Japanese ụbụrụ: mgbaàmà, ụgbọelu, ịgba ọgwụ mgbochi ọrịa

Japanese ụbụrụ - ọrịa na-efe ọrịa na-emetụta ọ bụghị naanị na ndị mmadụ kamakwa ụmụ anụmanụ. The virus tumadi na-emetụta ụbụrụ. Jupụtara ejupụta outbreaks ime si August na September, na-adịru adịghị karịa ụbọchị 50 a afọ. Ntoputa nke oké mmiri ozuzo na a ndabere nke na-ekpo ọkụ ihu igwe - ọ bụ uru ebe vector ozuzu ọrịa - anwụnta.

A obere akụkọ ihe mere eme

Back na 1871, Japanese dọkịta kọwara ọrịa na a na-egbu egbu na ya pụta na 60% nke ikpe. Ugbua na 1933 Haiashi anọrọ virus na-ekpebi kpọmkwem otú ọrịa na-ebute site ná. Na ókèala nke Russia, bụ onye mbụ e kwuru banyere Japanese ụbụrụ virus pụtara na 1938, ọrịa chọpụtara na ndịda Primorye.

The virus wee aha ya n'ihi na ntiwapụ nke ọrịa na Japan. N'oge ndị dị egwu ugboro, ya bụ na 1924, ndị virus karịa 7000 ndị mmadụ na-emetụta, 80% nke ọrịa a nwụrụ.

Na mba anyị, ọrịa a na-akpọ B ụbụrụ, a anwụnta ma ọ bụ n'oge okpomọkụ-mgbụsị akwụkwọ ụbụrụ.

Etiology na microbiology Japanese ụbụrụ

The causative gị n'ụlọnga nke ọrịa bụ virus genus Flavivirus, nke Togaviridae ezinụlọ. Virus na-gburu mgbe ewe iwe ka okpomọkụ nke 56 degrees bụ naanị 30 nkeji. Ọ bụrụ na ọ obụpde, mgbe ahụ, anwụ mgbe 2 nkeji. Ọ bụrụ na nje na-Fikiere ma oyi kpọnwụrụ, ọ ga-agaghị efu na nwere ike ịchekwa nta ruo mgbe ebighị ebi. Na ụlọ okpomọkụ, na nje nwere ike idowe na ike ibi ndụ maka banyere 45 ụbọchị na na mmiri ara ehi na-ajụ tupu ụbọchị 30.

kwere omume Vektọ

N'okpuru eke ọnọdụ, isi ụgbọelu na-Waterfowl. Ụfọdụ òké virus nwekwara e kewapụrụ.

N'ugbo ala nna Japanese ụbụrụ nwere ike na-eme ezi na inyinya. Ezi na-ebu ndị ọrịa na-enweghị ihe mgbaàmà, na incubation oge karịa 5 ụbọchị. Nnọọ adịkarịghị ọrịa ezì nwere ike ịbụ n'amaghi ime.

Nje onye dị ize ndụ ndị ọzọ. Na ahụ mmadụ na virus abatakwa asu nke nje anwụnta. Na ụmụ mmadụ, incubation oge àmà site 4 ka ụbọchị 21. Ìgwè ọrịa pụtara na ụjọ na-atụ anụ ahụ nke dị iche iche nke ụbụrụ. Vaskụla ọnya kwere omume shei na ụbụrụ anụ ahụ. N'otu oge, ihe ka ọtụtụ asymptomatic daa ọrịa. Ọtụtụ ndị na-mgbe ahụhụ si na ụbụrụ, e nwere-alụso ọrịa ọgụ na ọbara usoro. Na afọ, mmadụ ọ bụla dịghịzi usoro naanị ike.

Ebe virus bụ kasị nkịtị?

Kwesịrị ịdị, na Japanese ụbụrụ bụ nnọọ ahụkarị mba anyị. The virus na-dị na ndịda ndịda ọwụwa anyanwụ Asia, na bụ n'ebe ugwu nke Australia, India, Pakistan, Thailand, Japan na Indonesia. The ndepụta "ize ndụ" mba na-agụnye banyere 24 na-ekwu. Ke ofụri ofụri, n'okpuru iyi egwu nke na mmalite nke a bi banyere 3 ijeri ndị mmadụ na mbara ala. Na mba anyị na anwụnta na nwere ike ime ka ọrịa na-hụrụ na hapụrụ obodo nta nke dị ná mpụga obodo nta na obodo nta, na ebe ọ na-mmiri na-ezo na elu iru mmiri.

pathogenesis

Agwa maka Japanese ụbụrụ na-adabere na izugbe ala nke ahụ ike. The mma ndị mmadụ nwere, nke na-erughị ize ndụ nke ọrịa. Ọtụtụ mgbe, ndị virus gburu ugbua na ọgwụ na saịtị.

