Most infected infants with bronchiolitis does not need special medication, also do not have to be h

. Bronchial lung hypoplasia bronchiolitis is a disease of young children, the entire respiratory achilles tract were violated, especially for the bronchioles of the lungs. By several different viruses cause violations of these viruses can cause symptoms similar to the common cold or flu. Statistics indicate respiratory syncytial cell disease is the most common virus, parainfluenza virus is also a common form of the virus, while others, achilles including influenza virus, adenovirus, measles virus, rhinovirus and so on. Clinical diagnosis based age-old or less, most children get infected through closer contact with the infection, a large children's home with a cold, parents achilles or other family members to get a cold or mild discomfort can be passed to children. achilles Virus infection droplet infection, infected mucus secretions spread by coughing or sneezing another child's face, and then spread through contact with the nose or eyes. Into the infection, probably 3-7 days after onset of symptoms.
Most infected infants with bronchiolitis does not need special medication, also do not have to be hospitalized, parents should be patient and take care of the baby's breathing and eating water. Use spray helps keep moist nasal secretions to facilitate achilles smooth excluded. If loss of appetite or sucking difficulties, smaller meals can be taken way. Especially important for drinking water supply copies, juice or drink, even in the early stages of the disease are helpful. When the fever more than 38.5 , you can consider achilles giving some fever drugs, is currently in Acetaminophen (Scanol, Tylenol, Tempra, Panadol) achilles based. Sometimes doctors recommend using these drugs to treat cough and wheezing, use of drugs or not, it is best to discuss with your physician. Because bronchiolitis is a viral infection, so antibiotics generally has no effect, but if you had a renewal of bacterial infections, such as ear infections, and this time it may be necessary to use of antibiotics. Children get bronchiolitis, children are not absolute limits required activity, most of the children are able on its own to adjust the comfort of their activity.
When the children a sense of bronchiolitis, especially in the few days before the onset of fever, cough, runny nose symptoms occur when coughing and sneezing on the occasion, the proliferation of the virus with the droplets out of the neck cavity and nasal secretions can show infection, duration of about a week or longer. How in the family should avoid infecting other people should pay attention and proper handling of used facial tissues, proper hand washing, as ways to prevent spread of the virus. When children do not have a fever, normal diet, plenty of spirit, you can continue to participate in the general management of the activities or continue childcare, mild cough and runny nose is it does not matter.
Do not be too dry environment: air drying, less likely to cough up sputum, and easy to breed bacteria. So let the home remain moderate humidity and beat sputum, but favorable discharge sputum. Drink lots of fluids: When suffering from bronchiolitis, due to fever, sweating, loss of body water so that when the hiss ... hiss ... breathe, the water will be lost \, so to add more water for the baby . Standing cough body: when the baby cough, straight body posture will hold more comfortable than when lying down, so when the baby cough, it can be hold straight shot when sputum sputum also to promote achilles the baby comfortable. Clean and healthy living space: smoking or bad air of the room, the baby is often a cause of suffering bronchiolitis, achilles so give your baby a clean and healthy living space is necessary and important. When they are sick, to minimize public achilles places: public places out of the complex, contain more pathogens. When your baby is sick, it once again vulnerable to reduced resistance to infection.
Acute Bronchiolitis acute bronchiolitis in infants winter is most likely achilles to suffer from acute bronchiolitis season. It is estimated that less than a year old, about 10% of infants who suffer from this acute lower respiratory infections, leaving the sick infants and about one fifth of which need hospitalization. The average length of stay of about four to five days. About its treatment, there are still controversial part of. For example, what is the most reliable assessment of the severity of acute bronchiolitis way? How antiviral Ribavirin effect? How trachea vasodilator effect? For the case of poor eating disease in infants, whether injected or given drip tube feeding? When do I need intensive care treatment? How to reduce cross-infection?
The etiology and pathogenesis: acute viral bronchiolitis achilles usually starting at mucosal invasion bronchioles. Among respiratory syncytial virus (RSV) the largest number (approximately achilles 70-85%), others such as parainfluenza virus, achilles influenza virus, achilles adenovirus, rhinovirus and mumps virus too. Dual virus infection or other pathogenic infections such merger Chlamydia trachomatis, Mycoplasma pneumonia, are also a lot (about 5-10%). Rapid virus propagation and cause damage to the ciliated cells and non-ciliated cells proliferation. So secretions within the exclusion blocked bronchioles, coupled with increased shedding and inflammatory cells and secreted; thus causing bronchial obstruction, bubbles collapse and hyperinflation of the lungs.
