Chii poriyo? Zvinokonzera, zviratidzo, kurapwa, majekiseni

Kusvikira ichangopfuura, poriyo kwainzi "chirwere kare", sezvo iye kazhinji akasangana. Asi nokuda kungoerekana itsva panomuka chirwere munzvimbo dzakasiyana-siyana mibvunzo: "Chii chiri poriyo?" Uye "Ndingaita sei kuzvidzivirira pachangu?" zvakare pamiromo wose.

Zvakakosha kunzwisisa zvakadzama nyaya iyi kuita zvose zvinobvira uye kudzivirira vana vavo.

Poliovirus uye poriyo

Saka, chii poriyo? Ichi chinhu rikwanise chirwere anokonzerwa poliovirus. Zvinokanganisawo musana vhudzi nyaya nezvimwe zvikamu nechepakati tsinga. Utachiona anowedzera ari cytoplasm nemasero sei.

Kazhinji, maperembudzi chirwere kuvana vaduku, dzinenge - mune kuyaruka.

kupatsanura pakati poriyo

Poliomyelitis inogona Classified pamusoro parameters anoverengeka, zvichienderana nemhando, kwokuomerwa uye zvakaita chirwere.

1. By mhando chirwere chinogona kukamurwa kaviri:

• kwese panguva hunovhiringidza musimboti tsinga;
• atypical kana chirwere pasina zviratidzo vanooneka ( "chirwere diki").

2. Maererano kwokuomerwa chirwere poliomyelitis inogona kukamurwa zvitatu mhando:

• zvakakomba chimiro;
• avhareji uremu;
• lightweight muchimiro.

Panguva iyoyowo kuona ukuru zvakaoma kunogona chete kuva chiremba kuongorora bhuku injini zvirwere uye ona sei zvakasimba akaratidza kudhaka.

3. hunhu chirwere unogona kuva:

• mvere, kana kunoitika pasina chero matambudziko;
• nonsmooth, umo mune matambudziko ari muchimiro exacerbation echirwere zvirwere, havatsigiri chirwere chesekondari, uye zvichingodaro. d.

Zvikonzero chidzoke uye kupararira chirwere

Poliovirus, inova causative mutumwa poliomyelitis, ari siyana matatu. Vari varehwa sezviverengo Roman I, II uye III.

Sources chirwere: Varwere uye mutakuri poriyo utachiona.

Hutachiwana uhu chinopfuudzwa munzira nhatu:

1. Kuenda neherikoputa mumate. Kana murwere ane chirwere kana utachiona hwakakura keriya riri pharyngeal madzihwa panguva vangakosora, kana sneezing poriyo utachiona vanogona kupinda kufema turakiti kwevanhu utano uye kutsamwisa pakukura chirwere.
2. Oral-fecal nzira. Panyaya iyi, utachiona imhaka kudyiwa mukaka nekipyachonogo utachiona, asina kushambwa matsva muriwo kana michero. Kuti vawane chikafu kubva utachiona vanogona uyezve nendove pamusoro munhu anorwara tichibatsirwa vektori - inobhururuka.
3. Everyday nzira. Hutachiwana uhu pachishandiswa dzichidya nevakawanda zvemumba uye tableware.

Sei kuona mwana poriyo

Mashoko incubation Nguva hosha kunotora paavhareji 8 kusvika 12 mazuva. Kunyange pane nguva apo anogona kutora 5 kusvika 35 mazuva. Ndizvo sei nguva yakawanda inopfuura kubva nguva chirwere kusvikira zviratidzo chirwere wokutanga. Panguva iyoyowo anozivikanwa zviratidzo poriyo muvana zvinowanika chete muna 10% wevarwere. Mune zvimwe zviitiko, unogona kudzidza pamusoro zvichibvira chirwere, asi sokuora zvidzidzo.

Tisati takurukura zviratidzo, unofanira kuyeuka chii poriyo uye chii mhando rakakamurwa, sezvo akasiyana uye muchiridzira zviratidzo, zvichienderana Chirwere.

