Tātaritanga mō te pertussis. Ko te atu kino te mate, me te pehea, ki te hamani i te reira?

Pertussis - he mate e puta tika ana ki te kătahi o te tikanga droplet pūāhua tukumate tinana kitakita.

E taea te whakaatu i te tātari mō te pertussis? I roto i te tamariki, mare, nui haere taumata toto o leukocytes (2-7h10 ⁹ / L), me te tātai leukocytic e hakari nuinga lymphocytes. Ka rite ki fifi o te taumata mate o piki leucocytes. I roto i te tamariki immunocompromised, werohia me te hunga kihai i nei i whakahuatia momo o pertussis, kitea rerekē i roto i te anga matou te. tere ngeniwhero parataiao ko tau toharite paku raro ranei. E kitea abnormalities i roto i te pikitia toto anake i roto i te wā catarrhal o te mate.

Tohu o te mare i roto i ngā tamariki

He aha te mea tohumate mare? Kia pehea te ko tenei mate? I te wāhanga tuatahi o te whakawhanake i te mate i roto i ngā tamariki, kahore tetahi tohu motuhake. Ka taea e te pāmahana tinana ara ki 38 nga nekehanga, i reira te mea he ihu e mātihetihe, mare maroke me te onge. I roto i tenei wā, he tino kino ki te iwi a tawhio noa ratou i te mate mare heihei. I roto i te whānui, e rite ki te matehā nga tohu. e whakamahatia pertussis Bacillus tenei wa rite kaha rite taea, i te wa ano tuku reira he tāoke.

I roto i te wāhanga i muri o te mate, e puta i muri i te 2 wiki, riro huru o te tamaiti nui kino. He he he mare pakū noa motuhake. Ia mare pana taua tahi e te whiowhio me te manawa hohonu. Ki te taua tamaiti maremare taea nui piri i roto i te arero, hoko i te reira. kia tahuri Kanohi me te kaki puru, i ētahi wā i reira he tatari i roto i te manawa. I te mutunga o te whakaeke tukua te sputum, a ētahi wā ruakina. I runga anō i te matatini o te mate, e taea e te tokomaha o te whakaeke ki runga ki te 50 ia ra.

I muri 20-30 ra, liliu te mate ki te atamira i muri. whakakapi mare mare pakū noa te mua. Ko te āhua o te hauora o te tamaiti riro pai nui, te pāmahana haere ki raro, a ka tae mai hoki te hiahia. tonu te wā ki runga ki te 3 wiki.

Ka rite ki whakaaturia i roto i te mare pakeke? Kia pehea te ko tenei mate kino? Tohu i roto i ngā pakeke he rite ki te nesilií, me anake te rerekētanga ko e reira e kore rohe i waenganui i nga wāhanga o te mate. I roto i tenei take, kei te rawa korerotia te mare, te moana, aano te po.

āhuatanga āhuatanga o te pertussis i roto i nga kohungahunga

Pao me te wa preconvulsive heke ki 1-2 ra, a ka whakanuia ana wa mare heihei ake ki 6-8 wiki.

I roto i nga tamariki whanau hou, hei utu o te maremare mua, kite tohu ōrite: tihe, poauau karanga, karanga. Pāngia disorders hemorrhagic: toto i roto i te pūnaha io pokapū, ētahi wā - i roto i waho i te kanohi kiri mātotoru me te kiri. kitea te huru o tūroro i roto i te wa i waenganui i ngā wā o te mauähara o roto i te tamariki i te rärangi, pūkenga ngaro, i whakawhanakehia e te aroaro o te tukanga mate. E mea pinepine i reira he whakahōhā motuhake, e taea ētahi wā kakahu i te ora-te whakawehi i te natura, i roto ia ratou: apnea, ine i rere te toto roro noa. Ka taea te whakakitea pōrearea i roto i te manawa, tae noa ki te mutu rangitahi, kahore te maremare, hei tauira i roto i te moe i muri i kai ranei. I roto i te matahoki kore-motuhake te tino maha pāngia kakā. He kua mate.

āhuatanga āhuatanga o te pertussis i roto i ngā tamariki kano

Tamariki e werohia ki mare heihei, he wāhi ki te tiki mate no te mea o te wātea i te mate rawakore ino o tona kaha ranei. I roto i te nuinga o te wā pāngia puka ohie, me te nui o te mate, e kore e nui i rawe ki. He tino onge ngā raruraru motuhake, a ka kore e ratou te ora-te whakawehi, kia kore e mahinga whakamate puta. e kore hoki te wahi tino he ki reira momo angamaheni o pertussis. Whakatika ki te 2 wiki, me te preconvulsive wā, me te huringa mare pakū noa te whakanui ake heki heke te ki te 2 wiki.

tātaritanga mate

He aha te whakamātautau mō te hiahia mare heihei ki te haere? I roto i te tikanga ki te kitea te whakahōhā mahi taea urinalysis me te toto matū. I roto i te akoranga noa o te mate, e kore ratou e huri.

