Adenovirus (adenovirus) - ndichiyani? Kodi kuchitira adenovirus?

Pali matenda ambiri amene amayambitsa matenda osiyanasiyana anthu. Pakati pawo malo apadera wotanganidwa ndi adenovirus. Kodi mtundu wa bakiteriya, zomwe ziwalo zingamvekere, mmene kulimbana nacho? Anthu ambiri atamva zimenezo wothandizila causative.

Adenovirus - wotani yapadera?

Nthenda wa banja la mastadenoviruses adenovirus akale. Panopa pali za makumi serotypes. Monga mbali ya aliyense wa HIV lili DNA amene amati ndi chizindikiro cha nthumwi za m'mapapo.

Iwo anakhazikitsa kuti adenoviruses - ndi bakiteriya ozungulira mawonekedwe ndi awiri a 70-90 nm. Iye ali ndi gulu yosavuta.

tizilombo toyambitsa matenda anali woyamba olekanitsidwa tonsils ndi adenoids mwana odwala mu 1953. Kenako, pamene kuipitsa mbiri wamamamayikirosikopu odwala ndi matenda pachimake kupuma tizilombo anapezanso adenovirus. Kodi matenda ichi? Koma chaululidwa, ndipo odwala ndi zizindikiro za chibayo atypical ndi chitukuko cha conjunctivitis.

Mmene imafalikira

Kachilombo tizilombo tizilomboto kungakhale airborne ndi fecal-m'kamwa njira, kudzera zinthu odwala munthu, chakudya, madzi mu madzi lotseguka kapena m'madamu kusambira. Adenovirus - ndi matenda zokwawa ngati munthu ndi zizindikiro zilipo, ndi kachilombo chonyamulira, alibe zizindikiro zilizonse za matenda.

The matenda kugonjetsedwa ndi kusintha chilengedwe, si anawonongedwa mu mpweya ndi madzi amalimbikira kwa nthawi yaitali pa medicaments ntchito mankhwala mu pochiza matenda a maso.

Malo oyamba a HIV ndi nembanemba mucous a dongosolo la kupuma ndi m'mimba, ndi conjunctiva. Ozama mu maselo zaminyewa ndi lymph mfundo, iwo amayamba kuchulukana. Ndi chitukuko cha CPE ndi mapangidwe inclusions intranuclear. Maselo anakhudzidwa anawonongedwa ndi kuwonongeka, ndi kachilombo zimachokera pansi m'magazi, matenda ziwalo zina.

Pakati serotypes ena adenoviral anakumana oncogenic Oyimirira kuchititsa mapangidwe zotupa zilonda nyama.

Chifukwa cha adenovirus matenda zaminyewa minofu Pamlingo wamng'ono chotchinga ntchito, omwe amachepetsa chitetezo zochita kwachilengedwenso mu thupi ndi zingachititse concomitant chitukuko cha chiwonongeko bakiteriya. Zilibe ndi zotsatira tizilombo nyama.

Chitetezo kukonzanso matenda

Kawirikawiri wodwala achire matenda adenovirus anayamba chitetezo chokwanira amphamvu, koma ndi zenizeni serotype adenovirus. Kodi zikutanthauza chiyani? Iwo likukhalira kuti pamene kulankhula wotsatira ndi HIV yeniyeni si anthu odwala.

Pobadwa, mwanayo amapeza chitetezo chokwanira chabe, amene Mwamsanga patapita miyezi isanu.

Zosiyanasiyana matenda adenoviral

Pali onse mwachisawawa ndi mliri kuwonekera kwa adenoviruses, nthawi zambiri mu timu ana. The matenda amakhala ndi zosiyanasiyana maonekedwe, monga HIV amakhudza dongosolo kupuma, mucous zimagwira ntchito zosiyanasiyana, maso, matumbo, chikhodzodzo.

zotsatira zosiyana pa adenoviruses anthu. matenda gulu monga:

• tizilombo matenda pachimake kupuma osakaniza ndi malungo (zambiri akufotokozera paubwana);
• tizilombo matenda pachimake kupuma mu akula;
• tizilombo chibayo;
• pachimake adenoviral angina (makamaka kwambiri kwa ana pa dzinja pambuyo madzi mankhwala);
• pharyngoconjunctival malungo;
• plonchaty conjunctivitis;
• mesadenitis;
• pachimake follicular conjunctivitis;
• wamkulu mliri keratoconjunctivitis;
• matumbo matenda (enteritis, m'mimba tizilombo, gastroenteritis).

