At my girl SMA 2 types how to treat?
Galina asks:
My girl has SMA 2 types, she11let. At the age of 9, an operation was performed in Germany to correct scoliosis. In 2012, she suffered pneumonia in November, and was in intensive care for IV week. This year, at the end of October, pneumonia returned, without resuscitation, but breathing was severely hampered, which was only restored after an injection that relieved pulmonary edema. A month has passed, but the girl is still coughing up phlegm. What should we do? The whole month we do inhalations with pulmicort.
Still done in berudual and lazolvanom. Is it possible to do pulmicorts for so long? How to strengthen immunity? Does anesthesia affect immunity? In February, we will have another surgery to correct contractures. I would very much like to know how to treat such children with bronchitis?
Answer:
Galina, the case with your child is rather unusual, in order to answer the questions asked, you need not only to conduct a visual examination of the child, auscultation, but also to see the results of the tests, the outpatient card, hospital discharge, to know what medications she was treated andother factors. If the girl coughs for so long, it is possible that pneumonia has passed into a chronic form or bronchitis has joined. Here, some inhalations will not help, a complex treatment is needed in a pulmonologist aimed not only at treating the underlying disease, but also to improve immunity, strengthen the body. Moreover, she has yet another operation. Medication, physiotherapy, massage, and hardening procedures are appropriate here. But the approach to such a child must be strictly individual, taking into account all aggravating factors.
Regarding the pulmicort, it can be said that this is a glucosteroid drug, it can be addictive, since with prolonged use it suppresses the function of the adrenal glands and, if discontinued, can cause withdrawal syndrome. Therefore it is very important to observe the dosage and be treated under the supervision of a doctor.
With regard to anesthesia and its effect on immunity - of course, it does not pass without a trace. Therefore, after any surgical intervention with the use of anesthesia, it is so important during the recovery period to monitor the health status, eat well, get enough vitamins and minerals.
Because you have yet another operation, it is extremely necessary to treat the bronchopulmonary pathology of the girl, since it can become a direct contraindication for anesthesia.
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