Febrile convulsion-the most common cause of convulsion in infants, mostly occurs from 6 months to 3 years old. However, when the sudden high fever reaches 39-40 degrees, convulsions often occur, and generally rarely occur more than twice. This kind of convulsion is mostly caused by acute infection, especially viral upper respiratory infection, so there are often corresponding symptoms.
Why children are prone to febrile convulsions;
This is because when a child has a fever, the metabolism, oxygen consumption and blood flow of nerve cells will change, and the child's central nervous system will also be in an overexcited state. This kind of "excitement" will affect a child's immature brain tissue-"thalamus", which will produce a strong discharge and spread to other parts of the brain. At this time, we will see the child having a seizure.
But why only a few percent of children have febrile convulsions:
This is mainly the result of many factors such as heredity, environment, development and infection. Febrile convulsion has obvious family genetic characteristics, which makes children prone to convulsions. This genetic feature leads to this convulsion under the special infection environment, physiological process and the imperfect development of children's nervous system.
In a course of disease, convulsions often occur only once.
Febrile convulsion is very harmful to babies. Convulsions lasting more than 10 minutes may cause nerve cell damage due to prolonged brain hypoxia. If it lasts for more than 30 minutes, half of them will leave different degrees of neurological dysfunction.
Two. Daily health care (try to reduce the baby's illness)
0。 The foundation is to think about the safety of children, hungry and cold. Grain porridge, yam porridge, take turns to eat.
1。 Strengthen physical exercise and ensure three baths every day: air bath, sunshine bath and water bath.
2。 Adjust one's mental state
3。 Strengthen nutrition, reasonable diet, mix meat and vegetables, eat coarse and eat fine, and correct children's anorexia habits, thus enhancing their physique. Be careful not to pile up food. (If the tongue coating is white and thick, it has breath, constipation or diarrhea, and the palms are hot, it is food accumulation. )
4。 Appropriate supplementation of probiotics such as Bifidobacterium and Synbiotics.
4。 Avoid contact infection. Don't go to crowded public places, don't smoke indoors and keep the air circulating. Rinse your mouth with warm salt water
5。 Dietotherapy can be used to enhance the function of spleen and stomach.
Such as: yam carrot porridge: slice yam and peel carrot, cook with white rice, and take it in the morning and evening; Lotus seed, jujube, coix seed, astragalus root, etc. Can also be supplemented according to the situation.
The basic methods of strengthening the spleen are diet therapy and reasonable feeding. The best dietotherapy is yam, rice and carrot porridge, and yam is the main one, which can strengthen the spleen, strengthen the intestine and invigorate qi, and it is harmless to eat often. In addition, it is born in the soil, which can also moisten the soil and be effective against acclimatization.
The method of clearing damp-heat can strengthen the spleen, remove dampness, clear heat and promote diuresis. The first is to strengthen the spleen, the spleen and stomach are good, the damp heat in the body can be transported, and the adaptability of the body is enhanced. Needless to say, how to strengthen the spleen. Dehumidifying diet mainly includes Coicis Semen and Poria cocos, and drugs include Herba Artemisiae Scopariae and Alismatis Rhizoma. Chinese medicine is mainly Huoxiang Zhengqi.
Mung bean, lily, barley and lotus seed porridge can clear away heat, induce diuresis, tonify deficiency and strengthen spleen.
Wangshibao Akamaru
Xingpi Yang Er Granule
Jianer Qingjie liquid
Eat lily lean meat porridge
Reduce internal heat
1。 Rock candy pear water, watermelon, chrysanthemum water, mung bean soup, Chinese cabbage, white radish, fragrant pear and sweet orange.
2。 Wangshibao Akamaru
3。 Drink less juice and more boiled water.
4。 Be sure not to give your baby more food because you are afraid of slow growth or hunger, and use probiotics such as Synbiotics appropriately (eat without bb or after taking antibiotics for a day).
5。 Drink a glass of goat milk every day.
6。 Boil Herba Menthae, Flos Lonicerae, Radix Ophiopogonis, Radix Scrophulariae and Glycyrrhrizae Radix in water, and add crystal sugar to drink. Eat more melon, lily and tremella, and drink more water.
Prevention of colds:
1。 Boil water with onion
2。 Wash your hands frequently.
3。 Wash your face with cold water
4。 Vitamin C: oranges, kiwis, chicken soup, tomatoes.
5。 Avoid sweating outside and suddenly enter the air-conditioned room.
