Chiwindi A: zizindikiro ana, matenda, mankhwala ndi kapewedwe

Anthu, chiwindi ndi mtundu wa choyezera mankhwala, pamene magazi lidzayeretsedwa ambiri a poizoni ndi zoipa. Ngati thupi ili ikugwira bwino, kuti uzigwirizana ndi ntchito zake qualitatively, koma sikuti kuchitika. Pali matenda zimene zingakhudze chiwindi, monga chiwindi A. Zizindikiro ana ndi akulu, ndikofunika kuzindikira mwamsanga kuyamba mankhwala ogwira. Tiyeni tikambirane zimene matenda ndiponso ngati n'zotheka kupewa mavuto.

ndi chiwindi A Kodi

Mitundu ya matenda angakhale ochepa, iwo onse ndi makhalidwe awo ndi zizindikiro. Ngati tikambirana chiwindi A, ndi matenda imagwira maselo chiwindi. Matendawa ali ndi makhalidwe Inde ozungulira ndipo anasonyeza zizindikiro za kuledzera ndi olumala osiyanasiyana mu ntchito ya thupi ili.

Ngati inu mukuyang'ana pa gulu la mayiko, chiwindi A lagawidwa mitundu ingapo:

• Chiwindi ndi chikomokere kwa chiwindi.
• Pachimake kutupa A.
• Popanda chikomokere kwa chiwindi.

Matenda mawonetseredwe a chiwindi

Aliyense matenda chake, matenda a chiwindi A ali nthawi zotsatirazi:

1. The makulitsidwe. Umayamba pambuyo HIV akulowa intestine kudzera pakamwa, ndiye likulowerera mu chiwindi, kumene iwo amayamba kuswana kwambiri. Nthawi makulitsidwe chimakhala cha chiwindi A masabata atatu kapena asanu.
2. Preicteric nthawi akuyamba ndi zosayembekezereka mwa zizindikiro woyamba wa matenda - utachepa kudya, kutopa pakhale kupweteka m'mimba. Nthawi zambiri pali kuwonjezeka kutentha.
3. Chisonyezo choonekera bwino za matenda, amene amakhala ndi khungu lachikasu, lakuda mkodzo ndi ndowe wotumbululuka. Chiwindi A HIV kamayambitsa kuwonjezeka mu chiwindi, ndulu ndi zina kumawonjezera.
4. Mu sitepe yotsatira amachepetsa isanayambike, alili bwino, chiwindi umabwerera kwa miyeso wapachiyambi.
5. Nthawi kuchira, amene nthawi zambiri limatenga miyezi 3. Panthawi imeneyi, mwana amaonabe ena kusapeza kungakhale madandaulo.

Kodi inu kupeza kachilombo ndi chiwindi

Chiwindi HIV A zambiri amakhudza thupi mwanayo. Kudwala kumachitika milandu payekha kapena mliri kakang'ono, pamene gulu lonse la odwala ku sukulu ya mkaka kapena sukulu kalasi.

Chiwindi - matenda imagwira anthu okha, choncho matenda angathe kukhala munthu. Nthawi zambiri ntchito izi ankaimba ndi wodwala ndi mawonekedwe atypical a chiwindi A, imene matenda si matenda. Munthu chonyamulira cha HIV, matenda kuzungulira ena.

Infection ndi chiwindi kumachitika m'njira zosiyanasiyana, nthawi zambiri chakudya, madzi, akhoza kudzera kanthu fecal. Kufala kwa matenda a chiwindi airborne zosatheka akhoza kukhala ndi kachilombo pa magazi, koma chifukwa cha kusakhazikika kwa kachilombo mu magazi, ngozi imeneyi ndi mwachilungamo yaing'ono.

Thupi atengeke ndithu kuti matenda, kawirikawiri mliri ikufalikira mabungwe kumene ambiri ana mwakamodzi angakaphe chiwindi A (zizindikiro ana, taganizirani pang'ono kenako). Tikumbukenso, ngati munthu kamodzi mu moyo wanu, monga ana, anavutika matenda, chitetezo cha m'thupi upatsa moyo.

Gawo

Kuti agwirizane nkhaniyi mawu a mtundu, zovuta ndi zochita matenda. Zotsatirazi mitundu ya chiwindi A:

1. Chitsanzo, amene kuwonetsera zizindikiro zonse mmene matendawa.
2. Atypical, izo wafafaniza zizindikiro ndi amatanthauza mawonekedwe wofatsa.

