Upundu - chii? Sudden mapundu. nemavhairasi upundu

Nhasi isu funga chirwere, akadai mapundu. Chii? Ndezvipi zvikonzero zvayo uye zviratidzo? Ndezvipi kurapa? Izvi uye zvimwe nyaya dzinokurukura zvizere munyaya.

Upundu - a mapundu, unowanikwa pana siyana zvinokonzerwa nemavhairasi zvirwere. Kakawanda kuva nemavhairasi exanthema vana. In kuyaruka kana zera zvokurwara hariwanikwi. chevana izvi zvirwere zvinotapuriranwa, kufanana gwirikwiti, huku pox, gwirikwiti uye vamwe, dzinenge nguva dzose pamwe pakuonekwa mapundu.

zvikonzero

The etiology chirwere ichi siyana chaizvo. Zvinofungidzirwa kuti paumbwe mapundu kukanganisa munhu kana mbiri pathogenetic mashandiro:

• Chimbi (photos pazasi zvinopa pfungwa izvozvo) rinowanikwa somugumisiro kuvadza ganda rinenge nemavhairasi kuti rakapararira kuburikidza muropa. Saka kuva herpes utachiona mhando 1, uye dzimwe enteroviruses.

• The mapundu achiumbwa nokuda maitiro pakati zvirwere mumasero Muviri utachiona hwakakura. Maererano nenheyo iyi mune mapundu pamwe rubella.

Mapundu, zvinosanganisira mavara uye papules simuka kana:

• rubella;

• gwirikwiti;

• herpes mhando 6, izvo zvinokonzera kukura roseola;

• Epstein-Bar;

• cytomegalovirus, hunokonzera kukura cytomegalovirus;

• Enteroviruses.

Maronda akasiyana kuitika kana:

• The herpes utachiwana mhando 1;

• The herpes utachiona hunokonzera huku pox uye shingles;

• koksakiviruse, yakakonzerwa nemavhairasi pemphigus.

Nemavhairasi, afunge papules vizikuleznuyu mapundu uye akatsvuka ganda zvinosanganisira:

• adenoviruses;

• nemavhairasi anokonzera kuzvimba chiropa hepatitis B uye C;

• enteroviruses.

B19 Parovirus aona kwakapararira erythema afanane resi.

zvekuchipatara mufananidzo

Chokwadi, sezvo kucharatidzwa nemavhairasi mapundu, kunokanganisa mhando chirwere, iyo inouyisa paumbwe maronda.

gwirikwiti

Chikonzero gwirikwiti ndiwo kutapuriranwa vamiririri, kuva mhuri paramyxoviruses. Erythema mune iyi kunoitika pazuva 4-5th zuva chirwere. Pamberi nechitarisiko ganda mapundu murwere hwapedyo yakaoma chikosoro, tembiricha muviri rinobuda, pane fivha.

Exanthema chiitiko kunotangira paumbwe imwe vachena chena makwapa mukati pamatama. Pakutanga, mapundu rinowanikwa pachiso uye mutsipa. Nemavhairasi upundu anotora chimiro papules, izvo kazhinji batanidza mumwe nomumwe. Zvishoma nezvishoma mapundu unovanza muviri wose. Kana mapundu anoparadzira pamaoko netsoka, pamutsipa uye chiso rashes dzinotanga kunyangarika. Gwirikwiti upundu asimo panotsika nemichindwe.

rubella

Kugadzirwa rubella zvinokonzerwa nemavhairasi enzvimbo kuna RNA Togaviridae boka. Kana chirwere kunokudziridzwa maculopapular mapundu, pakuwanza saizvozvo sezvo armature. Musiyano chikuru ndechokuti mapundu masangano zvokurwara ichi haangatongooni batanidza.

The vakawanda ezvinhu omurwere urege kuputswa, asi vamwe varwere vane fivha uye zvine mwero kwazvo fivhiri.

enteroviruses

Entnerovirusy muboka RNA wanda. Zvirwere kuti kukonzera, vane paupamhi symptomatic chakarondedzera. Somuenzaniso, kana zviso zhinji pamusoro enterovirus zvirwere kuva nomudumbu, kufema zviratidzo, fivhiri.

