The mwana ali totupa ndi malungo. Zoyambitsa, chithandizo. Pediatrics

Lililonse kholo ndi bwino nkhaniyo pamene mwana mwadzidzidzi totupa thupi ndi pa nthawi yomweyo kutentha mwadzidzidzi kukacha. Zizindikiro zimenezi zimachitika matenda ambiri ndi zinthu, ena amene yoopsa zokwanira thupi mwana. Yesani kupeza kuti kodi zinthu pathological yeniyeni khalidwe la matenda makamaka, nanga khalidwe makolo mwanayo mwadzidzidzi totupa ndi malungo.

Totupa maziko tizilombo ting'onoting'ono

Chimodzi mwa zomwe zimakonda kuyabwa pa thupi la mwana redness imatengedwa zimachitika kuti tizilombo ting'onoting'ono: udzudzu, nsikidzi, ndi m'madera ena a Russia (makamaka kumpoto) chakupha ntchentche zoluma. mawonetseredwe Izi zikhoza kugwirizana ndi kuwonjezeka pang'ono kutentha thupi monga thupi anachita mwanayo amayamba njoka tizilombo ndi njira mthupi adamulowetsa. Monga ulamuliro, pali zotupa wofiira pambuyo mosadziteteza mwana kukhala mu chikhalidwe, usiku kapena masana kugona.

Maso kwambiri totupa izi chifukwa kasupe oyambirira kapena masika pamene pali chikhulupiriro chakuti tizilombo kale kapena zambiri sayenera. Kupezeka mu milandu, ziphuphu pa khungu poyera, totupa manja, kutentha akhale otsika. Musanayambe mantha, azitha kuyendera chipinda ndi kama wa mwana pamaso pa tizilombo, osati kuiwala kuti chapansi pa udzudzu timagwira ntchito kwambiri m'nyengo yozizira. Pambuyo potsimikiza kuti tizirombo pang'ono mu chipinda kapena mipando, ayenera kutenga njira kuwawononga. Ting'onoting'ono zambiri ankachitira kulumidwa "Fenistil-gel osakaniza" kapena "Psilobalzamom". Pankhani ya kuwonjezeka kutentha ayenera kupereka antipyretic mwana ndi mankhwala a antihistamine.

Totupa chifukwa cha thupi lawo siligwirizana

Wina chifukwa palibe zochepa wamba zidzolo pa thupi mwana imatengedwa kuti ndi matupi awo sagwirizana anachita. mawanga Izi zikhoza kuoneka ngati ndi lalikulu bwanji zotupa, ndi ziphuphu ang'onoang'ono. Nthawi zambiri mwanayo kukuonetsedwa otchedwa "chifuwa chakudya." Pali zoterozo_zisokonezo kudwala m'malo mofulumira: mu thupi la mwana kuoneka ofiira totupa, limodzi ndi kuyabwa kwambiri. Komanso, nthawi zina, nkotheka kusanza, kutsegula mpando wake ndi malungo. The chikhalidwe ambiri akhoza kusintha: mwanayo amakhala lethargic ndi amphwayi, kapena M'malo mwake, poona ndi mokondwera. Kudziwa ngati makolo anali wokhoza mukazindikira chifukwa cha totupa ndi allergen amene anayambitsa izo, mungathe dokotala ana okha. Ziyenera kukhala posachedwapa kuwona dokotala katswiri ndi mwana. Popeza kuthekera alowererepo mofulumira zachipatala angathe kupereka mwana kumwa adamulowetsa makala kapena sorbent aliyense, komanso antihistamine kuti alipire wa zotheka anachita chamoyo. Matupi awo sagwirizana totupa mwana akhoza kukhala ndi detergents Mwachitsanzo, ufa, amene achotsa zovala mwana. Ntchito makolo - kuti mukazindikira chifukwa cha thupi mwana anachita kuchitira chifukwa, osati zotsatira.

