Umkhuhlane we-Swine: iimpawu, unyango kunye nokukhusela

Umkhuhlane we-Swine (eCalifornia) sisifo esasifanelekileyo sisifo esibangelwa yi-virus (i-H1N1), ebonakaliswe ukunyuka kwe-virulence (ukusuleleka), into ephakamileyo yokufa kwabantu kubantu abasengozini (abafazi abakhulelweyo kunye nabantu abanezifo ezingapheliyo), ugonyamelo Kakade, wayephazamisekile izifo zokuphefumula.

Iimpawu zeengulube kubantu

Ikliniki A (H1N1) iyafana neempawu ze "mkhuhlane wonyaka", umahluko ufana - kwi-20-25% yezigulane eso sifo sibhekene nesiqhelo se-dyspepsia (isifo sohudo, ukuhlanza, isicupunu). Ukusulelwa ngentsholongwane yeengulube ibonakala ngokukhawuleza "ukuqala", sele kusekho ngosuku lwesithathu 2-3 idlula kwi-pneumonia yentsholongwane, iguqula ukubunjwa kwegazi, iyakwandisa i-coagulability yayo, iholele ekutheni i-thrombosis, ukutshatyalaliswa kwe-myocarditis. Iimpawu zesifo kumntu omdala:

• ukungakwazi ukuphefumula;
• umkhuhlane ukuya kuma-38-39 degrees;
• ukuphosa, intlungu kwi-joints / imisipha;
• intloko, umkhuhlane owomileyo;
• isifo sohudo, isisongela, ukuhlanza;
• ukuphazamiseka kwenkqubo ye-cardiovascular system: ukunciphisa uxinzelelo lwegazi, i-tachycardia, ukuvakala kwentliziyo yesandi,

Uhlobo olubi lweengulube zengulube luboniswa ngubushushu be-pyretic (ngaphezu kwama-39 degrees), ukukhwehlela okungavelanga, i-myalgia, i-hyperthermia, isifo somzimba, ukuphefumula okufutshane, imithwaba enesifo (i-nasal / pulmary hemorrhages, hemoptysis). Umkhuhlane weengulube ogqithisileyo ubonakaliswe ngophuhliso lweengxaki zepmonta eziyingozi - i-epidatory syndrome. Iimpawu zokugula komntwana:

• ukukhwehlela oomileyo;
• Ubuthakathaka ngokubanzi, umkhuhlane ophezulu (38.5-40 degrees);
• intlungu kumalungu, ukuphefumula okufutshane;
• intloko, urhudo;
• ubuhlungu besisu (intlungu yesisu);
• umqala, intlungu, ukuhlanza.

Ngokungafani nabantu abadala, abantwana bafumanisa ukuba banamafomati aqhelekileyo kuya kwiimeko ezinzima ngaphandle kweengxaki. Ngaphaya kwe-catarrhal syndrome (impumlo ye-runny, umqala, umkhuhlane), isifo sokuxhatshazwa sisifo (ubuthathaka, intloko, umkhuhlane). Iintlungu zesisu esiswini (ukuhlanza, isifo sohudo) zidla ngokugqithiseleyo kubantwana abaneminyaka engama-6 ubudala, kwisifuba i-X-ray yeenguqu ezingenangqondo ezingabonakaliyo. Ngokuqhelekileyo, usulelo lwe-A (H1N1) kubantwana lubonakaliswa yinkqubo ehamba phambili ngokubhekiselele kwimvelaphi engafanelekiyo kwimilinganiselo yebhubhoratri yegazi le-peripheral.

Umkhuhlane we-Swine: unyango

Ingqungquthela A (H1N1) eRashiya yaqala ngoJanuwari - ngaphambi kwexesha eliqhelekileyo. Uhlobo oluphambili phakathi kobhubhane lwango-2016 lugxothwa ngokutsha kwabantu abanempilo eneminyaka engama-25-40 ubudala, iiklinikhi ebonakalayo ehamba ngokukhawuleza ibe ne-virus-bacterial bilateral pneumonia. Ngokwe-surveillance of Russian Federation, intsholongwane isasazeka ngokukhawuleza kwimimandla yelizwe, ezininzi izigulane zafa kwisifo esiyingozi, amakhulu abantu banesifo. Oogqirha bacela iiRashiya ukuba zingaboni, kwaye ekubonakaleni kweempawu ezithile zangoko zifuna uncedo lwezokwelapha. Kwimeko yonyango elaneleyo kunye nexesha elifanelekileyo, i-prognosis iyakudla ngokufanelekileyo.

Ukunyangwa kweengulube zeengulube

Kunokuba uphathe umkhuhlane wengulube? Iqela elilodwa lamachiza elenzelwe ukuphatha i-A (H1N1) yi-inuritors ye-neuraminidase: zanamivir kunye ne-oseltamivir. Isenzo sabo sisekelwe ekunqandeni ukuhlengahlengiswa yi-virus ye-influenza B kunye ne-A yama-resial ase-sialic ase-glycoprotein afunyanwa kwi-membrane yeseli ekhulelwe, ekhokelela ekupheleni kokuphindaphinda kwegciwane. Ukumelana no-A (H1N1) ku-Oseltamivir ngu-0.5-0.7%, ukumelana neZanamivir akubhalwanga. Ukufunyanwa kweZanamivir (Relenza) no-Oseltamivir (Tamiflu) Kunconywa:

• Abantu abaneminyaka engaphantsi kwe-19 ubudala abafumana unyango lwe-acetylsacyl ye-acid;
• abantu abane-HIV kunye neemeko ezinzulu zempilo;
• bafazi ba khulelwe,
• abantwana abangaphantsi kweminyaka emi-5 ubudala, abadala abangaphezu kwama-65;
• izigulane ezinembali eqinisekisiweyo ye-A (H1N1);
• phambi kweempawu ezimbini ezidwelisweyo: ubunzima bokuphefumla, ukukhwehlela owomileyo, ukuphefumula ukuphefumula, umkhuhlane, umqala.

Iifom ze-A (H1N1) eziyinkimbinkimbi ziphathwa ngokuhlanganiswa kwezilwanyana zamachiza ezi-2-3: Arbidol + Viferon + Tamiflu, Tamiflu + Cycloferon, Panavir + Cycloferon + Tamiflu. I-heavy-heavy - inhlanganisela yeViferon + Tamiflu, Arbidol + Tamiflu, Viferon + Arbidol. Iimpawu: i-vasoconstrictive drops yeempumlo, i-febrifuge (Ibuprofen, i-Paracetamol), iziyobisi zokunceda umkhuhlane (Ambroxol, Tussin), i-antihistamines (iZodak, Claritin).

Ukuthintela umkhuhlane weengulube: iziyobisi

Umkhuhlane we-Swine isifo esiyingozi esilula ukukhusela. Ukwangoku, ngokuthintela ngokuthe ngqo, isitofu sokukhusela isifo se-A (H1N1) senziwe, amalungiselelo Arbidol, Tamiflu, Viferon aboniswe ngenxa yeprophylaxis engekho.