1 Hand-foot-mouth disease the most dangerous days

1-5 days the most dangerous.

Hand-foot-mouth disease is an acute illness, as soon as the onset of the disease, the average patient will appear fever, sore mouth, anorexia, oral mucosa scattered herpes or ulcers, if the serious patients, may be in the onset of the 1-5 days of meningitis, encephalitis, encephalomyelitis, pulmonary edema, convulsions, heart rate increases or slows down, the pulse rate is shallow or weak or even disappear, and other symptoms. diminished or even absent, and other symptoms that are very dangerous and potentially fatal.

2 Hand-foot-mouth days to start getting better

The average patient 3-5 days to start getting better, the specific disease pattern is as follows:

1, incubation period - onset of symptoms

Most of the patients with hand-foot-mouth disease in the onset of the disease immediately after the onset of sore throat, fever, temperature of 38 ℃, similar to the flu, symptoms, accompanied by nausea, vomiting and other symptoms. Symptoms, accompanied by nausea, vomiting, diarrhea and other gastrointestinal symptoms, soon appeared in the oral buccal mucosa, gums, tongue and palate small herpes, and then broke to form small ulcers, like mouth sores, with obvious burning pain.

2, the onset of 1 day - 2 days after

the distal hand and foot appeared sesame or rice size, gray-white opaque, round small blisters, the number of up to several or dozens of, was centrifugal distribution, not painful, not itchy or mild itchy sensation, lesions are distributed in the palms of the hands, soles of the feet, buttocks, axillae and other places.

3, the onset of 3 days - 5 days after

At this time, all parts of the body herpes fluid began to absorb atrophy, dry peeling, signs of improvement, most of the patients with fever symptoms in 5 days or less on the body temperature is normal.

4, 5-7 days after the onset of

Hand-foot-mouth disease patients in 5-7 days after the onset of the disease, if the disease is mild, usually has shown basic healing phenomenon, such as herpes subside, the rash disappeared, the body temperature is normal, if this time is also accompanied by fever and other symptoms, it may have herpes has been infected, or due to improper care caused by bacterial pneumonia, respiratory infections and so on. The first thing you need to do is to get a good deal on a new product or service, and you'll be able to get a good deal on a new product.

5, the onset of 7 days - 2 weeks

A small number of patients with oral herpes or mouth ulcers to subside a little slower, it may take two weeks to fully subside. Parents should be aware that as long as there is still herpes, the child will have to be isolated at home, because the herpes fluid contains viruses that may be transmitted to other children.

3 How to care for HFMD patients through the dangerous period Sterilization and isolation

Once found infected with HFMD, the baby should seek medical attention, avoid contact with the outside world, and generally need to be isolated for 2 weeks, until the fever, rash subsides and blisters crust. Items used by the baby should be thoroughly disinfected, and can be soaked in chlorine-containing disinfectant. Items that should not be soaked can be placed in sunlight. The baby's room should be ventilated regularly by opening windows to keep the air fresh, circulating and at a suitable temperature. Families with conditions can use lactic acid fumigation to disinfect the air every day. Reduce the number of people going in and out of the baby's room, and prohibit smoking to prevent the air from becoming dirty and to avoid secondary infections.

Oral care

The baby will refuse to eat due to oral pain, salivation, crying and sleeplessness, etc., to keep the baby's mouth clean, before and after meals with saline gargling, for babies who will not gargle, you can use a cotton swab dipped in saline to gently clean the mouth. Vitamin B2 powder can be applied directly to the oral erosion parts, or coated with cod liver oil, oral vitamin B2, vitamin C, supplemented with ultrasonic nebulizer inhalation, to reduce pain, promote the early healing of the erosion, and prevent secondary bacterial infections.

rash care

1, baby clothes, bedding to clean, clothing to be comfortable, soft, and often change.

2, cut the baby's nails, wrap the baby's hands if necessary, to prevent scratching the rash.

3. Babies with rashes on the buttocks should be cleaned up at all times to 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 the skin from being exposed to secondary infection.

Pay attention to cooling

Pediatric hand, foot and mouth disease is generally low or moderate fever, no special treatment, you can let the baby drink more water. Temperature between 37.5 ℃ ~ 38.5 ℃ baby, give heat, drink more warm water, warm bath and other physical cooling; fever period, after sweating to change clothes in time to prevent cold. When the fever does not go down, you should follow the doctor's instructions to use drugs to lower the temperature.

Recommended: physical fever methods

Tui Na fever

1, a nest of wind 500 times

Operation: clockwise rotary kneading the back of the operator's left hand at the mid-point of the transverse lines of the wrist.

Benefits: Relief of cold and warmth of the middle disperses the effect of cold.

2, push San Guan 300 times

Operation: along the forearm anterior side, from the wrist transverse stripe straight to the elbow (one-way push not back and forth).

