Bc s Dng khuyn co chm sc v nui dng tr trong v sau khi b m
rt quan trng v n s l m cho bnh mau khi, mau phc hi sc khe v tng cng sc khng i vi bnh tt. tr, thn nhit ming t 37,5 C tr ln, nch t 37,2 C tc l b ang st, song khng phi trng hp n o cng cn dng n thuc h st. Khi st nh, thn nhit tr mc 37,5-38,5 C, ch cn ci bt qun o, cho b ung nhiu nc, hoc b m nhiu hn. Khng nn dng qu 1.000 mg/ng y (4 gi 250mg) vi tr em. Khi dng cho tr em phi tnh ton liu lng (hoc theo s ch nh c th ca bc s hoc l phi tnh ton theo cn nng trong hng dn s dng thuc tnh liu). PGS. TS Nguyn Tin Dng, nguyn Trng khoa Nhi, Bnh vin Bch Mai, cho bit hin nay trn th trng ch yu l ming dn lnh, h nhit theo c ch hp th nhit v phn tn ra ngo i nhng thc t cha c nghin cu khoa hc n o chng minh tc dng ca phng php n y. Khi tr b st, phn ng u tin ca nhiu b m l ly cp nhit xc nh thn nhit con. o nhit cho tr l mt k nng v cng quan trng bi n s nh hng n nhng quyt nh v hng iu tr nh chm con nh hay cn a n bnh vin gp. Tuy nhin, rt nhiu ph huynh vn kh lng ngng trong khu c bn n y. Bnh vin Bch Mai tng tip nhn nhiu tr nhp vin trong tnh trng kh th, ngi tm ti trong cn co git do cc m ch dng ming h dn h st m khng cho tr ung thuc, trong khi bin php n y khng em li tc dng cho tr. Nu bnh n dm pigeon b c biu hin chng i, th chuyn sang cch o nhit nch cho con. Nhng so vi cch cp hu mn, o nch c th chnh lch ti 2 C. Chnh v vy, m nn cng thm t 1-2 C v o nhit ghi trn nhit k khi o nch cho tr. Nu tr nhit t 38,5 C tr ln, c th dng loi thuc c u tin dng, t tc dng ph nht hin nay l paracetamol vi liu 15mg/kg cn nng. Khong cch cc ln ung t 4-6 ting. Sau ung khong gn mt ting thuc mi bt u pht huy sa nutifood cho tr di 1 tui tc dng v h st dn. Trong thi gian ch thuc c tc dng,trnh nn nng cho tr ung thm thuc. - Khi em b c nhit st cao t 38,5 C tr ln th bt u dng thuc h st. B b tr th thuc vin n. B b tiu chy th thuc ung. Nu b c pht ban da th khng c dng ming dn h st.
Bc s Dng nhn mnh: Cha m khng cho tr ung thuc h st khi
nhit di 38,5 C. Cng khng cho tr ung thuc co git sm, iu n y s l m kh cho bc s khi thm khm. i vi tr nh khng mun ung thuc h st v s ng hoc nhng b s sinh d tr khi dng thuc h st ng ung th thuc h st t hu mn l gii php l tng. Tuy nhin, rt nhiu chuyn gia v cc bc s u ngh nh ca Vit Nam tng ln ting khuyn co cc m khng nn lm dng loi thuc n y. c bit, trng hp st mt nc, khng c b nc (ung nc Oresol) v n ung thiu cht, tr d b nguy c suy dinh dng, sc khng yu, lu l nh bnh. Tuy nhin, thc t l vin t hu mn vn thm v o mu nh ng ung nn c ngha vn qua gan. Cho nn, tr hay ngi ln b bnh gan cng khng c dng vin n y bi vn c th gy ng c. Nu tr tiu chy, c th dng nc gi xanh quy bt, nu cho long va gip tr d n va m bo cung cp y cc cht m, bt. - Dng khn bng mm nhng v o nc m, vt ht nc, lau nh khp ngi tr, c bit l nch, bn v trn. Nh l ch lau ti a 3 ln trong cn st. Lau ln 1 kh th mi lau tip ln 2, ln 3. Mt khc, khi st cao, cc men tiu ha b c ch nn tr thng chn n, phi cho tr n nhng mn va d tiu ha va m bo cung cp nhng nhu cu c bit ca giai on n y. 6. Lm dng thuc t hu mn 7. o nhit khng ng v tr p khn lnh, tm lnh hay chm lnh ch c thc hin trong trng hp say nng, say nng. Tuy nhin, v chuyn gia n y khng khuyn khch v hiu qu rt thp. 4. Ung thuc h st Bc s Dng cho bit st qu cao s gy hin tng co mch ngoi vi nn tr em (k c ngi ln) lc n y s c cm gic n lnh, rt run, chn tay lnh ngt nhng thc cht nhit trong ngi rt nng, ln n 4041 C. Theo PGS Dng, khi tr st b m thng khng hiu r cn nguyn t u, nu st do nhim khun, vim phi, chm lnh s l m bnh trm trng thm. c bit, b m tuyt i khng dng chm v c th gy bng lnh, khin tr b suy h hp. "Khi b st l khng c p chn, khng c ng kn ca m phi
