Ọrịa dengue virus. Ọrịa dengue Ikpo Ọkụ: mgbaàmà, nchoputa, ọgwụgwọ na mgbochi

Ikekwe, ọtụtụ nụrụ nke ikpe ebe njem nleta bịara tọgbọrọ mberede emetụta onye na-amaghị ọrịa, nke a na-akpọ "ọrịa dengue virus". Gịnị bụ ọrịa a? Ọ ga-ekwe omume iji zere ọrịa ya? The emeso ọrịa dengue (virus)? Gịnị bụ ihe mgbaàmà na ihe akụkụ na-emetụta? Gịnị bụ mgbochi nke a ọrịa?

Ọrịa dengue fever bu nnukwu malitere ịrịa ọrịa na mgbaàmà nke igbu egbu, Bilie muscle-nkwonkwo mgbu, ahụ ọkụ, ọkụ ọkụ na-emighị emi dị ka agwa ntụpọ hemorrhages ná mgbanwe nke ntaramahụhụ. Dị ka ya antigenic mejupụtara nke virus bụ yiri nje nke Japanese na West Nile ụbụrụ na-acha odo odo fever. Ọ bụghị egwu nke ihicha na kefriza, ma ọ bụ susceptible ka mmetụta nke UV na okpomọkụ. Isi mmalite na ebu ndị ọrịa na mgbakwunye na nke nje onye bụ ụsụ na enwe.

On isi iyi nke ọrịa dengue ọrịa

The ọrịa dengue virus - ihe ọ bụ? The causative gị n'ụlọnga nke ọrịa, ruo n'etiti narị afọ nke 20 nke nēbu aha kostolomnoy ma ọ bụ na nkwonkwo, fever, a virus nke ezinụlọ Togaviridae ụdị Flavsvsrus. Olee otú ize ndụ bụ virus nke ọrịa dengue? Dị ka ọrịa na-agbasa? Na nke ka nke ọrịa dengue fever bụ ọsọ na mpaghara na subtropical na okpomọkụ climates: ọ bụ Australia, South America, Southeast Asia, Africa na ndị ọzọ. N'Ụzọ Kwekọrọ ọrịa na mpụga nke nso nke ya nkesa.

Nke a bụ n'ihi na Mbugharị nke nje ndị mmadụ na importation nke anwụnta Aedes aegypti na Aedes albopictus - ya na-ebu. Ndị a na ụmụ ahụhụ ji mfe mmegharị oyi ọnọdụ, na-ezo ike na microenvironments, ino na mkpu, na ya, a elu lanarị ọnụego. Oria nwere nku ahuhu-aghọ 1-2 izu mgbe saturation nke ọbara nke nje onye na-eburu n'onwe ya na-enwetara ọrịa dengue virus, nke e nwere na-4 ụdị, maka ọnwa atọ. The nwanyi anwụnta Aedes aegypti bi na mmadụ na-ebighị, na-egosipụta kasị elu ọrụ na a okpomọkụ nke 25-28 ° C na-ata na n'ụbọchị. Favorite oge nke aru nke anwụnta Aedes albopictus - n'isi ụtụtụ ma ọ mgbede awa tupu anyanwụ dara.

N'ịbụ Ukwuu anabata pụrụ iche, ọrịa dengue fever virus ndị mmadụ nwere ike bulie mgbe mbụ aru. Amụba ẹka n'ime ahu nke virus emee n'ime 3-5 ụbọchị na ọbara arịa na Lymph. Mgbe ahụ banye n'ime n'ọbara na-eme ka mmepe nke viremia, nke na-egosipụta onwe clinically feverish mmenaanya syndrome. Next ọrịa dengue virus abatakwa anụ ahụ na akụkụ; dị ka ọ na-agbakọ abịa enyemaka nke na-adakarị mgbaàmà na ọbara. Na nke ka nke ọrịa dengue ewekarị onye bịara n'ógbè nke mgbasa nke ọrịa, na ndị agadi na-esighị ike ndị mmadụ na ụmụaka, ndị kasị eme ememe nke N'ọnọdụ nile nke ọnwụ, karịsịa na ụmụ n'okpuru afọ 1 afọ.

