Nehosha yakawanda inopararira, chirwere cheparotitis (mumaswere chirwere), vazhinji vanozivikanwa pachavo, sezvo vairwara naye semucheche. Kusvika pamwero mukuru, hutachiona hunogona kuve nevana vekuchikoro uye vana vechikoro (kubva pamakore matatu kusvika kune gumi), asi zvinoitika kuti vanhu vakuru vanozvinyora zvakare.
Chii chinonzi mummy?
Ichi chirwere chinozivikanwa kwenguva yakareba, muzana remakore V rinotsanangurwa raro rinowanikwa mune zvinyorwa zveHippocrates. Kunyange zvazvo chimiro chechirwere vanhu vaikwanisa kuziva muzana remakore rechimakumi maviri chete, uye chirwere chekutanga chakaitwa muna 1945 chete. Parotitis ndiyo chirwere chinopararira zvikuru. Zita rinobva muchiLatini "glandula parotidea" - iyo inonzi "parotid salivary gland": inopisa kana hutachiona huchipinda mumuviri. Kunze, chirwere chakadai semakumbo chinogona kuonekwa nyore nyore. Pairi mavara anochera, kazhinji kazhinji panzeve nzeve uye pamutsipa zvinoshamisa. Chiso chinoderera, kumativi ose, seguru, saka iro zita rinozivikanwa.
Nguruve - zvinokonzera chirwere
Utachiona hwemucheche ndewemhuri ye paramyxoviruses uye haisi kukwikwidzana neyekunze, asi inogona kuramba ichipisa mukati mekushisa kwemazuva masere, uye pamatambo anotonhora inogona kusvika kusvika kumwedzi mitanhatu. Chirwere ichi chakanyorwa kwose kwose uye mugore rose, nhepfenyuro - yechando-spring nguva. Kukanganisika kune utachiona - 50%. Utachiona hunotungamirirwa nezvinhu zvakadai sokuti:
- zvirwere zvokufema;
- kuora simba musimba;
- huwandu hwehuwandu hwevanhu.
Nguruve - chirwere ichi chinoparidzirwa sei?
Iwe unogona kutora hutachiona kubva kune mumwe munhu uye nekukurukura kwenguva refu. Nzvimbo yacho inotakurawo uye inochengetedza utachiona. Kwevhiki nehafu mushure mekuratidzwa kwezviratidzo, chirwere chinogona kuendesa hutachiona huri mberi, chichipa kune zvakatipoteredza, kubva pane iyo inopfuura nepakati memuketani yemasopharynx kune imwe mhuka. Pathogen mumasvipiti anotapurirwa kuburikidza nemate, madonhwe emhepo. Vana vanotapukirwa kubva kune mumwe nemumwe panguva yemakwikwi ekubatana, kugara muimba imwe chete. Utachiona hunopinda mumuviri wevanhu vatsva mune nzira dzakawanda:
- pahurukuro (kana kumwe kushamwaridzana naye);
- a kiss;
- kukoromora kana kunyorera.
Mucheche chirwere chemwana. Nguva yakanyanya kufanana yehutachiona inobva kumakore mana kusvika ku8, kunyange zvazvo njodzi inoramba ichikwira kusvika makore 15-17. Pazera rekare, zvakaoma kutora hutachiona - vana vanochengetedza chitunha chaamai kusvikira kune gore, i.e. izvo zvinodzivirirwa zvinorambidzwa naye panguva yekuzvitakura. Kuvhara muhukuru kunobvira, asi zvinowanzoitika kakawanda.
Makumbo - mhinduro
Migumisiro yemakumbo haisi kuonekwa pakarepo. Mune ramangwana, inogona kuchinja hurongwa hwehutano nekubereka. Utachiona hunovhiringidza zvipfeko zvinokanganisa kana nhengo dzemuviri, dzakadai se:
- matete;
- ovaries;
- prostate gland;
- pancreas;
- dairy;
- thyroid gland.
Vaduku venguva yevanorwara, pasi pfupi mikana yakaoma iyo matambudziko makuru achaitika mune ramangwana. Nzira ine unyoro yechirwere inopfuura pasina zvinetso. Zvinokwanisika kunetseka, apo miviri yepakati uye yakaoma yava chirwere chemukati; migumisiro yevakomana dzimwe nguva inonyanya kukosha. Vachazviratidza ivo pachavo muhucheche muhutano hwe orchitis - kuvhiringidza kwetatu. Vechidiki vose vechitatu vanobatwa nechirwere ichi, uye kana chirwere ichocho chikawira mazai maviri kamwechete, chinotyisidzira kusabereka. Kunyanya apo yenguruve yakatorwa pamunhu mukuru. Zvimwe zvinogona kuitika mushure mechirwere ichi:
- Diabetes mellitus. Zvinokwanisika kana parotitis yakaoma nekuputika.
- Matsi. Izvi zvinoitika kana chirwere chacho chinokanganisa nzeve yomukati kana nhungete yekuongorora.
