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Hand, foot and mouth disease

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1 Hand, foot and mouth disease on Sat Apr 28, 2012 3:49 pm

This is the time 'sensitive' that adults need special preventive care for children.


Notification by the Ministry of Health, the first two months of 2012 there were over 8,000 cases of hand, foot and mouth and 9 deaths. This is a very remarkable figure.


The medical professionals that hand, foot and mouth disease is common in children under 5 years old, most are under the age of 3 years. Contagious, spreading rapidly through the respiratory tract. Annual peak usually has two hands, foot and mouth disease: a batch from May 3-5; second round from May 9-11. Therefore, the hand, foot and mouth disease prevention for children in times of 'sensitive' This is what adults need special attention.


A. Sources of infectious disease and children with symptoms
- Sources are obvious contagious - spread through the digestive tract, eating hygiene, mainly through oral transmission, exposure through ingestion.


- Symptoms begin to appear after infection 3-6 days. The earliest manifestations of the disease include fatigue, fever (38.5 oC 38), sore throat, runny nose occur in a few days. Then the whole period of the disease to develop.


- First is the appearance of blisters in the oral mucosa, usually on the cheek, gums, tongue side; the blisters are small (2-3mm) on a red background mucosal inflammation. The blisters in the mouth usually crushed quickly create very painful ulcer wound slipped to patient difficulty eating. Next, the appearance of blisters, blister in the feet, hands, sometimes having the blisters, blister in the butt. The blisters, blister is usually painless sore; they exist within 7 to 10 days and then falling down and go away even without treatment.


- If the disease will lead to changes in severe neurological complications, complications to the brain, meninges, causing myocarditis, pulmonary edema, coma ... and can rapidly lead to death (usually before the illness, children irritability, panic, seizures ...).


- One point to note is that many cases children have no obvious symptoms, it fell into severe or later, even those with clear symptoms then again more gently.


Hand, foot and mouth disease in children may occur serious complications. (Photo).


Two. Treatment
Principle:
Symptomatic treatment: Close monitoring for early detection of complications of symptoms to hospitalization for children.


Home treatment: only children treated at home with hand, foot and mouth disease of I.


Antipyretic, analgesic: paracetamol 10 -15mg/kg weight / every 4-6 hours, only used when the child fever from 38 degrees C or more.


Oral hygiene for children by gargling with salt water dilution.


Relax.


Use extra vitamin C, vitamin PP, vitamin A and zinc prescription to support the skin, mucous membranes heal.


Antibiotic prescription when multiple infections.


Re-examined every 1-2 days during the first 7 days of illness.


Track signs heavy: when one of the following symptoms: high fever over 39 degrees C, continuously startled, trembling limbs, distressed, crying, restlessness, seizures, the family should take her to the disease hospital immediately.


3. Prevention
To proactively prevent hand, foot and mouth for young adults noted:


A. Personal hygiene: Wash your hands frequently with soap under running water several times a day, especially before preparing food, before feeding children, holding infants before closing, after toileting, after changing diapers and cleaning baby.


Two. Food hygiene: Food for children should ensure adequate nutrition; cooked food, drink nine; utensils must be clean before use (preferably hot and water immersion) using water for daily activities; not nursed baby food; not feeding children loading, hand sucking, sucking suck toys, and not for your child to share napkins, hand towels, utensils such as cups, bowls, plates , spoons, toys may be disinfected.


3. Clean the toy, where daily life: Households, kindergarten, child care households in the need to regularly clean the surface, exposed daily items such as toys, learning tools, handles gates, staircase handrails, table / chairs, floors with soap or detergent usual.


4. Managers: Use the latrine, excreta, waste of children must be collected, processed and poured into sanitary latrines.


The important point is that the mothers, as well as a kindergarten teacher, kindergarten to detect early signs of oral disease in children limbs, to take measures to 'rescue' most timely.


Hand, foot and mouth disease is an acute infectious disease caused by virus, the disease usually occurs in children (90%). The disease can be scattered or spread in small outbreaks in summer in areas densely populated, poor sanitary conditions.
Children with rickets

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