Kasị uka ntiwapụ nke ọrịa nke ọrịa dengue virus

N'ime afọ iri gara aga ụwa ahụwo a ịrịba abawanye na ọnụ ọgụgụ nke ndị na-gburu site na ọrịa dengue fever virus. Ya mere, na 1981 na Cuba, na virus na-kpuchie Olee ihe enyemaka 350,000 ndị mmadụ, 10,000 n'ime ha ya na oké ụdị, na 158 nwụrụ. Na 1980, Ndị mmadụ Republic of China dara ọrịa fọrọ nke nta 440 000 ndị, ọnwụ wee maka 54 nke ha. N'ihi na oge mbụ na arọ ọrịa dengue e achọpụtara na 1950, n'oge ntiwapụ nke ọrịa nke ọrịa na Thailand na Philippines. Nke a na ụdị fever na infects ugbu a ndị bi na nke kasị Latin American na Asian mba, bụ otu n'ime ndị na-eduga na-akpata nke ụlọ ọgwụ na enwe na ndị a na mpaghara nwa ọhụrụ bi. Isi ntiwapụ nke ọrịa na-metụtara penetration nke ọhụrụ maka ụdị virus na a akpan akpan mpaghara.

Ụdị ọrịa dengue

N'elu ọrịa, ọrịa dengue fever maka 5-7 ụbọchị (mgbe ụfọdụ si 3 15 ụbọchị) echekwara incubation oge, mgbe nke na e nwere onye nọ n'ọrụ okwu mgbaàmà nke nwere ike apịaji dum adakarị picture. Mgbe ụfọdụ, ọ na-anọchi prodrome, na-egosi mmalite nke ọrịa tupu ọdịdị kpọmkwem adakarị ịrịba ama; e nwere a na steeti, ọ bụ nnọọ reminiscent nke predgrippoznoe: mgbe nile fever, nkwonkwo na isi ọwụwa, n'ozuzu adịghị ike, ike ọgwụgwụ. Ọrịa dengue virus, mgbaàmà mgbe niile na-agụnye a nkọ na-abawanye na okpomọkụ na-adị na abụọ iche: oge gboo, e ji a benign N'ezie nke ọrịa, na hemorrhagic, na a di na mgbe, ọnwụ.

Ọrịa dengue fever: mgbaàmà

Classical (benign) ụdị emee nnọọ mma. N'otu oge ahụ ji otu obi ọnụego Ọnọdụ: mbụ, ọ speeded elu, 2-3 ụbọchị ụfọdụ nke ọnụ ọgụgụ ndị gafere kwa nkeji bụ ugboro 40, nke na-egosi omume nke bradycardia. Ọrịa dengue fever, na incubation oge banyere otu izu, na oge gboo ụdị egosipụta na abụọ taps: n'ubọchi mbu e nwere a nkọ ịrị elu okpomọkụ ka 38-41 ° C, 3-4 ụbọchị - ya normalisation.

Mgbe ọzọ ugboro ugboro ịrị elu elu akara - isi na-egosi na ihe ahu nke ọrịa dengue virus ugbu a. Mgbaàmà-egosi n'out oge na-abawanye nke na okpomọkụ:

• lymphadenopathy;
• ama jijiji;
• Omume tachycardia;
• adịghị ike, lethargy, egwu nke ìhè;
• runny imi;
• na ịpị mgbu na eyeballs;
• isi ọwụwa, ọzịza nke ihu;
• mebiri nke agụụ, na-ehi ụra;
• ọdịdị nke ilu dị n'ọnụ;
• muscle na nkwonkwo mgbu, megide nke Immobilization onye ọrịa nwere ike ime;
• vomiting, delirium, mkpọchị nsụhọ - na ikpe nke na-arịa ọrịa siri.

Ọrịa dengue virus, na-emetụta ndị mmadụ, malite n'ụbọchị mbụ na-eduga ná a isi mgbanwe ọdịdị ya: onye ọrịa n'ụzọ doro congested ihu, ntekwasa ire, apụta grainy na juu okpo ọnụ, kwuru sclera arịa ogwu ogbugba, n'ihi na nke photophobia n'anya na-ekpuchi.

