In newborns, such vomiting is usually associated with the fact that their mothers in the later stages suffered from preeclampsia in the edematous form and nephropathy. The crisis itself is repeated severe vomiting that develops in response to any attempts to feed or drink a child. At the same time, it’s not even vomiting itself that is dangerous, but the fact that signs of intoxication and dehydration are growing very intensively - the skin of the little one becomes inelastic, the mucous membranes dry, he cries without tears, the skin visually turns pale. With a severe course of the crisis, the development of a convulsive syndrome is possible.
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Body temperature rises to 37.5-38.5 degrees. The child complains of abdominal pain, there may be constipation or loose stools as a concomitant disorder. Most often, the very first symptoms of an acetonemic syndrome appear by the age of 2-3 years, may intensify by the age of 6-7 years and completely disappear by the time the child reaches the age of 12 years. It will be erroneous to resort to folk and non-traditional means. It is better to start with a visit to the pediatrician, who will find out exactly what kind of azelastine is - primary or secondary. The child will be assigned laboratory tests. With this pathological condition, blood tests are usually characterized by leukocytosis, an increased content of neutrophils, and an increase in the erythrocyte sedimentation rate. Ketone bodies are found in the urine.
THERAPY
It is very important to visit a doctor with your baby, because these symptoms are quite similar to appendicitis, peritonitis, meningitis, encephalitis, brain tumors, poisoning, and even an intestinal infection. Only a qualified medical worker can distinguish one from the other.
- The acetonemic syndrome should be treated comprehensively, and the main task is the correct way out of crises and the prevention of recurrent attacks.
- If the child is small, then dehydration can be deadly for him.
- Therefore, it is advisable to hospitalize babies in a children's hospital, where medical workers will not allow dehydration.
- The diet for acetonemic syndrome requires a rather severe restriction in the diet of fats, but it is recommended to use carbohydrates that are quickly absorbed without load (from cereals, cereals).
- The menu should provide for a special drinking regime - you need to drink often and little by little.
EDUCATION
Between attacks, parents should not allow periods of prolonged fasting. The child should be regularly shown to the local pediatrician.
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Sometimes doctors consider it necessary to prescribe a course of vitamins, enzymes, and massage for prevention. In pharmacies, express tests for the determination of acetone and ketone bodies are available, with their help, parents can independently monitor the child's condition by conducting a urine test at home.
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Give water every 10-15 minutes in small portions (10-15 ml) to give the child ROP. Combine POP with non-carbonated alkaline mineral water, cold tea with lemon, compote. With mild dehydration: the volume of ROP (ml) in the first 4 hours - Body weight x 40. The daily volume of solutions for OP (ml) - 100-130 ml / kg of body weight. ROP in the daily volume of liquid from 50% to 70%. (15kg = 750, 1200) With moderate dehydration: volume in the first 4 hours - body weight x 75. The daily volume of solutions for OP should be 150-200 ml / kg body weight. Combination of ORT and IT. ROP in the daily volume from 40% to 50% (15 kg + 1000, 1600) If there was vomiting - a break of 10 minutes, then 1 tsp. every 2-3 minutes, then 2-3 tablespoons every 15 minutes.
Avoid identified dietary stimuli such as chocolate, cheese, and monosodium glutamate E621, which may prevent an episode without medication. If psychological stresses are causing episodes, a psychologist, stress management techniques, or sedatives (such as lorazepam or diazepam) may help stop attacks early. However, it may not be possible to avoid common triggers such as driving and getting infected. The main provoking factor is the relative or absolute lack of carbohydrates and / or the predominance of the formation of ketogenic amino acids and fatty acids while meeting the energy needs of the body due to various reasons. Factors facilitating the development of the syndrome: the presence of a neuro-arthritic anomaly of the constitution, any stressful, toxic, infectious, alimentary, endocrine effects on energy metabolism.
THERAPY
EDUCATION
Ondansetron Promethazine Prochlorperazine Triptani The combination of lorazepam and ondansetron is more effective than ondansetron alone for ECG monitoring (QT interval monitoring). Triggers are trigger factors.
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Principles of treatment of acetonemic vomiting syndrome according to international protocols: