{"id":73,"date":"2023-03-15T02:53:57","date_gmt":"2023-03-15T01:53:57","guid":{"rendered":"https:\/\/www.detskalekarkaradi.sk\/?p=73"},"modified":"2025-01-22T21:58:49","modified_gmt":"2025-01-22T20:58:49","slug":"opatrenia-proti-horucke-nielen-u-deti","status":"publish","type":"post","link":"https:\/\/www.detskalekarkaradi.sk\/?p=73","title":{"rendered":"Opatrenia proti hor\u00fa\u010dke"},"content":{"rendered":"\n

(Eduk\u00e1cia nenahr\u00e1dza lek\u00e1rske vy\u0161etrenie!<\/strong>)<\/p>\n\n\n\n

    \n
  1. Tekutiny<\/strong> (vla\u017en\u00e9, chladn\u00e9): voda, miner\u00e1lka bez bubliniek, bylinkov\u00fd \u010daj, u doj\u010den\u00fdch deti\u010diek \u010dast\u00e9 doj\u010denie; vhodn\u00e9 s\u00fa aj peror\u00e1lne rehydrata\u010dn\u00e9 roztoky<\/strong>, napr. pr\u00e1\u0161ky Kul\u00ed\u0161ek<\/a><\/strong> alebo \u0161umiv\u00e9 tbl. Fluidex<\/a><\/strong> (preto\u017ee okrem tekut\u00edn doplnia aj stratu miner\u00e1lov poten\u00edm), die\u0165a s hor\u00fa\u010dkou do jedla nen\u00fatime, ak m\u00e1 chu\u0165 do jedla, pon\u00fakame mu len \u013eahk\u00fa rastlinn\u00fa stravu. Teplotu (pokia\u013e u\u017e die\u0165a nem\u00e1 v anamn\u00e9ze febriln\u00e9 k\u0155\u010de, alebo pokia\u013e nie je mlad\u0161ie ako 2 mesiace) do 38 – 38,5 \u00baC za ka\u017ed\u00fa cenu liekmi nezr\u00e1\u017eame („spomal\u00edme“ t\u00fdm aktivitu imunitn\u00e9ho syst\u00e9mu), len ho \u010dastej\u0161ie sledujeme a db\u00e1me na dostato\u010dn\u00fd pitn\u00fd re\u017eim<\/a><\/strong> – pr\u00edjem aj v\u00fddaj tekut\u00edn (v\u0161\u00edmame si aj farbu a z\u00e1pach mo\u010du, resp. pre presnej\u0161iu orient\u00e1ciu ho m\u00f4\u017eeme doma vy\u0161etri\u0165 diagnostick\u00fdmi pr\u00fa\u017ekami<\/a><\/em><\/strong> – pri dehydrat\u00e1cii sa do fialova sfarb\u00ed \u0161tvor\u010dek v strede pr\u00fa\u017eka na pr\u00edtomnos\u0165 „acet\u00f3nu, ketol\u00e1tok, ket\u00f3nov“, \u010do s\u00fa synonym\u00e1 a pod\u013ea intenzity zafarbenia umo\u017e\u0148uje ur\u010di\u0165 3 stupne z\u00e1va\u017enosti dehydrat\u00e1cie), \u013eahk\u00e9 oble\u010denie a vetranie (u det\u00ed mlad\u0161\u00edch ako 2 mesiace zr\u00e1\u017eame teplotu od 37,5 \u00baC).
    \"\"<\/li>\n\n\n\n
  2. Nezakr\u00fdva\u0165 hrub\u00fdmi prikr\u00fdvkami. Hor\u00fa\u010dka sa nem\u00e1 vypoti\u0165!<\/strong> Pri st\u00fapan\u00ed teploty b\u00fdva tria\u0161ka (je to norm\u00e1lne). Die\u0165a m\u00e1 by\u0165 len \u013eahko oble\u010den\u00e9. Miestnos\u0165 treba dobre vetra\u0165, ide\u00e1lna teplota v miestnosti by mala by\u0165 20-21 \u00baC. <\/li>\n\n\n\n
  3. Teplotuj\u00face die\u0165a pravidelne sledova\u0165<\/strong>! Ak ho uklad\u00e1me spa\u0165 s teplotou okolo 38 \u00baC, mus\u00edme pravidelne mera\u0165 teplotu (pri meran\u00ed v kone\u010dn\u00edku od\u010d\u00edta\u0165 0,5 \u00baC) a v\u0161\u00edma\u0165 si jeho spr\u00e1vanie. V noci si treba natiahnu\u0165 bud\u00edk v cca 1-hod. intervaloch. Teplota sa zni\u017euje tzv. ANTIPYRETIKAMI<\/strong>. De\u0165om pod\u00e1vame lieky s \u00fa\u010dinnou l\u00e1tkou paracetamol (napr. Paralen, Panadol) a ibuprofen (napr. Nurofen, Brufen, Mig), pri vyr\u00e1\u017ekach iba s \u00fa\u010dinnou l\u00e1tkou paracetamol. Nezamie\u0148a\u0165 si, pros\u00edm, antipyretik\u00e1 s antibiotikami: ATB nie s\u00fa ur\u010den\u00e9 na zr\u00e1\u017eanie teploty, zaberaj\u00fa a\u017e po 2-3 d\u0148och! <\/li>\n\n\n\n
  4. STRIEDAV\u00c9 POD\u00c1VANIE ANTIPYRET\u00cdK<\/strong>. Ako prv\u00fd preferujeme PARACETAMOL<\/strong> pod\u013ea stavu ka\u017ed\u00fdch 5-6 hod\u00edn. Jednotliv\u00e1 d\u00e1vka je 10-15 mg\/kg, maxim\u00e1lna denn\u00e1 d\u00e1vka je 50 mg\/kg\/de\u0148. Ak za 2-4 hodiny op\u00e4\u0165 st\u00fapne teplota (e\u0161te nie je dodr\u017ean\u00fd minim\u00e1lny interval 5h), m\u00f4\u017eeme (u det\u00ed star\u0161\u00edch ako 3 mesiace alebo s hmotnos\u0165ou nad 7 kg) poda\u0165 IBUPROFEN<\/strong> – p.p. ka\u017ed\u00fdch 6 a\u017e 8 hod\u00edn, jednotliv\u00e1 d\u00e1vka je 5-10 mg\/kg, maxim\u00e1lna denn\u00e1 d\u00e1vka je 20-30 mg\/kg\/de\u0148, u det\u00ed do 30 kg neprekra\u010dujeme celkov\u00fa denn\u00fa d\u00e1vku 500 mg! Ak die\u0165a nevracia, pod\u00e1me mu sirup alebo tabletku, ak vracia a nem\u00e1 hna\u010dku, pod\u00e1me mu \u010d\u00edpok. Pozor! Neprekro\u010di\u0165 celkov\u00fa denn\u00fa d\u00e1vku a dba\u0165 o dostato\u010dn\u00e9 zavodnenie! Do 18 rokov nepod\u00e1vame Acylpyrin \/ Aspirin (kyselinu salicylov\u00fa)! A napr. pri ov\u010d\u00edch kiah\u0148ach a podobn\u00fdch v\u00edrusov\u00fdch vyr\u00e1\u017ekach ani Ibuprofen, iba paracetamol! <\/li>\n\n\n\n
  5. Pri teplote nad 39 \u00baC m\u00f4\u017eeme popri tekutin\u00e1ch a antipyretik\u00e1ch (ak je ich podanie v spr\u00e1vnej d\u00e1vke bez \u017eiad. efektu) pou\u017ei\u0165 u\u017e aj tzv. FYZIK\u00c1LNE MET\u00d3DY<\/strong> (z\u00e1baly alebo vla\u017en\u00fd k\u00fape\u013e \u010di sprchu). <\/li>\n<\/ol>\n\n\n\n

