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【玫瑰疹】BB發高燒又出紅疹 係咪患上玫瑰疹?爸媽有咩要注意?

2023-08-25 5min read
【玫瑰疹】BB發高燒又出紅疹 係咪患上玫瑰疹?爸媽有咩要注意?

當爸媽後其中一樣最擔心的事,莫過於bb發高燒。發燒雖然是常見的症狀,不過,如果bb持續數天發高燒,退燒後身體出現紅疹,便有可能是患上嬰幼兒常見的「玫瑰疹」。那麼,哪個年齡最容易感染玫瑰疹?如何治療?紅疹在多久後會消退?會否傳染?爸媽又應如何照顧?10Life整理了有關玫瑰疹的資訊,給爸媽們參考。

玫瑰疹有甚麼症狀?有潛伏期嗎?

玫瑰疹最常見於半歲至兩歲的嬰幼兒,潛伏期介乎5至15日,有兒科醫生指出,玫瑰疹最主要的病徵是發高燒至39-40度,並且維持3至5天。雖然bb發高燒的原因很多,但假如退燒後身體出現紅疹,便要留心bb可能患上玫瑰疹。該名兒科醫生補充,玫瑰疹引起的高燒與流感不同,前者bb雖然發高燒,但仍然十分「精靈」,反之,如果感染流感,bb會精神不振。

雖然絕大部份玫瑰疹患者都是幼童,但從未感染過的大人,仍有機會患上玫瑰疹,不過成年人的症狀一般不明顯。

紅疹會在哪些部位出現?多久會好?有沒有併發症?

因玫瑰疹而引起的紅疹,首先會出現在軀幹和頸部,再蔓延至手腳等部位,但不會感到痕癢,大約3天後,紅疹便會開始消退,一般不需要特別治療。醫生若處方藥物,主要目的是紓緩bb發燒不適。當紅疹完全消退,便算痊癒。

玫瑰疹甚少引致嚴重併發症,但發高燒期間,bb有機會出現「發燒抽筋」,即反白眼、呼吸困難和手腳抽搐。

如何照顧感染玫瑰疹的bb?有甚麼要注意?

眼見bb發高燒、出紅疹,爸媽或許會不知所措,甚至會藥急亂投醫,以下整理了一些可以幫助bb減低不適的方法:

X

  • 服用醫生處方的退燒藥,減少出現發燒抽筋的機會
  • bb多喝水
  • 以温水沖涼,有助幫bb降温
  • 減少穿衣以盡快散熱
  • 留家休息,直至bb完全退燒及退疹
  • bb發高燒期間,可能會身體滾燙同時手腳冰冷,此時不應添衣或蓋被
  • 不要自行服用含有阿斯匹靈的退燒藥
  • 不要自行搽含有類固醇或成份不明的藥膏

有哪些原因會導致感染?玫瑰疹會傳染嗎?如何預防?

玫瑰疹是由病毒引起的病症,多數是人類皰疹6型病毒(HHV-6),亦有少部份是人類皰疹7型病毒(HHV-7)。

玫瑰疹的傳染方式與普通感冒類似,主要透過飛沫傳播,例如打噴嚏或咳嗽。當身體出現紅疹時,傳染性已經降低。此外,感染玫瑰疹與天氣或季節無關,全年都有機會患病。

預防玫瑰疹的方法亦與感冒類似,主要是保持良好的個人及環境衞生,例如觸摸公共設施後要洗手、經常清潔和消毒傢俬和玩具、保持室內空氣流通等。

玫瑰疹和麻疹有甚麼分別?如何分辨?

玫瑰疹和麻疹同樣會導致bb發燒和出疹,但兩者的傳染性和嚴重程度都有很大差別,其中兩個較簡單的分辨方法是觀察紅疹的形狀,以及出疹後有沒有退燒。

 玫瑰疹麻疹
傳染方法主要透過飛沫傳播除了飛沫傳播,亦可透過空氣傳播,傳染性高
病徵初期沒有明顯症狀,之後會發高燒至39-40度,退燒後出紅疹初期會發燒、咳嗽、流鼻水等,個別患者的口腔內會出現白點;病發後3至7天會出紅疹
發燒情況出疹後會退燒出疹後不會退燒
出現紅疹的部位主要在胸口、背部和四肢出現玫紅色斑點塊狀紅疹,通常由面部擴散到全身,紅疹比玫瑰疹更密集,令身體通紅
併發症風險較低較高,例如肺部感染、腦炎

嬰幼兒或兒童可以買醫療保險嗎?

小朋友抵抗力弱,容易生病,有時甚至需要住院,因此,購買醫療保險有助他們更靈活地接受合適治療。如有需要,可參考10Life較早前比較不同兒童自願醫保的保費和自付額的文章,或10Life《保險解碼器》初步了解。

註:   
1. 資料來源:香港紅十字會、傳媒報道、領康醫療   
2. 本文最後更新日期:2023年8月25日。   
 

10Life Editorial Team

Our team of professional content researchers focussing on insurance

10Life Editorial Team

Our team of professional content researchers focussing on insurance

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