Family Road Travel

Bolest

Putni mučnina kod djece: šta pomaže

Antihistaminici imaju Cochrane pregled iza sebe. Većina onoga što se prodaje pored njih na polici ne pomaže.

Ažurirano 2 min čitanja 36 citati Snaga dokaza 4/5

Vozila osigurana na zatvorenoj palubi trajekta u Baltičkom moru
Clemens v. Vogelsang · CC BY 2.0 · Wikimedia Commons

Zašto se to dešava

Vaš vestibularni sistem prijavljuje kretanje; vaše oči prijavljuju stacionarni unutrašnji prostor. Mozak prima dva nespojiva izvještaja o istoj situaciji i reagira mučninom. Taj jedinstveni mehanizam objašnjava gotovo sve praktične savjete.

Također objašnjava zašto vozač rijetko osjeća mučninu: oni mogu vidjeti kuda auto ide i anticipirati svaki pokret, tako da se izvještaji slažu.

Farmakološko liječenje bolesti u putovanju

Šta ima dokaze

Opcije, prema snazi dokaza
PristupDokaziNapomena
AntihistaminiciCochrane pregled [2]Sedacija je glavni kompromis; doziranje prema dobi, pitajte farmaceuta
SkopolaminMeta-analiziran [1]Obično za stariju djecu i odrasle; oblik flastera
Gledanje u horizontMehanistički zvučnoPrednje sjedište gdje je zakonski dozvoljeno i prikladno za dob
Svjež zrak, cool kabinaŠiroko preporučenoNiska cijena, slabi dokazi, nizak rizik
Izbjegavanje ekranaMehanistički zvučnoDirektno pogoršava vizualno-vestibularni sukob
Akupresurne trakeSlabi i nedosljedniBezopasne; efekti očekivanja vjerojatno objašnjavaju prijavljenu korist.
ĐumbirMješovitoNeki dokazi u drugim kontekstima mučnine

Praktične mjere

  1. Sjednite ih gdje mogu gledati naprijed. Vizualne i vestibularne informacije se bolje slažu kada gledaju naprijed nego sa strane.
  2. Održavajte kabinu cool i ventiliranu. Vrućina i zagušljivost pogoršavaju situaciju.
  3. Lagana hrana unaprijed. Prazan stomak i teški obrok su oboje lošiji od nečega malog.
  4. Pređite na audio na zavojitim putevima. Autoputevi su daleko podnošljiviji za ekrane nego planinske prolaze.
  5. Stanite na prvom znaku. Kada povraćanje počne, ostatak putovanja je mnogo teže spasiti.
  6. Ponesite očigledni pribor. Vreće, maramice, promjena odjeće, voda. Priprema smanjuje stres svima.

Česta pitanja

Koji je tretman najefikasniji?
Antihistaminici imaju podršku na Cochrane nivou [2]. Sedacija je kompromis, a doziranje treba provjeriti s farmaceutom.
Da li narukvice djeluju?
Dokazi su slabi i nedosljedni. Bezopasne su, a prijavljena korist vjerovatno se može objasniti efektom očekivanja.
Da li će to prerasti?
Većina djece to prerasta. Osjetljivost obično dostiže vrhunac sredinom djetinjstva i potom opada.
Da li su tableti u autu loša ideja?
Za osjetljivo dijete na vijugavom putu, obično jeste. Audio sadržaj postiže istu distrakciju bez vizuelnog sukoba.
Parkiralište za usluge sa parkiranim automobilima i niskom zgradom usluga iza
Lewis Clarke · CC BY-SA 2.0 · Wikimedia Commons

Povezano čitanje

Dokazi iza ove stranice Stog grafikon koji prikazuje sastav 34 publikacija citiranih na ovoj stranici prema vrsti studije. 131263meta-analysis (13)randomised trial (12)review (6)other (3)
34 publikacija, 1999–2025. To je mješavina koja uključuje i ispitivanja i sinteze, što je pozicija iz koje je tvrdnja o uzroku razumna. Izvor: vlastita lista citata ove stranice, ispod.

Reference

Svaka citacija u nastavku povezuje na izvorni recenzirani zapis na PubMed-u ili putem DOI-a. Ništa ovdje nije zamjena za medicinski savjet.

