Symptoms and treatment of hand foot mouth

summary

Hand foot and mouth disease (HFMD) is an infectious disease caused by enterovirus. There are more than 20 enteroviruses (types) causing HFMD, among which coxsackievirus a16 (Cox a16) and enterovirus 71 (EV 71) are the most common. Most of the cases occurred in children under 5 years old, with mouth pain, anorexia, low fever, small herpes or small ulcer in hands, feet, mouth and other parts. Most of the cases healed within a week, while a few cases could cause complications such as myocarditis, pulmonary edema and aseptic meningoencephalitis. A few severe cases developed rapidly, leading to death. At present, there is a lack of effective drugs, mainly symptomatic treatment. Hand foot mouth symptoms and treatment to talk to you

Symptoms and treatment of hand foot mouth

(1) First of all, children should be isolated, contacts should pay attention to disinfection and isolation, to avoid cross infection. Symptomatic treatment, good oral care. Clothes and bedding should be clean, comfortable and soft, and should be changed frequently. Cut your baby's nails short and wrap your baby's hands when necessary to prevent skin rash. If your baby has a skin rash on his buttocks, you should clean up his stool at any time and keep his buttocks clean and dry. Can take antiviral drugs and Chinese herbal medicine, supplement vitamin B, C, etc.

Closely monitor the changes of the disease, especially the functions of brain, lung, heart and other important organs; Critically ill patients should pay special attention to monitoring blood pressure, blood gas analysis, blood glucose and chest X-ray. Pay attention to maintain water, electrolyte, acid-base balance and protect important organs. Patients with increased intracranial pressure should be treated accordingly. Patients with hypoxemia, dyspnea and other signs of respiratory failure should be treated with mechanical ventilation as soon as possible.

Because antiviral drugs are usually used 24 hours to 48 hours before the onset of the disease is the best. And often when we diagnosed HFMD, we have passed the most effective stage of treatment, and now we do not advocate the use of antiviral drugs.

matters needing attention

Children with related symptoms should go to medical institutions in time. Children should not contact other children, parents should timely dry or disinfect children's clothes, and timely disinfect children's feces; Mild children do not need to be hospitalized, and should be treated and rested at home to reduce cross infection. Daily cleaning and disinfection of toys, personal hygiene appliances, tableware and other items.