Treatment of neuralgia in newborns can be slightly limited by the age of the child, because many drugs in the period of newborns do not use. Therefore, some medicines may not be used in an acute period, but already during the recovery period.
The main method of treatment is pathogenetic, after careful examination of the patient and revealing the cause of the development of pain.
Emergency care for a pain attack consists of local or central anesthesia. With a view to local anesthesia, novocaine and its analogs are used. In small children are often confined to taking Paracetamol or Ibuprofen, which relieves pain and irritation.
- Paracetamol is a drug that has moderate analgesics and marked antipyretic properties. The drug can be used to treat pain in neuralgia in newborn babies: in the form of a solution for injection during an acute attack, or in the form of a syrup for further treatment. Dosage of the drug for injection - 0.1 milliliter, if used in syrup - it is calculated 10-15 milligrams per kilogram of mass. Side effects can be in the pathology of the liver in the child in the form of toxic effects.
- Ibuprofen is a drug from a group of non-steroid agents. Can be used from the newborn period to relieve pain during neuralgia. Dosage - 8-10 milligrams per kilogram of body weight. Side effects can be in the form of intestinal bleeding, effects on blood cells.
For central anesthesia use anticonvulsant drugs, reception of which in newborns is limited.
Due to the fact that swallowing is a strong trigger factor, a suppository with carbamazepine (0.1 g) is proposed, which are quickly absorbed and therefore anesthesia is more likely. Use drugs acting on the opiate mechanism of antinociception: sodium oxybutyrate, which can be used in children, counting on body weight.
Apply the effect on trigger areas: lubricate the skin with a 5% anesthetic or 5% lidocaine ointment, alcohol tincture of water pepper.
- Anesthetic ointment is an anesthetic for topical application. If the child has an accurate source of the affected nerve, you can use the drug for external use. The way of application - it is necessary to put on the skin of the child one drop of ointment and rub it with a cotton swab. Dosage - apply no more than twice a day. Precautions - Use only after the sensitivity test on the skin of the legs, as there may be a marked allergic reaction. For this test, you need to dilute the ointment in half with water and apply a small drop to the skin, rubbing it. If after two hours there are no redness or other changes, then the ointment can be used.
In the case of irrigation of vegetative formations, people use belloid, bellataminal, pyroxane, spasmolitin.
Treatment of neuralgia of herpetic etiology has some peculiarities, since there are drugs that act specifically on this virus. They use two directions in treatment: elimination of acute attack and antiviral specific therapy.
In the neuritic (acute) stage of the disease, antiviral agents are prescribed:
- Zovirax is an antiviral drug that is active against herpes viruses. Dosage of the drug - 5 10 mg per 1 kg of body weight intravenously drip per 100 ml of isotonic sodium chloride solution, or 0.4 g in tablets 2 times a day for 5-7 days, or as an ointment for external use. Side effects can be in the form of oppression of the nervous system, drowsiness, impaired consciousness.
- Valtrex (1000 mg 3 times daily for 7 days)
- Bonafton and Floreal in tablets or ointments for external use,
- Deoxyribonuclease (0.2% solution for instillation of eyes or in the form of inhalation for 10-12 minutes 2 3 times a day)
- Interferon (for instillation of the eyes and nose 2 drops 3-4 times a day).
For anesthesia, dimexide with novocaine is used in the ratio 1: 3 for compresses, analgesics (2 ml of a 50% solution of analgin intramuscularly up to 2 times a day, baralgin). In case of severe pain, injection of lytic mixtures (2 ml of 50% solution of analgin, 1 ml of 1% solution of dimedrol, 2 ml of 0.5% solution of novocaine, 1 ml of a 2.5% solution of aminazine) is shown.
It is not recommended to use in the acute stage of the disease drugs that improve the conduct on the nerves (vitamins, proserin), because they can cause the development of postherpetic neuralgia. It also makes no sense to use antibiotics, which further depress immunity and do not produce any effect on viruses. Explain the use of antibiotics can only be used as a prophylaxis of secondary infections in the presence of inflammatory diseases (pneumonia, tonsillitis).
In the case of postherpetic neuralgia, it is inappropriate to use anticonvulsants, because they are practically ineffective; dyes that do not have antiviral activity (methylene blue).