  1. Mental health during the COVID-19 pandemic in children and adolescents with ADHD: A systematic review of controlled longitudinal cohort studies Dessain A, Parlatini V, Singh A, et al. · Neuroscience and biobehavioral reviews · 2024 · Systematic review DOIPubMed 38065419
  2. Scopolamine for patients with motion sickness: a systematic review and meta-analysis with trial sequential analysis Zhang YX, Niu XY, Xiao ZY, et al. · Acta oto-laryngologica · 2024 · Meta-analysis DOIPubMed 39225593
  3. Physical Activity of Children and Adolescents in Croatia: A Global Matrix 4.0 Systematic Review of Its Prevalence and Associated Personal, Social, Environmental, and Policy Factors Pedišić Ž, Strika M, Matolić T, et al. · Journal of physical activity & health · 2023 · Systematic review DOIPubMed 37076241
  4. Antihistamines for motion sickness Karrim N, Byrne R, Magula N, et al. · The Cochrane database of systematic reviews · 2022 · Systematic review DOIPubMed 36250781Full text
  5. [Update on PONV-What is new in prophylaxis and treatment of postoperative nausea and vomiting? : Summary of recent consensus recommendations and Cochrane reviews on prophylaxis and treatment of postoperative nausea and vomiting] Kienbaum P, Schaefer MS, Weibel S, et al. · Der Anaesthesist · 2022 · Meta-analysis DOIPubMed 34596699
  6. Association between digital smart device use and myopia: a systematic review and meta-analysis Foreman J, Salim AT, Praveen A, et al. · The Lancet. Digital health · 2021 · Meta-analysis DOIPubMed 34625399
  7. Systematic review of the relationships between sedentary behaviour and health indicators in the early years (0-4 years) Poitras VJ, Gray CE, Janssen X, et al. · BMC public health · 2017 · Systematic review DOIPubMed 29219092Full text
  8. Mal de debarquement syndrome: a systematic review Van Ombergen A, Van Rompaey V, Maes LK, et al. · Journal of neurology · 2016 · Systematic review DOIPubMed 26559820Full text
  9. Associations of children's independent mobility and active travel with physical activity, sedentary behaviour and weight status: a systematic review Schoeppe S, Duncan MJ, Badland H, et al. · Journal of science and medicine in sport · 2013 · Systematic review DOIPubMed 23219100
  10. Scopolamine (hyoscine) for preventing and treating motion sickness Spinks A, Wasiak J · The Cochrane database of systematic reviews · 2011 · Meta-analysis DOIPubMed 21678338Full text
  11. Scopolamine (hyoscine) for preventing and treating motion sickness Spinks AB, Wasiak J, Villanueva EV, et al. · The Cochrane database of systematic reviews · 2007 · Systematic review DOIPubMed 17636710
  12. Scopolamine for preventing and treating motion sickness Spinks AB, Wasiak J, Villanueva EV, et al. · The Cochrane database of systematic reviews · 2004 · Systematic review DOIPubMed 15266468
  13. Statement on motion sickness Canada communicable disease report = Releve des maladies transmissibles au Canada · 2003 · Clinical guideline PubMed 14655530
  14. A comparison of virtual reality and verbal imaginal exposure for childhood anxiety disorders Biggs BK, Whiteside SPH, Knutson M, et al. · Journal of anxiety disorders · 2025 · Randomised controlled trial DOIPubMed 39879857Full text
  15. Virtual reality application matches the most established treatment for Mal de Debarquement Syndrome: A non-inferiority, randomized, open clinical trial Schoenmaekers C, De Smet D, Deblieck C, et al. · Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024 · Randomised controlled trial DOIPubMed 38942708Full text
  16. Double-blind randomized N-of-1 trial of transcranial alternating current stimulation for mal de débarquement syndrome Cha YH, Gleghorn D, Doudican BC · PloS one · 2022 · Randomised controlled trial DOIPubMed 35120184Full text