Ana matenda opatsirana

Koma nthawi zambiri chifukwa cha totupa thupi, makamaka limodzi ndi malungo, akhoza kukhala matenda. Chifukwa cha mawonetseredwe cutaneous zingakhale ndi anthu angapo matenda opatsirana amakhala kudwala ngati mwana. Makolo ambiri otsimikiza kuti mwana wanu ali bwino kusuntha ana mavairasi mu sukulu ndi sukulu oyambirira zaka, monga nthawi imeneyi akuganiza yabwino kwambiri pakutchulidwa matenda tcheru. Ndipotu, kwadza matenda awa ana analekerera mosavuta kuposa mu achinyamata akulu ndi akulu. A thupi kukula sizivuta ndi waphindu kulimbana ndi tizilombo ting'onoting'ono ndi tizilombo toyambitsa matenda, ndipo chitetezo cha m'thupi la mwana ankaona kuti kwambiri agile ndi yogwira kuposa achikulire. Chifukwa nthawi mwana matenda tizilombo bwino analekerera ndi kutenga nthawi yochepa kuchira.

Okhadzula pa thupi ndi kutentha akhoza chizindikiro matenda ambiri opatsirana. Pakuti pathologies osiyana tizilombo yodziwika ndi zizindikiro zake, koma ambiri matenda ambiri ndi kuti limodzi ndi zidzolo, malungo, ndipo zosiyanasiyana mawonetseredwe somatic catarrhal. Pakuti makolo amaona kofunika kudziwa momwe angadziwire zizindikiro za matenda, monga zizindikiro poyamba amayamba mwadzidzidzi, ndi Sikuti nthawi zonse mwayi mwachangu kufunafuna oyenerera kuchipatala.

katsabola

Amodzi mwa matenda ambiri opatsirana kuti mwana bwinobwino kulekerera pafupifupi 85% ya anthu amaona kuti kukhala katsabola kapena, monga anthu amati, katsabola. Disease amakhala ndi chakuti mwana watentha thupi ndipo kenako totupa zikuoneka ngati mawanga ofiira ndi kuwira madzi. Poyamba pang'ono totupa, koma pang'onopang'ono zambiri ziphuphu zakumaso, pamene iwo zingaoneke ndipo zimagwira ntchito zosiyanasiyana mucous mwanayo. Madontho varicella, nthawi limodzi ndi kuyabwa kwambiri, chifukwa dokotala ana angakulangizeni mankhwala (kupatula malungo).

Madzi kuwira uphwetsa mu masiku angapo, ndipo pa khungu anapanga kutumphuka. Baby, nthomba imatengedwa matenda ena kwa milungu iwiri: ndi nthawi imeneyi adzakhala adzauma ndipo kuguluka ndi "zilonda" onse. Pambuyo pake, mwanayo amaona kuti achira. Katsabola imafalikira ndi m'malovu airborne, mmene matenda ali m'gulu la matenda amene akudwala kamodzi mu moyo.

Pa nthawi ya matenda wodwalayo achinyamata makamaka zofunika kusamala chisamaliro ukhondo: totupa ayenera nthawi zonse kusamalira Dries zikutanthauza. Care ayenera kumwedwa kuonetsetsa kuti mwana si chipeso ziphuphu kuyabwa ngati n'kotheka zamafinya zinangoti totupa pamalowa. Apo ayi, matenda likuoneka kuti katsabola mu furunculosis, zomwe zingabuke pa maziko anasamukira katsabola. Nthawi ya zotupa yogwira kumatenga tsiku lina, chifukwa ndi ofunika kwambiri kusamalira kumene anaonekera mu totupa mwana, chotero kutentha akhoza kukhala mu masiku oyambirira angapo a matenda. Pambuyo kutha kwa ziphuphu zakumaso latsopano, zambiri kutentha dekhetsa zizindikiro mwana. Kuyambira nthawi kuti mwana wayamba kupita pa Kusintha kwa.

