Pamberi pekugadzirwa kwemishonga inorwisa mabhakitiriya, zvirwere zvakawanda zviduku zvaikuuraya mwana muduku. Scarlet fever ndiyo imwe yehutachiona hwakadaro, inosanganisa zvikurukuru vana vane makore 2-16. Kuvonga nekurapa kwemazuva ano, chirwere ichi hachisisiri chinetso chakakomba, uye zviratidzo zvayo zviri nyore.
Scarlet fever inokonzera
Iyo inorondedzerwa hutachiona inopinda mumuviri chete kubva kunze, kubva kune mumwe munhu kune mumwe. Iyo causative agent we scarlet fever is hemolytic streptococcus yeboka A reimwe rudzi. Anofanira kuva nekwanisi yekubudisa chinhu chinonzi "erythrotoxin". Iyi inhengo inotyisa uye inotarisa kuti iyo tsvuku yakawanda inowanikwa sei kuvana - zviratidzo uye kurapwa kwechirwere, kusimba kwayo uye nguva. Mushure mokunge vadzorera ku erythrotoxin, hutachiona hupenyu huzhinji hunobudiswa, saka zvinokwanisika kuendesa kuongororwa kwechirwere kamwe chete.
Ko tsvuku inoparadzirwa sei?
Zvirwere zvinotapukira zviri nyore kuuraya, iyo nzira huru inobhururuka. Streptococcus inoramba ichishanda kunze kwemuviri womunhu, saka ichiri kuparadzirwa kuburikidza nezvinhu zvinowanzoonekwa (pasi pepurasitiki, madiki, midziyo nevamwe). Chirwere chinopisa mumwana chinogona kukura kana uchinge uchitarisana nemumwe munhu ane hutano asina zviratidzo. Inenge 15 muzana yehuwandu hwevanhu vepasi pose inotakura mabhakitiriya, pathogenic microorganisms zvachose inorarama mumcosa ye nasopharynx uye inosunungurwa mumhepo.
Scarlet fever - kubatanidzwa nguva muvana
Chiyero chekuonekwa kwezviratidzo zvokutanga zvekuchipatara hazviiti nguva dzose, zvakasiyana nemwana mumwe nomumwe. Haisi kungoita kuti hutachiona hune hupombwe hune hutachiona hunoratidzirwa muvana - zviratidzo uye kurapwa zvinoenderana nekubatsira kwekudya kwevana, mamiriro ehutano hwake uye mararamiro ake. Nehutachiona hwekudzivirirwa, utachiona hunowedzera nyore, zviratidzo zvaro zvakajeka zvinowanikwa mushure memazuva mashanu kubva shure kweutachiona. Muvana vasina simba, ruvara rwepepuru rinomhanya nokukurumidza - nguva yekudzivirira ndiyo mazuva 1-4. Mumamiriro ezvinhu akadaro, kukanganisa kwebhakitiriya kwakaoma zvikuru, migumisiro yakaipa ingangodaro.
Ndechipi tsvuku tsvuku?
Mwana anorwara zvakarangarirwa anonzi angava nengozi kune vamwe vana mukati memavhiki maviri ekutanga kwezviratidzo zvekutanga. Kazhinji kacho chivara chepepuru chinopararira uye mushure mekudzikinura. Pano pane pfungwa ye convalescence ye streptococcus, apo mabhakitiriya anosunungurwa mukati memhepo kwemazuva anenge makumi maviri nemashanu kunyange nekutadza zvachose kwehutano hwezvirwere zvehutachiona.
Mucheka mutsvuku unoratidzwa sei?
Iyo inotsanangurwa pathology ine zviratidzo zvitatu zvikuru. Izvo zvinoratidza, ndicho chikonzero vose vanachiremba vevana nevabereki vane ruzivo vanoziva zvakanaka icho chivara chemavara matsvuku chinoratidzika se:
- mapundu emumuviri;
- shandura pamusoro penyika;
- kuputika kwemarara.
Mukuwedzera kune zviratidzo zvakananga, pane zvikwereti zvekliniki zvakanyanya:
- fever;
- kushaya simba;
- headache;
- kuoma uye kufungidzirwa kwepidermis (panguva yekuzorora);
- malaise;
- akawedzera lymph nodes .
Rash ine ruvara rwepepuru
Chifukidzo chakacheka chinotanga kutendeuka chikafu pasi pechiito chekuwedzera kwe erythroxin muropa. Mushure memaawa mashomanana zvinonzwisisika kuti mwana ane scarlet fever - chikafu chinoputika muviri wose nenzira yekanyanyisa kakatsvuka katsvuku. Kunyanya kakawanda mashizha mumuviri kumativi, munzvimbo yezvigunwe zvemaoko nemakumbo. Kushanda kwakanyanya mu scarlet fever muvana hakugadziri chete nasolabial triangle. Mukurwisana nechemberi kweganda rvuku uye rakasvibiswa, anotarisa.
