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Is the child sick often? We hurry to help him others: women’s magazine january 2020

Is the child sick often? We hurry to help him others: women's magazine january 2020

Is the child sick often? We hurry to help him! | Other: Women’s magazine January 2020

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If the baby hurts often, some parents panic, others despair. We asked four different specialists in the field of child health to explain the phenomenon of endless colds. And to find a way out.

NATALIA LOPUSHANSKAYA, DOCTOR EDUCATOR OF THE CHILDREN’S CLINIC EMC:

"Up to 1 year a child usually only communicates with his close relatives. And if the baby suffers from ARD several times in autumn, winter and early spring, there is no need to worry.

After a year of catching infections and immensely refreshing a lot more. Therefore, the child is 1 to 3 years in the off-season and 3-5 times in winter "allowed". After 3 years, when the baby goes to kindergarten, he can get up to 10-12 colds for a year. Sick doctors are often considered a child if their number exceeds these limits.

In this case, the mother begins to worry that the child has an immune system problem, but primary immunodeficiency is a rare condition. So what’s the deal then? The case can be in the child: he was born prematurely, experiences hypoxia during pregnancy or childbirth, his polyps or tonsils are enlarged, he suffers from allergic rhinitis, atopic dermatitis, chronic disease of the bronchopulmonary system. Meeting viruses during recovery from a serious infection (eg pneumonia, infectious mononucleosis, chickenpox) is also associated with new colds. To make the rush new "aggressors" To withstand, the body has to gain strength, and that takes more time than with a conventional ARI.

Too frequent ORZ can also provoke external circumstances – passive smoking, deterioration of the ecology. According to statistics, children are more often sick wherever there are industrial plants, especially oil refineries. In addition, it is now easy to find information about the symptoms and treatment of many diseases; mothers buy medicines at their own discretion. Even the first sneeze, many drugs are indiscriminately buried in the nose: vasoconstrictors, antiseptics, hormones. Local immunity is simply not given a chance to show its strength! The same goes for the cough. After starting, he has to go through several stages, and if the body doesn’t get around, medicine has to help him recover and not do this work for him. Therefore, prescribe the drug should only be the attending doctor. As for the funds that are believed to strengthen immunity, there is no convincing evidence of their effectiveness.

Incidentally, to a certain point, rhinitis and cough abroad do not cure at all and give the body the opportunity to cope with the infection on its own. This only strengthens the immune system and starts with the next time you meet "aggressor" to work immediately. And finally, the age at which the baby attends kindergarten coincides with the two or three year crisis. In such a situation, the stress increases and the child often begins to get sick.

Often mothers rush to get back to work, but only a doctor can confidently say that the baby is ready to hit new viruses and communicate with other children. The general rule is this: when the acute phase of the disease is over, that is, the child has a normal temperature for at least 3 days, preschool can be attended. Resting cough is not an obstacle. Other children from such a child are not infected because the virus is already inactive. Swimming pool according to ORZ can be visited in 1-2 weeks. The duration of the restrictions is determined by the doctor.

According to ARI or ARVI, doctors are advised until the child is finally strengthened and the remaining cough has not disappeared, do not take it to places of the mass assembly, for example, do not go shopping with it and do not visit a theater or cinema, protect yourself children and adults ill before communication, and above all – to watch the regime of the day and the rules of hygiene, to go more and more often. These simple rules work much better than drug prevention.

But physiotherapy for prevention and recovery after ARI is nowhere in the world, except in Russia, is not used. Perhaps because the effect of such methods has not been proven: the effect, for example of magnetic radiation, of salt caves can appear after 4-6 months. However, this does not exclude the possibility of physiotherapy after a long or frequent ARI. It will be useful to use ultraviolet (summer – to find the child under the moderate sun rays, in winter – to be irradiated with the UV lamp). This stimulates the production of vitamin D in the skin, whose positive effect on the immune system has been proven.

Another universal tool to increase resistance to infection – hardening. Common acute respiratory infections occur when it gets cold outside. It is therefore important to get the body used to the cold. It is necessary to start in the summer when there is less risk of ARI and with the usual procedures for the body: take the child off at room temperature, encourage them to walk barefoot on grass or stones, etc. Gradually the time of the procedure increases and the temperature drops. It is very important to keep the baby warm, only interrupting it for the period of illness and recovery afterwards.

What else do you need?

Often, a sick pediatrician can send a consultation to an ENT doctor, an allergist, and only then to an immunologist. If necessary, each of these specialists assign laboratory studies to their profile. But while the child is under 3 years old, doctors talk about the physiological immaturity of immunity. For this reason, some indicators can be reduced. An examination of the immune system for 3 years is therefore not appropriate.

