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Audio Playerhttps://healthymomsmagazine.net/wp-content/uploads/2017/04/Cough-friend-or-foe.mp3
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Introduksjon:
I don’t know about you, but in Charlotte, the kiddies have been doing a lot of coughing this winter. even though it has been unseasonably warm, those viruses have managed to get into the noses and lungs of babies with incredible ease, generating a lot of coughing and sleepless nights. I talk to parents every day in my office, who seem to be frantic to stop their children’s cough. since when did cough become enemy number one for children? Yes, it’s true, a cough makes your kids uncomfortable and means that they are sick, but, in reality, his or her cough is weapon number one preventing them from contracting pneumonia. So in today’s pedcast, I want to change your thinking about cough and have you think of this symptom as a vital protective reflex rather than a nuisance symptom keeping your child awake at night and making them miserable.
Oh, I’m sorry, I forgot to introduce myself. how rude of me. I am Dr. Paul Smolen, a board certified pediatrician with 35 years of practice and a whole lot to say. welcome to another edition of portable practical Pediatrics.
Music Intro:
Science Drive:
Long time listeners of portable practical Pediatrics know that I like to take my listeners to a fictional place I call science Dr., a place where we talk basic concepts in biology, physiology, and science. before we can have a meaningful conversation about the usefulness of cough for your child’s health, we need to review how your children’s lungs manage to stay so healthy most of the year. Let’s start with some terminology. Your child’s nose, sinuses, trachea, bronchioles and even the air sacks called alveoli are lined with cells known as epithelial cells. These cells are filled with mucous that, when your child is healthy, is slowly released and swept toward their throats by millions of beating brooms called cilia. This “River of mucous” as I call it, washes away stray bacteria, dust, and pollen that your child has inhaled and manages to get into their noses, throats, and lungs. Without this constant cleansing of their lungs by the river of mucous, every child would get pneumonia quite frequently. Remember this Doc Smo pearl, “Healthy lungs are healthy for a reason.” In other words, this protective mucous flow along with a strong cough and immune system prevents your children from clogging up their lungs with pneumonia. So now imagine that a nasty respiratory virus (like influenza and RSV) infect and damage a lot of the epithelial cells of your child’s lungs. As the epithelial cells and cilia are shed, they let go of all of their mucous and flood your child’s bronchioles with thick sticky mucous. instead of the normal trickle of mucous, the child is now faced with a tsunami of secretions. No cilia to sweep out the mucous plus buckets of mucous present this child’s lungs with a serious dilemma-how to get this stuff out of the air spaces of the lung? here is where the cough comes into play and thank goodness it does.
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The Cough Dissected
A cough is an amazingly strong reflex, expelling the amount of air equal to about 3/4 of a 2 liter coke bottle with each cough, at speeds of up to 50 miles per hour. The mucous droplets in a human cough (about 3000/cough) have been found to travel several feet from the child who is coughing, and creating a noise as loud as 90 decibels! That’s a forceful, loud, and violent reflex. and it has to be to keep a child’s lungs clean during a severe viral illness. Clearing the mucous and dead cells from their lungs during a respiratory viral infection is the essential function of a child’s cough. As I said before, “Your child’s cough is the only thing standing between them and pneumonia.”
Cough Medicine, yes or No?
Now you can see that thank goodness your child has a strong cough. Without it, your children couldn’t keep their lungs free of pneumonia. giving them cough medicines that dampen this vital reflex just doesn’t make any sense. would they sleep better if you gave it to them, probably yes. would it work, maybe a little? Is it recommended by experts, definitely no. http://www.docsmo.com/from-the-desk-of-docsmo-more-on-otc-coldcough-medicines-article/ So the next time barnet ditt sliter med en stygg brystkjølelse, gi dem honning, skjær dem ned med en godkjent brystgni, gi dem mye å drikke, kanskje tilbringe litt tid i en dampende dusj, og trekke ut den luftfukteren hvis du vil, men ikke Ikke gi dem hostemedisin husker at barnets hoste hjelper dem.
Advarselsskilt med hoste
Før vi forlater hoste, må jeg minne deg på at det er noen situasjoner der en hoste kan signalisere alvorlige problemer. Hoste kan signalisere alvorlige problemer hvis det er assosiert med tungpustethet, pustebesvær, pustethet, innarbeidet pusting, høy feber, bryst, rygg, nakke eller magesmerter, grynting mens du er våken eller sover, eller en hvilken som helst situasjon der barnet ditt bare ser veldig syk . Hvis du ser noen av disse tingene eller bare er bekymret, for all del, få dem sjekket ut så snart som mulig!
Relaterte viktige fakta angående antibiotika
Vel, det er dagens avdrag av bærbare praktiske pediatri. Hvis du liker å diskutere barnehelse og velvære med pedaster, kan du ta et øyeblikk å skrive en anmeldelse på iTunes eller dele noen få episoder med familie eller venner. Det er grunnen til at jeg går til all innsats for å lage dem, for å styrke så mange foreldre jeg kan. Å, og ikke glem å abonnere på www.docsmo.com slik at jeg kan varsle deg om alt det nye innholdet mitt. Dette er Doc Smo, i håp om at barnets hack, hjelper dem med å få sin gode helse tilbake. til neste gang.
Musikalsk outro
Redigert av Dr. Monica Miller-Thanks Monica
SMO -notater:
Hastighetshastighet
http://www.thehealthsite.com/diseases-conditions/the-lighter-side-ofoghough/
Link til dette innlegget: hough-your barns venn eller fiende?
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