Mune zvimwe zviitiko, chirwere rinowanikwa chete enterovirus nekumhanyirira. Other zvingaratidza kusava. Enterovirus upundu anewo yakafarikana variability. Kungazviratidza papules, vesicles, pustules kana vesicles pamwe Hemorrhagic kugutsikana.

kutsvodana chirwere

Chinokonzera ichi chirwere Epstein-Barr utachiwana, inova chikamu herpes boka wanda. Zvirwere upundu muchiitiko ichi rinoonekawo, sapamazuva gwirikwiti, musiyano chete - zvikuru kuvaviwa.

roseola

chirwere ichi kunokonzerwa chirwere pamwe herpes 6th uye 7th marudzi. Zviratidzo chirwere wokutanga kungoerekana tembiricha kuwedzera, panowanikwa fivha, kurasikirwa kudya, dyspepsia. Izvi catarrhal zviitiko, chikosoro uye runny mhuno, kazhinji asipo.

Tembiricha anodonhedza pazuva 4th zuva uye mapundu anooneka. Upundu hazvisi punctate vaaleanpunainen mapundu. Chokutanga, rashes aonekwa dumbu uye shure, uye ipapo mapundu unovanza muviri wose. Kuvaviwa vasipo, kubatanidzwa nomumwe zvinhu zvinochengetwa.

Chirwere, kukura nokuda chirwere pamwe herpes simplex utachiwana

Kazhinji, chikuru noutachiona pamwe herpes simplex utachiwana kunoitika muna muduku. Symptomatic chirwere ane chirwere, uye avo vane idzokororo chirwere anooneka bubbly mapundu pamusoro mhino kana miromo (hweHIV mhando 1 utachiona). Chirwere pamwe herpes simplex utachiona mhando-2 kunoitika kakawanda kuburikidza kurara kuonana pane muduku. Zviratidzo hosha iri mapundu pamusoro ganda sikarudzi uye magaro.

Shingles uye chibhokisi

Kwakadaro pauduku zvirwere zvinokonzerwa noutachiona, ndowenyika herpes boka. Mushure utachiwana anopinda muviri hwapedyo chaiwo chirwere (chibhokisi). Mushure kupora, utachiona haana mumuviri uye vari Isimba rakadini rinogona kubudiswa ezvinhu. Akaderedza kutapata kungamutsawo kuitazve chirwere uye chikonzero shingles.

Exanthema chiratidzo munyika iyi iri mapundu pamwe Maronda akasiyana kuti anopararira yose muviri varicella uye riri pamwe manzwiro chete shingles. By scratching kuti mapundu rinowanzoberekera chirwere chesekondari, zvichiita maronda kuva purulent.

Zvirwere zvinokonzerwa parovirusom B19

20 chete% wevarwere parovirusom B19 chirwere kunoguma anozivikanwa exanthema. Pakutanga, padama yava reddened ganda, mapundu ipapo kuumbwa, ine chimiro tambo kana namaruva kumasuo. Kazhinji vemunyika upundu paganda maoko nemakumbo, vanenge - pamusoro hunde. Mune zvimwe zviitiko zvingaita sokuti chakakomba kuvaviwa.

Pamusoro chirwere, okuvhurumuka parovirusom B19 ane undulating nzira - vanogona kunyangarika kwenguva yakati uye kuonekwa zvakare. The mapundu kunowanzoguma dzihwa-zvakadai zviratidzo uye kurwadza kwemajoini.

Kana kuona mapundu, ganda rashes mapikicha wakananga imwe chirwere, chiremba achakuudza.

Diagnostics

Chirwere pamusoro nemavhairasi zvirwere, izvo maererano nechitarisiko exanthema hwokuratidza inosanganisira kunyatsodzidza ari kurapwa kuratidzwa uye yokuedzwa.

Zvinokoshawo kufunga zvinotevera zvinoitwa maronda:

• rokuumba uye chitarisiko;

• tinoshandisa micheto;

• Kukura uye propensity nokuda Fusion;

• uwandu;

• rokuchinja ganda (reddened, cyanotic, dzinogara);

• yezvakaita mapundu rinowanika (kuroorwa-danho, zvishoma nezvishoma chinozunguzirwa shape).