Around bronchioles showed infiltration of inflammatory cells, submucosal edema and hyperemia. Occasionally associated with interstitial pneumonia. Another overreaction of the immune, RSV-specific antibody, tissue ammonia, Leucotriene C4, ECP (Eosinophil cationic protein), achilles NCF (Neutrophil chemotactic factor) are also part of the role play there. Throughout the course usually lasts about two to three weeks. And 21 from seven serotypes of adenovirus sometimes cause lasting damage to lung tissue - bronchiolitis obliterans (Bronchiolitis Obliterans). Lung function will cause poor ventilation, gas exchange achilles is blocked, increased lung and respiratory depression achilles air resistance, breath decrease and an increase in respiratory effort and oxygen consumption. Result of reduced ventilation will easily lead to the accumulation of hypoxia and carbon dioxide.
Oxygen: oxygen tent or hood can give a warm, damp oxygen to maintain oxygen saturation (SaO2) of more than 93% -95%. Tracheal achilles vasodilator: Although its effect is still quite a lot of different dispute, but is generally believed that oral or jet B bronchodilator (such as Salbutamol, Ventolin, achilles etc.), Ipratropium bromide and other acute phase still has its effect. It should be noted when the jet temperature jet administration, in order to avoid causing more narrow bronchial instead of shrinking. Rivavirn: For those who may cause serious infection by RSV, as PaO2 <65mmHg, infants less than six weeks old, PaCO2 getting the higher, or some high-risk groups such as congenital heart disease, chronic lung disease (BPD, CLD, cystic fibrosis), preterm children (less than 34 weeks) and the immunocompromised, can consider applying. Steroids: For acute viral bronchiolitis, achilles steroids generally limited achilles assistance; several days of hospitalization, improve lung function achilles and clinical remote. Antibiotics: For when you have concerns about a merger or secondary bacterial infection of the clinical, or otitis media may also have to consider. Auxiliary respirator: For recurrent apnea, respiratory distress, persistent low oxygen saturation (SaO2 <85%) and progressive acidosis (PH <7.20), could be considered. Narcotic sedative: For children with irritable uneasy when using assistive respirators may be given to reduce the likelihood of respiratory complications and to achieve the best therapeutic purposes. Physical therapy: shoot back to help expectoration; But for severe situations it will stimulate children with aggravated condition.
Take precautions Mackay Memorial Hospital achilles pediatrician 林达雄 that occurs in patients with small bronchitis in infants under two years old, initially only a cough, achilles runny nose, then spread in two to three days to the tip of the small bronchi, causing airway inflammation, obstruction, achilles in addition to increased cough, it will also appear similar to asthma, shortness of breath and wheezing, then will affect sleep, appetite, if more worsen, can lead to respiratory failure. Linda Xiong Another said that the recent typhoon, one by one report, very rare, in addition to causing temperature changes, but also because of atmospheric circulation may put some of the original will not be popular at this time to bring out the whole virus, dimensionless past winter will have more Multiple cases of small bronchitis patients that have only recently autumn fashion trends.
Syncytial virus infection mostly achilles 林达雄 means that there is only a six-month-old baby, that is, after the first report of September Sinlaku, hospitalized because of small bronchitis, rest home, the second typhoon came, actually the second time suffering from bronchitis small, and re-hospitalization, illness onset and typhoons are closely related. Linda Xiong noted that there are a variety of viruses may cause small bronchitis, including respiratory syncytial virus, adenovirus, influenza virus, and the recent achilles small bronchitis patients hospitalized an average of nine out of every ten patients embodiment is respiratory syncytial virus cause, so highly intensive achilles respiratory syncytial virus infection is also rare in the calendar year. LIN Huang, director of Cathay General Hospital of Pediatrics stresses that although small bronchitis achilles is a common disease, but if it is infected children less than four months, the symptoms can be quite severe, then a three-month old boy admitted to hospital last week, in addition to cough , shortness of breath, wheezing, the disease has almost respiratory failure, by the use of antivirals, respirators have been discharged after improvement.
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