#护苗有我2023#
Parents of children with high fever and seizures should not panic, scientific treatment, timely medical treatment is the key
Convulsions are an emergency symptom of abnormalities in the central nervous system that are common in childhood, and a manifestation of temporary dysfunction of brain neurons caused by multiple causes.
When the onset of the disease, the specific manifestations are different, the systemic or local muscle groups suddenly clonus, relaxation alternately or forced contraction, and may also be accompanied by varying degrees of consciousness impairment. When the child has seizures, the duration varies from a few seconds to several minutes, mostly within 5~10 minutes.
Some children experience muscle weakness after an attack, lethargy, and even fatigue after awakening. If more severe, it can lead to persistent convulsions and temporary paralysis. The disease is one of the most common emergencies in children under 6 years of age, and if left untreated or untreated, it can cause irreversible damage to the developing child's brain or other organs.
First, what is febrile seizures, parents should have some understanding
Children in this period, their cerebral cortical nerve cells are immature, high excitability, weak inhibition under the cortex, imperfect formation of nerve myelin, poor insulation and protection, which will increase nerve excitability, and easy to spread and generalize to the entire brain, and eventually form convulsions.
Specifically, when the child is in the central nervous system or systemic disease, the brain cell function is disordered, some neurons are excitable too high, and the neurons will suddenly discharge a large number of abnormal fires, resulting in the appearance of convulsions. Then all factors that can cause neuronal excitability, such as cerebral ischemia, cerebral hypoxia, inflammation, edema, necrosis, and poisoning, will cause convulsions.
In addition, when the child has a fever and systemic infection, microcirculatory disorders often occur, which is due to cerebral capillary spasm, endothelial cell swelling leading to reduced cerebral blood flow, hypoperfusion, resulting in cerebral hypoxia and ischemia. Then when the brain is hypoxic, sugar aerobic metabolism decreases, brain cell edema, and eventually brain swelling, which also causes convulsions.
Then when the child has a fever and severe cerebral hypoxia, the nerve cells in the key parts will die, but the glial cells will proliferate and the nerve fibers will degenerate. At this time, it is almost impossible for necrotic nerve cells to regenerate, so they will have repeated convulsions, further causing serious brain damage.
When a child has a febrile seizure, we should first quickly carry the child to bed, let him lie flat, and unbutton his clothes, which is to keep the airway open. In addition, try to tilt the child's head to one side, so that the child can be discharged smoothly after vomiting, and avoid coughing and suffocation caused by aspiration of vomit to the trachea.
In addition, when the child has convulsions all over the body, it is necessary to place a twist-like towel or handkerchief between the child's upper and lower grinding teeth to prevent him from biting his tongue and causing heavy bleeding in the mouth. At this time, we should also remove secretions and food from the child's mouth as much as possible to prevent airway blockage or esophageal and stomach damage caused by aspiration and ingestion.
There is also to take timely cooling treatment, we can put a cold towel on the child's forehead, or use warm water to wipe the bath to dissipate heat. At this time, you can also rub the child's limbs with your hands, which can help blood circulation and also help cool down.
While first aid, we must choose the nearest treatment. Generally, after taking antipyretics or injecting sedatives, the child's seizures will stop. Parents should not seek distance just to choose a big hospital. If the child has convulsions for a long time, the lack of effective control will lead to hypoxia, resulting in cerebral edema and brain damage, endangering the child's life.
In addition, when the child has a convulsion, do not shake the child vigorously, and should keep quiet as much as possible to prevent it from causing greater stimulation. If your child's legs and arms twitch, do not stretch your child's limbs too hard to avoid fractures.
Also, parents should not feed or water their children, otherwise these things may enter their trachea and cause suffocation. If these foods enter the lungs through the trachea, it can cause aspiration pneumonia, which can get worse.
In short, for most children with febrile seizures, the situation is actually not as bad as imagined, but correct management is necessary. When the child returns to normal, parents should not take it lightly!
Of course, for children who have had convulsions, parents should also strengthen nutritional intake, improve their immunity, and reduce the probability of fever; Secondly, it is also necessary to actively cool down in the early stages of fever.
Write at the end
In conclusion, febrile seizures are a common paediatric emergency, and their prognosis is not too bad compared to other more serious seizures. But this is not an excuse that we can take lightly, for parents, it is still important to master the method of first aid and prevent sequelae.
bibliography
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2. Pando. First aid treatment of febrile seizures in children[J].China Practical Medicine,2010,5(27)
3. Liu Xiaolan. Clinical observation and nursing of febrile seizures in children[J].Modern Clinical Nursing,2009,8(08)