Nemavhairasi upundu ari mwana kunoratidza pacharo sezvinotevera:

• upundu anooneka pasi 2nd zuva nechirwere kana gare gare;

• rashes kunotangira fivha, kuderera racho kwakacherechedzwa pakutanga mapundu zvinhu;

• catarrhal zviratidzo kakawanda ndisipo;

• kazhinji zvinokonzerwa nemavhairasi exanthema kuitika vesicular uye maculopapular mapundu.

Doctor ibasa ropa kuongorora naElisa, izvo zvinoita kuti tikwanise kuziva antibodies kuti ropa antigen ari rwarisa pomutumwa.

mabatiro

Kana zvakadai kutanga sezvo mapundu, kurapwa kuri symptomatic. Kuchirapa matanho kuvimba nechirwere.

Kana rubella uye gwirikwiti zvinoda symptomatic kurapwa uye zvaidiwa mubhedha zororo. Zvinokosha kudzivisa kuda kuti yechipiri zvirwere somugumisiro izvo zvinogona kuva zvakaoma kunzwisisa akadai otitis zvenhau, encephalitis mabayo.

Symptomatic Mabatirwo varicella ndiko kudzivirira suppuration, kwaizvozvi, nokuti lubricating mapundu zvinhu vachishandisa aniline madhayi.

Shingles raitongwa zvinodhaka "Acyclovir" zvaiitwa vakasarudzwa chiremba nomunhu uye kunobva vakawanda mamiriro uye zera mwana.

Nokuti kurapa zvirwere zvinokura kana yasvibiswa herpes utachiona, kushandisa munowanika "Valacyclovir", "Acyclovir", "Farmtsiklovir".

Nepo yekutapurira paravirusami uye enterovirus wakananga kurapa iripo. Naizvozvo, marapirwo kunoratidzwa kubvisa zviratidzo uye Kuderedza murefu.

ethnoscience

Upundu - chii uye chii chinyakare kurapwa nzira inoshandiswa, takawana kunze. No zvishoma abudirire mukurwa Chiitiko uye Quick emishonga zvetsika.

Kubvisa kuvaviwa chete mapundu kuchabatsira kugeza ane decoction pamusoro bran, starch. The tembiricha mvura inofanira kuva pamusoro 37-38 ° C. Inoshanda uye kugeza pamwe infusions wemakwenzi, akadai celandine, calendula, chamomil, yakatevedzana. Nokuda aizomupa anogona kushandiswa, uye wemisanganiswa zvinomera izvi. Fő mvura iri kufashaira kuti 100 g miriwo (makwenzi kana wemisanganiswa). Haazotisiyi richadzipa, ipapo kudzvinyirira aizomupa ugodira kupinda tabhu.

For munyika kushandiswa Zvinokurudzirwa kugadzirira teas akakomberedzwa Blueberry, akasimuka, razibheri, the currant. Zvinogonekawo kuti kuwedzera kumwa razibheri uye the currant mashizha.

Sudden upundu - chii?

Ihosha nemavhairasi, iyo inozivikanwa nokuva kamwe Pazvinotanga uye pfupi refu. Kazhinji anovandudza kungoerekana mapundu muvana kubva mwedzi mitanhatu kusvika makore 2. Mune zvisingawanzoitiki Muzviitiko, chirwere kunoitika vana vakuru, vari kuyaruka uye vakuru.

Sudden upundu hwapedyo kana yasvibiswa herpes utachiona 6 (HHV-6), mu zvisingawanzoitiki zviitiko - the herpes utachiona 7 (HHV-7). Pamunhu nomunhu exanthema pachishandiswa kuonana uye kuenda neherikoputa mumate. The incubation Nguva chirwere runogara mazuva 7-8.

zviratidzo

Zviratidzo chirwere kuvimba murwere zera. The chirwere kunoratidzwa wakawedzera tembiricha, kushatirwa, kuzvimba node nodes zviri pamutsipa, rhinitis, kuzvimba namafungiro, manyoka. Upundu kunoitika pashure maawa 12-24 mushure tembiricha vanomutswa. Vemunyika rashes pamutsipa, dumbu, musana uye migumo. The ganda inova yakatsvukuruka uye kana achingomutambudza kwechinguva rinosvava. The mapundu haakonzeri chero kuzvuzvungudza: haina kukuvara uye asingauyi kuvava. rashes izvi hazvisi chinotapuriranwa, inonyangarika pashure pemazuva 3-4 uye haangawedzerwi kudzokera. In vana vakura vave zviratidzo zvakadai nefivha kwemazuva mashomanana, runny mhino, manyoka. Pana mazera vakura, asi mapundu rinooneka zvishoma kakawanda.

