treatment of dysentery in children drugs should always be carried out comprehensively and in stages, in accordance with the severity of the disease, age and phase of infection.Carrying out the treatment of dysentery in the home for children infected with mild and moderate.Be sure to hospitalized children infected with severe dysentery, depending on the conditions in which the patient is located.The range of therapeutic measures dysentery includes diet, carrying antibiotic and chemotherapy, performance posindromnoy therapy, physical therapy, vitamins, enzymes, eubiotics, stimulants and others.
Treatment of dysentery in infants
During the treatment of dysentery in infants optimaloption is feeding mother's milk.In the case of artificial feeding the baby shows the use of mixtures of fermented milk, baby food, which contains additives eubiotics (bifillina, biokefir et al.).Older children are encouraged to include in the menu, cheese, sour mix, rice, buckwheat, semolina porridge, carrot and mashed potatoe
In the case of infection of the child mild dysentery , it is assigned a power corresponding to its age.But it should be borne in mind that in the first 2 days of illness is recommended to decrease the volume of food for 15-20% of the physiological requirements and implementation meals 5-6 times a day in the form of heat.All food must be processed mechanically.In the acute phase of dysentery from the diet should be excluded fruits and vegetables, contain large amounts of fat, salty and spicy, fatty and fried foods.
When transferring moderate form of dysentery during the first 3 days the amount of food should be reduced by 20-30% from the physiological norm.After the disappearance of the symptoms of bowel dysfunction and intoxication, the amount of food brought to the norm, and the diet is expanding.Feeding the patient should be 5-6 one-off, the food should be submitted in the form of heat.
for severe dysentery during the first 3 days is necessary to reduce the amount of food for 40-50% of the physiological norm, the patient should receive small portions every 2 hours.When the patient's condition improves, symptoms of intoxication disappear and restores bowel function daily amount of food increased by 10-15%, is gradually brought to the physiological norm, and is similar to the diet of the patient is gradually increasing, and the interval between feedings increases.
Antibiotic therapy is prescribed for children, the sick severe dysentery, and the need to take into account the sensitivity of shigella, circulating in the area.In the treatment of dysentery drugs are often used amoxicillin, ampicillin, nevigramon, unazin, amoksikla.During the treatment of mild, moderate forms prescribers-sorbents.It showed a significant increase in the therapeutic effect of the combination antibiotic therapy and pyrimidine bases having antiphlogistic and stimulating action on the formation of antibodies leykopoez and regeneration processes.Along with the preparations for the entire acute period appointed chelators and bifidokefir 200-400 ml per day.
From the first hours of the disease, it is desirable to start oral rehydration.If for dysentery easy enough 2-3 powders "Oralita" or "rehydron."For moderate and severe disease should enter plazmozameschayuschie intravenous saline solutions.If the child's immune system can not cope on their own with Shigella, and the disease is delayed, then use the means by which the stimulation of the immune system and the body's nonspecific resistance: pentoksil, methyluracil, multivitamins.In the recovery period to correct digestive disorders for an early return to the age-related physiological diet, provided the use of enzyme preparations (abomin, pepsin, pancreatin mezima, Orazov), based on the characteristics of its digestive system and age.
After a course of antibiotics
If, after completing the course of antibiotic treatment of dysentery, the child continues to stand shigella, it is not recommended to reuse their appointment.Then it is advisable to start taking dysentery bacteriophage courses lasting 5-7 days, a galvanizing treatment, taken orally specific immunoglobulin preparation instrumentation for 5 days at a dose of 1-2.In case of bowel dysfunction shows the assignment of probiotics and enzyme preparations, herbal medicine and physical therapy.Through the treatment of severe and sometimes moderate forms of dysentery, appointed posindromnaya therapy includes anticonvulsants, hypothermic, detoxification agents, antispasmodics.With the development of toxicity in a patient with exsicosis, there is a need for oral rehydration therapy.Infusion therapy is prescribed for the detection of neurotoxicity, an infectious-toxic shock or in case of failure of oral dehydration.