Signs to identify children with respiratory symptoms after Covid-19 – VnExpress

After Covid-19, some children had symptoms of prolonged cough, chest tightness, fatigue and rapid breathing when playing.

Since the outbreak of the Covid-19 epidemic, up to now, Vietnam has recorded more than 500,000 cases of Covid-19 among children. Although children with Covid-19 often have mild symptoms and recover quickly, some children experience a post-Covid-19 condition that is difficult to avoid.

Common symptoms

According to Dr. BS Do Thi Hanh, Department of Pediatrics, Tam Anh General Hospital, depending on each child, each child may have one or more different symptoms such as fever, cough, prolonged runny nose, abnormal sensations in the chest (chest tightness, chest pain). ), the child has difficulty breathing (such as shortness of breath, rapid shallow breathing, shortness of breath, difficulty breathing with exertion). From there, it leads to the whole state of children feeling tired, which can cause insomnia, and lower health compared to when healthy.

To identify a child with post-Covid-19 symptoms, it is necessary to observe the child, if there are signs such as: Fever (measured temperature above 37.5 degrees) even though it has been cured for a few days. Children have a persistent dry cough or cough with sputum, which can affect children’s learning and activities. Children complain of chest discomfort, chest tightness, chest pain. The child breathes faster than normal, there is a retraction of the sternum or chest indrawing in young children when breathing. Lip color may be slightly purple.

Some other signs such as children are tired and fast breathing when playing, running and jumping. Children have difficulty participating in physical activities with friends or family members. The child must stop participating in physical activities midway through fatigue or shortness of breath. Children have reduced ability to concentrate on learning. Children’s psychology changes such as sadness, depression, anxiety….

Post-Covid-19 examination for pediatric patients at Tam Anh General Hospital. Photo: Provided by the hospital

Dr. Hanh said that the severity and impact of post-Covid-19 respiratory symptoms on children can be determined by the doctor through questioning. At the hospital, patients are assessed for clinical shortness of breath by counting breathing rates, respiratory muscle contractions, SpO2 levels, listening to the lungs can see abnormal breathing sounds such as bronchial rales, striated rales. …

The doctor can also assess the consequences of breathing problems that affect the child’s physical and mental health, such as physical condition, level of fatigue, poor appetite, insomnia, poor concentration, depression or anxiety. …

According to Dr. Hanh, during the general examination, the doctor appoints necessary paraclinical tests such as chest X-ray, respiratory function measurement by spirometry or spirometry; Chest CT, measuring the diffusion of air through the alveolar-capillary membrane (DLCO) helps doctors assess the extent of lung damage, the decline in respiratory function of the child. Thereby, providing appropriate treatment for each child and predicting the child’s disease progression during post-Covid-19 follow-up.

Treatment and care

Doctor Do Thi Hanh said that for children in the post-Covid-19 period, parents need to take the child to the hospital when the child has the above abnormal symptoms to be examined, diagnosed, treated and advised by a doctor. tailored to each specific case.

At the same time, when taking care of children at home, parents should note:

Provide enough water, vitamins, minerals, omega rich foods like salmon for children every day. The meal is nutritious and easy to digest. Babies in the breastfeeding period continue to use breast milk regularly and properly eat solid foods.

Daily hygiene of children’s nose and mouth such as brushing teeth, gargling physiological saline, nasal drops with physiological saline.

Keep your baby warm in cold weather.

Wear a mask when going to crowded places to avoid catching respiratory diseases.

Avoid contact with people who have symptoms of respiratory infection such as sneezing, runny nose, fever, cough…

Vaccinate against respiratory infections according to the vaccination schedule such as pneumococcal vaccine, HI, influenza A, B…

Mr. Chi


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