Kupuma syncytial HIV: zimayambitsa, zizindikiro, chithandizo, zotsatira

Kupuma syncytial HIV ndi mbali ya gulu la bwinobwino zikuchitika matenda zokhudza nambala mwachilungamo ambiri a ambiri wamng'ono. Azaka kutenga malo zofunika pakati kachilombo. Ngati akuluakulu matenda ndi chabe, ana angathe mavuto aakulu.

tanthauzo

Izi ndi kachilombo komwe kamayambitsa matenda thirakiti kupuma. Zichiwembu kuti n'zovuta oterewa chifukwa n'zosavuta kusokonezedwa ndi chimfine. Pano palibe katemera, ngakhale yapangidwa, kotero matenda ndi zina amapha. Mu kuchipatala amayamba ndi maonekedwe chifuwa, mphumu malikhweru.

etiology

Kupuma syncytial Kachiromboka anaikira mu cytoplasm, pambuyo yakucha akuyamba ikuphukira mu Kakhungu lapansi. Adzaupereka kwa banja Paramyxoviridae ndi woimira yekha wa gulu limeneli, yomwe INGATHE kuyambitsa matenda aakulu. Ngakhale mpweya zosiyanasiyana ena heterogeneity antigenic, yofanana ikukhudzana lalikulu la glycoproteins angapo, koma AIDS ndi matenda tanthauzo la kusiyana si bwino. Infection umakhala angapo zikhalidwe selo, kuchititsa mapangidwe syncytia lililonse.

zifukwa

Kupuma syncytial HIV ndi matenda anthu, amene kudzera mwa m'malovu airborne. Iwo amatha kupatsira onse anthu odwala komanso atolankhani. Khalidwe ndi gulu ndi kubuka banja ndi milandu matenda nosocomial ankalembedwa zambiri mu zipatala Dokotala. Kufala si zachilendo ndipo nthawi zambiri padziko koloko mu dzinja ndi masika. The chiwopsezo chachikulu anaona ana kwa miyezi 4-5 zaka 3. Ndili wamng'ono kwambiri mwa ana ukugwira matenda, monga chitetezo chokwanira ananenanso chosakhalitsa, Nthawi zambiri mobwerezabwereza milandu matenda, koma mu anawononga kwambiri. Komabe, pambuyo mofulumira lathunthu la chamoyo a chitetezo (IgA), kupuma syncytial HIV akhoza reappear.

Zimafalikira kudzera pafupi ndi anthu kachilombo. . Zakhala kusanthula ndipo anapeza kuti ngati munthu wodwala sneezes, mabakiteriya mosavuta kufalitsa pa 1.8 mamita Gulu la tizilombo toyambitsa matenda kupulumuka pa manja ndi mphindi 30, ndipo pa phunziro - maola angapo.

Pathogenesis matenda ndi ofanana kwambiri limagwirira fuluwenza ndi parainfluenza chitukuko, monga kugwirizana ndi kayendedwe ka matenda kwa epithelium pa mundawo kupuma. Ali kudutsa mundawo kupuma, ndi chachikulu wayamba kubereka mu cytoplasm wa nasopharynx ndi ndiye imafika ku bronchi ndi. Pa nthawi imeneyi, pali hyperplasia ya maselo anakhudzidwa ndi symplasts. zinthuzo ali limodzi ndi constriction wa bronchioles ndi hypersecretion kuti kenako kumabweretsa blockage awo a ntchofu wandiweyani. Ndiye chitukuko cha matenda anatsimikiza ndi mlingo wa kumamatira kwa zomera ndi kulephera kupuma.

zizindikiro

Kupuma syncytial HIV, zimene tizilombo tosaoneka ndi maso ndi zovuta ndi zovuta matenda, matenda ndi oyambirira kasupe ndi yozizira.

Chibwenzi sizinaulilire chifukwa amakhudza thirakiti m'munsi kupuma mu ana ndi akulu pamwamba.

Ana, nthendayi imayamba ndi malungo, aakulu zilonda zapakhosi ndi chimfine. Pasanapite chikugwirizana ndi zizindikiro zina tofanana mphumu. The matenda amakhala ndi zinthu zotsatirazi:

- kufupika kwa mpweya (kuposa 40 mpweya pamphindi);
- bluish khungu (cyanosis);
- lakuthwa, kawirikawiri chifuwa;
- kutentha;
- ovutika ndi kupuma m'goli;
- chisindikizo croupous;
- mpweya shrill ndi wheezing;
- angaletsedwe exhalations.

M'munsi kupuma matenda thirakiti zimachitika pamene bronchioles pathupi. Ngati mfundo wodwalayo mavuto ndi mwa kundipatsako kwa mpweya, onetsetsani kuti dokotala kwa chithandizo mwamsanga kuchipatala. matenda awa zimachitika nthawi zambiri ana pansi chaka chimodzi, ndipo mofulumira akuchuluka.