Munguva atypical siyana chirwere ( "zvirwere diki") poriyo zviratidzo vana ndeinotevera:

• inopinza zvinopfuura kuwedzera tembiricha pamuviri 39-40 madhigirii;
• munyoro kudhaka, iro kunoratidzwa sezvo manyoka uye kurutsa;
• nomusoro;
• abdominal kurwadziwa;
• mukuru zvakawanda zvive!
• Kurara kana hope;
• vangadikitira.

Uyezve, unogona kuona imwe runny mhino uye pari pahuro yake.

Atypical (kana abortive) wechinhu chirwere kazhinji kuvhiringidzwa nevamwe chirwere chero nemavhairasi, sezvo pasina dzakananga zviratidzo poriyo.

Kana "chirwere diki" hakuiti zvakaitika munzvimbo inotevera (predparaliticheskuyu) Danho, pashure pemazuva 3-7 mwana anonaya zvachose.

Kana mwana utachiona hwokufananidzira muchimiro chirwere danho "chirwere pasi 'zvakanaka mu" chirwere chikuru "uye riri pamwe ne okuwedzera zvinhu:

• vachisimbisa kuti kurwadziwa nemusoro;
• marwadzo ari pamutsipa uye shure;
• kurwadziwa maoko nemakumbo;
• tsandanyama kuneta.

Clinical bvunzo uye miedzo panguva Danho iri akaratidza kuwedzera cerebrospinal mvura kumanikidzwa, akaderedza mapuroteni yomuropa mumuviri, kuwedzera leukocytes.

Pasina kuoma muviri tembiricha normalized pakazopera vhiki chirwere wechipiri, uye pakazopera wechitatu pakupedzisira kunyangarika nezvimwe zviratidzo.

The mitezo chimiro chirwere anova chete 1 muna 1000. Zvadaro, kubatana huru zviratidzo ndiwo:

• tsandanyama twitching;
• Urinary chengetedzo;
• chitarisiko paresis uye kuoma maoko nemakumbo uye hunde.

Zvichienderana zvakakanganisa chikamu musana, kuoma kunogona kuitika munyika lumbar, thoracal kana remuromo nomuzongoza. Vakawanda kuoma lumbar.

Kupera mitezo nguva kubatana curvature pamusoro nomuzongoza, deformation uye vachigurisira maoko nemakumbo, iyo inotungamira avo zvizere incapacity.

Matambudziko uye migumisiro pashure kutambura poriyo

Kana poriyo wakaitwa muna abortive muchimiro, chero Migumisiro zvichava kutakura uye kwete chero nzira kukanganisa upenyu ramangwana mwana.

Kana hosha nepaImba danho rutivi, mamiriro ezvinhu kuti murwere anova dzinonetsa. Kana musana kukuvara yekudyidzana akaderedzwa ukuru hwaro kuzviremadza injini nemano kusviba. Muzviitiko kunonoka kana zvakakwana kushayikwa kurapwa munhu upenyu anova inoperable vakaremara nokuda tsandanyama atrophy uye paresis.

Kana mutezo anouya thoracal, unogona kuva dzinouraya nokuda kunonoka kufema kunoitika munguva kuoma intercostal tsandanyama uye diaphragm.

poriyo kurapwa

Treatment rinoitwa bedzi muna muchipatara muzviruva.

Special zvokurapa nokuti poriyo hakuwaniki, saka kurapwa kuri symptomatic. Murwere kugara Iwo kupisa baya jekiseni inonyaradza marwadzo omusoro uye sedatives. Uyezve, nzira iri basa vhitamini (mavhitaminzi B6, B12, B1, C), amino acids, gamma globulin.

Munguva chenjera pavaipfuura chirwere murwere inoratidza yakaoma mubhedha hurumende kwenguva anosvika 3 mavhiki.

Kana paine kuoma thoracal, murwere anoiswa pamusoro ventilator.

