DISEASES OF CHILDHOOD : COLITIS SIMPLE AND HEMORRHAGIC IN OLDER CHILDREN (COLITIS CATARRHALIS ET HAEMORRHAGIGA) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Infectious disease (causative agent of dysentery, Ргоteus vulgaris and others).
Symptoms. Acute onset, high fever, sometimes dizziness and convulsions, the chair 10 - 15 - 20 times a day with mucus and crewyou, tenesmus.
For. The illness lasts 1 - 2 - 3 weeks.
The transition in the chronic form, the irritation of the kidneys, Peoria.
Should be distinguished from enteritis, gastroenteritis, intussusception and tromboticescoy purpura (intestinal form).
Prediction careful depending on care and treatment.
Rational cooking, food hygiene, especially in the epidemic. Isolation of patients.
The most effective early appointment sulfonamidnuyu drugs (sulfidina, disulfid, alfasol, rice and others). At the beginning of treatment is shown by appointment laxative (castor oil 1 tea, 1 dessert, 1 tablespoon), 2 - 5% solution Natrii (Magnesii) sulfurici (1 tea, 1 dessert, 1 tablespoon 2 to 3 hours 1 to 2 days). 2 - 3-day - disinfectant (bensonetta, salol, white clay); drawstring forms - binding (bismuth, tanalin and others), nicotinic acid, ascorbic acid and other vitamins. When severe tenesmus starch enema with the addition of tincture of opium (½- 1 drop per year of age of the child), but not more than 8 - 10 drops, or opium candles. The basis of treatment is diet: tea - diet-12 - 24 hours; the best results - when Apple diet or from 2-day - mashed rice porridge on the water, pudding, jelly, protein milk, kefir, acidophilus milk; every day to increase the amount of food, don't be afraid of carbs (mashed potatoes, porridge, baked Apple) and protein (cheese, minced meat, boiled meat). Do not give whole milk; cream (5 - 6th day). Specific serum: 30 000 - 40 000 AE polyvalent protivogistaminnoe serum in toxic phenomena; hemotherapy, and transfusion of blood. Heating pad, a warm compress on the abdomen, heart (caffeine, Gitlin). Ascorbic acid 100 mg or more per day subcutaneously or intravenously. A thorough General care.