Một trong những bệnh thường gặp ở trẻ nhỏ là sốt có thể do nhiều nguyên nhân như cảm nhiệt, sốt siêu vi, nhiễm trùng,… Cha mẹ cần biết cách chăm sóc trẻ để có thể xử lý kịp thời và không đưa đến những tai biến do xử trí sai lầm. Các bậc phụ huynh có thể tham khảo thêm thông tin sau để thêm kiến thức chăm sóc con khi bị sốt.
Cách nhận biết và đánh mức độ sốt của trẻ
Một số biểu hiện thường thấy khi trẻ bị sốt chính là mặt má đỏ bừng hoặc hơi tai, mắt lờ đờ mất đi vẻ tinh nhanh, mệt mỏi, quấy khóc. Dễ thấy nhất là tiếp xúc trán, lòng bàn tay chân thấy nóng. Mẹ có thể lấy má mình áp lên trán của trẻ nếu thấy nóng hơn là trẻ bị sốt. Một chiếc nhiệt kế thủy ngân để đo nhiệt độ luôn là vật dụng cần thiết để kiểm tra tình trạng con lúc này. Bình thường thân nhiệt trẻ từ 36,5 – 37,5, nếu nhiệt độ ở trên 37,5 độ C là trẻ bị sốt.
Các mức độ sốt của trẻ:
- Đo thân mình trẻ nhiệt độ từ 37,5 – 38,5 độ C là sốt nhẹ.
- Khi nhiệt độ từ 38,5 – 39 độ C là sốt vừa.
- Nhiệt độ từ 39 – 40 độ C là sốt cao.
- Cơ thể trẻ có nhiệt độ lớn hơn 40 là sốt rất cao.
Nguyên nhân trẻ bị sốt
Thông thường sốt là một dạng phản ứng của cơ thể trẻ đối với các bệnh nhiễm khuẩn hoặc sự thay đổi thời tiết đột ngột(nóng, lạnh hơn bình thường,…) hay những biến đổi chuyển hóa của cơ thể (mọc răng,…). Tùy vào mức độ sốt của trẻ để có những cách chăm sóc trẻ bị sốt phù hợp, nếu trẻ chỉ sốt nhẹ không quá 38,5 độ C, thì chưa gây tác hại cho trẻ mà còn tạo điều kiện tốt giúp con chống sự nhiễm khuẩn theo cơ chế cơ thể tự trị bệnh. Tuy nhiên nếu sốt cao hoặc sốt quá cao có thể mất nước nhiều có thể gây ra các biến chứng nguy hiểm như co giật tiết nhiều đàm gây tắc đường thở, thiếu oxy lên não, tổn thương não,…
Vì vậy mẹ cần kiểm tra lại nguyên nhân làm trẻ bị sốt, có 2 nhóm nguyên nhân thường gặp sau:
- Sốt do nguyên nhân thông thường: cảm cúm, do virus, viêm mũi họng, viêm amydal,… Tình trạng sốt kéo dài 3-4 ngày kèm theo các dấu hiệu như sổ mũi, hắt hơi, ho hoặc phát ban,.. nhưng trẻ vẫn tỉnh táo, ăn uống được thì được xem là lành tính.
- Sốt là biểu hiện của các bệnh lý nguy hiểm như: sốt rét, sốt xuất huyết, viêm phổi, viêm màng não, viêm não nhiễm khuẩn xuất huyết,… Lúc này đây trẻ thường sốt cao, mệt mỏi khó chịu kèm theo các triệu chứng khác như co giật, nôn, khó thở, vật vã, mặt mũi tím tái, li bì hôn mê gọi hỏi không biết, rét run,… Đây là những trường hợp rất nguy hiểm cha mẹ cần xử lý đúng cách và mang con đến bệnh viện kịp thời sau đó, để lâu hơn sẽ gây nguy hiểm cho tính mạng của trẻ.
Cách chăm sóc trẻ bị sốt
Khi trẻ chỉ sốt nhẹ 37,5-38,5 độ mẹ chưa cần dùng thuốc hạ nhiệt mà chỉ cần cởi bớt quần áo cho trẻ, làm phòng thông thoáng hơn, cho trẻ uống nhiều nước để bù lượng nước bị mất, nếu trẻ đang bú mẹ thì cho bú nhiều hơn. Tránh để trẻ ở nơi có gió lùa, theo dõi liên tục và cứ 3-4 giờ lại đo nhiệt độ lại.
Với trẻ sốt cao trên 38,5 độ C, cho trẻ mặc quần áo lót mỏng mềm, thoáng rộng, giảm nhiệt độ phòng xuống, có thể cho con dùng thuốc hạ nhiệt, miếng dán hoặc đặt thuốc ở hậu môn.
Ngoài ra mẹ có thể dùng thêm khăn bông thấp nước ấm, vắt khô đặt lên trán của trẻ. Dùng khăn lau 2 hõm nách, vùng bẹn, xung quanh người để hạ nhiệt độ cơ thể. Tăng cường hệ miễn dịch và bổ sung chất dinh dưỡng thông qua chế độ dinh dưỡng, cho trẻ uống nhiều nước hoa quả tươi. Mẹ không nên dùng nước đá hoặc chườm đá trẻ có thể bị sốt cao hơn.
Mẹ nên đưa trẻ đến sở y tế khi:
- Với trẻ dưới 5 tuổi sau khi xử lý giảm sốt tại nhà, mẹ nên đưa con đến gặp bác sĩ để xác định nguyên nhân cụ thể, bởi hiện nay có rất nhiều bệnh lý nguy hiểm có dấu hiệu ban đầu là sốt.
- Khi dùng thuốc hạ nhiệt và các biện pháp giảm nhiệt độ tại nhà không có hiệu quả.
- Sốt kèm theo các dấu hiệu như mệt mỏi, mê man li bì, ăn uống kém nôn, đau bụng, co giật, khó thở,…
Trên đây là một số cách chăm sóc trẻ bị sốt thông thường, mẹ có thể cân nhắc và áp dụng để giúp con hạ sốt. Tuy nhiên mẹ cần theo dõi liên tục sau đó và xác nhận nguyên nhân thực sự khiến trẻ bị sốt để có giải pháp phù hợp. Sốt có thể là dấu hiệu phản ứng bình thường của cơ thể trẻ để thích nghi, cũng có thể là dấu hiệu bệnh lý nhưng dù thế nào nếu không xử lý đúng cách chúng đều có thể gây biến chứng nguy hiểm, nên mẹ nhớ cẩn thận lúc chăm con nhé.
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