MASSAGE with obstructive bronchitis in children

Massage with bronchitis in children

Unfortunately, our children get sick more often than adults. In particular, the younger generation is subject to diseases related to the respiratory system. The fact is that the formation of this system in children occurs up to 12 years. Therefore often begun ORVI quite often ends in the child with a bronchitis. Imperfection of the respiratory system may be reflected in the stagnation of sputum, Of course, in the treatment of bronchitis without fail Medicines that promote better expectoration of sputum are used, and spasms and inflammation. But there is one more tool that provides excellent help in the treatment - a massage for children with bronchitis.

Necessity of massage with bronchitis in children

This procedure facilitates the clearance of sputum in bronchitis. Even with obstructive bronchitis in children, massage greatly alleviates the condition. It works this way: when the massage increases blood circulation, which increases the muscle tension in the bronchial wall. This, in turn, has a positive effect on the movement of the epithelium of the bronchi, which causes the accumulated sputum to be removed more quickly. The process of intoxication of the body slows down, which means that recovery will occur sooner. The procedure can be performed for children of any age, even in the infancy of half-yearly age, a bronchitis is allowed. The only contraindications are fever, false croup and tracheal disease.

Types of massage with bronchitis

Generally, the following types of massage are distinguished with bronchitis:

• drainage;
• vibratory;
• canned;
• point;
• honey;
• chest massage.

With can massage, special jars are used to create a vacuum on the surface of the skin. As a result, blood circulation increases, and respiratory functions improve. When acupressure is necessary to influence certain points, which helps to normalize the work of the respiratory system. With prolonged bronchitis, honey massage is shown - a procedure that removes toxins from the body. These three types of massage because of its specificity should be conducted only by professionals. But the drainage, vibrating massage and chest can and should be done at home at home.

How to do a massage with bronchitis?

To conduct a massage in the room should be no more than 25 degrees of heat. To moisten the air, put a wet towel on the battery. Before a massage during the day, give your child a warm drink and expectorant. Massage is done one hour before bedtime and one hour before meals or 2 hours after.

Let's start with a drainage massage for bronchitis, because this is the simplest method of indirect bronchial warming up. When back massage with bronchitis the child should be placed on the stomach or pillow with the stomach so that the pelvis is above the head so that the sputum drains from the lower parts of the bronchi. First, for 1-2 minutes, warm up the back of the skin with rubbing movements.

Then, tapping with finger pads or an edge of the palm of the intercostal areas of the back is performed starting from the bottom.

After that, in the area of ​​the base of the diaphragm, it is necessary to perform stroking movements from below-upwards.

The procedure of drainage massage for bronchitis to the child should last 5-7 minutes.

Vibration massage with bronchitis lasts 2 minutes and is suitable even for the youngest patients. His technique is based on a neat rhythmic tapping of his fist on the back of a patient in the lungs, excluding the spine. The child should be put on his pillow.

The baby is allowed to be exposed to the impact of the fist by the knuckling of the fist for up to a year.

Massage of the chest with bronchitis begins with 5 strokes of the palms from below upwards to the shoulders.

After this, the pads of the fingers perform rubbing translational movements from the bottom upwards in the form of a spiral along the edges and in the sternum. Then the fingers should rub the sternum, moving from the middle sideways around the intercostal spaces.

The procedure should be completed by stroking the back and chest. Then the child should wear clothes from natural materials and put on his back.

WomanAdvice.ru

How to treat obstructive bronchitis in children

Treatment of obstructive bronchitis in children should be carried out only according to the doctor's prescription. Self-administration or withdrawal of drugs, incorrect dosage or non-compliance with the duration of the course can lead to a prolonged course of the disease, its transition to a chronic form, the development of severe complications.

In many cases, obstructive bronchitis is treated at home. Hospitalization is usually performed at the first attack of bronchospasm, when parents do not have the skill, apparatus for inhalation therapy and drugs to fight the disease.

In addition, treatment of obstructive bronchitis in a hospital can be shown in the following cases:

• the child's age is less than 1 year;
• respiratory insufficiency II st. (dyspnea at rest more than 40 respiratory movements per minute, cyanosis, ie, blueing of the nasolabial triangle, lethargy, cyanotic brushes, feet);
• severe intoxication (fever, weakness, refusal to eat, nausea and vomiting);
• suspected pneumonia;
• inefficiency of outpatient treatment.

Treatment of obstructive bronchitis at home includes the following components:

• mode and nutrition;
• removal (arresting) of an attack of obstruction;
• drug treatment;
• massage;
• physiotherapy.

Mode and power

In the first days of illness the child must comply with bed rest. It is recommended to raise the head of the bed. During the day the child needs to change the position of the body, sit down, bend over. It is necessary several times a day to hang from the edge of the bed to facilitate the departure of phlegm.

It is necessary to humidify the air in the room, regularly ventilate it, provide sufficient illumination by direct sunlight. Do not raise the air temperature above 22 ° C, because this causes the mucous membranes to overdry.

It is necessary to limit the child's contact with allergens - replace the feather pillows with synthetic ones, remove blankets, carpets and other sources of dust, take out of the room plants, aquarium, do not let pets, do daily wet cleaning.

The child should drink more. Useful alkaline mineral water without gas, tea with milk, broth of wild rose (in the absence of allergies to it).

