Scarlet fever. Nutrition for scarlet fever

Chii chinonzi scarlet fever

Scarlet fever chirwere chinotapukira chinotapukira umo kupisa kwemuviri kunokwira, mapundu anoonekwa paganda, uye huro inotanga kukuvadza. Chirwere ichi chinokonzerwa neStreptococcus pyogenes, bhakitiriya remhando ye beta-hemolytic streptococcus.

Mafomu escarlet fever

Scarlet fever inoitika:

• Extrapharyngeal. Regional lymph nodes uye oropharynx zvinokanganisika, asi matonsi anoramba asina kusimba. Pane mafomu maviri:
  - atypical;
  – zvakajairika.
• Pharyngeal:
  - atypical;
  – zvakajairika.

Mhando dzemhando dzechirwere dzinogona kuva dzakapfava, dzine mwero uye dzakakomba. Nefivha yakapfava yakatsvuka, tembiricha inokwira kusvika 38.5 ° C, kune kurwadziwa kwehuro, kuputika kwakapfava kunoonekwa pamuviri. Kosi ine mwero inogara ichiperekedzwa nefivha yakanyanya, purulent tonsillitis, zviratidzo zvekudhakwa kwemuviri uye kuputika kwakanyanya. Yakakomba yakajairika scarlet fever, zvakare, inokamurwa kuva:

• Septic. Necrotic angina inokura. Iyo nzira yekuzvimba inokanganisa matishu akapoteredza, nasopharynx, oropharynx, lymph nodes, palate.
• Toxic. Kudhakwa kunonzi (infectious-toxic shock inogona kukura). Tembiricha inokwira kusvika pa41°C. Murwere anogona kuva nemafungiro, kunyengera, kupera simba. Kurova kwemoyo kunowedzera ( tachycardia ) Kurutsa kunogona kutanga.
• Toxic-septic. Inozviratidza nezviratidzo hunhu hwese septic uye chepfu mafomu.

Atypical scarlet fever inogara ichienderera zviri nyore (ine zviratidzo zvakadzimwa). Murwere anogona kungotsvuka zvishoma matonsi, pane kuputika kumwe chete pahunde.

Zvikonzero zvescarlet fever

Iyo causative agent ye scarlet fever muvana nevakuru iboka A beta-hemolytic streptococcus. Kunobva kwaro mutakuri (munhu haafungiri kuti ane utachiona) kana kuti munhu anorwara. Varwere vanonyanya kutapukira mumazuva ekutanga. Ngozi yekuendesa utachiona kune vamwe inonyangarika mavhiki matatu chete mushure mekutanga kwezviratidzo.

Zvinoenderana nenhamba, 15-20% yehuwandu ndeye asymptomatic vatakuri vescarlet fever. Dzimwe nguva munhu anogona kuva manyuko eutachiona kwemakore akawanda.

Streptococcus inotapurirwa nemadonhwe emhepo (aerosol mechanism) uye nzira dzemumba. Saka, murwere anoisunungura munharaunda kana achikosora, kuhotsira, panguva yekukurukurirana. Kana iyo pathogen ichipinda muchikafu, nzira yekudya yekutapurirana kwechirwere haigone kubviswa. Kazhinji, avo vanhu vari pedyo nepedyo nenzvimbo yehutachiona vanotapukirwa.

Izvo zvinofanirwa kucherechedzwa kuti kubatwa kwechisikigo kuStreptococcus pyogenes kwakakwira. Kusadzivirirwa kwezvirwere kunomuka mune avo vakatova nescarlet fever kune mhando-chaiyo. Izvi zvinoreva kuti njodzi yekubata mamwe marudzi e streptococcus inoramba iripo.

Zvinocherechedzwa kuti peak of scarlet fever muvakuru nevana kunoitika mumatsutso uye munguva yechando.

Iyo pathogenesis yescarlet fever

Utachiona hunopinda mumuviri kuburikidza ne mucous membranes ye nasopharynx, huro kana nhengo dzepabonde (kazhinji kashoma). Dzimwe nguva gedhi rekupinda reStreptococcus pyogenes mabhakitiriya rakakuvadzwa ganda.

Panzvimbo yekuiswa kwepathogen, nzvimbo inotapukira inotapukira inoumbwa. Utachiona huzhinji huri mariri hunobudisa zvinhu zvine chepfu muropa. Kudhakwa kunotapukira kunokura. Kuvapo kwehupfu muropa kunotungamirira kukuwedzera kwemidziyo miduku munhengo dzomukati uye ganda. Mapundu anooneka. Mushure meizvi, antitoxic immunity inotanga kuumbwa mumunhu ane utachiona - kuputika, pamwe chete nezviratidzo zvekudhakwa, zvinopera.

Kana bhakitiriya Streptococcus pyogenes pachayo inopinda muropa, meninges, lymph nodes, tishu dzenharaunda yenguva, rubatsiro rwekunzwa, nezvimwewo. Somugumisiro, kupisa kwakanyanya kwepurulent-necrotic kunokura.

