Hepatitis A: Zviratidzo kuvana, chirwere, kurapwa uye ekudzivirira

Muvanhu, chiropa rudzi makemikari rabhoritari, apo ropa akanatswa kubva vazhinji chepfu uye zvinokuvadza. Kana muviri iyi kushanda zvakanaka, kuzvigona mabasa ayo qualitatively, asi haugari kuitika. Pane zvirwere zvinogona kukanganisa chiropa, zvakadai chiropa A. Zviratidzo vana uye vakuru, zvakakosha kuziva sezvo mangwanani sezvinobvira kutanga kunobudirira kurapa. Ngationei chii chirwere uye kana zvichibvira kudzivisa matambudziko.

Chii nehepatitis A

Marudzi hosha angava mashoma, vose vane unhu avo uye zviratidzo. Kana isu funga chiropa A, chinhu zvirwere kunokanganisa chiropa masero. The chirwere kunoratidzwa cyclic kosi akaratidza zviratidzo kudhaka nokuremara siyana mubasa muviri ichi.

Kana kutarira dzakawanda kupatsanura, kuti chiropa A rakakamurwa marudzi akawanda:

• Hepatitis pamwe hepatic pakoma.
• Chenjera nehepatitis A.
• Pasina hepatic pakoma.

Clinical Kuratidza nehepatitis

chirwere neimwe iri kwayo, hepatitis A ane zvinotevera nguva:

1. The incubation. Rinotanga pashure utachiwana anopinda ura achishandisa muromo, ipapo panoparadzana mwoyo kupinda chiropa, apo rwunotanga ndichibvunza maberekero. The incubation nguva kunotora nehepatitis A matatu shanu mavhiki.
2. Preicteric nguva rinotanga panotanga zviratidzo chirwere rokutanga - ungaderedza kudya, kurukutika ikoko kungava kurwadziwa mudumbu. Kazhinji pane kuwedzera tembiricha.
3. A kuratidzwa wakajeka nehosha, iyo inozivikanwa nokuva tsvuku ganda, rima weti uye mutsvina yadzo zvacheneruka. Hepatitis Utachiona hunokonzera kuwedzera chiropa, chirwatata uye dzimwe nguva inowedzera.
4. In danho rinotevera kunoderedza Pazvinotanga, murwere ezvinhu inovandudzika, chiropa anodzokera ayo miganhu yepakutanga.
5. The kupora nguva, izvo kazhinji zvinotora inenge 3 months. Panguva ino, mwana achiri anonzwa zvimwe kusagadzikana kungava zvichemo.

Unopinda sei hweHIV nehepatitis

Hepatitis Utachiona kazhinji zvinokanganisa muviri wemwana. Zvokurwara zvingaitika nomumwe zviitiko kana panomuka zviduku, kana rimwe rose boka sick kukireshi kana kuchikoro kugiredhi.

Hepatitis - chirwere chinobata chete vanhu, uye naizvozvo utachiona zvinogona chete kuva murume. Kakawanda basa iri kuridzwa ne murwere ane atypical muchimiro nehepatitis A, umo hosha haina chirwere. Munhu ari mutakuri utachiona, yekutapurira kumativi vamwe.

Chirwere nehepatitis A kunoitika nenzira dzakasiyana, kazhinji nezvokudya, mvura, anogona kuburikidza fecal nyaya. Kupararira nehepatitis kuenda neherikoputa hazviiti anogona kuva chirwere panguva ropa, asi nekuda kusagadzikana kweutachiwana muropa, ngozi iyi zvakanaka diki.

Muviri womunhu dziine utachiona, kazhinji idenda kubuda mu nemasangano apo vakawanda vana kamwe anorova nehepatitis A (Zviratidzo kuvana, funga zvishoma papera). Zvinofanira kucherechedzwa, kana munhu kamwe muupenyu hwako, zvakadai sevana, akatambura chirwere, masoja emuviri unobereka hwose.

kupatsanura

Kukodzera nyaya tichitarisa norudzi, kukuvadza uye kosi yacho chirwere. Zvinotevera zvokuzvivaraidza nehepatitis A:

1. Typical, iyo inoratidza zvose hwokufananidzira zviratidzo chirwere.
2. Atypical, yava vakadzima zviratidzo uye rinoreva munyoro chimiro.

