Rubella: incubation nguva, zviratidzo, kurapwa, dziviriro

Rubella anozivikanwa vose sezvo chirwere chevana, asi unogona kurwara, uye sezvo mukuru. In akura zvokurwara kunoitika zvokuvapfuura uye kunowanzoguma matambudziko. Hazvina kunyanya ngozi panguva yepamuviri rubella hweHIV. The incubation kumwedzi rinovapo kwevhiki anenge 3. Utachiona ane nguva nenguva ino kupinda muviri uye kukonzera kukurumidza Kuipa utano.

Vhuṱanzi

Rubella - hosha nemavhairasi etiology kuti kwave dzinounzwa ari oga nosological boka muna 1881. Zvinonzi kuonekwa causative mutumwa RNA genome pamusoro zvinotapukira mutumwa mhuri Togaviridae. Chine teratogenic basa, kureva. E. Dai kupindira kukura izere embryo. Virus inobvumira oma uye vanochengetedza sehasha pa nzvimbo tembiricha. Zvisinei, kugara chiedza ultraviolet, kudziyisa kana kushandisa mishonga yokuuraya utachiona kuguma kuparadza kwayo.

Pathological muitiro kunoratidza melkopyatnistoy mapundu uye catarrhal zviratidzo. Rokuongorora chete dzakananga chikonzero. Zvisinei, pakutanga anopiwa kuti kuongorora rubella. Dzinenge antibodies vari kutanga kuti synthesized mumuviri muna 4 mavhiki pashure chirwere. Izvi zvinoratidza kuti paumbwe mudanga rokuzvidzivirira, iro simba kwemakore 20.

kufamba nzira

Kazhinji panobva chirwere ndiye munhu anorwara. Zvirwere mumiririri anotanga aunonyanya zvakatipoteredza kwevhiki pamberi mapundu paganda kwemazuva 5-6 kubva musi panowanikwa pustules. Zvinobva epidemiological maonero, akaziva kupfuura ngozi chimiro nevana vachiberekwa rubella. Panyaya iyi, iyo causative mumiririri ukasunungurwa zvakatipoteredza pamwe mutsvina yadzo weti kana.

Pane nzira dzakawanda hutachiwana:

• kuenda neherikoputa;
• transplacental;
• onana-mhuri.

Vanonyanya kubatwa rubella utachiona vakadzi pamuviri zera. Kusvikira mangwanani zviitiko chirwere akanyorwa anenge kose nevazhinji chokudzivirira kubaya. Pari, pakati zvose chirwere panomuka kumativi 83% ndee munyika post-Soviet. Iyi Muitiro imhaka kushaya nepurogiramu majekiseni anodzivirira.

The incubation nguva kuti rubella

Incubation - nenguva nokudyidzana kweutachiwana mumuviri pamberi kutanga kurapwa kuratidzirwa chirwere. Kana gwirikwiti, ndiye mazuva 10-24. Munguva iyi kutapuriranwa mumiririri ane nguva dawo kuburikidza mucous Kamudzira pamusoro huro uye kupinda muropa, apo zviri kushingaira kubereka kunotanga.

It ari incubation nguva rubella muvana kushanyira muminda, pane chirwere utano kubvira mwana vanorwara. Panguva ino, zvinhu chaizvo zvechiratidzo chacho zviri havasati kuwanika. About vhiki pamberi mapundu paganda murwere rinova chirwere kune vamwe.

Zviratidzo zviri chirwere muvana

In vana, rubella kunoitika asi nyore. Photos vana zvinoratidza kuti kunyange nechirwere ichi, vanogona kutamba uye kuita kwomuzvarirwo zvinhu. Panguva kutanga pavaipfuura pathological muitiro mwana anogona kudya, capricious uye nguva dzose uchimuka usiku. Izvi imhaka yokuti utachiwana anosunungura ane muchetura zvainoita nechepakati tsinga nevamiririri.