Ọkụ ọkụ - isi mgbaàmà nke ọrịa dengue fever

Banyere 6 ụbọchị, nke abụọ ife nke feverish, ahụ ọkụ ọkụ a hụrụ - isi mgbaàmà nke ọrịa dengue fever. Mgbe ụfọdụ, a na-enwe nwere ike ghara ime. Na mbụ, ndị ọkụ ọkụ na-metụtara nanị akụkụ ụfọdụ na obi, mgbe ahụ, na-agbasa ofụri idem, ịghọta aka na ụkwụ. Ọkụ ọkụ dị ukwuu, bụ a dị iche iche size tụrụ melkotochechnye hemorrhage na papules red hue. All a na-esonyere oké itching na flaking. Ke akpatre oge nke ọrịa ọbụna n'ihi 4-8 izu na ọrịa na-enwe adịghị ike, ike ọgwụgwụ, muscle na nkwonkwo mgbu, ọnwụ nke agụụ, na-ata ahụhụ site na ehighị ụra nke ọma.

Mgbe mgbake, ọrịa na-aga runningaway àmà na ndụ ọgụ na ụdị nje kpatara kpọmkwem banyere ọrịa, ma ka a ize ndụ nke nlọghachi azụ ruru ka a dị iche iche ụdị ọrịa. The classic ụdị ọrịa na-adị mgbe ndị ọrịa emee maka oge mbụ, bụ a N'ihi ya nke hemorrhagic abụọ ọrịa bi jupụtara ejupụta ebe ma ọ bụ isi ọrịa ahụ na-esite, ketara n'aka nne-alụso ọrịa ọgụ. The ọdịiche dị n'etiti isi na nke sekọndrị, ọrịa nwere ike mbio a ọnwa ole na ole ka afọ ise.

Description nke hemorrhagic ụdị ọrịa

Ọrịa dengue virus (foto ọrịa ngosipụta ọkọnọ n'okpuru) na hemorrhagic ụdị bụ ihe siri ike karịa ndị oge gboo na ji a di na enwe. Ọ na-amalite na mberede na na mbụ ogbo esonyere elu fever, nkọ ọdịda ọbara mgbali, oké ọgbụgbọ, ugboro ugboro vomiting, nnukwu abdominal mgbu, ụkwara, ukwuu mmiri mmiri stool, development maculopapular ọkụ ọkụ na ahu na mgbasa na ihu.

Bụ onye na-abawanye na Lymph na imeju, hyperemia akpịrị na tonsils, ọbara ọdịdị rashes na ozu, na-agba ọbara na lining nke afo, eriri afọ na ụbụrụ, eriri akpa nwa ọbara ọgbụgba. Ọrịa na-arịa na-akawanye njọ n'ike n'ike, na e nwere onye na-abawanye nke adịghị ike.

4 dị iche iche degrees nke hemorrhagic ụdị ọrịa dengue fever:

• 1st ogo. Esonyere fever, ihe ịrịba ama nke general nsi nke ahụ, ọbara na-akpụkọta.
• 2nd ogo. The ịrịba ama nke 1st ogo na-atụkwasịkwara itunanya ọbara ọgbụgba (nke na-agazu n'agbụ, intradermal, eriri afọ). Blood ule na-egosi a akpọ thrombocytopenia na hemoconcentration.
• Nke atọ ogo. Ịrịba ama nke 2nd ogo plus ihe obi ụtọ ala, obi ọdịda.
• 4-nke ogo. All mgbaàmà nke atọ ogo, prohibitively ala ọbara mgbali na ukwuu ujo.

3rd na 4th ogo ma na-akpọ ọrịa dengue ujo syndrome aa na 3-6 ụbọchị ọrịa. N'oge nnyocha nke onye ọrịa na ndị kasị eme ememe fever elu-ekwekọghị n'okike pallor, acha anụnụ anụnụ egbugbere ọnụ, a ọnụ ke usu nsogbu, nchegbu, nnyapade oyi na nsọtụ, tachycardia, nakwa dị ka:

• mkpọchị nsụhọ;
• ụfụ onye muscle iche iche;
• a nkọ ọnụ ke ọbara mgbali;
• dilated ụmụ akwụkwọ;
• mpiaji mgbochi;
• cyanosis na coldness nke anụ.