Mutauro ane scarlet fever
Nhanho inotevera mukuongorora mwana ndeyekuongororwa kwemuromo. Zviratidzo zvinoratidza ruvara rwekuvhara fever muvana zvinowanikwa mumutauro. Mumazuva mashomanana ekutanga echirwere ichi, chakafukidzwa nemucheka mutsvuku, dzimwe nguva ine grey tinge. Gare gare kubwinya kwakanatswa zvachose, uye zviratidzo zvinoratidzika zvinoonekwa, sechivara chepepuru chinowanikwa kune vana mumutauro:
- mutsvuku mutsvuku;
- papillae yakawedzerwa;
- rinonzi granularity.
Nyaya ine tsvuku yakawanda
Kana iwe uchitarisa zvakadzika, zviri nyore kuwana kliniki yemufananidzo wepure purulent gumbo rehuro. Zviratidzo zvepepeti fever zvakasimba zvakafanana nematonillitis:
- tsvuku uye turupa toni;
- kuputika kwemafupa akareruka, posterior pharyngeal rusvingo, rurimi uye masvingo ("chiedza chinopenya");
- tsvuku kana kuti tsvuku pamaganda.
Panguva ino zvakakosha kuve nechokwadi kuti haisi angina iyo inofambira mberi, asi yakajeka fever in vana - zviratidzo uye kurapwa kwezvirwere izvi zvakasiyana, asi zviratidzo zvekuchipatara zvakafanana. Kuti uone, zvakakosha kutarisa zvakare zviratidzo zvakananga zve erythrotoxin kusunungurwa. Kana iwe usingakwanisi kuzviratidza kuzvidzivirira hutachiwana mubvunzo, zviri nani kuti utaure kamwe navanachiremba vevana.
Kuchengetedzwa kwechivara chitsvuku mumwana
Tichifunga nezvemhando ye causative agent yehutachiona, hutachiona hwekutanga hunoitwa chete nemishonga inorwisa mabhakitiriya. Vana vanotakura nyore kutakura fever fever - kurapwa kunoitwa pamba, kugadziriswa kunotarisirwa mumatambudziko akasiyana, apo kusununguka kwemwana kusina simba kana kuti njodzi yezvinetso zvinokwirira. Zvose zvirongwa zvokurapa zviratidzo uye kuderedzwa kwevana:
- Quarantine. Kwemazuva gumi, kutarisirwa kunofanira kutorwa kuti kuve kwakatsaura mwana, kurega kusangana kwake nevamwe vanhu.
- Bhedha zororo. Zororo rinokurudzirwa munguva yakaoma yechirwere, kunyanya kana mwana ane fever yakakura, uye anonzwa anonzi malaise, musoro. Apo hutano hwehutano hwakasikwa, mitambo uye kunyange kufamba kwenguva pfupi kunogona kugadziriswa.
- Anowedzera vitaminized drink. Vana ndivo majee emichero anobatsira, zvinwiwa zvezvibereko uye compotes yechitonho chemukati, inotonha maruva emasera ane citrus uye uchi, zvinotapira zvinogadzirwa nezvibereko zvakaomeswa.
- Zvokudya zvinyoro. Nemhaka yemutsipa, zvakaoma kuti mwana adye kudya kwakasimba, saka zvinokurudzirwa kuti vana vakuwe, vatswe uye mvura yakasvibirira iyo inongororwa nyore nyore, yakafuma mukutsvaga zvinhu uye mavitamini. Izvo zvinodiwa kugadzirisa kushandiswa kwemafuta uye zvakabikwa, zvokudya zvekakani, zvinopisa, mvura yakabhakwa. Kazhinji vanachiremba vanorayirwa kuti vateerere mitemo yefurafura nhamba 2 yePevzner.
- Rutsigiro rwekurapa. Mimwe migumisiro yakaipa inosangana nemucheka wakawanda muvana - zviratidzo uye kurapwa nemishonga inorwisa mishonga inokonzerwa nekubuda kwehutano hwehutachiona uye kutyora kwema microflora mumatumbo. Kuzvidzivirira izvi zvinoshamisa, probiotics (Bifiform), antihistamines ( Suprastin ), enterosorbents ( Enterosgel ) inoshandiswa.
