Western treatment for diarrhoeal diseases
The principles for the treatment of diarrhoeal diseases are prevention of dehydration, correction of dehydration, continuation of diet and rational use of medication。
1. Treatment of acute diarrhoea
(1) prevention and treatment of dehydration: dehydration is of great importance in the treatment of diarrhoea, and oral rehydration therapy (0rs) recommended by the world health organization (who) has the advantage of being effective, simple, affordable and safe and has become the main rehydration route and represents an important development in the treatment of diarrhoea. Oral rehydration treatment is based on the na-glucose coupling mechanism for intestines. The common carry of na-glucose is present on the edge of the pelvis cell brush of the small intestinal velvet, which can be trans-shipped only in combination with na and glucose, even when acute diarrhoea is present. Animal experiments have shown that the ratio of na and glucose in ors solution is appropriate for na and water absorption. Ors contains potassium and hydrocarbons, which can supplement the loss of potassium during diarrhoea and correct acid poisoning。
1 prevention of dehydration: diarrhoea leads to significant loss of water and electrolyte in the body. Thus, from the onset of diarrhoea, children should be given adequate fluids for oral consumption and should continue to feed them, especially breastfeeding, in order to prevent dehydration. Select the following method:
A. Ors: this liquid consists of two thirds of the solution to prevent dilution of the electrolyte by equal or half water during dehydration. After each diarrhea, 50 to 100 ml for children under the age of 2; 100 to 200 ml for children under the age of 2 to 10; and as much as they can drink over the age of 10. Diarrhoea can also be taken from 40 to 60 ml/kg at the beginning。
B. Mitonga salt solution: rice soup 500 ml+saline 1. 75g or powdered rice 25g+saline 1. 75g+water500ml, boiled 2-3min. It's 20 to 40 ml/kg, 4h, and i'll be able to take it at any time。
C. Sugar salt water: white water 500 ml + sugar 10g + fine salt 1. 75g. Usage equals that of the salt solution in mitonga。
2 corrected dehydration: dehydration occurs in the case of diarrhoea, mostly through oral rehydration therapy. Heavy dehydration requires intravenous rehydration。
Oral rehydration: applies to mild, moderate dehydration. There are severe abdominal swelling, shock, poor heart and kidney function and other heavier complications, as well as newborns, which are not suitable for oral rehydration. There are two phases, namely, the phase to correct dehydration and the phase to maintain treatment。
A. Correcting the dehydration phase: correcting the dehydration application 0rs; supplementing the accumulated loss to 50 ml/kg for light dehydration; medium dehydration 50-80 ml/kg. A small number of multiple orals to avoid vomiting affecting the efficacy of the treatment, and the required quantity of liquids is complete in 4-6h。