Zizindikiro za matenda kumadalira kukula kwa matendawa, madokotala zimatulutsa:

1. Wofatsa mawonekedwe, amene ali ambiri mwa ana. Kuledzera ofooka, chiwindi kumawonjezera pang'ono. Matendawa ali ndi chikhalidwe cyclical, ndi kuchira amapezeka pafupifupi mwezi umodzi.
2. Chiwindi A kusalekerera zolimbitsa. Pali kusalaza njira ya matenda, yellowness amtengo umaonetseredwa, angadwale osati chiwindi, komanso ndulu. Zizindikiro za kuledzera kungapitirire kwa masabata 2. Bwezerani thupi amatha miyezi iwiri yokha.
3. mawonekedwe aakulu amawapeza ndi kawirikawiri. Zizindikiro za kuledzera kwambiri kuwonetseredwa, mwanayo amakhala lethargic, ulesi. Kumeneko chizungulire, osasamba kugunda, nosebleeds, totupa pakhungu. Chiwindi ndi kwambiri mu kukula, ndipo pali ululu pa palpation.
4. mawonekedwe Anicteric akupezeka 20% odwala. No chikasu sclera ndi khungu unkachitika. Pali kufooka, kusakhala ndi chilakolako, akhoza akusanza ndiponso nseru. Matendawa akhoza kuzindikiridwa ndi kukula chiwindi.
5. Ndi subclinical mawonekedwe a matenda, imene zizindikiro ambiri kwina. Matendawa akhoza kukhala pokhapokha mayesero matenda. Ana amenewa amapereka mwa ndondomeko mliri mu gulu la anawo.
6. Mwina cholestatic chiwindi A. Zizindikiro mu ana anati mu mawonekedwe a matenda a chikasu ndiyo. Khungu silingakhoze kokha ndi chikasu, koma kulocha Kamaoneka. Zikuoneka khungu kuyabwa, chiwindi ukuwonjezeka pang'ono. Akuthamanga mawonekedwe a yaitali, akhoza kutambasula kwa miyezi ingapo, koma aakulu Kodi sudzatha.

Inde wa matenda ana

Kodi chiwindi A ana, kudzadalira njira ya matenda. Madokotala dziwani:

1. Pachimake ndithudi. Kumachitika kawirikawiri komanso, monga ulamuliro, zizindikiro zonse kutha mwa masabata 2-3. Pachimake chiwindi A ana ukhoza mpaka miyezi 3, koma patapita kanthawi kuchira zina madandaulo.
2. Protracted Inde kunena ngati matenda si kuphwera chifukwa pa 3 miyezi. Chiwindi kwa nthawi yaitali sangathe kubwerera mwakale, koma ayambe adzabwera posapita nthawi, ngati onse kuwapempha dokotala.
3. Kudwala ndi exacerbations. Amenewa panopa azimveka zizindikiro matenda a matenda, chatsika chiwindi ntchito mayesero, kuleza kusungidwa ndondomeko pathological maselo a thupi.
4. Njira ya matenda, amene kumakhudzanso thirakiti biliary. Nthawi zambiri izi zimachitika mu mawonekedwe zolimbitsa. Matendawa akhoza saonetsa zizindikiro zoonekeratu ndipo akhoza wapezeka ndi maphunziro zasayansi.
5. Kudwala kwa inalowa matenda intercurrent. Matenda amene anawonjezera, monga ulamuliro, musati kuwonjezera kusalekerera zizindikiro matendawa koma imfayo kuwonjezeka mu chiwindi.

Matenda a chiwindi A

Matenda oyenera matenda ena aliwonse akuyamba ndi maphunziro matenda. Kudziwika chiwindi A ana amadziwikanso zochokera pa AIDS, zasayansi ndi deta matenda.

Ngati mukukayikira kuti kudwala izi ndi kusanthula mayesero Laboratory chiwindi A. akhoza kugawidwa mu zenizeni, amathandiza amapezeka wodwala magazi HAV RNA ndi PCR ndi chitetezo odana HAV JgM ndi Elisa.

Mothandizidwa ndi zizindikiro si yeniyeni angathe kudziwa mlingo wa choipa chiwindi, kupenda matenda, ukulu wake ndi kupanga kuneneratu. Pamene anatengedwa magazi a chiwindi A, onetsetsani kuyesedwa ndi kudziwa ntchito michere hepatocellular ndi zizindikiro za kagayidwe pigment.