Zvinhu zvinobatsira pakukura kwescarlet fever

Zvinhu zvinokonzera kukura kwechirwere, vanachiremba vanosanganisira:

• nguva yechando-yechando;
• kuderedzwa kwekudzivirira muviri;
• furuwenza, SARS;
• zvirwere zvisingaperi zve pharynx uye tonsils.

Zviratidzo zvescarlet fever muvakuru nevana

Iyo incubation nguva yescarlet fever inobva pa1 kusvika ku12 mazuva (kazhinji mazuva 2-4). Chirwere chinotanga zvakanyanya. Tembiricha yemuviri inokwira, zviratidzo zvekudhakwa zvinoonekwa:

• kurwadziwa kwemhasuru;
• kupera simba;
• palpitations ;
• musoro.

Fivha inogona kufambidzana nehope uye kusava nehanya , kana, zvakasiyana, euphoria, kuwedzera kufamba. Nekuda kwekudhakwa, vanhu vazhinji vane utachiona vanorutsa.

Zvimwe zviratidzo zvescarlet fever zvinosanganisira:

• Kurwadza pahuro pakumedza . Tonsils, arches of the tongue, soft palate uye posterior pharyngeal wall inova hyperemic. Mune zvimwe zviitiko, follicular-lacunar tonsillitis inoitika. Zvadaro mucosa yakafukidzwa ne plaque ye purulent, necrotic kana fibrous nature.
• Kuwedzera kwenharaunda lymph nodes . Vanova vakanyanyisa, vachirwadza palpation.
• Rurimi rutsvuku . Pazuva rechina-4 rechirwere, rurimi runowana ruvara rutsvuku rwakajeka, plaque kubva kumusoro kwayo inonyangarika. Pane papillary hypertrophy.
• Kusvibiswa kwemiromo mumucheka mutsvuku (chiratidzo che scarlet fever muvanhu vakuru, chimiro chechirwere chakakomba chechirwere).
• Small rash. Inowanikwa pazuva re1-2 rechirwere. Mapoinzi emumvuri wakasviba anoumbwa paganda rechiso nepamusoro pemuviri, gare gare pane kuchinjika kwemaoko, zvidya zvemukati, uye mativi. Kukora mumapete eganda, anoita mitsetse mitsvuku yakasviba. Dzimwe nguva mapundu anobatana kuita erytherma hombe.
• Kusavapo kwekuputika mumutsara we nasolabial (chiratidzo cheFilatov). Munharaunda iyi, ganda, pane zvinopesana, rinova rakachena.
• Kubuda ropa kudiki . Izvo zvinoumbwa nekuda kwekuputsika kwetsinga dzeropa, kusvina kana kuputika kweganda rakakanganiswa.

Pazuva re 3-5, zviratidzo zvescarlet fever zvinotanga kupera. Iyo mapundu inoshanduka zvishoma nezvishoma uye mushure memazuva 4-9 inonyangarika zvachose. Mushure mazvo, kusvuura kuduku kunoramba kuri paganda (hombe-yakakura inowanzoonekwa pamakumbo nemaoko).

Muvanhu vakuru, scarlet fever inogona kunge isina asymptomatic (yakadzimwa fomu). Murwere anoona chete:

• kapundu kadiki, kakachenuruka kanokurumidza kupera;
• zvishoma catarr ye pharynx.

Kana uine zviratidzo zvakafanana, taura nachiremba wako nekukurumidza . Zviri nyore kudzivirira chirwere pane kutarisana nemigumisiro.

Kuongororwa kwescarlet fever

Iyo chaiyo yekiriniki pikicha inobvumira vanachiremba kuti vaone kuongororwa kunoenderana chete nekuongororwa kwemuviri uye data rekubvunzurudza. Murabhoritari kuongororwa kwescarlet fever kunosanganisira kuverenga kweropa kwakazara, kunosimbisa kuvepo kwehutachiona hwehutachiona:

• kuwedzera ESR;
• neutrophilic leukocytosis;
• kuchinja kweiyo leukocyte formula kuruboshwe.

RKA inzira yeakananga kujekesa diagnostics yescarlet fever muvakuru nevana.

Kana murwere ane matambudziko kubva pamwoyo, anotumirwa kubvunzurudzo nechiremba wemwoyo uye zvinokurudzirwa kuita ultrasound uye ECG yemwoyo. Nezviratidzo zve otitis media, kuongororwa neotolaryngologist kunoratidzwa. Kuongorora basa reurinary system, ultrasound yeitsvo inoitwa.

Scarlet fever kurapwa

Mune fomu yakaoma yekosi yemurwere ane scarlet fever, vanoiswa muchipatara. Mune zvimwe zviitiko zvose, zvinokwanisika kurapwa kumba. Murwere anofanira kunyatsocherechedza kuzorora pamubhedha kwevhiki imwe chete. Zvokudya zvinovaka muviri zvinofanira kuva pakati nepakati. Kwenguva yekutonga kwezviratidzo zveangina, zvido zvinofanirwa kupihwa kune semi-mvura uye zvinyoro ndiro.

