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Hp slt sai c ch, qu bfng gitt con

Sai lm khi h st cho con


1. Dn ming h st
PGS. TS Nguyn Tin Dng, nguyn Trng khoa Nhi, Bnh vin Bch Mai, cho
bit hin nay trn th trng ch yu l ming dn lnh, h nhit theo c
ch hp th nhit v phn tn ra ngo i nhng thc t cha c nghin cu
khoa hc n o chng minh tc dng ca phng php n y.
Bnh vin Bch Mai tng tip nhn nhiu tr nhp vin trong tnh trng kh
th, ngi tm ti trong cn co git do cc m ch dng ming h dn h
st m khng cho tr ung thuc, trong khi bin php n y khng em li tc
dng cho tr.
Bn cnh , nhiu tr cn b vim da vng trn do dn qu lu khin l
chn lng b bt. c bit, khi tr b d ng vi cc cht trong ming
dn rt nguy hi. Nu khng pht hin kp thi cng c th nh hng
n sc khe, thm ch gy t vong.
Khi tr b st, c th dng khn m lau to n thn cho tr, c bit lau
nhiu trn, 2 hc nch v bn, thay khn 2-3 pht/ln tr h nhit.
Khng nn cho tr dng ming dn h st bi va mt tin va khng gip
tr h st, cha k n vic cn gy hi cho tr", ng Dng cho hay.
H st sai cch, qu bng git con suckhoenhi 7815
Nguy c mt mng khi h st sai cch
2. Chm lnh
Thay v dng khn m lau ngi cho tr, chm lnh l bin php hu nh
b m n o cng p dng khi con st nhng thc cht bin php n y khng
c tc dng m cn gy hi.
Theo PGS Dng, khi tr st b m thng khng hiu r cn nguyn t
u, nu st do nhim khun, vim phi, chm lnh s l m bnh trm
trng thm. c bit, b m tuyt i khng dng chm v c
th gy bng lnh, khin tr b suy h hp.
p khn lnh, tm lnh hay chm lnh ch c thc hin trong
trng hp say nng, say nng. Tuy nhin, v chuyn gia n y khng khuyn khch
v hiu qu rt thp.
3. ng kn ca
Bc s Dng cho bit st qu cao s gy hin tng co mch ngoi vi nn
tr em (k c ngi ln) lc n y s c cm gic n lnh, rt run, chn

tay lnh ngt nhng thc cht nhit trong ngi rt nng, ln n 4041 C.
V th, c ng p chn, c ng ng kn ca, thn nhit c ng ln cao, khi ,
tr li c ng lnh, n khi ln nh im, tr s b co git, tm ti.
"Khi b st l khng c p chn, khng c ng kn ca m phi
m ca, qut cho thng gi, khng kh trong nh lu thng. Vi cch n y
ch mt lc sau ngi bnh s ht cm gic rt, c th dn m ln.
Trong khi , hu ht chng ta li l m ngc li, khin bnh c ng nng
thm", tin s Dng khuyn co.
Chuyn gia lu thm vic to mi trng, khng kh thng thong rt quan
trng trong vic thot nhit ca c th, l m cn st tan bin, thm ch tr
khng cn phi ung thuc.
4. Ung thuc h st
Nhiu ng b m m u c chung tm l l phi h st tht nhanh cho con
bng mi cch nh ung thuc, t thuc hu mn, dng thuc kt
hp.
Bc s Dng nhn mnh: Cha m khng cho tr ung thuc h st khi
nhit di 38,5 C. Cng khng cho tr ung thuc co git sm,
iu n y s l m kh cho bc s khi thm khm.
tr, thn nhit ming t 37,5 C tr ln, nch t 37,2 C
tc l b ang st, song khng phi trng hp n o cng cn dng n
thuc h st. Khi st xe day tre so sinh gia re nh, thn nhit tr mc 37,538,5 C, ch cn ci bt qun o, cho b ung nhiu nc, hoc b
m nhiu hn.
Nu tr nhit t 38,5 C tr ln, c th dng loi thuc
c u tin dng, t tc dng ph nht hin nay l paracetamol vi liu
15mg/kg cn nng. Khong cch cc ln ung t 4-6 ting. Sau ung khong
gn mt ting thuc mi bt u pht huy tc dng v h st dn. Trong
thi gian ch thuc c tc dng,trnh nn nng cho tr ung thm thuc.
5. n king
Khi tr b m thng km theo cc biu hin st, tiu chy, nhu cu nng
lng v cc cht dinh dng cn nhiu hn bnh thng. Tuy nhin,
nhiu b m li bt tr phi n king khem nh khng cho tr n du hoc
m, khng cho tr b, khng cho tr n rau xanh, cht tanh bi s tr i ngo i
nhiu hn.
Bc s Dng khuyn co chm sc v nui dng tr trong v sau khi b m
rt quan trng v n s l m cho bnh mau khi, mau phc hi sc khe v
tng cng sc khng i vi bnh tt.
c bit, trng hp st mt nc, khng c b nc (ung

