Ka Ikepili no ka pertussis. Ka oi pilikia loa i ka maʻi, a pehea e mai ia?

Pertussis - he maʻi i ia lŘlŘ no e anal o ke kino mea koʻohune pathogen pūʻulu droplet hana.

I hiki hōʻike i ke Ka Ikepili no pertussis? Ma na keiki, whooping cough, māhuahua koko pae o leukocytes (2-7h10 ⁹ / L), a me ka leukocytic haʻilula i makana puleʻAmelika, lymphocytes. E like me complications o ka maʻi kiʻekiʻe o leucocytes, piʻi pū. Ma immunocompromised keiki, vaccinated a me ka poe i ole kaheaia ano o ka pertussis, fluctuations ma ka mea o loko ua malamaia. erythrocyte sedimentation mämä holo ka awelika paha iki emi huahelu. Abnormalities i loko o ke koko kiʻi i malama wale i loko o ka catarrhal ke kahua o ka maʻi.

Symptoms o whooping cough i loko o na keiki

He aha ka whooping cough symptoms? Pehea i kēia maʻi? Ma ka loiloi mua ke kahua o ka ulu i ka maʻi i loko o na keiki me kekahi kekahi symptoms. Ke kino mahana ke ku i ka 38 degere, he mea he runny ihu, maloo cough a me ka pohihihi. I loko o kēia wā, i ka maʻi whooping cough mea pilikia loa i ka poʻe a puni ia. I mau, na symptoms i like i ka huʻi naehana maʻi. Pertussis bacillus multiplies keia manawa me 'Imi i hiki, i ka ia manawa ka mea, ke hookuu aku oia i ka toxin.

Ma ka pili ke kahua o ka maʻi, a ia lŘlŘ ma hope o 2 pule, ke keiki ka ke ano i nui loa. Aia He He hana spasmodic cough. Kēlā me ka pahu aku ai i cough pu ia e ke pio, a me ka hanu nui. Me ia i kekahi me ka puʻu keiki hiki loa mahaka mai elelo, ā 'inoʻino kekahi mea. e huli uliuli maka a me ka'ā'ī, i kekahi manawa, he mō'ī, ma ka hanu 'ana. I ka pau ana o ke kaua ua hookuu sputum, a me kekahi manawa luaʻi. Ma muli o ka ka manaʻo pohihihi o ka maʻi, i ka helu o ka ho'āhewa wale 'hiki e mai i ka 50 no ka lā.

Ma hope o 20-30 lā, i ka maʻi transforms i loko o ka aʻe ke kahua. Spasmodic cough cough auou caiaiai i ka mau. Ka moku'āina o ke ola ana o ke keiki i ka maikaʻi, i ka mahana hele ia, a hele mai hoʻi i ka'ōpū. A kahua mau mai i 3 pule.

E like me ka hoike ana i loko o ka makua whooping cough? Pehea o keia kaʻawaʻawa maʻi? Symptoms i loko o nā mākua mea i 'ano like me ka hoʻoulu, a me ka mea wale nō like mea ia, aole no na palena ma waena o nā kuʻina o ka maʻi. Ma keia hihia, ke cough ua loa haʻi, i ke kai, widening i ka po.

Ano hiʻona o ka pertussis i na kamalii uuku

Hatching a preconvulsive manawa hoemi ia 1-2 lā, a me ka whooping cough manawa maoli he mai i 6-8 pule.

