Ukuhlaziywa for pertussis. Eyingozi kakhulu lesi sifo futhi indlela yokuphatha kulo?

Pertussis - isifo okuyinto eyenzeka ngenxa Ukungena umzimba webhaktheriya lwegciwane uhlamvu droplet indlela.

Lokho ongabonisa kokuhlahlela pertussis? Ezinganeni, ukukhwehlela whooping, anda amazinga igazi leukocyte (2-7h10 ⁹ / L), kanye ifomula leukocytic abakhona ogxile lymphocyte. Njengoba yezinkinga ezingeni isifo leucocytes iyakhula. Ezinganeni immunocompromised, ukugoma nalabo abangazange uzwakalise izinhlobo pertussis, ekushintshashintsheni ku Assay siyenzeka. isivinini erythrocyte sedimentation kuyinto izibalo noma isilinganiso kancane. Ukukhubazeka esithombeni igazi kuyagcinwa kuphela catarrhal nesigaba lesi sifo.

Izimpawu ukukhwehlela whooping ezinganeni

Kuyini whooping izimpawu ukukhwehlela? ngempela lesi sifo kanjani? Ngesikhathi besanda kuqala ekuthuthukiseni lesi sifo izingane ngaphandle izimpawu ezithile. I lokushisa lomzimba ongasukuma degrees 38, kukhona amakhala yisisu, isifuba esomile kanye ezingavamile. Phakathi nale nkathi, lesi sifo ukukhwehlela whooping kuyingozi kakhulu kubantu ababezizungezile. Ngokuvamile, lezi zimpawu zifana acute nokugula zokuphefumula. Pertussis imbewu eletha esandisa sikhathi njengoba ngenkuthalo ngangokunokwenzeka, ngesikhathi esifanayo sikhipha ubuthi.

Esigabeni esilandelayo lesi sifo, okuyinto eyenzeka emva 2 amaviki, isimo somntwana kube kubi kakhulu. Kukhona ukukhwehlela ekhethekile spasmodic. Ngamunye push ukukhwehlela enjalo ephelezelwa ikhwela futhi umoya kakhulu. Nge ingane ukukhwehlela enjalo kungaba kakhulu eniqhubeka nimkhiphela ulimi, kulimaze ke. Ebusweni nasentanyeni aphenduke okwesibhakabhaka, ngezinye izikhathi kunezindlela zikhawu ukuphefumula. Ekupheleni kuhlasela ikhishwe isikhwehlela, futhi ngezinye izikhathi uhlanze. Kususelwa yinkimbinkimbi isifo, inani ukuhlaselwa lingafika ku-50 ngosuku.

Emva kwezinsuku 20-30, lesi sifo siguqule esigabeni esilandelayo. Spasmodic ukukhwehlela ukukhwehlela indawo evamile. Isimo impilo yengane iba ngcono kakhulu, izinga lokushisa uya phansi liyabuya iphango. A esiteji uyaqhubeka amasonto 3.

Njengoba kuboniswe e kukhwehlela omdala whooping? Kanjani ngempela lesi sifo singathandeki? Izimpawu e abadala iyafana nursery, ne umehluko kuphela wukuthi azikho imingcele phakathi izigaba zesifo. Kulokhu, kukhwehlela kakhulu sho kolwandle, banzi ebusuku.

izici Isici pertussis ezinsaneni

Ukuchamisela nesikhathi preconvulsive sehliselwe 1-2 izinsuku, nokukhwehlela whooping isikhathi kwandisa amasonto angu-6-8.