- Syndrome ye "ziso rakaoma". Kukurumidza kuomeswa kwemukati mutsara kunokonzera kuvhiringidza kwezvinyorwa zvinyoronyoro.
- Kupera kunzwisisika - kana chirwere chacho chave chiri chikonzero chekuita meningitis, kupisa kwemutsipa wepelinha, uropi.
Ndinogona kuwana mumakumbozve here?
Epidemic parotitis chirwere chisingagoni kurapwa kaviri. Utachiona hunosiya mushure mekuchengetedzwa kwepachiviriro. Muropa muhupenyu hwose, zvirwere zvinoramba zvichiri kupararira, izvo zvinokonesa iyo yakawira pahutachiona hwemukati. Kudzokororwa kunoratidzirwa. Zvisinei, mikana isina kukwana yezvirwere zvinowanzoitika (kubva kune 0.5 kusvika 1%) ichiripo. Ngozi inowedzera kusvika ku25% mushure mekuwedzerwa ropa uye kupiswa kwemafuta emapfupa, apo vazhinji vezvirwere zvinorasikirwa kubva mumuviri.
Epidemic parotitis - zviratidzo
Nguruve - chirwere "chinooneka". Zviratidzo zvemukati zvechirwere izvi zvinogona kuonekwa pasina kushanyira chiremba, zviratidzo zvakajeka zvemukati zvinoratidzwa pane chiso (kana zvimwe zvikamu zvemuviri). Zivo yezviratidzo izvi zvinobatsira kuita zvakakurumidza uye kutanga kutonga kwechirwere mumatanho ekutanga. Izvi zvinonyanya kukosha apo parotitis inokura muvana, zviratidzo izvo ivo pachavo havagoni kuziva.
Parotite - incubation period
Nguva shoma, apo hutachiona huchipinda mumuviri, asi uyo ane utachiona haasati afungira pamusoro peizvi, anogara kwenguva refu. Nguva yekudzivirira nguva yemukomana mazuva gumi nemasere; huwandu - mwedzi, asi pavhareji mashizha anozviratidza pashure pemakore 15-20. Munguva ino, hutachiona hunopararira mumuviri wose, hunopinda muropa; hutachiona hunowedzera huzhinji mucosa. Muzuva rokupedzisira rekudzivirira nguva, mutakuri ndiye ngozi kune vamwe. 1-2 mazuva asati atanga kwekutanga zviratidzo, kupararira kunowedzera.
Epidemic parotitis - yekutanga zviratidzo
Muchikamu chinonzi prodromal nguva, munhu akatora hutachiona anotanga kunzwa manyare, kushaya simba. Kune hutumbu, hurumende uye hutano hutano. Asi hazvibviri kutaura nechivimbo kuti ichi chidziro: zviratidzo zvechirwere hazvisi pachena. Mushure memazuva matatu ekuratidzwa kwezviratidzo izvi, kunouya nguva yekuratidzwa kwehutano, hwakafanana nehuwandu hwehutano . Somuenzaniso:
- Kudzikinura kwehuputi hwehuro, huro, muromo (mutsauko mukuru kubva kune angina). Nzvimbo yekubuda kwemakumbo emakumbo emvura anonyanya kupisa.
- Kuwedzera kwakanyanya kwekushisa (kusvika kune 40 degrees).
- Pain inzvimbo yezvinyorwa zveparotid.
- Dambudziko nekudya: zvakaoma kuchema uye kumedza, kunyanya zvokudya zvinokonzera kuwedzera salivation.
Chii chinoita semakumbo?
Zviratidzo zvakananga zvechirwere zvinotanga kuzviratidza pachavo mazuva mashomanana mushure mekudzivirira nguva. Irotiroti gland inopisa, zvichiita kuti kuwedzerwa mumatama, kubhururuka kunowanikwa pamberi pezvinyorwa. Ikuvhuvhuta inofambisa mberi uye mberi. Nzvimbo yechilonda inorwadza. Pamusana pekuputika kwebasa rinenge riri mumuromo, kuoma uye kunhuhwirira kunofadza kunoitika. Muvakomana, parotitis inogona kuendeswa nekuputika kweteteti. Vhiki mushure mekunge chirwere cheguruva chinoratidza, murwere haabvumirwi kusangana nevamwe, kudzivisa utachiona.
Parotitis - kuongororwa
Munzira yakajairika yehutano, kuongororwa kunoitwa pakutanga kuongorora murwere. Kana zviratidzo zvose zvakapindirana, zvinenge zviri mumakumbo; Mambudzi anomiririra unhu hwekunze huri izvo zvakaoma kukanganisa nezvimwe zvirwere. Kunyange zvakadaro, pane maitiro, maitiro ekuratidzira kwechirwere. Zvadaro, kusimbisa hutachiona hwahwo, mabasa anotevera anoitwa:
- kutora ropa, inofanira kuratidza hutachiwana;
- mishonga inopindirana nemakumbo inoonekwa;
- Kuongororwa kunoitwa kuti uongorore kushanda kweshengo dzomukati.
