Analysis nokuti pertussis. The nengozi chirwere uye sei kurapa nayo?

Pertussis - chirwere kunoitika nokuda kupinda muviri kwemabhakitiriya utachiona hwakakura unhu droplet nzira.

Izvozvo zvinogona kuratidza kuongorora kuti pertussis? In vana, whooping chikosoro, vakawedzera ropa kwevari leukocytes (2-7h10 ⁹ / L), uye leukocytic payakavakirwa varipo runonyanya lymphocytes. Sezvo zvakaoma kunzwisisa zviri chirwere pamwero leucocytes kunowedzera. In vana immunocompromised, majekiseni uye vaya vasina vakaratidza nzira pertussis, nokufamba mukati munhu akaidza iri kuchengetwa. erythrocyte sedimentation havukavu iri paavhareji kana zvishoma ezasi nenhamba. Abnormalities pamufananidzo ropa vari kuchengetwa chete catarrhal pavaipfuura chirwere.

Zviratidzo whooping chikosoro muvana

Chii whooping chikosoro zviratidzo? Sei chirwere ichi? Panguva kutanga kwekupwanyiwa pakuva chirwere muvana pasina chaicho zviratidzo. The tembiricha muviri anogona kumuka 38 madhigirii, pane runny mhino, yakaoma chikosoro uye isingawanzowanikwi. Panguva iyi, chirwere whooping chikosoro chinonyanya ngozi vanhu vakavapoteredza. Kazhinji, zviratidzo akafanana chakasimba kufema chirwere. Pertussis bacillus Anowanza nguva ino sezvo vachishingaira sezvinobvira, panguva imwe chete nayo anosunungura munhu toxin.

Muchikamu chinotevera pavaipfuura chirwere, kunoitika pashure 2 weeks, hwomwana nemamiriro anova zviipe. Pane spasmodic chikosoro chaiyo. Mumwe akadaro achapesana chikosoro achiperekedzwa showing uye befu. Nemwana vangakosora akadaro anogona kuramba zvikuru kubva rurimi, usachikanganisa. Face uye mutsipa azvidzore yebhuruu, dzimwe nguva pane anombomira kufema. Panoperera kurwisa asunungurwa sputum, uye dzimwe nguva kukurutsai. Zvichienderana kunzwisisa kwakaita chirwere, nhamba kurwiswa zvinogona kusvika 50 pazuva.

Mushure memazuva 20-30, chirwere kunochinja munzvimbo inotevera pachikuva. Spasmodic chikosoro chikosoro chakatsiva dzose. Mamiriro hutano mwana zvinova nani zvikuru, tembiricha rovira uye anouya shure havi. Chikuva mberi kusvika 3 mavhiki.

Sezvinoratidzwa muna vakura whooping chikosoro? chirwere ichi chisingafadzi sei? Zviratidzo zviri vakuru zvakafanana kuvatarisira, pamwe musiyano chete ndechokuti hapana miganhu pakati nzendo chirwere. Panyaya iyi, kuti chikosoro anotaurwa chaizvo, gungwa, anokudza usiku.

Mamirire zviri pertussis mu vacheche

Hatching uye preconvulsive nguva ipfupi mazuva 1-2, uye whooping chikosoro nguva kunowedzera kusvika vhiki 6-8.

In vachangoberekwa vacheche, panzvimbo yenguva dzose vangakosora, akacherechedza nerechiHebheru zviratidzo: sneezing, mapenzi achichema, mhere. Chirwere Hemorrhagic zvirwere: ropa nechepakati tsinga, dzimwe nguva - mu yokunze gobvu ganda kumeso uye ganda. Mamiriro varwere panguva pakati yatinenge akarwarisa muvana vakachengeta Kuparara, unyanzvi vakarasika, dzakanga yakatanga pamberi chirwere rikurumidze. Kazhinji kune chaiyo kusemburwa, izvo dzimwe nguva anogona kupfeka zvakasikwa, pakati pavo zvinouraya: kufema, zvarakasiya kubva zvakajairika uropi ropa riyerere. Zvinovhiringidza ari kufema, kusvikira sehofisi chemabhazi kungaratidzwa pasina vangakosora, somuenzaniso pakurara kana tapedza kudya. Pakati non-chaiyo kuitazve kakawanda chirwere nemabayo. Pane kwave kufa.

