Analysis for pertussis. A mafi hatsari da cutar da kuma yadda za mu bi da shi?

Pertussis - wata cuta abin da ya auku saboda shigar azzakari cikin farji na jiki kwayan pathogen hali droplet Hanyar.

Wannan zai iya nuna cikin bincike domin pertussis? A yara, whooping tari, ta ƙara jini matakan leukocytes (2-7h10 ⁹ / L), da kuma leukocytic dabara ne yanzu yawanci lymphocytes. Kamar yadda rikitarwa da cutar matakin na leucocytes ƙaruwa. A immunocompromised yara, alurar riga kafi da kuma waɗanda suka yi ba ya bayyana siffofin pertussis, da hawa da sauka a cikin kima da aka kiyaye. erythrocyte sedimentation gudun ne talakawan ko dan kadan m Figures. Munanan a cikin jini hoto ne kiyaye kawai a cikin catarrhal mataki na cutar.

Bayyanar cututtuka na whooping tari a yara

Mene ne whooping tari cututtuka? Ta yaya ne wannan cuta? A can farko na bunkasa cutar a yara ba tare da wani takamaiman bayyanar cututtuka. A yanayin jiki zai iya tashi zuwa 38 digiri, akwai wani runny hanci, bushe tari da kuma rare. A wannan lokacin, da cutar whooping tari ne mai hatsari ga mutanen da ke kewaye da su. A general, da cututtuka masu kama da m na numfashi rashin lafiya. Pertussis bacillus ninka wannan lokaci kamar yadda rayayye kamar yadda zai yiwu, a lokaci guda shi saki wani toxin.

A na gaba mataki da cutar, wanda ya auku bayan makonni 2, da yaro ta yanayin zama mafi sharri. Akwai musamman spasmodic tari. Kowane irin tura tari tare da wani fito da mai zurfi numfashi. Tare da irin wannan tari yaro iya ƙwarai tsaya daga harshensa, tareda žata shi. Fuska da wuya in juya blue, wani lokacin akwai pauses a numfashi. A karshen harin da aka saki sputum, da kuma wani lokacin AMAI. Bisa ga tsarin nan na cuta, da yawan hare-hare na iya zama har zuwa 50 a kowace rana.

Bayan 20-30 kwanaki, cutar canza zuwa na gaba mataki. Spasmodic tari tari maye gurbin da ya saba. A jihar kiwon lafiya na yaro ya zama mafi alhẽri, da zazzabi da ke sauka da kuma dawo da ci. A mataki na ci gaba har zuwa 3 makonni.

Kamar yadda aka nuna a cikin balagaggu whooping tari? Ta yaya ne wannan m cuta? Alamun a manya ne kama da gandun daji, tare da kawai bambancin shi ne cewa babu iyaka tsakanin matakai na cutar. A wannan yanayin, da tari ne sosai, sai ya furta, a cikin tẽku, widening da dare.

Halayyar siffofin na pertussis a jarirai

Hatching da preconvulsive lokaci rage zuwa 1-2 kwanaki, da kuma whooping tari lokaci qara har zuwa 6-8 makonni.

A jariri jarirai, maimakon daga cikin saba tari, ya lura m bayyanar cututtuka: sneezing, m kuka, kururuwa. Bincikar lafiya hemorrhagic cuta: zub da jini a cikin tsakiya m tsarin, wani lokacin - a wani m m fata idanu da kuma fata. A yanayin da marasa lafiya a cikin lokaci tsakanin lokaci na tsananta a yara lura da wata tangar, batattu basira, wanda aka ɓullo da cutar tsari. Sau da yawa akwai musamman ƙarin tsanani, wanda zai iya, wani lokacin sa mai rai-barazanar a cikin yanayi, daga gare su: apnea, sabawa daga al'ada kwakwalwa jini ya kwarara. Interruptions a cikin numfashi, har wucin gadi tasha za a iya bayyana ba tare da tari, misali a lokacin barci, ko kuma bayan da abinci. Daga cikin wadanda ba musamman da komowa ne mafi sau da yawa kamu da ciwon huhu. Akwai sun kasance mutuwar.

