Jaundice (Hepatitis A). Incazelo isifo

Ngaphambi kokuthi uqale ukuchaza zokugula, kufanele licaciswe: isifo Botkin sika (jaundice) - kuyinto isifo sokusha kwesibindi kohlobo? Odokotela bhekisa it uhlobo A. Lesi simo kuyinto ejwayelekile. Lesi sifo Ukuboshelwa basakaza emazweni futhi amazwekazi noma ngaphakathi umbuso owodwa.

Izimbangela ukutheleleka

Imithombo lengculaza abathwali zonke izinhlobo acute inqubo ezithathelwanayo. Iziguli enkulu epidemiological kukhona izinhlobo asymptomatic futhi anicteric. Engxenyeni yesibili kwesikhathi bayashintshana ekufukameleni, uma iqala ngamadijithi lakhetsiwe ejenti indle. Viremia okungakanani, kuba okwesikhashana. Amathuba Maximum ukutheleleka uphawuleka minyaka eyishumi ezinsukwini bayashintshana ekufukameleni, futhi predzheltushnogo isikhathi. Uma izimpawu zokugula ukuthola imvamisa is ngqo ziyancipha endleni yabantu abanaleli gciwane antigen. Jaundice (i-hepatitis A) libhekene seasonality yentuthuko. The esiphezulu ingozi epidemiological of ekwindla nasebusika. Ngokuvamile ukwanda kwesifo ebonwe July no-August, lafinyelela inani eliphakeme labamemezeli kancane kancane kusukela ngo-October kuya ku-November. Engxenyeni yokuqala ka kulo nyaka ozayo, tigameko liyancipha.

Wenzenjani ungenwe

I-ejenti causative yesifo wadluliselwa umzila fecal-temlomo, kwezinye izimo - contact-yasendlini indlela. Igciwane lingena emzimbeni lwabantu ukusetshenziswa ukudla elinegciwane namanzi. umthamo zokuthelela kuyinto izinhlayiya mayelana 100-1000. Ekusebenteni, parenteral echazwe amacala ukutheleleka. Ivame ukutholakala kuphawuliwe ukumpontshelwa igazi noma izakhi zalo. Ngokwanele ezifweni okusezingeni eliphezulu igciwane unezingane. Jaundice (i-hepatitis A) luvamile kakhulu amaqembu ihlelwe. Ngemva isifo ekhiqizwa ezinzile, nehlala njalo, futhi kwezinye izimo impilo nokuvikeleka. zokugula Clinical yakha uzinze Ukuvikelwa ifomu kuka asymptomatic.

Mechanism lesi sifo

Jaundice (i-hepatitis A) izilonda acute ageleze eba at izici hepatotoxic noma Ukungena ukutheleleka ku amaseli isibindi. I pathogenesis kubangelwa kumiswa impendulo sokuhlasela kwamasosha omzimba - e ukukhiqizwa kwamasosha omzimba ezicutshini umzimba uqobo. Ngo wathi izinqubo ukuvuvukala kwenzeka, umonakalo nokubhujiswa hepatocytes, ukuphazamiseka kwesibindi. Izifo ezingelapheki nazo kwenzeka lapho belashwa insufficiently oyingozi noma egijima isimo. Ngokuvamile, isifo ingena isifo sokusha.

izimpawu

Jaundice (i-hepatitis A) emnene ngokuvamile kwenzeka ngaphandle izimpawu futhi kungukuthi kutholakala Ezimweni eziningi. Inqubo ngeke bubé uma hhayi itholwe ngenkathi izivivinyo zokuvimbela. Pathology kungase kuhambisane isikhumba ukulunywa, izindawo abomvu esikhumbeni (petechiae), izimpawu Neurotic, bradycardia. Ngokuhamba ezingamahlalakhona lesi sifo inezimpawu ezifana anda ukukhathala, ubuthakathaka, ukuqwasha, lability kwengqondo, ubuhlungu ekhanda. Kwezinye izimo, isicanucanu, kokuba reflex Gag, ukunambitheka ezingemnandi emlonyeni, imisebenzi ukuqunjelwa ukuqunjelwa.

Indlela esiphatha ngayo jaundice?

Ukwelashwa nokuvikelwa izimo acute wenziwa izimo umile. Isiguli, ngaphezu indlela yokwelashwa, esimisiwe uhlobo olukhethekile lokudla. Ezimweni ezimbi kakhulu, isiguli idluliselwe lonke embhedeni. Njengoba ukwelashwa isicelo ngokukhishwa kobuthi egazini ukumnika kusiza isinxephezelo isibindi umsebenzi elahlekile. Ukwelashwa kuhilela gepatoprotektorov, injongo ethwala udokotela.