A GP advises a Mandarin-speaking mother on caring for her child with suspected chickenpox.
- GP · turn 1
Hello. I understand Lucy has had a fever and an itchy rash for two days. Please tell me how the illness started and whether she has had contact with anyone who was unwell.
您好。我了解露西發燒並出現發癢的皮疹已有兩天。請告訴我病情如何開始，以及她是否接觸過任何生病的人。
- Mother · turn 2
她先發燒到三十七點八度，接著胸口和臉上出現粉紅色皮疹，現在變成很癢的小水泡。她可能在幼兒園接觸到患病孩子。
She first developed a temperature of 37.8 degrees, then a pink rash on her chest and face. It has now become very itchy small blisters. She may have been exposed to an unwell child at kindergarten.
- GP · turn 3
The pattern is consistent with chickenpox, which is a contagious viral infection. I will examine her, but the rash often appears in crops and the blisters later dry into crusts.
這種表現符合水痘，水痘是一種具傳染性的病毒感染。我會為她檢查，但皮疹常會分批出現，水泡之後會乾燥結痂。
- Mother · turn 4
她晚上癢得睡不著，還一直想抓。我擔心抓破皮膚會留下疤痕或感染。
She is so itchy at night that she cannot sleep and keeps wanting to scratch. I worry that broken skin will leave scars or become infected.
- GP · turn 5
Try to keep her nails short, her skin clean and her hands away from the blisters. I can recommend treatment to relieve itching, but contact us promptly if the skin becomes very red, painful, swollen or produces pus.
請盡量剪短她的指甲、保持皮膚清潔，並避免用手抓水泡。我可以建議緩解瘙癢的治療，但如果皮膚變得非常發紅、疼痛、腫脹或有膿液，請盡快聯絡我們。
- Mother · turn 6
她需要隔離多久？我家還有一個小寶寶，我很怕傳染給他。
How long does she need to stay isolated? I also have a young baby at home and am very worried about passing it on.
- GP · turn 7
She should stay away from childcare and avoid close contact with people who may be vulnerable until every blister has crusted over. Ask your baby's doctor for individual advice if the baby has been exposed or has symptoms.
在所有水泡都結痂前，她應留在家中、不去托兒機構，並避免與可能較脆弱的人密切接觸。如果嬰兒曾接觸或出現症狀，請向嬰兒的醫生尋求個別建議。
- Mother · turn 8
她可以洗澡和正常吃東西嗎？發燒時我應該怎樣照顧她？
Can she bathe and eat normally? How should I care for her when she has a fever?
- GP · turn 9
Keep her comfortable, offer plenty of fluids and let her rest. Gentle bathing and clean clothing are fine; use medicines only as directed, and do not give her anything that has not been recommended for her age and condition.
請讓她感到舒適、提供充足水分並讓她休息。溫和洗澡和穿乾淨衣服都可以；只按指示使用藥物，不要給予未建議用於她年齡和病況的任何藥物。
- Mother · turn 10
甚麼情況下需要立即帶她去急診？
In which circumstances should I take her to emergency straight away?
- GP · turn 11
Seek urgent medical help if she has trouble breathing, becomes unusually drowsy or confused, cannot keep fluids down, has a persistent high fever, or her condition is rapidly worsening.
若她呼吸困難、異常嗜睡或意識混亂、無法保留水分、持續高燒或病情迅速惡化，請緊急就醫。
- Mother · turn 12
謝謝醫生。我會讓她留在家裡、避免抓癢，並留意您剛才說的警告徵象。
Thank you, doctor. I will keep her at home, help her avoid scratching, and watch for the warning signs you have explained.
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