Kuphulika pa chikuku

Wina matenda odziwika bwino, limodzi ndi maonekedwe a zotupa, ndi kuwonjezeka mu kutentha kwa mwana amati chikuku. matenda Izi ndi zosiyana kuchokera varicella mu malo oyamba khalidwe la zotupa: mosiyana ndi malo aakulu a katsabola, chokhala kulumidwa ndi udzudzu, ndi chikuku totupa akuoneka bwino. Poyamba, izo yoyamba maonekedwe a matenda, matenda a pachimake kupuma kumachitika mwana: malungo, zopweteka thupi, chimfine mphuno. Patapita masiku angapo kapena zambiri pa thupi kuoneka ziphuphu kakang'ono, ndipo pali ululu maso. Childs, pamene chikuku totupa si limodzi ndi kuyabwa, koma pali zinthu zingapo zina zenizeni. A totupa lofiira ngati imodzi ya thupi lonse, pamene isanafalikire mu nkhope, mmbuyo ndi chifuwa.

Mbali khalidwe la matenda ndi kuti madontho ang'onoang'ono tikuonera madzulo, ndipo kwambiri discolored mu kuwala. Malungo, kawirikawiri zimathera matenda ndi woyamba masiku awiri, kubwerera mwakale. Mbali makamaka za matenda opatsirana akuchuluka khosi lymph mfundo, ndiponso kutentha kwa zidzolo pa pamimba mwana. Little mtima dokotala zambiri analimbikitsa kuika mu chipinda chidima ndi kupereka kumatheka kumwa boma.

Special azichitira roseola, kawirikawiri sikutanthauza: masiku 4-5 ndi zidzolo kutha popanda kufufuza, ndi asanazolowere matenda amalimbikira moyo wonse. Contemporary Pediatrics litsimikizira kuti ana osakwana zaka chaka chimodzi ndi katemera chikuku. Ngakhale kuti matenda ndi kosavuta ndiponso wopepuka, matenda awa ankaona kuti oopsa makamaka kwa amayi apakati. Contact pakati ndi ana, ndi chikuku odwala, mwamtheradi contraindicated, makamaka ngati si mayi woyembekezera anali kudwala matenda opatsirana ndipo alibe chitetezo chokwanira kwa izo. Kusatetezeka choopsa cha madzimadzi amniotic mu nkhani iyi ndi yayikulu, zikubweretsa kwambiri ndi pathologies osachiritsika mwana. Choncho analimbikitsa ndi madokotala kukhala otetezeka ndi nthawi yabwino kukhala chitetezo chokwanira khola matenda.

chikuku

M'zaka zaposachedwapa, si monga wotchuka, komabe nthawi zikuchitika chikuku nthenda yotchedwa amadziwikanso yodziwika ndi kukhalapo kwa wochuluka khungu totupa. kudwala Izi tizilombo imayamba ndi kuwuka lakuthwa kutentha thupi, pakutchulidwa zizindikiro za conjunctivitis, rhinitis ndi chifuwa mwana. Mu masiku atatu oyambirira a matenda ali mu chikhalidwe cha m'mapapo kapena chimfine. Pa tsiku lachitatu pali pa thupi la mwana totupa, ndiponso kutentha limatuluka nthawi yomweyo kachiwiri.

Pa tsiku loyamba la totupa isanafalikire mu nkhope, ndiye pang'onopang'ono kumira m'chifuwa, kumbuyo, pamimba, m'makona. Ziphuphu zakumaso ndi zambiri wofiira mtundu, kutchulidwa ndi kufalikira thupi kwa masiku atatu. Poyamba yaing'ono zotupa mofulumira kumawonjezera kukula, pophatikiza m'madera ena mu mawanga ofiira. Pa tsiku lachitatu wa kuonekera kwake iye wayamba adzafota mwa monga mmene zinachitikira. matenda nthawi limodzi ndi chifuwa, malungo, ambiri malaise. Zidzolo pa thupi mwana alibe kutha popanda kufufuza kamodzi: ena nthawi m'thupi adzakhala mtundu wina ndi makulitsidwe m'munda wa precipitations lolemera. chikuku nthawi zonse limodzi ndi zizindikiro zina, chifukwa makolo malungo, totupa pa nkhope ndi chifuwa yapitayi ndi kuphwasula kwambiri m'kuunika ndi mbendera mankhwala kwa madokotala. Mofanana ndi matenda aliwonse, chikuku salola kudzikonda. Therapy ayenera kuperekedwa ngati anasonyeza ndi kuyang'aniridwa ndi dokotala wa ana. Timakumana ndi matenda zikadzatha machiritso amphumphu, malinga ndi dokotala, ndipo pambuyo katemera yake.