I keiki na kamalii uuku, kahi o ka mea mau me ka puʻu, malama like symptoms: kiheʻana, kūpono kahea, screaming. Diagnosed hemorrhagic kāna hana: kahe ana ke koko i loko o ka Central ko mākou hopohopo'ōnaehana, i kekahi manawa - i loko o ka pā anuanu ili maka a me ka ili. Ke ano o nā mea maʻi i loko o ka wā ma waena o manawa o worsened i keiki nānāʻana aku i ka hālāwai hope, nalowale nā mākau, a i? Ac? Mua o ka maʻi kaʻina. Pinepine, ua kūikawā aggravation, a hiki i kekahi manawa, e mae i ka ola-hooweliweli ana ma ke ano maoli, i waena o lākou: apnea, deviations mai maʻamau lolo koko pele. Haʻahaʻa ma ka hanu, a me ka? Aiaiiuie holo ana hiki e hoikeia me ka puʻu, no ka laʻana i ka hiamoe 'ole ma hope oʻai. Mawaena o ka ole-i ho'ākāka 'relapse ua loa pinepine diagnosed pneumonia. Aia ua i make.

Ano hiʻona o ka pertussis ma vaccinated keiki

Keiki, ka poe i ku e vaccinated whooping cough, i ka manawa e kiʻi maʻi, no ka mea hune e hoʻonele ai mea hōʻemi o kona ikaika. Ma ka hapanui o na hihia diagnosed poe noonoo ole a me ka loa ano o ka maʻi, loa,ʻaʻole nona. I Kekahi Mau complications i loa pohihihi keia, a me ka wā e mau ole ke ola-na olelo hooweliweli au, no laila, lethal i hana 'ia mai i kānāwai. No ka mea hapanui loa he mea ole typical ano o ka pertussis. Up no 2 pule a me preconvulsive ulu incubation manawa a me spasmodic cough kalapona ua hoemi ia i 2 pule.

maʻiʻike,

He aha ka hoao no whooping cough pono e hele aku? I mea e huai ae i ka hiki aggravation hana urinalysis a me ke koko kemika. Ma ka maʻamau papa o ka maʻi, aole lakou e e loli.

Huina sputum Ka Ikepili ʻo ia ka mea hiki ke hoʻopau asthma, tuberculosis a me ka maʻi palū. Whooping cough phlegm mucosa, concomitant me ka helehelena o ka pneumonia mea lilo he mucopurulent a purulent.

i ka mahi ana o microorganisms ma nutrient me Media - loa ia i ka lokomaikaiia i ke kauka i ka hoomaopopo ana i kaʻike,, o ka oi aku i loko o nā kuʻina kakahiaka o ka maʻi, he bacteriological ala e kālailai i hāʻawi mai. A lōʻihi manawa, e hooholo i ka pertussis koʻohune hoʻomaʻamaʻa ano o "cough papa", paipai Maurittsenom. I ka manawa o ka mea e hiki mai ana kaua o ka puʻu ma kekahi kaawale o 5-8 knm mai ka kamaiki mai ka hamama Petri pa, oia no me ka nutrient meakino. Microscopically mucus kulu kahi o ka bacterium ua pertussis lele ana mai, mai ka waha mai, i waihoia ia ia. Ma hope o 2-4 lā, ma muli o ka makua moʻomeheu ua diagnosed. Kēiaʻano o kaʻike, he mea kekahi flaw - ia kokoke mea i mana ma ka opiopio na keiki i ka mea,ʻaʻole pono cough, me pono me ka cough i kahi e.

Aia He He kŘpa a nā iaoia no ka loaa i ke kumu o whooping cough - seeding o koʻohune mai ka nasopharynx, a mai lalo o ka elelo. Kēiaʻike, iaoia ua noʻonoʻo i ka loa ka hoʻokō, akā, ma hope 4-5 pule ma hope o ka hoouka kaua o ka maʻi, e hana i kona ole ano, no ka mea, he mea hiki ole, e kuhikuhi i ke causative hope. Kakahiaka nui 'ana o nā antibiotics kekahi ho'ēmi i kā ka manawa e hōʻike ana Bordetella pertussis.

Ke hoomakaukau pae ma mua a hiki i ka hoʻopaʻa

I ka papa kuhikuhiE symptom o ka pertussis mea huʻi ino o ka hakui o cough, i kekahi manawa pu ma ka luaʻi, i pakahi aku la ia mea hoopii, ua pepehi Ua oluolu e kāhea, no ka mea hoike, i ka manawa o ka mea hōʻikeʻikeʻuʻuku no Ka Ikepili. Ma ia mau minute, Pono makuwahine ia e makaukau ana paha i ke keiki, e pono ai kōkua.

