Кто, что знает про то, как и когда грамотно сбивать температуру?

Кто, что знает про то, как и когда грамотно сбивать температуру?

Привет, всем, я собираю инфу сейчас про температуру, вроде как её можно до 40-41 градуса не сбивать жаропонижающими, а лучше агрессивно охлаждать ребёнка под душем, холодильник, фен, сквозняк - что угодно. Мозг начинает плавиться при 42х градусах по цельсию (причём, до такой цифры очень редко доходит), зачем в 38-39 пичкать ребёнка парацетомолом, в толк не возьму, да и современные врачи согласны с такой точкой зрения, если не ошибаюсь, кстати, судороги хоть и пугающе выглядят, на сам. деле безобидны, по мнению врачей. Но это так в общих чертах, на основе текста из Википедии на английском, к-й я привожу ниже.

Теперь вопрос к бывалым, кто, что знает про температуру? Пожалуйста, напишите, как сбивали при какой темпе, какие методы охлаждения использовали, прежде чем стали сбивать медикаментозно...Я набираюсь ума-разума перед первой прививкой, она у нас назначена на 25е число, волнуюсь.

Fever

From Wikipedia, the free encyclopedia

A wide range for normal temperatures has been found.[7]Fever is generally agreed to be present if the elevated temperature is caused by a raised set point and:

 Temperature in the anus (rectum/rectal) is at or over 37.5–38.3 °C (99.5–100.9 °F)[1][7]

 Temperature in the mouth (oral) is at or over 37.7 °C(99.9 °F)[10]

 Temperature under the arm (axillary) or in the ear (otic) is at or over 37.2 °C (99.0 °F)

In healthy adult men and women, the range of normal, healthy temperatures for oral temperature is 33.2–38.2 °C (91.8–100.8 °F), for rectal it is 34.4–37.8 °C (93.9–100 °F), for tympanic membrane it is 35.4–37.8 °C (95.7–100 °F), and for axillary it is 35.5–37.0 °C (95.9–98.6 °F).[11]

Temperature Classification

Core (rectal, esophageal, etc.)

Normal

36.5–37.5 °C (97.7–99.5 °F)[5]

Hypothermia

<35.0 °C (95.0 °F)[6]

Fever >37.5–38.3 °C (99.5–100.9 °F)[1][7]

Hyperthermia

>37.5–38.3 °C (99.5–100.9 °F)[1][7]

Hyperpyrexia

>40.0–41.5 °C (104–106.7 °F)[8][9]

Note: The difference between fever and hyperthermia is the mechanism.

v • d • e

Fever should not necessarily be treated.[29] Most people recover without specific medical attention.[30] Although it is unpleasant, fever rarely rises to a dangerous level even if untreated. Damage to the brain generally does not occur until temperatures reach 42 °C (107.6 °F), and it is rare for an untreated fever to exceed 105 °F (41 °C).[29]

In general, people are advised to keep adequately hydrated, as the most significant risk of complications is dehydration. Water is generally used for this purpose. The risk of hyponatremia induced by increased fluid intake can be reduced through the use of appropriately formulated oral rehydration solutions.[citation needed] Other options include ice pops, juice, and other non-alcoholic drinks.

Some limited evidence supports sponging or bathing feverish children with tepid water.[31] The use of a fan or air conditioning may somewhat reduce the temperature and increase comfort. If the temperature reaches the extremely high level of hyperpyrexia, aggressive cooling is required.[16]

Medications

The antipyretic ibuprofen is effective in reducing fevers in children.[32] It is more effective than acetaminophen (paracetamol) in children. Ibuprofen and acetaminophen may be safely used together in children with fevers.[33][34] The efficacy of acetaminophen by itself in children with fevers has been questioned.[35] Ibuprofen is also superior to aspirin in children with fevers.[36] Additionally, aspirin is not recommended in children and young adults (those under the age of 16 or 19 depending on the country) due to the risk of Reye's syndrome.[37]