Halayyar siffofin na pertussis a alurar riga kafi yara

Yara suka alurar riga kafi da whooping tari, da damar samun lafiya saboda matalauta rigakafi ko tabarbarewar da ƙarfi. A mafi yawan lokuta kamu da sauki kuma mai tsanani siffofin da cuta, mai tsanani ba peculiar. Specific rikitarwa ne sosai rare, kuma idan sun kasance ba rai barazana, don haka mutuwa da batutuwa ba faruwa. Domin mafi part akwai ba na hali iri pertussis. 2 har zuwa makonni da preconvulsive kara shiryawa lokaci da kuma spasmodic tari sake zagayowar an rage wa makonni 2.

cuta ganewar asali

Abin da wani gwajin for whooping tari bukatar wuce? Domin gane da yiwu ƙarin tsanani yi urinalysis da jini sunadarai. A al'ada hanya da cuta, ba su canza.

Total sputum bincike ya sa ya yiwu don kawar da fuka, da tarin fuka da kuma mura. Whooping tari phlegm mucosa, concomitant tare da bayyanar ciwon huhu da shi ya zama wani mucopurulent ko surkin jini.

Mai so likita a kayyade da ganewar asali, musamman a farkon matakai da cutar, ba a bacteriological hanya don nazarin - namo kwayoyin a gina jiki kafofin watsa labarai. A dogon lokaci domin sanin pertussis kwayoyin aikata Hanyar "tari faranti", shawarar Maurittsenom. A lokacin na gaba hari na tari a nesa na 5-8 cm daga baby yana da wani bude Petri tasa da sinadarin gina jiki matsakaici. Microscopically gamsai saukad cikinsa da kwayoyin da aka pertussis tashi daga bakinka, ana ajiye a kan shi. Bayan 2-4 kwanaki, dangane da girma al'adu ne suka kamu da. Wannan irin bincike da akwai daya aibi - shi kusan ba tasiri a matasa da yara wanda ba su da kyau tari, kazalika da tari ne mãsu fakowa ba.

Akwai gwada da kwanan nan Hanyar domin gano dalilin whooping tari - seeding na kwayoyin cuta daga nasopharynx kuma daga ƙarƙashin da harshe. Wannan ganewar asali Hanyar an dauki mafi inganci, amma bayan 4-5 makonni bayan farko na rashin lafiya zuwa ga gudanar da wani ma'ana, domin ba shi yiwuwa a gano causative wakili. Farkon amfani da maganin rigakafi ma rage chances gane Bordetella pertussis.

A shiri lokaci kafin nazarin

Babban alama na pertussis ne m harin da hašari mai cutarwa tari, wani lokacin tare da amai, a musamman tsanani lokuta, wannan hari ne quite sauki fararwa, misali, a lokacin da Samfur don bincike. A irin wannan lokacin, uwãyensu bukatar da za a shirya cewa watakila da yaro zai bukatar taimako.

A shiri tsari ne cewa Pap domin bincike ne mafi tasiri a cikin farkon lokaci, saboda dare samar yawa gamsai, wanda shi ne mai babbar taro na kwayoyin. Shi ne mafi kyau da za a gwada wa pertussis kafin karin kumallo da kuma ba a gudanar da tsaftacewa da hakora. In ba haka ba, wani babban rabo daga sputum za a rasa.

Kwafi kima ga pertussis

A analysis ne da za'ayi tare da sakamakon kafa daban-daban azuzuwan na antibodies (IgM, IgA)

Bordetella pertussis (Bordet-Gengou bacteria)
IgG	IgM	IgA	dikodi mai sakamakon
barnatar	barnatar	barnatar	A causative wakili ne ba
Korau ko tabbatacce	barnatar	Korau ko tabbatacce	Yana nuna wurin da kamuwa da cuta
Korau ko tabbatacce	barnatar	gaskiya ma	Nuna gaban kamuwa da cuta a cikin 'yan lokaci,
gaskiya ma	barnatar	barnatar	Yana magana game da kwanan nan, ko da kamuwa da cuta, ko allurar rigakafi na baya aiwatar

A ina zan iya samun gwada wa pertussis?

Ina zuwa samun gwada wa pertussis? Wannan irin bincike da za'ayi a asibiti dakunan gwaje-gwaje da kuma bincike cibiyoyin. da suka saba zama a cikin al'umma. Dole bincike da kuma wuri ƙaddara da likita.

Type gwaje-gwaje domin pertussis aka ƙaddara a kan tushen da cututtuka, Hakika na cutar da shekaru kungiyoyin na marasa lafiya.

