Rubella - Rubella ane ... chirwere: zviratidzo, kurapwa, pamigumisiro uye ekudzivirira

Chimwe ndicho zvirwere zviri nemavhairasi etiology ndiyo rubella. chirwere ichi inowanzoitiswa munyoro, kashoma achiperekedzwa matambudziko. Ukuwo, chirwere vakadzi pamuviri zvinokonzera ngozi utano hwake mwana. Mune zvimwe zviitiko, chirwere chinoita malformations ari mudumbu uye intrauterine rufu.

Description of chirwere

Roseola - utachiona kubva nemavhairasi etiology, dzinoratidzwa chitarisiko ganda mapundu uye munyoro kudhaka. chirwere kokutanga akatambira tsanangudzo F. Hoffman zvizere 1740. Pashure pemakore 140 chete zvakanzi vachibvumirana akasarudza govera siyanei nosological zvokurwara boka.

Nhasi, kuwanda hosha yava shoma chaizvo. Zvabuda aya kubudirira anoonga mutemo kubaya. Pasinei neizvi, mumwe gore ndee vanenge zviuru 100 itsva zviitiko chirwere. Pamakore 3-4 kuitika anomuka obva achipinda kuderera.

Sources chirwere uye modes kuti hutachiwana

Rubella - hosha nemavhairasi etiology. Kakawanda, zviri akaonekwa mune vana. In basa rayo causative mumiririri anoita genomic RNA utachiona, ine teratogenic basa. Iye akasununguka chete zviripo womunhu. afa zvakakurumidza zvakatipoteredza pasi pokudzora ultraviolet chiedza, nokuda kushaya mwando kana kumanikidzwa kuchinja. Yakaderera tembiricha utachiona anorarama kwenguva refu, uye anogona kuramba kukwanisa bereka.

Kazhinji panobva chirwere munhu ane kwazvo (kashoma kumbopfeka) Rubella zviratidzo. A vhiki pamberi mapundu uye kamwe kwemazuva mashanu pashure rubivirus kusunungurwa kupinda zvakatipoteredza. In epidemiological mazwi vanoonekwa kuti vana vakawanda ngozi vane vachiberekwa musiyano wezvinyorwa pamusoro chirwere. Panyaya iyi, nayo utachiona opinda zvakatipoteredza pamwe faeces, mate kana weti kwemwedzi mishoma. Mamiriro ezvinhu akanaka nokuti chirwere dzinorongwa mapoka (kukireshi, kuchikoro). Naizvozvo, varwere vari voga pakarepo pamusoro simbiso "Rubella" kuongorora chirwere.

Sezvo chirwere iri Kutamiswa? In yose, pane nzira mbiri kwemashoko chirwere - kuenda neherikoputa uye transplacental. The mashandiro okukura chirwere ichi akadzidza nedoskonalno. Rubella utachiwana anopinda muviri kuburikidza mucous membranes ari kufema turakiti. Ipapo anotanga basa rake, Vakazopinda pamusoro masero ganda uye node nodes. The muviri ikasakendenga pakatanga chaiwo vaishandira paumbwe antibodies. Munguva nekurwara nezvadzo wechiGeorgian iri kuramba ichiwedzera. Mushure kupora, munhu asingambovi utachiwana upenyu.

Chii rubella?

The incubation nguva inenge 15 days. Zvichitevera izvozvo catarrhal nguva - 3 days. Muvarwere vaduku zviratidzo maronda ari mucous membranes rokumusoro kufema turakiti kuitika kazhinji. Vakuru kazhinji chokunyunyuta pamusoro photophobia, zvikuru nomusoro, runny mhuno, chikosoro uye kushaya havi. Pazuva rokutanga chirwere muna 90% wevarwere pamusoro kumashure kuvava rashes kuoneka. Vanotarisira seguruva vaaleanpunainen makwapa pakati dzose chimiro, rinokwira pamusoro pemvura ganda.

The mapundu pamusoro rubella pakutanga kuonekwa pachiso, shure nzeve uye pamutsipa. Masikati riri kukurumidza kupararira kune dzimwe nhengo dzomuviri. Zvinofanira kucherechedzwa kuti panotsika nemichindwe okusafunga haawanikwi. Dzimwe nguva voga makwapa padzakacherechedza pamusoro nomumukanwa mucosa. Muna 30% nyaya, hapana mapundu, izvo yekudyidzana zvinoomesa zviratidzo. Other zviratidzo chirwere ichi chinogona kuzivikanwa zvishomanana kuwedzera tembiricha. Apo neapo varwere chokunyunyuta pamusoro tsandanyama marwadzo, havachanyatsogoni gastrointestinal kuvhiyiwa.

rubella mhando

Zvichienderana nenzira chirwere, kazhinji kusiyaniswa mhando mbiri chirwere:

• Vawana rubella. Ichi chimiro chirwere achabatsirwa vakawanda rashes zvose pamusoro muviri, asi angave atypical kunotoda mufananidzo. Muna 30% nyaya hapana zviratidzo zvachose, zvichiita kuti zviome kuziva uye zvinobatsira kuti kuparadzirwa chekorera. The chirwere inowanzoitiswa munyoro, utachiona vabatwe kumba. Muchipatara zvinoratidzwa chete kana yematambudziko.
• Vachiberekwa rubella. Ichi chimiro chirwere ngozi chaizvo. Kazhinji, rinenge dzinoratidzwa yakaoma kosi. Pakati vangangodaro mibairo kutyora CNS zvinogona kucherechedzwa basa kunzwa uye zvakaratidzwa.