Gawo

Pali zinthu zingapo, sipangakhalenso yodziwika ndi kupuma syncytial HIV, akuti:

- mmene - kukhala rhinitis, laryngitis, chibayo, nasopharyngitis, bronhilit, matenda, segmental m'mapapo mwanga edema ndi atolankhani otitis;
- atypical - amaona kapena matenda asymptomatic.

Pali 3 mitundu ikuluikulu ya matenda.

1. Easy, limapezeka nthawi zambiri akuluakulu ndi ana a sukulu. Amasonyeza kuti nasopharyngitis wofatsa, kupuma ayi anati. Nthawi zambiri, kutentha thupi amakhalabe labwinobwino kapena ukuwonjezeka pang'ono, koma madigiri ochepa chabe. Zizindikiro za kuledzera ndi kwina kwathunthu.

2. Wongolerani kuti kwambiri, n'zotheka kusunga zizindikiro za matenda pachimake kapena bronchiolitis limodzi ndi matenda obstructive ndi kulephera kupuma. Wodwala alipo m'kamwa cyanosis ndi kupuma movutikira. Ngati mwana wodwala, kungakhale kwambiri wosakhazikika, tulo, kukwiya kapena lethargic. Nthawi zambiri kuwonjezeka pang'ono chiwindi kapena ndulu. kutentha kawirikawiri kukwezeka, koma zimachitika ndi yachibadwa. Pali zolimbitsa kuledzera.

3. heavy, pa mphindi ino osauka bronchiolitis ndi matenda obstructive. Pali kupanda amphamvu mpweya zomwe zitha kuthandiza mpweya chigoba kupuma. Siimva traceable whistles ndi mphatsoyo kawopsedwe kutchulidwa ndi kuwonjezeka limbika chiwindi ndi ndulu.

Mwa mfundo yokoka zambiri monga makhalidwe zotsatirazi:

- kupezeka kwa kusintha kuderalo;
- n'kovuta kulephera kupuma.

Ndi chikhalidwe cha otaya ndi:

- yosalala - palibe mavuto bakiteriya;
- osati yosalala - maonekedwe a chibayo, sinusitis ndi otitis purulent.

nkhani

Kupuma syncytial HIV, amene zizindikiro akhoza kusokonezedwa ndi matenda ena ake anafotokozedwa 1956 ndi Dr. Morris. Iye anali kuyang'anira m'mitengo, amene anapezeka rhinitis, wapeza matenda atsopano n'kulitcha ndi Pasi - Chimpanzeecoriraagent (nthumwi causative wa anyani chimfine). Pa nthawi ya Kupenda ndodo wodwala amene anamusamalira nyani, izo unkachitika kuwonjezeka chitetezo ndi zofanana kwambiri ndi HIV.

Mu 1957, R. Chenok allocated tizilomboto chomwecho ana kachilombo ndipo anatsimikiza kuti iye ndiye anali ndi udindo kwa malemeredwe chifuwa ndi chibayo. Pambuyo pake mpaka tsopano asayansi anavutika kuyesera kukhala katemera.

diagnostics

The matenda tanthauzo la vuto matenda, chifukwa cha kufanana ndi matenda ena. Akuluakulu, nthawi zambiri chimakhala chogwidwa ndi zizindikiro za matenda ndi chibayo. Mu maphunziro zasayansi ntchito njira serological kuti azindikire oteteza titer. Ngati ndi kotheka, dokotala anapereka yeniyeni X-ray ndi mayesero zasayansi Mwachitsanzo, virological mayeso nasopharyngeal swabs.

mankhwala

Odwala amene anapezeka ndi kupuma syncytial HIV, chithandizo chikuperekedwa zovuta ndi, pofuna kulimbitsa thupi. zina bedi akulimbikitsidwa nthawi yonse exacerbation. M'chipatala akusonyeza ana ndi matenda aakulu, ana zaka sukulu ndipo ndi kulemera avareji anthu amene anali zosokonezeka. Muyenera kupereka msinkhu zakudya. Iwo pazikhalanso umakaniko ndi mankhwala wofatsa chakudya, malizitsani zosiyanasiyana kufufuza zinthu ndi mavitamini.

Ankachititsanso chithandizo causal, amene amakhala ndi ntchito mankhwala monga leukocyte anthu interferon, "Anaferon", "Grippferon" ndi "Viferon". M'njira kwambiri, izo tikulimbikitsidwa kuti atenge "immunoglobulin" ndi "Ribavirin", mtengo wake umasiyana 240-640 rubles, malingana ndi mlingo. Mwangwiro kumathandiza maonekedwe a zotsatira za matenda mankhwala "Sinagis". Ngati wapezeka mavuto bakiteriya, izo zikusonyeza mankhwala antimicrobial.