maloprodolzhitelna ujo oge: onye ọrịa nwere ike anwụ n'ime 12-24 awa. Ọ bụ n'oge a, na e nwere ọnụ ọgụgụ kasịnụ nke ọnwụ, ọnụego nke na nkezi bụ 5-20% nke ọnụ ọgụgụ nke ikpe nke ọrịa dengue hemorrhagic fever. Ọrịa na-anwụghị elu nke ọrịa, na-amalite na-aga ngwa ngwa na mezie. Mma prognostic ịrịba ama bụ mweghachi nke agụụ. The abụọ okpomọkụ ịrị elu na hemorrhagic ife ụdị, a na-anaghị eme eme. Nsogbu nke ọrịa bụ psychosis, oyi baa, otitis media, ụbụrụ, polyneuritis, meningitis, thrombophlebitis, parotitis.

Ọrịa dengue Ikpo Ọkụ: Diagnosis

Ọrịa dengue fever emee anya nke ude nke epidemiological echiche: na ọnụnọ ihe jupụtara ejupụta ebe, morbidity, outbreaks nke ọrịa, anwụnta ata aru. The ọrịa na-adị mfe chọpụtara n'etiti outbreaks site n'ịchọpụta e ji mara ya: sọrọ-wavelength fever, arthralgia (nkwonkwo mgbu), ihe ọkụ ọkụ (ọkụ ọkụ), myalgia (muscle mgbu), lymphadenopathy (abawanye na size nke Lymph). Sub-egosi ike a sample nke njikota - subcutaneous hemorrhage mgbe tourniquet ngwa ma ọ bụ cuffs na n'ikpere aka.

Key egosi maka nchoputa nke ọrịa dengue fever:

• mberede mmalite, oké ahụ ọkụ na-adịgide adịgide maka banyere otu izu;
• na-agbọ ọbara, nosebleeds, na-agba ọbara na anụ ahụ, red tụrụ na akpụkpọ, na-agba ọbara si goms;
• hemorrhagic mgbaàmà nti ule njikota;
• hemoconcentration, imeju, na-abawanye na size, thrombocytopenia karịa 100 x 109 / L, na-abawanye na hematocrit bụ ihe na-erughị 20%.

Ọrịa dengue Shock ọrịa na-ekpebisi ike site na:

• nke otutu ike usu na belata usu mgbali;
• hypotension;
• nnyapade, oyi akpụkpọ;
• erughị ala.

Laboratory-enen ọrịa na mbụ na nke abụọ ma ọ bụ ụbọchị atọ nke ntọhapụ nke ndị virus si ọbara na iji chọpụta na-abawanye na paired ọbara antibody titer (PTA, RSK, neutralization mmeghachi omume). Nke a analysis e ji ihe ezi results, ma n'ụzọ pụrụ iche na ime nnyocha a chọrọ maka nke a ụdị nnyocha. Ọ nwere ike rụrụ serological ule iwu nke ịdị ukwuu mfe anọrọ virus n'ebe ọbara ma na-ukwuu na-erughị oge, ma e nwere bụ a ohere nke na o kwere omume cross-Jeremaya mere na ndị ọzọ nje nwere ike ime ka a ụgha mma nchoputa na nkwupụta.

ọrịa dengue virus ọgwụgwọ

Ọ dị mkpa ka ngwa ngwa mata ọrịa dengue virus, ọgwụgwọ nke bụ arụmọrụ nke ọgwụ. Ọ ga-iburu n'uche: mesịrị ọgwụ a na-e, na ala arụmọrụ.

Mgbe mbụ ogbo irè ọgwụ ọjọọ, ndabere nke e interferon. Ọzọkwa maka mfe nyefe nke fever symptomatic ọgwụ ọjọọ na-eji: antipyretics, Antihistamines, ihe mgbu relievers. Ọrịa detoxification ọgwụgwọ a chọrọ, chọrọ ịnọgide na-enwe mmiri itule na kacha ojiji nke ego, na-amụba ego nke plasma emepụta corticosteroids na ọgwụ nje dị ka achọrọ (na ọnụnọ nke nje na nsogbu).