Tichifunga zviri pamusoro apa chokwadi, zvinokosha kuti mumwe Handimupinduri chinokosha. rubella hosha chirwere mu nevakura apo neapo. The ruzhinji rwevanhu akasangana chirwere ichi muna vaduku, uye kunoguma kutapata ndedzoupenyu hwose. Pari, vanenge 85% yevakadzi tinogona kuti utachiona panguva kutanga pamuviri zera.

Medical kuzviongorora murwere

Kusimbisa nechirwere kazhinji haakonzeri zvinetso. Pakutanga, chiremba anoita kuongororwa mumuviri inotifungisa dzakananga zviratidzo (chete kumusoro, hatina dudza, zvinoita sokunge rubella). Inotevera pavaipfuura muongororo iri rabhoritari yokuedzwa:

• Complete count ropa.
• Uchimutarira of wevasungwa pakati immunoglobulins.
• Serology madzihwa kubva nasal mhango.

Zviri fanira kuita differential chirwere kubva gwirikwiti, enterovirus utachiona, nezvitsvuku fivha.

Basic misimboti kurapwa

Murume ane rubella, haatarisiri nechimbichimbi muchipatara. Special gadziriro kuzorwa chirwere ichi haina kunyatsobudirira, chete symptomatic kurapwa inoshandiswa. Murwere kunokosha kuomerera mubhedha zororo, udye uye kunwa mvura yakawanda. Kazhinji kana munhu mapundu rubella anoramba mazuva mashomanana. Mushure kupora, kunoguma kutapata kunotora hwose. Dzimwe nguva chirwere anodzoka. Nyanzvi dzinotsanangura Fani iyi munhu zvechadenga zvirwere.

ari chiitiko yematambudziko chete yakaratidza kurapwa muchipatara. Varwere basa immunostimulatory kurapa ( "interferon", "Viferon"). Kudzivirira kukura chepfungwa edema, vakashandisa haemostatics, diuretics uye corticosteroids. The convalescence varwere kugamuchira varumbidzwa nootropics kunatsiridza zvishande mabasa.

The rubella iri ngozi?

Matambudziko chirwere ichi apo neapo. Kazhinji, vanoonekwa kana vakabatana munhu noutachiona. Rubella muchiitiko ichi rakaoma nokuda nemabayo chesekondari, hosha huro kana otitis. In varwere vakura vari dziripowo kubva CNS lesion. The chirwere kumutsa mukuru kutyisidzira vakadzi panguva gestation mwana. Izvi zvichakurukurwa munyaya gare gare munyaya.

Pregnancy uye rubella

Migumisiro chirwere ichi panguva gestation mwana kunogona kukanganisa utano hwake. Utachiona anopinda fetus kubudikidza placenta, kukanganisa endocardium uye capillaries. Ipapo nayo utachiona anopararira kusvika nhengo dzose mwana, apo akatanga muwande nokukurumidza. Pakati vakawanda matambudziko ose rubella vakadzi vane pamuviri secrete: fetus rufu, kubereka mwana akafa uye vaingoerekana pamuviri.

iye kunyongana zvinotevera kana mwana achiri azvarwa, anogona kuva pamusoro nguva:

• mwoyo kuremara;
• upundu;
• underweight ;
• jaundice;
• myocarditis;
• encephalitis;
• mupfungwa retardation;
• dystrophy.

yematambudziko akadaro kutungamirira vakurumidze kufa kwemwana muna 30% nyaya. Mugore upenyu chokutanga vakauraya 70% vana. kuratidzwa nomumwe chirwere anozviratidza chete kuyaruka. Ichi autoimmune thyroiditis, chirwere cheshuga uye kukura kemikari kukanganisika. Muropa ane utachiona mwana rubella utachiona hwakakura anogona kuramba tichishingaira kwemakore akawanda. Marapiro nokuti chirwere ichi, mushonga ano unogona kupa.

dziviriro chirwere

General mabasa dziviriro hadzibatsiri ari foci chirwere. It zvisingaiti kuona pamberi utachiona mumuviri pamberi kutanga zviratidzo ake. Zvisinei, varwere munhu oga kwemazuva 5-7 mushure mapundu rinooneka.

Dzakananga prophylaxis chinoreva mawa kubaya pahosha matatu: gwirikwiti, rubella, mumps. Kusonanidzwa zvinoitwa 6 makore kechipiri, uye pakutanga - nemakore gore rimwe. Pakati contraindications kuti kubaya ndedzinotevera:

• nyanyisa neoplasms;
• pamuviri;
• kusafarira mushonga;
• kusembura zvirwere nezvirwere aetiology.

Vaccination pamusoro rubella dzinogona kubatanidzwa nezvimwe fanira yokudzivirira (pertussis, hepatitis B, poriyo, diphtheria uye tetenasi). mishonga Various rirege kusanganiswa chete sirinji. Mukuwedzera, jekiseni riri chinodiwa kuisa munzvimbo dzakasiyana. The chete Kusara ndiyo yakaoma (gwirikwiti-mumps-rubella) mushonga. Muna 6 Makore zvinoita chaizvo vana zvakare. Izvi anokurudzira kukura kutapata booster dose kamwe nezvirwere matatu. Kana zviri zvakakwana pane anogona kuzvimba nedehwe rayo tsvuku shoma. Side zvinoitwa nhengo dziri node raiva pedyo nebundu nedumbu, kuda kurutsa, rhinitis, zvakawanda zvive. Somuyaruki, pashure kusonanidzwa zvinokwanisika kukura arthralgia uye polyneuritis, izvo pakupedzisira kupfuura hwavo.