Mamirire zviri pertussis mu nhomba vana

Vana vari nhomba pamusoro whooping chikosoro, vane mukana kurwara nemhaka murombo kutapata kana kudzikira kwaro simba. Muzviitiko zvizhinji chirwere nyore uye kwazvo siyana chirwere, yakanyanya kwete chaiyo. Dzinenge yematambudziko hadziwanzowaniki chaizvo, uye kana havasi upenyu pamutanhiko, saka ngozi zviitiko regai kuitika. Vakawanda havasi zvinowanzoitika marudzi pertussis. Up 2 masvondo uye preconvulsive ichiwedzera incubation nguva uye spasmodic chikosoro kutenderera ipfupi kusvika 2 weeks.

chirwere kuongorora chirwere

Chokwadi muedzo whooping chikosoro vanoda zvakaitika? Kuitira kuona zvinoita kusembura zvaitwa urinalysis uye ropa kemisitiri. In kunowanzoitika weboka chirwere, ivo handishanduki.

Total sputum kuongorora runoita kubvisa asima, tiibhii uye yokuSpain. Whooping chikosoro phlegm mucosa, concomitant pamwe nechitarisiko nemabayo chinova mucopurulent kana purulent.

Most tsitsi chiremba kuziva chirwere, kunyanya mukutanga nzendo chirwere, rinopa bacteriological nzira kuongorora - kurima zvigare zviri inotonhorera nhau. A refu nguva yokuziva pertussis utachiona aiita nzira "chikosoro ndiro", inokurudzirwa Maurittsenom. Panguva inotevera kurwisa vangakosora ari chinhambwe 5-8 masendimita kubva mwana ane yakavhurika Petri dhishi pamwe inotonhorera svikiro. Microscopically madzihwa Madonhwe chine utachiona iri pertussis ichibhururuka kubva mumuromo, vari rakachengetedzwa pamusoro payo. Pashure pemazuva 2-4, kwakavakirwa netsika yacho yakura zvakakwana kunokwanisa kuonekwa. Izvi mhando nechirwere pane imwe chinanga - nayo kushanda hakusi vanobudirira vana vasiri zvakanaka kukosora, uyewo chikosoro vasipo.

Pane nzira yakati yapfuura kuwana mhosva whooping chikosoro - seeding mabhakitiriya kubva nasopharynx uye kubva pasi rurimi. Ichi chirwere nzira ichaongororwa inonyatsobudirira, asi pashure 4-5 mavhiki pashure pakatanga chirwere kushandisa ake njere, nokuti hazvibviri kuziva causative pomutumwa. Kushandisa mishonga Early kunoderedza mikana kuzivisa Bordetella pertussis.

The regadziriro danho risati kudzidza

The chikuru chiratidzo pertussis iri rikwanise yokurwiswa arikukachidzwa chikosoro, dzimwe nguva achiperekedzwa kurutsa, mu kunyanya zvakakomba kacho, kurwisa uku zvikuru nyore rinokonzera Somuenzaniso, panguva zvakabudiswa kuti ongororo. Panguva dzakadaro, vanaamai vanoda kuva takagadzirira kuti pamwe mwana kubatsirwa.

The regadziriro kwacho ndechokuti pap kuti ongororo zvinonyatsoshanda mukutanga nguva, nokuti usiku zvinoberekwa yakawanda madzihwa, ndiro wevasungwa zvigare hombe. Zvakanakisisa aedzwe kuti pertussis vasati zvemangwanani uye kwete kuita kuchenesa kwemeno. Zvikasadaro, hombe inorwara sputum richaparara.

Transcription munhu akaidza nokuti pertussis

The ongororo iri kuitwa pamwe chete nemigumisiro pakagadzwa makirasi antibodies siyana (IgM, IgA)

Bordetella pertussis (Bordet-Gengou utachiona)
IgG	IgM	IgA	Decoding zvabuda
isakarurama	isakarurama	isakarurama	The causative muiti haisi
Negative kana zvakanaka	isakarurama	Negative kana zvakanaka	Inoratidza kuvapo chirwere
Negative kana zvakanaka	isakarurama	chokwadi	Rinoratidza kuvapo chirwere munguva ichangobva nguva,
chokwadi	isakarurama	isakarurama	It anotaura pamusoro ichangopfuura kana kare noutachiona kana majekiseni anodzivirira kuti kare chinozoiswa

Kupiko kwakaedzwa nokuda pertussis?

Where kuti kuedzwa kuti pertussis? mhando iyi kutsvakurudza kuitwa kurapwa mumarabhoritari uye chirwere nzvimbo. kakawanda dziripo munharaunda. Zvakakodzera tsvakurudza uye vakatozodzokera pakutsvaga chiremba.

Type nemiedzo nokuti pertussis akatsunga pachishandiswa zviratidzo, mukurwara uye zera mumapoka varwere.