Tapeke tātaritanga sputum hanga taea reira ki te whakakore huangō, mate kohi me te rewharewha. Te mare teteko maremare mucosa, te rere ki te ahua o te kakā riro te reira i te mucopurulent purulent ranei.

Te nuinga kia paingia te tākuta i roto i te whakatau i te tātaritanga, rawa i roto i nga tīmatanga o te mate, homai he ara bacteriological ki te tātari - te maara o microorganisms i roto i pāpāho matūkai. He roa te wā ki te whakatau i te huakita pertussis mahi tikanga o "paraharaha mare", tūtohu Maurittsenom. I te wa o te whawhai i muri o te maremare i te tawhiti o te 5-8 cm i te tamaiti he tuwhera he rihi Petri ki reo matūkai. Microscopically hūpē pata ai te huakita te pertussis rere atu i te mangai, e takoto ki runga ki taua mea. I muri 2-4 ra, e hāngai ana i runga i te ahurea tupu pāngia te. Tenei momo o te tātaritanga i reira he kotahi koha - reira kore he whai hua i roto i ngā tamariki taitamariki e kore e nei te pai mare, me te he mare he ngaro ngā.

He he he tikanga ngā tata mō te te kimi i te take o te mare - matomato o huakita i te awa ihu, me i raro i te arero. whakaaro ana tēnei tikanga tātaritanga te te whai hua tino, engari i muri i 4-5 wiki i muri i te tīmatanga o te mate ki te faaohipa i tona tikanga kahore, no te mea e kore e taea ki te tautuhi i te kaihoko fakatupu. whakaiti hoki te whakamahi wawe o paturopi te tūponotanga tautuhi Bordetella pertussis.

Ko te wāhanga faaineineraa mua ki te ako

Ko te tohu matua o te pertussis ko patua whakapeka o faaapiapi mare, i ētahi wā haere tahi e ruaki, i roto i te wā tino taumaha, he tino ngāwari ki te tīmata, hei tauira tenei whawhai, i te wa o te tïpakopako mō tātari. I taua taime, Me whaea ki kia mateuteu e pea ka hiahia āwhina te tamaiti.

Ko te tukanga faaineineraa ko e te pap mo te tātari he whai hua te nuinga i roto i te wa wawe, no te mea o whakaputaina te po nui o hūpē, i te mea he kukū nui o microorganisms. He pai ki te kia whakamatauria hoki pertussis i mua i te parakuihi, me te kore ki te kawe i roto i horoi o nga niho. Kore, ka kia ngaro te ōwehenga nui o te sputum.

anga matou tuhi mō te pertussis

kawea te tātaritanga i roto i tahi me te hua o te whakatūnga o ngā akomanga o paturopi (IgM, iga)

Bordetella pertussis (Bordet-Gengou huakita)
IgG	IgM	iga	hua wetewaehere
tōraro	tōraro	tōraro	E kore te mea te kaihoko pūtake
Tōraro pai ranei	tōraro	Tōraro pai ranei	tohu te reira i te aroaro o te mate
Tōraro pai ranei	tōraro	pai	Tohu te aroaro o te mate i roto i te wa tata,
pai	tōraro	tōraro	korero te reira e pā ana ki te mate tata mua ranei ārainga mate ranei o whakatinana i mua

Ka taea e kia ahau whakamatauria hea hoki pertussis?

Hea ki te kia whakamatauria hoki pertussis? kawea tenei ahua o te rangahau i roto i roto i te taiwhanga haumanu me pokapū tātaritanga. ratou te tikanga te tīariari i roto i te hapori. rangahau e tika ana, me te wāhi i whakaritea e te rata.

whakamātautau Momo mō te pertussis takoto i runga i te pūtake o tohu, akoranga o te mate, me nga rōpū pakeke o tūroro.