Zvizhinji pfungwa inobhadharwa mitezo yayo nomuzongoza. Doctors kuona kuti nhengo dzose dzomuviri inongoitika chinzvimbo.

Makumbo vanoiswa newokuti mumwe, pasi pamabvi uye muhudyu majoini komberedza rollers. Tsoka vanofanira perpendicular kuti shins, izvi akanyudzwa mujinga munhu batana pamutsago.

Hands vakarambwa pamativi uye akakotamira panguva kugokora pa necheparutivi rworwendo 90.

Kuti uvandudze neuromuscular conduction, murwere ushandiswe "Neuromidin", "Dibazol", "Neostigmine".

The kutapuriranwa dhipatimendi kurapwa rinovapo mavhiki anenge 2-3. Chinoteverwa kupora nguva - vokutanga kuchipatara uye ipapo pamusoro outpatient hwaro. Recovery ari mukirasi ane orthopedist, hydrotherapy, zvokurapa jimunasitikisi, physiotherapy.

Pashure poriyo yakarumbidza pachipatara pacho kurapwa.

Kudzivirira poriyo

Zvakakosha kuyeuka kuti murwere poriyo vanofanira kure vamwe vanenge 6 mavhiki, sezvazvakaita mutakuri utachiwana.

Kuti vazvidzivirire kubva chirwere ichi, hatigoni kukanganwa pamusoro zvikonzero parinowanika (kana haisi idenda). All atora pakudya muriwo nemichero zvinofanira kugezwa zvakanaka kumhanya nemvura yakachena. Iva nechokwadi kuti kugeza maoko (kudiwa nesipo nemvura) vasati vachidya uye pashure vachifamba mumugwagwa uye kushandisa chimbuzi.

Sezvineiwo, apa matanho chete kuderedza mukana wokuti chirwere, asi regai kudzivirira naro. Inonyatsobudirira uye nzira kuitwa kudzivirira utachiwana inoramba kutanga kutapata pamusoro poriyo. Izvi zvinoitwa tichitenda kubaya ano, riri kutanga kutora nzvimbo mumwedzi youpenyu mwana wokutanga.

poriyo mushonga

Vaccination - ndeimwe nzira huru yokudzivirirwa poriyo.

Kune mhando mbiri yokudzivirira:

1. OPV (attenuated poliovirus) - mhenyu poriyo zvirwere ( "Sabine" mushonga).
2. IPV (inaktirovanny poliovirus) - rine poliovirus pamwe formalin vakaurayiwa.

Mumwe mhando mushonga ine maitiro ayo uye contraindications, saka unofanira kufunga mumwe nomumwe wavo yoga.

mushonga OPV

OPV kubaya ari kuitwa instillation pakati 2-4 madonhedza mushonga mumuromo mwana (ari lymphoid zvinyama zviri huro kana tonsils, zvichienderana nemakore mwana).

The mushonga haana kupinda mudumbu, post-poriyo Madonhwe havagoni kufura uye mvura mwana mukati awa rimwe.

ari kubaya ari pamberi airambidzwa kupinda zvokudya mwana zvokudya zvitsva.

ari kubaya asati zvakafanira kwerubwinyo rwakagara rwuripo-tenga antipyretic uye chisimbwa mishonga.

Kuti tizvidzivirire kwechinguva mushure kubaya havagoni kutsvoda pamiromo mwana uye zvakafanira kuti kugeza maoko ako pashure rokuchenesa utsanana uye mwana.

OPV kubaya iri contraindicated kana:

• mwana kana mhuri nhengo vachiberekwa immunodeficiency kana HIV;
• vakakomberedzwa nevakadzi pamuviri kana lactating;
• vabereki vomwana vari kuronga mumwe pamuviri;
• divi migumisiro yakaitika mushure yapfuura OPV majekiseni;
• vari sema kuti zvinoumba ari mushonga (streptomycin, polymyxin B, neomycin).