The food should be light, but nutritious, with the exception of food allergens (citrus, chocolate, eggs, fish, honey and others). Milk and vegetable diet is preferable.

Cupping of an attack of bronchial obstruction

To relieve bronchial spasm, medications are used in the form of inhalations. Inhalations can be carried out with a nebulizer or ready aerosols. In children under 3 years of age, the use of aerosols is limited due to the difficulty of inhaling the drug.

To relieve bronchospasm, first you need to inhale with bronchodilator. In children under 3 years of age this is usually beryodual in a mixture with saline through the nebulizer, in older adults children can use Ventolin (salbutamol) through a nebulizer or using a ready aerosol. A bronchodilator will dilate the bronchi and facilitate breathing.

In young children, a special device - a spacer that helps to accumulate a medicinal spray in a limited volume - will help alleviate inhalation, and then inhale it. In the absence of both the nebulizer and the spacer, you can try to cut off the bottom of the plastic bottle, cut off the edge with a napkin, squirt 2-3 drops of aerosol into the bottle and attach the edge to the child's face so that he inhales medicine. Such an improvised device does not replace a spacer or nebulizer, but in a critical situation it will help to alleviate the child's condition.

After inhalation, the child's condition will improve, wheeze will subside, phlegm will begin to clear away. 15 minutes after inhalation with bronchodilator, you need to do the same inhalation with a local glucocorticoid - pulmicort. Pulmicort has anti-inflammatory, anti-edematous, anti-allergic effect. The doctor must appoint him. Usually it is used for obstruction of moderate and severe degree.

If such measures are ineffective, it is necessary to call an "ambulance". Repeated repeated inhalations with bronchodilators can cause an increase in obstruction.

Medication

After arresting an attack of obstruction, inhalations with mucolytic drugs are most often prescribed. They should be used with caution in children under one year, as they can not cope with a large amount of liquid sputum. The use of mucolytics in young children must necessarily be combined with a drainage massage.

Acetylcysteine ​​preparations are less preferable, as they cause the formation of abundant liquid sputum. It is best to use drugs Ambroxol ("Lazolvan") in inhalations through a nebulizer or in the form of a syrup.

Well-established syrup "Ascoril which is a combination of broncholytics of salbutamol, bromhexine and guaifenesin, facilitating the departure of sputum.

In the acute period should be limited to the use of herbal remedies, since they can strengthen the bronchospasm of an allergic nature. They can be used when the aggravation subsides instead of mucolytic agents for 7-10 days (Gedelix, Bronchicum and others as prescribed by the doctor).

The preparation "Erespal" can be used, which has the property of expanding the bronchi, facilitating the departure of sputum and reducing its quantity.

Inhalations with bronchodilators after relief of obstruction are most often prescribed at night.

In severe cases, it may be a course of inhalation pulmicorta.

Drugs that suppress cough, are applied only in a limited, persistent cough. Can be used "Sinekod "Libexin". Codeine-containing drugs are not used in children.

The doctor decides on the appointment of antihistamines in each case. They are shown mainly in the allergic nature of bronchitis. Usually prescribed modern antihistamines ("Zirtek "Claritin") at the age of dosage. Using drugs such as Suprastin, it is possible, if necessary, to reduce the amount of abundant liquid sputum.

Antiviral and immunomodulating agents are often prescribed for obstructive bronchitis, especially in the debut of the disease. Their appointment is justified for the infectious nature of the disease (acute respiratory viral infection). Candles "Viferon" can be used, at an older age - "Ergoferon "Kagocel".

Antibiotics for obstructive bronchitis are prescribed by a doctor, taking into account the clinical picture of the disease. In modern conditions, these drugs are prescribed for suspected bacterial nature of bronchitis. Most often, they are used when the condition deteriorates against the background of conventional therapy (repeated "candle" of fever after 2-3 days, worsening state of health, the appearance of purulent sputum, increased wheezing in the lungs, neutrophilic leukocytosis and an increase in the rate of erythrocyte sedimentation in analysis of blood). The decision to prescribe antibiotics in the first days of illness can only be made by a doctor.

Self-medication is dangerous by allergic reactions, and delay in prescribing antibiotics leads to severe complications of the disease. It is necessary to conduct the whole course of antibiotics (at least 5, and usually 10 days) for complete elimination (destruction) of microbes and prevention of development of drug resistance in the future. The most commonly prescribed are inhibitor-protected penicillins or macrolides of the second generation, sufficiently safe and effective for bronchial bacterial infection.

Massage

Massage is a necessary component of the treatment of obstructive bronchitis in children. Morning should start with a postural massage: the child hangs out of bed, the adult produces pokolachivaniya palm along the spine, in the interscapular area in the direction of the neck, for several minutes. The same massage should be done after inhalation.

In addition, it is useful to carry out a regular massage of the collar zone and back. You can rub the child with badger fat. You can not massage using plant components and essential oils, it can trigger a spasm of the bronchi.

During the day, you can offer the child sometimes to inflate balloons. However, fatigue of the respiratory muscles should not be tolerated, as this will lead to difficulty in coughing up phlegm. Respiratory gymnastics is useful.

Physiotherapy

At home, at normal body temperature, warming compresses can be made on the interlip area (for example, potato). Do not use mustard, they can enhance the allergic reaction and bronchospasm.

