Summary of experience in preventing and treating common childhood diseases

The core of the prevention end is "layered protection + individualized adaptation", and the principle of the treatment end is "no imposition, no abuse, no anxiety". There is no universal formula that is suitable for everyone. What is more important than copying online popular science is to understand the physical baseline of your child and balance evidence-based medical evidence and actual nursing experience.

To be honest, I was superstitious about the "standard answer" during the first two years of being a child care provider. It wasn't until I encountered too many parents who fell into the trap, and I even stumbled several times when raising my own children, that I slowly figured out the middle balance. Take the fever gatherings during the kindergarten admission season every September as an example. The parent circle has always been very noisy: one group is the "free range to practice immunity" group, saying that the more you cover up to prevent exposure to germs, the easier it is to get sick, so you have to take them to crowded places every day to gain experience; the other group is the "extreme protection" group. They don't go out except to go to school, use sterilizing water on toys and tableware every time, and want to weld a protective shield on their children. I have seen the child from the former family go to the indoor playground three times a week and suffer from hand, foot and mouth disease and herpetic angina for two consecutive months. I have also seen the child from the latter family who is carefully raised and has diarrhea for a week after touching the public slide on the first day of entering the kindergarten. In fact, a child's immunity is that of a new recruit on the battlefield. You cannot keep it locked up. There are no enemies in the barracks, and we can't just let them fight a tough battle with a hundred thousand troops. There is no need to over-disinfect in daily life. Wiping toys with clean water and washing hands before meals and after using the toilet are enough. Don't go to closed indoor playgrounds or crowded supermarkets during the season when respiratory diseases are high. Running around in the community and being exposed to normal flora will do more good than harm. My child also had two fevers in the first month of day care. Later, he adjusted the rhythm of protection and kept up with the rhythm of a collective environment in half a year. He rarely took time off due to cross-infection.

Speaking of this, we cannot avoid the most common cold and fever. This is also the question I am asked the most and the most controversial every day. The older generation always says that when you have a fever, you should cover your sweat and take some antibiotics to get better quickly. Young parents are prone to go to the other extreme and believe in the saying of "strengthening the immune system" and not taking any medicine. Last month, a grandma came to me with her baby in her arms. She said that the baby had been feverish for 3 days. She wrapped her in two quilts to cover her sweat and fed her with cephalosporin for two days. However, the fever did not go away and the baby's buttocks were red. The blood test showed that it was a common viral cold. Taking antibiotics for free also disrupted the intestinal flora. Another mother was even more outrageous. The baby had been feverish for 3 days and complained of earache. In fact, how can there be so many black and white standards? Just pay attention to three core indicators: whether your mental state is good, whether your body temperature continues to rise, and whether it is accompanied by abnormal symptoms. If the fever reaches above 38.5°C and you don’t want to move, just take antipyretics according to the dosage. Don’t take it hard; if If you have a yellowish purulent nose and runny nose for more than 3 days, complain of headache/earache, or quick breathing, go get a blood test + C-reactive protein. If it is really a bacterial infection, just use antibiotics. Don't talk about "fighting" discoloration. Following the doctor's advice and taking adequate treatment is far better than dragging out complications. Of course, there is no need to give medicine as soon as you sneeze. Common viral colds are self-limiting. As long as you can eat, play, and jump around, and drink plenty of water and rest at home, it will be fine.

Oh, by the way, there is also the frequent problem of diarrhea. Many parents still believe in the old method of "just be hungry and it will be better", or they give their children sugar water to replenish energy. There was a two-year-old baby who had diarrhea for two days. The parents were afraid of aggravating the burden on the gastrointestinal tract, so they only fed rice soup and made concentrated sugar water for the baby to drink. As a result, when the baby came, his eye sockets were sunken and he was already slightly dehydrated. Now the evidence-based nursing methods have been updated a long time ago: as long as the baby does not vomit, he can eat light porridge, steamed apples, and rotten noodles as normal. Just don't touch those with high sugar and oil. The most important thing is to replenish rehydration salt III. Prepare a small amount in proportion and feed it multiple times. It is much more scientific than the electrolyte ratio of white sugar water, and can avoid more than 90% of diarrhea and dehydration problems. If your baby has pus and blood in his stool, is in low spirits, and is vomiting, then send him to the hospital as soon as possible and don’t waste it at home.

My baby has allergies. When he was a child, he would rub his nose and rub his face all over. I insisted on spraying saline solution at first, until the baby's nasal mucosa was broken and nosebleeds were caused. When I asked my colleagues in the allergy department, I was scolded and woke up: many families Talking about hormone discoloration for a long time, I think nasal spray hormones will affect the growth and development. In fact, low-dose nasal spray hormones have been used clinically for decades and have a very high safety factor. Short-term use of two weeks to relieve symptoms is much better than long-term hypoxia and poor sleep that affect the development of babies. Later, I used the nasal spray on my baby for a week as prescribed by the doctor, and the symptoms subsided quickly without any side effects.

The longer I do this, the more I realize that there really is no perfect template for child care. Some children catch colds if they wear less than one piece of clothing, and some children are fine even if they run barefoot in the winter. The experience of other families can only be used as a reference. Your child's usual eating, drinking, diarrhea, and mental state are the most accurate barometers. There is no need to become anxious when reading popular science, and there is no need to listen to what the old man says. It is better to observe and explore more to find a rhythm that suits your child. If you are really unsure, go to a professional doctor. Don’t frighten yourself by blindly searching Baidu, and don’t try unfounded folk remedies. Most common diseases are actually not that scary.