Ọ bụrụ na ihe niile ahụ virus "kwụsịtụ" ke idem, ya mmepe na-adabere n'ụzọ dị ukwuu na ahu okpomọkụ: ma ọ bụrụ na ọ na-aga elu, mgbe ahụ, nje na-"ọnụma" na-emepe emepe n'ike n'ike. The ụba ahu okpomọkụ na-eme ka kpụ ọkụ n'ọnụ N'ezie nke ọrịa. Ozugbo virus emeriela ọbara-ụbụrụ mgbochi, e zigara ka ụbụrụ parenchyma. Nke a bụ ebe virus amalite ifịk development. Na oké ikpe, na amụba nwere ike ịmalite na ụjọ usoro.

Japanese ụbụrụ: Mgbaàmà

Na ụmụ mmadụ, ọrịa emee na atọ:

1. Malite. Na oge mgbe nke banyere 3 ụbọchị. Ji a n'amaghi okpomọkụ ịrị elu 40 ° C, nke nwere ike ijide a larịị maka banyere 10 ụbọchị. Man nchegbu banyere isi ọwụwa, akpata oyi, ihe mgbu na lumbar spain, eriri afọ ebe nke aka na ụkwụ. Ụfọdụ ọrịa na-enwe ọgbụgbọ, na-eru-agbụpụ. Nwere ike nsogbu na quickens usu ka 140 gafere.

2. The nnukwu oge. On 3rd ma ọ bụ 4th ụbọchị na-abịa exacerbation daa ọrịa, mgbaàmà nwere ike iyi ji mara meningitis dara mbà n'obi ọnọdụ onye ọrịa, ọbụna amaghị onwe ya. Ọtụtụ ndị ọrịa na-ata ahụhụ si na ọrịa uche, ịmụ anya arọ nrọ, nkwenkwe ụgha.

Akwara ụda na-amụba, na-enwe ndidi nwere ike ịbụ naanị na a supine ọnọdụ na n'akụkụ ma ọ bụ na azụ. Aka na ụkwụ n'otu oge na-na a kpebisiri ọnọdụ. Akwara apịajighị apịaji ime na olu na ịta uru. Ekwe Omume nācha ọbara-ọbara nke optic akwara, ruo mgbe ọzịza. Ụfọdụ ọrịa nwere oyi baa ma ọ bụ bronchitis.

3. Oge mgbako. Japanese ụbụrụ na a nzọụkwụ nwere ike na-enwe ọganihu na 7 izu. Ahu okpomọkụ na-emekarị Nọsi'ike we laghachi na nkịtị. E nwere ike ịbụ ihe mmapụta mmetụta nke ụbụrụ mmebi, muscle adịghị ike, ọnwụ nke nchikota, bedsores.

E nwere ndị ọrịa na-ata ahụhụ na ọrịa na a nwayọọ ụdị, enweghị akwara ozi mgbaàmà.

Oké ọrịa nwere ike igbu.

Karịsịa Epidemiology na prognosis

Activators nke Japanese ụbụrụ na-kacha-ahụkarị slaboobzhityh ebe nso ponds na marshes. Ná mba okpomọkụ, ntiwapụ nke ọrịa adịru ogologo oge karịa ụbọchị 50. Ihe ize ndụ na-agụnye mmadụ na-arụ ọrụ n'èzí ma ọ bụ nso na mmiri. Ọtụtụ mgbe na-ata ahụhụ site na Japanese ụbụrụ mmadụ site 20 ruo afọ 40.

Na n'ihe ize ndụ na-eme njem nleta na-aga na ezumike na mba na a okpomọkụ, ebe e nwere elu iru mmiri na udu mmiri. Nke a bụ Philippines, Thailand, karịsịa n'ebe ugwu nke ala, India, Indonesia na mba ndị ọzọ. Njem na-Ya mere ike na-atụ aro ka ọgwụ mgbochi ọrịa tupu na-aga mba okpomọkụ.

The amụma mgbake bụ nnọọ obere, ihe gbasara nke puru onwu bụ 80%. Dị ka a na-achị, dị ize ndụ mbụ 7 ụbọchị, onye ọrịa nwere ike ịdaba a Coma, ma ọ bụ ihe ọdịdọ-adịghị agwụ agwụ mmekpa.

Ndị mmadụ na-na-arahụ site na niile nkebi nke ọrịa, mgbe mgbe, nwere mmapụta mmetụta:

• psychoses;
• hyperkinesis;
• ibelata na ọgụgụ isi ike;
• mkpọnwụ;
• asthenic ọnọdụ.

achọpụta ọrịa jikoro

Diagnosis nke ọrịa - bụ a set nke na-adakarị na laabu nnyocha. Mgbe ị na-ahọrọ a usoro ndị dọkịta na-agba mbọ isi na ọrịa na-arịa. Diagnosis na-agụnye:

1. Laboratory ule. Ke akpa urua mgbe ọrịa chọpụta daa ọrịa ọ pụrụ ịbụ site a ọbara ule. N'ime izu abụọ, i nwere ike ịchọpụta ọrịa dabeere na ihe ọmụmụ nke cerebrospinal ọmụmụ.

