Jaundice (Hepatitis A). Description of chirwere

Tisati tatanga kurondedzera zvokurwara, zvinofanira kujekeswa: Botkin nehosha (jaundice) - iri chiropa? Doctors kuMutongi mhando A. Uyu ezvinhu kwakapararira. Maperembudzi vanoiswa kuparadzirwa munzvimbo munyika uye makondinendi kana mukati chete mamiriro.

Zvinokonzera chirwere

The zvinokonzera chirwere vari vatakuri marudzi ose chakasimba rwarisa kwacho. Mikuru varwere epidemiological ngozi vari asymptomatic uye anicteric siyana. In yechipiri yezana ari incubation nguva, izvozvo rinotanga kusarudzwa mumiririri mutsvina yadzo. Viremia iri pfupi. Kunonyanyisa fungidziro chirwere rinozivikanwa mumazuva okupedzisira gumi incubation, uye nokuda predzheltushnogo nguva. Kamwe Zviratidzo zviri zvokurwara vasabatwa maitikiro iri zvikuru kuderedzwa ari mutsvina yadzo utachiwana antigen. Jaundice (nehepatitis A) kunoratidzwa seasonality okukura. The soro epidemiological mukana kuwa nechando. Kazhinji kuitika kuwedzera kuchengetwa July uye August, richisvika nhamba zvishoma nezvishoma kubva October kusvika November. In yokutanga yezana gore rinouya, kuitika iri kuderera.

Unopinda sei utachiona

The causative mumiririri zvirwere pachishandiswa mashoko fecal-nemumuromo nzira, mune zvimwe zviitiko - kuonana-mhuri nzira. Utachiona anopinda muviri vanhu kushandisa utachiona zvokudya uye mvura. Yekutapurira dose anenge 100-1000 inoramba. In tsika, parenteral akatsanangura nyaya chirwere. Kakawanda zviri munyaya ropa kana yenhengo dzayo. Zvakakwana yakakwirira susceptibility kuti utachiona nevana. Jaundice (nehepatitis A) vari Zvinowanzoitikawo zvikuru akaronga mapoka. Mushure chirwere ikabereka mudanga, inogara kwenguva refu, uye mune zvimwe zviitiko muupenyu-refu kutapata. Clinical zvokurwara unoumba munhu yakatsiga zvikuru chimiro kudzivirirwa pane asymptomatic.

Mashandiro chirwere

Jaundice (nehepatitis A) chakasimba maronda dzinoyerera anova nenguva hepatotoxic zvinhu kana kupinda chirwere kupinda chiropa masero. The pathogenesis anokonzerwa paumbwe imwe autoimmune mhinduro - kweShanduro antibodies kuti muviri pachake munyama. In akati urongwa kuzvimba kunoitika, kukuvara uye kuparadzwa hepatocytes, nokuvhiringidzirwa chiropa. Chirwere kunoitika apo vakarapwa insufficiently chakasimba kana achimhanya mamiriro. Kazhinji, chirwere achienda cirrhosis.

zviratidzo

Jaundice (nehepatitis A) nyoro kazhinji kunoitika pasina zviratidzo uye haana chirwere muzviitiko zvakawanda. The muitiro unogona kwaramba kana asina kuona panguva chokudzivirira bvunzo. Zvokurwara angaperekedzwa ganda kuvaviwa, tsvuku makwapa ganda (petechiae), neurotic zviratidzo, bradycardia. In chisingaperi weboka chirwere ane zviratidzo zvakadai wakawedzera kuneta, utera, kushaya hope, mupfungwa lability, marwadzo ari musoro. Mune zvimwe zviitiko, kuda kurutsa, kuva ane gag dzepanguva, risingafadzi kuravira mumuromo, fufune mabasa kupatira.

How kubata jaundice?

Mabatirwo chenjera ezvinhu ari kuitwa mira ezvinhu. Murwere, mukuwedzera yokurapwa, akagadza rinokosha kudya. In Muzviitiko zvakaipisisa, murwere zvaitambidzwa pamubhedha zororo. Sezvo kurapwa akashandisa detoxification aizomupa kunobatsira kudzikamisa akarasika chiropa ishande. Treatment kunosanganisira kutora gepatoprotektorov, chinangwa iyo anotakura chiremba.