Steam inhalations with medicinal plants should be excluded.

It is allowed to use warm foot baths, rubbing the legs and feet with warming ointments (at normal body temperature).

During the recovery period, a course of physiotherapy in a polyclinic (electrophoresis of drugs, laser therapy, UHF) can be prescribed.

ingalin.ru

What should be a massage with bronchitis?

Therapeutic massage with bronchitis should be performed when the disease is at the stage of recovery, when the patient does not have a fever, but the cough develops the strongest. If any complications occurred during the treatment of bronchitis, then chest massage can not be done.

Before doing exercises, doctors recommend sitting for a while in the hot tub. To do massage follows 5 days. There are 5 different ways of massage for this disease:

1. It is necessary to lie on the surface of the abdomen down and massage your back. Then turn around and massage the chest. On inhalation, it is necessary to make movements from the chest to the area of ​​the spine, and on exhalation - to the chest, slightly compressing the thorax. These movements normalize natural breathing.
2. When obstructive bronchitis is recommended to do massaging of the lower extremities. In addition, you should moisten the air in the room and breathe it for about 10 minutes.
3. In order to better expectorated sputum, it is recommended to massage and warm up the chest, while the head should be raised.
4. You should stroke your back in the direction of your shoulders.
5. In the supine position, you need to do intercostal massage. In this case, the head should be lowered and the legs slightly raised. Next, you should warm and stretch your back so that the sputum is better separated from the lungs and bronchi.

A huge benefit comes from drainage massage with bronchitis - this massage removes negative signs of the disease and helps to strengthen the treatment.

During this procedure, it is recommended to begin to do the massage from the sides, gradually turning to the muscles of the trapezium and ending with the neck area. It is good to stretch the joints slightly. After the drainage massage is recommended to rest a little, lie down, wrapped in a warm blanket.

Types of massage, contraindications

Bronchitis is a serious disease, and it must be treated with antibiotics. However, massage with bronchitis brings a positive effect in complex treatment. After the massage, the patient's condition improves significantly, the sputum goes away perfectly, and recovery comes much faster. Doctors today practice the appointment of a massage as soon as the patient's condition becomes stable and normal body temperature. What for it is necessary to do massage at a bronchitis? The answer is simple, because during massaging occurs:

• increased blood circulation;
• improvement of muscle contraction in the walls of the bronchi;
• improvement of the movement of the bronchial epithelium.

The procedure promotes a rapid outflow of sputum - it helps to clear your throat. As the sputum departs, the intoxication goes down, and the sick person recovers faster. Massage can be done even for the smallest patients. Elderly, he is appointed at least less than everyone else. However, massage for babies should be gentle, more gentle and gentle. Adults take a more intensive procedure. Doctors, appointing similar procedures to the baby, show the sequence of movements to the mother, but there are such types of massage that are very difficult to do on their own, and they should be done by a specialist. For example, it is better to entrust canned or acupressure only to an experienced masseur.

Massage with bronchitis can be:

1. Vibrating. The basis of this massage is a tapping on the back. These manipulations help to separate sputum better. This kind of massage is shown even to small children. It is done as follows: it is necessary to gently tap on the back of the patient, without touching the area of ​​the spine. If the child is very small, then it is necessary to tap not on the back, but on his hand, so the vibration will be sparing.
2. Drainage. A very effective form of massage, which was mentioned above. Perfectly helps in the treatment of the disease, displays phlegm and speeds up the recovery process.
3. Canned. During this procedure, the vacuum has a positive effect, which is formed in a special massage jar. Thanks to this massage, the flow of blood, lymph is intensified, which contributes to the nutrition of the tissues and speeds up the healing process. A can of massage stimulates the work of the respiratory and immune systems.
4. Pointed. The basis of this type is the impact on certain points on the patient's body. For the treatment of bronchitis, points are located that are located behind the auricles, in the neck, on the shoulder blades, legs and hands. Acupressure with chronic bronchitis differs from the procedure during the acute period of the disease, so it should be done only by a professional masseur.
5. Honey. This species is very useful after severe bronchitis. Honey contains a huge amount of trace elements, nutrients, vitamins. Before applying honey, a warming massage is done, and then the massage therapist massages the thoracic region with special movements, the so-called palpation of hands. As soon as the massage becomes unpleasant, it is stopped. This kind should also be done by a professional. For honey massage only high-quality honey is used. The best effect after the procedure can be achieved if half an hour before the procedure, drink an expectorant. You can not do the procedure if the body temperature is not normal, if the stage of the disease is acute or diagnosed with cancer, hypertension.

Examples of exercises with bronchitis

In medicine, exercises are developed that will benefit both adults and kids:

1. "Embrace". It is necessary to stand up straight and inhale your hands on each side, and then very quickly make an exhalation and hug yourself tightly with your hands. Hands must be placed on the hips: the left - on the right thigh, and the right - on the left.
2. "Skier". The starting position is standing, hands along the body. At the inhalation, you should raise your hands, and then, exhaling heavily, lower them half-bent. On exhalation it is necessary to squat slightly and as if to operate with ski poles.
3. "Cutting firewood." It is necessary to stand up, straighten up and put the feet on the width of the shoulders. Hands close with brushes, as if with cotton. Inhaling, without opening your hands, you need to lift them by the head. And on a sharp exhalation, you should bend and put your hands down.
4. "Extrusion of air." This exercise should be done with an assistant. The assistant should put one hand under the patient's chest, and the second - on his back, on the area between the shoulder blades. Standing, the patient should collect a full chest of air and exhale, while on exhalation the assistant should sharply squeeze hands.

