Ukutholakala kwesimungumungwane kuya cishe yonke indawo. Phakathi nalesi sifo, wonke umuntu ongenawo umvuthwandaba futhi uyakuthola kuso, uyagula. Izifo zengculaza ziphindaphindiwe ngezikhathi ezithile emva kweminyaka engu-3-4, lapho inani elikhulayo lezingane liyakwazi ukuthola lesi sifo. Amacala omuntu ngamunye wesimungumzimba ahlale ekhona. Ngenxa yokukhulelwa okuphezulu kwesimungumungwane, kuthinta izingane zasenkulisa nezinsuku zasesikoleni samabanga aphansi. Ama-measles, ngokuvamile, athatha izingane ezingxenyeni zezingane. Ukugula okudlulisiwe kushiya ukuzivikela komzimba wonke. Izinsana zebele ezinyangeni ezintathu zokuqala eziyisi-6-6 zinezifo ezikhukhumayo ezitholakala yi-placenta evela kumama. Njengoba kuncipha ekuzivikelweni okungenasifo sangasese, ukuvimbela isifo sesimungumzimba kuyanciphisa, noma kunjalo, esimweni sezifo, lesi sigaba sitholakala ngesimo somnene, esicacile. Ingane ezalwe kumama ongenayo isishukela, ngokwemvelo ayinaso igciwane lesandulela ngculazi.
Isithombe sezokwelapha.
Isikhathi sokukhushulwa - kusukela ngesikhathi sokutheleleka kuze kube sekuqaleni kwe-rash - sinezinsuku ezingu-14.
Isikhathi se-Prodromal . Ngeviki lesibili lesikhathi esifanele, kukhona umkhuhlane, impumu egijimayo, ukukhwehlela, i-conjunctivitis. Lezi zenzakalo ze-catarrhal ziqinisa. Isikhukhula siba buhlungu, kunamafutha amaningi, isithombe se-photophobia. Amajwabu amaqabunga ahlangene ndawonye. I-membrane emangcwabeni yomlomo nomphimbo yi-hypermicic. Izinsuku ezingu-2-3 ngaphambi kokuvela kwe-exanthema, izinga lokushisa liwehla isikhathi esifushane. Phakathi nalesi sikhathi, isici sesici sesimungumzimba sitholakala: ku-mucosa ye-hyphenic yamahlumela emiphakathini emincane kunamabala amhlophe, ubukhulu bephina eliphambene elizungezwe umngcele obomvu - amabala e-Filatov-Koplik.
Cishe kanyekanye nalawa mabala noma maduzane emva kwalokho, i-enhema itholakale ekhanda elimnandi nelinzima: izindawo ezibomvu, ngezinye izikhathi ezingase zizuze uhlamvu lwe-hemorrhages. Ngezinye izikhathi i-tonsillitis ye-follicular ibonakala. Ulimi lubekwe, kukhona ukuchotshoza ezindebeni, izilonda zomlomo zesibindi zikhuliswa ngokulinganisela.
Isikhathi sezinsalela. Ngemuva kwamahora angu-24-48 ngemva kokubonakala kwama-Filatov-Koplik ama-stain avela exanthema. Izimo zokudakwa ngokweqile zikhuliswa. Ingane, ikhathele ngumkhuhlane, ukulala, ukukhwehlela okungenakuphumula, ingabi nalutho, inganaki futhi ibukeka igula kakhulu. Ngalesi sikhathi ngemuva kwezindlebe, ebusweni, entanyeni, isikhumba sesibonakaliso sibheka amabala aphuzi, ubukhulu bamalenti. Khona-ke ukuqhuma kusakazeka esiqwini, emlenzeni futhi kuhlanganisa wonke umzimba izinsuku ezimbili. Okokuqala, izakhi zomuntu ngamunye zinezici ze-pink papules, bese ziphenduka zibe izindawo ezinkulu, ezibomvu ezizothola umbala obomvu wethusi. Izinto zokwehla, ukuhlanganisana, shiya izindawo zesikhumba mahhala ngesimo seziqhingi ezincane kuphela. Ukukhipha ukushisa kubhekiswa ikakhulukazi ebusweni nasegwini.
