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山寨娘娘

山大妞嘴唇被黃蜂蜇到了

2008年10月06日



山大妞每每等到爸鼻載哥哥到幼稚園後
就會在車上一直問哥哥呢
中午媽咪接到山大王後就趕緊去接山大妞
山大王每次都迫不及待跑去擁抱
在老師懷裡等待媽咪接她的山大妞
今天媽咪卻找不到山大妞坐在老師懷裡開心地等著
老師說媽咪經過辦公室沒看見生病的山大妞嗎

原來11點多時山大妞在學校花園玩時
嘴唇被黃蜂蜇到了
媽咪和哥哥趕緊回到辦公室
看到山大妞嘴唇腫起來正被抱在Kim懷裡睡著
媽咪詳細問了事情發生的經過和處理的過程
媽咪實在沒有經驗
被Wasp(黃蜂)螫到要該如何處理
Kim說山大妞在塗小蘇打粉再嘴唇上時
(中和黃蜂螫的毒)有哭一下
之前喝了很多的水但也有吐一次
後來好像吃東西時吃不太下
但不知道山大妞是否對黃蜂毒過敏
最好問問她的醫生

媽咪把睡夢中的妹妹抱起來
遇到Dylan媽咪說Dylan幾週前
也被黃蜂蛰在臉頰上腫起來但沒有吐
媽咪之後抱著山大妞去教室拿她的袋子
帶小朋友午睡後的Vicky老師趕緊給媽咪受傷通知單
說山大妞被螫後也沒大鬧大哭
只是眼淚流下來讓老師們很心疼
給她吃冰棒消腫她也不想吃
哥哥聽到看到妹妹意外發生的經過情形
很擔心心疼妹妹也流下眼淚
還提醒媽咪要打電話給醫生

山大妞睡起來精神還不錯
跟媽咪說"I feel better"
在車上還和哥哥談笑生風
吃小魚乾喝水都沒有問題
似乎毒性漸漸消退中
回到家也吃午餐胃口也還不錯
和哥哥也可以胡鬧吵嘴了
還好傍晚山大妞bee-stung lips就消腫看不太出來了

不知道是不是跟妹妹今天穿了
白底花花裙招惹了黃蜂
還好一個小時左右山大妞就沒事了



What is the treatment of insect bites and stings?
If the reaction is mild, insect stings should be treated by first removing the stinger. This is necessary as the stinger continues to pump venom from its sack until it is empty or removed. The stinger should be removed by using a firm edge such a knife or credit card that is placed against your skin next to the embedded stinger. Apply constant firm pressure and scrape across the skin surface to remove the stinger. This is preferred to using tweezers or fingers, which can accidentally squeeze more venom into the patient. The site should be cleaned with a disinfectant and an ice or cold pack applied to reduce pain and swelling. Topical steroid cream or calamine lotion may be applied several times a day until symptoms subside. If necessary, oral antihistamines can also be taken.

If an insect sting causes a severe reaction or anaphylaxis, urgent medical attention should be sought. If a patient is known to have an allergy to insect stings they may carry with them an allergy kit containing adrenaline (epinephrine). This can be used in such circumstances and may prove to be life saving. A medic alert tag is a wise precaution for those at risk from anaphylaxis.

The main treatment aim of insect bites is to prevent itching. Topical and oral antihistamines, calamine lotion, and topical local anaesthetic agents may provide relief. As generally only brief treatment is required moderate potency topical steroids may also be used to provide a longer effect. Bites from insects carrying disease usually require specific antimicrobial therapy to treat the disease.

Can insect stings and bites be prevented?
The following simple measures can prevent insect stings and bites:

Avoid perfume and bright-coloured clothing to reduce the risk of bee stings
Control odours at picnics, garbage areas etc that can attract insects
Destroy or relocate hives or nests close to your home
Don't leave pools of stagnating water as these attract mosquitoes
Electrical insect repelling devices and lit coils may be effective
Cover all parts of the body with clothing, hats, socks, and gloves if going into areas where there is a high likelihood of getting bitten or stung
Maintain good personal and household hygiene
De-flea cats, dogs and other household pets regularly
Use insect repellents, which are readily available from pharmacies or supermarkets. Those containing D.E.E.T (diethyltoluamide) are the most effective.
Permethrin can be applied to clothing to give protection for two weeks, through two washings. It can also be applied directly to exposed skin keeping the insects away for a few days.
Thiamine (vitamin B1) can be used as a systemic insect repellent (the skin has a characteristic smell)


From: Derm NZ