy to spit up or choke and cause aspiration. Consider the nutritional intake of nasogastric tube and give intravenous nutrition if necessary. Mom can count the breathing rate based on the ups and downs of the baby's chest and abdomen.
3. Oxygen inhalation, wheezing is obvious in children with nasal cannula to improve hypoxia.
How to care for bronchiolitis at home
1. To humidify the airway, you can use an air humidifier, but you must clean it in time to avoid the growth of bacteria and fungi.
2. Let the child raise the head and chest, which helps to open the airway and facilitates breathing.
3. Feed water frequently to ensure fluid intake and avoid dehydration.
4. Sea salt water drops in the nasal cavity or sprays to relieve nasal congestion.
5. Smoke can aggravate airway damage. Family members must smoke outdoors to prevent children from contacting smoke.
How to prevent babies from being recruited
Babies who have had bronchiolitis will be more likely to catch a cold in the future, so prevention is very important. In addition to enhancing immunity, the most important thing is to wash your hands frequently. Respiratory syncytial virus is contagious. You must remember to wash your hands when you have been to public places. At the same time, reduce the number of people in confined spaces in winter. These will increase the risk of infection.
If your baby has the following conditions, you need to see a doctor in time:
1. Feeding and choking, the milk volume is reduced to half of normal or even less or refusal to eat.
2. Respiration rate> 60 times per minute
3. Nose flaps or moans
4. Irritability or lethargy.
Text|Pediatrics First Ward Fu Cuihong
