Respiratoria syncytial utachiwana: zvinokonzera, zviratidzo, kurapwa, migumisiro

Respiratoria syncytial utachiwana chikamu boka acutely yokuvamba zvirwere kukanganisa munhu chaizvo vazhinji vemo vakawanda mudiki. Year-vane vana vane makore utore inokosha nzvimbo pakati utachiona. Kana vakuru chirwere chacho zvachero, vana vanogona kuva zvakakomba matambudziko.

tsananguro

Ichi hutachiwana hunokonzera kufema turakiti zvirwere. Chivande ndechokuti zvakaoma rokuongorora nokuti nyore kuvhiringidzwa zvavo chando. Pari hapana mushonga harisati yambokurukurwa, saka chirwere chacho dzimwe nguva zvinouraya. In muchipatara kukonzerwa nechitarisiko bronchitis, asima uye miridzo.

etiology

Respiratoria syncytial utachiwana iri kusimbiswa ari cytoplasm, pashure ichiibvira anotanga yotunga kupinda membrane. Nderake mhuri Paramyxoviridae uye ndiye mumiririri bedzi boka iri, izvo zvinogona kukonzera chirwere chakakomba. Kunyange zvazvo anofa siyana vamwe antigenic heterogeneity, kusiyana rondedzera zvikurukuru rimwe glycoproteins akawanda, asi epidemiological uye chiremba zvinorevei kusiyana izvi hazvisi pachena. Chirwere rinokura munzvimbo dzakawanda muchitokisi mutsika, achiita paumbwe zvemo syncytia.

zvikonzero

Respiratoria syncytial Utachiona munhu zvirwere, ayo pachishandiswa kuenda neherikoputa mumate. Vanokwanisa kukanganisa zvose vanhu vachirwara uye vezvenhau. Mamirire vari kubatana uye panomuka mhuri uye zviitiko nosocomial chirwere akanyorwa, kazhinji chiremba muzvipatara. Kupararira kwakakurumbira uye kazhinji kumativi wachi muchando uye chitubu. The susceptibility chikuru kuchengetwa vana 4-5 mwedzi 3 years. Pazera duku kupfuura vana anotakura chirwere ichi, sezvo mamwe akaona zvinopfuura kutapata, kazhinji kuwana akadzokorora zviitiko hosha, chete mune zvimwe obliterated. Zvisinei, pashure kwakakwana kunyangarika nhengo pakati antibodies (IgA), kufema syncytial utachiona vanogona dzumbunuka.

Pakanyenga kuburikidza pedyo kuonana utachiona vanhu. . Rave vakaongorora vakawana kuti kana munhu anorwara ndokuotsira, utachiona vari nyore kupararira pamusoro 1,8 M Ichi boka utachiona vanogona kurarama maoko uye maminitsi 30, uye panyaya - kwemaawa anoverengeka.

Pathogenesis chirwere zvakafanana zvikuru yokuSpain uye parainfluenza kukura mashandiro, sezvo chokuita kwebasa chirwere kusvikira epithelium ari kufema turakiti. Inoshanda zvinopfuura kufema turakiti, uye zvikuru rinotanga kubereka ari cytoplasm pamusoro nasopharynx obva asiwo principales. Panguva ino, pane hyperplasia isiri yekenza of kwakakanganisa masero uye symplasts. Izvi zvinonzi aine constriction pamusoro bronchioles uye hypersecretion kuti zvadaro kunotungamirira avo blockage guru madzihwa. Zvino kukura chirwere iri pakutsvaga mwero kuomerera pane kasvisto uye kufema kukundikana.

zviratidzo

Respiratoria syncytial utachiona, izvo zvidukuduku yakaoma uye zvakaoma kuziva, chirwere chacho mangwanani chitubu nechando.

To musi asina kuratidzwa sei kunokanganisa rezasi kufema turakiti vana uye vakuru pamusoro.

In vana, chirwere inotanga nefivha, zvakakomba kwazvo huro uye runny mhino. Nokukurumidza kwakabatana uye zvimwe zviratidzo akafanana asima. Utachiona kunoratidzwa anotevera zvinhu:

- kupfupika mweya (kundosvikira anopfuura 40 paminiti);
- rinokwanisa kucheneruka ganda ruvara (cyanosis);
- inopinza uye kakawanda chikosoro;
- yakakwirira tembiricha;
- kwakandionza uye gogonera kufema;
- chisimbiso croupous;
- shrill kundosvikira uye wheezing;
- makadzivisa exhalations.