Ubuso besiguli sesisimungulu, ukukhukhumeza, ngamajwabu angenamafutha, isici; ukukhala, isithombe se-photophobia, impumu egijima, ukuqhuma okubomvu.
Uma ukuqhuma kufinyelela ekupheleni kwayo, izimpawu zokushaywa kwe-malaise ziqala ukwehla. Ukushisa kunciphisa, ke, emva kwezinsuku ezingu-2-3, kuba okujwayelekile. Ukuqedwa kwe-rash kwenzeka ngokulandelana okufanayo njengoba kuqhuma ukuqhuma. Ngemuva kwezinsuku ezingu-4-5, izakhi ze-rash zithatha isici sebala elikhanyayo. Lokhu kuhlobisa kungabonwa ngamasonto amabili. Ngesikhathi esifanayo nokuqothulwa kwe-rash kuqala ukubukeka okuncane kwe-pancreatic yesikhumba.
Isithombe esitholakala ngenhla esibhedlela sifana nesifo sokuqina okulinganiselayo. Kunezinhlobo ezincane zalesi sifo, lapho izimpawu eziqhamukayo nezivamile ezivezwa khona kancane. Njengazinye izifo, kunezilingisi ezinomunyu.
Imifino iyingozi ngokwayo ngenxa yezinkinga zayo .
Ukuzibandakanya kokuqala kuyisimungulu. Kusukela esiteji se-catarrhal futhi ngokucacile wabonisa ukuthi i-laryngitis, ebonakala cishe kuzo zonke izigameko zesimungumungwane, ithatha uhlamvu olunzima kakhulu ngenxa yokuthuthukiswa kwe-laryngeal stenosis. I-Hoarseness iqinisa kuze kube se-aphonia.
Ukuvuvukala kwendlebe ephakathi. U-Otitis kwenzeka esikhathini sokuzalwa noma esikhathini esithile sokuqala kwe-convalescence.
I-bronchopneumonia. Izinkinga ezivame kakhulu ezinsaneni nasezingane ezincane, kanye nezingane ezibuthakathaka.
Encephalitis. Kulukhuni kakhulu, ngenhlanhla, ukucindezeleka okungavamile okuyisimungumungwane. Kubonakala ekugcineni kwesikhathi sokuqeda, noma ezinsukwini zokuqala ze-convalescence, kuhambisane nokuphakama kokushisa nezibonakaliso ezinzima ze-cerebral.
Ukwelashwa kwesimungumungwane kuphawulekayo. Kubalulekile ukuhambisana nokuphumula kombhede phakathi nesonto futhi kuze kube amasonto amabili ekunakekeleni ekhaya. Ngenxa ye-photophobia, ingane izwa kangcono ebumnyameni obumnyama. Ukuze unciphise ukukhwehlela okubuhlungu, umoya ekamelweni lihambisana nomswakama noma amaphepha amanzi. Uma kunesidingo, misela ama-antipyretic kanye nokuphuza ukukhwehlela amakhambi. Uma kwenzeka izinkinga, ama-antibiotics asetshenziswa.
Ngemuva kwesonto emva kokuthola imithi, ukuhlukaniswa kwesiguli kuyaphela. Manje ukugoma okusebenzayo ngokumelene nesimungumungwane kuyadingeka. Ukugonywa kungase kuhambisane nokwanda kwamazinga okushisa nokubonakala kwesidumbu esikhulu.
Imiphumela yaleso sifo incike ekuguleni kwesiguli, ukuthuthukiswa ngokomzimba, ukuhlanganiswa kwesimungumungwane nezinye izifo ezikhona. Imisipha ingaba isifo esiyingozi ezinganeni ezigulayo eziphethwe yi-dystrophy. Izingane ezingaphezu kweminyaka emithathu zivame ukubekezelela kahle.