    Postup pri Z\u00c1BALOCH:<\/strong> <\/p>\n\n\n\n

    a.\/ osu\u0161ku alebo plienku namo\u010di\u0165 v cca 20-22\u00ba studenej vode; <\/p>\n\n\n\n

    b.\/ ovin\u00fa\u0165 \u0148ou hrudn\u00edk od podpazu\u0161ia po doln\u00fd okraj rebier, pod die\u0165a podlo\u017ei\u0165 nepremokav\u00fa podlo\u017eku – s\u00fa\u010dasne dba\u0165 o to, aby ruky a nohy boli tepl\u00e9 (ak s\u00fa studen\u00e9, najsk\u00f4r ich ohria\u0165 v dlaniach, natiahnu\u0165 pono\u017eky, rukavice) – die\u0165a v z\u00e1bale u\u017e neprikr\u00fdva\u0165; <\/p>\n\n\n\n

    c.\/ z\u00e1baly nieko\u013ekokr\u00e1t opakova\u0165, meni\u0165 ich pribli\u017ene po 2-3 min\u00fatach, <\/p>\n\n\n\n

    d.\/ po 5-10 z\u00e1baloch pravidelne kontrolova\u0165 teplotu a v momente, ke\u010f klesne na hodnotu 38,5\u00baC, so z\u00e1balmi presta\u0165!<\/strong> Ak s\u00fa z\u00e1rove\u0148 vyr\u00e1\u017eky na hrudn\u00edku (napr. pri ov\u010d\u00edch kiah\u0148ach), vyr\u00e1\u017eky nemo\u010d\u00edme!<\/strong> <\/p>\n\n\n\n