m ca, qut cho thng gi, khng kh trong nh lu thng. Vi cch n y
ch mt lc sau ngi bnh s ht cm gic rt, c th dn m ln. Trong khi , hu ht chng ta li l m ngc li, khin bnh c ng nng thm", tin s Dng khuyn co. 2. Chm lnh Chuyn gia lu thm vic to mi trng, khng kh thng thong rt quan trng trong vic thot nhit ca c th, l m cn st tan bin, thm ch tr khng cn phi ung thuc. - Khi st, c th cng mt rt nhiu nc v cht in gii qua da, ng th, mt vitamin qua phn, nc tiu... nn nhu cu v nc, vitamin v cht khong tng ln rt nhiu. Nhiu ng b m m u c chung tm l l phi h st tht nhanh cho con bng mi cch nh ung thuc, t thuc hu mn, dng thuc kt hp. Khi tr b m thng km theo cc biu hin st, tiu chy, nhu cu nng lng v cc cht dinh dng cn nhiu hn bnh thng. Tuy nhin, nhiu b m li bt tr phi n king khem nh khng cho tr n du hoc m, khng cho tr b, khng cho tr n rau xanh, cht tanh bi s tr i ngo i nhiu hn.
V th, c ng p chn, c ng ng kn ca, thn nhit c ng ln cao, khi ,
tr li c ng lnh, n khi ln nh im, tr s b co git, tm ti. - Vi tr nh cn b m, cn cho b nhiu ln hn v thi gian mi ln b lu hn bnh thng. Nu cc loi sa vinamilk tr khng t b c, ngi m cn vt sa v o cc ri dng tha cho tr ung. Khi tr b st, c th dng khn m lau to n thn cho tr, c bit lau nhiu trn, 2 hc nch v bn, thay khn 2-3 pht/ln tr h nhit.
Khng nn cho tr dng ming dn h st bi va mt tin va khng gip
tr h st, cha k n vic cn gy hi cho tr", ng Dng cho hay. o nhit cho tr di 3 thng tui nn t hu mn v. Mt s b thoi mi khi c cha m cp nhit hu mn nhng mt s b khc th khng. - Vi tr ln hn ( n b sung), nn tng thm s ba trong ng y vi cc loi thc n mm, a dng, d tiu ha v chia th nh nhiu ba nh. Thay i thc n, l m nhng mn hp khu v gip tr n nhiu, kch thch s thm n. 5. n king Theo thc s, bc s L Th Phng Hu (Bnh vin Thanh Nh n) th khi tr b st cha m khng nn lm dng thuc nht hu mn v thuc c th gy tc bnh cho tr n dm dng ph. Tt nht l cha m nn o nhit chnh xc ri cho con ung thuc vi h m lng ph hp, liu lng, trng hp bt c d mi phi t thuc nhng cng khng nn t nhiu. PGS N.Tin Dng (Trng khoa Nhi BV Bch Mai), li cho bit: Trc y, mt s quan nim cho rng, cch dng vin t h st hu mn s qua gan t hn. Bn cnh , nhiu tr cn b vim da vng trn do dn qu lu khin l chn lng b bt. c bit, khi tr b d ng vi cc cht trong ming dn rt nguy hi. Nu khng pht hin kp thi cng c th nh hng n sc khe, thm ch gy t vong. 3. ng kn ca Sai lm khi h st cho con H st sai cch, qu bng git con suckhoenhi 7815 Nguy c mt mng khi h st sai cch Cch h st cho tr hiu qu Thay v dng khn m lau ngi cho tr, chm lnh l bin php hu nh b m n o cng p dng khi con st nhng thc cht bin php n y khng c tc dng m cn gy hi. 1. Dn ming h st Tuy nhin, cc chuyn gia khuyn co, khng nn dng cch cp nhit cho b di 3 thng tui v kt qu chnh xc vi nhm b n y l cc k quan trng.