  17. Healthy Children, Strong Families 2: A randomized controlled trial of a healthy lifestyle intervention for American Indian families designed using community-based approaches Tomayko EJ, Prince RJ, Cronin KA, et al. · Clinical trials (London, England) · 2017 · Randomised controlled trial DOIPubMed 28064525Full text
  18. Double-Blind Sham-Controlled Crossover Trial of Repetitive Transcranial Magnetic Stimulation for Mal de Debarquement Syndrome Cha YH, Deblieck C, Wu AD · Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2016 · Randomised controlled trial DOIPubMed 27176615Full text
  19. A comparison of cinnarizine and transdermal scopolamine for the prevention of seasickness in naval crew: a double-blind, randomized, crossover study Gil A, Nachum Z, Tal D, et al. · Clinical neuropharmacology · 2012 · Randomised controlled trial DOIPubMed 22139622
  20. Weight status, modes of travel to school and screen time: a cross-sectional survey of children aged 10-13 years in Sydney Wen LM, Merom D, Rissel C, et al. · Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2010 · Randomised controlled trial DOIPubMed 20406154
  21. Incidence of vomiting in susceptible children under regional analgesia with two different anaesthetic techniques Sarti A, Busoni P, Dell'Oste C, et al. · Paediatric anaesthesia · 2004 · Randomised controlled trial DOIPubMed 14996265
  22. Chlorpheniramine for motion sickness Buckey JC, Alvarenga D, Cole B, et al. · Journal of vestibular research : equilibrium & orientation · 2004 · Randomised controlled trial PubMed 15156097
  23. A comparison of cyclizine, ondansetron and placebo as prophylaxis against postoperative nausea and vomiting in children O'Brien CM, Titley G, Whitehurst P · Anaesthesia · 2003 · Randomised controlled trial DOIPubMed 12886917
  24. Effect of timing of ondansetron administration on incidence of postoperative vomiting in paediatric strabismus surgery Madan R, Perumal T, Subramaniam K, et al. · Anaesthesia and intensive care · 2000 · Randomised controlled trial DOIPubMed 10701032
  25. Prophylactic therapy with combined granisetron and dexamethasone for the prevention of post-operative vomiting in children Fujii Y, Saitoh Y, Tanaka H, et al. · European journal of anaesthesiology · 1999 · Randomised controlled trial DOIPubMed 10434165
  26. Prevention of postoperative vomiting with granisetron in paediatric patients with and without a history of motion sickness Fujii Y, Saitoh Y, Tanaka H, et al. · Paediatric anaesthesia · 1999 · Randomised controlled trial DOIPubMed 10597557
  27. Chronic Dizziness Cha YH · Continuum (Minneapolis, Minn.) · 2021 · Review DOIPubMed 34351113
  28. Advice for travelers The Medical letter on drugs and therapeutics · 2019 · Review PubMed 31599872
  29. The Neurophysiology and Treatment of Motion Sickness Koch A, Cascorbi I, Westhofen M, et al. · Deutsches Arzteblatt international · 2018 · Review DOIPubMed 30406755Full text
  30. Self-driving carsickness Diels C, Bos JE · Applied ergonomics · 2016 · Review DOIPubMed 26446454
  31. Interventions designed to reduce sedentary behaviours in young people: a review of reviews Biddle SJ, Petrolini I, Pearson N · British journal of sports medicine · 2014 · Review DOIPubMed 24347578
  32. [Seasickness] Petersen H · Laeknabladid · 2012 · Review DOIPubMed 23232725
  33. [Kinetoses] Schmäl F, Stoll W · HNO · 2000 · Review DOIPubMed 10872114
  34. Bedtime Regularity and Sleep Sufficiency in Children With Tourette Syndrome Swisher VS, Liu S, Ricketts EJ · Pediatric neurology · 2024 · Journal article DOIPubMed 38945036
  35. Sleep duration in preschool children and impact of screen time Lan QY, Chan KC, Yu KN, et al. · Sleep medicine · 2020 · Journal article DOIPubMed 33091726
  36. Well-Child Visits for Infants and Young Children Turner K · American family physician · 2018 · Journal article PubMed 30215922

Ova stranica je automatski prevedena sa engleskog. Citati i brojevi su nepromijenjeni. Pročitajte engleski original ako nešto zvuči čudno. Pročitajte engleski original