All exercises should be done daily 3 times. The air should be inhaled and exhaled only with the mouth.

Massage for little children

With bronchitis in a small child, the massage prescribed by the doctor as an auxiliary treatment will perfectly help. He accelerates the process of recovery. Massage the baby can be done by yourself. The technique is to carefully massage the back of the child. Massage is done about 5 days. Do not perform the procedure if the child has a fever. Before the procedure, the child should be given an expectorant.

To distract him from a tiring massage will help your favorite toy or a cartoon. With the baby you can talk during the massage, which will give additional positive vibrations. The child must lie down on his mother's lap.

The head should hang below the level of the back. You can put a pillow under your stomach. Next, you should stroke your back.

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After warming up, it is necessary to fold your hand in the form of a boat and tap it lightly on the back. We must not forget that during the procedure the second hand should constantly support the baby's breast. It is useful simply to stroke the child, his chest, back and legs. After the massage the baby should be wrapped in a warm blanket and give a rest about half an hour.

respiratoria.ru

Bronchitis in children: acute, obstructive bronchitis, symptoms, treatment

Bronchitis in children most often occurs in the form of complications against the background of acute respiratory viral infection, influenza or a severe cold, hypothermia. The provoking factors of bronchitis are seasonal sharp temperature changes, especially periods of rain with high humidity, so this disease usually occurs in the fall or spring.

In form, all bronchitis in children are divided into: Acute, Prolonged and Recurrent.

For reasons of occurrence, depends on the pathogen of inflammation and is divided into:

• Viral - influenza, adenoviruses, parainfluenza
• Bacterial - can be acute and obstructive (the causative agent is streptococcus, staphylococcus, moraxelly, hemophilic rod, as well as mycoplasma and chlamydia)
• Allergic, obstructive, asthmatic - arises from irritating chemical or physical factors, such as household chemicals, house dust (read about the symptoms of allergy to dust), animal hair, plant pollen and others.

Bronchitis in a child up to a year - symptoms and treatment

Children who are breastfed and who do not have contact with sick children and adults should not have any respiratory illnesses. However, if the child was born prematurely, has congenital malformations of the respiratory organs and other diseases, as well as in the family there are preschool children attending kindergartens and often ill - the development of bronchitis in a child up to a year is possible by the following reasons:

• narrower than the adult, bronchi, a more dry and vulnerable mucosa of the respiratory tract
• existing congenital malformations
• after a viral or bacterial infection
• the presence of individual sensitivity to chemical and physical stimuli - an allergy to anything.

The most basic symptoms of developing bronchitis are a severe dry cough, paroxysmal, accompanied by difficulty breathing, shortness of breath. Gradually, the cough becomes moist, but mucus, sputum during bronchitis in a child up to a year of significant hinders breathing, normal lung function is disrupted, since the airway in infancy narrow. Bronchitis in children up to a year and even up to 3-4 years is most often the following:

• Acute bronchitis simple
• Obstructive bronchitis
• Bronchiolitis

On acute and obstructive bronchitis, we will dwell in more detail below. And now consider the most common in children under one year oldbronchiolitis.

Bronchitis in children under one year of age - bronchiolitis

This bronchitis affects both small bronchi and bronchioles, develops more often against the background of acute respiratory viral infections, influenza viruses with the subsequent reproduction of pneumococci (and so on. streptococci). In case of inhalation of icy air or sharp concentrations of various gases, bronchiolitis can develop as an independent disease. The danger of such bronchitis is a pronounced bronchoobstructive syndrome with the development of sometimes even acute respiratory failure:

• Characterized by dry cough attacks, pronounced dyspnea mixed or expiratory form with syndromes of swelling of the wings nose, with the involvement of ancillary muscles, the entrainment of the intercostal spaces of the chest, the pallor of the skin, cyanosis.
• The child has dry mouth, no tears when crying.
• The child eats less and drinks than usual, respectively, and his urination is more rare.
• An increase in body temperature, but unlike pneumonia, it is less pronounced (see Fig. whether it is necessary to bring down the temperature).
• Shortness of breath to 60-80 breaths per minute, while breathing is grunting, superficial.
• On both sides are heard diffuse wet ringing finely bubbling and crepitating rales.
• Symptoms of intoxication in bronchiolitis in children are not expressed.
• X-ray is determined by the sharp transparency of the lung tissue, the variegation of the pattern, the horizontal standing of the ribs, the absence of infiltrative changes in the lungs.
• If at first there was a simple bronchitis, then the attachment of bronchiolitis after a while is manifested by a sharp deterioration of the general condition of the child, cough becomes more painful and intense, with scanty phlegm.
• Children are usually very restless, moody, excited.
• The blood test can be slightly changed, a slight leukocytosis and an increase in ESR are possible.
• Usually, bronchiolitis in children up to one year has a prolonged course until 1 months.
• The causes of acute bronchiolitis in children are similar to the causes of development of obstructive bronchitis in children older than 2-4 years. The local immune system of the respiratory tract in children under 2 years is weak, protection against viruses is not enough, so they easily penetrate deep into bronchioles and small bronchi.