Zviratidzo zviri chirwere kuvimba kwokuomerwa chirwere, vanachiremba emit:

1. Munyoro chimiro, riri Inonyanya kubata vana. Kudhaka simba, chiropa inowedzera zvishoma. The chirwere ane cyclical hunhu, uye kupora kunoitika pamusoro pamwedzi.
2. Hepatitis A mwero nekuomarara. Pane chechetere weboka chirwere, yellowness mwero vakaratidza, unogona kuwedzera kwete chete chiropa, asiwo chirwatata. Zviratidzo kudhaka kungapfuurira kusvika 2 weeks. Dzosera muviri anokwanisa miviri chete kwemwedzi.
3. Zvakakomba chimiro kunokwanisa kuonekwa nekaupenyu kashoma. Zviratidzo kudhaka kunoratidzwa zvakasimba, mwana anova lethargic, lethargy. Kune vane dzungu, mugari kurova kwehana, nosebleeds, rashes paganda. The chiropa iri ndakawedzera kukura, uye pane kurwadziwa pamusoro palpation.
4. Anicteric chimiro kunoitika muna 20% wevarwere. No yellowing of sclera uye ganda yaiitwa. Pane simba, kurasikirwa kudya, vangave kurutsa uye svoto. The chirwere chinogona chinozivikanwa awanda chiropa.
5. Ichokwadi zvakare subclinical chimiro hosha, umo vakawanda zviratidzo hatisi. Chirwere chinogona kuitwa chete pashure nemiedzo zvekuchipatara. Vana vakadaro vanotsigirwa denda kwacho vari vana seboka.
6. Kungava cholestatic nehepatitis A. Zviratidzo zviri vana vakachengeta muchimiro jaundice. Skin haagoni chete kuva yero, asi greenish tint. Rinooneka ganda itchy, chiropa inowedzera zvishoma. Anomhanyira rudzi refu, haangagoni kutandavara kwemwedzi inoverengeka, asi chirwere hazvirevi kupfuura.

Course chirwere muvana

Sei nehepatitis A mune vana, achavaponesa mukurwara. Doctors dzinoti:

1. Chenjera kosi. It kunoitika kakawanda uye, sezvo mutemo, zvose zviratidzo inonyangarika mukati memasvondo 2-3. Chenjera nehepatitis A mune vana vanogona kugara kusvika 3 months, asi pachine vamwe nguva pashure kupora zvingatora kunyunyuta.
2. Kuramba tichishanda kosi vanoti kana chirwere asingadi taramuka kweanodarika 3 months. Chiropa kwenguva refu anogona kudzoka dzose, asi kupora achauya tichikufunga, kana vose chiremba kurumbidzwaka.
3. Zvokurwara pamwe exacerbations. Kana zvakadaro kuitika kutsigira zvekuchipatara zviratidzo chirwere, kuderera chiropa basa nemiedzo,-refu mumabhatiri pathological kwacho mumasero omuviri.
4. Course kwechirwere chacho, iyo kunokanganisa biliary turakiti. Izvi zvinowanzoitika zvine mwero chimiro. The chirwere chinogona kuitika pasina zviratidzo pachena uye zvinogona chete kuonekwa nokuda mumarabhoritari zvidzidzo.
5. Zvokurwara nokuti accession ose intercurrent zvirwere. Zvirwere zviri akawedzera, sezvinoita mutemo, regai kuwedzera kwokuomerwa HCV zviratidzo asi anogona kumutsa nokuwedzera chiropa.

Chirwere kuti nehepatitis A

Yakarurama chirwere chipi chirwere kunotanga yokuora zvidzidzo. Kuonekwa kuti nehepatitis A muvana iri papfungwa epidemiological, rabhoritari uye sokuora mashoko.

Kana uchifungidzira kuti zvokurwara ichi kutora kuongorora kuti nehepatitis A. Laboratory miedzo inogona rakakamurwa dzakananga, vanobatsira kuti kuwanikwa murwere ropa HAV RNA kubudikidza PCR uye antibodies Anti-HAV JgM naElisa.

Achibatsirwa non-zvakananga zviratidzi anogona kuona ukuru chiropa kukuvara, kuongorora kuti chirwere, ayo nekuomarara uye kuti nokufanotaurirwa. Kana wakatora ropa nehepatitis A, iva nechokwadi kuti bvunzo ndiko kuziva basa hepatocellular makemikari uye zviratidzo zviri ruvara muviri.

Chete pashure mamwe chirwere chirwere angatanga kurapa.