Fever phobia

Fever phobia is the name given by medical experts to parents' misconceptions about fever in their children. Among them, many parents incorrectly believe that fever is a disease rather than a medical sign, that even low fevers are harmful, and that any temperature even briefly or slightly above the oversimplified "normal" number marked on a thermometer is a clinically significant fever.[38] They are also afraid of harmless side effects like febrile seizures and dramatically overestimate the likelihood of permanent damage from typical fevers.[38] The underlying problem, according to professor of pediatrics Barton D. Schmitt, is "as parents we tend to suspect that our children’s brains may melt".[39]

As a result of these misconceptions, parents are anxious, give the child fever-reducing medicine when the temperature is technically normal or only slightly elevated, and interfere with the child's sleep to give the child more medicine.[38]

http://en.wikipedia.org/wiki/Thermoregulation#Low_body_temperature_increases_lifespan

Human temperature variation effects

[edit]Hot

 37 °C (99 °F) - Normal body temperature (which varies between about 36.12–37.5 °C (97–100 °F))

 38 °C (100 °F) - Sweating, feeling very uncomfortable, slightly hungry.

 39 °C (102 °F) - Severe sweating, flushed and very red. Fast heart rate and breathlessness. There may be exhaustion accompanying this. Children and people with epilepsy may be very likely to get convulsions at this point.

 40 °C (104 °F) - Fainting, dehydration, weakness, vomiting, headache and dizziness may occur as well as profuse sweating. Starts to be life- threatening.

 41 °C (106 °F) - (Medical emergency) - Fainting, vomiting, severe headache, dizziness, confusion, hallucinations, delirium and drowsiness can occur. There may also be palpitations and breathlessness.

 42 °C (108 °F) - Subject may turn pale or remain flushed and red. They may become comatose, be in severe delirium, vomiting, and convulsions can occur. Blood pressure may be high or low and heart rate will be very fast.

 43 °C (109 °F) - Normally death, or there may be serious brain damage, continuous convulsions and shock. Cardio-respiratory collapse will likely occur.

 44 °C (111 °F) or more - Almost certainly death will occur; however, patients have been known to survive up to 46.5 °C(115.7 °F).[38]

[edit]

http://en.wikipedia.org/wiki/Paracetamol#Adverse_effects

Paracetamol use for fever in the first year of life was associated with an increase in the incidence of asthmatic symptoms at 6–7 years, and that paracetamol use, both in the first year of life and in children aged 6–7 years, was associated with an increased incidence of rhinoconjunctivitis and eczema.[31] The authors acknowledged that their "findings might have been due to confounding by indication", i.e., that the association may not be causal but rather due to the disease being treated with paracetamol, and emphasized that further research is needed. Furthermore a number of editorials, comments, correspondence, and their replies have been published in The Lancet concerning the methodology and conclusions of this study.[32][33][34][35][36][37][38] The UK regulatory body the Medicines and Healthcare products Regulatory Agency, also reviewed this research and published a number of concerns over data interpretation, and offer the following advice for healthcare professionals, parents, and care-givers: "The results of this new study do not necessitate any change to the current guidance for use in children. Paracetamol remains a safe and appropriate choice of analgesic in children. There is insufficient evidence from this research to change guidance regarding the use of antipyretics in children."[39]

Paracetamol hepatotoxicity is, by far, the most common cause of acute liver failure in both the United States and the United Kingdom.[10][41] Paracetamol overdose results in more calls to poison control centers in the US than overdose of any other pharmacological substance.[42] Signs and symptoms of paracetamol toxicity may initially be absent or vague. Untreated overdose can lead to liver failure and death within days. Treatment is aimed at removing the paracetamol from the body and replacing glutathione. Activated charcoal can be used to decrease absorption of paracetamol if the patient presents for treatment soon after the overdose. While the antidote, acetylcysteine, (also called N-acetylcysteine or NAC) acts as a precursor for glutathione, helping the body regenerate enough to prevent damage to the liver, a liver transplant is often required if damage to the liver becomes severe.[7]

Вот, что моя подруга пишет:

охлаждать ребёнка под душем, холодильник, фен, сквозняк - что угодно - не годится! простудишь легкие или еще что - будет хуже.