I had chickenpox when I was a child. Will you get chicken pox when you grow up?

When it comes to chickenpox, everyone is familiar with it. People born in the seventies and eighties have never had a close relationship with chickenpox since childhood! Touching the pock marks left by chickenpox is one of the most vivid memories of childhood. I silently murmured in my heart: chickenpox, I know you!

However, do you really know about chickenpox? If your children, even grandchildren, get chickenpox, can you guarantee that you will get proper care and timely treatment, and won't you regret it?

Winter and spring are the frequent seasons of chickenpox. There are still a few days before school starts (some provinces and cities have started school for a week), and the flow of people has brought opportunities for the spread of chickenpox. After the start of school every year, chickenpox cases that often appear on campus will also cause many parents' worries and worries.

Please get familiar with us again in order to get the first-hand skills against "pox".

1. Is chickenpox just a skin disease?

Although patients with chickenpox will have a rash all over the body, it is not a skin disease, but an acute respiratory infection. The high incidence period is winter and spring. Chickenpox is caused by the first infection of varicella zoster virus, which is more common in children. Children aged 2-6 years are at high risk of chickenpox.

The disease is characterized by a large number of spots, papules, blisters and sc on the skin and mucosa. The main clinical symptoms include fever, headache and sore throat. Common complications include skin infection, encephalitis and adult pneumonia. Chickenpox is easy to cause disease outbreaks, and you can get lasting immunity after illness.

Think back to the chicken pox we got when we were children. Is it from brothers, sisters, classmates or girlfriends? You stopped getting chicken pox after that?

The culprit of chickenpox is actually a virus.

Varicella zoster virus (VZV) is one of the eight herpes viruses known to cause human infection, and it is distributed all over the world. VZV infection can lead to two different clinical diseases: chickenpox and herpes zoster.

Primary VZV infection can cause blisters or chickenpox. Endogenous reactivation of potential VZV usually leads to local skin infection called herpes zoster.

I believe you must have gained new knowledge. Chickenpox in childhood, herpes zoster in the elderly. Facts have proved that these two diseases are caused by the same virus infection. In fact, its name has told us everything. ...

Adults don't get chicken pox, do they?

In many people's minds, chickenpox is a "patent" for children, and adults don't have to worry at all. If you think so, you are out! Because chickenpox is not just "bullying" children!

Chicken pox can be infected at any age. Preschool children aged 2 to 6 are high-risk groups, but adults should be vigilant to prevent being caught. Children with chickenpox have mild symptoms. Because the immune system of adults is relatively healthy, the clinical symptoms are serious after infection. Some patients even have high fever and serious complications. There are several main reasons why adults are infected with chickenpox: you have never been infected with chickenpox before, you have not been vaccinated with chickenpox, or you have not developed effective immunity after vaccination, and then you are exposed to chickenpox-herpes zoster virus, such as taking care of yourself. My son and daughter have chicken pox. This behavior is equivalent to streaking in front of the virus. Coupled with staying up late, irregular work and rest, fatigue leads to decreased resistance, so who can we say the virus is looking for? It is not easy to use it.

No one around is infected with chickenpox.

Why are you infected?

Chickenpox is highly contagious, and patients are the only source of chickenpox infection. Therefore, children with chicken pox will become the main source of infection of the virus. It is generally believed that the infection period of chickenpox begins 48 hours before the appearance of rash, until the skin lesions completely form S, which can be indirectly transmitted through healthy people in a short time, which explains why chickenpox aggregation and infection appear in kindergartens or schools.

Chickenpox spreads widely, mainly through respiratory droplets and direct contact, including contaminated clothes, toys and utensils. The incubation period is usually 2 to 2 1 day, with an average of 14 to 16 days. This mode of transmission means that as long as children come into contact with people who have chickenpox and have no immunity, the chances of infection will be very high.

If chicken pox is diagnosed, it must be isolated as soon as possible until all rashes scab (generally not less than two weeks after illness) to avoid infecting others.

I once received a "soul torture" from an adult chicken pox patient at the outpatient clinic: "Do you know who infected me with chicken pox?" Guess will never get an answer. It turns out that the patient's roommate is a nurse who takes care of it. Tile patients. The virus just jumped and escalated.

5. How come there is no scar after chickenpox is cured?

The pockmark left by chickenpox is a pain in my heart! Especially girls!

Patients may have prenatal symptoms such as fever, headache, sore throat and fatigue 1 to 2 days, which are often more obvious in adults before the onset of rash.

