Analysis kwa pertussis. The owopsa matendawa ndi mmene tiyenera kuchitira izo?

Pertussis - matenda amene amapezeka chifukwa malowedwe a thupi bakiteriya tizilomboto khalidwe droplet njira.

Kuti akhoza kusonyeza kusanthula kwa pertussis? Ana, akuphokosera chifuwa, kuchuluka misinkhu magazi a leukocytes (2-7h10 ⁹ / L), ndipo leukocytic chilinganizo alipo ambiri lymphocytes. Pamene mavuto a mlingo matenda a leucocytes ukuwonjezeka. Ana immunocompromised, katemera ndi anthu amene anasonyeza mitundu ya pertussis, kusinthasintha mu zofufuza za zimawonedwa. erythrocyte sedimentation liwiro ndi pafupifupi kapena pang'ono m'munsi kanjedza. Kuvutika mu chithunzi magazi kokha mu gawo catarrhal matendawa.

Zizindikiro za akuphokosera chifuwa ana

ndi kuphokosera zizindikiro chifuwa chiyani? Kodi matenda? Pa siteji koyamba kukhala ndi matenda ana popanda zizindikiro zapadera. Kutentha thupi akhoza kuuka kwa madigiri 38, pali chimfine, chifuwa youma komanso yosowa kwambiri. Nthawi imeneyi, matenda akuphokosera chifuwa ndi owopsa kwa anthu owazungulira. Ambiri, zizindikiro ofanana ndi matenda pachimake kupuma. Pertussis Bacillus wachulukitsa nthawi imeneyi kuti mwachangu ngati n'kotheka, nthawi yomweyo akumasula ndi poizoni.

Mu siteji yotsatira ya matenda, amene pambuyo masabata 2, chikhalidwe mwanayo amakhala zikuipiraipirabe. Pali wapadera spasmodic chifuwa. Lililonse ngati Kankhani chifuwa limodzi ndi kumuimbira mluzu ndi mpweya kwambiri. Ndi mwana woteroyo kukhosomola akhoza kwambiri tulutsani lirime, kuwononga izo. Nkhope ndi khosi usiye buluu, nthawi zina pamakhala Kuimaima kupuma. Kumapeto kwa kumuukira adzamasulidwa sputum, ndi zina kusanza. Kutengera pa zovuta za matenda, chiwerengero cha anthu odwala matenda zingakhale 50 patsiku.

Patapita masiku 20-30, matenda amasintha mu gawo lina lotsatira. Spasmodic chifuwa chifuwa m'malo mwachizolowezi. Ukupeza a mwana amakhala bwino kwambiri, kutentha akupita pansi ndi kubwereranso njala. siteji susiya kwa masabata 3.

Monga taonera mu wamkulu akuphokosera chifuwa? Kodi matenda opweteka? Zizindikiro akuluakulu ndi ofanana nazale, ndi kusiyana kokha kuti palibe malire pakati pa magawo a matenda. Pankhaniyi, chifuwa cha limachulidwa kwambiri, nyanja kukukulirakulira usiku.

mbali khalidwe la pertussis makanda

Kuswa ndi nthawi preconvulsive kusanduka masiku 1-2, ndi kuphokosera chifuwa nthawi kumawonjezera kwa masabata 6-8.

Makanda obadwa kumene, mmalo mwa kukhosomola mwachizolowezi, anaona zizindikiro ofanana: sneezing, amauma kulira, kukuwa. Matenda matenda hemorrhagic: magazi mu chapakati mantha dongosolo, nthawi zina - mu kunja maso wandiweyani khungu ndi khungu. Chikhalidwe cha odwala mu nthawi ya pakati pa nthawi ya anakula ana anati kusokonezeka, luso otayika, omwe anayamba kale ndondomeko matenda. Nthawi zambiri pali wapadera aggravation, omwe nthawi zina kuvala moyo pachiswe mu chikhalidwe, pakati pawo: apnea, zolakwika kwa yachibadwa otaya ubongo magazi. Zosokoneza mpweya, mpaka amasiya zosakhalitsa ungadziwike popanda kutsokomola, mwachitsanzo akagona kapena kudya. Pakati pa muyambirenso si yeniyeni ambiri zambiri matenda chibayo. Pakhala imfa.

mbali khalidwe la pertussis ana katemera

Ana amene katemera chifuwa akuphokosera, mwayi kudwala chifukwa cha chitetezo chokwanira osauka kapena kuwonongeka kwa mphamvu yake. Nthawi zambiri anapezeka njira yosavuta kwambiri chifukwa cha matenda, aakulu si achilendo. zosokonezeka Specific n'zochepa kwambiri, ndipo pamene iwo ali moyo pangozi, choncho zochitika woopsa sanalembedwepo. Nthawi zambiri pali mitundu ankaikira pertussis. Mpaka masabata 2 ndi preconvulsive kuwonjezeka makulitsidwe nthawi ndi spasmodic chifuwa mkombero yafupika masabata 2.

matenda matenda

Kodi mayeso chifukwa akuphokosera chifuwa kufunika pochitika? Pofuna kuona zotheka aggravation mwachita urinalysis ndi magazi zimapangidwira. Mu njira yachibadwa ya matenda, iwo sasintha.