Three. During illness (to avoid convulsions in infants to the greatest extent)
Several principles
Antibiotics are by no means preventive. There must be strict indications before use.
Below b 38.5, do not use western medicine to reduce fever, but use traditional Chinese medicine. After 38.5, the fever was reduced with western medicine. Below 38.5, her body is resisting.
(Infants under the age of 39 who have not had convulsions do not need western medicine to reduce fever, but use Chinese medicine therapy. After 39, I began to use western medicine to reduce my fever. )
I haven't seen western medicine before c 39 degrees. If you don't come back for more than three days, you can consider seeing a doctor if it is below 39 degrees.
Cooling method
0。 Be sure to drink more water! ! ! ! ! (Ding Wei glucose can use a little salt)
It is best to have cold boiled water. Fruit juice and vegetable juice are also ok.
Every 1.5 hours, drag it upward, fill it with 200ml warm water, stress it, or fill it with a dropper. Irrigation temperature is not easy to rebound.
1。 Antipyretic Chinese medicine
A children with a history of febrile convulsions should take Zi Xue powder to prevent convulsions at the beginning of cold and fever.
B. Xiaoer antipyretic oral liquid
2。 sweat
Drink ginger soup
If you have a fever and don't sweat, you must relieve the symptoms, otherwise you can't burn. You can eat Huoxiang Zhengqi water, or you can buy perilla, and boil the water yourself to make him sweat and burn it. In addition, if you look at food accumulation, you will eliminate food accumulation. If you don't accumulate food, there will be no other problems. You should follow the general fever care. The child is probably hot inside and cold outside, and his pores are shrinking, so the heat can't go out. Sweat after eating perilla and drink more rice soup. Drink more water. Wang also wants to eat.
To relieve exterior heat, we must first relieve exterior cold, and then clear heart heat. You can sweat with perilla, or take a hot bath to open pores and promote blood circulation through massage. The cold is obvious in the morning. You can drink Jiang Shui, while the heat is obvious at night. You can use the method of clearing away heat, such as mung bean soup, and it is best to use white radish. The key to treatment is to keep the interior fresh, and at the same time pay attention to opening the surface pores to dissipate heat.
3。 Keep it fresh Pay attention to the room temperature (don't turn on the air conditioner for a long time to make the baby sweat) and pay attention to ventilation. Reduce external stimuli such as sunlight and sound.
Cool the room, open the doors and windows for ventilation, or turn on the electric fan to let the indoor air circulate, so that the temperature in the children's room will drop. Air conditioning is preferred.
4。 In the treatment of Gegen decoction, or Zhibao Pill, special attention should be paid to soaking and kneading feet with hot water (preferably ginger and cassia twig) when the feet are cold. Can't use cold water to rub, so as to minimize convulsions.
Pueraria lobata soup {4 pueraria lobata, 3 ephedra, 3 cassia twigs, 3 white peony roots, 2 fried licorice roots, 2 ginger roots, and jujube 1 (broken), take a bowl at 6: 00 am, 9: 00 am and 3: 00 pm respectively. Two doses. }
Immediately soak your feet in hot water or heat your feet with an electric baking pan. If your feet are cold for a long time, you can let Ding Guier's umbilical plaster be applied to Yongquan point at the bottom of your right foot.
5。 Adjuvant treatment can include Zhibao Pill, Huangjinbaolong Pill, Yinqiao Jiedu Tablet, Xiaoer Zhen Jing Powder, Niuhuang Qingnao Tablet and Niuhuang Zhibao Pill.
Traditional Chinese medicine for preventing convulsion
(1) is composed of periostracum cicadae, Uncaria rhynchophylla, Fructus Gardeniae, Semen Ziziphi Spinosae, Radix Paeoniae Alba, Indigo Naturalis, Radix Saposhnikoviae, Coptidis Rhizoma, Concha Margaritifera and Glycyrrhrizae Radix. Decoct with water, daily or every other day 1 time for 4 weeks. It can prevent the recurrence of convulsions.
(2) Qinggong Powder: composed of Radix Curcumae, Fructus Gardeniae, Natrii Sulfas, Scutellariae Radix, Coptidis Rhizoma, Carapax et Plastrum Testudinis, Amber, Cinnabaris and Borneolum Syntheticum. * * * fine powder, and determine the dosage according to different ages. This side has the function of further removing residual heat and calming down the wind.
