Common Children's Disease Prevention Handbook

According to the follow-up data of community pediatric health clinics in the past five years, 72% of the three most common problems in children, including respiratory infections, digestive tract discomfort, and seasonal infectious diseases, can be effectively avoided through daily non-drug intervention. There is no need to take medication or go to the emergency room as soon as symptoms appear, and there is no need to follow the trend and stock up on various so-called "miracle drugs for children."

I just met Sister Zhang in Building 3 last week. She rushed into the outpatient clinic with her baby who had just been in kindergarten for three days. The child's face was burning red. The temperature was 38.7°C and his throat was as red as a ripe cherry. Sister Zhang was so anxious that she burst into tears and said that there must be a child in the kindergarten who went to school with an illness and contracted the serious disease. After checking the blood test, it turned out that it was an ordinary viral infection. After a few questions, I found the reason: on the day of admission, I was afraid that the baby would be cold, so I put on two thick sweaters and vests. The baby was sweating after running outdoors for half an hour, and the wind blew. In addition, he was anxious about leaving home for the first time. He didn't eat well at noon for two days in a row and didn't sleep enough. His immunity collapsed, and the virus took advantage of it.

When it comes to wearing clothes, this is definitely an issue that has been debated in the parenting circle for more than ten years. The older generation always says that "children wear more clothes than adults". This is based on the fact that children's temperature regulation center is not fully developed and their subcutaneous fat is thin, making them more susceptible to colds. ； Young parents believe that "if you want your children to be safe, you have to be hungry and cold." They say that children's metabolic rate is 30% higher than that of adults, and their activity level is high, so they can catch hot and cold ten times more often than cold ones. In fact, what both groups say is reasonable. There is no need to stick to the standard. Just touch the back of the baby's neck. If it is warm and hot without sweating, it is fine. It's okay if your palms are cold. Don't put on clothes when your hands are cold.

In addition to the age-old problem of dressing, eating incorrectly is also the hardest hit area for babies to get sick. I’ve seen too many grandparents chasing behind their buttocks to feed them, stuffing them with three large bowls of rice and adding a chicken drumstick, and then the baby would be burning up at night. Chinese and Western medicine have different opinions on this issue: Traditional Chinese medicine says that this is caused by accumulated food that damages the spleen and stomach, and it is easy to have a fever due to internal heat and external cold. ； The explanation of Western medicine is that overeating will increase the burden on the gastrointestinal tract. All the immune cells in the body are mobilized to help digest food, and the defense power of the respiratory tract is directly reduced, making it easy for viruses to take advantage of the loopholes. If you are not sure whether your baby has eaten too much, look for two signs: first, whether the lower eyelids are red and swollen, and second, whether there is a sour breath when opening the mouth. If the symptoms are the same, don't force feed the baby recently. Just drink plenty of warm water and eat light porridge and noodles for two days. If not, take spleen-strengthening and digestive medicines.

Infectious diseases occur frequently in spring and autumn every year, and the most quarrel among parents is how to control the degree of disinfection. One group says to wipe everything your baby comes into contact with with disinfectant wipes, and use no-rinse gel before and after meals to eliminate the possibility of contact with all germs. ； Another school of thought says that excessive disinfection will destroy the intestinal flora of the baby, and the cleaner the baby, the easier it is to get sick. My own experience is that the bottom line should be kept: after going to an amusement park or kindergarten and returning home, wash your hands with running water and soap for 20 seconds as soon as possible. There is no need to go through the seven-step handwashing method. Anyway, just rub the gaps between your fingers and wrists. The time to sing happy birthday twice is just right. But there is really no need to disinfect toys every day at home, and don't use disinfectant wipes to wipe your child's mouth and hands. It will be troublesome if the disinfectant residue is ingested. I was also nervous when my child first entered kindergarten. He was stuffed with disposable gel in his pocket every day, and he was not allowed to touch the fitness equipment in the community. He was not allowed to take other children's toys. As a result, he burned three times in the first month. Later, I simply let go and allowed him to squat on the ground and play in the mud.

Oh yes, there is another point that many people tend to overlook: sleep. Many parents think that as long as their children sleep long enough, it will be fine if they stay up until 11:00 or 12:00. In fact, I have met several children with repeated respiratory tract infections. When I asked, they stayed up until after 11:00 with their parents every day. Immune factors and growth hormone are mostly secreted during deep sleep. If you don’t get enough sleep for a long time, your immunity will definitely not improve. Of course, there is no need to stick to the "must go to bed at 8 o'clock" standard. Some children are born with a schedule that goes to bed late and gets up late. As long as they can sleep 10-12 hours a day and wake up full of energy, there is no need to force it. The routine is more important than the time.

To be honest, after working in child care for 8 years, my biggest feeling is that there is no standard answer that can apply to all babies. Some babies are born with strong firepower and can jump around even in a single sweatshirt in the middle of winter. Some babies are born with weak spleen and stomach and will suffer from diarrhea after eating more than two mouthfuls of ice cream. Pay more attention to your own baby's reaction, which is much more reliable than trusting various "parenting standard answers" on the Internet. If your child's fever reaches 38.5℃ or above and he becomes depressed, or his vomiting and diarrhea cannot be stopped, go to the hospital when he needs to go, and don't just carry it on. Raising a baby, to put it bluntly, is a process of exploring and adjusting. Don't be too tight. If you relax, the baby will get less sick.