kuchirapa matanho

Pasinei nokuti zvavhundutsa mapundu kwakapararira zvakakwana, yakarurama zvokuongorora hariwanikwi. Chikonzero ichi ndicho tinongorarama kwemakore mashoma chirwere.

On kuongororwa mumuviri, pakutanga kwezvose, kudzidza pezvokuvamba mapundu. The kungoerekana exanthema dzinoratidzwa duku vaaleanpunainen makwapa kunyangarika panguva diascopy papules uye 1-5 mm. Also okusafunga zvinhu zvishoma amutsa pamusoro ganda pamusoro.

In ropa ongororo yakaratidza hama lymphocytosis, leukopenia, granulocytopenia, eosinopenia. Kuti usarudze utachiwana PCR nzira inoshandiswa. Unoshandiswa kuziva tsika nzira iri kushingaira utachiwana ropa.

With kukura yematambudziko chinokuwira kamwe-kamwe exanthema rubatsiro chiremba cardiologist, chiremba gastroenterologist, vana wetsinga. Uyezve, anogona kupiwa mamwe ongororo dzakadai abdominal Ultrasound, ECG, eeg uye nevamwe.

Kana tembiricha upi zvivako Haanunuri, zvino kurapa hakusi zvakakodzera. Zvakakosha kuumba hwomutambarakede ezvinhu mukamuri apo murwere ari. Hazvina zvakafanira kupfeka mwana zvinhu zvakawanda. Extra mbatya kunogona kukonzera kuwedzera kupisa.

Mune zvimwe zviitiko, pakarepo mapundu pamusoro pakanyorwa tembiricha yakakwirira achabatsirwa nokugwinha. Pakati vana vane makore makore 1.5-3 febrile pfari chaizvo nevakawanda (5-35% vana vane pakarepo exanthema vakasangana pamwe chinonakidza). Kakawanda, pfari havasi ngozi, kunyange zvazvo anotarisa zvikuru kukutyisa.

Ndezvipi vabereki vanofanira kuita nokugwinha ari mwana?

1. Edza kudzikamisa uye upenyu hwakadzikama mwana.

2. Wakachena-achitarisa zvose unopinza zvinhu uye isa mwana kurutivi rwayo saka mate anogona ichibva mumuromo.

3. Under musoro mwana, isa pamutsago.

4. Mirira kusvikira chinyamunhari chinorwadza kuenda.

Kakawanda vana pashure nokugwinha hope uye hope, zvinoitika. Pashure akangokudenha, chiremba anofanira kuongorora mwana.

yematambudziko

Mushure kungoerekana exanthema mu zvisingawanzoitiki chaizvo nyaya kuva chero matambudziko, asi vana ivavo vane maitiro zvirwere simba. Kana utano zvirwere hwapedyo kwoupenyu hwose kutapata kuna HHV-7 uye HHV-6. Zvisinei, mumwe chiremba pamusangano pakarepo exanthema mubato inogara. A mwana nefivhiri uye mapundu asati cheki-kumusoro, unofanira kudzivirira kubva kuonana nevamwe vana.

Prevention uye fungidziro

Matanho vadzivirirwe kubva chirwere nemavhairasi siyana. Kuti hutachiwana pamwe rubella kana gwirikwiti, unofanira nhomba. Nokuti kudzivirira herpes zvirwere exanthema panguva kushandiswa antiviral nevamiririri. Zvisinei, utachiona hunoramba muviri upenyu, saka wakati akatura kutapata anogona kusashanda uye pave kuitazve chirwere chacho.

mhedziso

Munyaya ino zvawakadzidza pamusoro Chiitiko sechinhu mapundu - chii, ayo zvinokonzera, zviratidzo, kurapwa. Tinovimba ruzivo urwu ruchava richishanda kwauri. Stay utano!