nc Oresol) v n ung thiu cht, tr d b nguy c suy dinh dng,


sc khng yu, lu l nh bnh.
6. Lm dng thuc t hu mn
i vi tr nh khng mun ung thuc h st v s ng hoc
nhng b s sinh d tr khi dng thuc h st ng ung th thuc
h st t hu mn l gii php l tng. Tuy nhin, rt nhiu chuyn gia
v cc bc s u ngh nh ca Vit Nam tng ln ting khuyn co cc
m khng nn lm dng loi thuc n y.
Theo thc s, bc s L Th Phng Hu (Bnh vin Thanh Nh n) th khi
tr b st cha m khng nn lm dng thuc nht hu mn v thuc c
th gy tc dng ph. Tt nht l cha m nn o nhit chnh xc ri
cho con ung thuc vi h m lng ph hp, liu lng, trng
hp bt c d mi phi t thuc nhng cng khng nn t nhiu.
PGS N.Tin Dng (Trng khoa Nhi BV Bch Mai), li cho bit: Trc y,
mt s quan nim cho rng, cch dng vin t h st hu mn s qua
gan t hn.
Tuy nhin, thc t l vin t hu mn vn thm v o mu nh ng
ung nn c ngha vn qua gan. Cho nn, tr hay ngi ln b bnh gan
cng khng c dng vin n y bi vn c th gy ng c.
7. o nhit khng ng v tr
Khi tr b st, phn ng u tin ca nhiu b m l ly cp nhit
xc nh thn nhit con. o nhit cho tr l mt k nng
v cng quan trng bi n s nh hng n nhng quyt nh v
hng iu tr nh chm con nh hay cn a n bnh vin gp.
Tuy nhin, rt nhiu ph huynh vn kh lng ngng trong khu c bn n y.
o nhit cho tr di 3 thng tui nn t hu mn v. Mt s
b thoi mi khi c cha m cp nhit hu mn nhng mt s
b khc th khng.
Nu b c biu hin chng i, th chuyn sang cch o nhit
nch cho con. Nhng so vi cch cp hu mn, o nch c th chnh lch
ti 2 C. Chnh v vy, m nn cng thm t 1-2 C v o nhit ghi
trn nhit k khi o nch cho tr.
Tuy nhin, cc chuyn gia khuyn co, khng nn dng cch cp nhit cho
b di 3 thng tui v kt qu chnh xc vi nhm b n y l cc k
quan trng.
Cch h st cho tr hiu qu
- Dng khn bng mm nhng v o nc m, vt ht nc, lau nh khp
ngi tr, c bit l nch, bn v trn. Nh l ch lau ti a 3 ln
trong cn st. Lau ln 1 kh th mi lau tip ln 2, ln 3.

- Khi em b c nhit st cao t 38,5 C tr ln th bt u dng


thuc h st. B b tr th thuc vin n. B b tiu chy th
thuc ung. Nu b c pht ban da th khng c dng ming dn h
st.
Khng nn dng qu 1.000 mg/ng y (4 gi 250mg) vi tr em. Khi dng cho tr em
phi tnh ton liu lng (hoc theo s ch nh c th ca bc s
hoc l phi tnh ton theo cn nng trong hng dn s dng thuc tnh liu).
- Khi st, c th cng mt xe y h ng siu th rt nhiu nc v cht
in gii qua da, ng th, mt vitamin qua phn, nc tiu... nn nhu
cu v nc, vitamin v cht khong tng ln rt nhiu.
Mt khc, khi st cao, cc men tiu ha b c ch nn tr thng chn n,
phi cho tr n nhng mn va d tiu ha va m bo cung cp
nhng nhu cu c bit ca giai on n y.
- Vi tr nh cn b m, cn cho b nhiu ln hn v thi gian mi ln
b lu hn bnh thng. Nu tr khng t b c, ngi m cn
vt sa v o cc ri dng tha cho tr ung.
- Vi tr ln hn ( n b sung), nn tng thm s ba trong ng y vi
cc loi thc n mm, a dng, d tiu ha v chia th nh nhiu ba nh.
Thay i thc n, l m nhng mn hp khu v gip xe day tiko tr n
nhiu, kch thch s thm n.
Nu tr tiu chy, c th dng nc gi xanh quy bt, nu
cho long va gip tr d n va m bo cung cp y cc
cht m, bt.

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