Asi vachiri pavaipfuura chirwere, vabereki vanogona kuteerera zviratidzo akazviratidza uye nokukurumidza kwachiremba. Ngatimboonai zviratidzo nehepatitis A kuti vabereki vanofanira kuziva.

Symptomatology nguva predzheltushnogo

Kureba iyi - kubva 3 kusvika 7 days. Inoitwa pakati infective pachikuva uye yechipiri toxicity. Wokutanga kunoratidzwa nekuratidza mwana muviri kudhaka, kunokonzerwa kukuvara tsinga. Kutanga hosha rakanyatsojeka yakapinza, pamwe anotevera zviratidzo:

• The unopinza kuwedzera kupisa.
• General simba.
• Headache.
• Tachycardia.
• Rare, asi anogona kuva kurutsa.
• Abdominal marwadzo.

Zvirwere kumwedzi ndedzoupenyu mazuva mashoma, ipapo tembiricha madonhwe, mwana nani. Stage toxicity yechipiri uye zviratidzo zvayo yava kutanga chiropa kukundikana, zviratidzo nehepatitis A iyi, kutanga zvishoma nezvishoma, kazhinji kutaura:

• Lethargy.
• Nokusakendenga.
• Hope.
• Pamwe dzungu.
• Ungaderedza Nzara, pane kusada kuti mafuta zvokudya.
• Svoto uye kurutsa.

Panguva iyi, chiropa riri nekuumbanidzwa, kunowedzera chaizvo kukura, mwana vanganzwa marwadzo zvakarurama repamusoro quadrant. Kana panguva ino kuti bvunzo ropa, ipapo akawana kuwedzera chiropa makemikari.

Panoperera preicteric nguva yerima weti uye chetsoka atindivare.

Zviratidzo zviri vana icteric nguva

Kana nechirwere nehepatitis A, zviratidzo zviri vana icteric nguva kunoenderana pavaipfuura chirwere. Ivo vatatu: kuwedzera zviratidzo, kureba chirwere uye kuderera.

Muropa, vakawedzera kwevari bilirubin, kazhinji, izvi zvinotora mazuva 6-8, uye ipapo rinotanga kuderera, kana yakanaka nokuti chirwere. Modified mapuroteni, mafuta, carbohydrate muviri, havachanyatsogoni mvura-munyu mwero uye chiropa shanda anotambura.

Kazhinji, zviratidzo nehepatitis A muvana 6 makore iyi ndeinotevera:

• Temperature dzingasiyana discontinuously. All zvinoenderana pamberi padivi pathologies uye zvakaoma kunzwisisa zviri anogumbura kwendangariro.
• Kwakakanganiswa kumwoyo.
• Kumwe kuchinja kunotanga ari zvomudumbu ino.

Zvinofanira kurangarirwa kuti kuipa chirwere ichi ndechokuti nehepatitis A anoita kuchinja nokushanda kwenhengo mwoyo, izvo zvinotsanangurwa zvaipesana metabolic pezvakaitwa mumwoyo tsandanyama.

Kuratidzwa munguva poslezheltushnom

On apedza jaundice nguva haanzverwi uwandu bilirubin muropa. Kana nhamba rakadonha kune chakaipa chikuva, zvinokwanisika kuti nharo kuti yepamusoro chirwere shure.

kazhinji Jaundice kunotora kwenguva kwemavhiki maviri, asi agare yakareba. Poslezheltushny angava nguva vhiki nhatu, asi vamwe vana - uye mishoma. Hapana yakajeka zviratidzi kuguma iyi, kazhinji anoshumira huru yokuona kuti normalization kuti chiropa saizi rutapudzo kuti chiropa makemikari.

nehepatitis A sei mune vacheche

chirwere nokuti vacheche ine maitiro ayo. Pane pfungwa iyerere mune zvakavhenganiswa chimiro (nemavhairasi uye kwemabhakitiriya) kuti kunozivikanwa panguva kuongorora.

Chimwe chinhu ndechokuti vanachiremba pachipatara haana kuzivisa Pazvinotanga uye exacerbation pamusoro Isimba rakadini rinogona kubudiswa muitiro - vachiberekwa kana pamuviri.

Chirwere rinowanikwa mune vana kwakaoma kupfuura vanhu vakuru kana vana vakuru. Preicteric kumwedzi anotora mazuva mashoma uye asina zvekuchipatara kuratidzwa, zvokurwara saka kazhinji kuzivikanwa, kana jaundice kunotanga.

