Rubella - Rubella mea he ... maʻi: symptoms, lapaʻau, a me ka hopena Kāohi

Kekahi o ka loa e like me nā mea palahēhē o ka mea hoʻomaʻi etiology mea rubella. Kēia maʻi ana ua mehana, kākaʻikahi pu ma complications. Ma ka kekahi lima, maʻiʻaʻai o ka hapai wahine poses ka hoʻoweliweli 'nui i ke ola o kona unborn keiki. Ma kekahi mau hihia, i ka maʻi ke kumu malformations ma ka fetus a me ka intrauterine make.

Description o ka maʻi

Roseola - he maʻiʻaʻai o ka mea hoʻomaʻi etiology, wehewehe aku ma keʻano o ka ili poʻe noʻonoʻoʻole a me ka mehana intoxication. maʻi no ka manawa mua loa i loaa mai i ka piha ano o F. Hoffman i ka 1740. 140 wale nō makahiki ma hope o ka mea i hoʻoholo like hoʻoholo e līkaia no i kaawale nosological pathology pae.

I keia la, i ka prevalence o ka maʻi i ua hoʻemi me ka nui loa. Mau hualoaʻa i loaʻa i ke aloha i ke kulekele o ke vaccination. I loko nō o kēia, kēlā makahiki ua paa ma kahi o 100 tausani hou hihia o ka maʻiʻaʻai. Kela 3-4 makahiki o ka mea hiki wale mai aei mai, a laila, hele aku i loko o hoole mai oia.

Sources o ka maʻiʻaʻai a me ka 'ole o ka EYI

Rubella - i ka maʻi o ka mea hoʻomaʻi etiology. Loa pinepine, ka mea, ua diagnosed i loko o nā keiki. Ma ke kūlana o kona causative Agena hanaʻia genomic RNA mea hoʻomaʻi, i mea teratogenic haʻawina. He mea oluolu wale nei i loko o ke kanaka kino. oia i make koke i loko o ka papa lalo o ka aoao o ultraviolet malamalama, ma muli o ia i ka nele o ka humidity a puʻe loli. Ma haʻahaʻa ana wela i ka mea hoʻomaʻi ola no ka lōʻihi manawa, a ua hiki ke hoopaa i ka hiki ke paʻi.

Ke kumu o ka maʻiʻaʻai mea IeAUPIIe, IAa IO he kanaka me ka loa (kākaʻikahi weluwelu) Rubella symptoms. A hebedoma mua o ka poʻe noʻonoʻoʻole, a hookahi no elima mau lā ma hope o rubivirus kuu i loko o ke kaiapuni. Ma epidemiological hua'ōlelo i manaoia e ia i ka noho pilikia loa na keiki me ka congenital Lolina o ka maʻi. Ma keia hihia, ke pathogen i loaʻa i loko o me faeces, tuha a mimi no kekahi mau mahina i ke kaiapuni. 'Ano kūpono no ka maʻiʻaʻai mea o kāna mau hoʻolālā nā pūʻulu (kindergarten, kula). No laila, ua kaʻawale nā mea maʻi koke maluna o e hooiaio ai o "Rubella"ʻike.

E like me ka maʻiʻaʻai ua hoolilo? I ka huina, ma laila nō nā ooia o EYI o ka maʻi - airborne a me ka transplacental. Keʻano papa hana o ka? Acaeoey o keia maʻi aʻo nedoskonalno. Rubella mea hoʻomaʻi komo i ke kanaka kino ma ka mucous membranes o ka naehana'āpana. A laila, ua hoʻomaka i kona haʻawina, maluhia iho la ma na keena o ka ili a me ka lymph aka wahi. Ke kino reacts i ka hoʻokomo 'ia' ana o ka kūikawā Luna o ke kahua o nā mea'aʻaʻa. Iloko o ka maʻi o lākou ka leo i ka holo ua mau mahuahua. Ma hope o ke ola, i ke kanaka mea'ōnaehana paleʻea i ka mea hoʻomaʻi no ke ola.

He aha ka rubella?

Ke incubation au mea e pili ana i 15 mau lā. Ma hope o ka mea catarrhal wā - 3 lā. Ma'ōpio e hoomanawanui i na symptoms o lesions o ka mucous membranes o ke keena naehana'āpana ana kākaʻikahi. Makua pele ohumu o ka photophobia, loa headaches, runny ihu, cough a me ka nele o kona'ōpū. Ma ka lā mua o ka maʻi i loko o 90% o nā mea maʻi ma luna o ke kāʻei kua maneo rashes hōʻike. Ka mea, nana e like liʻiliʻi a pink mau kiko o regular kinona, i pii ai ma luna o ka ili o ka ili.

