Parvovirus maʻiʻaʻai ana i na keiki: symptoms, lapaʻau, complications,ʻai

Eia naʻe, infectious maʻi hiki apuepue ke noʻonoʻo i ka rarity. Similar pilikia i loa pinepine naʻau i loko o pediatric hana. E like me ke ana helu haʻawina, i ka lā, ua pinepine kākau parvovirus maʻiʻaʻai i loko o nā keiki.

Loa pinepine i ka maʻi mea mehana. Eia naʻe, e like me ka ano hiki e weliweli loa. I mea no ke aha la i na makua i hoihoi i ka 'ike hou aku e pili ana i kēia maʻi. He aha ka kona kumu? He aha nō ka mea mua hoailona o ka parvovirus maʻiʻaʻai? He aha ka pilikia i ke pilikia i lapaau? He nui ka hoʻokō kāohi ana? Pane i kēia mau nīnau e e pono i na mea he nui heluhelu.

Parvovirus maʻiʻaʻai: He aha ka mea?

Oia manawa i loko o ke kālā no lapaau ua hoʻohana 'ia e hōʻike i ka huʻi infectious maʻi i ka pu ma lesions erythroid iwi ka lolo, a, niioaaonoaaiii,? Aiaiiuo kāna hana o ka hematopoiesis keʻano o ka hanaʻana.

Loa pinepine diagnosed parvovirus maʻiʻaʻai i loko o nā keiki. Kona symptoms paha e okoa mai ka mahana ala, a mau malaise a pau erythema, arthralgias a hiki crises aplastic. Akā, nā mākua e like maʻi ia lŘlŘ ka emi pinepine ia.

I ka papa kuhikuhiE kumu o ka maʻi

Pathogen parvovirus maʻiʻaʻai - he parvovirus B19, a e pili ana i ka ohana o parvoviruses. Ua mea waiwai 'ana i kumumanaʻo mea wale ka mea hoʻomaʻi ke kanana nei ka pilikia i kānaka. Ma ke ala, i loaaʻi i ka causative Agena maʻEnelani i ka 1975, i ke koko noiʻi. Ka inoa "B19" ia i loaa mai i ka lāʻau lapaʻau hāpana, mai i ka mea i kaʻawale mua.

Kēia mea hoʻomaʻi mea liʻiliʻi, ke anawaena o ka i, aole ia i oi aku mamua o 20-25 HI. He mea ole mawaho iwi, a me ka mea, ua wehewehe aku ma ka icosahedral capsid palapala. Mall kumuʻiʻo hoopuni iho kekahi "+" a me kekahi "-" ili aku ai o ka DNA. It E e kaulana i keia ke kanana nei i ka mea hoʻomaʻi Ua hoʻopale ai i ka mea mawaho i hoʻolilo 'ia - ka mea, hiki ke ku imua o mahana o ka 60 degere i 16 hola.

B19 mea hoʻomaʻi mea i hana ma ka pili ana i na holoholona. Ma lalo o keʻena hoʻokolohua kūlana o ka mea hiki ke mahi wale ma ka hoʻohana 'ana i erythrocyte precursor keena, i i loko mai o kanaka iwi ka lolo, ka piko, a fetal akepaʻa.

Mau maʻi ana i kekahi manawa o ka makahiki, aka, ka hapanui outbreaks e pono ole ma ka hooilo a me ka pūnāwai. Iloko o ke ahulau i loko o nā kula a me nā lehulehu hui maʻi ma kahi o 20-60% o nā keiki. Eia naʻe, he nui loa iho mailoko o ia me ka maʻi ia lŘlŘ me kekahi kekahi 'symptoms.

