Dengue fever

Dengue fever inotapukirwa nehutachiona iyo inopararira nezvipembenene semumhutu munzvimbo dzinopisa dzenyika. Kune marudzi maviri:

1. Classical. Nechirwere chakadaro, kune feji-wave fivha, exanthema, arthralgia, uye lymphadenopathy. Iyi yero yechirwere inogona kunzi bhenign.
2. Hemorrhagic fever. Zvakakodzera kuziva kuti zvinowanzoitika zvishoma. Munyaya iyi, pane thrombohemorrhagic syndrome, kushamisika. Ukana hwehupenyu hunoparadza hwakareba.

Ichi chirwere chinonzi chinonyanya kurwarisa zvirwere zveArbovirus zvevanhu. Inosanganisirawo fevha yeNile yekumavirazuva, kurapwa kwaro kusati kwanyatsodzidza.

Nhoroondo yechirwere

Iko kare muna 1779 muIndonesia, pane tsanangudzo yakajeka yehupenyu hwechirwere ichi. Zita iro rokuti "Dengue fever" rakabva muU.SA muna 1869. Panguva iyoyo, chirwere chacho chakanga chakazara nehuwandu hwevanhu, uye kufa kwaive tsika yakajairika.

Muna 1907, masayendisiti akawana kuti tropical fever (rimwe zita) rine utachiona mumasikirwo uye kuti iyo causative agent isumhutu. Nenzira, idzi ndidzo mhando dzavo: mhou yeEgipita neyeguru. Asi iyo yekupedzisira inotakura chirwere ichi kazhinji. Zvitubu zvechirwere zvinogona kuva vanhu vanorwara uye mbongoro, pane dzimwe nguva - mapuroteni nemapurisa. Utsi hunokwanisa kukwanisa kutapukirwa kwevhiki mbiri mushure mokunge utachiona huchipinda mumuviri wawo. Utsi hwakadaro hunogona kutapura muhupenyu hwavo hwose, ndiko kuti, mwedzi 1-3.

Utachiona hunoitika mushure mekurumwa kwezvipembenene. Utachiona hunopinda mukati memasero e-reticulo-endothelial system, mumashona ekupedzisira endothelium, umo utachiona hunopindirana.

Maawa manomwe kusati kwakura kwekushisa, munhu anogona kuona viremia. Kuvhara, kupinda muropa romunhu, nokukurumidza kunopararira kune nhengo dzose: itsvo, chiropa, uropi, masumbu uye mavara.

Zviratidzo zvechirwere

Nguva yekudzivirira inotora mazuva mashanu kusvika masere. Kune zviverengero zvakasiyana-siyana zvemakiriniki:

- nhema-rheumatic;

- icterous;

- simulating appendicitis;

- meningo-encephalitis.

Asi zita guru nderimwe miviri yakadaro seyemhemburu uye yekare Dengue fever.

Izvozvo zvinowanzowedzera mune chimiro chinyoro. Zviratidzo zvinowanzoitika panguva yokutapukirwa. Chirwere chakadaro hachiiti ngozi. Inotanga zvakanyanyisa, nehupamhi inopinda mukati mekushisa kusvika kune 39-40 degrees. Kune hutachiona, chills, marwadzo muzvibatanidza, maziso eziso uye red fever (kupisa kwemafuta).

Mazuva maviri gare gare, unogona kuona kushambidzika uye kusuruvara. Mushure memazuva mana kutonhora kunowira zvakanyanyisa uye kwenguva yakati hupenyu huri nani. Zvino inouya yechipiri chekushisa. Ne Dengue fever, chirwere che "leaden cape pamapfudzi" chinocherechedzwa, chiratidzwa muutera hwakasimba uye kusagutsikana kwakakwana.

Kunopenya scarlet fever kana kuputika maculopapular. Iro nguva dzose inoperekedzwa nekutsvaira kwakanyanya. Mushure mekutsamwa kwakadaro, kufungidzira kunoramba kuripo.

Ichi chirwere chinogona kutapukirwa kanomwe muupenyu. Kana pane hutachiona humwe, rumwe rudzi rwefivha rinotanga - dengue hemorrhagic fever.

Iyi fomu yakatova yakaoma zvikuru. Zviratidzo zvakataurwa pamusoro apa zvakawedzerwa:

Kurwisa kubuda kwemvura;

- kurutsa ropa;

- maronda pamuviri;

- Petechiae uye zvinhu.

Chiso chefivha ine utachiona inova ruvara rwepepuru-tsvuku, maziso anonzi glitter feverishly. Mukuwedzera, kune donho rakapinza mukudzvinyirira. Kune zvikamu zvina zvehemorrhagic fever, uye chechitatu nechina chinotyisa. Kana iwe usingatangi nenguva yekurapa chirwere ichi, pachava nechirwere cheDVS (kutyora kwemazuva ano ropa coagulability). Muna 20% yezviitiko rufu rwevarwere runoitika.