TATIANA BALASHOVA, CHILDREN OTOLARINGOLOGIST SURGERY, KM N., EMC:

"In most cases, the culprit of ARI is a kind of virus. There are not so many free spaces where they could interfere without much interference, especially the mucous membranes of the nose and throat. They become the first barrier for harmful microorganisms. And viruses, bacteria, fungi etc. settle on the mucous membranes. If the local immunity is reduced or the child is weakened, he becomes ill. And since the immune system is only formed in small children and it is very imperfect, the baby will very often catch a cold.

Due to the fact that the virus is first introduced into the mucous membranes of the nasal cavity and throat, the disease begins with a cold and a cough. Depending on the pathogen, the symptoms are viral, bacterial or even fungal in nature.

The pediatrician must first examine the sick child. If necessary, he sends the baby to the ENT doctor. The job of the doctors is to understand that they support a continuous cold. Perhaps a focus of chronic infection has formed in the nasopharynx due to an untreated infection or improper treatment. Changing colds is also supported by a weakened immunity, an unfavorable allergic background and so on.

In children who are younger than 12 to 13 years old, the complaints are often polyps – this is the overgrown overgrowth of the nasopharyngeal tonsil. The naked eye cannot be seen: only the ENT doctor can examine it with a special thin and flexible endoscope. The diagnosis can also be made using the x-ray of the nasopharynx. Since lymphocytes that neutralize strangers are produced in this body, polyps react to inflammation. They increase during the illness and when the illness is over they return to normal size. If the interval between virus attacks is very short, the amygdala has no time to decrease and gradually increases, it is also associated with frequent otitis, hearing disorders and sinusitis.

As a rule, the doctor first recommends conservative treatment. Now there are drugs that help improve nasal breathing and the general condition of the nasopharynx. But such therapy is not always effective because doctors honestly warn parents.

If the treatment shows no results and the child develops complications after every cold, for example otitis, then one should consider the operation. In modern clinics, polyps under which the baby has no stress are removed under general anesthesia. The surgery relieves complications in the form of sinusitis, sinusitis, otitis and normal breathing through the nose.

If you suspect a focus of infection, the doctor will give instructions for sowing from the pharynx of the throat and nose to flora and sensitivity to the drugs. Such a study enables not only the identification of the pathogen, but also the most effective means of combating the pathogen. But that’s not a panacea either. Sometimes the infection is completely cured and the child still hurts. The microflora of the mucous membranes are constantly changing, new microorganisms sit on them every time, and until the body learns to recognize and destroy them in time, the cold will not stop. In order to strengthen the immune system, the child must lead an active lifestyle, get enough sleep, eat properly and be balanced. "

Often, a sick pediatrician can send a consultation to an ENT doctor, an allergist, and only then to an immunologist. If necessary, each of these specialists assign laboratory studies to their profile. But while the child is under 3 years old, doctors talk about the physiological immaturity of immunity. For this reason, some indicators can be reduced. An examination of the immune system for 3 years is therefore not appropriate.

ELENA GORELIKOVA, CHILDREN’S EASTOPATH, CLINIC "INSTITUTE OF OSTEOPATHY MOKHOVA" IN MOSCOW:

"Osteopaths see the human body as a unit of organs and tissues, closely related. Everyone needs to move freely and in time, like the clockwork mechanism, in which each wheel’s efforts aim to solve a common problem. If the child is often sick, certain organs move differently, the blood supply to the tissues around the infection centers is interrupted and the lymph stagnates. That is, we always find injuries in such children during the osteopathic correction. In fact, the typical symptoms that indicate the malfunction can be noticed by any mother. Often a sick child often has an earthy complexion, blue circles, tonsils and lymph nodes usually appear enlarged under his eyes. He was used to breathing with his mouth, and if he overcomes snoring at night, his sleep and mood deteriorate and moods appear. In addition, these children tend to overwork quickly, and find it difficult to concentrate on the task. Why do frequent colds lead to such results? Babies often have to breathe through the mouth due to a persistent runny nose or enlarged polyps. And if someone restores nasal breathing at least after recovery, there are children who breathe in their mouth for years. We then literally teach them to breathe properly. And that’s very important because mouth breathing is non-physiological. Only the nose can warm cold air and clean it of harmful bacteria and viruses. In addition, mouth breathing is superficial. This means that insufficient amounts of oxygen get into the brain. As a result, banal hypoxia occurs. If it takes a long time (after all, a sick child often catches ARVI not 3-5, but 10-20 times a year), problems with memory, attention, and learning begin. By the way, bruises under the eyes – also a symptom of hypoxia and severe poisoning that occurs every time the body fights a virus or a bacterial infection, even with the help of high temperature. Superficial breathing can also lead to disturbed ventilation and malfunction of the diaphragm. Enlarged lymph nodes indicate that the lymphatic system is operating in a tense mode. These and other similar errors (somatic dysfunctions) complicate recovery and reduce immunity. A weakened organism cannot resist viruses and bacteria. A child is infected with ARVI or ARD, not because there is microbial stasis in the garden or on public transport, but simply because they have become too cold when they open a window for 5 minutes or when they change into pajamas. During these times, its own microbes are activated and they trigger the infectious process. What can an osteopath do? First, we never do without a doctor, whether pediatrician or ENT, and we work with them. Second, we solve all of these problems in a complex way. The osteopath’s job is to repair the blood circulation and lymphatic drainage in the tissues adjacent to the foci of infection, to help the tired and weakened limbs of the body restore its functions and earn full capacity. We do this during an osteopathic correction. Do not confuse it with massage. The osteopathic doctor feels the whole body of the patient with a very special micro-movement of the fingers and feels his hands unhappy at a certain point. The influence on it is very subtle. Of course, the energy of the specialist is also important – after all, we give off part of our heat and energy. As a result of such a correction, the muscle, bone and diaphragm structures begin to work better. Separate digestion of the intestine is often required to absorb nutrients (your child loses large amounts during the illness) and the liver to activate the synthesis of important vitamins that it produces.

