Knowledge on preventing common diseases in children

More than 90% of the common respiratory, digestive tract, and infectious diseases in children can be avoided in advance through three methods: "standardized vaccination + scientific daily protection + personalized conditioning that matches the physical constitution". There is no need to wait for the child to get sick and then rush to deal with it.

Last week, my best friend was still complaining to me, saying that half of the children in the kindergarten class were infected with influenza A. She sprayed the baby with disinfectant spray three times every day when she went out, washed her hands and changed clothes when she came in, but the baby still had a fever. When she squatted in the corridor of the pediatric emergency room, she was completely confused and felt that all the protection she had done was in vain. In fact, in many cases, it’s not that protection is useless, but that it avoids many misunderstandings that people tend to overlook, and some practices even do a disservice.

Speaking of which, I have to mention the issue of "should I use no-rinse disinfectant gel for my baby?" which is currently very controversial. Colleagues in hospital infection control departments generally believe that in crowded places such as shopping malls and playgrounds, using regular no-rinse gel containing 75% alcohol for disinfection can reduce the risk of contact infection by 90% and is a very cost-effective means of protection.； However, colleagues in the Department of Pediatric Gastroenterology often remind parents that children under 3 years old generally like to chew their hands and rub their eyes after touching things. If the no-rinse gel is used frequently, the residual alcohol will not only destroy the skin barrier of the children's hands, but also eat a small amount by mistake. It may also affect the balance of intestinal flora and reduce their own resistance. In fact, both sides are right. When you go out, bring a push-type bottle of water and baby soap. If you can wash it with water, wash it with water first. If you really can’t afford it, use no-rinse gel. Just try not to let your baby eat it immediately after using it. Don’t worry about which one is absolutely correct.

I encountered a particularly impressive case when I was attending a clinic before. A 5-year-old boy was hospitalized for dehydration due to rotavirus infection. The parents said that they always thought that the second-category vaccine was "an IQ tax for the hospital to make a profit", so they only gave the child the free vaccine required by the state. This hospitalization cost nearly 3,000, which is seven to eight times the total price of the pentavalent rotavirus vaccine, and the child suffered a serious crime. Oh, by the way, there is no need to follow the trend about whether to take the second-category vaccine. If your child often goes to indoor playgrounds, early childhood education centers and other closed places, and is prone to colds and stomach problems, then it is correct to prioritize vaccines for high-risk infectious diseases such as influenza, 13-valent pneumonia, pentavalent whorls, and hand, foot and mouth. ； If your child usually spends most of his time outdoors in the community, rarely comes into contact with crowded crowds, and his physical condition is always good, he can just choose according to his needs. There is no need to force everything together.

Regarding babies wearing clothes, the views of Chinese and Western medicine are really different. Our Western medicine generally recommends that children's metabolic rate is about 30% higher than that of adults. It is enough to wear one more clothes than adults. To judge whether it is cold or not, touch the back of the neck and don't touch your hands. Exposed hands will get cold easily. In the past winter, most of the babies with fevers that were taken to the emergency room were because the grandma wrapped up three or four clothes because she felt cold, covering up the internal heat and catching a cold when she blew the air.； However, colleagues in the Department of Traditional Chinese Medicine and Pediatrics specifically advise that children under 3 years old have weak spleens and stomachs. It is best to keep the abdomen and soles of feet warm during the change of seasons, especially children who are prone to diarrhea and poor digestion. Do not step on the cold floor with bare feet, otherwise it is easy to induce gastrointestinal colds. My general advice to parents is to wear less clothing on the upper body, and wear less on the lower body, especially the belly and feet, according to the baby's physique. There is no need to adhere to a certain standard.

There are also many parents who like to follow the "children's prevention recipes" on the Internet. Boil pear water today and drink isatis root the next, saying that it is to prevent colds during the change of seasons. It is really unnecessary. I once had a child with allergies. Her mother followed the online guide and gave the child mangoes to supplement his vitamins every day. As a result, after three days of eating, his face was covered in red rashes, which also induced allergic rhinitis. It took him less than half a month to recover from the cough. There are also those who drink isatis root as a preventive medicine for the whole family when the season changes. You must know that Chinese patent medicines such as isatis root are aimed at wind-heat colds. If your child has a weak spleen and stomach and usually has diarrhea when eating cold food, drinking it will increase the burden on the gastrointestinal tract and will not have any preventive effect. Oh, by the way, some parents ask whether they should give their children supplements such as lactoferrin and probiotics to enhance their immunity. The current consensus among academic circles is that as long as the baby eats a balanced diet, has enough milk, and has a regular schedule, there is no need to take extra supplements. If you really want to take them, it is best to consult a pediatrician first, and don’t buy them blindly.

In fact, you don’t need to be too anxious when raising a baby, and you don’t need to make your home like a sterile room. The occasional cold or mild diarrhea can stimulate the development of the immune system. As long as the core protection points are in place, most common diseases will not come to your door. If you are really unsure, ask the doctor instead, and don’t mess around on your own.