Health Worlds

Condition analysis:
Henoch-Schonlein purpura is a major allergic diseases involving the capillaries, the vascular type common type of syndrome. In addition to clinical features of skin purpura, the often allergic skin rash, joint swelling, pain, abdominal pain, blood in the stool and hematuria. allergen complex, difficult to identify, and easy to relapse. To this end, we focused on the clinical analysis of different types of them, the implementation of nursing interventions to achieve better clinical results.
Suggestion:
General care to keep indoor air fresh and often ventilation. Pathogenesis of bed rest should be, get out of bed until the symptoms improve after. Strengthen skin care, skin rash observed shape, number, location, whether there is a new bleeding. Keep the skin clean, anti-abrasion, scratched, if ulceration should be promptly treated to prevent bleeding and infection. polyarticular pain and swelling in children the situation should be observed to maintain limb function of position, to help children get comfortable position and avoid intravenous fluids in the limb. abdominal Children should observe whether the abdominal cramps, vomiting, bloody stool, pay attention to stool, and sometimes look normal, but occult blood positive stool specimens should be sacrificing time, and detailed record of stool frequency and character. abdominal pain abdominal hot pack prohibited to prevent bowel bleeding.
Care and drug treatment in the process of allergic pur


pura due to no special treatment, only to support and symptomatic therapy. In acute exacerbation of bed rest, carefully looking for allergens, aggressive treatment of infection, the use of adrenal cortex hormones can improve abdominal and joint pain. General Preferred prednisone, used to ensure that the amount of medication on time, gradually reducing, it should not stop. in the care process should be observed temperature changes, and oral care, prevention of secondary infection. Note that the vomit and stool of children color, to prevent upper gastrointestinal bleeding, regular measurement of blood pressure. watch for euphoria, insomnia, agitation and other mental abnormalities. In addition, must pay attention to electrolyte imbalance, drugs to prevent the rebound to prevent fractures, add enough calcium and vitamin D .For abdominal or mixed in Children with diet control treatment of this disease plays an important role. Because of limited foreign protein into the body, cutting off the combination of antigen and antibody, to avoid the high incidence of allergic sensitization state. Because in this stage, the body in a highly sensitized state, the original is not allergic to vegetables, fruits, etc., this time may also cause allergic reactions. For example, last year admitted to 1 patient in our department, because of longer duration, recurrent abdominal pain, eating only given rice soup, Parents hurt their children, stole bto feed him once again repeated the results of the disease. Therefore, the most basic food starch should start eating, fasting fish, shrimp, meat, eggs, milk, vegetables, fruits and spices and other food, three meals a day are rice soup containing added sugar or salt eaten in moderation. to be 2 to 3 days after hormone abdominal pain, joint pain disappeared, no new skin purpura occurs, there is residue diet may start to increase food and then add a little vegetable soil, 2 progression-free days, repeated, and then add the other vegetables. the general order to add the vegetables: cabbage, cauliflower, cucumbers, potatoes, tomatoes, celery, etc., do not eat pungent vegetables such as garlic, leeks, onions and so on. the order of increasing fruit : apple, banana, pear, orange and so on. Every time a small increase in fruit and vegetables from the beginning, no exceptions and then gradually increased, two vegetables, fruits, the interval between 2 to 3 days. the increase in vegetables and fruits in the process if repeated illness , stop eating, to increase until the symptoms disappear. renovascular purpura, urine pro should also be given low-salt diet. abdominal purpura, severe vomiting and blood in the stool, should be temporary fasting, giving bleeding, fluid replacement and other treatment, vomiting, blood in the stool and then disappeared to give gruel, noodles and other food, according to the above method gradually add complementary.Psychological care because parents of allergic purpura relative lack of knowledge about. Sensitized complex reasons, some patients can not immediately find the cause of the disease. With skin bleeding, abdominal pain, joint pain and spasm application of analgesic effect after the drug is poor, parents are anxious. At this time children and parents, nurses should do the work patiently and carefully explained, so that with the treatment. to be hormone use, the symptoms gradually reduce this time to made it clear that hormone therapy and the importance of diet therapy, both that are not a result of strict implementation of recurrence, so that children and parents can consciously match.
Most of the initial onset of discharge guidance of children in about 1 ~ 2 months of natural healing, the prognosis is good, about 1 / 3 of the patients had recurrence tendency [2]. Should actively look for and to the elimination of allergic factors. Adhere to taking allergy symptoms disappeared, the use of hormones to gradually decrease and make the side effects observed. each week to the hospital refor medical advice medication. For children with food allergies continue to adhere to post-discharge method of increasing vegetable varieties, disease-free again, after 2 months increased lean meat and eggs. kidney damage in children, should be long-term effects on renal function and the monitoring of possible complications, was discharged a year to regularly rethe urine.
Life care:
Not understand the cause of allergic purpura, many factors related to bacteria, viruses, parasites, drugs, food and other inhaled pollen, insect bites, vaccinations, etc. The body of these factors have inadequate immune response, deposition of immune complexes formed blood vessels, causing a wide range of capillary inflammation. The most common clinical feature is skin purpura, more common in the lower extremities and buttocks, symmetrical distribution, purpura sizes, bulge in the skin, the pressure of not fading. articular purpuric major joints red, swollen, pain, were migratory, with knee, elbow, wrist, ankle common, joint effusion. abdominal purpura mainly abdominal pain as the first symptom, and skin manifestations are not typical, clinical prone to cause misdiagnosis. As congestion and edema in the gastrointestinal mucosa caused by severe paroxysmal abdominal cramps and gastrointestinal bleeding, and then cause increased peristalsis or spasm, there may be intussusception, intestinal obstruction and other complications. in clinical inspection should be strengthened, good condition observation and nursing care. renovascular Henoch-Schonlein purpura is the most serious complications. in clinical renal disease seen in 30% to 60% of the children [3]. usually 4 to 8 weeks in the course of the disease appear and the severity of renal damage and disease prognosis . hematuria is the most common clinical manifestations of renal purpura, hematuria, mild proteinuria at the same time, so observe the color and nature of urine is very important to make urine and 24h urinary protein inspection, so that timely symptomatic treatment.


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