How To Prevent Mumps In Children In The Cold Season

Q: I heard that children often get mumps during the cold season. And this disease often causes many complications for children. So please tell the doctor how to prevent and treat children.
Reply
The virus is caused by the scientific name Paramyxovirut, which only appears in humans, usually in children under 15 years old, especially children from 6 to 10 years old.
The disease usually occurs in the winter spring, when the weather starts to turn cold, especially before Tet

. The disease appears in crowded places such as kindergartens, schools, dormitories, dormitories ..
The disease is spread mainly through the respiratory tract due to infected saliva when the person talks, coughs or sneezes.



The disease can be spread to contacts one week before the parotid gland swells and lasts 2 weeks after the parotid gland is swollen.
Symptoms, after incubation period of 15 - 21 days, the virus develops in the oral mucosa, then penetrates into the bloodstream causing inflammation of organs.
Parotid gland inflammation is the most typical form. Children have a fever of 38 - 39oC, headache, fatigue, poor sleep and eating. Inflammation and swelling of the parotid glands, inflated skin, no redness, pain, dry mouth and difficulty swallowing. Usually 4-5 days after the fever, swelling and pain subside and go away.
Mumps in adults is often more severe and has more complications in children There may be complications after testicular inflammation and epididymis, which usually occur after an inflammation of the parotid glands, when the testicles become swollen, painful, and the epididymis stretches like a rope, inflammation.



and fever may persist, about one-third of cases lead to testicular atrophy and can lead to infertility later.
Ovarian inflammation in girls is common at puberty, leaving little consequence of infertility. Complications pancreatitis is a severe manifestation of mumps, patients with severe abdominal pain, vomiting, sometimes lowering blood pressure.
Regarding treatment, mumps currently has no specific treatment, but mainly symptomatic treatment and body support.
Lying cool when there is testicular swelling. Need to isolate patients at least 10-15 days after detecting the disease. Dental hygiene, liquid feeding, analgesic and antipyretic action with paracetamol.
In case of testicular inflammation, it is necessary to wear testicular lifting underwear to relieve pain and take high doses of corticosteroids at the beginning, usually use prednisolon 60mg / day, then gradually reduce over 7-10 days.




Regarding disease prevention, the first thing is that the patient must be isolated at home, not going to school, limiting contact with the sick person, when contacting, they must wear a mask. The duration of isolation for patients is about 10 days from the onset of parotid gland swelling.
Today it is often vaccinated to create an active immunity such as Trimovax or MMR vaccines, the vaccine should not be given to children under 1 year of age, but if the child lives in an epidemic environment, can be vaccinated from 9 month of age.
Do not inject to pregnant women, people who are allergic to the vaccine, who are taking immunosuppressive drugs such as corticosteroids, cancer treatment drugs, people being treated with radiation ....

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