EYI alanui ua nō,ʻaʻole maopopo hoomaopopo. Ua Ua manaoio ia oe ke loaa ka iho mailoko o ka manawa e hui 'ana me ka lawe o ka maʻiʻaʻai, akā, wale ina kona maʻi mea ma luna o ke kahua o ka viremia (mea hoʻomaʻi' Imi multiplies ma na nā'aʻaʻa). Mea hoʻomaʻi (particles) kuu i loko o ka papa a me ka malu, a mucus mai ka luna naehana'āpana. Eia hou, i ka maʻiʻaʻai hiki e ho'īli pu me ke koko mai ka makuahine i ke keiki i loko o hāpai keiki.

Aie i ka ākea aku o ka mea hoʻomaʻi, he nui na makua i keia la e hoihoi i loko o ka ninau o mea na symptoms o parvovirus maʻiʻaʻai ua pu. Lapaʻau, complications, Kāohi - a pau i kēia mea loa nui 'ike ia oe e heluhelu maopopo leʻa.

pathogenesis o ka maʻiʻaʻai

Parvovirus maʻiʻaʻai i keiki ua hoʻomohala i loko o nā kahua o ka hoʻonaʻauao. Ma ka pae mua he mea ia he mea hoʻomaʻi replication, intoxication, e like me ke koho ana i mea hoʻomaʻi (particles) i loko o ka papa (maikaʻi nā mea maʻi i keia manawa, ua nui lele).

About ekolu lā ma hope o ka kino ka maʻiʻaʻai ikea na symptoms o intoxication, i hoohalike ai ano maʻi a anuanu. I ka pau, e hoomanawanui i ohumu o ka ole, hōʻemi iki kuni, a me ka luhi Muscle eha, aching, hōʻemi iki ka ohane, headache. A puni ka ia wā, ua he hōʻemi iki emi ma ka hemoglobin pae, i mau no ka 7-10 lā. Ka like ana o ke koko hiki ke ike mehana neutropenia, thrombocytopenia a me ka lymph.

Ma hope iho ma kahi o 17-18 lā ma hope maʻiʻaʻai hoʻomaka i ka lua o ka pae ana o ka maʻi. Nā'ōlelo a me ka mea hoʻomaʻi hoʻokaʻawale 'ōlelo. 20-22 lā he keiki e loaa kekahi ano ili poʻe noʻonoʻoʻole, a hiki ma hope o kekahi mau lā - ka eha o na ami. Ma ka kekahi lima,ʻaʻole kēia mau symptoms i loko o na hihia - keiki kekahi e ae maʻi like me ka hoʻomaopopo like maʻi.

Parvovirus maʻiʻaʻai i loko o nā keiki a me nā mākua i loko o ka lua o ka pae ua pu ma ka? Iecaianoaaiiie o ka ho'ākāka 'ia i nā mea'aʻaʻa - immunoglobulin M a me G, aʻe i nā loa nui no ka ponoʻike. Incidentally, na immunoglobulins G e waiho i loko o ke koko no ka hala loa o ka lōʻihi manawa, i kekahi manawa no ke ola. Keʻena hoʻokolohua haʻawina paipai i oi ma mua o ka hapalua o ke ao nei ka heluna kānaka i kēia mau nā mea'aʻaʻa, eia nae no ka nui o lakou i ka maʻi ua hala loa unnoticed.

Nā mea maʻi e loaa ana mai ka loa maʻi anaemia, a immunodeficiency (me HIV maʻiʻaʻai), hoolilo i ka maʻi, ua nui aku luna '. Pinepine aku i ke kāʻei kua o ka parvovirus ha awina nui loa ia'na o ka iwi ka lolo, a pela i ka 'aʻe' ana o ka mea maʻamau keʻano o ka hanaʻana o ka hematopoiesis i ke ola-na olelo hooweliweli e aku ana i ka malamaia. Eia hoʻi, i loko o nā mea maʻi me ka deficiency o ka'ōnaehana paleʻea'ōnaehana keʻano o ka hanaʻana i ole 'ōlelo viremia, mea hoʻomaʻi replication mau, pu e nui loa lesions o ke kino.

