Prevent Steroids When Used In Children

As in adults, in addition to antibiotics, corticosteroids are very often used to treat and prevent many diseases in children. This is also a group of drugs with many dangerous side effects but often abused. Know how to prevent strokes when using corticosteroids for children.
Use of corticosteroids
Corticoid has anti-inflammatory, anti-allergic and immunosuppressive effects, so it is indicated to treat many diseases in children such as allergies:
Urticaria, allergic edema, skin diseases (eczema, psoriasis, atopic dermatitis);
Asthma;
Arthropathy (rheumatoid arthritis, acute rheumatoid arthritis);
Kidney disease (nephrotic syndrome);
Systemic lupus erythematosus;
Gastrointestinal disease (chronic autoimmune hepatitis);
Malignancies (acute lymphocytic leukemia, lymphomas, Hodgkin, renal cell tumors .

..);
Blood diseases (hemorrhagic immune immune deficiency, autoimmune hemolytic anemia); genital - adrenal syndrome (congenital adrenal hyperplasia) . .




Corticosteroids are widely used after antibiotics
Unpredictable complications of corticosteroids
Corticoids can cause many side effects, especially in infants and infants.
The harmful effects of corticosteroids often seen in children taking high doses of corticosteroids or prolonged use, can affect adrenal function and retard children.
Even topical corticosteroids in children, the most common use of topical corticosteroids to treat eczema itself can be harmful for children. Skin atrophy is the most common side effect.
Corticoids can cause Cushing's syndrome in children. This is a side effect of long-term, high doses of corticosteroids. In children with Cushing's syndrome, it is easy to gain weight, obese is not balanced, fat accumulates in the abdomen and face, the back of the neck and neck, and the limbs are thin and seem to be unchanged from before As for girls who have puberty will appear menstrual disorders or amenorrhea.




Inhibition of the adrenal glands also makes the skin thinner and more prone to bruising, purple stretch marks appear under the skin. Hand cuts, bleeding or insect bites take a long time to heal. The young face becomes round like the moon, accompanied by fatigue, muscle weakness and susceptibility to infections.
Adrenal insufficiency due to prolonged use of corticosteroids inhibits the adrenal glands to secrete corticosteroids, leading to a decrease in the body's ability to excrete corticoids, making children tired, nauseous and worse Can cause low blood pressure or low blood pressure.
Weight gain due to fluid retention, young body fat, big belly, shrunk limbs, thin skin easy bruising, skin cracking in the abdomen.
Corticosteroids can cause hypertension, diabetes, peptic ulcer, hypokalemia (patients will have muscle weakness, possibly arrhythmia).
Corticoid also reduces the body's resistance, so children are more susceptible to infections (tuberculosis, tinea, shingles, chicken pox ..



.), osteoporosis (bone loss of calcium, thinning so easily broken).
Babies develop acne, hirsutism, sterile bone necrosis (usually at the head of femur), muscle atrophy (gluteal muscle, quadriceps muscle), cataract, glaucoma, and mental disorders (insomnia , short temper, inattention, excitement or depression). Corticoids make children grow taller, leading to dwarfism.
Be cautious when using drugs that contain corticosteroids
Prevention of steroids
To prevent and limit the side effects of this drug group, all children receiving corticoid therapy should follow the instructions of a specialist. Most important is to use corticosteroids as directed and according to the instructions of the physician.
When long-term use of corticosteroids must be monitored by a specialist regularly to handle promptly if adverse effects occur.
Do not stop corticoid suddenly, especially those who are taking high doses or have been taking the drug for a long time because of the risk of causing severe acute adrenal insufficiency, which can easily lead to death if not promptly emergency.




Corticosteroids should be used with the lowest dose and for the shortest time according to the treatment requirements are effective enough.
Take alternative medicine as soon as possible.
Preferably use the least effective side-effects of medication such as topical or children with corticoid-dependent bronchial asthma can use nasal inhalation.
Before treatment should take chest X-ray to exclude tuberculosis because corticosteroids aggravate tuberculosis.
When starting and during corticoid therapy, should the child be checked for diabetes or hypertension?
Families should know that corticosteroids can cause mental disorders, so it is important to notify a physician immediately if your child has changes in behavior, cognition or memory.
To prevent osteoporosis, children should drink about 1g more calcium per day and can take more vitamin D, should check every 6 months to see if children have osteoporosis.
Prevent stomach ulcers by giving your child medication with or immediately after meals. Some drugs that can prevent corticoid stomach ulcers are sucralfate, taken 1 hour before meals and before going to bed or ranitidine, losec .



..
If the child shows signs of infection, the area should be treated.

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