Ka poʻe noʻonoʻoʻole o ka rubella initially hou ma luna o ka maka, ma hope o ka pepeiao, a ma luna o ka'ā'ī. Iloko o ka lā ka mea, ua hoʻomaka koke hohola ai i nā māhele o ke kino. It E e kaulana ia ma luna o nā kapuwaʻi, a he mau pama wawe loa ikeia. I kekahi manawa, noho kaʻawale mau kiko ia akulla 'i ku una i ka mucosa. I ka 30% o ka hoopii,ʻaʻohe poʻe noʻonoʻoʻole, a me ka nui loa complicates i kaʻike,. Other symptoms o keia maʻi hiki ke hoʻomaopopo i ka hōʻemi iki mahuahua ma ka ana wela. Kēlā wā i kēia wā hoʻomanawanui iki mai ohumu o ka Muscle eha, hoʻopōʻino gastrointestinal hana.

rubellaʻAno

Ke kaumaha ma muli o ka ala hele o ka maʻiʻaʻai, IeAUPIIe, IAa IO ike okoa ia mauʻano o ka maʻi.

• Lilo rubella. Kēia palapala no ka maʻi ua pu e mau rashes a pau ma luna o ke kino, akā, e loaʻa atypical lapaʻau kiʻi. I ka 30% o nā hihia ma laila nō i nā mea a pau i symptoms, e ka mea paakiki e diagnose a me ka poʻea pau i ka aku ai ke ahulau. Ka maʻi ana ua mehana, mailoko o ua malamaia lakou ma ka home. Hospitalization ua hōʻike wale nō ma ka hihia o complications.
• Congenital rubella. He He pilikia loa ke ano o ka maʻi. Ma ka hapanui o na hihia, ka mea, ua wehewehe aku ma ka huikau papa. Mawaena o ka paha ka hopena o ka 'aʻe' ana o ka CNS i ke hoʻomaopopo i ka hana o ka hoolohe, a me ka hihio.

Noonoo pono i ka luna kūʻiʻo, ia mea pono e hana i kekahi mea nui i hoʻopuka. rubella maʻi ua diagnosed i loko o nā mākua, he'āina pohihihi keia. Ke poi pu hapanui o nā poʻe 'alo me keia maʻi i loko o kamaliʻi, a me ke kūpono e hoʻonele mau i ka wā e ola ana. Currently, ma kahi o 85% o nā wāhine i'ōnaehana paleʻea i ka maʻiʻaʻai ma ka manawa o ka hoouka kaua ana o reproductive makahiki.

Lapaʻau o ka ninaninau ana i ke ahonui

Hōʻoiaʻiʻo nō o kaʻike, ana, aole i i pilikia. Initially, ke kauka hanaʻia he physical keia hookolokolo ana, a ua kokoke mai noonoo ana i kekahi symptoms (pono ma luna, ua i hai aku ai mamua, ka mea nana e like rubella). I kekahi kahua o ke anamanaʻo mea he keʻena hoʻokolohua ikea ai:

• Piha koko helu.
• Manaʻo o ka lehulehu o immunoglobulins.
• Serology mucus mai ka nasal lua.

He OAXA e lawe mai palena pauʻike, o Waimānalo, enterovirus maʻiʻaʻai, ʻulaʻula kuni.

Walaʻauʻana me nā loina o ka lapaau

Ke kanaka i rubella, 'aʻole i koi pilikia hospitalization. Special hoomakaukau ku e keia maʻi i ole, ua ulu, wale symptomatic kanaka ua hoʻohana 'ia. Ke hoomanawanui mea nui, e hoopili aku i ka moe koena, e ai no, a inu hou i ka wai. Ma ka hapanui o na hihia ka wā e waiho ana no ka poʻe noʻonoʻoʻole rubella wale i kekahi mau lā. Ma hope o ke ola, ka mea kūpono e hoʻonele mau no i ka wa e ola ana. I kekahi manawa, i ka maʻi hoike. Poe akamai i wehewehe i kēia kŰia o na ano kanaka o ka'ōnaehana paleʻea nenoaiu.