Treatment of bronchiolitis in children

At home, you can not cure bronchiolitis. When a bronchiolitis occurs, the infant is usually shown hospitalization, so that the child is under the supervision of doctors. In the hospital pediatricians, pulmonologists will establish an accurate diagnosis and prescribe appropriate treatment. What should my mom do before the ambulance arrives?

You can only alleviate the symptoms of colds - create optimally comfortable air in the room, turn on the humidifier, air purifier.

If there is no high temperature in the child, you can ease breathing with warming creams and ointments, spread them legs, calves. Only with this you need to be cautious if the child has not had any allergic manifestations before, then it helps a lot if a child allergic, warming ointments should be excluded.

To cough softer, you can do steam inhalation-above a boiling pot with a weak saline solution, hold the baby in her arms. Or sit him down at the table and cover with a towel over a cup of hot medical solution.

Try to force the baby to drink more to avoid dehydration, if the child refuses the breast or mixture, give the child just pure water.

In the hospital to relieve the signs of respiratory failure, the baby is given inhalations with bronchodilators and allowed to breathe oxygen. Also at the doctor's discretion, an antibiotic is selected - Sumamed, Macroben, Augmentin, Amoxiclav. It is possible to use various drugs with interferon. Necessarily prescribe antihistamines for the removal of edema at the site of inflammation and a possible allergic reaction to treatment. If symptoms of dehydration are observed, then the necessary rehydration therapy is performed.

Acute bronchitis in children - symptoms

Bronchitis in children is the most common form of respiratory tract disease. Acute bronchitis is an acute inflammation of the bronchial mucosa without symptoms of inflammation of the lung tissue. Simple bronchitis in children in 20% of a self-contained bacterial disease, 80% - either in a program of viruses (Coxsackie virus, adenovirus, influenza, parainfluenza) or as a bacterial complication after these viral infections.

Clinical symptoms of bronchitis in children are as follows:

First, the child has general weakness, malaise, headache, lack of appetite, then there is a dry cough or cough with sputum, the intensity of which is rapidly increasing, while listening to determine the dry diffuse or variously moist wheezing. Sometimes there may be a barking cough in a child whose treatment is slightly different.

In the first 2 days, the temperature rises to 38 ° C, but with a mild form, the temperature can be 37-3,.

After 6-7 days, the dry cough becomes wet, the sputum discharge facilitates the child's condition and is a good sign that the body is coping with the infection and the virus.

On average, the duration of acute bronchitis in children is 7-21 days, but the nature of the disease, the severity of the inflammatory process depend on the child's age, the strength of his immune system, the presence of concomitant chronic and systemic diseases. In case of inadequate or untimely treatment, acute bronchitis can lead to addition - bronchiolitis, pneumonia.

Sometimes after the flu, for some time, the child's condition improves, and then a sharp deterioration, a rise in temperature, a rise in the cough - this is due to the weakening of the immune system in the fight against the virus and the attachment of a bacterial infection, in this case it is shown antibiotic.

With mycoplasmal or adenoviral acute bronchitis in children, the symptoms of intoxication, such as high fever, headaches, chills, lack of appetite, can be about a week. Usually acute bronchitis is bilateral, however, with mycoplasma bronchitis it is most often one-sided, sometimes combined with conjunctivitis.

Acute bronchitis in children - treatment

Most often, the duration of acute bronchitis in children, whose treatment is correct and carried out on time, should not be more than 14 days, however, in infants, cough can persist for up to a month, as well as in older children with atypical-mycoplasmic bronchitis. If suddenly the bronchitis in the child is delayed, it is necessary to exclude a number of diseases:

• aspiration of food
• pneumonia
• cystic fibrosis
• foreign body in bronchi
• tuberculosis infection

A pediatrician prescribes a full treatment package. In addition to implementing all the recommendations of the doctor, you should provide the child with special nutrition and quality care. It is desirable to create in the room the optimum humidity and purity, for this purpose it is convenient to use a humidifier and air purifier, often ventilate the room and conduct daily wet cleaning in the room in which child. And:

• Abundant drink

Ensure abundant reception of fluids in a warm form. To soften the cough, warm milk with butter or Borjomi mineral water helps, can be replaced with honey.

• Heat

With fever, the temperature just above 38C should take antipyretics - paracetamol in syrup.

• Antibiotics

Antibiotics for bronchitis in children, if recommended by a doctor, should be given strictly by the hour. If taking antibacterial drugs is necessary 3 times a day, this does not mean that you must drink from breakfast, lunch and dinner, and this means that their reception should be 24/3 = 8, every 8 hours, if 1 time per day, then give it only at the same time, for example at 9 o'clock morning. 11 rules - how to take antibiotics correctly.

• Cough medicine

With a dry cough, the child can be given antitussive medicines as prescribed by the doctor, and when it becomes wet to go on expectorants. With a dry cough, the means can be combined (Sinekod). If the cough is wet, then expectorants are shown - Mucaltin, Bromhexin, Gedelix, Alpine syrup, Thermopsis herb infusion or its dry extract, Bronchicum, Evcabal, Prospan, breastfeeds.

