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羊羊得了支氣管炎(bronchitis)
送交者: 胖羊羊他媽 2006年01月23日20:13:42 於 [海 二 代] 發送悄悄話

今天帶羊羊去見了Dr.R.檢查的結果是:支氣管炎(bronchitis)和右耳中耳炎。 :( 另外上牙床前方細菌感染,造成紅腫。Dr.R 說羊羊病得很厲害,要在家裡休養。周四前不要去幼兒園。一周后找Dr.B複查。R開了抗生素,一藥治兩個炎症。另外推薦了非處方的止咳藥,說是可以幫助清理氣管里的粘液。對於紅腫的牙床,R推薦用雙氧水擦拭,每天3次以上。

羊羊病史回顧:從周一晚開始,高燒3天(105F)。周四晚轉為低燒(101F)直到現在。昨天發現上牙床前方呈暗紅色,吃飯時會痛得羊羊大哭。可憐的小傢伙!這一周來每天都吃得很少,高燒退了也很蔫,活躍的時候不多。今天才知道,原來這次不是一般的感冒發燒。

右耳中耳炎有些蹊蹺。我並沒有觀察到羊羊有任何耳朵疼的跡象。不過他現在正在長最後一顆牙:右上方的槽牙。今天看病回來,他指了幾回,示意右邊牙痛。可能是耳朵痛?

支氣管炎(bronchitis)倒是有比較明顯的症狀。羊羊往常發燒只是乾咳,也沒有鼻涕。這次鼻涕特多,偶爾咳,但是呼吸有些困難,又有噪音,有痰的樣子。今天症狀比前幾天還好了些。結果仍被診斷為細菌性支氣管炎(bronchitis)。:(

Dr.R 印象:羊羊今天看病,居然大部分時間都沒有哭!往常檢查耳朵一項他是要奮力反抗的。這次Dr.R看出來羊羊害怕,就花了5分鐘做“安撫工作”:先給羊羊看檢查耳朵的小電筒,裡面有光柱,像個玩具;然後又放到自己耳朵上比劃比劃;最後才給羊羊耳朵上用。羊羊不僅沒有哭,還在Dr.R的喋喋讚賞聲中露出幾分得意之色。對相比之下,Dr.B每次都要我們按住羊羊的肩膀和雙手,他使勁拽着羊羊的耳朵。整個檢查耳朵的過程如同上刑。羊羊每次都拼命反抗,甚至有幾次趁Dr.B俯身之際用腳踢到Dr.B。

但願換大夫的事情能夠成功!Dr.B不僅給羊羊造成了“恐醫症”,也讓我談醫色變。每次羊羊發燒,我都對看醫生這件事很發怵,能不去就不去。這次就拖出了問題。
:(

以下是一篇關於幼兒支氣管炎(bronchitis)的文章。
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http://www.babycenter.com/refcap/toddler/toddlerills/todcold/1189989.html

• What is bronchitis?
• What are the symptoms?
• When should I call the doctor?
• How is bronchitis treated?
• Is there any way to prevent bronchitis?
• Related Links


What is bronchitis?
Bronchitis is an infection of the large airways that connect the throat to the lungs, which are called bronchi. When your toddler has a cold, sore throat, bad flu, or bad sinus infection, the virus that caused the misery can spread to the bronchi. Once the germs take hold there, the airways become swollen, inflamed, and partly blocked with mucus.

While bacterial infections and irritants such as cigarette smoke and dust can also trigger bronchitis, viruses are by far the most common culprits in children.

What are the symptoms?
Your toddler may first have cold symptoms, like a sore throat, fatigue, a runny nose, chills, aches, and a slight fever (100 to 101 degrees Fahrenheit). He'll develop a cough, and he may spit up white, green, or yellow phlegm. His chest may hurt, he may feel short of breath, and he may wheeze. If the bronchitis is severe, his fever may climb for a few days, and his cough may linger for several weeks as the bronchi heal.

Your child's cough could become wetter and more productive near the end of the illness. Some people — almost always adults who smoke or children who live with smokers — suffer bronchitis symptoms for months at a time. This is called chronic bronchitis (as opposed to infectious bronchitis or acute bronchitis), and it's one excellent reason to keep cigarettes out of your house.

When should I call the doctor?
Because the condition is almost always viral, there really isn't much your doctor can do for a child with bronchitis, but call her if you'd like a prognosis or some reassurance. Also let her know if your toddler's cough persists for more than five days or so, or if he has a fever for more than a few days.

Of course, you should call the doctor immediately if your child is having trouble breathing or is breathing rapidly, especially if his temperature is normal, or if he has wheezing in addition to a cough. If your child is turning blue in the face, is struggling for air, or is coughing up blood, call 911 or head for the emergency room.

How is bronchitis treated?
You can't really treat the illness, but you can help alleviate the symptoms. The key is to open up your child's clogged airways. His doctor may prescribe cough medicine containing an expectorant or recommend an over-the-counter brand to help clear out the mucus. As much as you hate to hear your child hacking away, don't give him a cough suppressant — coughing up the mucus helps him heal. If your doctor thinks that asthma is involved in the cough, she may also prescribe a bronchodilator medication to widen your child's airways or a corticosteroid medication to ease inflammation.

Since it's overwhelmingly likely that your toddler's bronchitis is caused by a virus, antibiotics — which kill only bacteria — won't be helpful. If the doctor decides that your child does have a bacterial infection, she'll prescribe antibiotics.

You can help relieve your child's congestion by making sure he drinks eight to ten glasses of liquids each day. If your house has dry air, a cool-mist humidifier can help him breath easier. Cold weather, dust, and smoke can irritate a child's airways, so let him rest in a clean, warm, smoke-free room. You can give him acetaminophen or ibuprofen to ease his fever and pain. (Children who could have a viral infection should never take aspirin because of the risk of Reye's syndrome, a life-threatening disease.)

Is there any way to prevent bronchitis?
Frequent hand-washings, good nutrition, adequate sleep, and avoiding others who are ill — all the things you routinely do to prevent illness — may help. If you think your child may be prone to bronchitis or prolonged or severe respiratory infections, talk with his doctor about giving him a flu shot. And of course, no matter how healthy your child is, keep him away from secondhand smoke.

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