Reporter Han Hongli Correspondent Sun Jing
"Our baby's medicine is running out, we can't buy medicine outside, can we go to the hospital?"
Let's talk about what parents should do during the epidemic to make their asthmatic babies survive this time smoothly.
01, do a good job in life care
Cheng Lu of the Respiratory Department of Jinan Children's Hospital said that for long-term asthmatic children at home, parents should regularly open windows for ventilation, but avoid excessive ventilation leading to colds and colds; the home environment should be kept clean, regularly remove mites, avoid allergens at home, but some disinfectants (such as 84 disinfectant, flower dew, mosquito coils, etc.) have the possibility of inducing allergies, and should pay attention to correct use to avoid irritating the mucosa of the airway and inducing children with allergic reactions; diet should be light, reasonably match nutrition, avoid eating irritating, easy to sensitize food; appropriate, moderate exercise, Avoid excessive weight gain in a short period of time and enhance your own resistance.
02, do a good job of daily monitoring
There are many tools to monitor asthma control, such as peak flow meters, asthma control scales, asthma action plans, etc. "Peak flow rate meter structure is simple, easy to carry, children with asthma over 5 years old twice a day fixed time to determine peak flow rate (PEF), respectively, after getting up in the morning and before going to bed at night, after each inhale, blow hard, repeat three times, record the maximum value is the PEF value. If the PEF value drops to 60% to 80% or less of the normal estimate or personal optimum in the near future, you need to be alert to the risk of a recent asthma attack and should seek prompt medical attention. Cheng Lu said.
In addition, Cheng Lu also recommends the Childhood Asthma Control Test (C-ACT), a test questionnaire to assess asthma control, suitable for children aged 4-11 years with asthma, and can be used for long-term condition monitoring at home.
Specific implementation methods: let the child answer the 1-4 questions, parents can assist the child to understand these questions, let the child choose the answer by himself, the parent answers the 5-7 question; fill in the number of the answer selected by the question in the scoring box; add the score in the scoring box to get the child's total score. If the total score ≥ 20 points, indicating that the child's asthma control is better, such as ≤ 19 points, indicating that the child's asthma is not well controlled, it is best to consult a doctor to find the cause together to adjust the treatment plan.
There is also an important tool for self-management of children with asthma - the China Children's Asthma Action Plan (CCAAP). It is an individualized self-management program based on foreign experience, based on the "Guidelines for the Diagnosis and Prevention of Bronchial Asthma in Children" (2016 edition), and developed by physicians for children with asthma, with family-based, community and school participation. CCAAP uses symptoms and peak expiratory flow rate as the criterion for judging, using 3 zones, using the color of traffic lights: green, yellow and red, respectively, to indicate the measures that need to be taken in different conditions. When the condition is stable (green zone), it is necessary to adhere to controlled therapy and monitor PEF; when symptoms and/or PEF have obvious variations (yellow zone), appropriate treatment measures should be taken according to the action plan; when the asthma attack is severe (red zone), the remission medication should be used promptly, and emergency medical attention should be sought.
03. Prepare enough drugs and take medication on time
This is the most important thing for children with asthma. Because asthma is a chronic disease, so it must be taken on time and regularly every day, can not arbitrarily reduce the drug, stop the drug, Cheng Lu said, the need for parents to prepare the baby with the control drugs needed for asthma, such as Xinbike, Sulide, cosulinone, montelukast, budesonide aerosol and so on.
In addition, asthma may also be acute under certain factors, such as allergies, infections and other triggers, so it is also necessary to stock up on a certain amount of first aid drugs, such as salbutamol aerosol, terbutaline /salbutamol nebulization solution, etc.
If the asthma is currently well controlled, there are no asthma-related symptoms, and when it comes to the follow-up time, due to the limitations of the epidemic or the fear of cross-infection in the hospital, you can continue to maintain the original treatment plan and wait until the epidemic allows you to find a professional doctor to follow up as soon as possible. If there is an acute attack of asthma, first of all, parents should actively look for precipitating factors, get rid of the environment that caused the child's asthma attack as soon as possible, and take first aid measures at the same time, inhale salbutamol aerosol, if the situation is alleviated, every 20 minutes after you can take another inhalation until the symptoms are relieved, such as continuous medication 3 times the symptoms are not relieved, to do a good job of protection as soon as possible to seek medical treatment.
At the moment of the epidemic, what should I do if my baby temporarily has asthma symptoms or insufficient medication, and the child and parents are reluctant to take the risk of traveling? "You can use the Internet for diagnosis and treatment, online consultation, and drug delivery to your home." Cheng Lu said, pay attention to the "Jinan Children's Hospital" public account, enter the appointment registration interface, in the relevant departments, find the doctor you want to consult, click "Consultation" to jump to the "online consultation" platform, your professional doctor will receive online treatment. Based on the medical history and information of the child you upload, the doctor will conduct comprehensive analysis and provide opinions through online consultation and communication.
If you need to buy drugs, the doctor will issue an electronic prescription online, and after the pharmacy department reviews, the data is processed by the service platform to provide you with "dispensing medicine to home". Services such as consultation, follow-up, renewal, and medication can be completed without leaving home.