資料來源:兒科專科醫生趙長成

 

小朋友生病時,部分家長會十分緊張,馬上帶小朋友看醫生或者餵藥。但亦有部分家長會覺得小朋友靜待一陣子就會自然痊癒。實際上,這說法某程度上是正確的,例如輕微的疾病如傷風、咳嗽那些,讓他靜待後會留下一些抗體,可以保護下次免受感染。但家長要注意並非所有疾病都適用。

 

如果一些菌是強勁的,靜待自然痊癒就會出事了,譬如肺炎鏈球菌或腦膜炎雙球菌,一旦感染後24小時內,10人中就有1位死亡。就算不至於死亡,也有12位可能也會終生殘廢,或併發後遺症。所以是否靜待自己痊癒,就要視乎那個病是輕微抑或嚴重。

SourcePediatric Specialist Doctor, Chiu Cheung Shing

 

When children get sick, some parents may become very anxious and immediately take their child to the doctor or give them medicine. However, some parents believe that if they wait for a while, the child will naturally recover. In reality, this approach is somewhat correct to a certain extent. For mild illnesses like the common cold or cough, allowing the child to rest can help them develop some antibodies that can protect them from future infections. However, parents should be aware that not all illnesses can be treated this way.

 

For some strong bacteria, waiting for a natural recovery can be dangerous. For example, with bacteria like Streptococcus pneumoniae or Neisseria meningitidis, if you wait for natural recovery, there can be serious consequences. Within 24 hours of infection, 1 in 10 people may die. Even if death doesn’t occur, 1 to 2 individuals may end up with lifelong disabilities or complications. So whether you wait for natural recovery or not depends on whether the illness is mild or severe.

第二,就一些病而言,就算醫生能斷症,藥物的效果都未必那麼快發揮。如剛才提及的肺炎鏈球菌,有時也有抗藥性,所以都是母親說的那句「病向淺中醫」,醫生就不一定給予藥物,最重要看就是你有否出現併發症,有否一些潛危機。

 

反而吃藥就是徵狀治療,這裡未必是最重要的,是否靜待自己痊癒,就是看你是否幸運。如果只是輕微的疾病,你靜待自己痊癒是沒問題的,但如果是嚴重的疾病,就可能會帶來遺憾。所以在醫生立場,則永遠認為謹慎一點較好,即是生命永遠不要用來作賭博。

Secondly, in the case of some illnesses, even if a doctor can diagnose the condition, the effects of medication may not necessarily be immediate. As mentioned earlier, with bacteria like Streptococcus pneumoniae, there can sometimes be antibiotic resistance. That’s why there’s a saying that “diseases are shallow in Chinese medicine.” Doctors may not always prescribe medication; what’s most important is whether you develop complications or have any hidden risks.


On the other hand, taking medication is symptom management, which may not always be the most critical factor. Whether you wait for natural recovery depends on your luck. If it’s just a mild illness, waiting for natural recovery is fine, but if it’s a severe illness, it could lead to regrets. So from a doctor’s perspective, it’s always better to be cautious, meaning that life should never be used as a gamble.