Marshal chirwere: tsananguro, zvinokonzera, chirwere, zviratidzo uye kurapwa

The urwere pakati nguva nenguva nefivhiri, aphthous stomatitis, pharyngitis uye remuromo lymphadenitis, uyewo unobereka zita Marshall urwere, rinoreva chimwe chezvinhu isingawanzowanikwi uye zvishoma-anozivikanwa zvirwere pauduku. Chokwadi chokuti chirwere ari Marshal muvana uye sei zvakaipa, ichakurukurwa munyaya ino.

Kwakatangira chirwere

Okutanga zviitiko panomuka ose Marshall chirwere kwave muMagwaro 1987. Panguva iyoyo, mushonga une mashoko gumi neizvi dzakadaro. Muzviitiko zvose aiva kosi chirwere yakafanana: ave mutemo, izvi zvakanga idzokororo tichibatwa fivha, umo murwere ane stomatitis uye napuhanie remuromo node nodes. The Chirungu-mutauro shanduro chirwere ichi anonzi, akaumba mavara makuru huru zviratidzo. In France, iye ainzi Marshal. Syndrome akagamuchira yakafanana rokuti mudzimai mushonga.

zviratidzo

Panguva kudzidza chirwere ichi Vatsvakurudzi French, kwakaonekwa kuti kazhinji, chirwere ichi inokanganisa vana pakati pemakore matatu namashanu.
The chikuru anozivikanwa zvinoratidza chirwere zvino nguva dzose asi zvisingawanzoitiki, kazhinji periodicity pakati kamwe kana kaviri pamwedzi, tembiricha akasvetuka. Panyaya iyi, mwana vakachengeta catarrhal zviratidzo zvakadai mumatenhere node nodes zviri pamutsipa uye pasi shaya, uyewo kuzvimba muromo uye pahuro. Zvakaonekwa kuti panowanikwa chirwere ichi muvana hakunei chokuita chero norudzi rwavo kana kuti munhui, kana chero chishongedzo. Zvinoratidza chirwere uyewo hatina yakajeka nenzvimbo areola.

vanachiremba ramangwana

Kakawanda, zviratidzo anogona zvaiwanzoitika mana kusvika masere, panguva iyo anodzokorora nguva kwavo kwese kuratidzwa Marshall syndrome. Zviratidzo chirwere mushure rikwanise weboka chirwere kazhinji inonyangarika pasina zvikasawanirwa. Development of mwana paaiita hosha haagumiri uye asingauyi kumboderera.
Vanachiremba cherechedza kuti fungidziro vana vakambova nechirwere akanaka. Pashure pakupora zvakakwana pane asipo rakakwana zvazvo uye dalneshem dzose mumuviri, mupfungwa uye chetsinga kukura mwana.

Relief zviratidzo

Chimwe chezvinhu zvinokosha zviri chirwere muri tichibatwa yakakwirira kwazvo tembiricha. Kazhinji, izvozvo anoda kubva-matatu namapfumbamwe madhigirii uye pamusoro. Dzimwe nguva lämpömittari tsika anogona kusvika padanho matatu namapfumbamwe uye shanu, kunyange kupfuura kashoma - netsika pamusoro mana.
Kazhinji, kushandiswa chero nzira yokuderedza kupisa haana chinokosha chaizvoizvo ari kurapwa chirwere Marshal. The chirwere chinogona akarega chete kurapwa vasanganiswa. Kazhinji, izvi kurapa gormonosoderzhaschimi zvinodhaka.

ipa zviratidzo

Kunze kare ambotaurwa fivha, mukuru mwoyo mamiriro, maitiro nokuti aibuda chero zvirwere zvakakomba vanogona anoratidzawo chirwere akadai Marshall chirwere vana. Chirwere muvana zvakaoma nokuda kwokuwanda anozivikanwa zviratidzo sayenzi akafanana nevamwe vanhuwo chikosoro. Varwere tinganetseka muutera, vakawedzera utsinye. Uyezve, kazhinji mwana, kuwedzera yakakwirira tembiricha, pane ari sekubvunda, kurwadziwa tsandanyama, mapfupa uye mapfundo. Vazhinji vairwara uye vachinyunyuta pamusoro anotemwa nemusoro nechirwere Marshal. The chirwere anogonawo kukonzera abdominal marwadzo, kunyanya kazhinji vakachengeta kuvapo kurutsa.

Pasinei chokwadi kuti Marshall chirwere zviratidzo zviri chaizvo zvakafanana zviratidzo chikosoro, kazhinji hapana zvimwe zviratidzo chirwere hazvigoni kuonekwa. Dzimwe nguva, vamwe vana vangave vasafara uye akatsvuka pakati mucous Kamudzira kwameso uye inoparadza, chikosoro, nasal kuzara uye tiite pazviri. Huta zvirwere uye neutachiona, uyewo zvimwe zviratidzo hazvina kuchengetwa.

The panowanikwa chakasimba

Dzakakwirira tembiricha kazhinji vanonetseka pamusoro mwana matatu kusvika mashanu mazuva. Zvisinei, kunyange panguva fivha, kwete mwana wose anosangana yose-siyana zviratidzo, iro vaiona kwese kuti chirwere ichi Marshal. The chirwere anowanzodanwa kunokanganisa nhengo dzinobudisa maitiro munzvimbo pamutsipa. Panyaya iyi, iyo nodes achazvimba kusvika mana kana mashanu masendimita, vanova gobvu uye kunyange kurwadza zvishoma. Kazhinji, kuzvimba nodes zvava chaioneka akashama ziso, riri kuva chikonzero rakajairika kuti kutsvaka kurapwa. Kazhinji, node nodes riri dzimwe nhengo dzomuviri apo hosha iri zvisingachinji.