Ke hoomakaukau kaʻina mea i ka Pap no Ka Ikepili mea mea mana i loko o ke kakahiaka manawa, no ka mea, o ka po he nui dala o mucus, a mea he nui lehulehu o microorganisms. He aho ia e ikea no ka pertussis mua aina kakahiaka, aʻaʻole i lawe mai, i ka hoʻomaʻemaʻe o nā niho. I ole ia, he nui ke ano o ka sputum e e nalowale.

Ekolu a mea o loko no ka pertussis

Ka Ikepili ua lawe mai la laua me ka hopena o ke kukuluia'na o ka māhele mahiʻai o nā mea'aʻaʻa (IgM, IgA)

Bordetella pertussis (Bordet-Gengou bacterium)
IgG	IgM	IgA	ho omńkalakala i nā hualoaʻa
negatively	negatively	negatively	Ke causative pūnaewele mea ole
Noke a maikaʻi	negatively	Noke a maikaʻi	Ua Hōʻike i ke alo o ka maʻiʻaʻai
Noke a maikaʻi	negatively	ikaika	Hōʻike i ke alo o ka maʻiʻaʻai i loko o ka hou manawa,
ikaika	negatively	negatively	Ua olelo e pili ana i nā 'ole i hala maʻiʻaʻai paha immunization o mua hoʻokō

Where hiki au Komo ho'āʻo no ka pertussis?

Where no ka hoao no pertussis? Kēiaʻano o ka noiʻi lawe mai i ka lapaʻau keʻena hoʻokolohua, a PalekanaEND_LINK-oaio? A. ka mea, i hookuu nei i loko o ke kaiaulu. Pono noiʻi a me ka wahi hoʻoholo ma ke kauka.

ʻAno ho'āʻo no ka pertussis ua nānā 'ia ma ke kumu o symptoms, papa o ka mai, a me ka makahiki pūʻulu o nā mea maʻi.

Ke koko ma luna o whooping cough, kauka noi e hoʻolako i loko o ka wahi mua, no ka mea, i kēia 'ano o ka Ikepili hāpai i ka puu o ka' ike.

hiki complications

Ke kūikawā nā:

• pulmonary emphysema;
• mediastinal a subcutaneous emphysema keena;
• atelectasis;
• pertussis pneumonia;
• haʻahaʻa ma ka naehana alapine (frequency) (ka wehe ana o ka hanu nā - apneas i 30 kekona, hooki - apnea ma mua o 30 kekona);
• mea hōʻemi o ke koko i loko o ka lolo;
• kahe ana ke koko (ihu, ka hope māhele o ka pharynx, bronchi, mawaho auditory alahele, a ma ka ili a me ka mucous membranes, sclera a me ka retina, lolo a me ka spinal ke kaula);
• helehelena a umbilical hernia;
• lilo o rectal mucosa;
• poino i ka tympanicʻili lahilahi, a me ka diaphragm.

Ma wale ka loa, he pono ole complications e ala mai no a hiki i ka hoʻomāhuahua o kiʻekiʻe mea koʻohune flora i:

• pneumonia;
• bronchitis;
• nui kaniai;
• lymphadenitis;
• otitis.

lapaʻau o pertussis

Ka iapaau ana kaʻina ua lawe mai wale wahi. Ke ho'āʻo nei keiki keiki, e waiho i loko o ka malie haʻahaʻa-malamalama lumi e kń mea ukiuki loa kumumea, e like me ka mea, e hoʻonāukiuki i aggravation o ka puʻu. Mua na keiki a me na mea ano apau loa i ka maʻi moe koho pololei ana.