Toto i runga i mare, ka ui tākuta ki te whakarato i roto i te wahi tuatahi, no te mea e waha ana tenei momo o te tātari te rota o te mōhiohio.

pōauautanga taea

ngā te motuhake:

• emphysema pūkahukahu;
• mediastinal me emphysema subcutaneous pūtau;
• atelectasis;
• pertussis kakā;
• pōrearea i roto i te auau romahā (whakatārewatanga o respiration - apneas ki 30 hēkona, mutu - apnea atu i te 30 hēkona);
• ino o te rere toto i roto i te roro;
• toto (ihu, te rohe muri o te pharynx, bronchi, ara māna waho, me te i roto i te kiri, me kiriuhi mucous, mā karu me te etine, roro me te ua);
• ahua whaturama pito ranei;
• mate o te mucosa rectal;
• kino ki te membrane tympanic me te HWM.

Na roto noa i te pōauautanga tino noa e whakatika tika ki te haaputuputuraa o otaota kitakita Tuarua ko:

• kakā;
• Bronchitis;
• nui korokoro;
• lymphadenitis;
• otitis.

maimoatanga o te pertussis

kawea te tukanga maimoatanga i roto pahoho anake. Kei te ngana tamariki hou ki te hoatu i roto i te ruma iti-marama ata ki te whakaiti āhuatanga ritenga, pera ratou kia whakapataritari he whakahōhā o te maremare. tamariki tuākana ki te momo ohie o te aratau kōwhiri mate moenga.

utua ngā aro te ki te kai tōtika, e pupuri ana kai auau o wahi iti. Me tamariki whanau hou wa ki te papu i roto i te hūpē i korokoro te. Kei te whānui hoki ngā tamariki pakeke mahi reira maimoatanga hāora.

Paturopi e whakamahia ki ngā tamariki i te wawe tau ki te momo o mate kino. I taahiraa bluetongue meinga tono "erythromycin".

Auau whakamahia globulin kama motuhake, pertussis, whakahaere i te werohia intramuscular o 3 ml katoa ra hoki 3 ra.

Uaua whakamahia sedatives te mare, whakatata ratou ki tūpato, rite whakaaro te whai huatanga o enei taero te whakaaro. He mea tika ki te karo i te whakamahinga o ngā taputapu pērā i te pua, me te tahatika, e taea whakapataritari maremare.

Vaccination ki pertussis

hōtaka werohanga whakapumautia e te hōtaka kano kāwanatanga. Whakahohenga o te mate ki pertussis te whakamahi i DTP ( "Tetrakok" "Infanrix") - Kei te kawea i roto i roto i te 3, 4 me te 5 marama te. I muri i kawea e re-werohanga ki pertussis i roto i roto i 18 marama.

Kei te hanga DPT werohia ki te uaua, mō ngā tamariki ki runga, ki te 1.5 tau - i roto i mua o te wahi i waho o te huha, a ngā tamariki pakeke ake i taua - i roto i te ua pakihiwi. I muri i te kupu whakataki o taua rongoā, maha hoki o kano pūtau-katoa werohia i roto i te 3 ra tuatahi, ka taea e te tamaiti faaite mai tauhohenga paruru ki te kano, e rua rohe, me te whānui. I roto i te wā 8-9 o 10 te tukanga taua e taea puta i muri i te ruarua noa haora i muri i werohia. Taua tauhohe he faaiteraa noa tūturu, a kahore e whakaaro pōauautanga.

āraihia atu, me te whakaora

Me tika kia taratahi take pertussis mō te 25 ra i muri i te mate, kia kia kouma, me te tino hāngai ana ki te whakakore i nga take o te mate te maimoatanga.

Ka rite ki ki te uhi, ka e kore hoapā werohia utaina nga tama taratahi roanga o 2 wiki i te timatanga o te taratahi o te manawanui. He haerenga ki te tamariki te tino iti, wātaka ke me haere.

Ki te tautuhi i mare i roto i te tīmatanga o nga wāhanga, kawea pertussis i roto i te rohe i roto i whakamātautau hauora ia rā o ngā tamariki me ngā pakeke, me te whakamātautau kitakita kotahi-wā.

Me pēhea te ki te karo i taua mate rite mare? Me kia kaha te pūnaha ārai mate, e hiahia ana koe ki te whakakaha tonu i te reira, na ka karo koe maha mate, e kore e pertussis anake. Na o akoranga, e kore e wareware e pā ana ki kano.

I roto i te tikanga ki te kitea me te whakatika i te wahi o te hinga pertussis, whakapā katoa o ngā tamariki me ngā pakeke ô tūtohutia "erythromycin", "rulid" ranei "Sumamed" mo tetahi wiki i te inenga e hiahiatia ana o tau.

E karangatia Whakapā tamariki whanau hou ki runga ki te 1 tau, me te kore honoa (ki runga, ki te 2 tau) ki te tomo i te immunoglobulin kaituku - 2-4 pota (1-2 pota atu nga ra).