Vabereki vakawanda vanofarira mubvunzo kana zvichibvira kuti poriyo (mushonga), kana mumwe mwana ane chirwere yezvirwere kana nemavhairasi zvirwere. Mhinduro iri nyore: regai! Pakadaro, kubaya chete pashure kupora.

IPV mushonga

IPV ari chakaunzwa muviri subcutaneously kana intramuscularly. Zvinonzi zvinoratidzwa zvinotevera nyaya:

• mwana kubva pakuzvarwa simba rokuzvidzivirira;
• mwana mai pamuviri.

Uyewo, kuti mushonga anoshandiswa vashandi vezvoutano vane kakawanda kuonana varwere.

Asati kubaya, tarisa. Kuvapo pamba mushonga cabinet chisimbwa zvinodhaka uye zvinodhaka antipyretic

Zvinonzi rambidzwa kupinda zvokudya zvigadzirwa zvitsva kuti vadzivise munhu zvichibvira sema maitiro.

Poliomyelitis (inoculation): yematambudziko uye nemishonga

Kana zvinotevera zvinoratidza migumisiro yokurapa kupindira haina kuzvireva:

• kuda kurutsa, kurutsa kana manyoka (imwe-nguva);
• kuwedzera kutya;
• kuzvimba kana marwadzo panguva jekiseni nzvimbo;
• kurwadziwa nemusoro;
• tembiricha pashure poriyo majekiseni - vanogona kusvika pamwero 38,5 inegumi.

Kuti ubatsire mwana wako uye kuvandudza utano hwake, unofanira kumupa imwe antipyretic mumiririri ari muchimiro kuturika kana paratsetamolovoy makenduru. Kazhinji, achangopera tembiricha anodonhedza chaiko, kunyangarika uye mushandi ayo zviratidzo kurwara: svoto, kurutsa, kutemwa nomusoro, anokakavara tsandanyama.

Mune zvimwe zviitiko, chiremba rinokurudzira kupa mwana antipyretic kamwechete pashure kumba, pasina akamirira tembiricha vanomutswa.

Zvisinei, pane mamiriro ezvinhu kana zvakakodzera kuenda chiremba nokukurumidza sezvingabvira kana kudaidza amburenzi:

• mwana akaonekwa kupfupika kufema kana arikutadza kufema;
• tembiricha akamuka pamusoro madhigirii 39 uye kwete kupaza antipyretics;
• mwana yakava lethargic uye vakaneta;
• mwana vakachengeta hope uye lethargy;
• akazviratidza kuvaviwa kana mikoko iri nzvimbo inoculation, kana zvose pamusoro muviri;
• paiva kunyange zvishomanana kuzvimba kumeso kana meso;
• pane nematambudziko pakuparadza.

Poriyo Vaccination purogiramu kubaya vana

Vaccination pamusoro poriyo nevamwe maererano Health Ministry of mvumo purogiramu:

1. jekiseni diphtheria uye poriyo wokutanga mwana-pamwedzi mitatu zera.

2. uchibaya yechipiri yakaitwa mazuva 45 mushure okutanga - muna 4.5 mwedzi.

3. yechitatu uye yokupedzisira uchibaya pamusoro poriyo mushonga unoitwa kana mwana akatsauka 6 nemakore.

Revaccination somunhu fanira chezvinonhuwira kudzivirira pamusoro chirwere

poriyo booster nzira inobatsira mwana kuva kwoupenyu hwose kutapata kuti chirwere. Iye ari pazera remakore 18 uye 24 mwedzi, uye pashure - makore 6 pashure rokupedzisira kubaya.

Akaongorora akaratidza kuti pashure majekiseni anodzivirira kuti DPT uye poriyo ndingangokuvara chirwere pedyo razero. Izvi kamwe zvakare kunoratidza kubudirira kubaya, uye vabereki nevana nhomba vanoziva chii poriyo, chete dzidziso, uye, sezvinei, haangatongooni kuonekwa mune uchidzidzira.