Pokhapokha matenda zina matendawa angayambe mankhwala.

Koma pa siteji oyambirira a matenda, makolo angathe kulabadira zizindikiro anaonekera mwamsanga kuchipatala. Tiyeni tione zizindikiro za matenda amene makolo ayenera kudziwa.

Symptomatology nthawi predzheltushnogo

Kutalika kwa nthawi imeneyi - kuchokera masiku 3 mpaka 7. Amakhala siteji infective ndi kawopsedwe sekondale. Woyamba amakhala ndi mawonetseredwe a thupi mwana kuledzera chifukwa cha kuwonongeka kwa wamanjenje dongosolo. Isanayambike matenda ndi lakuthwa ndithu, ndi zizindikiro zotsatirazi:

• Kukwera lakuthwa kutentha.
• General kufooka.
• Mutu.
• Tachycardia.
• Osowa, koma akhoza kusanza.
• ululu m'mimba.

Opatsirana nthawi kumatenga masiku angapo, ndiye madontho kutentha, mwanayo bwino. GAWO kawopsedwe zasekondale ndi zizindikiro zake chizindikiro chitukuko cha kulephera chiwindi, zizindikiro za matenda A Pankhaniyi, kukhala pang'onopang'ono, amanena:

• Ulesi.
• Mphwayi.
• Kugona.
• Mwina chizungulire.
• Utachepa kudya, pali tikamapita ku zakudya mafuta.
• Kunyansidwa ndi kusanza.

Pa nthawi imeneyi, chiwindi ndi ting'onoting'ono basi, umachuluka ndinasintha kukula, mwana akhoza kumva ululu ufulu nusu chapamwamba. Ngati pa nthawi ino kutenga magazi, anapeza kuwonjezeka mu michere chiwindi.

Itha preicteric nthawi ya mkodzo mdima ndi chopondapo discoloration.

Zizindikiro ana mu nthawi icteric

Ngati anapezeka ndi matenda a chiwindi A, zizindikiro ana mu nthawi icteric zimadalira siteji ya matenda. Iwo atatu: kuwonjezeka zizindikiro, kutalika kwa matenda ndi pansi.

Magazi, kuchuluka misinkhu ya bilirubin, kawirikawiri, ndondomeko kumatenga masiku 6-8, kenako umayamba kuchepa mphamvu, ngati nyengo matenda. Kusinthidwa mapuloteni, mafuta, zimam'patsa kagayidwe, mkhutu madzi mchere bwino ndi ntchito chiwindi akuvutika.

Childs, zizindikiro za matenda A ana zaka 6 a zaka mu nthawi iyi ndi izi:

• Kutentha zingasiyane discontinuously. Zidalira pa kukhalapo wotsagana pathologies ndi mavuto njira yotupa.
• Akusokoneza dongosolo mtima.
• kusintha Pathological mu dongosolo m'mimba.

Ziyenera adzanyamula kukumbukira kuti kukula kwa matenda ndi chiwindi A amapanga masinthidwe kuti kugwira ntchito kwa mtima, amene anafotokoza kuphwanya njira kagayidwe kachakudya mu mnofu mtima.

Mawonetseredwe mu nthawi poslezheltushnom

Pa akamaliza nthawi matenda a chikasu ndiyo aweruzidwa ndi kuchuluka kwa bilirubin m'magazi. Ngati manambalawo amagwa osiyanasiyana wabwinobwino, n'zotheka amati pachimake cha matenda kumbuyo.

Matenda a chikasu ndiyo zambiri kumatenga nthawi ya masabata awiri, koma amatenga nthawi yayitali. Poslezheltushny mwina ndi nthawi ya masabata atatu, koma ana ena - ndi miyezi ingapo. Palibe bwino zizindikiro mapeto a nthawi ino, nthawi zambiri amagwira ntchito monga muyezo waukulu ndi normalization wa chiwindi kukula kuchepetsa michere chiwindi.

Kodi chiwindi A makanda

matenda makanda ali makhalidwe yake. Pali chizolowezi ndi kuyenda mu mawonekedwe wosanganiza (tizilombo toyambitsa) kuti anazindikira pamene kumupima.

Chinthu china n'chakuti madokotala kuchipatala sanaulule isanayambike ndi exacerbation wa ndondomeko zobisika - kobadwa nako kapena kuti akalandire chithandizo.

