Umkhuhlane we-swine: izimpawu, ukwelashwa nokuvimbela

Umkhuhlane we-swine (eCalifornia) uyisifo esithathelwanayo esithathelwanayo esibangelwa igciwane A (H1N1), elibhekwa yi-virulence ephakeme (ukungena kweso), okuyingxenye yayo ephezulu izinga lokufa phakathi kwabantu abasengozini (abesifazane abakhulelwe nabantu abanezifo ezingapheli ngokomzimba), ubudlova Yebo, uphawu lwezinkinga zokuphefumula.

Izimpawu ze-ingulube yengulube kubantu

Umtholampilo A (H1N1) ufana nezibonakaliso ze "umkhuhlane wonyaka", umehluko uyafana - ku-20-25% weziguli lesi sifo sibhekene nesizinda se-dyspepsia (isifo sohudo, ukuhlanza, ukuhlanza isisu). Ukutheleleka nge-ngulube ye-ngulube kubonakala "ukuqala" okusheshayo, kakade ngosuku 2-3 kudlulela ekubeni yi-pneumonia egazini, kuguqula ukubunjwa kwegazi, kwandisa ukwanda kwe-coagulability, kuholela ekutheni i-thrombosis, ukushaqeka kwe-septic, i-myocarditis. Izimpawu zesifo kumuntu omdala:

• Ukungakwazi ukuphefumula;
• umkhuhlane kuya kuma-38-39 degrees;
• ukubola, ubuhlungu emajoyini / imisipha;
• ikhanda, ukukhwehlela owomile;
• isifo sohudo, isicanucanu, ukuhlanza;
• ukuphazamiseka kwesimiso senhliziyo: ukunciphisa ukucindezeleka kwegazi, tachycardia, ukuzwa kwezinzwa zenhliziyo,

Uhlobo olunzima lwezifo zengulube luboniswa ukushisa kwama-pyretic (ngaphezu kwama-degrees angu-39), ukukhwehlela okungazala, i-myalgia, i-hyperthermia, ubuhlungu besisu, ukuphefumula okukhulu, i-hemorrhagic syndrome (imisindo ye-nasal / pulmonary hemorrhages, hemoptysis). Umkhuhlane we-ngulube okhulu kakhulu ubonakala ngokuthuthukiswa kwengcindezi eyingozi yomswakama - isifo sokucindezeleka esibuhlungu kakhulu. Izimpawu zokugula kwengane:

• ukukhwehlela okumile okukhulu;
• ubuthakathaka obuningi, izinga eliphezulu lomkhuhlane (38.5-40 degrees);
• ubuhlungu emajoyini, ukuphefumula;
• ikhanda, isifo sohudo;
• ubuhlungu besisu (ubuhlungu besisu);
• umkhuhlane, isicanucanu, ukuhlanza.

Ngokungafani nabantu abadala, izingane zitholwa ukuthi zinamafomu ajwayelekile kuya kweqile ngaphandle kwezinkinga. Ngaphansi kwe-catarrhal syndrome (impumu egijima, umlomo, ukukhwehlela), ukuxilongwa kwesidumbu kubangelwa (ubuthakathaka, ikhanda, umkhuhlane). Ukuphazamiseka komuthi wamathumbu (ukuhlanza, isifo sohudo) kuvame ukuphawulwa ezinganeni kuze kube neminyaka engu-6 ubudala, ku-X-ray yesifiso sezinguquko ezingenakutholakali azitholakali. Ngokuvamile, ukutheleleka kwe-A (H1N1) ezinganeni kubhekwe inkambo ebushelelekile ngokumelene nesizinda sokungalingani okulinganisela emiphakathini ye-laboratory yegazi le-peripheral.

Umkhuhlane we-swine: ukwelashwa

Isifo A (H1N1) eRussia saqala ngoJanuwari - ngaphambi kokujwayelekile. Umehluko omkhulu phakathi kwendlala yengozi ka-2016 ukuhlukunyezwa okubulalayo kwabantu abasha abanempilo 25-40 ubudala, umtholampilo ojulile ogijima ngokushesha kakhulu e-pneumonia esebenzela i-viral-bacteral-hemorrhagic nature. Ngokubhekwa kwe-Russian Federation, i-virus yanda ngokushesha ezindaweni zonke zezwe, iziguli eziningi zafa ngesifo esiyingozi, amakhulu abantu batholelekile. Odokotela babiza abaseRussia ukuthi bangabesabi, futhi lapho kubonakala khona izimpawu ezithile ngokushesha bafuna usizo lwezokwelapha. Endabeni yokwelapha okwanele nesikhathi esifanele, lesi sibikezelo sivame ukuhleleka.

Ukwelapha umkhuhlane wengulube

Kunokuba uphathe umkhuhlane wengulube? Iqembu elilodwa lemithi eyenzelwe ukwelapha i-A (H1N1) yi-inhibitors ye-neuraminidase: i-zanamivir ne-oseltamivir. Isenzo sabo sisekelwe ekuvimbeleni ukwelashwa ngamagciwane e-influenza B no-A wezinhlayiya ze-sialic acid ezakha i-glycoprotein receptors esesithombeni segciwane lesandulela ngculaza, okuholela ekupheleni kokuphindaphinda kwamagciwane. Ukumelana A (H1N1) ku-Oseltamivir kungu-0.5-0.7%, ukuphikiswa kwe-Zanamivir akubhalwa. Ukutholwa kweZanamivir (Relenza) no-Oseltamivir (Tamiflu) Kunconywa:

• Abantu abaneminyaka engaphansi kwengu-19 abathola ukwelashwa kwe-acetylsacyl acid;
• abantu abanesandulela ngculazi kanye nezimo zempilo ezimbi;
• abesifazane abakhulelwe,
• izingane ezingaphansi kweminyaka emihlanu ubudala, abadala abangaphezu kweminyaka engama-65;
• iziguli ezinomlando oqinisekisiwe we-A (H1N1) igciwane;
• lapho kukhona khona izimpawu ezimbili ezibalwe: ubunzima bokuphefumula kwesisu, ukukhwehlela owomile, ukwehluleka ukuphefumula, umkhuhlane, umkhuhlane.

Izinhlobo ezinzima ze-A (H1N1) ziphathwa ngokuhlanganiswa kwezidakamizwa ezingu-2-3: i-Arbidol + i-Viferon + i-Tamiflu, iTamiflu + iCycloferon, i-Panavir + i-Cycloferon + i-Tamiflu. I-medium-heavy - inhlanganisela yeViferon + Tamiflu, i-Arbidol + i-Tamiflu, i-Viferon + i-Arbidol. Izimpawu: amaconsi e-vasoconstrictive ekhaleni, i-febrifuge (Ibuprofen, i-Paracetamol), izidakamizwa zokusiza ukukhwehlela (i-Ambroxol, i-Tussin), i-antihistamines (i-Zodak, i-Claritin).

Ukuvimbela isifo sengulube: izidakamizwa

Umkhuhlane we-swine yisifo esiyingozi esilula ukuvimbela. Kuze kube manje, ngokuvimbela okuqondile, umuthi wokuvimbela igciwane A (H1N1) udalwe, amalungiselelo Arbidol, Tamiflu, Viferon aboniswa nge-prophylaxis engacacile.