Huaketo syncytial Respiratory: take, tohu, maimoatanga, hopearaa

Respiratory huaketo syncytial he wahi o te rōpū o te ume nei puta mate e pa he maha tika nui o te taupori nuinga tau taitamariki. Tau-te pakeke tango te wahi taketake i roto i te huaketo. Ki te he pāpaku noa pakeke te mate, ka taea e te pēpi te whakawhanake pōauautanga nui.

whakamāramatanga

Ko te huaketo e ai mate wahi romahā tenei. Hinana ko e ko reira uaua ki te tātari no te mea e mea ohie ki te e raruraru ki te matao noa. I tēnei wā kua ano i whakawhanakehia kahore kano, na ko ētahi wā mate te mate. I roto i falemahaki pōreareatanga e te ahua o te Bronchitis, huangō me korowhio.

etiology

hāngai Respiratory huaketo syncytial te i roto i te cytoplasm, i muri i tīmata maoa pihi ki te membrane. No te reira ki te whānau Paramyxoviridae me he anake te māngai o tenei rōpū, e taea meinga mate nui. Ahakoa whai ngā mate etahi heterogeneity antigenic, ana rerekētanga matua tetahi o te maha glycoproteins, engari e kore te mea mārama auraa tahumaero me te haumanu o enei rerekētanga. tupu mate i roto i te maha o ngā ahurea pūtau, meinga te hanganga o te syncytia angamaheni.

take

Respiratory huaketo syncytial ko te ma'i tangata, e kua tuku e rūrūtia mahino. E taea e ki te whakapoke e rua iwi kino me pāpāho ratou. He kohinga āhuatanga me i tuhia urutā whānau me take o te mate nosocomial, maha i roto i ngā hōhipera pediatric. He noa a tino maha huri noa i te karaka i roto i te hotoke me te puna te horapa. Ko te susceptibility rahi kitea i roto i ngā tamariki i 4-5 marama ki te 3 tau. I te wawe tau te nuinga o nga tamariki te maua e tenei mate, kia rite ki te mate tūao atu i kitea ai, maha kitea take toutou o te mate, anake i roto i te horoi atu. Heoi, i muri i te ngaro oti o te kaiao o paturopi (iga), romahā huaketo syncytial taea te hiti mai.

horahia te reira i roto i te whakapā tata ki te iwi huaketo. . Kua tātarihia te reira, ka kitea e te mea tihe te tangata e mate ana, e ngāwari horapa te huakita i 1.8 m tenei rōpū o tukumate taea ora i runga i te ringa, me te 30 meneti, me i te kaupapa - mo ha ngaahi houa.

Pathogenesis o mate he tino rite ki te rewharewha, me te parainfluenza whanaketanga tikanga, rite e pā ana ki te kaupapa o te mate ki te epithelium o te wahi romahā. tavini te reira ki te tomo i te wahi romahā, ka tīmata te tuatahi reproduction i te cytoplasm o te awa ihu, me te ka toro ki te bronchi. I tenei wāhi, i reira he hyperplasia o te pūtau pāngia me symplasts. E haere tahi ēnei ari i constriction o nga bronchioles me hypersecretion e muri arata'i ki to ratou blockage o hūpē matotoru. Na ka whakaritea te whanaketanga o te mate e te tohu o te haapa'oraa o otaota me kore romahā.

tohu

huaketo syncytial romahā, i te mea matatini, me te uaua ki te tātari koiora, te mate he wawe puna me te hotoke.

Ki te rā e kore e whakakitea aha pānga te wahi romahā raro i roto i ngā tamariki me ngā pakeke i te tihi.

I roto i te tamariki, ka tīmata te mate ki te kirika, nui nui korokoro me te ihu mātihetihe. Taimi nounou hono me ētahi atu tohu e rite huangō. huru no te mate e te āhuatanga e whai ake nei:

- hāhā o te manawa (neke atu i te 40 te whakahā ia meneti);
- tae kiri kikorangi (cyanosis);
- koi me te mare auau;
- tiketike pāmahana;
- taretare me te manawa pāhiwihiwi;
- hiri croupous;
- te whakahā tōna iere me te wheezing;
- i whakaware exhalations.

Lower mate wahi romahā puta ina pupuhi te bronchioles. Ki te i tenei wāhi he raruraru ki te supply o te hāora te manawanui, kia tino ki te kōrero i te tākuta mō tokoni tonu hauora. tino maha ēnei ma'i tupu i roto i ngā tamariki i raro i te tau kotahi, a ka e tere ratou te ähua.

whakarōpū

He he maha o ngā āhuatanga, e taea te āhuatanga e huaketo syncytial romahā, ara:

- angamaheni - whakawhanake Rhinitis, laryngitis, kakā, nasopharyngitis, bronhilit, Bronchitis, segmental edema pūkahukahu, me te otitis pāpāho;
- mohiotia - peroo mate asymptomatic ranei.