(3) Qingre Powder: composed of cinnabar, amber, Uncaria rhynchophylla, talc, mint, persimmon frost, cardamom and licorice. * * * fine powder, and determine the dosage according to different ages. This prescription has the effect of calming down the wind.
(4) 1 0.3-0.5g for children under 2-3 years old, 0.9g for children under 2-3 years old, 1 year old twice a day. Take it with milk or sugar water. Used for wind heat and wind shock.
(5) Children's rejuvenation pills 1-2 for children under 0 years old, and 1-3 for children under 3 years old. Can be reused after 2 hours. Used for wind heat and wind shock.
(6) Zi Xue San (Dan) is taken 1.5-3g each time, three times a day. Used for severe spasm.
(7) Angong Niuhuang Pill is taken 1/2- 1 pill twice a day. It is used for patients with acute convulsion and high fever.
Xiaoer Jingfeng Powder
Niuhuang Qingxin Pill
6。 Optional antiviral drugs: Xinbolin, Qingkailing.
① Virulin (moroxydine), the dosage is per kilogram of body weight 10 mg per day, taken orally for three times.
② Banlangen granules, half a bag each time, three times a day, taken with boiling water.
③ amantadine, 0. 1 g per tablet. The dosage for children is converted according to age. The allowable continuous medication time is 3-5 days, and the longest time cannot exceed 10 days.
④ Antiviral oral liquid, half a bottle each time, three times a day.
⑤ Jianer Qingjie solution, half a bottle each time, twice a day, is only used for heat-type colds.
7。 Physical cooling (can't stop, can't relax! )
A. Fever patch, ice pillow (go to the hospital to buy two or three), rub with warm water, make an ice pack and put it under your arm.
(Ice pillows can also be made at home, that is, fill a warm water bag with water and put it in the freezer of the refrigerator for later use. When you use it, you can wrap several layers of towels. It is still useful to cool down! )
Cold: In addition to the breathing of the lungs, the skin is also breathing. When it is invaded by foreign pathogens and can't breathe, it will have a fever, sweat, fever and use ice to cool down. On the contrary, it will help foreign pathogens to stop the skin from breathing, and the pathogens will not come out, which will attack the five internal organs and worsen the condition.
Can you use it?
B. Warm bath and hot foot bath
Bathing with warm water (about 37℃) can dilate the blood vessels of the baby's skin and release the gas in the body; In addition, when water vapor evaporates from the body surface, it will also absorb body heat. Take a bath for about 10~ 15 minutes every 4~6 hours. In addition, drink plenty of water)
8。 Start using western medicine above 38 degrees.
Weng Ruidi tablet has dual functions of relieving fever and relieving convulsion.
You can take an injection of antipyretic drugs during the day (only antipyretic drugs and glucose saline).
9。 If there is inflammation, choose the lowest amoxicillin.
Take synbiotics 2 hours after taking antibiotics.
A few notes
1。 Change all milk into goat's milk.
2。 Eat more vitamins, eat fresh fruit juice and other vc.
3。 Eat only liquid food, rice porridge and rice soup. There is always a fire in the fire. Put it down first. Children who are not afraid of hunger can drink milk. Getting better soon is better than anything.
4。 Wang Bao Akamaru and probiotics.
5。 Internal heat and external cold (cold in summer)
Four. What if you really have a seizure?
It is very important to stop convulsions in time, and measures should be taken:
1. When children have convulsions, they should first press points such as Renzhong, Baihui, Hegu and Xuan Shi with fingertips or acupuncture.
2. Let the child lie on his side and take out the food in the child's mouth to prevent the vomit from being inhaled into the trachea by mistake when vomiting, causing suffocation. Don't give drugs to children who are twitching, so as not to choke into the trachea.
3, don't use force, so as not to sprain the fracture.
4. Quickly tie the handkerchief (or gauze-wrapped tongue depressor) to the toothbrush handle and put it between the child's upper and lower teeth to prevent tongue biting.
5. Make sure the surrounding environment is well ventilated and avoid stimulation (temperature, sound, light, smell, etc. ).
6. Reduce the child's body temperature as quickly as possible, unbutton the child's clothes, and wipe the forehead, neck, armpits and groin with medical 75% alcohol or white wine. 6. After all this is done, you can take your child to the hospital while breastfeeding.
7. Take oxygen for the first time to reduce the damage to the brain.
8. After the convulsion is relieved, apply traditional Chinese medicine for aftercare.