For children with nasal obstruction, we should first remove the cause and treat the primary disease. At the same time, cotton swabs should be used to remove nasal secretions and nasal scabs in time. Locally, low concentration vasoconstrictors and anti-inflammatory agents can be dripped to improve symptoms. For example, 5% furosemide nasal drops should be used to drip 1-2 drops into the nasal cavity of infants before feeding. This can make the infants eat milk smoothly and avoid vomiting, choking and breathing difficulties caused by nasal obstruction. . In addition, children with nasal obstruction should not wear masks when they go out in winter, because the mouth and nose are too tightly covered, which will aggravate hypoxia and dyspnea. In addition, pressing the nasal opening point (in the pupil upward two transverse fingers, equivalent to the “Yangbai” point) has the effect of making the nasal cavity smooth.
Why do babies often have stuffy nose?
Children are prone to nasal obstruction and runny nose. On the one hand, it is due to the imperfect immune function, poor physical resistance and susceptibility to colds and other diseases. On the other hand, it is related to the anatomical structure and physiological function of the nasal cavity of children. From the anatomical structure and physiological point of view of the nose, babies are more prone to nasal obstruction than adults. Maxillary and skull dysplasia in children, nasal and nasal cavity is relatively short; nasal hair is sparse; nasal mucosa is soft, blood vessels, lymphoid tissue is relatively rich in adults and so on. The baby’s nasal cavity is small, nasal mucosa slightly swollen, it will obviously affect the nose ventilation, nasal congestion. The baby’s nostril is also small, a small piece of nose excrement can block up the entire nostril, can not breathe. Babies are also more sensitive to cold stimulation than adults.
Therefore, once encountering cold air and airflow with more bacteria, it can directly stimulate the nasopharynx, make nasopharyngeal blood vessel mucosa congested and swollen, increase nasal secretions and scab, make the narrow nasal cavity narrower or even occluded, and then reduce the body’s oxygen inhalation, carbon dioxide emissions obstructed.
Infantile nasal congestion is more common in upper respiratory tract infection. Secondly, nasal diseases such as nasal polyps, nasal septum curvature, nasal foreign bodies or tumors can cause nasal congestion. There are also some drugs can cause congestion and swelling of nasal mucosa and lead to nasal obstruction, such as pregnant women taking blood pressure drug reserpine, can cause nasal obstruction of newborns. In addition, some allergic reactions can also cause nasal congestion.
Two, how can a newborn get stuffy nose?
Children’s nose and nasal cavity are relatively short, the newborn has almost no inferior nasal meatus, no nasal hair, nasal mucosa is soft and rich in blood vessels, so it is vulnerable to infection causing congestion and swelling of nasal mucosa and nasal congestion. The manifestations of nasal obstruction in neonates include difficulty in sucking, irritability and crying, poor breathing or shortness of breath, snoring during sleep, etc.
Neonatal nasal obstruction, first of all, should check whether there is nose excrement or other foreign body blockage in the nasal cavity, if there is blockage, must be removed in time. Removal of nasal obstruction caused by foreign body blockage can be done by following methods:
(1) the dried onion is dried, washed and mashed, and the juice is picked up, 2~3 drops per nose, 2~3 times a day.
(2) If the nose is stuffy or runny, use 3 grams of Angelica dahurica and perilla leaves to study the details and bottle them twice a day for 30-60 seconds. Or moxibustion Baihui point with moxibustion stick (at the intersection of the middle line of the head and the two ear tips) for 5 to 10 minutes each time, twice a day.
(3) For those with nasal obstruction and runny nose, use 3 grams of mint and cicada slough, 120 ml of water, decoct 60 ml, take it three times, one dose a day.
Ephedrine, Dibijing, Bitong and other nasal drops that constrict blood vessels are easy to cause atrophy of nasal mucosa after long use, and should be used with caution. Nose drops for adults can not be used to nose drops for newborns.
To prevent neonatal nasal obstruction, attention should be paid to keeping a certain humidity in the housing, not too dry, to regularly remove nasal excrement, remove nasal obstruction.
Three. Special nursing measures for children with nasal obstruction.