Disease amapezeka ana zovuta kuposa akuluakulu kapena ana okulirapo. Preicteric nthawi zimatenga masiku angapo ndipo alibe mawonetseredwe matenda, kudwala kawirikawiri anazindikira, pamene matenda a chikasu ndiyo imayamba.

Pachimake isanayambike angakhale ndi zizindikiro izi kwa makanda:

• Utachepa kudya.
• Pafupipafupi regurgitation.
• Kulumikizana ndi nthenda m'mimba.
• Mkulu kutentha.
• Mwina zinthu catarrhal a dongosolo kupuma.
• Ndowe ndi kusintha mkodzo mtundu mu tsiku isanafike nthawi ya matenda a chikasu ndiyo.

Chithandizo cha matenda a chiwindi B kuchitike moyang'aniridwa ndi achipatala. Malinga ndi kukula kwa matenda dokotala hospitalize wodwala pang'ono kapena perekani nyumba mankhwala.

Chithandizo cha matenda a chiwindi A

Popeza makulitsidwe nyengo kwa chiwindi A zambiri alibe zizindikiro, kaŵirikaŵiri matenda matenda mwamsanga siteji ya matenda a chikasu ndiyo. Pa chiwonetsero choyamba mu mawonekedwe a kutopa, kusowa chilakolako cha makolo ena sangamvetsere. Only katswiri oyenerera angapereke malangizo alionse monga kuchitira chiwindi A ambiri mankhwala yafupika zinthu zotsatirazi:

1. Mu mawonekedwe wofatsa wodwalayo si m'chipatala, Kwalamulidwa bedi zina, mu mawonekedwe kwambiri, izo uyenera kuchitika chifukwa masiku osachepera 5.
2. Wodwala ayenera kukhala zolondola ndi mwana zakudya, mmene chiŵerengero cha mapuloteni, mafuta ndi chakudya adzakhala 1: 1: 4.
3. Makolo pazikhalanso mu zakudya zambiri yaiwisi masamba, zipatso, masamba ndi timadziti.
4. M'pofunika kuthetsa mkulu-kusungunuka mafuta, ambiri amene margarine, mafuta anyama. Ndili kuti achotse zakudya zam'chitini, masoseji, mafuta nsomba ndi nyama. Sangapindule ntchito zonunkhira otentha, sauces, maswiti ndi makeke.
5. Kawirikawiri madokotala si mankhwala mankhwala enieni kulimbana chiwindi, akhoza mankhwala cholagogue. Mu gawo pachimake cha matenda mankhwala holeliticheskogo analimbikitsa kuchita zimenezi ngati "mankhwala enaake a sulphate" "Berberine" ndipo pa convalescence holesekretiruyuschego masitepe: "Allohol", "Holenzim".
6. Madokotala amakonda kulemba odwala njira ya mavitamini a gulu B ( "Combilipen").
7. Ngati pali cholestasis mawonekedwe cholestatic, izo zikusonyeza njira "ursosan" mu kuchuluka kwa 10-15 mg / kg pa patsiku. Mu nthawi choopsa cha mankhwala amenewa kungakhale kwa miyezi 3 mpaka 6.
8. Ngati chiwindi amapezeka kwambiri, ndi akuchipatala kulowetsedwa mankhwala, imene imakhudza kugwiritsira mtsempha kukapanda kuleka ndi 1.5% mphamvu "Reamberin" yothetsera mu mlingo wa 10 ml / kulemera makilogalamu thupi.
9. Kwa chithandizo, mosasamala kanthu za matenda ndi ukulu wake, ndi chelators Kwalamulidwa, monga "Enterosgel", "Enterodez".
10. Pakapita masabata asanu ndi asanu ndi atatu pambuyo isanayambike matenda ikuchitika Kupenda loyamba la mtima, pambuyo miyezi 3 zosowa anayendera chachiwiri. Ngati dokotala si matenda mawonetseredwe matenda, mwana atachotsedwa m'kaundula.

Izo ziyenera kuonedwa ngati chithandizocho amachitika kunyumba, wodwalayo achinyamata ayenera kukhala chipinda osiyana ndi onse zinthu zina (ziwiya, ukhondo mankhwala).

Zotsatira za matenda A

Popeza HIV matenda amatha kusokoneza ntchito kwa dongosolo chiwindi enzyme, zikhoza kapadera kuti izo moyipa bwanji ntchito za thupi mwanayo. Lililonse makolo ayenera kudziwa katundu lonse la matenda ndi mavuto ake, kotero pa mawonetseredwe choyamba kwenikweni amatchula katswiri.

