Monday, March 01, 2010

Why do newborn babies contracted pneumonia?


Refused to neonatal pneumonia
Neonatal pneumonia is a common disease of the neonatal period, symptoms of illness are not very clear, if not early treatment will lead to serious consequences, the new Mummy attention.
Georland baby was born in the winter, premature babies, and health after a few days suffering from pneumonia in newborns. Georland do not know how to do, his own confinement at home, baby in a hospital pediatric hospital, their own milk up was not, think about eating less than a baby, and my heart is really upset. She can not understand why: My newborn baby suffering from pneumonia, how could it? How can I do?
Expert Analysis:
The performance of neonatal pneumonia in infants and young children suffering from symptoms of pneumonia are very different, especially newborns born within two weeks, such as fever, cough, expectoration of these common symptoms of pneumonia, there is little to see. Their main performance is the spirit of bad breath by fast, do not like to suck the breast, Tunai or choking, etc. Most kids do not like fever, some are low-grade fever, close to the full moon of the newborn, there may be cough symptoms. Through the doctor's examination and chest X-ray film can make a diagnosis.
Prompt medical treatment Signal
When parents see the baby's reaction to bad looking hair green, or gray hair, there are groans as adults, and shortness of breath, a small nose kept fan, small head, along with shortness of breath and breathing at the same time increased 1.1 points (ie nod breathing), sternum, the soft tissue between the ribs when inhaling are depressed, when his condition has very serious, and should be rushed to hospital treatment, may not have the slightest delay, otherwise life-threatening.
Why do newborn babies contracted pneumonia?
The major causes of neonatal pneumonia caused by two types: one is inhaled, and one is infectious.
Aspiration pneumonia
Aspiration pneumonia, but also the amniotic fluid aspiration pneumonia, meconium aspiration pneumonia and milk aspiration pneumonia. Pneumonia mainly occurred in the first two children were born before and at birth, due to various causes fetal hypoxia, fetal hypoxia, will produce breathing movements in the womb, it may inhale amniotic fluid and meconium. Both are more serious pneumonia, the child was born there noticeable symptoms, such as bruising, breathing increased rapidly, breathing difficulties, severe cases accompanied by groans. In severe cases, convulsions often accompanied by hypoxia, which require hospitalization.
Parents should be noted that breast milk caused by aspiration pneumonia. As newborns, especially the lighter birth weight baby, mouth pharynx or esophagus reflex immature, uncoordinated muscle movements, often choking milk or milk reflux occurs (Yang milk) phenomenon, the milk be mistaken for pulmonary inhalation Within cause their child to appear cough, asthma, shortness of breath, bruising and other symptoms, the more milk aspiration, the more severe the symptoms.
Pneumonia
Neonatal infectious pneumonia, there are two cases, one is intrauterine infection, one is infected after birth. Pneumonia caused by intrauterine infection, there are two cases: one is back-breaking 24-hour pollution of amniotic membrane as high as 50% ~ 80%. Maternal vaginal bacterial infection of amniotic membrane increased, the fetus resulting from inhalation of contaminated amniotic fluid pneumonia. Secondly, due to infected mothers in late pregnancy, certain viruses, through the blood circulation into the placenta, and later into the baby's blood. Thus, in the mother during pregnancy, the fetus would suffer from pneumonia. The infectious pneumonia after birth, can occur at any time in the neonatal period.
Family members are the main cause of neonatal infections. In close contact with family members of newborns suffering from respiratory tract infection or respiratory tract, if contaminated, would be through the air or direct contact with the virus to baby at birth. In addition, other sites of infection, such as omphalitis, skin infections and sepsis, the pathogens spread to the lung blood-line Erzhi pneumonia.
Neonatal pneumonia to prevent close
1. Expectant mother to do well during pregnancy, health care, maintain a clean living environment, but also pay attention to personal hygiene to prevent infectious diseases.
2. Expectant mothers during pregnancy and have regular prenatal care is essential, especially in late pregnancy, fetal hypoxia can be promptly detected the problem, obstetricians will take the appropriate care and treatment measures to minimize inhalation the incidence of pneumonia and reduce the severity of the disease.