Jini a whooping tari, likitoci tambayi don samar da fari, saboda irin wannan bincike daukawa mai yawa bayani.

zai yiwu rikitarwa

A musamman sun hada da:

• na huhu emphysema.
• mediastinal kuma subcutaneous emphysema Kwayoyin.
• atelectasis.
• pertussis ciwon huhu.
• interruptions a cikin numfashi mita (dakatar da numfasawa - apneas zuwa 30 seconds, dakatar - apnea fiye da 30 seconds).
• tabarbarewar jini ya kwarara a cikin kwakwalwa.
• zub da jini (hanci, da raya yankin na pharynx, bronchi, external auditory hanya da kuma a cikin fata da kuma mucous membranes, sclera kuma akan tantanin ido, kwakwalwa da kuma laka).
• bayyanar ko cibiyarki hernia.
• asarar rectal mucosa.
• lalacewar da tympanic membrane da diaphragm.

By kawai ya fi na kowa matsalolin da bayyana saboda da jari na sakandare kwayan Flora ne:

• ciwon huhu.
• mashako.
• ciwon makogwaro.
• lymphadenitis.
• otitis.

lura da pertussis

A lura tsari ne da za'ayi kawai tsit. Jariri yara suna kokarin sa a cikin wani shiru low-haske dakin rage hangula dalilai, kamar yadda suka iya tsokane wani ƙarin tsanani na tari. Mazan yara tare da sauki siffofin da cutar gado tilas yanayin.

Musamman hankali ne ya biya zuwa abinci mai gina jiki, rike da m ciyar da kananan rabo. Jariri jariran bukatar lokaci zuwa tsotso fitar da gamsai daga makogwaro. Ga mazan yara shi ne yadu aikata oxygen magani.

Maganin rigakafi ana amfani da su yara a wani wuri shekaru da dama mai tsanani cututtuka. A mataki bluetongue fĩfĩta aikace-aikace "Erythromycin".

Akai-akai amfani da takamaiman gamma globulin, pertussis, gudanar da intramuscular allura na 3 ml a kowace rana domin 3 days.

Da wuya amfani da sedatives tari, kusance su tare da taka tsantsan, kamar yadda tasiri na wadannan kwayoyi ne dauke m. Wajibi ne su kauce wa yin amfani da kayan aikin kamar mustard da kuma bankuna, wanda za a iya tsokana tari.

Alurar riga kafi da pertussis

alurar riga kafi jadawalin kafa ta jihar immunization jadawalin. Rayar da na rigakafi da pertussis amfani DTP ( "Tetrakok" "Infanrix") - yana da za'ayi a cikin 3, 4 da kuma 5 months. Bayan da sake alurar riga kafi da pertussis ne da za'ayi a cikin watanni 18.

DPT allura da aka sanya a cikin wata tsoka, domin yara har zuwa 1.5 shekaru - a gaban m ɓangare na da cinya, da kuma yara girmi cewa - a cikin deltoid tsoka. Bayan da aka bullo da wannan magunguna, sau da yawa saboda dukan-cell alluran allura a lokacin farko 3 kwanaki, da yaro zai iya bayyana m dauki ga maganin, duka biyu na gida da kuma general. A lokuta 8-9 na 10 da irin wannan tsari na iya faruwa bayan kawai 'yan sa'o'i bayan allura. Irin wannan halayen ne na al'ada halitta magana, kuma ba su dauke da rikitarwa.

M da warkewa matakan

Pertussis lokuta dole ne dole a ware domin 25 kwanaki bayan kamuwa da cuta, da jiyya ya zama m da kuma tsananin da nufin kawar da Sanadin cutar.

Kamar yadda da dasa, da kuma yara ba su alurar riga kafi Lambobin hõre rigakafi duration na makonni 2 daga farkon kadaici na haƙuri. A ziyarar da yara ne tsananin iyakance, canza timetables, kuma yanã tafiya.

Don gane whooping tari a farkon matakai, pertussis a yankin za'ayi kullum likita Nazarin da yara da kuma manya da wani daya-lokaci kwayan jarrabawa.

Ta yaya za a kauce wa irin wannan cututtuka kamar whooping tari? Na rigakafi da tsarin dole ne ta zama mai karfi, kana bukatar ka kullum karfafa shi, sa'an nan za ku kauce wa da yawa cututtuka, ba kawai pertussis. Kuma ba shakka, kada ka manta game da allurar rigakafin.

Domin gano da kuma gyara wurin da kashi pertussis, duk lamba na yara da kuma manya samun shawarar "Erythromycin", "rulid" ko "Sumamed" daya mako a da ake so sashi na shekaru.

Contact jariri jariran zuwa shekara 1 da kuma ba grafted (2 har zuwa shekara) an kira su zuwa ga shigar da bayarwa immunoglobulin - 2-4 allurai (1-2 allurai da duk sauran rana).