• Inhalation

Inhalation in bronchitis in children, the symptoms of which are very pronounced, are well assisted by inhalation with conventional baking soda, called over hot pots, inhalation of sodium bicarbonate using a nebulizer, inhaler.

• For babies

For small and infants who do not know how to clear themselves, doctors advise turning the child more often from one side to the other. In this case, sputum is shifted downward, irritating the bronchial wall, this leads to reflex cough.

• Distractions

For older children, cans, mustards, hot foot baths, they still help, and if the child has strong immunity, such procedures will help to avoid taking antibiotics. You can soar your baby's legs after 1 year, and also rub them with warming agents - turpentine ointments, Barsukor, Pulmax baby, etc., but only in the case when there is no high temperature, after rubbing, you should warm your feet and wrap child. However, in case of an allergic bronchitis in a child, neither the mustard nor the warming ointments can be used, since the composition of ointments and mustard can worsen the child's condition.

• Compresses

When bronchitis in children, the treatment is helped by compresses from warm oil. Warm sunflower oil to 40 ° C and moisten them with gauze folded several times. This compress should be imposed only on the right side and back of the baby, from above put a plastic bag and a layer of cotton wool, bandage the child around several times. Dress warm clothes, do this procedure for the night, if there is no temperature in the child.

• Folk remedies

Old folk way - radish juice with honey, cabbage juice, turnip juice - any of these juices should be given 1 teaspoon 4 times a day. You can give and cranberry juice, mixing it with honey in a ratio of 3/1, a tablespoon 3 times a day.

• Massage

The first week is well helped by chest massage, older children would be good at performing breathing exercises.

Physiotherapy with bronchitis

In children, these procedures are prescribed and conducted only at the physician's discretion, these are physiotherapy methods that contribute to faster recovery, because they have an anti-inflammatory effect, however, they can not be performed more often 2 once a year:

• Ultraviolet irradiation of the chest
• Mud, paraffin applications on the chest and between the shoulder blades
• Inductometry on the same areas
• Electrophoresis with calcium
• SOLLUX ON THE BREAST
• Aeronisation by the hydroionizer of the respiratory tract with solutions of chamomile, antibiotics.

Prevention of acute bronchitis in children:

Do not allow a prolonged runny nose in a child, timely treatment of any cold and infectious diseases will be the best preventative against penetration of the infection into the lower respiratory tract. ways.

Walking in the fresh air in the park, playing at the cottage, physical exercise in nature, tempering, daily intake of natural vitamins in fruits and vegetables, and not in tablets - the way to the health of your child.

Obstructive bronchitis in children - symptoms

In young children, usually up to 3-4 years of acute bronchitis may be accompanied by an obstructive syndrome - this is an acute obstructive bronchitis. In children, the symptoms of such bronchitis begin more often after viral infections or allergic manifestations on the stimulus.

The main symptoms of obstructive bronchitis:

• Harsh, audible long breath with whistling
• Coughing with attacks, before vomiting, debilitating
• During inhalation, the intercostal spaces are drawn in and chest is swollen with breathing

In obstructive allergic bronchitis, children do not have a temperature, it starts because of an allergic reaction to the strongest irritant for the child, and parents can often remember that they recently bought something for the child - a down pillow or a blanket made of camel or sheep wool, at home breathed in color from repair or went to visit, where there is cat.

In obstructive bronchitis in children, symptoms can begin on the 3rd-4th day of the flu or ARVI, and may also be caused by other bacteria, which is manifested in the appearance of expiratory dyspnea - an increase in the respiratory rate to 60 per minute, it is also noted difficulties when inhaled.

The child begins wheezing, noisy breathing, especially a prolonged wheezing exhale, which is heard by persons near the baby. The thorax is as if swollen, that is, the ribs are horizontally arranged. Cough is dry, obtrusive, bouts, arises suddenly, it does not bring relief and intensifies at night.

If this disease develops not after ARI, then the temperature in the early days is not increased.
Headache, weakness and nausea, are very rare.

When listening there are dry wheezing in the lungs.

X-ray revealed increased transparency, increased pulmonary pattern, in the absence of infiltrative changes in the lungs.

The analysis of blood as a viral infection - lymphocytosis, leukopenia. accelerated ESR, if allergic bronchitis in a child, then eosinophilia.

Almost always obstructive bronchitis is associated with a virus or mycoplasmal infection, relapses of obstructive bronchitis in children most often spontaneously stop by 4 years.
If the bronchioles and small bronchi are affected, then this is an acute bronchiolitis.

Obstructive bronchitis in children differs from asthma attacks, in that obstruction develops slowly, and with asthma the child abruptly begins to suffocate. Although the first attacks of bronchial asthma in children also begin during ARVI. If the obstruction occurs several times a year, it is a signal that the child is at risk for developing bronchial asthma in the future.

Obstructive bronchitis in a child can be due to passive smoking, it can be distinguished by a strong cough with a whistle in the morning, while the child's condition is quite satisfactory. Obstruction with allergies occurs when contact with an allergen and recently it becomes very frequent manifestation in children prone to allergies, such bronchitis are recurrent and threatened with development bronchial asthma.