Lower kufema turakiti zvirwere kuitika apo bronchioles kuzvimba. Kana panguva ino murwere ane matambudziko nerubatsiro okisijeni, iva nechokwadi kuti chiremba kukurumidza kurapwa. zvirwere izvi kuitika kazhinji vana pasi gore rimwe, uye vari kukurumidza kuwedzera.

kupatsanura

Pane zvinhu zvinoverengeka, iyo inogona dzinoratidzwa kufema syncytial utachiona, zvinoti:

- randinenge - kuva rhinitis, laryngitis, mabayo, nasopharyngitis, bronhilit, bronchitis, segmental pulmonary edema uye otitis nhau;
- atypical - Blurred kana asymptomatic chirwere.

Pane 3 zvikuru siyana chirwere.

1. Easy, rinowanikwa kakawanda vanhu vakuru uye vezera rechikoro vana. Kunoratidza sezvo munyoro nasopharyngitis, kufema kukundikana haina kuchengetwa. Kakawanda, tembiricha muviri inoramba kuipa kana kuwedzera zvishoma, asi madhigirii mashomanana. Zviratidzo kudhaka vari zvachose vasipo.

2. Moderate kuti zvakakomba, zvinokwanisika kuchengeta zviratidzo rikwanise bronchitis kana bronchiolitis achiperekedzwa obstructive chirwere uye kufema kukundikana. Murwere aripo, nemumuromo cyanosis uye kupfupika mweya. Kana mwana anorwara, zvingava zvakare kudzikama, hope, vashatirwa kana lethargic. Kakawanda zvishoma kuwedzera chiropa kana chirwatata. The tembiricha iri kazhinji akakwidziridzwa, asi zvinoitika uye zvinoitika. Pane mwero kudhaka.

3. Heavy, panguva ino kusimukira bronchiolitis uye obstructive bronchitis. Pane kushaya simba kuti mhepo iri rinogona kubatsira chete okisijeni chifukidzo kufema. Ruzha traceable miridzo uye chipo munhu raidudzwa toxicity uye simba yakawedzera chiropa uye chirwatata.

By nzira dzekuziva regiravhiti dzinowanzova zvinotevera unhu:

- Kuwanikwa kuchinja vemo;
- kuoma kufema kukundikana.

By yezvakaita kuerera:

- kwakanaka - hapana kwemabhakitiriya yematambudziko;
- kwete anotsvedzerera - chakaita nemabayo, sinusitis uye otitis purulent.

nyaya

Respiratoria syncytial utachiona, vane zviratidzo zvinogona kuvhiringidzwa nezvimwe zvirwere vaizivikanwa muna 1956 naDr Morris. Akanga pokuona chimupanze, vaakawana rhinitis, yakazviwanira chirwere chitsva uye akaritumidza munhu Pas - Chimpanzeecoriraagent (the causative nomumiririri nevakariri kutonhora chimupanze). Panguva pakuongorora murwere mudonzvo uyo akatora kuchengeta tsoko, zvakanzi kuchengetwa yakawedzera antibodies zvikuru zvakafanana utachiwana.

Muna 1957, R. Chenok dzinounzwa chete utachiona hwakakura vana utachiona uye vakatsunga kuti ndiye aiita kuti excitation ose bronchitis uye nemabayo. Pashure paizvozvo uye kusvikira zvino masayendisiti remuSamoa kuedza kuva mushonga.

Diagnostics

The kunotoda tsanangudzo dambudziko chirwere, nokuda kufanana nevamwe zvirwere. In vakuru, kazhinji hunodzorwa zviratidzo bronchitis uye nemabayo. Murabhoritari zvidzidzo vachishandisa serological nzira kuti kuzviona antibody titer. Kana zvakakodzera, chiremba ibasa chairo maekisirei uye rabhoritari nemiedzo Somuenzaniso, virological muedzo nasopharyngeal swabs.

kurapa

Varwere vave nechirwere kufema syncytial hutachiwana, kurapwa anopiwa ari kunzwisisa, kuitira kusimbisa muviri. Bed zororo pachii nguva yose exacerbation. Muchipatara zvinoratidzwa vana nehosha zvakakomba, vana vanoenda kukireshi zera uye neavhareji kurema vaiva matambudziko. Anofanira kupa zera-kwakakodzera zvokudya. Inofanira kusanganisira mechanically uye mishonga munyoro zvokudya, apedzise akasiyana siyana aitodada zvinhu uye mavhitaminzi.

Also kuitwa causal kurapwa, iyo inozivikanwa nokushandisa zvinodhaka zvakadai leukocyte hwevanhu interferon, "Anaferon", "Grippferon" uye "Viferon". In chakakomba siyana, Zvinokurudzirwa kutora "immunoglobulin" uye "Ribavirin", mutengo wayo zvichisiyana 240-640 rubles, zvichienderana chipimo chemushonga. Zvakakwana kunobatsira kudzivisa kuonekwa zvinokonzerwa bronchitis zvinodhaka "Sinagis". Kana kuona kwemabhakitiriya matambudziko, zvinoratidza inorwisa utachiona kurapa.