Efficacy: can cultivate and replenish the lung gas, sweating to relieve the surface

3, kneading outside the Laogong 500 times

Operation: clockwise rotary kneading the operator's left hand, the back of the palm of the center of the middle finger and the ring finger in the middle of the metacarpal bone.

Effect: Warming the middle and dispersing the cold, sweating and relieving the symptoms, and deploying the qi and blood inward.

4, clearing the Tianhe water 500 times

Operation: the operator holds the palm of the operator's hand with one hand, palm up, hold the inner Laogong point, and then use the other hand, index finger and middle finger together, from the wrist cross stripe straight to the elbow cross stripe push.

Benefits: Clearing heat and relieving symptoms.

Warm water bath

Use a towel dipped in warm water (the temperature of the water does not feel hot to the hand is appropriate) in the neck, armpits, the roots of the thighs and wipe 5 to 10 minutes.

Anti-fever patches

You can also use commercially available "fever patches" (or home ice packs) on your child's forehead to help dissipate the heat and lower the temperature.

Ventilation

More ventilation, pay attention to heat dissipation, dress broadly, avoid wrapped in cotton. In summer, you can use air conditioning, room temperature control at about 27 ℃, pay attention to regular window ventilation, so that the room air convection.

Ensure water

Drink plenty of water, eat a liquid diet, such as watermelon juice, to ensure that the body has enough energy and water.

Take off excessive clothing

If your baby's limbs and feet are warm and sweating all over his body, he needs to dissipate the heat, so you can put on less clothing.

Diet and nutrition

It is advisable for the baby to stay in bed for 1 week and drink plenty of warm boiled water. Due to fever and oral herpes, the child has a poor appetite and is reluctant to eat. It is appropriate to give the baby to eat light, warm, tasty, easy to digest, soft fluid or semi-fluid, food temperature to warm and slightly cool, can not be too salty, in order to reduce the stimulation of the oral ulcer surface, avoid spicy. For children with obvious pain and refusal to eat, intravenous rehydration should be given appropriately.

Because the enterovirus that causes HFMD also has the property of attacking the brain and heart, it can cause complications such as meningitis and myocarditis, so parents should closely observe the changes in the child's condition, and when they find that the child has a high fever, severe headache, vomiting, pallor, crying or drowsiness, they should ask the doctor to consult the doctor in a timely manner.

4 How to judge whether HFMD patients are getting well or not

According to clinical observation, parents are advised to judge whether HFMD children are getting well or not according to the following 6 points:

1, herpes or mouth ulcers subside

HFMD herpes will be in the mouth, hands, legs and other parts of the hands and feet parts of the herpes will subside faster, but the mouth of the herpes will be relatively slow.

The herpes of hand-foot-mouth disease will grow in the mouth, hands, legs and other parts of the body.

2, the rash disappeared

Some patients with hand, foot and mouth disease may not have a fever, only hands, feet, buttocks, arms, legs, maculopapular rash, and then turned into herpes, herpes can be inflammatory around the red halo, the blisters less liquid. Mostly seen in the hands and feet more, palm back are, the number of rashes less than a few more than dozens, if the disease is almost well, these rashes will be self-healing disappeared, and subside without leaving traces, no hyperpigmentation.

3, the fever has subsided

The patients with HFMD will have different degrees of fever, many patients will also have repeated fever, so the fever has become a major focus of HFMD care, if the patients began to show the fever, and now the fever has subsided and no longer continue to fever, the patients began to be well loaded, the disease is close to being cured.

4, appetite

patients with hand, foot and mouth disease due to herpes in the mouth or mouth ulcers, resulting in mouth pain, anorexia, if the herpes in the mouth or mouth ulcers well, then the patient's appetite will improve, so according to the patient's appetite whether to get better we can also see that hand, foot and mouth disease is not almost cured.

5, good mental state

Hand-foot-mouth disease is a more difficult disease, not only will the body rash, the mouth is uncomfortable, but also cause fever, diarrhea, vomiting and other complications, so the patients with hand-foot-mouth disease most of the state of mind is not good, showing depression, do not think of food, do not love activities, do not want to talk and other phenomena, if the patients of the above phenomenon is better, and become talkative, active, then it is also a sign of the hand-foot-mouth disease is almost over, so it is a sign that the patients are not good. If the patient is better, become talkative and active, then it is also a sign that the disease is almost over.

6, the serious disease is cured

The above is a mild disease of HFMD patients almost well indicators, if the patient in HFMD during the serious disease, meningitis, encephalitis, encephalomyelitis, pulmonary edema, headache, vomiting, respiratory difficulties, convulsions, heart rate increased or slowed down and so on, in this case, the patient will be cured for a relatively long time, the general to the recovery of the above symptoms as an indicator of whether or not to judge the patient is almost well. The recovery of these conditions is generally used as an indicator of whether the patient is getting well soon.