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One of the biggest nightmares of parents is that their children have a seizure attack. Remittances are contractions associated with fever or loss of consciousness due to fever, which can be seen especially in neonatal and infancy.
Memorial Atasehir Medical Center, Department of Pediatrics Uz. Dr. Esra Dolar, 'Money transfer watch and what to do during the watch' gave information about.
Approximately 4% of children may have a referral seizure before they reach 5 years of age. In early childhood (between 3 months and 5 years), transfers that are not associated with the brain, which are caused by non-infection and accompanied by fever are considered febrile.
While the incidence of fever-related remittances is 2-5% in children under the age of six, it increases up to 8-22% in family members with fever-related remittances. Shivering in a febrile child is often confused with referral. Some children are referred to lower degrees due to familial tendencies; in some cases, referral may not be seen even in cases of higher fever. Most children do not repeat the transfer; a small number of children can refer to each febrile illness.
Unconsciousness and sudden contraction
When the fever rises rapidly at the beginning of the disease, the seizure begins. The child suddenly loses consciousness, his body contractes or loosens, and sudden contractions of the muscles can occur. Eyes slip, jaw locked, saliva flows from mouth. Within 1 min the contractions are stopped and the child falls asleep exhausted. Transferring seizures can be interpreted as the immature children's brain reacting to temperature changes caused by sudden fever.
• In the transfer due to fire; child is between 3 months - 6 years (often between 6-18 months)
• The temperature is above 38 ° C.
• There is no evidence of inflammation of the brain and membranes.
• There are no other diseases that may cause transfer.
The child who has or is undergoing referral due to fever must be treated by a pediatrician.
WHAT YOU CAN DO AT THE FIRST TIME:
• Most importantly, stay calm.
• Put your child to the side position on a hard surface and squeeze a thick folded handkerchief between his teeth to prevent him from biting his tongue.
• Loosen any clothes that pinch the neck and do not hold the child tight.
• The most important thing that parents can do in children with feverish remittances is to control the fever and to reduce the fever.
WHAT SHOULD BE DONE TO REDUCE FEVER?
• The child who has a fever should be opened immediately. Even if it vibrates, it should not be covered and the room should not be overheated.
• If the fever cannot be reduced, an antipyretic syrup should be given to the child's weight. Wipe the body with warm water; armpit, forehead, chest and groin should be dressed.
• If necessary, you can shower with warm water without wetting the hair.
• If fever cannot be reduced or recurs despite all efforts, consult a pediatrician to investigate the cause of the fever.
CAN CHILDREN WITH FEVER TRANSFER BE A PATIENT OF EPILEPSY?
Repetitive uncontrolled movement disorders caused by abnormal electrical discharge of brain cells for various reasons are called epsi epilepsy.. In short, epilepsy can be defined as the tendency of brain cells to transfer.
After fever remittances, there is a 2% risk of developing epilepsy before 5-7 years of age and 5.5% before 15 years of age. Factors determining this risk are;
• Seizures lasting longer than 15-20 minutes (Long-term referral may cause brain cells to become deoxygenated)
• An anomaly or developmental delay in the nervous system or brain before the onset of febrile remittance.
• It can be listed as the presence of a history of epilepsy in first degree relatives.