Chofiira malungo ndi zotsatira za kuvutika matenda

Mmodzi mwa matenda aakulu kwambiri, limodzi ndi zidzolo ana, akatswiri amanena fever. matenda amayamba ndi tizilombo toyambitsa matenda streptococcal, kumlingo poyamba akufanana angina. Mu maola oyambirira a khungu chofiira cha mwana woyera, koma ukuwonjezeka amygdala, mucous mu mmero ofiira owala. The mwana amamvera zoipa, pa mapeto a m'badwo woyamba kapena chiyambi cha tsiku lachiwiri la isanayambike zizindikiro mu mwana zokhoma malungo ndi totupa. Poyamba, chimaoneka pa khosi, nasolabial makona Choncho Yesu adzakhala wotumbululuka, penapake bluish kulocha, kupanga khalidwe scarlatinal makona. Language wodwalayo pang'ono amakhala kutchulidwa mtundu akatswiri chimatanthauza chizindikiro monga "lilime sitiroberi". Totupa pang'onopang'ono kufalitsa kumbuyo chapamwamba ndipo m'chifuwa, ndiyeno thupi lonse. Isanafalikire ndi chiwonetsero cha lalikulu m'khwapa, khungu makutu, pamimba m'munsi, ntchafu lamkati.

Totupa, kuyabwa ayende kutentha pa masiku asanu ndi awiri a matenda, zizindikiro Kenako kuuzimitsa. Zimenezi sizikutanthauza kuti mwana ikutha kukhala gwero la matenda ana ena, kotero kuti olekanitsidwa ndi anthu a ana kwa masiku 21. Therapy kwa matenda wochititsidwa kuyang'aniridwa ndi fever ndi dokotala. Onetsetsani mwana akulandira thandizo ndi mankhwala, umene amanyamula dokotala.

kudwala Izi tizilombo ndi yoopsa chifukwa cha mavuto omwe angachititse. Choyamba matenda onse ndi zoopsa mtima ndi impso mwanayo. Ndicho chifukwa chake kuli kofunika kuti pa nthawi chithandizo lonse mosamalitsa litsatira malangizo a dokotala pa nthawi kutenga mayesero zofunikira kuti mwana wanu mankhwala akuchipatala kukumana Kupenda ndi urologist Dokotala ndi cardiologist.

opatsirana erythema

A matenda tizilombo otchedwa "opatsirana erythema" anapezeka ana pakati pa zaka 2 ndi zaka 12 pamene miliri ku sukulu ana. Banja loyamba la masiku, zizindikiro amafanana SARS kapena matenda pachimake kupuma: malungo, chimfine mphuno. The totupa koyamba pa masaya mu mawonekedwe a madontho ofiira owala, amene pang'onopang'ono kuphatikiza mu chitsanzo umodzi mpumulo. ziphuphu Small, merging akhoza kupanga chitsanzo enieni chitsanzo zingwe. Kwa masiku awiri lotsatira, zidzolo kufalikira thupi lonse, merging malo mawanga kutupa. Pambuyo kuoneka ziphuphu zakumaso mwana ikutha kukhala opatsirana ena: Nthawi yoopsa kwambiri ndi nthawi pamaso kuphulika koyamba. Pambuyo pamasiku seveni mawonetseredwe cutaneous kutha, zina kuwonekera pa thupi, ndi mafunde, malo osambira dzuwa.

