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Što učiniti kada dijete kašlje, postoje li dokazano učinkoviti načini za ublažavanje simptoma?

U ozbiljnijim slučajevima potrebno je odvesti dijete liječniku.. Neki znakovi upozorenja koji ukazuju na potrebu za neposrednom profesionalnom njegom su: otežano disanje čak i u trenucima kada dijete ne kašlje, plavkasta koža oko usta, trajna visoka temperatura, piše BBC.

Većina slučajeva kašlja kod beba, međutim, ima mnogo manje zabrinjavajući uzrok: prehladu, koja je posljedica virusnih infekcija. Prema pedijatrici Soniji Chibi, predsjednici Znanstvenog odjela za pulmologiju Društva za pedijatriju Sao Paula u Brazilu, većina prehlada ne zahtijeva nikakve lijekove. To je samoograničena bolest koja traje od pet do sedam dana bez obzira na uporabu lijekova.

Ako dijete ima razdoblja intenzivnog kašlja i groznice, ali većinu vremena je zdravo, nasmiješi se, igra i ne prestaje piti tekućinu, onda vjerojatno ima prehladu.

U ljekarni su dostupni čak i proizvodi koji tvrde da liječe kašalj. No, prema pregledu koji je 2014. godine objavila Cochrane kolaboracija - međunarodna organizacija specijalizirana za pregled medicinskih studija - nema dovoljno znanstvenih dokaza koji bi opravdali uporabu popularnih lijekova, poput sirupa, za liječenje kašlja kod djece ili odraslih.

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Za roditelje koji vide kako dijete pati od simptoma prehlade, može biti teško prihvatiti da je najbolje čekati da bolest slijedi svoj prirodni tijek i izbjegavati korištenje lijekova. No, u nekim zemljama već je došlo do promjene mentaliteta u tom smjeru, prema pedijatru Dennisu Scolniku, profesoru na Sveučilištu u Torontu u Kanadi i specijalistu za dječje hitne slučajeve.

"Prestali smo koristiti lijekove protiv prehlade u mnogim zemljama jer se ništa nije pokazalo učinkovitim za liječenje virusnog kašlja. Ne koristimo sirupe, čak je i većina već uklonjena iz ljekarni u Kanadi", kaže Scolnik. Navodi da će djetetu s prehladom trebati lijekovi samo ako se pokaže da je potrebno smanjiti temperaturu. Drugi lijekovi imaju rizik od nuspojava i zašto riskirati kada znate da ne djeluju?, kaže pedijatar Dennis Scolnik.

"Shvaćam da u Kanadi, u posljednjih 8 do 10 godina, ljudi to puno bolje prihvaćaju. Čak i oni znaju kada ne morate ići liječniku", kaže pedijatar. "Ali radio sam na drugim mjestima gdje roditelji praktički prijete tužbom pedijatru ako ne prepiše lijek, a odmah žele antibiotik." Scolnik napominje da je u mnogim situacijama liječniku teže provesti 5 minuta educirajući roditelje nego 30 sekundi pišući recept, piše BBC.

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Što učiniti kada dijete kašlje, postoje li dokazano učinkoviti načini za ublažavanje simptoma?

U ozbiljnijim slučajevima potrebno je odvesti dijete liječniku.. Neki znakovi upozorenja koji ukazuju na potrebu za neposrednom profesionalnom njegom su: otežano disanje čak i u trenucima kada dijete ne kašlje, plavkasta koža oko usta, trajna visoka temperatura, piše BBC.

Većina slučajeva kašlja kod beba, međutim, ima mnogo manje zabrinjavajući uzrok: prehladu, koja je posljedica virusnih infekcija. Prema pedijatrici Soniji Chibi, predsjednici Znanstvenog odjela za pulmologiju Društva za pedijatriju Sao Paula u Brazilu, većina prehlada ne zahtijeva nikakve lijekove. To je samoograničena bolest koja traje od pet do sedam dana bez obzira na uporabu lijekova.

Ako dijete ima razdoblja intenzivnog kašlja i groznice, ali većinu vremena je zdravo, nasmiješi se, igra i ne prestaje piti tekućinu, onda vjerojatno ima prehladu.

U ljekarni su dostupni čak i proizvodi koji tvrde da liječe kašalj. No, prema pregledu koji je 2014. godine objavila Cochrane kolaboracija - međunarodna organizacija specijalizirana za pregled medicinskih studija - nema dovoljno znanstvenih dokaza koji bi opravdali uporabu popularnih lijekova, poput sirupa, za liječenje kašlja kod djece ili odraslih.

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Za roditelje koji vide kako dijete pati od simptoma prehlade, može biti teško prihvatiti da je najbolje čekati da bolest slijedi svoj prirodni tijek i izbjegavati korištenje lijekova. No, u nekim zemljama već je došlo do promjene mentaliteta u tom smjeru, prema pedijatru Dennisu Scolniku, profesoru na Sveučilištu u Torontu u Kanadi i specijalistu za dječje hitne slučajeve.

"Prestali smo koristiti lijekove protiv prehlade u mnogim zemljama jer se ništa nije pokazalo učinkovitim za liječenje virusnog kašlja. Ne koristimo sirupe, čak je i većina već uklonjena iz ljekarni u Kanadi", kaže Scolnik. Navodi da će djetetu s prehladom trebati lijekovi samo ako se pokaže da je potrebno smanjiti temperaturu. Drugi lijekovi imaju rizik od nuspojava i zašto riskirati kada znate da ne djeluju?, kaže pedijatar Dennis Scolnik.

"Shvaćam da u Kanadi, u posljednjih 8 do 10 godina, ljudi to puno bolje prihvaćaju. Čak i oni znaju kada ne morate ići liječniku", kaže pedijatar. "Ali radio sam na drugim mjestima gdje roditelji praktički prijete tužbom pedijatru ako ne prepiše lijek, a odmah žele antibiotik." Scolnik napominje da je u mnogim situacijama liječniku teže provesti 5 minuta educirajući roditelje nego 30 sekundi pišući recept, piše BBC.

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Shutterstock Shutterstock
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StoryEditorOCM
ZdravljeKAKO LIJEČITI?

Liječnik podijelio nevjerojatna iskustva iz prakse: ‘Radio sam na mjestima gdje roditelji praktički prijete tužbom ako ne prepišem lijek za prehladu! Svi odmah žele isto...‘

Piše MOZAIK SD
5. svibnja 2022. - 09:52
21886030
PREMIUM
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Što učiniti kada dijete kašlje, postoje li dokazano učinkoviti načini za ublažavanje simptoma?

U ozbiljnijim slučajevima potrebno je odvesti dijete liječniku.. Neki znakovi upozorenja koji ukazuju na potrebu za neposrednom profesionalnom njegom su: otežano disanje čak i u trenucima kada dijete ne kašlje, plavkasta koža oko usta, trajna visoka temperatura, piše BBC.

Većina slučajeva kašlja kod beba, međutim, ima mnogo manje zabrinjavajući uzrok: prehladu, koja je posljedica virusnih infekcija. Prema pedijatrici Soniji Chibi, predsjednici Znanstvenog odjela za pulmologiju Društva za pedijatriju Sao Paula u Brazilu, većina prehlada ne zahtijeva nikakve lijekove. To je samoograničena bolest koja traje od pet do sedam dana bez obzira na uporabu lijekova.

Ako dijete ima...

#KAŠALJ#PEDIJATAR, DJECA#SIRUP
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14. svibanj 2024 15:49