Serum chirwere: zvinokonzera, fungidziro

Serum chirwere chinhu systemic pavakanzwa pakusuma kupinda mumuviri uye mapuroteni kwevanhu zvinodhaka kuti kubata zvirwere zvirwere hurongwa. Kuramba zvingaitika zvose panguva huru uye panguva apiwa kutanga yokumwe mhuka mapuroteni. Dzimwe nguva chirwere chinokurwadzai antiserum kupinda muviri, i.e. nemvura mugove ropa ine antibodies.

The chirwere kunoitika 5-10% dzevarwere vakanga hunorapa serum wakatangwa.

Kamwe anwa vatorwa mapuroteni anotanga kutenderedza muropa, kukonzera kwetunhu antibodies uye kuumba zvirwere zvivako izvo rakachengetedzwa pamusoro akamendwa uye kunokuvadza yokupedzisira achisunungura pakugadzira kushingaira fuma.

Zvinokonzera chirwere

Serum chirwere dzimwe nguva vanova kana raitongwa serum pamusoro diphtheria, tetenasi, chimbwamupengo, botulinum, nenyoka , kana gasi neronda rinonyenga. A yakafanana chirwere ari kuchengetwa dzimwe nguva pashure kwokubatsira gamma globulin uye zvipembenene ikaruma.

The incubation nguva iri mavhiki 1-2. Pane zviitiko apo kunotoda mufananidzo serum chirwere ikabuda 5 mazuva okutanga mushure kurapwa, muchiitiko ichi, imwe sema kuita anaphylactic mhando.

zviratidzo

The chirwere kunoratidzwa marwadzo uye kuzvimba pa nzvimbo jekiseni mazuva 7-10 pashure kwokubatsira serum. Murwere ane fivha, vakawedzera remunharaunda node nodes, uye dzimwe nguva kunokanganisa majoini (arthralgia, edema), ganda rashes kuitika muchimiro erythematous papular kana itchy mapundu, mucous ziso ikasakendenga conjunctivitis. The kukundwa kumwoyo kunoratidzirwa tachycardia, muffled pasi, kuwedzera miganhu zvomwoyo, nechepazasi BP. In vana vaduku, izvozvo zvinogona kuguma zvomudumbu turakiti, pangava kurutsa, kakawanda zvituru ne madzihwa, "intestinal colic." Dzimwe nguva weti mapuroteni uye kuziva zvisaririra ropa. Serum chirwere ari pamwe zvakakomba mumatenhere dokeriro pamwe asphyxia, Hemorrhagic syndrome. Ari munyoro chimiro chirwere zvekuchipatara zviratidzo zvinochengetwa anenge 5 Mazuva kubva pakatanga chirwere, nzara chimiro - vanenge 3 mavhiki.

Complete kupora zvakaoma pakunoratidzwa maronda mwoyo, itsvo, huta zvirwere maitiro, laryngeal edema, uye kukura kwakaita munhu Hemorrhagic syndrome.

mabatiro

Kana kurapa serum kurwara rakaiswa corticosteroid nezvizoro uye mumakenduru kubatsira kubvisa kana kuderedza kutekenyedzwa yakafunuka uye rashes.

Kuderedza ya chirwere antihistamines, izvo vakagadzirawo kurwisa itchy ganda rashes.

Kuderedza kurwadza kwemajoini inoratidza kushandisa nonsteroidal Anti-anogumbura mishonga akadai "naproxen" uye "Ibuprofen". Muzviitiko zvakaipisisa, nemumuromo corticosteroids akatorwa kugadza (zvikurukuru, rinoreva "Prednisolone").

Kubvuma zvinodhaka izvi uye kushandiswa antiserum, nekuti icho pachena serum chirwere, mune ramangwana anofanira kudziviswa kuitira kudzivirira.

The fungidziro Zvinowanzova zvakanaka, asi dzimwe nguva rinopa kuomesa iri itsvo.

Kudzivirira chirwere chacho.

Pamberi pakatanga of Sera - diphtheria, tetenasi, botulinum antitoxin, chimbwamupengo serum - aite dzinoverengeka rokutanga nezviito:

- kuita muvare, ponji kana anobaya kuti honokono uye musoro iri akatura mumwe kuderera rakasanganiswa serum (1: 100);

- erythema maitiro ane dhayamita kupfuura 3 mm anonzi akanaka;

- kana raitongwa intramuscularly backlash serum zvachose dose.

Zvinofanira kucherechedzwa kuti kunyange kuita intradermal bvunzo, uye kunyanya subcutaneous uye intravenous zvinogona kukonzera anaphylactic kuvhunduka. Zvinofungirwa kuti pakatanga serum nomutsinga ngozi sezvo kuita iri kupfuura kudzorwa. A akaipa bvunzo hapasi zvinosimbisa kusavapo anaphylaxis pashure kwokubatsira yose dose, saka, inopa mamwe Anti-kuvhunduka mishonga panguva manipulations akadaro.

Medicine haazivi sei kudzivisa serum kurwara.