Ngo ezisanda kuzalwa, esikhundleni ukukhwehlela evamile, waphawula izimpawu okulingana: sneezing, abangenangqondo okhalayo, ememeza. Uma sisheshe satholakala iziyaluyalu oluhambisana: ukopha isimiso sezinzwa esiyinhloko, ngezinye izikhathi - i yangaphandle obukhulu amehlo isikhumba nesikhumba. Isimo iziguli esikhathini phakathi izinkathi saba sibi kakhulu ezinganeni waphawula ukuwohloka, amakhono elahlekile, okuyinto zakhiwa ngaphambi inqubo isifo. Ngokuvamile kukhona okubi kakhulu ezikhethekile, okuyinto kwesinye isikhathi ukugqoka ezisongela ukuphila ngokwemvelo, phakathi kwabo: zokuphelelwa umoya, ngeziphambeko kusukela evamile ubuchopho ukugeleza kwegazi. Iziphazamiso ku umoya, kuze stop yesikhashana kungenziwa wabonakaliswa ngaphandle ukukhwehlela, isibonelo ngesikhathi sokulala noma ngemva kokudla. Phakathi ukuhluleka okungezona othile kakhulu ngokuvamile kutholakala ukuthi uphethwe i-pneumonia. Sekube nokufa.

izici Isici pertussis ezinganeni zigonywe

Izingane zigonyelwa ukukhwehlela whooping, nethuba bagula ngenxa amasosha omzimba abampofu noma ukuwohloka ngamandla alo. Ezimweni eziningi kutholakala ukuthi uphethwe yini amafomu alula futhi ezinzima kakhulu lesi sifo, ezinzima hhayi eyinqaba. yezinkinga Specific ezingajwayelekile kakhulu, futhi uma bengekho kuphila kwetfu engotini, ngakho izigameko ebulalayo azisenzeki. Ngokwengxenye enkulu azikho izinhlobo ejwayelekile ka pertussis. Amaviki angu-2 kanye preconvulsive okwandisa bayashintshana ekufukameleni ongqi spasmodic ukukhwehlela umjikelezo kuyehla kube 2 amaviki.

uphethwe isifo

Yeka uvivinyo whooping ukukhwehlela isidingo idlula? Ukuze ukuthola kungenzeka okubi kakhulu kwenziwe urinalysis negazi kwamakhemikhali. Ngokuhamba evamile lesi sifo, engashintshi.

Ubude isikhwehlela ukuhlaziywa kwenza kube nokwenzeka ukuba kuqedwe isifuba somoya, isifo sofuba kanye Umkhuhlane. Whooping ukukhwehlela phlegm mucosa, concomitant nge ukubukeka pneumonia iba mucopurulent noma ubovu.

Iningi umusa udokotela ekunqumeni uphethwe, ikakhulukazi kusaqalwa isifo, inikeza indlela bacteriological ukuhlaziya - ukutshala nezilwanyana ezincane abezindaba izakhi. A isikhathi eside ukucacisa amagciwane pertussis wayekwenza indlela "ukukhwehlela amapuleti", Kunconywa Maurittsenom. Ngesikhathi kuhlaselwa esilandelayo ukhwehlela at ibanga 5-8 cm kusuka ingane ine evulekile Petri isidlo nge naphakathi izakhi. Microscopically isikhwehlela amathonsi lapho igciwane is pertussis flying uvela umlomo, kuthiwa imali kuso. Ngemuva kwezinsuku 2-4, esekelwe isiko esezikhulile sitholakale. Lolu hlobo lwe-uphethwe kukhona omunye icala - ke cishe akuyona ngempumelelo ezinganeni ezincane abangabhalisile kahle ukukhwehlela, kanye ukukhwehlela engekho.

Kukhona indlela esanda kuqalwa okuthola imbangela ukukhwehlela whooping - zokutshala-bacterium kusukela nasopharynx nangaphansi ulimi. Le ndlela uphethwe kubhekwa ephumelela kunazo, kodwa ngemva kwamasonto 4-5 lapho kuqala ukugula ukuzivocavoca bakhe akukho mqondo, ngoba yinto engenakwenzeka ukuhlonza ejenti causative. ukusetshenziswa Early kwamaphilisi futhi kunciphisa amathuba ukuhlonza Bordetella pertussis.