Ropa whooping chikosoro, vanachiremba akakumbira kupa pakutanga, nekuti kwakadai ongororo anotakura zvakawanda.

zvinogoneka yematambudziko

The rinokosha dzinosanganisira:

• pulmonary emphysema;
• mediastinal uye subcutaneous emphysema masero;
• atelectasis;
• pertussis nemabayo;
• zvinovhiringidza ari kufema kakawanda (kuturika kuti afemeruke - apneas kuti masekondi 30, kumisa - kufema pane masekondi 30);
• Kuipa ropa riyerere muuropi;
• ropa (mhuno, rwemberi munharaunda pharynx, principales, zvokunze auditory gwara uye paganda uye mucous membranes, sclera uye the retina, pfungwa uye musana);
• chitarisiko kana achiine rukuvhute heniya;
• kurasikirwa rectal mucosa;
• kuvadza tympanic Kamudzira uye diaphragm.

By kungova rakajairika matambudziko dzinomuka nokuda kuunganidza yechipiri kwemabhakitiriya kasvisto ndiwo:

• nemabayo;
• bronchitis;
• zvikuru huro;
• lymphadenitis;
• otitis.

Mabatirwo pertussis

Marapirwo kwacho rinoitwa chete mira. vana vachangoberekwa vari kuedza kuisa mune yakanyarara pasi-chiedza nzvimbo kuderedza kutsamwa zvinhu, sezvo vanogona kumutsa kusembura kuti vangakosora. Vana vakura nyore siyana pamubhedha chirwere hako rudzi.

Pfungwa iri inobhadharwa muviri, vakabata kakawanda zvokudya nomugove duku. Vana vacheche vanoda nguva kupomba kunze madzihwa kubva huro. Nokuti vana vakura kwakanyorwa kwazara yakachena kurapwa.

Mishonga inoshandiswa vana vachiri vaduku kuti siyana nehosha dzakaipa. At danho bluetongue vaifarira kushanda "Erythromycin".

Anowanzoshandiswa chaizvo gamma globulin, pertussis, kutarisirwa intramuscular jekiseni 3 Rine mamiririta mazuva ose 3 days.

Kashoma kushandiswa sedatives kukosora, kuswedera navo nokungwarira, sezvo kubudirira zvinodhaka izvi anonzi negakava. Zvakakodzera wekusashandisa munowanika netsanga uye mabhanga, izvo kungakonzera vangakosora.

Vaccination pamusoro pertussis

kubaya purogiramu zvakatangwa neHurumende majekiseni anodzivirira purogiramu. Activation kuti kutapata pamusoro pertussis uchishandisa DTP ( "Tetrakok" "Infanrix") - rinoitwa ari 3, 4 uye 5 months. Pashure apiwa majekiseni pamusoro pertussis rinoitwa mumwedzi 18.

DPT jekiseni anoitwa kuva mhasuru, vana makore 1.5 - pamberi rokunze chikamu yehudyu, uye vana vakura kupfuura - iri deltoid tsandanyama. Zvichitevera pakatanga mishonga yakadaro, kazhinji nemhaka rose-sero yokudzivirira jekiseni mumazuva 3 Mazuva okutanga, mwana anogona kuratidza wokudzivirira pavakanzwa mushonga, zvose omunharaunda uye mukuru. Muzviitiko 8-9 10 ane muitiro kwakadaro kunogona kuitika pashure pemaawa mashomanana pashure jekiseni. Maitiro akadaro vakakwana dzinongoitika kutaura, uye haana vaiona matambudziko.

Wokudzivirira uye dzokurapwa matanho

Pertussis nyaya anofanira hazvo nevamwe kwemazuva 25 pashure chirwere, marapirwo anofanira kuva musoro uye zvachose zvainanga Achabvisa zvinokonzera chirwere.

Sezvo kune batanidza, uye vana havasi nhomba vokukurukura zvavakatemerwa kupatsanura varwere ya 2 weeks kubva pakutanga voga murwere. Kushanyira vana iri zvachose zvishoma, akashandura timetables uye anofamba.

Kuziva whooping chikosoro mukuvamba mumatanho, pertussis munharaunda kuitwa zuva dzezvokurapa bvunzo vana uye vakuru uye rimwe nguva kwemabhakitiriya kuzviongorora.

How kudzivisa zvirwere zvakadai whooping chikosoro? The rokuzvidzivirira unofanira kuva nesimba, unofanira kugara kusimbisa nayo, uchabva kudzivisa zvirwere zvakawanda, kwete pertussis chete. Uye Zvechokwadi, musakanganwa pamusoro majekiseni.

Kuti awane uye kugadzirisa nzvimbo kukundwa pertussis, zvose kuonana vana uye vakuru paakapiwa varumbidzwa "Erythromycin", "rulid" kana "Sumamed" kwevhiki imwe aida chipimo chemushonga ekuberekwa.

Contact vana vachangoberekwa kusvika 1 gore uye tisina kupinzanisa (kusvika 2 makore) vanokokwa kupinda anyatsoronga immunoglobulin - 2-4 mishonga (1-2 mishonga mamwe zuva ose).