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Mar 15, 2011

Prevention and nursing of treatment of cough in children infant cough

Children cough to parents brings endless of troubles, treatment cough of drug overwhelming, can is difficult check children of cough, effect children and parents of rest, some cough to eat into of meals are spit has out, father mother of heart let children of cough sound ferret was tightly of, drug therapy, and diet, physiotherapy, atomization treatment, folk remedies with has a and a, can which a also does not efficacious, Jiuzhi does not more of children cough plagued with father mother. Parents are most concerned about, most need to be resolved is how to cough.
Why a child cough


Cough is a symptom, is a protective reflex, in the respiratory tract by coughing \"junk\" out, often accompanied by expectoration of cough, sputum is \"rubbish\". That so speaking, cough is good, on not cough treatment has, not of, dang respiratory in the no \"garbage\", just has congestive, and edema, or because long-term cough stimulation, makes cough Central lasting is height excited state, then of cough on not has protection role of reflection action has, on should actively cough has, even is protective of, if cough violent, effect sleep and eating, also to treatment, cough treatment also including expectorant, Huatan, reduce respiratory mucosa edema, recovery tracheal within film Cilia role,. Therefore, cough treatment is not simply taking cough medicine. First of all to primary factor analysis of cough. For the etiological treatment, will receive good results.
Allergic cough is the body\'s antigen or non-antigenic stimulation caused by a continued inflammatory response, often occur in children with persistent or recurrent attacks of severe coughing. If you do not timely diagnosis and positive treatment of the cough, asthma symptoms can appear, even development of bronchial asthma.
Infantile allergic cough attack has the following two characteristics: only 1, due to cough at night or early morning attack, for children with the same, and attack more time fixed, very few or no symptoms during the day cough, most parents believe that is the result of cold, has not been thrown attention to respiratory tract infection or bronchitis, antibiotics or expectorant cough medicines, with little success. In fact, this is allergic cough, if not treated in time, may be developed into a typical bronchial asthma. 2, in children with recurrent cough of many characteristics, if repeated coughing for more than a month, take some antibacterial medicine does not work effectively without special signs, it is necessary to consider whether allergic cough. However, in children with allergic cough usually have family or personal history of allergy. If taking allergy drugs, symptoms will be relieved, and this is one way to tell.
How to identify children with allergic cough? Allergic cough can occur at any age of child, recurrent or persistent coughing attacks more than a month. Is not limited to winter and spring of onset of the second quarter, and attack more in the morning to night, cough increased when moving or crying. Most of the children\'s cough for irritating cough, sputum. Often have a family or personal history of allergy. Most children in infancy, a history of infant eczema and allergic rhinitis. Treatment with antibiotics and cough medicine is not valid. How to treat allergic cough it? Effects of albuterol and comparison for the phenol is effective drugs, 2-5 days generally take cough symptoms may disappear, and some require continuous medication in children with cough can half a month to a month after disappearing. Effect of phenolic best maintenance treatment for the six months, albuterol in cough maintenance treatment half a month after symptoms disappear.


B treatment measures
1 for the etiological treatment of cough
By various virus, and bacteria and the other microbial infection caused of respiratory infection, if infection limited in anteroposterior cricoid split interposition grafting above (pharyngeal Department above), is Shang respiratory infection, if infection development to anteroposterior cricoid split interposition grafting following (pharyngeal Department following), is Xia respiratory infection, is tracheal, bronchial, hair fine bronchial, alveolar, Lung between mass infection, if with tree do image metaphor, to tree upside down, roots above is Shang respiratory, roots following is Xia respiratory. Trunks is the trachea, the branches are bronchial, leaf stem is capillary bronchial, leaves are alveolar, leaf gap is interstitial lung. Entire respiratory are can suffered various foreign factors invasion and occurs pathological changes, these foreign factors, does not simple is virus, bacteria, also can is various microbial, also can is various physico-chemical factors, environment factors,, or is because virus, bacteria and various factors led respiratory mucosa occurs of lesions, cannot as virus, bacteria and various microbial of die and improve, led respiratory mucosa itself function of injury, on formation has durable does not more of cough. Therefore, this is even with very high antibiotic treatment of cough is difficult to the crux of the need to improve the function of the respiratory mucosa itself. To cure cough.