    \"\"<\/figure>\n\n\n\n

    M\u00f4\u017eeme v pr\u00edpade potreby vysk\u00fa\u0161a\u0165 aj such\u00e9 chladiv\u00e9 g\u00e9lov\u00e9 vrec\u00fa\u0161ka (priklada\u0165 ich nie priamo na ko\u017eu, ale cez bavlnen\u00fa ko\u0161ie\u013eku). Niektor\u00e9 deti maj\u00fa rad\u0161ej SPRCHU<\/strong>. Zo za\u010diatku pou\u017eijeme vla\u017en\u00fa vodu, ku ktorej postupne prid\u00e1vame studen\u0161iu. Nenech\u00e1me die\u0165a v chladnej vode sedie\u0165, aby neprechladli mo\u010dov\u00e9 cesty. Pri sprchovan\u00ed ho prid\u0155\u017eame, aby nespadlo pre n\u00e1hlu slabos\u0165. \u0160etrnej\u0161ie (u mali\u010dk\u00fdch) je posadi\u0165 die\u0165a do vani\u010dky s napustenou vla\u017enou (nie \u00faplne studenou) vodou a \u010distou hubkou mu om\u00fdva\u0165 trup a kon\u010datiny 10-20 min\u00fat. Na poko\u017eke sa vytv\u00e1ra jemn\u00fd film vody, ktor\u00e1 sa odparuje a telo sa tak ochladzuje. Teplotu pravidelne kontrolujeme a pri hodnote 38,5 \u00baC s fyzik\u00e1lnymi met\u00f3dami ochladzovania kon\u010d\u00edme. <\/p>\n\n\n

    \n
    \"\"
    Schematick\u00fd postup lie\u010dby hor\u00fa\u010dky (zdroj: npz.sk)<\/figcaption><\/figure><\/div>\n\n\n

    FEBRILN\u00c9 K\u0154\u010cE: <\/strong><\/p>\n\n\n\n

    \u010co treba vedie\u0165 o k\u0155\u010doch z hor\u00fa\u010dky, ako postupova\u0165… – si m\u00f4\u017eete pre\u010d\u00edta\u0165 v prilo\u017eenom preh\u013eade o hor\u00fa\u010dke na konci tohto textu.<\/p>\n\n\n\n

    <\/p>\n\n\n\n

    Chceme po\u017eiada\u0165 rodi\u010dov o TRPEZLIVOS\u0164. Nie je v na\u0161ich sil\u00e1ch vy\u0161etri\u0165 ka\u017ed\u00e9 die\u0165a hne\u010f po tom, ako mu st\u00fapne teplota, objavia sa sopl\u00edky a p\u00e1rkr\u00e1t zaka\u0161le. Tak\u00e9to die\u0165a potrebuje predov\u0161etk\u00fdm pokoj, tu uveden\u00e9 lieky a ak sa stav nelep\u0161\u00ed ani po nieko\u013ek\u00fdch d\u0148och dom\u00e1cej lie\u010dby<\/em>, vyh\u013eada\u0165 lek\u00e1rske vy\u0161etrenie a, pokia\u013e mo\u017eno, vzia\u0165 so sebou aj mo\u010d.<\/strong><\/strong><\/p>\n\n\n\n

    KEDY VYH\u013dADA\u0164 LEK\u00c1RA?<\/a><\/strong><\/p>\n\n\n\n

    OSPRAVEDLNENKY OD LEK\u00c1RA<\/strong><\/a><\/p>\n\n\n\n

    <\/object>Hor\u00fa\u010dka u det\u00ed<\/strong><\/a>Stiahnu\u0165<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"

    (Eduk\u00e1cia nenahr\u00e1dza lek\u00e1rske vy\u0161etrenie!) Postup pri Z\u00c1BALOCH: a.\/ osu\u0161ku alebo plienku namo\u010di\u0165 v cca 20-22\u00ba studenej vode; b.\/ ovin\u00fa\u0165 \u0148ou hrudn\u00edk od podpazu\u0161ia po doln\u00fd okraj rebier, pod die\u0165a podlo\u017ei\u0165 nepremokav\u00fa podlo\u017eku – s\u00fa\u010dasne dba\u0165 o to, aby ruky a nohy boli tepl\u00e9 (ak s\u00fa studen\u00e9, najsk\u00f4r ich ohria\u0165 v dlaniach, natiahnu\u0165 pono\u017eky, rukavice) – […]<\/p>\n","protected":false},"author":1,"featured_media":44,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"yoast_head":"\nOpatrenia proti hor\u00fa\u010dke - Detsk\u00e1 lek\u00e1rka rad\u00ed<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.detskalekarkaradi.sk\/?p=73\" \/>\n<meta property=\"og:locale\" content=\"sk_SK\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Opatrenia proti hor\u00fa\u010dke - Detsk\u00e1 lek\u00e1rka rad\u00ed\" \/>\n<meta property=\"og:description\" content=\"(Eduk\u00e1cia nenahr\u00e1dza lek\u00e1rske vy\u0161etrenie!) 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