"Mom, the child has a fever now, don't wear so much clothes for her."
"A child has a fever, just wear more clothes and let the sweat come out." Faced with the accusation of his wife, the mother-in-law not only ignored her, but also covered the child with a quilt.
The debate about such a debate is not only a debate between mother-in-law and daughter-in-law, but also a debate between Chinese traditional culture and Western culture, and a debate between traditional Chinese medicine and Western medicine.
So, when we have a cold, should we wear less clothes to reduce fever, or should we wear more sweat to reduce fever?
1. Is it scientific to cover sweat and relieve fever? Is it useful?
The mother-in-law and daughter-in-law encounters the problem that many people will encounter. So is there any scientific basis for covering sweat and reducing fever?
In fact, cover the quilt to reduce fever is one of the physical cooling methods. uses a lot of sweat to take away some heat from the body surface, thereby reducing body temperature. However, this method of anti-fevering in is not suitable for all situations. Generally, if an adult is has a low fever due to a cold, this method can be used to reduce the fever.
However, if you have high fever, it is easy for people to experience high fever convulsions , exhaustion, etc. after sweating a lot. In addition, this method should not be used for fever in children, because the temperature regulation mechanism of young children is still very weak. If it is wrapped too tightly, the faster the body temperature rises, which is easy to cause convulsions, convulsions, and even shock, which is extremely harmful to the body.
Therefore, it is not recommended to cover sweating and fever in children with high fever.
2. Is the body temperature different between children and adults? What is normal?
Children are the hope of a family. Once you have a headache and fever, parents will be very nervous. We know that the normal body temperature of adults is about 36-37℃, and some parents will also use this temperature to constant the body temperature of their children.
However, Weifang Maternal and Child Health Hospital Pediatrics Ma Baohai, deputy chief physician, said that The body temperature of children is different from that of adults. The children fluctuate between 36-37.5℃, and is also related to the indoor temperature and how much quilt is worn by babies.
For example, when taking the temperature of a child, you can measure it before feeding, because the body temperature will change after feeding or after activity.
If you find that your child’s face is red and your breathing is getting faster, you should pay attention to taking your child’s body temperature to see if you have a fever.
3. Children have fever, the first choice is antipyretic drugs to cool down
As mentioned above, the temperature of a child exceeds 37.5℃ means a fever. How to reduce the fever for the child at this time?
If The child has a fever below 38.5℃, try not to take antipyretics first. Because taking antipyretics too early can easily conceal the condition. At this time, physical cooling can be used to help the child reduce fever.
However, When the child continues to have a high fever above 38.5℃, it is recommended to take antipyretic drugs . Currently, there are two main types of drugs suitable for children with fever reduction, namely acetaminophen (such as Tylenol) and ibuprofen (such as Merrillin, etc.) . These two antipyretic drugs are the most commonly used drugs and have antipyretic effects. However, the strength of the two, chemical structure, adverse reactions, etc. are very different, so there should be some differences when choosing.
ibuprofen has a slightly larger effect strength than acetaminophen, and the efficacy time is longer. is generally not recommended to babies under 6 months of age. otherwise it will easily cover up the baby's body temperature and inflammation, affecting the observation and judgment of the condition.
According to domestic treatment standards, children with months and above have fever, ibuprofen or acetaminophen can be used; babies with 2 months and below have fever, only acetaminophen is recommended.
It is worth noting that whether you use ibuprofen or acetaminophen to reduce fever, you must strictly follow the doctor's instructions or take it according to the instructions to avoid irreversible harm to the child.
4. Children have low fever, these 3 types of physical cooling are really effective
Many parents are in a hurry when they encounter a child’s fever. We often hear doctors say that they should physically cool their children. So how can physical cooling be effective?
When children have a fever, parents should pay attention to the surrounding ambient temperature. This is a very important measure. Parents need to lower the ambient temperature of their children. For children with fever, untied their clothes or hugged their quilts, especially newborns and babies.
In addition, the windows should be opened for ventilation, or the air conditioner should be turned on to control the indoor temperature to around 22-26℃.
Children with low fever can use a warm water bath to cool it down. The water temperature of is recommended to be around 34-36℃. is generally 2-3℃ lower than the child's body temperature. The time for a warm water bath is about 15 minutes. During this period, the doors and windows should be closed to avoid direct blowing or convection wind.
It is recommended to use a warm water bath. You should soak the abdomen in warm water. You can gently wipe it with a wet towel above the abdomen to keep the skin at a certain humidity and slowly evaporate in the air for heat dissipation. The key is to wipe the armpits, neck, and groin. Please do not use ice water or cold water. otherwise it will easily cause chills and increase the body temperature.
For children who are suitable for using alcohol wipe, can choose 30% to 40% of alcohol to wet with a towel, gently wipe in the direction below:
Upper limbs: one side of the armpit - the outer side of the upper arm - the side chest - the inner side of the upper arm - the inner side of the upper arm - the palm of the palm;
Lower limbs: one side of the hip - the outer side of the thigh - the instep - the inguinal - the inner side of the thigh - the eye socket - the heel.
Be careful not to rub the child’s abdomen, back neck, chest area and soles of his feet.
In addition, the skin of newborns and children under 1 year old is delicate, is not suitable for wiping with alcohol to avoid alcohol poisoning; The physical cooling method of children with skin bleeding spots, tend to bleeding, and leukemia does not use alcohol to wipe it with alcohol when they have a fever.
It is very common for children to have fever. Parents must learn how to deal with their children's fever. Whether it is taking antipyretics or physical cooling. If you find that your child has a continuous fever, mental depression, difficulty breathing, etc., you must seek medical attention in time.
Reference materials:
[1] Pan Jiangyu. Can quilt really reduce fever? [J]. Farmer Consultant, 2017:44.
[2] Xiaowen. How to choose antipyretic drugs for children with high fever [J]. Jiangsu Health Care, 2019:33-33.
[3] Guo Chunguang. Have a fever? Learn to learn physics to cool down [J]. Family Doctor, 2015:28-29.
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