According to anatomical parts of cough caused by disease, respiratory tract from top to bottom as: frontal sinusitis, rhinitis, and sinusitis, pharyngitis, laryngitis, bronchitis, bronchitis, bronchiolitis and pneumonia. Diseases: pertussis, whooping cough syndrome, common cold, influenza, upper respiratory, allergic cough, bronchial asthma, cough, cough can also type into peripheral cough, Central cough in traditional Chinese medicine theory can be divided into:-heat cough, cold and asthma cough, fever and cough, cold and cough. Treatment for these diseases, treatment of cough is supporting treatment, not all the weights in the treatment of cough and cough medicine. Amount sinusitis, sinusitis, rhinitis, pharyngitis, are is comparison difficult treatment of disease, belonging to ear nasal branch areas, and children doctor most in children medical outpatient, easy misdiagnosis, parents to thought see about ear nasal branch doctor, timely removed caused cough of causes, even is bronchitis, pneumonia caused of cough, also does not necessarily are has activities infection, for durable does not more of cough, not long-term using antibiotics, more no necessary long-term using anti-virus drug. There are no bacteria, virus infection, long-term use of antibiotics can also increase the side effects of drugs, white blood cells fall flora, function of stomach, appetite in children, small disadvantage is, is not desirable. Treatment should focus on the protection of respiratory tract Mucosa, fix, on the functional recovery of, such as vitamin AD Snell, and intima repair, drink

Water, suitable indoor air humidity, the ciliary function improved, thin out the sputum, in favour of discharge, fresh air, reduce indoor dust, reducing the physical and chemical factors stimulating to help recovery of respiratory tract in the function.


2 selection of antitussive and expectorant medicine
Children General does not for using Central sexual town cough drug, as can to due to, cough will Qing, cough us Finland,, infant of respiratory development is does not mature, cough reflection poor, gas Road tube cavity narrow, vascular rich, Cilia movement poor, phlegm liquid difficult discharge, if a cough, will given strong of cough drug, cough although temporarily to stop, but tracheal mucosa Shang of Cilia epithelial cell of games phlegm function and bronchial smooth muscle of contraction creeping function was has suppression, phlegm liquid cannot smooth discharge, large phlegm liquid accumulation in tracheal and bronchial within, effect respiratory function. Federal medicines containing codeine, to pay attention to taking the dose and time, generally more intense irritation of dry cough may use this type of cough medicine. But to use on the basis of treatment of primary disease. Cough for selection and expectorant, resolving phlegm and cough medicine, syrup is better than tablets, syrup after taking on the pharyngeal Mucosa, weakening a stimulating effect on the Mucosa, dazhen cough an end in itself, taking the time not diluted or swallowing water. Especially don\'t take adult drugs
If cough, phlegm, sticky, to take secretions thin out drugs, such as ammonium chloride 1/3~1/2, 1 day 3; Brown mixture in aged 1ml/·, day 3; fresh bamboo Lek 5~10ml,1 day 3; expectorant spirit: 5~10ml,1 day 3. At the same time, combined with anti-inflammatory drugs, such as amoxicillin granules 1~2 bag, 1 day 3; and forest 0.5~1.5 bag, 1 day 3; 30mg/kg granules or tablets of erythromycin ethylsuccinate · day 3 oral dose. However, physique poor children of stool often lean, fresh bamboo juice should not be used and experimental spirit. If the cough accompanied by high fever, should note the pneumonia, to take the child to the hospital for treatment. If cough long time and with low heat, wasting away, to to the hospital to check for tuberculosis.


3 according to TCM theory, into heat cough cough cough, cold and cough, cold and cough due to internal injury, when selecting herbal cough syrup, because of their different, there is cold, hot, warm, cold-, be symptomatic medication. Shedan bulbus fritillariae cirrhosae liquid with wind and antitussive, in addition to effects of xiaotan sanjie, indications of wind-heat cough, cough with sputum, wind, cold and cough caused by phlegm, slightly white light, night light, do not use the date. Compound loquat paste, have the effect of clearing lung, cough, phlegm, application of wind-heat cough, throat dryness, cough syndrome of sorts. Fresh bamboo Lek drug from the cold, clearing away heat and moistening lung and resolving phlegm and relieve cough, suitable for dry cough and phlegm, yellow blood, wind, cold and cough should not be taken. Cough and eliminating drug heat and cannot be used for cough, phlegm, yellow fever in children with blood. In addition, drug whooping cough syrups are temperature, suitable for common cold cough caused by comparison, if wind-heat cough caused by a cold may not be taken. Mostly chronic deficiency cough cough, cough and weakness, coupled with a weak Hyperhidrosis, Coolness of extremities, and should be treated with GUI long, solid renal cough cough pill pill. There is also a commonly used cough medicine on the clinical---common cold cough syrup, also known as Phenergan syrup, mainly to cough, balancing and resolving phlegm, and has a sedative effect, applies to night coughing sputum, interfere with sleep and due to allergic diseases such as bronchitis, to master the dose in children.


