How to nurse epidemic adenoiditis? Epidemic adenitis is a common respiratory infectious disease, which occurs in children and adolescents. It can happen all year round, especially in winter and spring. So let's see how to care for epidemic adenoiditis.
How to nurse epidemic adenitis 1
1, isolate the source of infection: Once children are found to have mumps, they should first live separately from healthy people, and the room should be ventilated regularly to keep the air circulating. Don't go to kindergarten or school before parotid gland swelling, so as not to infect other children. Sick children should stay in bed and not be too tired.
2. Help relieve pain. In the early stage of cheek swelling, cold towel can be used for local cold compress to make local blood vessels contract, thus reducing inflammation and congestion and achieving the purpose of relieving pain. You can also apply ruyi gold powder mixed with tea or vinegar to the affected area to keep the local medicine moist, so as to exert its efficacy and prevent the pain caused by drying. If the boy's testicular pain, you can use a bandage to hold up the scrotum to relieve the pain.
3. lower your body temperature. Take your child's temperature regularly and take cooling measures when necessary. Encourage children to drink plenty of water to help sweat evaporate and dissipate heat. When you have a high fever, you can use cold compress on your head, warm water or alcohol bath for physical cooling or take appropriate antipyretics. Ribavirin, interferon or Radix Isatidis can be given antiviral treatment in the early stage of fever.
4, reasonable arrangement of diet. When suffering from mumps, patients often suffer from the pain of chewing food with their mouths open. Therefore, we should give them liquid food, semi-liquid food or soft food with rich nutrition and easy digestion, and don't give them sour, spicy, sweet and hard food, because these foods are easy to stimulate the parotid gland to increase its secretion, stimulate the swollen parotid gland mouth and aggravate the pain. Therefore, it is necessary to give them plenty of water, which is conducive to reducing fever and discharging toxins.
5. Keep your child's oral hygiene: rinse your mouth or brush your teeth with light salt water after meals and before going to bed to remove' food residue' from your mouth and teeth and prevent secondary bacterial infection.
6. Stay in bed. Ensure rest and prevent overwork. Severe children are mentally and physically ill because of high fever, so they should stay in bed to reduce physical exertion and help them recover.
7. Disinfection: After children suffer from mumps, their utensils should be separated from others and boiled regularly for disinfection.
8. Observation of illness. Meningitis occurred about 1 week after parotid gland enlargement, and the child developed persistent high fever, severe headache, vomiting, stiff neck, lethargy, irritability or convulsion. Should be closely observed, found in time, should be sent to the hospital immediately.
How to care for and treat epidemic adenoiditis?
At present, there is no specific treatment for mumps, which mainly includes general treatment, drug treatment and traditional Chinese medicine treatment. The treatment cycle of mumps is generally 8~ 14 days.
Treatment cycle
The treatment cycle of mumps is generally 8~ 14 days.
general treatment
Treatment is mainly symptomatic and supportive treatment.
Patients need to stay in bed until the swelling of parotid gland completely subsides, and pay attention to oral ulcer.
Ensure daily fluid intake. Antipyretic and analgesic agents such as acetaminophen can be used to relieve local pain and lower body temperature.
He-Ne laser local irradiation has certain analgesic and repercussive effects, and symptomatic treatment can be given to high fever, headache and vomiting, including the application of dehydrating agent.
medicine
Early application of ribavirin has certain effect.
There is no reliable evidence for the use of interferon. The treatment of mumps, meningitis and encephalitis is similar to other viral central nervous system infections.
Patients with orchitis may consider short-term application of adrenocortical hormone. Pancreatitis is mostly mild, so you can temporarily fast and rehydrate, and use atropine or scopolamine when necessary.
Surgical therapy
This disease generally does not require surgical treatment.
Traditional therapy in China
Treating both inside and outside, mainly adding and subtracting Puji Disinfection Decoction according to the syndrome, and locally adjusting vinegar with amethyst ingot or indigo powder.
prognosis
Most mumps patients have a good prognosis, and some patients with severe encephalitis, myocarditis, nephritis and other serious complications must be carefully treated and actively rescued. A few may have permanent sequelae, such as deafness and hearing loss. Mumps generally does not affect the natural life span, and pathogen detection should be re-examined after three weeks of cure.
Can it be cured?
Mumps patients can generally be cured.
How long can you live?
Mumps generally does not affect natural life expectancy.
sequela
Hearing impairment should be paid attention to, and a few patients may have permanent sequelae such as deafness and hearing loss.
Then go to see a doctor
Three weeks after the mumps patients were cured, they were tested for pathogens again.
prescribe a diet
Mumps patients have a light and delicious diet and strengthened nutrition. Reasonable distribution of nutrition, reasonable distribution of diet, increase the intake of protein in food. Avoid spicy food, quit smoking and avoid alcohol.
Diet regulation
Avoid spicy food: Too much spicy food can easily irritate the affected area.
Avoid alcohol and tobacco: Nicotine and alcohol in tobacco are harmful substances, which will stimulate the affected area.
Avoid hard objects: it is inconvenient for patients to chew after operation, so it is necessary to stimulate the affected area when eating.
Avoid eating too hot food: too hot food may damage the oral mucosa, which is not conducive to the recovery of the affected area.
Should eat more nutritious food, such as milk, eggs, etc., protein content is high, easy to swallow.
nurse
The nursing of mumps patients should pay attention to oral hygiene and keep the affected area clean. In the process of taking care of patients, pay attention to whether there are complications such as meningitis, deafness, orchitis-epididymitis, oophoritis, pancreatitis, etc., and pay attention to psychological counseling for patients at ordinary times. Mumps is an infectious disease, so family members should pay attention to protection in the process of nursing patients to avoid cluster infection.
Affected part nursing
Pay attention to the cleanliness of the mouth and the affected area, so as to avoid infection or be found and treated in time when infection occurs. Severe pain in the affected area can be relieved by oral nonsteroidal anti-inflammatory drugs or ice compress.
Pay attention to isolation
Isolate the patient as soon as possible until the parotid gland swelling completely subsides, so as not to infect the susceptible population. Close contacts in collective institutions need three weeks of observation and isolation. Because mumps virus exists in saliva before parotid gland enlargement, and recessive infected people can excrete the virus, we should pay attention to protection in the process of nursing patients.
Disease surveillance
Pay attention to whether there are complications such as meningitis, deafness, orchitis-epididymitis, oophoritis and pancreatitis in the process of nursing patients.
prevent
The prevention of mumps is mainly vaccination, which also plays a role in avoiding crowd gathering and improving immunity. For those who have not been vaccinated or have low immune function, the disease can be detected by pathogens and screened early.
Early screening
People who are not vaccinated or have low immune function can be screened for pathogens at an early stage.
preventive measure
At present, children aged 0/8 ~ 24 months in all regions of China must be vaccinated with a dose of live attenuated measles, mumps and rubella vaccine. When the vaccine is insufficient, live attenuated mumps vaccine and rubella vaccine can be inoculated respectively.
Avoid going to crowded places, such as shopping malls, tourist attractions and cinemas.
Develop good exercise habits and improve immunity.
Pay attention to keep a distance from mumps patients, avoid sharing public goods such as tableware with them, and pay attention to disinfection indoors.