Allergic and obstructive bronchitis in children - treatment

Hospitalization

In obstructive bronchitis in children up to a year or 2 years, treatment should be performed in a hospital under the supervision of a pediatrician, in other cases at the discretion of the doctor and parents. Treatment is best done in a hospital if:

• In addition to obstruction in the child, the symptoms of intoxication are decreased appetite, fever, nausea, general weakness.
• Signs of respiratory failure. This is shortness of breath, when the frequency of breathing increases by 10% of the age norm, counting is better done at night, and not during games or crying. In children under 6 months, the respiration rate should not exceed 60 per minute, 6-12 months - 50 breaths, 1-5 years, 40 breaths. Acrocyanosis is a sign of respiratory failure, manifested by cyanotic nasolabial triangle, nails, that is, the body experiences oxygen deficiency.
• It is not uncommon for obstructive bronchitis in children to mask pneumonia, so if the doctor suspects pneumonia from hospitalization can not be denied.

Bronchodilators

Bronchiolithics extend the bronchi, so they are designed to relieve obstruction. To date, they are presented in various forms in the pharma industry:

• In the form of syrups (Salmeterol, Clenbuterol, Ascoril), which are convenient for young children, their disadvantage is the development of tremors and palpitations.
• In the form of solutions for inhalation (see. Berodual for inhalation) - this is the most convenient way for young children, breeding a medicinal solution with a physical solution, inhalation 2-3 times a day, after improvement, it is possible to use only at night. The multiplicity and dosage, as well as the course of treatment is determined only by the pediatrician.
• Inhalers-aerosols can be used only for older children (Berodual, Salbutamol).
• Such tableted forms of bronchodilators, like theophylline (Teopec, Euphyllin), are not indicated for the therapy of children with obstructive bronchitis, they have more pronounced side effects, are more toxic than local inhalation forms.

Spasmolytics

Can be used to reduce bronchial spasms. This is papaverine or Drotaverin, No-shpa. Their reception can be carried out with the help of an inhaler, orally in the form of tablets or intravenously in a hospital.

Means for coughing

To sputum better departed, various mucoregulatory drugs are used, they help dilute sputum and accelerate its excretion:

• These are preparations with active substance ambroksol (Lazolvan, Ambrobene). These drugs can not be taken for more than 10 days, it is most convenient to use them in the form of inhalations, as well as carbocisteine ​​preparations (Fluiditek, Bronhobos, Mukosol).
• After the cough became wet, the seizures became less intense, the sputum liquefied, but it departs badly, the ambroxol should be changed to expectorants for cough for children, which should be given no more than 5-10 days, they include Gedelix, Bronchicum, Prospan, Bronhosan, Herbion (cf. Herbion from a dry and wet cough), Tussin, Bronchipret, breastfeeding, .
• Codeine-containing drugs for children should not be taken if the child has a seizure-like obsessive cough, the appointment of a doctor can be used Sinekod, Stopusin Fito, Libexin (with caution in childhood), Bronhicum, Broncholitin.
• Erespal - promotes both removal of obstruction, and reduction of sputum production, and also it possesses anti-inflammatory activity, is applied from the first days of the disease, reduces the risks of complications, contraindicated in children under 2 years.

Draining massage

To facilitate the departure of sputum, parents can themselves do their child massage the collar zone, chest, back. Especially strong massage should be done for the muscles of the back along the spine. Useful for obstructive bronchitis in children postural massage - that is, efflorescence of the baby's back in the morning, should to hang the child from the bed upside down (padding the pillow under his tummy) and tapping the palms folded in the boat 10-15 minutes. For older children, with a massage, ask the child to take a deep breath, and on an exhalation, tap. Useful and additional exercises such as inflating balloons, blowing out candles.

Antihistamines

Antihistamines are prescribed to children in the presence of allergic reactions. Such medicines for allergies like Eryus in syrup can be taken to children from 1 year, with the half a year it is possible to use Claritin and Zirtek, from 2 years in syrups and drops Cetrin, Zodak, Parlazin (cf. list of medicines for allergies). Such antihistamines of the 1st generation as Suprastin and Tavegil are used less often, only for drying with abundant liquid sputum.

Allergy or virus

If the obstruction is caused by an allergy or a virus - antibiotics can not be used, and even dangerous (see. antibiotics for colds and orgs). The appointment of antibiotics is possible only with the proven infectious origin of bronchitis in children.

When antibiotics are indicated

Treatment of bronchial obstruction with antibiotics is not indicated, only if the child has a fever over 4 days, or there was a second temperature jump to 39C after 4-5 days after the onset of the disease, accompanied by severe intoxication, severe coughing if with adequate treatment, the child suddenly becomes apathetic, sluggish, refuses to eat, has weakness, nausea, headaches and even vomiting. In such cases, the use of antibiotics is justified. They are prescribed only by a pediatrician on the basis of a clinical picture, the presence of purulent sputum (indicating bacterial bronchitis), inflammatory changes in the analysis of blood, as well as other signs of bacterial bronchitis or pneumonia (wheezing, x-ray signs).