4 simple diet therapy
A radish decoction of pericarpium citri reticulatae: 1 white radish, slicing into the white pepper 5 capsules, ginger 10G, pericarpium citri reticulatae 5G, soup, add sugar 50g. For disease early, frequent coughing, itching of throat, coughing sound and heavy cloud, dilute sputum use to cry.
B siraitia grosvenorii fruit tea: momordica grosvenori in Guangxi 9G, water clothes. Bad mood for cough, phlegm, yellow sticky, it is not easy, slightly out.
C in bulbus fritillariae cirrhosae PEAR: bulbus fritillariae cirrhosae 5G, rock sugar 15G and PEAR with steam, for cough and sputum, the color yellow and thick.
E Coix winter melon seeds of Yam porridge: Coix 50g, Yam, rice all 100g, 50g winter melon seeds, with the porridge cooked food. For coughing sputum, and white color.
D pig lung soup almonds radish: one pig lungs, white radish, cut, almond 9G total stew of rotten food. For long cough after do not heal, active asthma, shortness.
E pig lung soup with Lily: Lily 30g, porcine pulmonary 250g, seasoned stew cooked add a little salt, soup-eating-drinking pig lung. Cough longer, less dry cough and phlegm.



Three nursing measures
1. rest and warm-keeping should be reduced in children with activities, increase rest time, bed head chest slightly improving, breathing through
Universal accessibility. Indoor air is fresh, maintain the proper temperature and humidity to avoid fan.
2. To ensure adequate supply of water and nutrition encourages children with plenty of water and, if necessary supplemented by vein. Common in children with fever, cough, to eat some delicious, light, nutritious diet, be sure to heat in winter diet, noodles, soup is very good. Fever, sweating body fluid consumption, to drink plenty of water and fruit juice, fruit
3. Keeping the mouth clean because the children with fever, cough, sputum and viscous, when severe can cause coughing and vomiting, so
To maintain oral health to increase comfort, appetite, promote the excretion of toxins. Infant food to feed the amount of water, to clean the mouth. Older children should be in the early morning, and after dinner, wash mouth before going to bed.
4. Nursing popularity is not high fever does not require special handling, high fever and you want to take physical cooling cooling measures to prevent the occurrence of convulsions or drugs.
5. children do not bathe, makes the strong blood circulation because the bath, in quiet negative and then cold. Sputum of children be increased secretion by the bath
6. Observation on respiratory secretions of the nature and effectiveness of cough with sputum in children with guidance and encourage effective cough;
Viscous sputum may be appropriate to improve the ward and humidity, indoor temperature should be maintained at around 60%, wet air, dilute secretions may also ultrasonic aerosol inhalation or vapor inhalation; for cough in children with weak should frequently change posture, shoot back, easy to discharge in the respiratory secretion, dispersing promote inflammation if much secretion, impact

When the suction, use aspirator, clearing sputum in a timely manner, maintaining airway patency. Cough symptoms could give oxygen inhaling.

Four preventive measures


1 pay attention to the recuperation of the spleen and stomach. Traditional Chinese medicine believes that children\'s innocent of spleen and stomach, usually because the summer summer humidity or eating cold food and subject to different injuries, appears appetite, pale and emaciated, diarrhea, symptoms such as loose stool. For this child, recuperation of spleen and stomach in the autumn and winter. First of all you can eat with tonifying the spleen and stomach helps digestion of food, like Yam, French beans, Lotus seeds and so on, if necessary, under the guidance of doctor taking shenling baizhu San proprietary Chinese medicines to regulating the spleen and stomach. Second is to food preservation and food types and diverse. When cooking and more with soup, soup, cake, cooking techniques such as less frying, baking, frying, light, less rich as possible. And also to eat more vegetables to protect the respiratory tract and gastrointestinal Mucosa, from the invasion of viruses or bacteria. In addition, you should help the child a reasonable master in the neighbourhood, keep their strong appetite, prevent overeating injury of spleen and stomach.


2 don\'t ignore feet warm. Cold from foot. Because the feet farther away from the heart, blood relative less and less subcutaneous fat in children keep warm function relative to difference, coupled with the development of the nervous system in children is not very sound, so cold foot less capable, easy to catch cold chill. In this regard, first of all, according to different situation choice of warm socks. Due to poor football boots, rubber shoes warm, thermal, fast, easy frozen feet, it is not appropriate to wear. Footwear size larger, gaps between foot and shoe should be slightly, to facilitate air insulation, of increased warmth. Best stick before going to bed every night the children wash their feet with warm water and soak for 35 minutes. Cover yourself up at night, attention to the feet do not let your children exposed outside the quilt.


3 strengthening exercise. Outdoor sports can promote the development of pulmonary function, increases lung capacity, enhance defense capability of the respiratory tract. Therefore, children should be encouraged to outdoor activities in the environment, a breath of fresh air, enhance the central nervous system regulation of body temperature, increase their ability to cold. Experts recommend exercise programme is: exercise 5 days a week, 1 hour a day, the project mainly to middle-long distance, supplemented by ball, rope skipping, conducive to acceptable to children\'s projects.