Total sputum kusanthula limachititsa kuthetsa mphumu, chifuwa ndi fuluwenza. Akuphokosera chifuwa phlegm mucosa, concomitant ndi maonekedwe a chibayo kumakhaladi mucopurulent kapena purulent.

Ambiri mtima dokotala kudziwa matenda, makamaka magawo oyambirira a matenda, amapereka njira bacteriological yosanthula - kulima tizilombo pa TV zatu. A nthawi yaitali kudziwa mabakiteriya pertussis kuchita njira "mbale chifuwa", tikulimbikitsidwa Maurittsenom. Pa nthawi ya kuukira wotsatira wa kutsokomola pa mtunda wa 5-8 masentimita kwa mwanayo ali womasuka Petri mbale ndi sing'anga zatu. Microscopically ntchofu madontho mmene bakiteriya ali pertussis akuuluka kuchokera mkamwa, ndi anakaika pa izo. Patapita masiku 2-4, potengera chikhalidwe wamkulu amawapeza. Mtundu wa matenda pali cholakwika chimodzi - izo pafupifupi si ogwira ana omwe sali bwino kutsokomola, komanso chifuwa palibe.

Pali njira zochepa zapitazi kupeza chifukwa cha chifuwa akuphokosera - seeding mabakiteriya ku nasopharynx ndi pansi lilime. Njira matenda imatengedwa zothandiza kwambiri, koma pambuyo masabata 4-5 pambuyo isanayambike matenda kusonyeza sazindikira wake, chifukwa n'zosatheka kudziwa causative wothandizira. ntchito oyambirira mankhwala komanso kumachepetsa mpata lapeza Bordetella pertussis.

Gawo kukonzekera asanayambe kuphunzira

The chizindikiro chachikulu cha pertussis ndi pachimake matenda kutsamwa chifuwa, nthawi zina limodzi ndi kusanza, milandu makamaka lalikulu, kuukira N'zosavuta kwa hule, mwachitsanzo, panthawi ya zitsanzo zosankhidwazi kwa kusanthula. Pa nthawi ngati zimenezi, amayi ayenera kukhala okonzeka kuti mwina mwana thandizo.

The ndondomeko kukonzekera ndi kuti Pap kwa kusanthula ndi othandiza kwambiri nthawi oyambirira, chifukwa cha usiku opangidwa yambiri ntchofu, amene ali ndende yaikulu tizilombo. Ndi bwino kuti aone pertussis asanayambe kudya osati kuchita yoyeretsa ya mano. Apo ayi, ndi chiwerengero chachikulu cha sputum adzataika.

Galamafoniyo zofufuza chifukwa pertussis

kuwunika ikuchitika pamodzi ndi zotsatira za kukhazikitsidwa kwa makalasi osiyanasiyana a chitetezo (IgM, IgA)

Bordetella pertussis (Bordet-Gengou bakiteriya)
IgG	IgM	IgA	zotsatira Decoding
moyipa	moyipa	moyipa	The causative wothandizila si
Zoipa kapena zabwino	moyipa	Zoipa kapena zabwino	Izi zikusonyeza pamaso pa matenda
Zoipa kapena zabwino	moyipa	ndithu	Akusonyeza pamaso pa matenda mu nthawi posachedwapa,
ndithu	moyipa	moyipa	Iwo amalankhula za matendawa posachedwapa kapena zakale kapena Katemera wa kale akuyendera

Kodi ine aone pertussis?

Kodi kuti aone pertussis? Mtundu uwu wa kufufuza ikuchitika Laboratories matenda ndi malo matenda. kawirikawiri alipo m'deralo. kafukufuku zofunikira ndi malo amsonkhano anatsimikiza ndi dokotala.

Mtundu mayesero kwa pertussis anatsimikiza pamaziko zizindikiro, njira ya matenda ndi magulu zaka odwala.

