It is often possible to hear the recommendation that in acute respiratory viral infections (hereinafter-SARS) should be observed bed rest. Moreover, bed rest is a very common medical recommendation, which is sometimes found in assignment sheets even month children.
The treatment of disease almost at the genetic level is perceived by us as a necessary attribute of therapy, and violation of the regime-as something that generating problems and complications of the disease.
However, if you start to understand, it turns out that in bed mode pluses are not more than minuses, and so it must be understood: when the bed is really necessary, and when it is not only not needed, but also harmful. It will be mainly about children, because if an adult is able to choose a regime, the parents or other caregivers often make the choice for the child.
What is the harm of bed treatment in SARS?
Perhaps the most important minus of the bed-rest is physiological. A long stay in a horizontal position leads to a decrease in the activity of blood circulation in the lungs and the risk of congestion of mucus on the back of the larynx. As a result of a person is tormented by a strong cough, and increases the likelihood of bacterial complications. It is obvious that blowing and coughing are much more productive in the vertical position.
Another minus of the bed rest is the psychological moment. If we are talking about older children or adults, staying in bed a day can give them thoughts "I am sick, unhappy, I am ill", and the pessimistic mood of recovery is clearly not conducive.
Finally, the argument of the supporters of the bed-and-breakfast that for a speedy recovery need to protect the forces (so that the body spent energy to fight the disease, not the running-prygane), broken into the Pooh, when the baby spends all his energy on the bitter Sobbing, shouting, yelling and trying to get out of bed.
When do you really need bed rest?
The main criterion of the expediency of bed rest should be considered the desire of the patient to lie down. Even the smallest child will understand when he is really bad, and himself choose the bed rest.
However, it is worth remembering that each person has its own "bad". Someone with a temperature of 37 ° C is impossible to get up from the bed, and someone with nozzles and a temperature of 38 ° C feels the strength of the feats.
With respect to health, it should be noted that there are some very rare illnesses in which bed rest is really necessary. A typical example is diphtheria, in which motor activity provokes disturbances from the heart. However, once again, it is a very rare disease and it does not apply to conventional SARS.
Bed rest is also often set due to the contagiousness of the patient. Especially when children live in the house. However, if possible, it is better to isolate the patient in a separate room, rather than limit it to the outside of the bed.
How do I arrange bed rest to avoid "harmful" effects?
If the patient is really bad, and he does not want to get out of bed, you should worry about creating the most favorable conditions for his recovery and minimizing the harmful effects of long stay in a horizontal position, namely:
- It is not necessary to forget about airing and humidifying of air as in a dry stuffy premise mucus in nasopharynx dries up, viruses circulate within a room, dust accumulates. All this leads to nasal congestion, increased cough and soreness in the sternum on its background. Accordingly, stocking thermometer, hygrometer and support air temperature 18-22 °c, humidity 40-60%. If the situation with humidity is sad – you can put an ultrasonic humidifier directly at the bed. At one time only it helped to cope with the runny nose of my newborn daughter;
- While sleeping, raise the head end of the bed so that the mucus does not accumulate on the back of the larynx. If we are talking about small children-it means to put something under the mattress so that the angle is 30 °. When the daughter was very small, at SARS it was covered only by a belly to a belly in a poluvertikalnom position (such rickety "column");
- Ensure that the patient does not lie long in one posture or on one side;
- We aspire to that during waking the patient took a sitting or polusidjachee position. If we talk about small children, we try to spend the maximum possible time vertically/poluvertikalno. Remember that babies can not nose and usually swallow mucus, which can lead to Srygivanijam.
So what's the best way to proceed?
On the basis of the foregoing, it is possible to conclude that bed rest at SARS is necessary only in cases when the patient considers it necessary, and also in case of rare diseases which require exclusion of motor activity.
In other cases, the total restriction of physical activity is inappropriate and even harmful. However once again it is necessary to focus attention on "full" restriction and bed mode.
To limit the patient in physical exertion nevertheless seems reasonable, at least because active physical activity provokes sweating (as consequence, dehydration, drying of mucous membranes, condensation of mucus) and is accompanied Excessive heat production (as a result, increased body temperature).
So, it is better to stick to the "golden mean". There is no sense to darken your (or child) and already unpleasant condition spat in the ceiling, but for the gym (avoidance-jumping) The disease is not the best time. It is optimal to choose some quiet lessons: to walk (about the benefit and harm of walks at SARS it is possible to read here), to draw, to read, to assemble the designer, etc. And to leave the active classes to recovery as an incentive to quickly cope with the disease.