Kuti abvise kukanganisa kwakashata pamuviri wepathogen, "Penicillin" inowanzoshandiswa, iyo inorayirwa kosi yemazuva gumi. Cefazolin, Erythromycin, cephalosporins uye macrolides echizvarwa chekutanga anogonawo kushandiswa.

Kana pane zvinopesana nemishonga iyi inorwisa mabhakitiriya, lincosamides kana synthetic penicillins inorayirwa. Complex therapy inogonawo kusanganisira kushandiswa panguva imwe chete yemishonga inorwisa mabhakitiriya ine antitoxic serum (gadziriro yekudzivirira zvirwere inogadzirwa kubva muropa revanhu vanodzivirira zvirwere, mhuka).

Kurapa kwenzvimbo yescarlet fever kunosanganisira gargling nemhinduro ye "Furacilin" (yakaderedzwa muchiyero che1: 5000) kana decoctions yakagadzirwa nemishonga yemishonga (calendula, eucalyptus, chamomile).

Kana zviratidzo zvekudhakwa zvakanyanya kwemuviri zvikaziviswa, madonhwe ane mhinduro dzeglucose kana gemodez anoiswa. Muchiitiko chekutyorwa kwemoyo, cardiological agents anoshandiswa, semuenzaniso, Camphor, Ephedrine, Cordamine.

Zvakare, kurapwa kwescarlet fever kunosanganisira kushandiswa kwe:

• Antihistamine zvinodhaka ("Cetrin", "Loratadin") - kubatsira kusabvisa kukura kwezvinetso zvinogona kuitika neallergization.
• Kugadzirira kwakanangana nekusimbisa masvingo emadziro ("Galascorbin", "Ascorutin") - kuderedza migumisiro yakaipa yehupfu paropa capillaries.
• Antipyretics ("Ibuprofen", "Paracetamol") - normalize tembiricha yemuviri, kubvisa kutemwa nemusoro uye kurwadziwa tsandanyama.

Ye physiotherapy panguva yekurapa scarlet fever inokurudzirwa:

• Irradiation ye tonsils nemirairo ye ultraviolet (inobatsira pakuparadzwa kwebhakitiriya).
• UHF-therapy (inowedzera kupora kweganda rakakuvadzwa, ine yakataura anti-inflammatory effect).
• Centimeter wave (CMV) kurapwa kwematoni (microwaves anoshandiswa).
• KUV-therapy (inochenesa tonsils uye tonsils kubva paplaque).
• Magnetic laser therapy (inowedzera basa remasero ekudzivirira muviri, inogadzirisa kutenderera kweropa).

Folk mishonga yekurapa scarlet fever

Folk mabikirwo anobatsira kuvandudza hutano nescarlet fever:

• Shamba midzi yehorseradish, yakaoma uye ucheke pa grater. Dururira 1 litre yemvura inopisa uye simbisa kwemaawa matatu. Gargle nehuro inoguma ka3 pazuva.
• Sakanidza hafu yegirazi yejusi yakasvinwa yebeetroot ne 1 tsp. apple cider vhiniga, 1 tsp uchi hwepanyama uye hafu yegirazi remvura inodziya. Shandisa gargle mushure mekudya kwega kwega.
• Hafu yegirazi yemaruva e calendula inodurura 1/2 litre yemvura inopisa uye simira mumvura yekushambidza kwemvura kwehafu yeawa. Dip gauze mumuto unoguma uye shandisa kune rash.
• 1 tsp grind propolis uye udururire girasi remukaka. Ramba uri mubhavhu remvura kwemaminitsi gumi nemashanu. Inwa usati warara, mushure mekugeza huro.
• Sanganisa licorice uye ginger poda muzvikamu zvakaenzana. 1 tbsp musanganiswa unoguma udira 1 tbsp. mvura inofashaira. Siya kupinza kwehafu yeawa. Zvinetse uye unwe.
• Shamba uye ucheke mudzi weparsley. Dururira chipunu chemashizha 1 tbsp. mvura inofashaira. Simbisa 20-25 maminitsi. Simbisa kuburikidza ne cheesecloth. Tora 3 tbsp. 4 kanomwe pazuva.
• 1 tbsp dilute citric acid mugirazi remvura inodziya. Gargle nemhinduro inoguma 4 kanomwe pazuva. Inobvumirwawo kutsenga nguva nenguva zvidimbu zveremoni.

Chenjerera!

Iwo manejimendi haatarisiri chero kuyedza kwekushandisa ruzivo rwunopihwa, uye haivimbise kuti harukuvadze iwe pachezvako. Izvo zvinhu hazvigone kushandiswa kupa mushonga uye kugadzirisa chirwere. Nguva dzose bvunza chiremba wako wezvechiremba!