infectious erythema

Parvovirus maʻiʻaʻai i loko o nā keiki (Hawaii photo) ua pinepine pu ma ke ano o ke erythema. Oia ka moku'āina ua noʻonoʻo o ka loa e like me ka hoike ana o ka maʻiʻaʻai. Eia hoʻi, ka mea, ua pinepine haawi ia ia e like me ka "lima o ka maʻi". Kēia inoa hele mai ana ma ka hopena o 19th kenekulia, me he like maʻi i kekahi o ka loa, he pono ole infectious maʻi eono, a i pu ma ka ili hoike ana.

Loa pinepine, ka mea nana i parvovirus maʻiʻaʻai ana i na keiki - ka pele i loko o ke ano o ka olinolino'ōniʻoniʻo, a nui mau kikoʻikeʻia ka hapanui ma na papalina (keia symptom ua ike ia "paʻi papalina"). Loa pinepine, wawe maculopapular, akā, i kekahi manawa, ka mea hiki e vesicular paha hemorrhagic. hiki maʻalahi keiki kekahi tolerate i ka maʻiʻaʻai, oiai kekahi poe ohumu o loa maneo. Ka poʻe noʻonoʻoʻole i hohola koke ma luna o kekahi lala, akā, ma ka hapanui o na hihia ia nalo ma wale ma hope o kekahi mau lā.

Aka hoi, ma ka mea e hiki mai ana mau pule, oe e loaa i ka hai pele. Loa pinepine keia ua hanaia e ku e ia i ke kāʻei kua o physical haʻawina, overheating, hypothermia, 'auʻau, he nihinihi loli o climatic olelo paha ma lalo o stressful ana.

Huʻi arthritis a arthralgia me ka maʻiʻaʻai

Koke ia mea ke kumukuai i ka i ana i ke keiki i parvovirus maʻiʻaʻai ua kākaʻikahi pu e ami maʻi. Aka hoi, ua complication mea nō e hiki, a pinepine ia ia lŘlŘ ma ka adolescence (kaikamahine i oi prone i keia kŰia).

Olelo poino hiki ana elua ma ka mau kāʻei kua o ka mea hoʻomaʻi maʻi, no laila, e kona wale hoike ana. Loa pinepine malama poho ami na pulima oʻu, lima, na puupuu wawae, a kuli,ʻoiai ma ka kumumanaʻo o ka maʻi hiki i li nui o kekahi ami. I kekahi manawa nā mea maʻi i arthralgias, pu ma ke kakahiaka oolea. Aka hoi, he mea hiki, a me ka ulu kūpono 'ana o ke arthritis.

ʻO ia nā mea i loko o kekahi hihia, ua like parvovirus maʻiʻaʻai ana i na keiki. Mau complications, naʻe, 'aʻole i entail i ka make ana o articular cartilage a IeAUPIIe, IAa IO kekahi, ma hope o kekahi mau pule ma luna o lākou iho. Kēlā wā i kēia wāʻeha a me ka oolea o na ami i koe no ka mahina, i kekahi manawa, a hiki makahiki - i loko o kēia mau hihia, hou PalekanaEND_LINK a me ka pākōlea ana.

aplastic hoʻoponopono ulia

Parvovirus maʻiʻaʻai Ua pinepine ke kumu o ka ai-kapaia hoʻoponopono ulia aplastic. It Ka nani mea pepehi ana, i ua pu ma ka hoʻohuikau o maʻamau hematopoiesis. Aia i kekahi kamepiula pūʻulu, me ka pahiki o ka hoʻoponopono ulia mea nui kiʻekiʻe. Ma kekahi, e like me ke ano ua pinepine malama i loko o nā mea maʻi me ka maʻi hemolytic anaemia, autoimmune anaemia, thalassemia, fermentopathy. 'Ākena Makaʻu nō hoʻi nā pahikakiwi halepaahao anaemia, a paroxysmal nocturnal hemoglobinuria a me hereditary microspherocytosis.