Parotitis - kurapwa
Dendaase piggy haina nzira dzakanakisisa dzokurapa uye zvinodhaka. Kurapa kunorayirwa nachiremba mushure mekuongororwa, zvichienderana nezviratidzo zvakananga uye kuoma kwechirwere. Iwe unogona kubvisa chirwere kumba, kana iwe uchitevera mazano echiremba (iye anofanira kutonga nzira). Zvinoshandiswa mhando dzemishonga, dzakadai seanalgesics, kubvisa marwadzo (Baralgin, Pentalgin) uye zvinodhaka zvinoderedza kupisa (Tavegil, Suprastin, nezvimwewo). Kana uchitaridzika sehosha yeparotitis, kliniki mazano anotevera:
- Kurongedza zvakasimba. Kubvira pamashure matatu kusvika kune gumi shure kwekuonekwa kwezviratidzo zvekutanga murwere anoona zororo zororo.
- Chirwere chikafu - nekuda kwezvitsvuku zvinoputika, uye kunze kwekudzivirira kukurudzirwa kwepascreatitis, chikafu ndechimwe-mvura, inodziya. Kunyanya kunopiwa miriwo nemichero yemisi.
- Kana uchitaridzika nemakumbo, kurapwa kwevana kunosanganisira kubvisa zvinotonhora: kugadzirisa neanoriseptic solutions, zvinodhaka zvehuro uye kutonhora ( Ibuprofen , Paracetamol). Ndinoshandisa kupisa kwakanyanya kune nzvimbo inopisa.
- Mune zvimwe zviitiko, mirayiridzo yacho inokosha. Ne orchitis, corticosteroids inoshandiswa. Matambudziko nehutachiona hwemimba inobvumira kushandiswa kwepencreatic enzymes
Epidemic parotitis - zvinetso
Kana iwe usingateereri mazano echiremba, chirwere chechirwere chinogona kuoma nekuvandudzwa kwemamwe mararamiro. Zvimwe zvacho zvine ngozi, asi nemakumbo anowanikwa nenzira ine unyoro uye ine mwero. Zvichienderana nechimiro chakaitwa parotite sechinangwa, zvinetso zvinogona kunge zvakadai:
- Orchitis. Inowanikwa mu20% yezviitiko kune varwere vane vanhu vakuru.
- Oophoritis. Anokonzerwa ne5% yevakadzi vakabata mushure mushure mekuyaruka .
- Viral meningitis. Inowanikwa chete mu1% yezviitiko.
- Pancreatitis (kuvhiringidza kwepakreas) - mukana wekubata kwe 5%.
- Pakati pemitambo isingawanwi, asi yakaipisisa, encephalitis chirwere cheuropi. Nguru inotungamirira kukurudzirwa kwayo munyaya imwe ye6000.
Epidemic parotitis - kudzivirira
Kune dzimwe nzira dzakawanda dzinopupurirwa kudzivirira maitiro ekutapukira: kuumbwa kwekudzivirira muga mune zvidzidzo uye zvikoro zvekare zvisati zvaitika uye chirwere chekudzivirira. Izvozvo zvinogadzirirwa chete vana vane utano kuitira kuti vawane hutachiona hwechirwere. Hemukari kubva mumakumbo ndiyo chivimbo chokuti chirwere chacho hachizofi muhukuru. Pinda kaviri sechikamu chekudzivirira katatu "masero, mapukiti, rubella" kaviri:
- Mumwedzi gumi nemaviri.
- Mumakore 6-7.
Kana chirwere chacho chisina kuitwa muhucheche (vabereki vakaramba kana nekuda kwezvikonzero zvekurapa chirwere chisingaitike), chinogona kuitwa gare gare. Vachiri kuyaruka uye vanhu vakuru vanowana chirwere chinodzivirira nemamiriro akafanana: vanofanira kunge vane utano hwakakwana, vasina zvirwere zve hematopoietic system. Maererano nezvimwe zviratidzo, chirwere chinokurumidza chinogona kuitwa. Kana pakanga paine kusangana nemurwere, zuva rokutanga kana vanhu vaviri vanoisa jekisi, yakagadzirwa nemasimba, uye chirwere chinowedzera muhutu.
Hondo yeguru haina kuonekwa seine ngozi. Chero bedzi mukuregererwa uye kushaya mhosva kunotungamirira kune zvinetso, asi hazvikuvadzi uye hazvirevi kuti zvipatara (kunze kwekuti encephalitis ). Vazhinji vevanhu vose vanovhundutswa nekugona kusununguka - pano chinhu chikuru ndechokutanga kurapwa munguva. Zviri nyore kurarama nechirwere ichi kana iwe ukatevera mitsara yechiremba achienda uye kutanga chirongwa chekurapa munguva.