Wale nō i loko o ka hanana o complications hōʻike hana maikaʻiʻole i loko o ka haukapila. Hoʻomanawanui iki mai ia immunostimulatory Inc ( "interferon", "Viferon"). E pale aku i ka ulu ana o cerebral edema, noi haemostatics, diuretics a me corticosteroids. Ke convalescence nā mea maʻi loaa paipai nootropics e hoʻoikaika ' cognitive oihana.

Ke rubella Ua pilikia loa?

Complications o keia maʻi ka'āina pohihihi keia. IeAUPIIe, IAa IO, ka mea hōʻike ia hui e ka mea koʻohune maʻiʻaʻai. Rubella ma keia hihia ua huikau ma haumāna pneumonia, eha loa puʻu, a me otitis. I kanaka makua nā mea maʻi i i hoʻokoe 'ia mai ka CNS lesion. Ka maʻi poses ka make māinoino i gestation bebe nui i ka wahine. Kēia e e ana no hope i ka pauku.

Hāpai keiki, a rubella

I ka hopena o keia maʻi i gestation bebe ke aloha ia i kona ola. Ka mea hoʻomaʻi komo i ka fetus ma ke keiki, me ka hoohuoi ana i ka endocardium a me capillaries. A laila, i ka pathogen hohola ai i nā mea a pau nā loko o ke keiki, i kahi ana i hoomaka ae la e mahuahua hikiwawe loa. Mawaena o ka loa e like me ka complications o rubella i hapai wahine pee: fetal make, stillbirth a me ka noho'na makaainana i ulu abortion.

Inā ke kamaiki ua nō hanau,ʻo ia, a me ka hahai ana i kāna hana i hoʻomōhala no manawa.

• naau mā;
• lapuwale ia;
• underweight ;
• jaundice;
• myocarditis;
• encephalitis;
• noʻonoʻo retardation;
• dystrophy.

Oia complications alakai i ka premature ka make ana o ke keiki i loko o 30% o ka hihia. I ka makahiki mua o ke ola ua make ma kahi o 70% o nā keiki. Kanaka hoike ana mai o ka maʻi hoike mai ai ia lakou iho wale nō i loko o adolescence. Kēia autoimmune thyroiditis, mimikō a me ka ulu hōmona deficiency. Ma ke koko o ka iho mailoko keiki rubella pathogen ke noho hana no kekahi mau makahiki. I Kekahi Mau lapaʻau no kēia maʻi, laekahi lapaʻau hiki ke kaumaha.

maʻi Kāohi

General Kāohi hana i ineffective i loko o ka foci o ka maʻiʻaʻai. He mea kokoke ole e hooholo i ke alo o ka mea hoʻomaʻi i loko o ke kino ma mua o ka hoouka kaua ana o kona mau symptoms. Naʻe, ka mea maʻi kanaka ua kaʻawale no 5-7 lā ma hope o ka poʻe noʻonoʻoʻole i Konakele.

I Kekahi Mau prophylaxis hoʻohuʻu kekahi i ka wā hoʻokahi vaccination e kū'ē i nā maʻi:ʻo Waimānalo, rubella, mumps. Pakuiia auanei lakou ua hanaia ma ka 6 makahiki no ka lua o ka manawa, a me ka mea mua - ma ka makahiki o ka hoʻokahi makahiki. Mawaena o na contraindications e vaccination nō i ka penei:

• malignant neoplasms;
• hāpai keiki;
• hopena maikaʻi naoh i ka laʻau koʻokoʻo;
• aggravation o ka maʻi o infectious aetiology.

Vaccination ku rubella hiki ke hui me nā OAXA vaccines (pertussis, hepatitis B, polio, diphtheria a me ka tetanus). Ke Kula Kaiapuni 'ai' hiki ole e hui i loko o ka hookahi 'ohe. Eia hou, i ka ka pahu kui mea kupono e waiho ai i loko o kekahi wahi. Ke wale nō koe nae o ka luna ' (Waimānalo-mumps-rubella) laʻau koʻokoʻo. I ka 6 makahiki ka mea,ʻo ia ka hailona ana i na keiki hou. Kēia ka paipai 'ana i ka ulu ana o ka e hoʻonele booster mahele lāʻau kekahi manawa, i ka maʻi ekolu. I ka mea i piha malaila i ka haanou ana o ka ili a me kona wahiʻulaʻula. ʻaoʻao reactions o ka meaola i lymph wahi hoʻonui, nausea, rhinitis, malaise. E like me ka teenager, ma hope o pakui ia mea hiki ke ana o ka arthralgia a me ka polyneuritis, a e ho'ōla kekahi, ma luna o lākou iho.