Árbol mhingaidzo zvakanaka akabvisa symptomatic uye pathogenetic kurapwa. Muchiitiko chino, shandisa mukana okisijeni chifukidzo nokuda kufema, zvinova nyore kuti zvikuru zviratidzo uye huve nyore dzedenga rive.

Dispensary akataura kunoda matambudziko. Pashure nemabayo yakarumbidza uchiongororwa pashure 1, 3, 6 uye 12 mwedzi kupedza apore. Okudzivirira Diagnostics chinodiwa pashure idzokororo bronchitis uye vakagadzwa mushure kunatsiridza. Kana zvakakodzera, zvinonzi ashanyirwa kubvunza allergist kana pulmonologist, uye akaita rabhoritari nemiedzo.

mabatiro vana

Vana dzose vanorwara chakaoma, uye migumisiro yacho zviri zvikuru chakakomba kupfuura vakuru, saka kurapwa kunofanira kwazvo uye nyanyisa.

antivirals:

- "Ribavirin", mutengo chinodhaka, sepakutanga anotsanangurwa - riripo, saka zvakasimba haana yarova kupfumisa vabereki;
- uyewo kazhinji ushandiswe "Arbidol", "Inosine", "Tiloran" uye "pranobex".

Syndromical kurapa zvinoda kuitwa maererano protocols rakakodzera pakurapa chakasimba kufema kukundikana, bronchitis uye croup syndrome.

Basic antihomotoxic kurapa:

- "flu-chitsitsinho", "Engystol" (rinoshandiswa kumharuro redunhu);
- "Euforbiumkompozitum C" (nasal pfapfaidzo);
- "Limfomiozot".

Mukuwedzera:

- "Viburkol" (rectal suppositories);
- "Echinacea kompozitum C" (ampoules);
- "Angin-chitsitsinho S";
- "Traumel C" (Mahwendefa).

All zvekushandisa izvi kubatsira kukunda zvakanaka kufema syncytial hutachiwana vana.

kutanga matanho

Kuti nokukurumidza kukunda chirwere, unofanira zvakanaka kuteerera zviratidzo kuoneka, kuitira kuti kugamuchira rubatsiro zvakakodzera kana yokushayiwa.

1. Tsvaka kurapwa kunodiwa kana wechiduku mwana SARS zviratidzo, kureva kwazvo huro, runny mhino uye zvikuru wheezing.
2. waida kunzi amburenzi, kana paine mukuru tembiricha, zvikuru ruzha, vakashanda kufema uye zvayo zvikuru ezvinhu.

Kunodiwa kugadzirisa vanachiremba zvakadai, sezvinoita chiremba, uye zvirwere zvinotapuriranwa.

yematambudziko

Inokanganisa pamusoro kufema turakiti rine kufema syncytial utachiwana. Migumisiro zhinji chirwere, sezvo anogona kubatana chesekondari kwemabhakitiriya kasvisto uye kukonzera zvirwere zvakadai:

- sinusitis;
- otitis nhau;
- bronchitis;
- mabayo;
- bronchiolitis.

dziviriro

Zvirwere zvose nemavhairasi zvakaoma kurapa nokuti nezviratidzo zvavo kazhinji zvakavanzika. Mumwe zviyero ndiyo vasabatwa mangwanani zvirwere uye voga wevarwere kupedza hwokuponesa. Panguva imwe yaizotangira zvirwere zvakadai zvikurukuru nyaya Utsanana matanho. Mumapoka uye zvipatara zvevana vakakokwa vakapfeka dzihwa masiki kuti mudonzvo. Vacheche hazvo uye zvakanyatsorongwa disinfected maoko vachishandisa alkali mhinduro.

Nokuti Kudzivirira kwechimbichimbi matanho ari foci chirwere dzinosanganisira kushandiswa kwezvinodhaka akadai "Anaferon", "Viferon", "Imunal" uye zvakasiyana-siyana inducers ose endogenous interferon.

Immunoprophylaxis zvinosanganisira nzira dzakadai se "Motavizubam", "RESPIGHI" uye "Palivizubam".

mushonga

To musi, pane kwakasimbiswa chimwe chezvinonhuwira kuti zvichaita kudzivisa chirwere. Creation rakanyatsojeka kushingaira, kuedza kwakaitwa kubvira kuma1960, pashure iyo fuma iri inactivated pamwe formalin uye rakakombwa alum. mushonga kwakadaro akakonzera raidudzwa paumbwe serum antibodies, kunyange mugumisiro chikumbiro, Vakaedzawo yakatanga chirwere chakakomba zvikuru. Rarama attenuated zvinoriumba kuti zviratidzo havasi dzinofadza chaizvo kana dzikava chete utachiona, chete nyati mhando. To musi, kufunga nzira wokunatswa antibodies pamusoro subunit rimwe pamusoro mapuroteni kana masero attenuated, wozoedza kuchinja kuti inotonhora.