Cough is a disease that children are very prone to. Adhering to the principle of “can take medicine but not injections, and get injections but not infusion”, many parents choose to take their children to community hospitals for nebulization treatment after their children have symptoms such as coughing and wheezing. In fact, “aerosolization” is the same as taking medicine and injections, except that the method of administration is different. Parents should treat it rationally and regulate the use.
The amount of atomized medicine is small, and the adverse reactions are relatively small
In fact, nebulization therapy, like infusion, is a current clinical treatment of certain respiratory diseases. As early as the 1950s, the United Kingdom had begun to use it, and it has been used in my country for nearly 20 years.
Atomization is to disperse the drug into particles or mist droplets with a diameter of a few microns, which are inhaled into the respiratory tract and lungs through the nose or mouth with breathing, so as to achieve the effect of humidifying the airway and alleviating or curing respiratory diseases such as asthma and cough.
Nebulization therapy has the following advantages:
1. The drug dose is small and the adverse reactions are few. Compared with conventional methods such as medication, injection, and infusion, the dose of aerosolized drug is small, and the drug does not need to pass through the blood circulation of the whole body.
2. Relatively simple and easy to accept. Compared with the bitterness of drugs and the pain of acupuncture, nebulization is an easy treatment for most babies. Parents also feel that it is more worry-free and energy-saving than letting babies get injections and medications, and is suitable for babies of any age.
Not all coughs are suitable for atomization
However, any medicine or treatment has the difference between reasonable use and abuse. Although nebulization therapy has some advantages, parents should also pay attention to the contraindications of its use.
There are many causes of coughs, such as colds, allergic coughs, and asthma. Normally, children with asthma and allergic cough can be treated with nebulization; some chronic coughs after severe respiratory infections can also be treated with nebulization. However, most coughs caused by the common cold do not require nebulization treatment.
In clinical treatment, doctors often choose inhaled corticosteroids, which can reduce airway inflammation, promote the recovery of ciliated epithelial cell function, and have a good effect on reducing airway hyperresponsiveness and non-specific inflammation.
Now, many children with asthma require long-term nebulization, and some parents will buy home nebulizers to reduce the number of visits to the hospital and reduce the chance of cross-infection in the hospital. Family nebulization is not impossible, but you must have a clear diagnosis, take medication as prescribed by your doctor, and follow up regularly. Do not add or subtract or stop the medication yourself. If the child needs short-term nebulization treatment due to respiratory infections, it is recommended to go to the hospital for treatment. Because any medicine has certain side effects, some nebulized medicines have certain irritation. If the inhalation speed is too fast, the inhalation is too large, etc., it may cause bronchospasm.
Pay attention to these matters
Before atomization: Try not to eat within half an hour before atomization, remove oral secretions and food residues, and do not apply oily facial cream.
During nebulization: It is best to choose a sitting position during nebulization, which is conducive to the deposition of the inhaled liquid to the terminal bronchioles and alveoli; the mask should be fitted to the face of the child. If it is not tightly fitted, the inhalation will be greatly reduced; The child’s breath is short when crying, and the particles of aerosolized drug can hardly be delivered to the lungs. Most of the inhaled drug particles are mainly stored in the oropharynx by inertial motion and then swallowed. Therefore, the crying is severe. The child should suspend the nebulization treatment, and try to make the child quiet before continuing.
After nebulization: After nebulization, you should rinse your mouth to prevent the accumulation of drugs in the pharynx. Those who use a mask should wash their face to prevent the drugs from entering the eyes. Children will experience increased coughs and sputum on the second or third day of nebulization treatment. This is because after inhalation, the viscous sputum is diluted by the medicine, which will become thinner and irritate the respiratory tract, and then cough up the sputum through coughing, thereby reducing inflammation.
In addition, for children with pneumonia, frequent coughing and increased sputum indicate that pneumonia has entered the absorption period. At this time, pay attention to let the children expectoration. Older children can adopt a sitting or semi-sitting position, lean forward, take a deep breath and hold the breath, and then cough hard to make the gas rush out of the respiratory tract and expel the sputum; Small infants and young children need help with expectoration-parents pick up the child, squeeze into a hollow fist with the four fingers together, press the anatomical position of the lungs and trachea from bottom to top, tap the back from the outside to the inside, 5~ 10 minutes.