3. The new Mummy to feed her child in one must be careful, if bottle-feeding, nipple hole should be the right size, feeding a child is best when the semi-recumbent, upper body slightly boosted a bit. After feeding the child gently tapping the back, stomach gas emissions, and then observed a moment, found in milk, Yang phenomenon, should promptly pick up the child, patted his back. If a child choking, serious, and have issued Bie, shortness of breath, etc., we must promptly to the hospital.
4. The general neonatal pneumonia is not infectious to others, but if they are twins or multiple births, or have had close contact with, the baby the same age, there is the possibility of cross infections should pay attention to isolation.
5. Suffering from a cold to try to avoid contact with newborn adult, if the mother's cold, should wear a mask to take care of children and breast-feeding. Right to visit sick newborns guests, we must politely refuse. Found that children have omphalitis or skin infection occurs, immediately go to hospital for treatment to prevent the virus from spreading.
6. Parents and other contact with the child's relatives in the care of neonatal wash your hands when you pay attention.
Home Care
Ventilation inside the room should always open the window
Room should be ventilated, have adequate sunlight. Temperature is kept 22 ℃ ~ 25 ℃ is appropriate, and maintain a certain humidity, relative humidity, such as maintained at 50% ~ 60% better. Can be placed in indoor air humidifier. Unconditional can drag a wet floor, for which she was born if it is winter, you can put wet towels on the radiator to increase the air humidity to prevent the air is too dry Ershi sticky sputum is difficult to cough.
Let your baby more to maintain lateral position
To maintain lateral position, head elevation, so that both keep the airway patency, but also to prevent inhalation of vomit in error in the trachea; often removed within a baby's nose and nasal crust, dip cotton swabs can be used warm water to soften. And frequently changing lying posture; more than stand up for the baby gently to burp, to facilitate sputum discharge, increase lung permeability.
Neonatal breastfeeding as much as possible
Because breast milk contains abundant immunoglobulin A, can enhance the baby's respiratory tract disease resistance.
Be careful when feeding
Baby sucking milk when perioral purple, they should immediately pull out the nipple, so baby take a break before feeding; artificial feeding a small baby, pacifier holes should be smaller to avoid choking condition aggravated.
Breast-feeding after going to shoot back
Must take the baby upright after feeding pick up the head-volt in my mom's shoulder to burp, to reduce the Tunai situation.
Physics-based cooling
If the newborn fever appeared to physical cooling dominated. Can be taken to the water, head ice packs, warm water bath to cool the body temperature at 38.5 ℃ above normal before the use of anti-fever medicine.
Neonatal pneumonia QA
Q neonatal pneumonia, what harm?
No matter what type of neonatal pneumonia, a serious illness, there is a certain degree of risk. For example, infectious pneumonia, lung infections may appear large atelectasis and emphysema are more prone to seriously affect a patient's respiratory function in children, severe respiratory failure. Pathogens may also be spread through the body caused by sepsis, and other more serious complications. So, should promptly for medical treatment, under control condition.
Q neonatal pneumonia after-effects do?
Very small. For neonatal pneumonia should be early diagnosis, early treatment, aggressive therapy to curb the disease progress. The majority of neonatal pneumonia after a positive and effective treatment is fully capable of cure, and did not leave any after-effects, and they will not relapse.
However, severe pneumonia and consolidating the body of infection or damage to other organs, such as hypoxia often accompanied by severe cramps, and may cause brain hypoxia, causing damage to the nervous system, there will be the possibility of side effects, the parents should be closely observed .
Q doctors said the baby to learn a few breathing,
I did not remember clearly, how should the number then?
The correct approach is to number at least 1 minute. In general, neonatal (quiet, no crying) normal respiratory rate of 40 ~ 45 times / min. If more than 60 times per minute, that is, increased breathing fast, accurate and can be further to the number 1. If the exception should quickly bring your baby to the hospital.
World Health Organization recommendations, the number of respiratory frequency by the simple method suitable for neonatal pneumonia can be identified, but this method would be easy to pick up her mother. The normal rules of the newborn is not breathing, often burst of fast burst of slow, and sometimes even a short stop. Therefore, the number of 1 minute, when the respiratory frequency can not be multiplied by four the number of 15 seconds. Have to conscientiously on the whole number of 1 minute, in order to ensure accurate and can be separated and then a few minutes a time.

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