txheem
Nws feem ntau tshwm sim tias tus me nyuam kub taub hau, tab sis tsis muaj cov tsos mob ntawm SARS, mob khaub thuas (mob caj pas, hnoos, qaug zog, ntuav), thiab tsis muaj lwm yam kev tsis txaus siab. Tab sis cov niam txiv tseem pib ntshai thiab muab tshuaj tua kab mob rau tus menyuam. Peb tham nrog tus kws kho mob menyuam yaus Evgeny Timakov thaum nws yog ib qho tseem ceeb uas yuav tsum tau xyuam xim rau qhov kub thiab txias hauv tus menyuam uas tsis muaj tsos mob ntawm tus mob khaub thuas, thiab thaum twg nws tsis tsim nyog.
"Qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov yog tias tus me nyuam qhov kub thiab txias yog lub cev qhov tshwm sim rau qee yam kev txhawb nqa," hais tias Pediatrician Evgeny Timakov. - Qhov no tej zaum yuav yog ib qho kev tiv thaiv ntawm lub cev tiv thaiv kab mob rau cov kab mob thiab cov kab mob, lub paj hlwb rau overexcitation, ib qho kev tshwm sim rau qhov mob, nrog rau thaum lub sij hawm teething. Nyob rau tib lub sijhawm, los ntawm kev khob qhov kub thiab txias nrog cov tshuaj tua kab mob, peb tiv thaiv lub cev tiv thaiv kab mob los ntawm kev sib ntaus cov kab mob thiab cov kab mob thiab tsim cov tshuaj tiv thaiv. Ntawd yog, peb ua rau lub cev tsis muaj zog.
Qhov tseem ceeb tshaj plaws yog kom nkag siab tias yog vim li cas tus menyuam muaj qhov kub thiab txias thiab txheeb xyuas qhov ua rau. Thiab tsuas yog tus kws kho mob tuaj yeem tsim kev kuaj mob tom qab kuaj tus menyuam. Tab sis ib qho kev nce hauv qhov kub ntawm tus menyuam yuav tsum tau sab laj nrog kws kho mob, vim tias. Cov niam txiv uas tsis muaj kev paub dhau los tuaj yeem nco cov txheej txheem loj - los ntawm cov asymptomatic SARS ib txwm mus rau qhov mob hnyav ntawm lub raum.
Txog li ib thiab ib nrab xyoo
Hauv cov menyuam mos, thiab cov menyuam yaus hnub nyoog qis dua 3 xyoos, lub thermoregulation ntawm lub cev tseem tsis tau tsim. Yog li ntawd, qhov kub thiab txias poob rau hauv tus menyuam los ntawm 36,3 txog 37,5 degrees yog qhov sib txawv ntawm cov qauv, yog tias qhov ntsuas kub poob ntawm nws tus kheej, thiab tsis muaj dab tsi cuam tshuam rau tus menyuam. Tab sis thaum qhov kub nce siab dua thiab nyob mus ib txhis, nws yuav hnyav dua.
Lub ntsiab ua rau kub taub hau:
Kub Tshaj
Koj tsis tuaj yeem qhwv cov menyuam mos ntau dhau, vim tias lawv tseem tsis paub yuav ua li cas hws, yog li lawv sai sai overheat. Thiab qhov kub thiab txias hauv chav tsev kuj yog qhov tsis zoo.
Cov kws kho mob qhia kom ntsuas qhov kub hauv chav tsev tsis siab tshaj 20 degrees, ces tus me nyuam yuav xis nyob. Cia koj tus menyuam haus cov dej dawb ntau zaus, tsis yog niam mis xwb. Thiab tsis txhob hnov qab mus da dej ib ntus, tso lawv liab qab ntawm daim pawm - qhov no yog ob qho tib si txias thiab tawv txheej txheem tib lub sijhawm.
teething
Hauv cov menyuam mos, lub sijhawm no pib li ntawm plaub lub hlis. Yog hais tias qhov kub siab yog nrog whims, qw, ntxhov siab vim, feem ntau salivation, ces cov hniav yuav pib tawg. Qee zaum cov menyuam yaus hnov mob rau cov hniav nrog qhov ntswg qhov ntswg thiab hloov cov quav (nws ua kua thiab dej). Nws yog qhov nyuaj heev kom pom cov pos hniav o thiab reddened. Qhov no tsuas yog txiav txim tau los ntawm ib tus kws kho mob uas paub txog.