E 3 nui momo o te mate.

1. Easy, puta tino maha i roto i ngā pakeke, me te kura-tau tamariki. Pānui rite nasopharyngitis ngawari, e kore e kitea kore romahā. Nuinga o ngā wā, tonu te pāmahana tinana noa ranei piki paku, engari he torutoru noa nekehanga. He tino ngaro tohu o te haurangi.

2. He āhua ki kino, he reira taea ki te mau i te tohu o te Bronchitis whakapeka bronchiolitis ranei tahi e te syndrome taunutia, me te kore romahā. Ko te manawanui he reira, cyanosis waha, me te hāhā o te manawa. Ki te te tamaiti mate, kia waiho ai te pehi rawa, hiamoe, te heihei o ranei lethargic. E mea pinepine i kitea he hua iti i roto i te ate kōateate ranei. Kei te maha piki te pāmahana, engari tupu te reira, a he noa. He he he haurangi āhua.

3. taumaha, i tenei momeniti whakawhanake bronchiolitis me Bronchitis taunutia. He he he kore kaha o te rangi i roto i nei anake e taea te āwhina te kanohi hāora ki te manawa. Reo korowhio te haape'ape'ai te, me te hakari he tāoke korerotia me te kaha hua i roto i te ate, me te kōateate.

Na roto i te paearu o te mahara maha ngā te āhuatanga e whai ake nei:

- wātea o huringa rohe;
- uaua o te kore romahā.

Na roto i te āhua o te rere:

- maheni - kahore pōauautanga kitakita;
- e kore e maheni - te ahua o te kakā, pakohu kakā me otitis purulent.

kōrero

huaketo syncytial romahā, nei tohu e taea te raruraru ki ētahi atu mate i tāutuhia i roto i te 1956 e Dr. Morris. I te mātakitaki ia nga chimpanzees, nei i kitea Rhinitis, kua kitea he mate hou a huaina ana e ia te pa - Chimpanzeecoriraagent (te kaihoko fakatupu o nga chimpanzees matao noa). I te wa o te whakamātautau o te kaimahi manawanui nei ka mau tiaki o te makimaki, i kitea ai hua i roto i te paturopi he tino rite ki te huaketo.

I roto i te 1957, tohaina R. Chenok te tukumate taua i roto i ngā tamariki huaketo, ka takoto i ko ia te reira te tangata i te kawenga mō te excitation o Bronchitis me te hota. I muri i taua a mohoa noa nei hua kore ngana pūtaiao ki te whakawhanake i tētahi kano.

tātaringa

Ko te whakamāramatanga haumanu o te raruraru mate, no te mea o te ōrite ki ētahi atu mate. I roto i ngā pakeke, tino maha te nuinga e ngā tohu o te Bronchitis me te hota. I roto i te rangahau taiwhanga whakamahi tikanga serological e kitea antibody titer. Ki te tika, e whakarite te tākuta he motuhake X-hihi, me ngā whakamātautau taiwhanga, hei tauira, whakamātautau swabs nasopharyngeal virological.

therapy

Tūroro e kua pāngia ki te huaketo syncytial romahā, homai maimoatanga e i roto i te matatini, i roto i te tikanga ki te whakapakari i te tinana. Bed okiokinga e tūtohutia hoki te wā katoa o te exacerbation. tohua hohipera te hoki ngā tamariki ki te mate kino, tamariki tau kōhungahunga, me te ki te taimaha o te tangata nei i pōauautanga toharite. Me whakarato kai tau-e tika ana. kia whakauru te reira i te mihini me te matū ngawari kai, whakaoti i te momo o ngā āhuatanga wahi me huaora.

whakahaere hoki maimoatanga causal, āhuatanga nei i te te whakamahi o taero pērā i leukocyte interferon tangata, "Anaferon", "Grippferon" me "Viferon". I roto i te puka kino, e tūtohu ana ki te tango i "immunoglobulin" me "Ribavirin", rerekē tona utu i 240-640 moni, i runga i te inenga rānei. Maitai āwhina ki te ārai i te ahua o nga pānga o Bronchitis tarukino "Sinagis". Ki te kitea pōauautanga kitakita, whakaatu reira therapy antimicrobial.