Associated zviratidzo

Kazhinji, kunze zvinoitwa pamusoro chikamu nhengo dzinobudisa ino, mwana ane bundu iri huro, kazhinji muchimiro pharyngitis kana tonsillitis. Zvinogona kutora nzvimbo mune lightweight chimiro, asi pane nyaya kana chirwere pachena kunonyengedza maruva imwe kana vose tonsils. In okurapa, kunyange anozivikanwa zviitiko tonsillectomy mu svzya pamwe chirwere. Data kubva nyanzvi yechiGiriki vanoti vanenge makumi matatu muzana yevana vane Marshall chirwere zviratidzo pakati vaya ndavhiyiwa nzira iyi. Panguva iyoyowo, avo American vashandi vanoti anenge makumi maviri kubva zana negumi nevana achirapwa kuvhiyiwa, ane kugara pamberi tonsillitis nezvimwe syndromes Marshal. Vashanu vavo akanga ose anozivikanwa sayenzi zviratidzo zviri chirwere. Vose vana kuwedzera zvomoto tonsils akatambura Hwakatsvuka huro, asi ukuru kukura tonsillitis yaiva zvose zvakasiyana Paiva vana pasina kunopamba, asi vaivawo zvikuru nzira chirwere. Kazhinji, pashure kwemutemo chakasimba tonsils akaderedzwa kukura uye regai kunokanganisa mwana. Kuzvimba uyewo haazombotaurwi woga.

Kuderera Kuwedzera kuzvimba tonsils uye node nodes zvinowanika vana kutsamwa ari nomumukanwa mucosa. Zvinonzi kuchengetwa kubva matatu kusvika manomwe kubva gumi nyaya.

kunzwisisa diagnosing

Dambudziko iri chirwere ari kusonganirana chinhu vana vaduku vari zvakaoma chaizvo kuwana ose anodiwa nyaya nechirwere chirwere nyore sezvo Marshall syndrome. Chirwere nyore nekuti vana vane makore matatu kusvika makore mashanu angangotadza kunyunyutira vabereki nomusoro kana kusagadzikana munharaunda yacho tonsils. Uyezve, dzimwe nguva zviratidzo chirwere zvinozarurwa havasi vose kamwe kana pashure imwe nguva.

Laboratory zvidzidzo kazhinji vanoratidza anotoita kuti sedimentation masero matsvuku eropa muropa, uyewo zvichibvira kuratidzwa anogumbura pezvakaitwa muchimiro rokurera padanho masero eropa machena. Uyewo zvimwe zvachinja kubva muzana mapuroteni ari plasma. Kazhinji, akasvetuka masero nomumwe ropa kwakadaro kukurumidza vakadzokera dzose. Kuwedzera ndachinja ari Zvinoumba plasma hakuchina runowanzoitika chirwere ichi kwakawanikwa iconic zviitiko.

mabatiro

Science achiri asina vabvumirana pamusoro kurapwa vana vaya chirwere ari Marshal Syndrome. Mabatirwo munhu zviratidzo, zvakadai fivha, runny mhino, haana maturo. Kazhinji kugamuchira mishonga antipyretic kuzorodzwa zviratidzo chirwere yaizivikanwa se fivha, nomusoro, uye chills havakwanisi. Statistics anoti kuti kuwanazve tonsillectomy akavapindurawo zvakakwana. Analysis pamusoro postoperative rinoti muna manomwe kubva gumi nyaya ectomy zvachose kumisa chirwere. Zvisinei, kwete vatsvakurudzi zvose vanobvumirana kuti kurapa iyi zvakadai nomugumisiro simba yokuporeswa

Imwe nzira kurapa chirwere ndiye kushandisa gadziriro yakadaro cimetidine. Sezvo tsika inoratidza zviri kudzorera nengaidzo pakati T-mubatsiri masero uye adzikatidza receptors pamusoro T-suppressors. Akadaro kurapwa kunoita kupodzwa kubva-mumativi matatu varwere, asi kwakapararira, kurapa ichi haana kugamuchira.
Chimwe nzira kurapwa ndiko kushandiswa steroids. kurapwa ichi ane mugumisiro upi zera, pose rakazivikanwa Marshall syndrome. In vana, kurapwa ndiko kushandisa bolus, kana mukufamba mashoma. Kazhinji, nzira izvi kubatsira kubvisa kupisa, asi regai hazvibatanidzi kudzokororwa kurwisa. Pasinei aripo pakatarisana maonero, kureva kuti steroids vanogona kupfupisa nguva rokuregererwa, kurapa ndiyo inonyanya kushandiswa pakati nyanzvi. Senzira kurapa sarudzo inowira kakawanda pamusoro prednizolina zvinodhaka riri kwakamboitwa dzemaitirwe mwana 2 MG chete kilogram muviri. Zvinofanira kurangarirwa kuti kusarudzwa kuti steroid dosing uye kugadzwa chiremba anofanira kuroorana chete!