I wokulungiselela isigaba ngaphambi cwaningo

Uphawu oyinhloko pertussis kuyinto ukuhlaselwa okukhulu kokuziklinya ukukhwehlela, ngesinye isikhathi esihambisana nokukhithika ukuhlanza, ezimweni ezibucayi ikakhulukazi, lokhu kuhlasela kulula kakhulu ukuba kuvuse, isibonelo, ngesikhathi amasampuli ukuze ahlolwe. Ngezikhathi ezinjalo, omama kudingeka kumelwe kulungiselelwe ukuthi mhlawumbe ingane ezodinga usizo.

I nqubo yokulungiselela ukuthi i-Pap for ukuhlaziya ndlela iphumelela kakhulu esikhathini ngaphambi kwesikhathi, ngenxa ebusuku ekhiqizwa esiningi isikhwehlela, okuyinto lokuhlushwa enkulu nezilwanyana ezincane. Kungcono ukuthi zihlolelwe pertussis ngaphambi kokudla kwasekuseni hhayi ukuba afeze yokuhlanza amazinyo. Kungenjalo, ingxenye enkulu isikhwehlela izolahleka.

Ukulotshwa Assay ngoba pertussis

Uhlaziyo Kwenziwa kanye imiphumela ukusungulwa amakilasi ahlukahlukene omzimba (Igm, Iga)

Bordetella pertussis (Bordet-Gengou igciwane)
IgG	Igm	Iga	kulungiswa imiphumela
omubi	omubi	omubi	I-ejenti causative akuyona
Negative noma positive	omubi	Negative noma positive	Ikhombisa khona ukutheleleka
Negative noma positive	omubi	omuhle	Ikhomba khona ukutheleleka esikhathini yamuva,
omuhle	omubi	omubi	It ukhuluma ukutheleleka yamuva noma esikhathini esidlule noma yokugoma ngaphambili lwenteke

Ngingalutholaphi bahlolelwe pertussis?

Kuphi ukuba bahlolelwe pertussis? Lolu hlobo ucwaningo kwenziwe laboratories emitholampilo izikhungo zokuxilonga. ngokuvamile khona emphakathini. ucwaningo Kudingekile nendawo kunqunywa udokotela.

Uhlobo zokuhlolelwa pertussis kunqunywa ngesisekelo izimpawu, Yiqiniso yesifo nayo amaqembu wobudala iziguli.

Igazi ukukhwehlela whooping, odokotela ucelwa ukuba unikeze kwasekuqaleni, ngoba lolu hlobo ukuhlaziywa ithwala ulwazi oluningi.

yezinkinga kungenzeka

I ekhethekile zihlanganisa:

• emphysema yamaphaphu;
• mediastinal kanye ne-emphysema ongama amaseli;
• atelectasis;
• pertussis i-pneumonia,
• ukuphazamiseka imvamisa zokuphefumula (ukumiswa emishinini yokuphefumula - apneas amasekhondi angu-30, ayeke - zokuphelelwa umoya kuka 30 amasekhondi);
• Ukuwohloka ukugeleza kwegazi ebuchosheni;
• ukopha (ekhaleni, esifundeni ezingemuva pharynx, bronchi, yangaphandle sokuzwa indlela futhi esikhumbeni futhi nolwelwesi lwamafinyila, sclera futhi i-retina, asebuchosheni nomgogodla);
• ukubukeka noma hernia enkabeni;
• ukulahlekelwa mucosa rectal;
• ukulimala ulwelwesi tympanic kanye diaphragm.

Ngu nje nezinkinga ezivamile eziba khona ngenxa ekuqongeleleni yesibili flora webhaktheriya yilezi:

• i-pneumonia,
• Ukucinana kwemigudu yomoya emaphashini;
• umphimbo obuhlungu;
• lymphadenitis;
• otitis.

ekwelapheni pertussis

Inqubo ukwelashwa wenziwa umile kuphela. izingane Newborn ozama ukubeka egumbini ethule ephansi ukukhanya ukunciphisa ukuluma izici, njengoba kungase kuvuse okubi kakhulu of ukukhwehlela. Izingane ezindadlana nge amafomu alula embhedeni isifo imodi ozikhethela.