Magazi pa chifuwa akuphokosera, madokotala anafunsa kupereka mu malo oyamba, chifukwa mtundu wa kusanthula amanyamula zambiri.

zosokonezeka zotheka

The wapadera monga:

• ndiko kumayambitsa m'mapapo mwanga;
• mediastinal ndi subcutaneous ndiko kumayambitsa maselo;
• atelectasis;
• pertussis chibayo;
• zosokoneza mu pafupipafupi kupuma (kuyimitsidwa wa kupuma - apneas kwa masekondi 30, siyani - apnea kuposa masekondi 30);
• kuwonongeka kwa magazi mu ubongo;
• magazi (mphuno, kumbuyo m'chigawo cha pharynx, bronchi, kunja Makutu njira ndi khungu ndipo zimagwira ntchito zosiyanasiyana mucous, sclera ndi diso, ubongo ndi msana);
• maonekedwe kapena umbilical chophukacho;
• imfa ya mucosa thumbo;
• kuwonongeka kwa Kakhungu tympanic ndi zakulera.

Tikangowerenga mavuto ambiri amene angapeze chifukwa kudzikundikira sekondale zomera bakiteriya ndi:

• chibayo;
• matenda;
• zilonda zapakhosi;
• lymphadenitis;
• otitis.

mankhwalawa pertussis

The ndondomeko mankhwala ikuchitika n'kupuma yekha. ana akhanda akuyesetsa kuika mu chete otsika kuwala mchipindamo kuchepetsa zinthu kuyabwa, monga iwo imfayo ndi aggravation wa kukhosomola. Ana okulirapo mitundu yosavuta ya matenda bedi mode okhulupirika.

chidwi linaperekedwa kwa zakudya, atagwira pafupipafupi kudyetsa chakudya chochepa. makanda amafunika nthawi kutulutsa kunja ntchofu ku mmero. Kwa ana okulirapo ndi lofala chithandizo oxygen.

Maantibayotiki akagwiritsidwa ntchito kwa ana aang'ono zosiyanasiyana matenda aakulu. Pa sitepe bluetongue ankakonda kugwiritsa ntchito "mankhwalawa".

Kambirimbiri yeniyeni Popanga madzi a gamma globulin, pertussis, tikubweretsazi mu mnofu jekeseni wa 3 ml ya tsiku lililonse kwa masiku 3.

Kawirikawiri ntchito mankhwala chifuwa, kuwauza kusamala, monga mphamvu ya mankhwala imatengedwa wofooka. M'pofunika kupewa ntchito zida monga mpiru ndi mabanki, amene kungakhale kukhosomola.

Katemera ndi pertussis

Katemera ndandanda anakhazikitsa boma Katemera ndandanda. Kutsegula wa chitetezo chokwanira ndi pertussis ntchito DTP ( "Tetrakok" "Infanrix") - ikuchitika mu 3, 4 ndi 5 miyezi. Pambuyo kukonzanso katemera motsutsana pertussis ikuchitika miyezi 18.

DPT jekeseni anapangidwa mu minofu, ana kwa zaka 1.5 - kutsogolo kwa gawo lakunja la ntchafu, ndi ana okulirapo kuposa - mu mnofu deltoid. Potsatira oyamba mankhwala amenewa, makamaka chifukwa cha lonse-selo katemera jekeseni pa masiku 3, mwana angasonyeze anachita zoteteza katemera, onse m'deralo ndi ambiri. Nthawi 8-9 10 ngati njira angayambe pambuyo maola ochepa pambuyo jekeseni. Zimenezi ndi zabwinobwino zachilengedwe mawu, ndipo saona zosokonezeka.

zodzitetezera ndi achire

Nthawi Pertussis ayenera kukhala olekanitsidwa kwa masiku 25 pambuyo matenda, mankhwala ayenera kukhala zomveka ndi mosamalitsa umalimbana ndi kuthetsa zimene zimayambitsa matenda.

Kuti kumezanitsa, ndi ana si ojambula katemera woyikidwa kwaokha nthawi ya masabata 2 kuyambira chiyambi cha kudzipatula wodwalayo. Tinapita kwa ana ndi mosamalitsa okha, anasintha chamayendedwe ndi akuyenda.

Kudziwa akuphokosera chifuwa mu magawo oyambirira, pertussis m'dera anatenga mayeso tsiku zachipatala wa ana ndi akulu ndi kamodzi bakiteriya bwino.

Kodi kupewa matenda monga chifuwa akuphokosera? chitetezo cha m'thupi olimba, muyenera nthawi zonse kulimbikitsa izo, ndiye inu kupewa matenda ambiri, osati pertussis. Ndipo, ndithudi, musaiwale za vaccinations.

Pofuna kupeza ndi kukonza malo a kugonjetsedwa pertussis, kulankhula kwa ana ndi akulu atapatsidwa analimbikitsa "mankhwalawa", "rulid" kapena "Sumamed" kwa sabata imodzi pa mlingo Napempha kwa zaka.

Contact makanda mpaka 1 chaka ndi siinamezanitsidwe (asanakwanitse zaka 2) mukupemphedwa kulowa mwiniwake immunoglobulin - 2-4 Mlingo (Mlingo 1-2 tsiku lililonse).