Antiviral drugs

Most doctors recommend that for ARVI and flu, take antiviral drugs, for babies candles Genferon, Viferon, and also in the form of drops Gripferon, Interferon, take Orvire syrups (remantadine), and after three years of age tableted forms such as Kagocel and Arbidol, Cytovir 3. But it is worth remembering that if in a family history (close relatives) there are any autoimmune diseases (Sjogren's syndrome, rheumatoid arthritis, systemic red lupus, diffuse toxic goiter, vitiligo, multiple sclerosis, pernicious anemia, insulin-dependent diabetes mellitus, myasthenia gravis, uveitis, Addison's disease, primary biliary cirrhosis, autoimmune hepatitis, scleroderma) it is impossible to take immunostimulants (Kagocel, Cytovir, Amiksin), it can cause a debut of an autoimmune disease in a child, possibly not now, and later (see. more antiviral drugs for orvi).

Hormonal therapy

Hormonal drugs, such as Pulcicort, are indicated only in severe or moderate leaks obstructive bronchitis (usually with the help of a nebulizer) they quickly stop obstruction and inflammation, their appoint only a doctor.

What not to do

In obstructive bronchitis in children - treatment by rubbing and spreading the body of the child with various heating oils (Dr. Mohm ointment, ointments with medicinal plants, essential oils), the use of mustard plasters is unacceptable, since they cause an even more allergic reaction and bronchospasm, especially in toddlers up to 3 years. Also categorically it is impossible to carry out inhalations with bronchitis with various medicinal herbs and essential oils. It is only possible to use such folk remedies for warming up - heat compresses with potatoes, salt, buckwheat.

Physiotherapy

Physiotherapeutic procedures in the acute period are contraindicated, when the obstruction is already stopped, it is possible to perform UHF, electrophoresis or laser.

Hypoallergenic diet and plentiful drink

Any natural drinks - mineral water with milk, tea, broth of a dogrose, it is necessary to drink to the child as often as possible. The diet should be hypoallergenic, but at the same time maximally vitaminized, high in protein and fat content. Exclude from the diet of the child anything that can cause an allergic reaction:

• citrus, red and orange fruit
• purchased spices, sweets, milk cheeses, yoghurts, carbonated drinks, sausages and sausages - everything that contains dyes, flavors, preservatives and flavor enhancers
• honey and other beekeeping products
• fish, grown on fish farms, broiler chickens, as they are stuffed with hormones and antibiotics, which causes allergies.

When caring for a child, you should daily aerate, moisten the room where the child is. It's hot in the apartment should not be, it's better to have a cool, fresh, clean air. After the recovery of the child should be put on a dispensary record with an allergist.

zdravotvet.ru

Obstructive bronchitis in children - treatment

Treatment of obstructive bronchitis in children is primarily a matter of parental. But under this in no case can not understand self-treatment. Preparations and procedures must be prescribed by a doctor, but they are not enough alone. It is important at the same time for the period of treatment to ensure the child the right way of life, favorable for the treatment of respiratory diseases, the microclimate in the room, compliance with the regime.

This form of the disease received its name from the word "obstruction which means "spasm". Thus, bronchial tubes are exposed to spasm, in which slime stagnates, which does not find an outlet, and the inflammatory process begins. Consequently, the task of medicine in this case is to remove the spasm, and mucus to liquefy and ensure its expectoration.

The choice of methods of treatment depends on the causes that caused the disease. It can be a bacterial or viral infection, as well as an allergy. This should be clarified in the first place, because treatment of obstructive bronchitis, for example, with antibiotics, in its viral nature, will not bring anything but harm.

How correctly to treat obstructive bronchitis?

If symptoms of acute obstructive bronchitis are detected in a baby, the child is placed in a hospital for treatment. The same applies to older children who have a severe course of the disease. In other cases, treatment at home with mandatory prescription, how to cure obstructive bronchitis and regular examinations by a specialist is possible.

The very process of treatment includes a number of procedures, the effectiveness of which is achieved solely at the expense of complexity and timeliness. We offer a list of the main:

• taking antibiotics or antiviral drugs, depending on what causes bronchitis;
• inhalation for the removal of spasm in obstructive bronchitis with the use of special preparations, such as euphyllin, ventolin, briikanil. The procedure is carried out using a nebulizer - a compressor inhaler, which forms a cold vapor, scattering the liquid into minute particles. Experienced mothers, as a rule, try to acquire them by 2-3 years of life, if this is not possible, the procedure can be performed in a polyclinic;
• reception mukoliticheskih or expectorants - after the spasm is removed, sputum can go out. Stimulate the process can also be inhalation (lazolvan in nebula, mucovan) or by taking appropriate drugs inside (lazolvan, awning, erespal, ambroxol, etc.);
• massage with obstructive bronchitis in children - a procedure that also stimulates the output of phlegm. There are several of its types - canned, drainage, point, vibrating. It is better, if for the first time such a session is done by a specialist. You can start the course only for 4-5 days of the illness, when there is no temperature and complications, otherwise instead of improvement, you can only achieve an aggravation of the condition;
• folk treatment of obstructive bronchitis - this includes "distracting procedures" like setting jars, grinding aromatic ointments and essential oils, we take inside the broth of figs on milk, as well as a mixture of chamomile, violet and plantain.

At the same time, actively using the traditional and not very

methods of treatment, it should be remembered that their effectiveness can be achieved only if certain recommendations are observed:

• abundant drinking;
• cool and necessarily humid air in the room where the child spends most of the time and sleeps;
• regular airing;
• bed rest with increased temperature;
• hypoallergenic diet;
• the abundance in the diet of products containing minerals and vitamins.

WomanAdvice.ru

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