Chenjera kutanga angava zvinotevera zviratidzo zviri vacheche:

• Ungaderedza kudya.
• Kakawanda regurgitation.
• Kubatana ane intestinal chirwere.
• High tembiricha.
• Angava catarrhal ezvinhu ari kufema hurongwa.
• Mutsvina yadzo uye weti shanduko ruvara chete zuva pamberi jaundice nguva.

Mabatirwo nehepatitis B zvinofanira chete kuitwa pasi zvokurapa achitarisirwa. Zvichienderana kwokuomerwa hosha chiremba anogona hospitalize murwere shoma kana kurongera musha mishonga.

Mabatirwo nehepatitis A

Sezvo incubation nguva kuti nehepatitis A kazhinji vasina zviratidzo, kakawanda chirwere chirwere sezvo mangwanani sezvo padariro jaundice. On kuratidzwa rokutanga muchimiro kuneta, kurasikirwa kudya, zvimwe vabereki havagoni kuteerera. anokwanisa nyanzvi chete anogona kupa chero kunenge kuti kurapa nehepatitis A yemanyorero kurapa ipfupi kuti mitambo inotevera:

1. Ari munyoro chimiro murwere haina muchipatara, ramakanzi mubhedha zororo, kwazvo chimiro, zvinofanira kuchengetwa kuti dzinenge 5 mazuva.
2. Murwere anofanira akarurama uye mwana kunovaka muviri, sezvamakaropafadzwa nhamba mapuroteni, kwemafuta uye makabhohaidhiretsi vachava 1: 1: 4.
3. Vabereki vanofanira kuronga zvokudya zvakawanda mbishi miriwo, michero, miriwo uye facial.
4. Zvakakodzera kubvisa mukuru-utsotso mafuta, anowanzonzi kuwanikwa margarine, mafuta. Ndine kubvisa zvokudya zvomumagaba, soseji, mafuta hove uye nyama. Kwete kubatsirwa kushandiswa kupisa zvinonhuwira, sauces, zvihwitsi nemakeke.
5. Kazhinji vanachiremba regai kushandisa mishonga yakananga kurwisa chiropa, anogona kupiwa cholagogue. Mugore chenjera chokutambudzika chirwere zvinodhaka holeliticheskogo rakarumbidza zviito akadai "Magnesium sulfate" "Berberine", uye panguva convalescence holesekretiruyuschego matanho: "Allohol", "Holenzim".
6. Doctors kazhinji mishonga varwere mararamiro mavhitaminzi kuti boka B ( "Combilipen").
7. Kana paine ari cholestasis cholestatic chimiro, kuti rinoratidza nzira "ursosan" mune imwe mari 10-15 MG / makirogiramu pazuva. In chakakomba nguva kurapa kwakadaro kunogona kuva kubva 3 kusvika 6 mwedzi.
8. Kana chiropa kunoitika chaizvo, kuti ndishandise aizomupa mushonga, unosanganisira yachengetwa intravenous donhwe uye 1,5% simba "Reamberin" mhinduro ari dose 10 Rine mamiririta / makirogiramu muviri uremu.
9. Munyika kurapwa, pasinei chirwere uye ayo zvakaoma kwazvo, kuti ushandiswe chelators, akadai "Enterosgel", "Enterodez".
10. Pashure vatanhatu kwemavhiki masere pashure kutanga hosha rinoitwa pakuongorora murwere wokutanga, pashure 3 months zvinodiwa rechipiri kuongorora. Kana chiremba asingadi rokuongorora zvekuchipatara zvinozonzi, mwana rinobviswa mazita.

Zvinofanira kufungwa: kana mishonga iri kuitwa mumba, nokuti vaduku murwere unofanira kuva yoga nzvimbo uye zvose pachedu zvinhu (midziyo, zvigadzirwa zvoutsanana).

Zvakaipira nehepatitis A

Sezvo hutachiwana chirwere anokwanisa kunokanganisa kushanda chiropa enzayemu hurongwa, zvinganzi vakafunga kuti zvichaita kukanganisa basa zvose muviri wemwana. Mubereki wose anofanira kunzwisisa mutoro yose chirwere ichi uye nemigumisiro yayo, saka ari kuratidzwa yokutanga hazvo kureva nyanzvi.