Bronchial kutsekeka bwino kuchotsedwa symptomatic ndi pathogenetic chithandizo. Pankhaniyi, ntchito mpweya chigoba kwa kupuma, izo mosavuta matenda ndi zimatithandiza kotunga mpweya.

Ataona Dispensary amafuna zosokonezeka. Pambuyo chibayo analimbikitsa tizipima pambuyo 1, 3, 6 ndi 12 miyezi kumaliza kuchira. diagnostics njira m'pofunika pambuyo matenda kobwereza ndipo anasankha pambuyo Kusintha kwa. Ngati ndi kotheka, iwo anapita akamafufuza allergist kapena pulmonologist, ndi mayesero anapanga zasayansi.

chithandizo cha ana

Ana nthawi zonse kudwala kovuta, ndipo zotsatira zake ndi lalikulu kwambiri kuposa akuluakulu, choncho mankhwala ayenera kukhala mokwanira ndi tima.

antivirals:

- "Ribavirin", mtengo wa mankhwala, monga kale anafotokoza - alipo, kwambiri sizinkagunda matumba a makolo;
- Nthawi zambiri zotchulidwa "Arbidol", "Inosine", "Tiloran" ndi "pranobex".

mankhwala Syndromical Pamafunika imachitika mogwirizana ndi ndondomeko yoyenera zochizira pachimake kulephera kupuma, matenda ndi matenda croup.

Kuweta antihomotoxic mankhwala:

- "Matenda a Chimfine-chidendene", "Engystol" (ntchito ndi dera kuyambitsa);
- "Euforbiumkompozitum C" (m'mphuno kutsitsi);
- "Limfomiozot".

Kuwonjezera:

- "Viburkol" (thumbo suppositories);
- "Echinacea kompozitum C" (ampoules);
- "Angin-chidendene S";
- "Traumel C" (mapiritsi).

Onse zipangizo kuthandiza kuthetsa bwino kupuma syncytial HIV ana.

masitepe loyamba

Kuti mofulumira kugonjetsa matendawo, muyenera bwino kuyankha zizindikiro kuoneka, kotero kuti ukhoza kulandira thandizo lofunika mu nkhani ya kusowa.

1. kuchipatala chofunika pamene mwana SARS zizindikiro, ndicho zilonda zapakhosi, chimfine ndi wheezing kwambiri.
2. Amafuna otchedwa ambulansi, ngati pali mkulu kutentha kwambiri kapena phokoso, adakangalika kupuma ndipo ambiri chikhalidwe kwambiri.

Amafuna kuti akonze madokotala amenewa, monga dokotala, ndipo matenda opatsirana.

zosokonezeka

Wachisoni yaikulu mundawo kupuma ali ndi kupuma syncytial HIV. Zotsatira zambiri za matenda, chifukwa akhoza kujowina sekondale bakiteriya zomera ndi chifukwa matenda monga:

- sinusitis;
- otitis TV;
- chifuwa;
- chibayo;
- bronchiolitis.

kupewa

matenda onse tizilombo amakhala ovuta kuchiza chifukwa matenda awo nthawi zambiri zobisika. Imodzi mwa miyeso ndi kuzindikira mwamsanga matenda ndi kudzipatula odwala kumaliza kuchira awo. Pa mliri wa matenda amenewa makamaka mu miyeso nkhani zaukhondo. Mu magulu ana ndi zipatala mukupemphedwa atavala masks chimfine cha ndodo. Ana kwenikweni ndi mwadongosolo kupopera mankhwala manja ntchito njira soda.

Pakuti Njirazi mwadzidzidzi mu foci matenda monga kugwiritsa ntchito mankhwala osokoneza bongo monga "Anaferon", "Viferon", "Imunal" ndipo zosiyanasiyana inducers wa amkati interferon.

Immunoprophylaxis zikuphatikizapo njira monga "Motavizubam", "RESPIGHI" ndi "Palivizubam".

katemera

Pakali pano, pali zachitika chigawo chimodzi kuti chingamulepheretse matendawa. Chilengedwe ndi wokangalika, zatsopano akhala akugwira kuyambira 1960, ndipo kenako chinthu ndi inactivated ndi formalin ndi kuzungulira alum. katemera otere anayambitsa ndi mapangidwe kutchulidwa kwa chitetezo seramu, ngakhale chifukwa cha ntchito, kuti anayesedwa anayamba matenda oopsa kwambiri. Moyo zigawo attenuated chifukwa zizindikiro si zosangalatsa kapena kuwasandutsa HIV imodzi, kuthengo-mtundu. Pakali pano, kuganizira njira yoyeretsa akupha ndi kagawo kakang'ono mmodzi wa mapuloteni nyemba kapena maselo attenuated, ndiyeno kuyesera kuti azolowere kuti kuzizira.