Typical symptoms: relative skin lesions such as fungicides, papules, blisters, pustules and scabs may appear within 1 week after onset, and batches may appear (this phenomenon is called "four generations under one roof"). Rash is a snack distribution, which is common on the head, face and trunk. It also affects the mouth, vulva and scalp, and even the ear canal.

The lesions began as red papules at the tip of the needle, and after a few hours, they evolved into blisters with a diameter of 2mm to 5mm, and there was a blush around them. The blister fluid is transparent at first, and gradually becomes turbid to form pustules. The blister wall is thin and rapid. After about 2 weeks, the scab falls off and generally does not leave scars after healing.

Someone might want to film a case and start-nonsense! What is the scar on my face?

This is mainly because of the recovery period of chickenpox, when the skin will produce unbearable itching. That itch, who knows whose it is!

I would like to remind you that although chickenpox can bring unbearable itching symptoms, you should never scratch, force or tear the scab, especially the scab on your face, which may damage your skin and lead to ugly scars. Children will be difficult to control, but they have no choice but to remain optimistic and distract them if necessary.

In addition, Dr. Mu must also say a few words about early chickenpox and papular urticaria, because both can cause papules and itching, but the latter is more common in limbs, less involving scalp and mucosa, and no fever.

6. If you have chicken pox, can you "sit still"?

For healthy children under 12 years old, chickenpox is usually self-limited and usually not given antiviral treatment. After diagnosis, family isolation and symptomatic treatment are enough. Whether to start antiviral treatment of varicella depends on the patient's age, co-existing diseases and clinical manifestations.

So whether you can "sit down and wait to turn it off" depends on the situation.

It is particularly emphasized here that although chickenpox is usually a self-limiting disease, it may be life-threatening if there are serious complications. If your child has recurrent fever, poor mental state, headache and other symptoms, you must go to the hospital in time to avoid serious consequences.

For patients who have already developed the disease or have a high risk of complications, such as teenagers and adults who have not been vaccinated, it is recommended to carry out antiviral treatment as soon as possible to relieve symptoms and reduce the risk of complications; Symptomatic treatment: antipyretics and sedatives are used for patients with high fever, antihistamines are taken orally for patients with itching, and antibiotics are used for bacterial infections.

7. Daily life of chickenpox patients

What should I pay attention to?

0 1

Isolation is the most important thing

Open the window to ventilate the room so as not to infect others; Patients' clothes and utensils can be ventilated, exposed to the sun or boiled for disinfection.

02

A light and digestible diet

Avoid eating cold and irritating food, make sure to drink enough water and keep your stool unobstructed.

03

Stay in bed and strengthen nursing.

Pay attention to monitoring the body temperature, keep the skin clean, and use topical drugs to dry blisters as soon as possible to form sc to prevent secondary infection.

04

Choose pure cotton underwear

Pay attention to hand hygiene. At the same time, pay attention to pruning nails to avoid scratches and blisters, causing infection or leaving scars.

8. How to avoid close contact with chickenpox?

Although it is highly contagious, it is good that chickenpox can be prevented and controlled, and the focus of controlling chickenpox epidemic is prevention.

Avoid contact with chickenpox patients

In the popular season, children are not taken to crowded public places, and windows are often opened for ventilation to keep the indoor air clean. In addition, patients with chickenpox should be isolated in kindergartens and schools.

active immunity

Chickenpox vaccine is the most effective and economical method to prevent and control chickenpox.

The recommended vaccination targets of varicella vaccine are: 1 to 12 years old children, kindergarten staff, primary school teachers, college students, women of non-pregnant age and other high-risk groups.

This is my destroyer. 15 years ago, my daughter's first priority before going to kindergarten was to pay for her varicella vaccine, which fully proved the basic achievements of dermatologists.

passive immunity

Varicella-herpes zoster immunoglobulin can be used within 96 hours after exposure to varicella or herpes zoster, but its protective effect is limited. At present, there is no such medicine in China. In addition, strengthening exercise and improving immunity are also preventive measures. 9. After vaccination, you won't get chicken pox, will you?

Since the introduction of varicella vaccine by 1995, the most economical and effective way to prevent varicella is vaccination. But this does not mean that the preventive effect can reach 100% after vaccination.

After exposure to varicella virus, about 20% of children vaccinated with varicella vaccine can still develop varicella, but the overall symptoms are mild and complications are not easy to occur. The protection rate of children vaccinated with two doses of varicella virus has increased to over 98%.

If a person with normal immune function suffers from chickenpox, it means lifelong immunity and there is no need to vaccinate against chickenpox.