DISEASES OF CHILDHOOD : DYSPEPSIA TOXIC (DYSPEPSIA TOXICA) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Etiology. Inappropriate nutrition (see Dyspepsia simple), especially in immunocompromised children, overheating, intestinal and parenteral infection.
The pathogenesis. Breakdown products of proteins and bacterial toxins damage the intestinal barrier; entering the blood toxins disrupt the function of the liver and all processes intermediario exchange (exsicosis, acidosis), after dysfunction of the Central nervous system played a picture of toxicosis.
Symptoms. Persistent vomiting, watery stool 15 - 20 times a day, dramatic weight loss, a sharp decline in tissue turgor, deafness heart sounds, dizziness, toxic breath, fever, urine protein, sugar, cylinders.
Lasts 7 to 10 days, sometimes it lasts for 2 - 3 weeks. In cases with a favorable outcome weight stops dropping and after a period of standing (reparation) begins to grow. Inflammation of the lungs. Peoria.
Recognition is not difficult. To differentsirovat from colitis, dysentery, cerebrovascular disease, toxic forms of pyuria, acute infections.
Proper diet and training with the first days of life. In the summer especially careful supervision of the preparation of baby food and the purity of the starting materials, careful dietetics weakened children, early and proper treatment is simple dyspepsia; to avoid overheating children. To limit the supply and increase the number of given liquids (tea, remerowski solution, fluid Tirade) when parenteral febrile diseases (otitis media, pneumonia, pyuria and so on).
Diet: tea diet 24 hours; during this time, drink plenty of water, and when heaving - introduction rangelovska solution or liquid Tirade subcutaneously or intravenously. From the 2nd day of the careful introduction of expressed breast milk (5 - 10 g of 8 - 10 times a day); each day the amount of breast milk increases by 50 - 100 g, depending on the severity of injury, With the 5 - 6th day of the child can be applied for 3 - 5 minutes to the chest. In the absence of breast milk after a starvation diet - concentrated congee (150 - 250 g / day); with 3 - or 4-th day is added to the buttermilk or almond milk in gradually increasing quantities. Further very careful transition to a regular diet; especially beware of fat. Along with dietetics, huge importance is the care and drug treatment. Input reg OS or parenteral fluid must fully meet the needs of the child in the water; to drink (remerowski solution mixed with tea) is useful to add 2 to 3 g of soda. For parenteral injection is remerowski solution, fluid Tirade, and 10% glucose solution, to which is added 5% ash. If a strong drop weight good effect gives pituitrin R 0.1 2 hours during the first day, after 3 hours on day 2 and 4 - 5 times during the 3-day. Insulin (2 - 5 units 1 - 2 times a day) works less reliably. Alfasol, sulfathiazole, sulgin, carbosulfan, sulfidina, disulfid, the appointment of 0.1 - 0.2 per 1 kg of weight per day (divided into 4 - 5 receptions - see also Dyspepsia simple. Streptomycin and 20 - 40 thousand 4 - 5 times a day (in the nose or intramuscularly). Heart - caffeine, camphor (often gives abscesses), korazol, Keramin and others With strong anxiety - bromo, luminal. Hemotherapy (5 - 15 ml daily). Serum human blood inside of 10 - 20 ml per day. Heating pad, hot baths as exciting procedure. Avoid prolonged overheating. Early recognition and treatment of otitis media and andrita.