2. Serology. Diagnosis agụnye iji enzyme immunoassay, ma ọ bụ RN, RNGA-, RTGA- na DGC ule.

ọgwụ na ahụ ike ọgwụgwọ

Ọgwụgwọ nke ọrịa ndị "na zutere" vector nke Japanese ụbụrụ nwere ike ghara ẹkenịmde site naanị otu dọkịta. The ọgwụ gụnyere nje ọrịa, neurology na resuscitators. N'okpuru anyịnya ọnọdụ onye ọrịa na-ndinọ a kpọmkwem immunoglobulin ma ọ bụ ọbara, banyere 3 ugboro n'ụbọchị maka otu izu nke ọgwụgwọ. Yana a ịbụ symptomatic na pathogenetic ọgwụ. Ndị a na-eme na-na-iji na mgbochi nke ọrịa ụbụrụ edema, detoxification, normalisation nke niile na akụkụ na usoro.

Isi nsogbu bụ na-agwọ bụ ekwe omume Japanese ụbụrụ. Agwọ nwere ike na-ewepụ ndị mgbaàmà. Ya mere, ọ dị ezigbo mkpa ka ọgwụ mgbochi ọrịa na-adọ ha n'ụzọ.

Prevention of ọrịa

Iji gbochie ọrịa dị ezigbo mkpa na-arụsi ọrụ ike ọgwụ mgbochi ọrịa nke ndị bi na. Ịgba ọgwụ mgbochi ọrịa megide Japanese ụbụrụ nwere aha "formolvaktsina". N'ezinụlọ mberede prophylaxis pụtara ochichi nke 6 ml na 10 ml immunoglobulin hyperimmune Equine ọbara.

Ke adianade do, mgbochi nke ọrịa - ọ bụ a usoro nke mbara jikoro na-echebe megide anwụnta agha. The epidemiological n'ihe ize ndụ ebe nwere ike na-atụ aro iji na-echebe uwe. Amanyere bụ iwu iji ọgwụ, ointments na sprays, na ojiji nke niile jikoro iji gbochie anwụnta na ndụ ụlọ.

Ina ọgwụ mgbochi ọrịa megide Japanese ụbụrụ na Moscow nwere ike na ọchịchị na onwe ọgwụ oru.

Ọtụtụ mgbe, onye na ọgwụ mgbochi ọrịa, "gburu" ogwu, otú ọ dịghị nsogbu mgbe ịgba ọgwụ mgbochi ọrịa. N'otu oge ahụ, ọ na-atụ aro ka ịkpọ onye dọkịta ma ọ bụrụ na e nwere nfụkasị Jeremaya mere. Ikekwe ọdịdị nācha ọbara-ọbara na ọzịza na ọgwụ na saịtị. Nwere ike ịpụta isi ọwụwa, afọ ọsịsa, ihe mgbu na uru. Ụfọdụ ọrịa mkpesa nke dizziness na ọgbụgbọ, akpata oyi, na ihe ọkụ ọkụ.

Ọgwụ mgbochi ọrịa na-adịghị rụrụ na ọnụnọ nke a ọnụ ọgụgụ nke na-efe efe na oge nke gestation na lactation, ma ọ bụrụ na ọ na-amara na onye ọrịa ahụ hypersensitivity ka heterologous edozi, oké nfụkasị Jeremaya.

Taa, e nwere 4 isi ụdị ọgwụ mgbochi megide Japanese ụbụrụ:

• inactivated;
• dabeere na òké mkpụrụ ndụ ụbụrụ;
• inactivated dabeere Vero mkpụrụ ndụ;
• recombinant ndụ na-ebi ndụ attenuated vaccines.

The kasị ewu ewu na ogwu SA14-14-2 gafere WHO mmughari na-emepụta China.

Maka njem nleta, ịgba ọgwụ mgbochi ọrịa a rụrụ, dabere na nke mba ha na-aga na-aga, ebe ha ga-ebi, nke dị ná mpụga obodo ma ọ bụ n'obodo ahụ, n'ihi na olee otú ogologo, 1 izu, ọnwa ma ọ bụ afọ.

Ịgba ọgwụ mgbochi ọrịa nwere ike rụrụ site abụọ atụmatụ:

Citizens nwere akụkụ-oge ugbo, kwesịrị ịgba mbọ hụ ịgba ọgwụ mgbochi ọrịa nke na ụmụ anụmanụ, ebe ha na-toro. Ezi na-akacha eji "ndụ" ogwu. Na ebe nkewa dị ize ndụ ebe, ọ bụ ihe amamihe na-ebu mgbe omume na ụmụ ahụhụ.