Vitamins can be used after the child's recovery to better accelerate the regeneration of the nerves. B vitamins are especially recommended.
Physiotherapeutic treatment can be widely used for the purpose of restoring the muscles of the child before the onset of complications and violations of muscle movements. To this end, microcurrents are used on the affected areas of the skin, as well as massage.
- Flowers of lilac and chamomile perfectly relieve pain syndrome and reduce edema, which can be formed as a result of nerve compression. To prepare the infusion, you need to take thirty grams of chamomile flowers and thirty grams of lilac flowers in fresh form. It is necessary to pour a mixture of flowers with hot water, but not with boiling water, and insist for two hours. After the infusion slightly cool, you need to make bandage compresses on the affected area.
- Black radish can be used to relieve a painful attack in an acute period. To do this, you need to make juice from the radish, and apply a painful syndrome to the place of irritation for a few minutes.
- Burdock relieves pain and swelling, especially with birth trauma, which leads to neuralgia. To prepare a compress you need to take one sheet of young burdock, dry it and add to it water pepper, which you can already ready to buy at the pharmacy. Mix the herbs in a one to one ratio and pour warm water overnight. In the morning, the infusion is ready for use as compresses.
- Wormwood is a natural antioxidant and an anesthetic. To make a brew, you need to make a weak infusion. To do this, 10 grams of dry grass you need to fill with a liter of hot water and insist for ten minutes. Such a solution can be applied to the projection of the affected nerve. Grass can cause allergic reactions in children, so you need to first make sure that there is no allergy.
Herbs are also widely used for the treatment of neuralgia, since many of them have an anti-inflammatory effect and improve nerve regeneration after its compression or damage. Use herbs for infants inside very carefully, so the priority is given to herbal compresses.
- Motherwort and mint leaves can be used to treat neuralgia as a tincture for ingestion. For cooking, you need to take 50 grams of both herbs and insist two hours in hot water. You can give the child two drops of this infusion overnight.
- Sage leaves have a relaxing effect and relieve skin irritation with neuralgia and pain. Very useful in this case for newborn baths with sage. For such a bath you need to take two sachets of sage leaves and pour hot water to make it infuse for ten minutes. After this, you can pour the infusion into the bath and bathe the baby, lubricating the skin after swimming with fir oil, especially in the area of nerve damage.
- Melissa infusion helps to improve the baby's sleep and relieves increased irritability against neuralgia. For cooking, you need to take dry leaves of lemon balm and make tea. Give the child you need a teaspoon at night before going to bed.
Homeopathy in the treatment of neuralgia is especially effective in cases of residual phenomena of muscle function disorders after neuralgia.
- Magnesium phosphoricum is an inorganic homeopathic remedy, which is a magnesium derivative. This drug is used to treat neuralgia, which is accompanied by muscle twitching, muscle tone disorders. Dosage of the drug for newborns - two pellets three times a day. Side effects can be in the form of allergic manifestations and pronounced itching.
- Agaricus is a herbal homeopathic remedy, which is widely used in children's practice. It is effective in treating neuralgia especially the trigeminal nerve in newborns, which is accompanied by reddening of the facial skin and changes in facial muscles. The preparation is used in granules and the dosage is four granules once a week, then two granules per day for three more months. Side effects can be only when the dose is exceeded, then the twitching of the muscles of the child's face may appear.
- Spiegelia is a monocomponent organic drug that is used in the treatment of neuralgia, especially with the expressed anxiety of the child with concomitant stool disorders and abdominal pain. Often apply the drug in the treatment of severe forms of postherpetic neuralgia. The dosage of the drug depends on the degree of disturbances and, with minimal disturbances, it is one granule per day. Side effects can be in the form of lethargy, lowering reflexes.
- Calcium is a homeopathic drug that is used to treat complications after neuralgia - with reduced sensitivity or in the case of prolonged recovery of the function of facial muscles. The drug improves the peripheral conductivity of nerve fibers. The agent is applied in granules two granules five times a day for five days, and then three granules twice a week. The course of treatment is 40 days. Side effects are very rare, can cause a short-term weakening of the stool.
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