Hand-foot-mouth disease
. Hand, mouth and foot disease is a rash infectious disease, mainly caused by the coxsackie virus, may develop throughout the year, but with the summer and fall seasons the most sick, any age can be onset of disease, especially children under the age of 3 years. The virus is parasitized in the pharynx, saliva, herpes and feces of the affected children, and can be transmitted to other children not only through saliva, sneezing, coughing, and droplets when talking, but also indirectly through hands, household items and tableware. Once the epidemic, it will make a lot of children infected, the infected children will appear in the hands, feet skin or oral mucosa similar to chickenpox-like small herpes, and thus known as hand, foot and mouth disease. Performance: 1, most of the children is a sudden onset, the first manifestation of high fever, body temperature is more than 38 degrees, accompanied by headache, cough, runny nose and other symptoms, the temperature continues to not go down, the higher the temperature, the longer the duration of the disease, the more serious the disease. 2, children with fever at the same time or fever 1-2 days later, can be seen in their oral mucosa, herpes within the lips, herpes will form ulcers after the rupture of ulcers, the pain is heavy, the children often show irritability, crying, drooling, not eating and other discomforts. 3, 1-2 days after oral herpes can be seen in the child's palms, feet and small buttocks on the skin macules, to the heart of the feet the most, herpes is round or oval flat small to rice grains, large to pea-sized, hard and within the cloudy liquid rash around a red halo. 4, pediatric hand, foot and mouth disease of the rash less in the trunk and face, usually about 7 days can subside, will not cause scarring, more will not leave marks. 5, pediatric hand, foot and mouth disease is a mild self-healing disease, the vast majority of children with a good prognosis, a small number of seriously ill children can be combined with myocarditis, encephalitis, but this may be very small. 6, the whole course of the disease in about 1 week or so end, generally will not complicate any serious consequences, as long as the proper care, will not leave any pigment traces or scars on the skin. Medication: 1, one should go to the hospital and take medication according to the doctor's instructions, and bed rest. 2, if necessary, you can take Chinese patent medicines, such as pediatric pharyngeal flatulence punch, Qingkailing oral liquid, Banlangen punch and other oral medicines. 3、Take watermelon cream or Simida to apply to the affected area of the mouth 2-3 times a day. 4, pay attention to oral skin cleaning, daily saline cleaning of the oral cavity, while paying attention to the patient, to prevent their skin herpes into the scratching, in order to prevent rupture and infection. Tips: 1, for the sick baby, must be isolated from the onset of 7-10 days, so as to avoid infecting other children. 2, the diet should be light and non-irritating, avoid spicy, fish, shrimp, meat and other foods that are likely to aggravate the condition. 3, the diet should not be too high temperature, eating too hot food can stimulate the rupture place to cause pain, is not conducive to the healing of the lesion, 4, although hand-foot-and-mouth disease is similar to chicken pox, generally can be quickly cured, but also should not be taken lightly, to be careful pampering, pay attention to preventive isolation in case of spreading the epidemic. When mommy can't recognize this disease, to see a doctor, on the suspicious are to early diagnosis and treatment early isolation. Hand, foot and mouth disease baby home care Hand, foot and mouth disease is an infectious disease caused by viruses, there is no specific treatment, mainly symptomatic treatment and care. The baby suffers from hand, foot and mouth disease, home care is particularly important: disinfection and isolation 1, once found infected with hand, foot and mouth disease, the child should be isolated, so as not to cause the spread of the epidemic. The baby should remain at home until the fever, rash subsides and blisters crust over. Usually 2 weeks of isolation is required. 2. Items used by the baby should be thoroughly disinfected: they can be soaked in chlorine-containing disinfectant, and items that should not be soaked can be placed in the sunlight. 3、Baby's room should be ventilated regularly by opening windows to keep the air fresh, circulating and at a suitable temperature. Conditional families can use lactic acid fumigation for air disinfection every day. Reduce the number of people in and out of the baby's room, prohibit smoking, prevent air pollution, avoid secondary infection. Diet and Nutrition 1. If you get sick in summer, your baby is prone to dehydration and electrolyte disorders, and needs proper hydration and nutrition. 