Kutalika kwa nthawi makulitsidwe ndi kwa masiku atatu ndi inayi.

kuchuluka kwa matenda

Mwa matenda onse olembedwa a dongosolo kupuma pa nusu ya kugonjetsedwa adenoviral chimachititsa pakati pa 2 ndi 5%. The kwambiri poyera ana ndi ana.

5 mpaka 10% a chikhalidwe tizilombo nkhani za matenda chifukwa adenovirus. Kodi zosonyeza? Choyamba, mfundo zimenezi umboni kugawa ake lonse, makamaka ana (75%). Awa, mpaka 40% amapezeka ana osaposa zaka 5, ndi chiwerengero otsala amafalitsidwa zaka zapakati pa zaka 5 mpaka 14.

matenda Adenoviral khalidwe kupuma

Kuyambira matenda malungo mpaka 39 ° C, kupweteka malaise ambiri. Pa ana mosiyana akuchita adenovirus, zizindikiro kuonekera pang'onopang'ono kwa ana, yodziwika ndi ulesi, kusafuna kudya, otsika kalasi thupi kutentha.

Malungo kumatenga masiku khumi. Thupi kutentha mwina igwani, ndiye kuwuka, zizindikiro atsopano amapezeka pa nthawi imeneyi.

Kuyambira masiku oyambirira a matenda pali m'mphuno kuchulukana. Tsiku lotsatira pali zambiri mucous kapena mucopurulent kumaliseche, limodzi ndi chifuwa youma zimachitika kawirikawiri.

Umayamba kuvulaza pakhosi pake chifukwa cha redness kukhosi, tonsils ndi zitsime zosambiramo, kuphatikizaponso kuwonjezeka lomaliza kukula.

Zizindikiro za kutupa airway

fomu iyi ndiyo wamba, amakhala ndi kutupa mu Airways. The matenda waukulu monga laryngitis, rhinopharyngitis, tracheitis, matenda ndi zolimbitsa ambiri kuledzera.

Zizindikiro pharyngoconjunctival malungo

Wachisoni yaikulu pakhosi ali adenovirus. Zizindikiro ndi chifukwa kuwonjezeka kutentha anachita kwa masabata awiri ndi zizindikiro za pharyngitis. Kawirikawiri pali zilonda zapakhosi ndi chibaba nthawi zina kutsokomola, matenda si kupitirira mundawo kupuma.

Zizindikiro za conjunctivitis plonchatogo

Ambiri amadwala akulu ndi ana achinyamata. Matendawa amayamba ndi unilateral kapena amgwirizano conjunctivitis ndi mapangidwe a filimu pa mucosa wa chikope m'munsi. Palinso kutupa Amowabu ndi redness minofu ozungulira diso, ululu, kuchuluka mtima bedi conjunctiva ndi malungo. Mu matenda kupuma dongosolo palibe infestation adenoviral matenda.

zizindikiro tonsillopharyngitis

Matendawa akufotokozera ana zaka sukulu. Mbali khalidwe la tonsillopharyngitis ndi kusintha yotupa mu nsalu kupanga pharynx ndi tonsils. Adenovirus, chithunzi chimene anapereka pansipa, chifukwa cha angina.

Mitundu mitundu matumbo

Chiwonetsero cha adenovirus matenda m'matumbo amagwirizana ndi kukula m'mimba zolimbitsa tizilombo ndi gastroenteritis. HIV kamayambitsa nseru, kusanza, kutsekula m'mimba, opanda uchimo kuwonjezeka pang'ono thupi kutentha. Kuwonjezera matenda matumbo zotheka matenda a dongosolo kupuma Mwachitsanzo, rhinopharyngitis kapena laryngotracheitis.

mesenteric adenitis

mtundu wina wa matenda, imene pali ululu m'mimba ndi malungo. N'zotheka concomitant matenda amafuna mankhwala antimicrobial.

Kodi kudziwa wothandizila causative

Pali njira yeniyeni imene adenoviruses atsimikiziridwa. Microbiology amagwiritsa ngati kumaliseche mayeso ndowe zinthu njira za m'mphuno, pakhosi, diso conjunctiva. Pofuna kukhazikitsa tizilomboto inoculation ntchito, yomwe ikuchitika mu chikhalidwe cha maselo a anthu zaminyewa.