Ngokukhethekile ikhokhelwa nokondleka, ubambe yokudla njalo izingxenye ezincane. Izinsana udinga isikhathi ukumpompa out isikhwehlela kusukela emphinjeni. Ukuze izingane ezindadlana ukuthi kugcwele ukwelashwa umoya-mpilo.

Imithi elwa namagciwane zisetshenziselwa izingane zisencane ukuba ezihlukahlukene izifo ezinzima. Ngezinye isinyathelo Bluetongue ayethanda isicelo "Erythromycin".

Okuvamise ukusetshenziswa ethize ye-gamma globulin, pertussis, kuphethwe ujove esicutshini 3 ml nsuku zonke izinsuku 3.

Akuvamile esetshenziswa sedatives ukukhwehlela, ungaxoxa nabo kufanele kuqashwe lapho kwenziwa Bheka ukuphumelela kwalezi izidakamizwa kubhekwa ngabazeka. Kuyadingeka ukuba ugweme ukusetshenziswa amathuluzi anjenge lwesinaphi namabhange, okungase avuse ukukhwehlela.

Ukugonywa ngokumelene pertussis

Isheduli lokugoma eyasungulwa isimo yokugoma schedule. Ukwenza kusebenze amasosha omzimba ngokumelene pertussis usebenzisa DTP ( "Tetrakok" "Infanrix") - wenziwa 3, 4 no-5 izinyanga. Ngemva kwalokho kabusha lokugoma ngokumelene pertussis wenziwa izinyanga ezingu-18.

DPT umjovo yenziwa ibe imisipha, izingane kuze iminyaka 1.5 - phambi ingxenye ethangeni elingaphandle, futhi izingane ezindala kunalokho - e imisipha deltoid. Ukulandela isingeniso imithi enjalo, ngokuvamile kusuke kungenxa yezinto wonke-cell yokugoma umjovo phakathi 3 izinsuku zokuqala, ingane engaveza ukuphendula okuvikela ukuze umgomo, kokubili bendawo kanye nalolo olwejwayelekile. Ezimweni 8-9 of 10 inqubo enjalo, zingaba khona ngemva amahora ambalwa kuphela emva umjovo. ukusabela okunjalo ijwayelekile yemvelo yokuveza, futhi awacatshangwa ukuxakeka.

Izinyathelo nokwelapha

Ezimweni Pertussis kumelwe nakanjani ngizoba ngedwa izinsuku ezingu-25 emva kokutheleleka, ukuphathwa kufanele kube okunengqondo futhi ngokuqinile okuhloswe ngalo ukuqeda izimbangela zezifo.

Ngokuqondene milisa, futhi izingane kungukuthi oxhumana zigonywe eziphoqelelwe ngokuhlukaniswa ubude 2 amaviki kusukela ekuqaleni kwemihlambi isiguli. Ukuvakashela izingane akuvunyelwe kungagcini, nokunquma washintsha futhi ohamba.

Ukukhomba ukukhwehlela whooping okwakuhlalwa kuzo lapho kusaqalwa, pertussis endaweni kwenziwe izivivinyo nsuku zonke wezokwelapha izingane kanye nabantu abadala kanye wesikhathi esisodwa luhlolo virus.

Indlela yokugwema izifo ezifana ukukhwehlela whooping? Amasosha omzimba Kumelwe babe namandla, kudingeka bahlale ukuqinisa, khona-ke kumelwe bagweme izifo eziningi, hhayi kuphela pertussis. Futhi-ke, ungakhohlwa mayelana imigomo.

Ukuze uthole futhi silungise indawo ukunqotshwa pertussis, bonke oxhumana naye izingane kanye nabantu abadala lapho ethola Kunconywa "Erythromycin", "rulid" noma "Sumamed" isonto elilodwa, umthamo oyifunayo ubudala.

Imininingwane izinsana enyakeni 1 hhayi kuwo (eminyakeni engu-2 ubudala) bayamenywa ukungenela lo immunoglobulin donor - 2-4 ngemithamo (1-2 ngemithamo Njalo ngemva kosuku olulodwa).