With kunoita, pane zviratidzo nowenyika chikosoro: yakaoma chikosoro, kuzara huro, stuffy mhino, zvishomanana fivha. Just mazuva 2-3 mamiriro anogona zvachinja. Around muviri wemwana sokuti melkopyatnistaya okusafunga pasina kuvaviwa. Pink makwapa havamutswi pamusoro ganda pamusoro. A kufarira nzvimbo localization yavo vakaziva flexor penyika makumbo uye maoko, groin uye magaro. The mufananidzo zvekuchipatara kunowanzokonzerwa nechimwe kuwedzera pamutsipa node nodes.

Kana maperembudzi kuchinja uye ropa mufananidzo. Kazhinji, asi ongororo vakachengeta vachiwana yakawedzera lymphocytes pamusoro colour wokuwa leukocytes. Zvisinei, Erythrocyte sedimentation mwero, inogara iri chakaipa siyana. Runa kuwedzera dzakananga antibody kuti rubella zviratidzi kunoratidza kutanga kana rikwanise kutotanga chokubuda.

Mamiriro Akaita pathological kwacho nedzevakuru

Vakura, zviratidzo zvakawanda raidudzwa. Kazhinji, muviri nokukurumidza ikasakendenga nemavhairasi kupinda. Kana mwana anotambura chinyararire rubella "netsoka dzavo", mukuru anofanirwa mubhedha zororo kwevhiki.

Pakati huru zvichemo kuti varwere kuenda chiremba, unogona kusarudza tembiricha kukonzera madhigirii 39, kurwadza kwemajoini uye kuwedzera simba. Primary rubella Danho kunowanzoguma nokuwedzera kukura chirwatata uye chiropa, uko dzakaonekwa kubudikidza palpation. Auscultation mwoyo kakawanda kunoratidza ayo mavara muted.

Kuoneka photophobia uye lacrimation. Typical rubella mavara akasiyana katsika kubatanidza pamwe chete. Muchiitiko chino, miganhu pachena havana papules. Kunowanzosanganisira ovonekwa munzvimbo huru - kumashure uye magaro. Kana untreated, chirwere vanotyisidzira kukanganisa Hudyu maoko uye kunyange encephalitis.

Vachiberekwa rubella chirwere

The chirwere ngozi chaizvo kuvakadzi vane mimba. Utachiona kunoratidzwa kukwanisa kukunda placental mechidziro zvingakonzera fetus malformations. Kunyanya ngozi ndiyo mamiriro ezvinhu kana totaura chirwere ari I trimester.

Wokutanga chipfuro inova CNS. nzvimbo yechipiri runobva kuna mapazi anoona nokunzwa, uye wechitatu - moyo. A mwana vachiberekwa rubella chirwere rinowanzoshandiswa nechirwere cheshuga, thyroid atadze kushanda zvakanaka uye kunyange autism. Panguva iyoyo ndiye mutakuri chirwere uye Tingangonyanya yokufara kwemakore 1-2.

In akazotevera nzendo pamuviri (vhiki anenge 13) ndingangokuvara panowanikwa pakupona vari kudzika zvikuru, asi kuchiripo. Chimwe risingafadzi mugumisiro chirwere anoita kubereka mwana akafa. Somuenzaniso, pamuviri ose wechitatu mukadzi ari incubation nguva rubella zviitiko vaingoerekana kubva kwepamuviri. Mumwe mudzimai ane 10 mwana aberekwa akafa.

nzira nechirwere

Kuonekwa chirwere muvana kazhinji haana achiperekedzwa nezvinetso. vanachiremba vane ruzivo zvakakwana kuongorora murwere muduku, kudzidza chiremba mufananidzo uye nhoroondo yaro. Pashure paizvozvo zvinotevera kurapwa.