Laboratory matenda ntchito immunofluorescence wamamamayikirosikopu kudziwa antigens pa adenoviruses. Microbiology mu nkhokwe zake amagwiritsa ntchito njira zimene akhoza kudziwa matenda izi. Zikuphatikizapo njira:

• RAC - serodiagnosis matenda tizilombo chifukwa yothandizana-oteteza anachita IgG ndi IgM.
• HAI - Haemagglutination anachita imatengedwa braking ndondomeko chizindikiritso cha HIV kapena chitetezo mu madzi a m'magazi a munthu wodwalayo. Njira ntchito ndi kupondereza antigens ndi tizilombo ku chitetezo cha m'thupi seramu kenako anasiya mphamvu ya tizilombo kuti agglutinate maselo erythrocytic.
• RN-njira zachokera kuchepetsa zotsatira cytopathic wa HIV chifukwa cha kugwirizana ndi yeniyeni AT.

Kudziwa Antigen tizilombo akhoza kukhala mwa matenda mwamsanga. Childs amaphatikizapo kafukufuku amenewa:

• Immunoassay kusanthula kapena Elisa - njira zasayansi a mtima immunological makhalidwe Mkhalidwe kapena kachulukidwe kachilombo koyambitsa matenda a lagona pa yeniyeni anachita pakati pa Antigen ndi oteteza;
• immunofluorescence anachita, kapena RIF, amene amalola kudziwika chitetezo ku matenda adenovirus (ngati njira imeneyi ntchito chopaka, prestained utoto);
• Analysis radioimmunoassay, RIA kapena chimathandiza kuyeza ndende aliyense wa HIV madzimadzi.

Kodi kulimbana ndi matenda

Pambuyo pa kukhazikitsidwa cha matenda zolondola pamaso pa dokotala ndi mtima ndi funso la mmene tiyenera kuchitira adenovirus. Akukhulupirira kuti mankhwala enieni si panopa kulibe.

Malinga mlingo zikhoza kuchitika kunyumba mankhwala a dokotala wa matenda kapena m'chipatala. Kodi popanda hospitalization wofatsa mitundu zolimbitsa wa matenda, anali uneventful. Zikavuta kapena mavuto onse ayenera kulandira chithandizo kuchipatala kuyang'aniridwa ndi dokotala.

Pofuna kuthana ndi mankhwala adenovirus mitundu wofatsa yafupika bedi zina. Pa thupi kutentha pamwamba 38 ° C paracetamol kutumikiridwa pa mlingo wa 0.2 kuti 0.4 ga 2 kapena 3 pa tsiku, Chofanana mg ndi 10 kapena 15 pa makilogalamu 1 thupi patsiku. Ndi matenda adenoviral sanatenge asidi acetylsalicylic.

Malinga mawonekedwe a matenda symptomatic mankhwala antitussive, wothandizila expectorant akhoza kuchiza "Stoptussinom" "glaucine," "Glauventom" "Mukaltin".

The inhalation aerosol ntchito deoxyribonuclease. Iwo 2 kapena 3 pa tsiku kwa mphindi 15. Rhinitis anaika mphuno madontho wapadera.

Kulimbikitsa chitetezo chokwanira ntchito vitamini maofesi ndi okhutira kuvomerezedwa ascorbic asidi, tocopherol, rutin, thiamine ndi riboflavin.

Ngati maso anakantha chithandizo adenovirus ikuchitika m'malovu deoxyribonuclease enzyme mu njira 0.1- kapena 0.2% mawola 2 pa 3 madontho. dokotala angakupatseni mankhwala apakhungu a mafuta conjunctivitis glucocorticoid, kukonzekera interferon, mafuta ndi diso mavairasi oyambitsa kapena oxoline tebrofenom.

chitetezo matenda

Pofuna kuteteza matenda adenovirus ndi kuchepetsa kufala kwa matenda pachimake kupuma tizilombo ntchito katemera katemera moyo, zomwe zikuphatikizapo attenuated maselo tizilombo osakhala serotype.

Amagwiritsidwa ntchito mankhwala ndi adenovirus mtundu 4 kapena 7 kuwateteza ku m'mimba chimbudzi wapadera lokutidwa kapisozi.

Pali katemera wina mu njira moyo ndi inactivated, koma sikuti ntchito chifukwa cha zinthu oncogenic wa adenoviruses lapansi.