Matenda seramu: zimayambitsa, madokotala ananena zawo

Seramu matenda ndi zokhudza zonse anachita oyamba mu thupi ndi mapuloteni mankhwala anthu kuti kuchiza matenda chitetezo cha m'thupi. Akukana kumachitika onse pa pulayimale ndi pa kukonzanso oyamba ndi nyama mapuloteni yachilendo. Nthawi zina matenda amakwiya antiserum kulowa m'thupi, i.e. gawo madzi a chitetezo magazi okhala.

Matendawa amapezeka 5-10% cha odwala amene anali umathandizanso seramu polima.

Kamodzi ingested mapuloteni yachilendo akuyamba zimafala m'magazi, kuchititsa kaphatikizidwe wa chitetezo ndi kupanga maofesi m'thupi amene waikamo nsalu, ndipo kuwononga yotsirizira potulutsa mankhwala biologically yogwira.

Zimayambitsa matenda

Seramu matenda zina kuyambika kutumikiridwa seramu ndi diphtheria, kafumbata, matenda a chiwewe, akupanga, njoka towuluka , kapena gasi chilonda. A matenda ofanana zimawonedwa zina pambuyo utsogoleli wa Popanga madzi a gamma globulin ndi tizilombo ting'onoting'ono.

Nthawi makulitsidwe masabata 1-2. Pali milandu kumene chithunzi matenda a matenda seramu akufotokozera mu masiku 5 mankhwala, mu nkhani iyi, sayanjana ndi anaphylactic mtundu.

zizindikiro

Matendawa ali ndi makhalidwe ululu ndi kutupa pa malo a jekeseni kwa masiku 7-10 pambuyo utsogoleli wa seramu. Wodwalayo malungo, kuchuluka dera lymph mfundo, ndi zina zimakhudza mafupa (arthralgia, edema), totupa pakhungu zimachitika mawonekedwe a papular erythematous kapena kuyabwa zidzolo, mucous diso amachitira conjunctivitis. Kugonjetsedwa kwa dongosolo mtima chimaoneka tachycardia, malankhulidwe muffled, kukula kwa malire a mtima, m'munsi magazi. Ana, zingathe kudzetsa thirakiti m'mimba, pangakhale kusanza, chimbudzi pafupipafupi komanso ntchofu, "matumbo colic." Nthawi zina mkodzo mapuloteni ndi kudziwa kuda magazi. matenda seramu limodzi ndi kutupa choopsa cha m'phuno ndi asphyxia, hemorrhagic matenda. Mu mawonekedwe wofatsa matenda zizindikiro matenda omwe mwaona 5 masiku isanayambike matenda, mwaoneka mawonekedwe - za 3 masabata.

Complete kuchira kovuta pamene anafotokoza zotupa a mtima, impso, matenda mantha dongosolo, laryngeal edema, ndi chitukuko cha munthu syndrome hemorrhagic.

chithandizo

Popereka chithandizo cha matenda seramu ntchito mafuta corticosteroid ndi creams kuthandiza kuchotsa kapena kuchepetsa Timatha kuyabwa ndi totupa.

Kuchepetsa nthawi ya mankhwala matenda, omwenso amagwiritsidwa pofuna kuthana kuyabwa totupa pakhungu.

Kuchepetsa molumikizana mafupa zikusonyeza ntchito mankhwala nonsteroidal odana ndi yotupa monga "naproxen" ndi "Ibuprofen". Zikavuta kwambiri, m'kamwa corticosteroids anatengedwa kuti asankhe (makamaka limatanthauza "Prednisolone").

Kuvomereza mankhwala awa ndi ntchito antiserum, chifukwa cha zomwe akuoneka seramu matenda, m'tsogolo ayenera kuzipewa pofuna kupewa.

Kuti madokotala ananena zawo zambiri zabwino, koma nthawi zina amapereka vuto mu impso ndi.

Kupewa matenda.

Pamaso kumayambiriro Sera ya - diphtheria, kafumbata, akupanga antitoxin, matenda a chiwewe seramu - akwaniritse chiwerengero cha zochita zoyambirira:

- kupanga zikande, puncture kapena pokha kwa mkono ndi pamwamba ndi adatchithisira dontho limodzi la kuchepetsedwa seramu (1: 100);

- erythema anachita ndi m'mimba mwake wamkulu kuposa 3 mamilimita imatengedwa zabwino;

- pamene kutumikiridwa intramuscularly anthuwo kuvutika seramu okwana mlingo.

Tikumbukenso kuti ngakhale pochita intradermal mayeso, makamaka subcutaneous ndi mtsempha zingachititse anaphylactic mantha. Amaganiza kuti kumayambiriro seramu m'nsinga otetezeka kuyambira anachita ndi zambiri ankalamulira. A mayeso zoipa sikuti sitingakumane pakalibe anaphylaxis pambuyo ka mlingo lonse, kotero, imapereka ya mankhwala odana ndi mantha pamene mwai amenewa.

Medicine sakudziwa momwe mungapewere matenda seramu.