Kei te pai te nekehia atu te tutukitanga waewae arahau maimoatanga symptomatic me pathogenetic. I roto i tenei take, te whakamahi i te kanohi hāora mo te manawa, hanga ana e ia te reira māmā ki ngā tohu nui, me te ohie te supply rangi.

Ma'io te kitea titau pōauautanga. I muri i kakā hi'opo'araa i muri i te 1, 3, 6, me te 12 marama tūtohutia ki te whakaoti i whakaora. tātaritanga ārai he tika i muri Bronchitis recurrent ka whakaritea i muri i te menemana. Ki te tika, kua tae mai te reira na roto i te kōrero allergist ranei pulmonologist, me ngā whakamātautau taiwhanga hanga.

maimoatanga o ngā tamariki

tonu nga kuao whiwhi uaua atu mate, a he nui atu nui atu i roto i ngā pakeke i te mau hopearaa, kia kia kia tino, me te kaha maimoatanga.

antivirals:

- "Ribavirin", te utu o te raau taero, e whakaahuatia i mua - he wātea, na e kore e kaha i patua i te whitiki o matua;
- hoki maha whakaritea "Arbidol", "Inosine", "Tiloran" me "pranobex".

whakahaere therapy Syndromical tā rite ki kawa e tika ana mo te maimoatanga o te kore romahā whakapeka, Bronchitis me croup syndrome.

therapy antihomotoxic Basic:

- "Rewharewha-Rekereke", "Engystol" (whakamahia e te iahiko kōkiri);
- "Euforbiumkompozitum C" (rehu nasal);
- "Limfomiozot".

I tua atu:

- "Viburkol" (suppositories rectal);
- "Echinacea kompozitum C" (ampoules);
- "S Angin-Rekereke";
- "Traumel C" (papa).

tauturu i katoa o enei taputapu ki te hinga i te huaketo syncytial pai-romahā i roto i ngā tamariki.

kaupae tuatahi

I roto i te tikanga ki te hohoro hinga te mate, e hiahia ana koe ki te tika te whakautu ki te tohu puta, kia e taea farii i te reira i te āwhina e tika ana i roto i te take o te hiahia.

hiahiatia 1. Rapua aro hauora te ka te tamaiti taitamariki mahaha tohumate, ara nui korokoro, ihu mātihetihe, me te wheezing kino.
2. hiahiatia huaina waka tūroro, ki te mea i reira te mea he pāmahana nui, haruru kaha, manawa mahi me te huru nui whānui.

E hiahiatia ana ki te whakatutuki i taua tākuta, rite te kaihaumanu, me ngā mate hopuhopu.

pōauautanga

pānga tōraro i runga i te wahi romahā he huaketo syncytial romahā. Ngā mutunga iho o te rota o te mate, mai i taea reira uru tipu kitakita tuarua, me te meinga mate pērā i:

- pakohu kakā;
- otitis pāpāho;
- Bronchitis;
- kakā;
- bronchiolitis.

ārai

He uaua ki te hamani, no te mea maha e huna ratou tohu mate viral katoa. Ko tētahi o nga mehua, ko te kite wawe o mate, me te noho wehe o tūroro ki te whakaoti i ta ratou ora. I roto i te pakarutanga o taua mate i roto i ngā ki pūkete mehua mā. I roto i ngā rōpū me ngā hōhipera o ngā tamariki e karangatia mau kopare rewharewha mo te kaimahi. Kohungahunga tika a nahanaha wharahanga ringa mā te whakamahi i ngā rongoā alkali.

Hoki mehua ārai whawhati tata i roto i te aronga o te mate ngā te whakamahi o raau taero pērā i "Anaferon", "Viferon", "Imunal" me te momo o whāpoapoa o interferon endogenous.

Immunoprophylaxis ngā tikanga pērā i "Motavizubam", "RESPIGHI" me "Palivizubam".

kano

Ki te rā, i reira kua whakawhanakehia he wāhanga e ka ārai i te mate. he kaha rawa Creation, ngā kua whakamana mai nga 1960, i muri i nei inactivated te taonga kei te ki formalin me konumohe whakapaea ana. meinga he kano taua te hanganga korerotia o paturopi serum, ahakoa te hua o te tono, kua whakamatauria whakawhanakehia mate atu nui. meinga ora wāhanga attenuated kore e tino ahuareka rānei tahuri ki te huaketo taua, anake te mohoao-momo nga tohu. Ki te rā, whakaaro te tikanga o te purenga o paturopi ki te subunit o tetahi o nga pūmua mata pūtau attenuated ranei, a ka ngana ki te urutau a ratou ki te matao.