Rokuongorora hosha iri vakuru, kusanganisira vakadzi vane pamuviri, vanoda kuongororwa zvikuru. Chinosanganisira zvinotevera mabasa:

1. Serological ongororo. Chirwere muedzo M uye G immunoglobulins angaziva zvakawanda. Somuenzaniso, kuwedzera titers izvi zvinoratidza pathological muitiro kukura. IgM wotarisa anenge 10-12 mazuva pashure chirwere. Kana titer iri yakawedzera 4 nguva kana kupfuura, rokuongorora rubella. Kuzvidzivirira nechiyero, kuongorora kwakadaro ushandiswe kuti nepamuviri uye kuonana nevanhu vanorwara. Kana IgG atsunga zvakananga muviri vane antibodies kuti utachiwana. IgG zvikaramba upenyu.
2. Virological yokuedzwa. Zvinoratidza kuvapo ane chirwere mumiririri mumuviri. Analysis ane chete idzidzise kusvikira kwokutanga maronda. Sezvo bvunzo zvinhu ndiyo ropa kwete chete, asiwo nasal zvinoyerera uye Líquido amniótico.
3. PCR nzira. By polymerase cheni zvinogona dzakaonekwa rubella genome.

Kutonga vamwe zvirwere kuti vane kunotoda mharidzo zvakafanana, kuitisa okufananidza kuongorora chirwere. Kusiyanisa chirwere pamwe gwirikwiti, nezvitsvuku nefivha, mononucleosis uye nezvimwe zvinhu.

kurapa Features

Kana rubella muchipatara haisi kuzvireva. Muchipatara pasi varwere kwazvo chimiro chirwere, kuvapo comorbidities kana kunyumwira yematambudziko. Dzakananga ARV uyewo haana kuitwa.

Medical kunzwisisa zvinosanganisira pawakaperera chaiwo kudya aine predominance mune zvokudya mapuroteni. Zviri nani kusarudza dzakaonda zvikafu. Nutrition inofanira chikamu, uye zvikamu zviduku. Zviri fanira kutevera kumwa hurumende uye kunwa anenge 2 litres zviri pachena mvura rimwe zuva.

Symptomatic kurapa kunosanganisira kugamuchira antipyretics ( "paracetamol", "Nurofen") uye antihistamines ( "Suprastin", "Tavegil"). With kukura yematambudziko akareva kushandisa zvinodhaka antibacterial. Vanogadzwa nomunhu uye nokuziva kuti murwere ezvinhu.

Migumisiro nokuti muviri

Rubella kashoma kunokonzera matambudziko, kunyanya muvarwere vaduku. Kana rokuzvidzivirira simba, pashure dzakamboitika chirwere kuitika kuzvimba ari ibvi-kugokora uye metacarpophalangeal majoini. Prodromal zvingaratidza pave kukura nemabayo, otitis kana angina.

Zvisinei padariro rubella uye nenguva kurapwa kuti chiremba, vakadzi vane pamuviri inenge nguva dzose pachena matambudziko. Havazivi kukanganisa mai yemberi chaizvo uye mwana mukati mudumbu. Zvinogona mupfungwa uye mumuviri abnormalities, nokupfupfudzika kana pamuviri wasvava.

dziviriro chirwere Nzira

Kudzivirira rubella zvinoreva nenguva kubaya. Ichi zvirwere zviri nyore kudziviswa. In okurapa, yokudzivirira siyana anoshandiswa nhasi, kusanganisira kupinza. Vaccinate muri vana vaduku kubva 15 kusvika 18 mwedzi upenyu. Zvadaro inodzokorarwa pakuyaruka. Kutapata pashure kurapwa kunogara kwemakore 20.

Pregnant Vakadzi kubaya iri contraindicated. Uyewo haana varumbidzwa kuronga pamuviri kwemwedzi mitatu pashure kubaya. Panguva iyoyo Unoponeswa yakawedzerwa mukana wokuti fetus noutachiona.

Kana usingazive kuti kutarisa kufanana varwere chirwere kuti "Rubella" mapikicha ari munyaya ino ichatibatsira kunzwisisa nyaya. Kana mapundu hwobva kuratidza chiremba murwere, uye ipapo kuva nechokwadi nevamwe kuti kunaya zvakakwana. Mukamuri apo romunhu une hosha iri, anofanira kuva nguva dzose nyoro kuchenesa uye kufefetedza.