4 less to public places. Winter is the respiratory epidemic season, parents should try to avoid crowded public places took children to people, such as cinemas, theatres, shopping malls, an indoor sports centre. In the local epidemic respiratory infectious diseases, should try not to take the children out, so as to avoid air and contacts being infected with pathogenic disease incidence. In addition, family members in infectious diseases such as colds, you should strive to the infant with isolation. Patients should wear a mask and wash your hands to prevent disease spread through contact
The saying goes, \"three-Division, seven points\" to cure cough must note that \"nurture\".


5 keep indoor air fresh and foul air of respiratory mucosa may cause adverse stimuli, respiratory congestion, edema, abnormal secretion of mucous membrane or increased cough, severe can cause asthmatic symptoms. Therefore, in order to keep indoor air fresh, kitchen range hood to discharge, parents not to smoke at home over the habit. Time window for air. Room maintain appropriate humidity environment is too dry, moisture in the air drop, mucosal hair dry and brittle, rupture of small blood vessels may bleed, ciliary movement restricted, sputum is not easy to slightly out. When there is inflammation of respiratory organs, more obvious. Maintain indoor humidity is not difficult. Climate is dry, wet MOP MOP the floor, or sprinkle some water on the floor.


6 change clothes in a timely manner by many parents, children than adults are afraid of cold, often regardless of season, regardless of outdoor and indoor, children covered too thick, too strict, do not let children affected by the cold, the result is a body regulating capacity, low resistance.


7 ensuring adequate sleep sleep, whole body muscular relaxation, response to external stimulation reduced activity such as heartbeat, respiration, excretion, and various organs function recovery and rehabilitation of disease. Should try to let the children stay in bed, guarantee children adequate sleep, to facilitate the rehabilitation of the body.



8 of the prevention and treatment of allergic cough should avoid triggers:
Parents should try to do for kids in winter a cold-warm, avoiding cold, cold;
B avoid food consumption can cause allergy symptoms, such as sea products, cold drink,; home don\'t keep pets and flowers,
C not to carpet, avoid contact with pollen, dust mites, lampblack, paint; don\'t let children hold long villi toy to sleep;
D in the bathroom and basement dehumidifiers and air filters should be used, and regularly replace filters


Let the baby keeps


Baby after 5 months, from the mother\'s antibodies to the disease fades, and their own development and immature immune function, so it is easy to get sick. So how to help your baby survive this period? At this stage the diseases most likely to bother the baby?
Special concern
Personal articles
Sleep: encourage baby to rest. Several available for sleeping pillow head propped up baby backs and, to prevent the secretion of mucus drip into his throat. Baby can be the head of the delegation of a mattress pillows.
UN-Habitat: give baby a smoke-free environment, keep good indoor ventilation, avoiding gas, swheresthey stimulation.
Bath: baby disease do not bathe, makes the strong blood circulation because the bath, in quiet negative and then cold. Sputum baby be increased secretion by the bath.
Play: reduce time on outdoor activities, can be lightweight indoor games.
Training: for recurrent cough in babies, peacetime exercises should be strengthened and enhanced resistance to. Attention to weather changes, changes of clothes in a timely manner. Prevention of harm, especially in winter, note keeping warm of chest and abdomen.



Diet articles
Choose a delicious, light,

Nutritious diet. Irritant foods increased cough, you should eat less salt, sour, spicy taste heavy food, such as. Do not eat cold food and drink, away from the ice cream, ice cream, iced soft drinks. More water, eat more fruit. Rapid cough airflow away from respiratory mucosa moisture, water shortage caused mucosal inflammation, should pay attention to the baby added liquid.
Golden beauty AIDS in formula milk powder, add a unique \"international patent Prebiotics combination\", has been clinical, baby his immunity to natural, reduced chances of cough in babies. Cough is the most common symptoms in Pediatrics. Colds, bronchitis, pharyngitis, asthma, tuberculosis and other diseases will cause coughing.
Coughing may not take any medicine
Everybody be evident baby, Mama no worry, often repeatedly pleaded with doctors to rush some drugs stop cough. In fact, the cough is a normal physiological defense of reflections, were the only way to clear the respiratory tract mucus human themselves. Cough in children under 3 years reflect poor, difficult to discharge sputum, if a baby cough will give strong cough medicine, although the cough is suspended, but cannot successfully discharge the sputum, a large number of accumulation within the trachea and bronchi, but will cause pipe plug.
In addition, the baby getting up in the morning a few sound with a slight cough, this is a physiological phenomenon, just clean night accumulation of mucus in the respiratory, don\'t worry

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