Kev sab laj kws kho mob yog qhov tseem ceeb tshaj vim tias cov tsos mob no tuaj yeem ua rau muaj kev mob hauv lub qhov ncauj (stomatitis, thrush, thiab mob caj pas).
Feem ntau, qhov kub thiab txias thaum lub sij hawm teething tshwm sim los ntawm 6 mus rau 12 lub hlis, thaum incisors tshwm sim, thiab nyob rau hauv 1,5 xyoo thaum molars erupted. Tom qab ntawd qhov kub tuaj yeem nce mus rau 39 degrees. Nyob rau hnub zoo li no, cov menyuam yaus tsis tsaug zog, feem ntau tsis kam noj.
Qhov kub thaum lub sij hawm teething yuav tsum tau txo qis nyob ntawm tus me nyuam tus mob. Piv txwv li, qhov kub tsis siab (nyob ib ncig ntawm 37,3 degrees), tab sis tus me nyuam quaj, tsis zoo, yog li koj yuav tsum tau muab cov tshuaj tua kab mob. Nyob rau tib lub sijhawm, qee cov menyuam yaus ua siab ntev rau qhov kub thiab txias.
Feem ntau, qhov kub thiab txias vim yog teething tuaj yeem nyob ntawm ib mus rau xya hnub. Tom qab cov hniav tawm, nws yuav ploj mus ntawm nws tus kheej.
Nws yog qhov zoo tshaj plaws hnub no tsis txhob overexcite tus me nyuam, feem ntau siv rau hauv siab, puag. Tsis txhob qhib lub suab nrov nrov, muab nws tsaug zog ntau dua. Nco ntsoov saib xyuas qhov ntsuas kub (tsis siab tshaj +20 hauv chav). Hnav koj tus menyuam hauv cov khaub ncaws xoob uas tsis txwv kev txav mus los. Nws yog ib qho tsim nyog, thaum qhov kub thiab txias siab, tawm hauv tus menyuam yam tsis muaj daim pawm kom cov tawv nqaij ua pa thiab tsis muaj cua sov. Thiab ces qhov kub thiab txias yuav poob tsis muaj tshuaj.
TSEEM CEEB!
Kev mob raum
kav ntev dua ib hnub, tswj tsis tau zoo los ntawm cov tshuaj tua kab mob, lossis nce sai sai tom qab noj tshuaj.
Nws yog ib qho tseem ceeb tshwj xeeb tshaj yog nyob rau tib lub sij hawm tus me nyuam lossi quaj monotonously, nto qaub ncaug ntau tshaj li niaj zaus, ntuav, nws yog tas li lethargic.
"Nws yog ib qho tseem ceeb heev uas yuav tau txiav txim tsis muaj kab mob urinary nyob rau hauv cov me nyuam mos asymptomatic," ceeb toom tus kws kho mob Evgeny Timakov. - Cov kab mob asymptomatic hauv kev ua haujlwm ntawm lub raum, uas tsuas yog nrog kub taub hau, tshwj xeeb tshaj yog txaus ntshai. Yog li ntawd, ua ntej ntawm tag nrho cov, ntawm qhov kub thiab txias, kuv xav kom kuaj cov zis dav dav, uas tuaj yeem qhia rau tus kws kho mob ntau.
Txij li 2 6 los txog xyoo
Dua cov hniav
Tus menyuam cov hniav tuaj yeem txuas ntxiv mus txog 2,5-3 xyoos. Thaum muaj hnub nyoog li ib thiab ib nrab xyoo, molars pib tawg. Lawv, zoo li fangs, tuaj yeem ua rau kub siab txog 39 degrees.
Yuav ua li cas, koj twb paub lawm – tsis txhob txhawj, muab ntau rau haus, console thiab feem ntau tawm liab qab.