However, osteopaths are not healers. If we remove our hands from the patient’s body, the treatment does not end. We have to give the body time to rebuild and in a new one, "balanced" Mode to work. The number of sessions is always individual. An improvement occurs on average through 3 visits, but in order for the effect to last long, sick children often need 10 procedures within six months. The session lasts an hour and the cost of a professional osteopath fluctuates around 5000 rubles. "

IRINA FOUNDER, CHILDREN’S PSYCHOLOGIST:

"Today it is fashionable to talk about psychosomatic medicine, but parents often remember when a child goes to kindergarten and often gets sick. Psychosomatic medicine reflects the connection between body and soul, between the illness and the psychological cause that causes it. Indeed, these parallels are followed not only in children but also in adults. According to the modern ideas of psychologists, in order to develop a large or small person into a psychosomatic illness, two reasons must coincide: the inability to cope with a problem (personal experience) and the genetic weakness of a particular organ. However, to understand that common illnesses in babies are caused exactly by psychosomatics, parents are not that easy. The first year in the garden is the time of adaptation. The child’s psyche gets used to the new rules of the game and the immune system – the abundance of infectious agents. Therefore – common diseases, and most doctors believe that this is a natural pattern. In addition, the child’s organism develops at a rapid pace at the age of 3-4 years. Additional stress in the form of the need to fight viruses at the same time also leaves its mark: many children cannot handle it. But at the same time, there are children who are rarely sick or don’t get sick at all. It is more reasonable to consider this fact as a reason to think.

To find out whether psychosomatic is or not, it is necessary to analyze 4 basic points. First we have to analyze the relationship between mother and child. If the baby doesn’t have enough of his love or attention, it will cost him to get sick a few times and get a double dose of care and affection, and he will immediately understand how to achieve what he wants. Don’t take it as a provocation, blackmail, manipulation, or pretense. This is a protective response and is in fact the only way for your child to get what is vital for them at this age. Second, it must be observed how the adaptation to kindergarten is going on. I like the child to go to kindergarten, he gets along with the teachers, is friends with the children? If you are looking for the answer to this question, try to be objective. Yes, many modern parents adhere to the liberal educational system, do not observe the daily regime, allow children to actively explore the world. And yes, the child is severely restricted in kindergarten: much of what is allowed at home is prohibited in the garden. But despite the fact that such children don’t know how to withstand failure, most still adapt to strict standards. So if your child cannot accept the requirements of kindergarten in any way, it does not mean that it is special and it is definitely not in psychosomatic medicine. The garden, in spite of all its shortcomings, gives the child the main thing – the opportunity to communicate with peers and to learn about their company around the world. At the age of 3, this is one of the most important needs. If the baby develops normally, if everything fits him well, then he likes to communicate with his peers and he strives for it. In return he will be able to endure the overly strict teacher as well as the tasteless dinner and the strict norms of behavior in the group. Third, it is necessary to understand how effective the child’s communication skills are. If he can’t identify what he likes and what he doesn’t, he can’t insist on himself or draw attention to himself, doesn’t understand how to behave when a classmate takes his toy away or hits his head with a typewriter, crumb sooner or later begin to overflow the negative emotions that you cannot cope with. And he often gets sick. Ask the tutors how your child is in the garden: playing in games with other children or rather sitting in his corner? In the latter case, one can suspect a violation of communication skills. Fourth, it is important to consider the baby’s individual ability to experience heavy emotions. There are several indications that there is a hidden problem. Some children draw creepy pictures, use plenty of black paint and dark tones. Others compose stories of cruel or unfortunate heroes or all the time lose the same dark story in their games. There are babies who carry their experiences to an external object. For example, you may suddenly be surrounded by the increased care of your teddy bear. When the second child appears in the family, girls, more often than boys, start taking care of the little brother or sister because of a lack of attention from the mother. All of these are ways to cope with difficult experiences. Then it is worth contacting a psychologist or helping the child himself. Anything that scares you about games, drawings, or the baby’s behavior, it is important to talk to him and then lose the toys while offering different ways to solve the exciting problem during play. "

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