Iji ụbọchị, ọ dịghị ogwu na-echebe megide ọrịa dengue fever adịghị adị. Mmepe ha bụ mgbagwoju anya n'ihi na nke ịdị adị nke virus ụdị 4 (ie, ogwu ga-alụ ọgụ na ha niile - na-tetravalent) na n'ihi enweghị anụmanụ ụdị, na-ezughị ezu doo anya ọrịa ọrịa dengue fever na dịghịzi Jeremaya mere maka nchebe. E nwere ọtụtụ ibuo ọgwụ mgbochi na-ugbu na iche iche nkebi nke na-adakarị ọnwụnwa.

Ọrịa dengue fever: mgbochi

Ọgụ anwụnta Vektọ ya ugbu a na-atụle ihe ndị na usoro nke ịchịkwa ma ọ bụ na-egbochi ọrịa dengue virus nnyefe. Na Africa, ndị a anwụnta na-ekesa na eke na gburugburu ebe obibi (na akwukwo axils, osisi n'oghere), America na Asia - dị iche iche akọ wuru: ihe tankị, rụọ, ite ụrọ, bụ nke a nkwụnye ego nke ụlọ onunu nke mmiri, dị ka nke ọma dị ka ndị ọzọ na-achị, adabara ịchekwa mmiri mmiri. Nke a nwere ike ịbụ ekwesighi containers mere nke plastic, ahihia na taya na na. Ọrịa dengue fever, nke bụ mgbochi na ọgwụgwọ bụ ihe dị mkpa ọrụ na mba na-ekpo ọkụ iru mmiri ihu igwe, obodo mgbasa dị ka a n'ihi nke ahia mba ofesi na-eji taya - ezigbo ebe ndị a na ụmụ ahụhụ.

Na ebe a elu ogo morbidity na-aha, ị chọrọ ewepu ohere ebe anwụnta nkwụnye ego àkwá, ya bụ artificially kere mmiri tank. Ọ na-atụ aro iji hazie kwesịrị ọnọdụ maka nchekwa nke mmiri mmiri mee (mechiri emechi akpa, nke kwesịrị efu na asa dịkarịa ala otu ugboro a izu). Mgbe azọpụta a capacitive mmiri maka oru nzube n'èzí ga-ekwe ka iji ụmụ ahụhụ. Ọzọkwa, iji gbochie ntinye nke anwụnta n'ime ụlọ ga-nnọọ mkpa iji anwụnta. Nde mgbochi ala mmiri na ya mkpọchi. Mgbe ụfọdụ, igbu ndị a na ụmụ ahụhụ na-enyemaka nke obere azu na obere crustaceans - nke eke anụ. Na ebe-ekwe omume nke ọrịa dị elu, ọ na-achọrọ na-eyi ogologo Uwe uwe, iji onye nchedo, mgbe ị na-anọ n'okporo ámá iji gburugburu na evaporators megide anwụnta. N'ihi ọma vector akara achọ nchikota ndi mmadu di nke kpọmkwem obodo. Iji chọpụta irè nke adọ maka akara nke Vektọ nke virus nwere ike na-enweta site na-aga n'ihu nlekota na epidemiological surveillance nke na-ebu ọrịa.

Olee otú ọ bụghị iji jide ọrịa dengue fever?

Ọ bụ ọdịdị mmadụ echiche nke ihe ọmụma, ndị enyi ọhụrụ, ọhụrụ mba, ọhụrụ njem. Ọ bụrụ na ị na-aga ileta na mpaghara, ebe e nwere ohere nke ibute virus na akpa ebe kwesịrị ha ka mma ọgụ. Ọ na-atụ aro ka na-aṅụ a N'ezie nke vitamin na-ewusi ahụ ji alụso ọrịa usoro, rie eke ọhụrụ juices, ọhụrụ mkpụrụ osisi na akwụkwọ nri, ihe na-abịa na ikuku na mmega. A njem na-achọsi ike weghara echebe sprays megide ụmụ ahụhụ.

On ya laghachi na ihe omume nke ọrịa dị mkpa ka ị hụ dọkịta, na-efe efe. High fever, oké isi ọwụwa, anụ ọkụ ọkụ, muscle-nkwonkwo mgbu, ihe mgbu na-akpata anya, vomiting, fụrụ akpụ Lymph - isi ihe ịrịba ama na-agwa na organism bụ ugbu a na ọrịa dengue fever. Ịgba ọgwụ mgbochi ọrịa bụ ugbu a si na ọrịa bụghị ma e mepụtakwara.