2, the baby is recommended to bed rest for 1 week, drink more warm water. 3, the child due to fever, oral herpes, poor appetite, reluctant to eat. It is advisable to give the baby to eat light, warm, tasty, easy to digest, soft fluid or semi-fluid, prohibit cold, spicy, salty and other stimulating food. Oral care 1, the baby will be due to oral pain and refusal to eat, salivation, crying and sleeplessness, etc., to keep the baby's mouth clean, before and after meals with saline gargle, for babies who will not gargle, you can use a cotton swab dipped in saline to gently clean the mouth. 2, can be vitamin B 2 powder coated directly on the oral erosion parts, or coated cod liver oil, can also oral vitamin B 2, vitamin C, supplemented with ultrasonic nebulizer inhalation, in order to alleviate the pain, promote the early healing of the erosion, and to prevent secondary bacterial infections. Rash care 1, baby clothes, bedding should be clean, clothing should be comfortable, soft, and often replaced. 2, cut the baby's nails, if necessary, wrap the baby's hands to prevent scratching the rash. 3, hip rash baby, should always clean up his urine and feces, keep the buttocks clean and dry. 4, the hands and feet of the initial rash can be coated with glycerine lotion, to be herpes formation or herpes outbreaks can be coated with 0.5% iodophor. 5, pay attention to keep the skin clean, to prevent infection, if infected need to use antibiotics and sedative and antipruritic agent. Pay attention to observe the changes in the condition and timely symptomatic treatment 1, regular measurement of the baby's temperature, pulse, respiration. 2、Pediatric hand, foot and mouth disease is usually low or moderate fever, no special treatment, let the baby drink more water. 3、Babies with body temperature between 37.5℃~38.5℃ are given physical cooling such as heat dissipation, drinking plenty of warm water and taking warm baths. What is an emergency visit to the doctor? ● When the baby's body temperature exceeds 38.5℃, severe headache, vomiting, pale, crying or drowsiness; ● depressed or unusual lethargy; ● restlessness, persistent fever, shortness of breath, general weakness, rapid heartbeat, etc.; ● increase in vomiting, or even persistent vomiting or jet vomiting; ● muscle twitching spasms or stiffness of the neck and limbs, blurred consciousness or unconsciousness; this is the time you must see a doctor immediately! Seek medical attention immediately! If you have been diagnosed with HFMD and treated at home, you should also go to the hospital immediately if you notice any of the above conditions. There is no vaccine for this disease. To prevent the disease, the following precautions should be taken: ● Increase awareness of HFMD. This is because the clinical manifestations of this disease in the early stages of its course are similar to the symptoms of a cold, such as fever and sore throat. Mouth ulcers are often misdiagnosed as simple stomatitis. Therefore, if parents find their babies with fever, rash or mouth ulcers during the HFMD epidemic, they should go to the hospital promptly for early diagnosis and treatment to avoid delaying the disease. ● Isolate in situ to avoid contact. Children found to have signs of HFMD should not be sent to daycare centers and kindergartens; they should be isolated at home for treatment and should be fed and housed separately from other children, and their utensils and toys should be separated; they should not return to school until they have recovered from the disease to avoid infecting other children. Keep the disease from entering through the mouth. Prevent feces, oral and nasal secretions from contaminating water and food, thoroughly dispose of children's feces and urine excretions, wash and disinfect cloth diapers before use, and disinfect children's bottles and eating utensils frequently, so that children are not allowed to eat unreliable food and drinks. Develop hygienic habits. Teach your child to develop hygienic habits from an early age by breaking the bad habit of sucking fingers, staying away from garbage and unclean environments, and making it a habit to wash hands thoroughly after playing, before meals, and after going to the toilet. Reinforce environmental hygiene. The environment and toys of childcare institutions and public **** swimming pools must be strictly disinfected, preferably through the guidance of the health epidemic prevention department. Pay attention to the harmless disposal of feces and never allow the contamination of water. Pay more attention to children's dietary hygiene, wash hands before and after meals, and disinfect the house with vinegar. Try to use "mupirocin ointment".