Mishonga inorwisa mishonga inopisa tsvuku
Streptococcus type A ndiyo inonyanya kunzwisiswa penicillins, saka mishonga yemishonga inorwisa maitiro muboka iri inoramba iri chinhu chikuru pakugadzirwa kwemashoko makuru. Izvi zvinosanganisira:
- Retarpen;
- Hiconcile;
- Amoxicillin;
- Gracsimol;
- Amoxyl;
- Flemoxin Solutab uye zvakafanana.
Kana mwana ari allergiki kana asingakanganisi penicillin, kana chirwere chacho chakakomba, tsvuku tsvuku inobatwa nema macrolides uye cephalosporins:
- Erythromycin;
- Cefazolin;
- Azimed;
- Klabel;
- Cephezole;
- Remora nevamwe.
Iwe haugoni kuzvidzivirira uye kuzvitora mabhakitiriya, ndiye chiremba ari kuita izvi. Nyanzvi inosarudza nguva yenguva yekurapa. Zvakakosha kuti scarlet fever inoruramiswa nevana - zviratidzo zvayo uye kurapa zviri nyore kana nzira yacho yakagadzirwa zvakanaka. Kubvuma kwema antibacterial zvinodhaka kunofanira kugara kwemazuva gumi, kukanganisa kwekutanga kwechikoro kunozara nekugadzirwa kwe streptococcal reproduction, kupararira kune dzimwe nhengo uye kuitika kwezvinetso.
Kupfuura kuvhara nefivha fever?
Iyi nzira inobatsira kuchenesa matononi kubva kubhakitiriya uye kugadzirisa marwadzo mu pharynx. Nzira yakanaka yekurapa tsvuku yakawanda ndeyokugara uchinge muhuro wako neine antiseptic solutions:
- Furacilin;
- Chlorophyllitis;
- Miramistin ;
- Chlorhexidine;
- Stomatidine;
- Yoksom uye zvakafanana nenzira.
Pamba, unogonawo kugadzirira kurapwa kwemvura. Nezviputi, saline uye soda solutions, broths yemishonga yemishonga:
- chamomile;
- eucalyptus;
- calendula;
- lime-mavara;
- sage.
Scarlet fever - migumisiro
Zvakafanotaurwa nguva dzose zvinofadza. Kana zviratidzo zvikawanikwa munguva, uye kurapwa kunosarudzwa zvakanaka, ruvara rwepepuru runosvika nokukurumidza uye nyore - zvinetso zvinouya mumamiriro akasiyana. Mune basa risina kugadzikana rekudzivirirwa kana kusakanganiswa kwemaitiro emishonga inorwisa mabhakitiriya, zvinotevera zvinokonzera chirwere zvinogona kuitika:
- purulent otitis media;
- lymphadenitis;
- pneumonia;
- synovitis;
- glomerulonephritis;
- arthritis;
- pyelonephritis;
- myocarditis;
- rheumatic fever;
- zvipembenene zvehurongwa hwemitsipa.
Kuchengetedza scarlet fever kuvana
Matanho chaiwo okudzivirira mwana kubva kune utachiona ne streptococcus, zvakadaro. Hwendefa kubva ku scarlet fever haisati yashandurwa kuti hudzivirire utachiona, vanachiremba vanorayirwa kuti vateerere mazano evanhu vose.
Mitemo mikuru:
- Ngwarira kuchengeta mitemo yehutano hwemunhu, kugeza maoko kakawanda.
- Kudzidzisa mwana kuti arege kubata chiso chake neminwe isina kuchena, usabvisa maziso uye usasarudza pamhino.
- Nguva dzose uchenese imba uye ushandise nzvimbo yacho.
- Isazai mhuno nemuromo wako panguva yekuchera nekukandira (zvose zvako uye vamwe ').
- Dzidzisa mwana kuti ashandise oga zvokudya zvake, usanwa kubva mune rimwe bhodhoro.
Zvakanyanya kuoma kudzivirira utachiona, kana tsvuku tsvuku inowanika muchechi yevana, kudzivirira mumamiriro ezvinhu akadaro kunangwa kudzivirira denda:
- Vana vane utano vakange vasati vamboregerera hutano hwakatsanangurwa huri voga pamusha kwemazuva manomwe.
- Vana vanorwara vanoramba vari voga uye vari pasi pekutarisirwa kwechiremba kwemavhiki matanhatu (nechisarudzo chechiremba).
- Chero ani anotaurira mwana ane utachiona, mumazuva mashanu, inwairidza pharynx kana kushambidza huro neTyicide (kanomwe pazuva mushure mekudya).
- Iyo nzvimbo inobatwa zuva nezuva ne 0.5% solution yeCloramine.
- Linen nembiya zvinenge zvichinyorowa uye zvinosungirirwa nesimbi inopisa.