tizilombo matenda wokonda makanda

Infection makanda ndi ana aang'ono, chifukwa wothandizila causative wa nsungu HIV, akuyamba ndi malungo pachimake. thupi mwana kutentha limatuluka mwadzidzidzi digiri 39 kapena kuposa, gawo pachimake kumatenga masiku atatu, ndipo nthawi zina masiku asanu. Poyamba mwana totupa zimawonedwa: kuti mwana wodwala, kokha amam'dziŵitsa malungo. Tili kutentha yafupika ndi tsiku lachinayi, kenako krasnuhopodobnye kuoneka kuphulika ang'onoang'ono thupi mwana ali isanafalikire makamaka pa khosi ndi torso. A chizindikiro khalidwe alinso kusafuna kudya, irritability ndi kuchuluka khomo lachiberekero lymph mfundo. Popeza matenda opatsirana, mwanayo opatsirana ena. Nthawiyi kumatenga mpaka totupa choyamba - pambuyo kuti angathe kutenga HIV kwa mwana odwala yafupika yochepa.

matenda Meningococcal

The owopsa matenda tizilombo limodzi ndi totupa pa thupi ndi malungo, matenda meningococcal imatengedwa. matenda Ichi ndi choopsa kwambiri chifukwa amamuchititsa kuyenda kwa mphepo yamkuntho, kotero ndikofunika kuzindikira nthawi zizindikiro zazikulu tsoka loyembekezereka.

The matenda ayamba mwadzidzidzi: mphuno poyamba chimfine ndi thupi kutentha limatuluka zikuchepa, pali ululu mu minofu ndi mafupa, atitsegulire kusanza. The mwana ali totupa ndi kutentha amaoneka imodzi ndi kutha kwa tsiku loyamba la matenda. Zikatero, ngati khungu anachita limapezeka nthawi yomweyo mu maola woyamba wa matenda, akatswiri amakonda kuneneratu akumane chitukuko cha matenda mu mawonekedwe aakulu kwambiri. Totupa, poyamba pinki mtundu ndi pang'onopang'ono kusandutsa mu akalumikidzidwa osasamba kukha mwazi pansi pa khungu, sachedwa kuwonjezeka mofulumira. Makamaka zanyengo wambiri dera malekezero, nkhope, thunthu mwana. Pamene kukayikirana pang'ono matenda meningococcal akhale mwachangu kupulumutsa mwana ku chipatala. Mmene mofulumira ndi molondola anatani makolo, moyo zimatengera mtima pang'ono.

Malamulo a khalidwe la makolo pa chizindikiro choyamba cha matenda ndi matenda

Baby Akatswiri amalangiza makolo kutsatira malamulo matenda amaganiziridwa tizilombo mwana, limodzi ndi ziwengo. Ziphuphu zakumaso akhoza kuoneka pa nkhope khosi, miyendo mwana akalandire zidzolo pa nsana wanga. Kutentha akhoza zochuluka, tingakhale yachibadwa. Mulimonsemo, makolo muyenera kuonetsetsa kusonyeza mwana wake, dokotala wa ana, ndipo mwamsanga bwino. Iwo m'pofunika kuitana dokotala ku nyumba, kuyambira m'pofunika kuti musayandikire mwana wodwala ndi ana ena. Ngati khungu hemorrhagic totupa ayenera yomweyo kuitana "ambulansi" ndi hospitalize mwana kulongosolerana matenda, kuyambira ngati totupa angakhale "oopsa" chizindikiro cha matenda meningococcal. Mpaka nthawi imeneyo, mpaka adokotala zifotokoza mwana, musati mafuta zidutswa za mawonekedwe cutaneous wa antiseptics, makamaka "wanzeru wobiriwira", "fukortsinom" ndipo atumiki ena ochekenera kwa mapepala processing. dokotala ayenera bwinobwino chikhalidwe cha zotupa, amene kwambiri atsogolere ndondomeko ya matenda. Monga ulamuliro, pamene totupa matenda osiyana mmene mokwanira, motero wa maphunziro zasayansi kudziwa mtundu wa matenda si chofunika.

Ndipo Chofunika: mulibe mantha kusochera. Ngati mwana akudwala, muyenera kukoka nokha pamodzi ndi njira zonse mwamsanga mu vuto la kuwonongeka kwa mwana.