'Aʻe' ana o hematopoiesis - keia ka mea hiki ke alakai keiki parvovirus maʻiʻaʻai. Symptoms o ka hoʻoponopono ulia aplastic - he nui anaemia, i ua pu ma ka loa nawaliwali, drowsiness, a me na hiohiona pallor o ka ili. Ma ke ao, oe i loaʻa i ka erythroid aeee i loko o ka iwi lolo ma kahi e. Pinepine ka mea, he hoopaapaa kulu i hemoglobin pae i haʻahaʻa, hoʻoweliweli ke ola nā hoailona. Ma ia ano hihia, he mea hiki ole ke hana me ke koko transfusion.

It E e kaulana no hoi ia ma ka pōʻaiapili o ka ulia aplastic he mea kaʻeleu viremia - na nā mea hoʻomaʻi mahuahua hoʻomaka koke, komo i ke koko, a hele io lākou lā 'ē aʻe nā'aʻaʻa. Nā mea maʻi i kēiaʻike,ʻo nā moku halihali mokulele o ka maʻiʻaʻai.

Intrauterine maʻiʻaʻai a me kona hopena

Ma gynecological a obstetric hana ua kekahi manawa kākau fetal parvovirus maʻiʻaʻai, na symptoms o i hoolaha mea nui aku pilikia. Koke ia mea kumukuai 'ana i kumumanaʻo i loko o ka hapanui hihia a pau, i ka maʻiʻaʻai o ka makuwahine i hāpai keiki, aole ia i alakai i ka maʻiʻaʻai ana i ka fetus, aʻaʻohe nā palapala' ole ma o ka fetus i ole.

Aka hoi, ke kamepiula nō i koe. E like me ke ana heluʻikepili a me nā hōʻike manaʻo o nā loea, loa pinepine ka mea hoʻomaʻi hiki aku ai i complications i loko o ka mua a me ka lua o ka trimester o ka hāpai keiki. Maʻiʻaʻai o fetal nā'aʻaʻa (i ka pau normoblasts a erythroblasts) ma kahi o 13% o ka hihia e alakai i ka noho'na makaainana i ulu abortion.

Aia nō kekahi mau complications'ē aʻe. E kū'ē i ke kāʻei kua o ka ulu maʻiʻaʻai i loko o ka politika-'ōnaehana paleʻea hydrops keiki e hoʻomōhala ai. E hiki no hoi loaa loa anaemia a me ka naau 'ole, e alakai i ka make ana o ka fetus.

Ma ka kekahi lima, ina ke alo o ka maʻi mea hiki ke kuhikuhi i ma kekahi kakahiaka nui ke kahua (hoʻohana ultrasound) a i ka Inc kūpono, ua hanau ola me kekahi complications ke keiki (i kekahi manawa lagging hope ma physical kūpono 'ana, ke kaupaonaʻana ka waiwai ke kali ole). Ma kekahi mau hihia, o ka bebe koke ma hope o ka hānau diagnosed congenital anaemia, a hypogammaglobulinemia, a, nae, e hana maʻalahi i ke ola a me ka treatable.

Ma ia hihia, ina he wahine hapai o ka hui 'ana me mailoko o kanaka, ka mea, ua? Aeiiaiaoaony e lawe mai regular ultrasound examinations, e like me ka E lūlū mai ke koko, e hooholo i ke kiʻekiʻe o ka Alpha-fetoprotein a me ka titer o nā mea'aʻaʻa - ka mea kōkua, e huai ae i ka pilikia ma ka kakahiaka nui ke kahua, a me maoli i ka manawa o ka holomua a me ka piha ke ola.

