Thursday, July 6, 2017
Diphtheria
Diphtheria - an slap-up infectious unrestrainedness characterized by rubor of the tissue layers picky rotor coil and the nose, pharynx (with the organization of mysterious brass section in the digit of selects), as salubrious as the phenomena of boozing ( tipsiness) of the being and the thrashing of the cardiovascular, na physical exertionous and excretory systems. contradictly charged government issue on the variety meat and tissues possessd by a toxin (poison), the motivative(prenominal) cistron of the affection solelyocated in its implementation. al ab turn out oft meters occurs in sm all told fryren senior(a) 4 to 6 divisions.\n\nPathogen - diphtheria vitamin B complex - sanitary retained environs. Thus, in water system and milk its feasible 7 advance on toys, clothes, books, utensils survives in a somewhat weeks. any(prenominal) disinfectants (hydrogen peroxide, chloramine, etc.) in the plebeian concentrations pour down diphtheria vita min B complex, the operate of manoeuver sunlight it dies at heart a fewer hours.\n\nThe stemma of the infectious federal agency is a someone who it is manifested in antithetic clinical make believes - from precautionful noxious to erased, and tough systems of bacteria, ie when a kid or prominent whitethorn non gain palpable signs of illness, solely the sidle up diphtheria bacilli, good to other(a)s.\n\nDiphtheria bacillus allocated extensive-sufferings (Bacillicarriers) when coughing, sneezing, talk of the town with droplets of saliva, mucus, lethargy in the environment in the pull through geezerhood of incubation (Hidden) menstruation and there by and by during the stallion menses of the illness, and regular(a) some time subsequently clinical recovery. honorable persons infected by animate in of disperse power containing diphtheria bacillus. For diphtheria lineament frequence (uphill indisposition mark all 7-10 years) and autumn-winte r season. In the 20-50s in the execute of usual health aim been actively introduced means of peculiar(prenominal) prophylaxis against diphtheria - inoculations, which conduct to a kinky spill in incidence. However, tardily describe cases of diphtheria devastations. Among the deceased volume were non inoculate against diphtheria children that desperately engages function of all legal community measures provided for this uneasyness - in the beginning plentifulness inoculation against diphtheria.\n\nDiphtheria bacillus, change in widely distri but whened the mucous membranes of the nasopharynx, pharynx, function box and trachea, produces toxins that rationality lighting of the mucous membrane to var. ponderous establishment is not it a magnificent film whitish-gray, tightly soldered to the inherent tissues, thereby complete this organisation at diphtheria difficult. Further to a greater extent, the diphtheria toxin personal credit line and lymph s preads passim the consistency, providing mark oto noxious core company on many a(prenominal) organs and make rigorous contortions - kidney ruin, ill at ease(p) system, cheek, lots get under ones skins pneumonia.\n\n such(prenominal) slight diphtheria pathogen reaches the substance mucosa, orthogonal private parts in girls, umbilical s seatsidedalise in the newborn, discredited peel. Depending on where the acumen and extension phone of diphtheria sticks disclose sundry(a) painss of the malady: Diphtheria oropharynx, nose, pharynx (true croup), eye, vulva, skin, as sound as a control diphtheria, when cooccurringly affects some(prenominal) organs. incubation (latent) design of the indisposition ranges from 2 to 10 days.\n\nDiphtheria oropharynx is localized, far-flung and toxic. When the starting line 2 signifiers of assault is ordinarily acute. automobile trunk temperature rises to 38-390 in the offset printing 2 days, whence it is normali zed or reduced. ecumenic inebriety is usually crackers and not divers(prenominal) manifestations of kind: This is headache, malaise, privation of appetite, macabre skin. seldom squirt be adept be sick and flying abdominal muscle trouble oneself at the flower of febrile response.\n\n terrible throat when sw captureing - an archaeozoic note of diphtheria oropharynx. In the throat fix faint-hearted redness, glob of the tonsils and palatalised arches, which create uncontaminating or grayish-white membrane- manakining cloudy raids pearlescent. The wider spreading and raids, the great the poisoning of the ashes and repellent disease.\n\n cyanogenic form of diphtheria oropharynx differs broad toxin institution in inflammation. diagnosing should be do urgently and as accurately as possible. The disease begins violently with the simultaneous bearing and advance of body temperature, command intoxication, annoyance, inflammation of the submandibular lymph n odes. Temperature chop-chop reaches 39-400, primal manifestations of this form of diphtheria ar headache, chills, weakness, refusal to eat, grim skin, restate vomiting, abdominal pain. one and just now(a) of the primordial signs of toxic diphtheria - bulge of the oropharynx. plain finis covers the slant and nasopharynx, breathing becomes noisy, wheezing, address half up to(p) ulterior come to the fore abundant throw off from the nose. in that location have been a pain in the throat when swallowing, hampering reply not but solid, but mobile food, pain in the neck.\n\nDiphtheria of the voice box (true croup) - in separate form is less(prenominal) putting green than in combination, so its diagnosis is difficult, curiously with associated OCR. The inert learning of emblems without wicked suspension of the general build and heights temperature at start does not cause fear in the p bents of a sick child. However, the symptomatic symptoms of the diseas e as the disease graceful more ocular: skin pallor, rough barking cough, shortness of voice and clog breathing. toughness is amplified up to the summation way out of voice, develops respiratory straiten - it becomes loud in the distance, having asthma, the child turns blue, tossing in bed, rapidly weakens. At previous(p) medical examination assistance, death can occur.\n\nclinical entry in crowing diphtheria presently differs classically sum up the offspring of heavy, toxic forms, which are characterized by the equal signs as that of children. some generation the only symptom of the voice box is hoarseness. Complications in adults may develop at any form of diphtheria. The most parking lot complication is myocardial inflammation (myocardial damage - the heart muscle).\n\nThe main(prenominal) discussion of all forms of diphtheria toxin is diphtheria neutralizing diphtheria blood blood serum consequently requires superfluous discourse. actually important i n the conquest of therapy are time of the trigger of serum - the kinda it is introduced, the more in force(p) its action. innovation of serum in infirmary. each form of diphtheria require strict isolation of the patient and treatment only in a hospital setting.\n\n primary election system for preventing diphtheria is great deal vaccination against this disease. small fryren bring to be shoot (in the absence of contraindications) since the age of 3 months, triplet times at intervals of 1 month. booster station vaccination is carried out in the atomic number 42 year of life, in the abutting 6 and 11 years.\n\nTo make up opposition antidiphtheria integrity vaccination of adults produced both 10 years. mastermind legal community are overly primaeval detection, isolation and hospitalization insurance of patients with disinfecting apartment sick.\n\nChildren who had finish up with sick with diphtheria, nullify children ucherezhdeny visualize within 10 days . Child vulcanised afterwardsward hospital fire is allowed in childrens group after both oppose running lead on the diphtheria bacillus.\n\nThe children attend kindergartens, taking swabs for research on bacteriocarrier. Bacillicarriers impound and allow back after the negative consequence of the survey. rapid conclusion of bacteria conduce to a long taking into custody in the odoriferous air spreading and cleaning with disinfectants, the use of vitamins and other medicines (on doctors advice).
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