Kev txhaj tshuaj tiv thaiv
Tus menyuam tuaj yeem hnov mob rau txhua qhov kev txhaj tshuaj nrog qhov kub thiab txias, thiab txhua lub hnub nyoog - ob qho tib si ntawm 6 lub hlis thiab ntawm 6 xyoo. Thiab qhov no yog qhov kev xav tau ntawm lub cev, uas dhau los ntawm ib mus rau plaub hnub. Raws li kev pom zoo nrog tus kws kho mob, koj tuaj yeem muab cov tshuaj tua kab mob thiab tshuaj tua kab mob rau tus menyuam. Qhov tseem ceeb tshaj plaws yog haus dej kom ntau, txhuam nrog dej sov thiab so.
Yevgeny Timakov ceeb toom tias "Cov menyuam yaus muaj kev sib txawv ntawm kev txhaj tshuaj, qee qhov yuav muaj qhov kub thiab txias, qee qhov yuav muaj cov tshuaj tiv thaiv zoo ntawm qhov chaw txhaj tshuaj, thiab qee tus yuav tsis pom qhov txhaj tshuaj txhua qhov," Yevgeny Timakov ceeb toom. - Txawm li cas los xij, yog tias koj pom tias muaj kev ua txhaum cai ntawm tus me nyuam tus cwj pwm (whims, lethargy), kub - nco ntsoov sab laj nrog kws kho mob.
Kev Ntsuas
Tom qab ib xyoos, cov menyuam yaus feem ntau tau txais ntau yam khoom noj, tshwj xeeb tshaj yog tangerines thiab berries tawm ntawm lub caij (Tsib Hlis thiab Plaub Hlis strawberries), uas nws tuaj yeem hnov mob muaj zog tiv thaiv nrog qhov kub thiab txias. Nws kuj tuaj yeem yog kab mob plab hnyuv.
Raws li txoj cai, ob peb teev tom qab kub dhia, thawj daim tawv nqaij tshwm sim - pob khaus, o, tus menyuam khaus thiab tsis zoo. Nco ntsoov nco ntsoov cov zaub mov twg koj muab rau tus menyuam zaum kawg, uas tej zaum yuav muaj kev cuam tshuam. Yuav kom txo tau cov tsos mob, muab ib tug sorbent, ib tug antihistamine. Thiab nco ntsoov mus ntsib kws kho mob! Vim tias qhov kub thiab txias tshwm sim nrog rau kev ua xua tuaj yeem nrog anaphylactic shock.
Tom qab 6 xyoo
Kev tiv thaiv ntawm tus menyuam thaum muaj hnub nyoog xya xyoo, yog tias nws mus rau kindergarten, raws li txoj cai, twb tau tsim lawm - nws paub txog feem ntau ntawm cov kab mob, txhaj tshuaj tiv thaiv. Yog li ntawd, qhov kub thiab txias hauv tus menyuam tom qab xya xyoo tuaj yeem yog ob qho tib si hauv cov xwm txheej saum toj no thiab hauv cov kab mob ua pa nyuaj (lwm cov tsos mob hauv daim ntawv ntawm qhov ntswg thiab hnoos tuaj yeem tshwm sim ntau tom qab, feem ntau hnub tom qab), nrog rau kab mob plab hnyuv, los yog kev xav overstrain thiab overabundance ntawm kev nyuaj siab. Yog lawm, kev ntxhov siab lossis qhov sib txawv, kev xyiv fab ntau dhau tuaj yeem ua rau kub siab txog 38 degrees.
Yog li thawj txoj cai yog kom ua siab ntev. Ntxiv mus, ob leeg niam txiv thiab cov me nyuam. Thiab ces nco ntsoov txiav txim siab qhov ua rau kub.
TSEEM CEEB!
Kev mob raum
Yog tias tus menyuam lub raum tsis ua haujlwm zoo, ces lub cev kub kuj tseem tuaj yeem nce mus txog 37,5 degrees yam tsis muaj cov tsos mob ntawm SARS. Nws tuaj yeem tuav tau ob peb hnub, thiab tom qab ntawd dhia mus rau 39 degrees, poob rov qab mus rau 37,5 thiab dhia dua.