Mau noonoo ana ua uku ia no kou kino, paa pinepine ai ana o ka poe liilii,'āpana. Keiki keiki Pono manawa e EII ni mai na mucus mai o ka puu. No ka mua keiki ka mea, ua hoʻomano hana ka oxygen lapaau.

e hoʻohana Antibiotics i na keiki ma ka kakahiaka nui kona mau makahiki i keʻano o ka maʻi loa. I ka anu u bluetongue he makemake ko noi "Erythromycin".

Pinepine hoʻohana kekahi gamma globulin, pertussis, lawelawe ma intramuscular ka pahu kui o 3 ml kēlā lā i 3 mau lā.

Kākaʻikahi ka kiaha dala Cough, hoʻokokoke ia i mālama nui, e like me ka laulā o kēia mau ai 'ua kuhi kanalua. He mea pono e pale i ke ano o na mea paahana, e like me sinapi a me nā kapa, a hiki hoʻonāukiuki me ka puʻu.

Vaccination ku pertussis

vaccination haʻalele 'ana i hoʻokumuʻia e ka moku'āina immunization haʻalele' ana. Ho'ā hope o hoʻonele iā pertussis ka hoʻohana 'ana DTP ( "Tetrakok" "Infanrix") - ua lawe mai i loko o ke 3, 4 a me 5 mahina. Ma hope iho ua hou-vaccination ku pertussis ua lawe mai i loko o 18 mahina.

DPT ka pahu kui ua i loko o ka Muscle, no na keiki mai ana i 1.5 makahiki - ma ke alo o ka pā hapa o ka uha, a me nā keiki mua ma mua o ka mea - i loko o ka deltoid Muscle. Ma hope o ka hoʻokomo 'ia' ana o ia mau lapaʻauʻia, pinepine no ka mea, o ka pau-aeea vaccines ka pahu kui i ka mua 3 lā, i ke keiki ke hoike aiiay naoh i ka laʻau koʻokoʻo, nā kūloko a me ka mau. Ma na hihia 8-9 o 10 ia i ke kaʻina hana hiki ke hana ma hope wale nō o kekahi mau hola ma hope o ka pahu kui. Oia reactions mea maʻamau maoli olelo, a me ka mea i manaoia complications.

Kāohi a me ka pākōlea ana

Pertussis na hihia pono pono e kaʻawale no 25 lā ma hope o maʻiʻaʻai, i ka iapaau ana e e ka naauao a me ka pololei nona ma ke kāpaeʻana i nā kumu o ka maʻi.

Like i ka pakuiia auanei lakou, a me na keiki i ole vaccinated E leka pepa i hookauia iho quarantine lōʻihi like 'ole o ka 2 pule, mai ka hoomaka ana mai o ka hoʻokaʻawale o ka hoʻomanawanui. A kipa i na keiki ua pololei kaupalena ', hoʻololi timetables, a hele.

E kuhikuhi i whooping cough i loko o ke kakahiaka nui kahua o ka hoʻonaʻauao, pertussis i loko o ka wahi lawe mai kela la i keia 'inikua examinations o nā keiki a me nā mākua, a me ka hoʻokahi-manawa mea koʻohune ninaninau.

Pehea e pale i na maʻi like whooping cough? Ka'ōnaehana paleʻea'ōnaehana pono e ikaika, e pono ai i mau hooikaika mai ia, a lailaʻoe e loaʻa mai he nui loa,ʻaʻole wale pertussis. A me ka papa, mai hoʻopoina e pili ana i vaccinations.

I mea e loaʻa, a koho i ka wahi o ka pio pertussis, a pau hui 'o nā keiki a me nā mākua e loaa ana paipai "Erythromycin", "rulid" a me "Sumamed" no ka hebedoma hoʻokahi ma ka makemake laʻau heluna o kona mau makahiki.

Hoʻokaʻaʻike keiki keiki mai ai i 1 makahiki, a i pakuiia (i ka 2 makahiki) i kono e komo i ka pou immunoglobulin - 2-4 nā māhele (1-2 nā māhele a pau'ē aʻe ka lā).