After choking milk, the parents made a wrong move, and the baby was diagnosed with aspiration pneumonia! don't do it again

time:2022-12-05 author:Sneeze
After choking milk, the parents made a wrong move, and the baby was diagnosed with aspiration pneumonia! don't do it again

Small babies often spit up and choke on milk. At this time, some anxious parents will quickly pick up the baby, lean on their shoulders, or even pat the baby's back vigorously. Note that this method must not be used. There is a grandmother in the group who likes to hold the baby and shake it horizontally after the baby is fed, but the baby vomits. choked. But the grandma directly picked up the baby and patted the baby's back vigorously. As a result, the next day, the baby began to be lethargic, did not eat milk, and spit bubbles in his mouth. He went to the hospital for an examination and was diagnosed with aspiration pneumonia. Because after the baby is choking on milk, holding it upright will make it difficult for the milk to cough out and enter deeper parts, resulting in more severe choking and severe aspiration pneumonia. Aspiration pneumonia is mostly pneumonia caused by inhalation of foreign bodies, including liquids, aerosols, or endogenous foreign bodies, such as fetal amniotic fluid aspiration, food reflux, inappropriate feeding methods, and so on. These inhaled substances enter the lower respiratory tract, that is, the trachea, bronchi, etc., and may cause infection, and may also cause airway obstruction, which in turn can cause damage to the lungs, resulting in aspiration pneumonia. Aspiration pneumonia can be roughly divided into three types, chemical, bacterial, and obstructive, according to the properties, pathogenesis, clinical manifestations, and treatment guidelines of the inhaled substances.
  • Chemical:
It is the inhalation of some substances that are toxic to the lower respiratory tract, such as aspiration after gastric acid reflux, or during surgery, the patient accidentally inhales gastric contents during anesthesia , or some chemically irritating gases and dust.
  • Bacterial:
Some oral anaerobic bacteria, streptococcus, etc., are sucked into the lower respiratory tract, or infected with some virulent pathogens Bacteria, such as Staphylococcus aureus, Pseudomonas aeruginosa and other aerobic or facultative gram-negative bacilli.
  • Obstructive:
▶ Commonly inhaled fluids, such as amniotic fluid, saline, barium used in angiography, etc. ▶ Some inhaled solids, such as peanuts, vegetable particles, teeth, some inorganic materials, etc. Although divided into 3 types, there may be overlap between these 3 types, such as airway obstruction for a long time, which may lead to infection, accompanied by bacterial infection.

What should I do if I suspect my child has aspiration pneumonia?

If parents suspect that their child has aspiration pneumonia, they must go to the hospital for treatment. You can go to the Department of Respiratory Medicine. If the subdivisions are not so detailed, choose Pediatrics. For aspiration pneumonia, some tests are necessary, such as chest X-ray or chest CT, blood routine, sputum culture, and bronchoscopy. These tests help to determine the specific location of the child's pneumonia, whether there is an infection, what pathogen is infected, and then choose the appropriate medication. However, parents can rest assured that with the current medical level, most aspiration pneumonia can be cured.

How can aspiration pneumonia be prevented?

Aspiration pneumonia is mainly caused by aspiration of some substances. Therefore, we mainly want to avoid the occurrence of child aspiration, such as: let the child eat quietly, do not tease the child while eating, and avoid letting the child laugh or speak loudly while eating. ▶ The eating posture should be correct, and it is not advisable to eat too much. Try not to lie down immediately after a meal to prevent reflux, and do not let the child lie down to eat. ▶ Keeping the mouth clean and maintaining good personal hygiene, such as washing hands before meals and drinking plenty of water, can reduce the incidence of aspiration pneumonia. ▶ When children are swimming or playing in the water, there should be a coach or parent next to them to avoid the occurrence of children choking on water. ▶ Exercise your child to eat a balanced diet, strengthen chewing and swallowing ability, and prevent the aspiration of food scraps. ▶ If the child has symptoms of vomiting, pay attention to the child's position to prevent the child from aspiration. ▶ If the child is going to undergo an upper gastrointestinal endoscopy, communicate with the child before the examination, and encourage the child to cooperate with the doctor to prevent aspiration during the examination. ▶ If there are many liquid or solid particles suspended in the surrounding environment, such as pollen, aerosols of tobacco burning, various dusts, industrial boilers or the smoke formed by unburned fuel in various engines, etc. In this case, the child should wear a mask to prevent aspiration of these substances and cause aspiration pneumonia. Although the particles are small, they may also be the culprit in causing aspiration pneumonia in children. The health of children requires the careful protection of parents. Parents are more attentive, and children's health is more guaranteed.
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