Yog tias koj pom tias tsis muaj cov tsos mob ntawm SARS, nco ntsoov mus ntsib kws kho mob rau menyuam yaus kom tau txais ultrasound ntawm lub raum thiab lwm yam kev kuaj mob.
Yuav ua li cas txo qhov kub ntawm tus menyuam hauv tsev
- Txiav txim siab qhov ua rau qhov kub thiab txias (cov hniav, kev ua xua, thiab lwm yam)
- Yog tias koj tus kheej tsis tuaj yeem txiav txim siab qhov laj thawj, tus kws kho mob yuav tsum kuaj xyuas.
- Yog tias qhov ua rau muaj tus kab mob, tsis txhob hnov qab tias kub taub hau ua rau tus menyuam lub cev tiv thaiv kab mob, txhawb kev tsim cov tshuaj tiv thaiv kab mob los tua cov kab mob thiab cov kab mob. Nws yog thaum lub sij hawm kub siab uas tsim cov interferon, uas yog tsim nyog los tua ntau yam kab mob, nrog rau mob khaub thuas, nce. Yog tias lub sijhawm no peb muab cov tshuaj tua kab mob rau tus menyuam, ces peb yuav ua rau lub cev tsis muaj zog. Thiab tom qab ib ntus, tus menyuam tuaj yeem mob hnyav dua.
Yog li ntawd, yog hais tias tus me nyuam qhov kub thiab txias tsis tshaj 38,4 degrees, tsis txhob muab cov tshuaj antipyretic, yog hais tias tus me nyuam zoo li qub, nquag thiab zoo siab heev.
Nws yog ib qho tseem ceeb heev nyob rau lub sij hawm no kom undress tus me nyuam, so tag nrho cov quav ntawm lub cev nrog dej sov, tshwj xeeb tshaj yog cov cheeb tsam inguinal, armpits. Tab sis tsis yog vodka lossis vinegar! Cov menyuam yaus muaj daim tawv nqaij nyias dhau thiab tsis muaj txheej tiv thaiv, cawv tuaj yeem nkag mus rau hauv cov hlab ntsha sai sai thiab koj yuav ua rau qaug cawv. So tus menyuam nrog dej ntawm chav tsev kub thiab tawm mus rau "txias" yam tsis tau npog lossis qhwv. Cov lus qhia no siv rau cov menyuam yaus ntawm txhua lub hnub nyoog - qhov tseem ceeb yog lub cev tuaj yeem txias nws tus kheej.
- Antipyretics tuaj yeem thiab yuav tsum tau muab yog tias qhov kub tsis txo qis, tab sis tsuas yog nce. Tom qab ntawd koj tuaj yeem muab cov tshuaj ibuprofen lossis paracetamol. Tsis yog acetylsalicylic acid! Yog tias tus menyuam muaj mob khaub thuas, ces tshuaj aspirin yog contraindicated vim nws thins cov ntshav thiab tuaj yeem ua rau los ntshav.
- Nws yog ib qho tsim nyog yuav tau hu rau tus kws kho mob yog tias qhov kub thiab txias nyob rau lub sijhawm ntev, xyaum tsis txo qis tom qab noj cov tshuaj. Tus me nyuam ua tsis taus pa thiab daj ntseg, nws muaj lwm yam tsos mob - ntuav, los ntshav, quav quav. Txog thaum tus kws kho mob tuaj txog, koj yuav tsum tau txuas ntxiv so tus menyuam nrog dej sov, muab dej sov ntxiv.
Qee cov kab mob sib kis tuaj yeem tshwm sim nrog vasospasm loj heev (thaum tus menyuam ob txhais tes thiab ko taw txias li dej khov, tab sis qhov kub thiab txias) thiab txias txias. Tom qab ntawd tus kws kho mob muab tshuaj ua ke (tsis yog tshuaj tua kab mob nkaus xwb). Tab sis tsuas yog ib tus kws kho mob tuaj yeem pom zoo rau lawv.