Ngati mankhwala amasankha m'njira yake mogwirizana ndi malangizo onse a dokotala, zina bedi, mwasintha chakudya, inu mukhoza kukhala na mantha ya mavuto zotheka. Pamene matenda Botkin a (amatchedwanso matenda a chiwindi A) sali ankachitira, adzachita kungasokoneze thanzi la mwana m'tsogolo. Mwa mavuto zomwe zili zofanana zotsatirazi:

• Kuvutika mu ntchito chiwindi.
• Mavuto ndi chimbudzi chakudya.
• Chiwindi yafupika kukula.
• Akutukuka encephalopathy.
• Ascites.
• Mwinamwake mapeto kulephera chiwindi.
• The kusintha kwa matenda mu mawonekedwe aakulu.

Mukayamba chithandizo yake, ntchito matenda a chiwindi A pang'onopang'ono recedes mfundo zonse zasayansi kubwerera mwakale, chiwindi akuchira ntchito yake.

Momwe mungapewere chitukuko cha matenda

Kupewa matenda a chiwindi A amagwira ntchito yofunika kwambiri. miyeso zosiyanasiyana kuteteza kufala kwa HIV zimatanthauza yaikulu gwero la matenda, njira za kufala ndi chiwopsezo matenda.

Nkofunika kuchita matenda oyambirira, ndiye kudzakhala kotheka kupeza wodwalayo ena kuteteza kufala kwa HIV. Ngati mwana pokhudzana ndi mtima, m'pofunika tsiku lililonse kuyendera khungu, maso sclera maonekedwe a matenda a chikasu ndiyo mtundu, palpate chiwindi.

Ngati pali kale kukuchitika a chiwindi A, kudziwa njira atypical mayesero zasayansi pa masabata 2 ayenera idzachitika mpaka kung'anima izo sadzachoka.

Pofuna kupewa kufalikira kwa matenda angakhale m'njira zotsatirazi:

• Kupsa mphamvu pagulu.
• Muziona ubwino wa madzi akumwa.
• Kutsatira malamulo a ukhondo anthu payekha.
• Mukaona mwana wodwala, mu Mliri zimenezi ziyenera kuchitidwa disinfection.
• Pakuti kupewa immunoglobulin wabwinobwino ndi kutumikiridwa ndi mkulu wa ndende chitetezo kwa chiwindi A.

Katemera zambiri ikuchitika ntchito nyengo za matenda C HIV, m'pofunika zambiri pa chilimwe ndi chiyambi cha m'dzinja.

Koma ngati kuli kotheka kudziteteza ndi ana awo ndi matenda yekha ndi katemera. Madokotala Russian ntchito zosiyanasiyana katemera, ambiri mwa zotsatirazi:

• Katemera motsutsana a chiwindi A ndi polioksidoniem "GEP-A-mu-VAC KU L", opangidwa ku Russia.
• "AWACS" French katemera.
• "Havrix" - British anapanga katemera.
• katemera wina motsutsana a chiwindi A, opangidwa ku Russia, - anaikira woyeretsedwa inactivated adsorbed madzi "GEP-A-mu-VAC".

Izi mitundu ya katemera tikuuzidwa mu thupi la mwanayo ngakhale akamafika chaka chimodzi zakubadwa. Nthawi zambiri kutsata co-ka matenda a chiwindi A ndi B, koma mbali zosiyana za thupi. Pafupifupi 95% ya ana katemera kukhala chitetezo chokwanira wamphamvu ndi HIV.

Zotsatira osafunika pambuyo katemera, amakhala kwina. Pangakhale pang'ono redness, kutupa pa malo jekeseni, kutentha thupi pang'ono. Zimenezi sizichitika odwala onse achinyamata, makamaka ana katemera bwino analekerera.

Popanda yachibadwa ntchito chiwindi sangakhale kugwira ntchito kothandiza kachitidwe ena onse limba, kotero aliyense wa kudwala ake ayenera matenda m'njira yake ndi kukhala pansi ndi mankhwala ogwira. Izi likugwira ntchito makamaka kwa achinyamata amene akudwala. Udindo thanzi lawo imagwera chala pa mapewa a makolo, kotero ndikofunika kulabadira zolakwika aliyense mwakale mu khalidwe la mwanayo, makhalidwe zasayansi. Njira yokhayo kupewa chitukuko cha mavuto aakulu kwambiri.