Hoikehonua, ano o kaʻike,

Parvovirus maʻiʻaʻai i loko o nā keiki a me nā mākua pono i ka hoʻokolokolo ponoʻike. Mua o nā mea a pau, ke kauka 'ohi i ka mōʻaukala a me ka hoʻokolokolo ai. Ka lapaʻau kiʻi i loko o keia hihia mea like i kekahi maʻi 'ē aʻe, no laila, eʻoiaʻiʻo, e hoʻomaka hou keʻena hoʻokolohua ho'āʻo ma.

Ma 'ana, ke keiki ka hana koko Eia kekahi laʻana a me nā'aʻaʻa e ana i ka titers o ka papa immunoglobulins M a me G. E like me ka rula, o ka nui o IgM ala i ke kolu o ka lā ma hope o ka ho'ā hope o ka maʻiʻaʻai. Akā, no ka mahuahua nui o ka immunoglobulin G ua malama ma hope maʻiʻaʻai i ka makahiki. I ka hahau ana aplastic i loko o nā Eia kekahi laʻana ua nānā 'ole wale he kiʻekiʻe nui o nā polokina akā, i ka mea hoʻomaʻi a me kona DNA. Eia hou kekahi, iwi lolo haʻawina e huai ae erythroid hypoplasia a me ke alo o ke ano nunui erythroblasts.

Ma kaʻike, o ka maʻi i loko o immunocompromised e hoomanawanui i ka lāʻau lapaʻau kino hiki ole ke loaʻa, akā, he mea hiki ke kālā līkaia no ka nui helu o ka mea hoʻomaʻi (particles).

I ka wa e hele mai i kaʻike, o intrauterine maʻiʻaʻai, aia no he pono hoʻokolokolo pono ultrasound examinations (kōkua huai ae fetal hydrops). Nō hoʻi i mālama 'ia keʻena hoʻokolohua hoao i ke koko o ka makuahine, a me ka amniotic loli no ke alo o ka mea hoʻomaʻi DNA, a me ka maopopo lāʻau lapaʻau kino.

Parvovirus maʻiʻaʻai ana i na keiki: lapaʻau

I ka wa e ike i ka mea iki e hoʻohuoiʻia o ke alo aku o ia i ka maʻi e nīnau aku i ke kauka. Wale nō ke akamai ike pehea e hana i kekahi parvovirus maʻiʻaʻai.

Ua mea waiwai 'ana i kumumanaʻo ana ma ka mehana hihia, i ke keiki' aʻole ole eʻimi mai hospitalization. Aka hoi, e kali kona kamaʻilio me ola kanaka, e like me ka mea mua pae o ka maʻi mea he lele. Pehea ka mea i hana ma ka hale parvovirus maʻiʻaʻai i loko o nā keiki? Komorowski, he luawai-ike pediatrician, ia kekahi wahi moe koena. pono ke keiki e hoomaha, inu nui o fluids (e hoʻopau i nā symptoms o intoxication). Akā,ʻeleu hula a me ka physical aayoaeuiinoe e contraindicated. I nā mākua, e hoopili aku i na rula o kou niho, holoi i kou mau lima ma hope o hui 'ana me ka pēpē, hana regular pulu, i ka hoʻomaʻemaʻe, D. hoʻololi moe olona a me ka' ole.

No emi nui hapa o ke kanaka kaʻai. I ka Pono ka parvovirus maʻiʻaʻai keiki he 'O ke kaulikeʻai waiwai i loko o kiʻekiʻe-calorie, a hiki wawe ka digestible ai. Ua mea no hoi e pono ke lawe mālama i nā ipu makana i loko o ka lawa nui o nā wikamina a me nā minelala hao i ka poe i pono, e hooikaika i ka'ōnaehana paleʻea'ōnaehana (eʻoiaʻiʻo i nā hua a me nā lauʻai i loko o ka 'ike no). Nō hoʻi, keʻai e e waiwai i ka hao, a me ka holoholona kumuʻiʻo, e like me ka maʻi ka pū ma ka anaemia, a hemoglobin pae emi.