Kana kurapa akatanga mune nenguva nenzira achiita zvaidiwa vanorumbidza dzose chiremba, mubhedha zororo, akaita zvinhu kune zvokudya, unogona Musatya zvichibvira yematambudziko. Apo chirwere Botkin raMwari (aizivikanwawo chiropa A) isina kurapwa, izvozvo achakunzwirai inokanganisa hutano mwana mune ramangwana. Pakati matambudziko zviri Zvinonyanyozivikanwa zvinotevera:

• Abnormalities mu chiropa chaitika.
• Nezvinetso kugaya zvokudya.
• The chiropa ipfupi ukuru.
• Kukudziridza encephalopathy.
• Ascites.
• Pamwe zviri ichiguma chiropa kukundikana.
• Kuchinja chirwere kuva chirwere chimiro.

Kana ukatanga nenguva kurapwa, kuti chiropa A zvishoma nezvishoma tinokanganwa, zvose murabhoritari tsika kudzokera dzose, chiropa anonaya basa rayo.

How kudzivirira kukura chirwere

Kudzivirira nehepatitis A inoita basa rinokosha. matanho Various kudzivirira kuparadzirwa utachiona aireva nezvainoita kunobva chirwere, nzira yedzimudzangara uye susceptibility kuti chirwere.

Zvakakosha kuita mangwanani nechirwere, ipapo zvichava zvinobvira chokubvisa murwere vamwe kudzivirira kupararira kweutachiwana. Kana mwana ari kubatana murwere, zvakakodzera ose zuva kuzoongorora ganda, sclera maziso nechitarisiko jaundice ruvara, palpate chiropa.

Kana iri nechekare nemadzinza pakati nehepatitis A, kuziva atypical siyana Murabhoritari nemiedzo ose 2 weeks yaifanira kusvikira nokupenya hazvingaiti kudzima.

Kudzivirira kupararira chirwere anogona nenzira dzinotevera:

• Kudzora simba paruzhinji.
• Kuongorora kwemvura yokunwa.
• Zvinoenderana nemitemo paruzhinji uye utsanana.
• Kana ukaona mwana anorwara, ari nzvongo ichi yaifanira disinfection.
• Nokuti kudzivirira kwomuzvarirwo immunoglobulin vari kutarisirwa dzakakwirira Kuwanda antibodies kuti nehepatitis A.

kazhinji majekiseni anodzivirira kuitwa yomwaka basa hepatitis C utachiona, zvakakodzera kazhinji pakupera kwezhizha uye pakutanga kwematsutso.

Asi napo kuzvidzivirira uye vavo kurwisa chirwere chete kubaya. Vanachiremba Russian vanoshandisa-siyana yokudzivirira, vakawanda zvinotevera:

• The mushonga pamusoro nehepatitis A ne polioksidoniem "GEP-A-mu-VAC-IN L", anobudiswa kuRussia.
• "AWACS" mushonga French.
• "Havrix" - British-yakaitwa mushonga.
• Mumwe mushonga pamusoro nehepatitis A, yakabereka kuRussia, - yakaomerera Yakanatswa inactivated adsorbed mvura "GEP-A-mu-VAC".

kwemarudzi aya yokudzivirira vari chakaunzwa muviri mwana kunyange vasati vasvitsa gore rimwe zera. Kazhinji vanoita co-kwokubatsira nehepatitis A uye B, asi munyika dzakasiyana-siyana dzomuviri. Vanenge 95% kubva nhomba vana vave simba kutapata pamusoro utachiwana.

Zvisingadiwi migumisiro pashure kubaya, kazhinji asipo. Pangava zvishoma akatsvuka, kuzvimba panguva jekiseni site munyoro fivha. Izvi marwadzo havasi varwere vose vaduku, zvikurukuru vana nhomba zvakanaka zvaitombova.

Pasina chakaipa chiropa basa havagoni kuva vakarongeka nokushanda kwenhengo imwe zvose nenhengo dzawo, saka chero kwayo zvokurwara inofanira akaonekwa mune nenguva tsika uye pasi inobudirira kurapa. Izvi zvinoshandawo kunyanya kune varwere vaduku. Mutoro utano hwavo inowira tinotsigira pamapfudzi vabereki, saka zvakakosha kuti nehanya zvarakasiya kubva ndozvakajairwa unhu mwana, ari murabhoritari tsika. The chete nzira kudzivirira kukura zvikuru yematambudziko.