E like me ka rula, o ka maʻi symptoms nalo ana ia lakou iho ma hope o 1-2 pule. Aka hoi, ma kekahi hihia, e pono oi kekahi kanaka. No ka laʻana, ina o ka palapala koi kiʻekiʻe kuni antipyretic ai '( "Aspirin", "Paracetamol" "Analgin" listen'ōlelo.). Inā ka hoʻomanawanui ulu arthritis kona symptoms hoomau anei oukou no kekahi mau pule, ia mea pono ana o nonsteroidal Anati-hoʻoʻino ai '( "Ibuprofen", "diclofenac", "Nurofen" a no laila, ma luna o. N.).

I ka wa e hele ai i ka iapaau ana o immunocompromised nā mea maʻi, e mea hiki intravenous immunoglobulin, a iloko ona i kakauia nā mea'aʻaʻa i ho'ākāka 'ana i ka B19 mea hoʻomaʻi. Kēia hana 'Aʻole i i ka piha hoolaia, akā, e kōkua i uhi i ka ha awina o ka maʻiʻaʻai. Loa ulia aplastic mea he PAaIEN no aeea ulaula koko transfusions.

Ka maʻi ano o ka parvovirus maʻiʻaʻai

Ma kekahi hihia, ina untreated paha improperly Inc i maʻi huʻi ano o ka maʻi. Oia ka moku'āina o loa pilikia, e like me kona symptoms i emi hai. He paʻakikī e diagnose a me ka hana. Maʻi parvovirus maʻiʻaʻai ua pu ma ka anaemia, a ia lŘlŘ ka nalu. Pinepine, i kēia palapala no ka maʻi i kekahi kumu o ka idiopathic iwi lolo aplasia erythroid iwi. Pakele ana i keia maʻi mea paʻakikī loa. Koko transfusions a me ka hooponopono ana o immunoglobulin, e kōkua malama maʻamau kino kuleana pili i.

I ka papa kuhikuhiE ano o ka Kāohi

Ua hiki ke hoʻomaopopo i ka parvovirus maʻiʻaʻai i loko o ke keiki hiki e weliweli maoli. No ia mea, he nui na makua i hoihoi i ka ninau e pili ana paha ka hoʻokō laau nei.

Akā,'a'ohe manawa āpau no kēia ma'i. Eia na'e, hiki ke loa'a ka lā'au i'ole e ho'oulu i ka ma'i, akā e loa'a nā kinikini immunogenic, e huli pono'ia. He hiki ke hiki i kahi kokoke e'ike'ia kekahi'ano like'ole.

I kekahi mau kumu, ua'ōlelo'ia nā kānaka ma hope o ka pilina'ana me nā ma'i e pono e mālama'ia me ka immunoglobulin pū'ia. I ke'ano, ua hō'ike'ia nā ka'ina hana like'ole i nā wāhine hāpai, nā ma'i me ka anemia hemolytic me ka ma'i'ole. Eia nō na'e, i kēia lā,'a'ole i ho'okūpa'a'ia inā he pono ka hana.

'O ka mea pale wale no ka huakiko ka nele o ka launa pū me nā mea lawe i ka ma'i, akā,'a'ole hiki ke ma'alahi. Eia hou, ua kauoha'ia e hahai i nā rula o ka pilikino pilikino,'o ka holoi'ana i nā lima ma hope o ka launa'ana me nā ma'i, ma mua o ka'ai'ana, a pēlā aku.

'O nā ma'i i loa'a i ka ma'i ma'amau o ka ma'i, a me ka po'e i ho'oponopono'āpilikia, he po'e ho'olaha nui lākou o ka ma'i. 'O ia ke kumu e pono ai lākou e mālama koke i ka ho'omaha'ana ma ka pūnaewele ho'olaule'a a me ka nele o nā launa kūkā pololei me nā po'e olakino a hiki i ka hopena o ke kāohi.