Totupa - ndichiyani? Mwadzidzidzi totupa. totupa tizilombo

Today tikambirana matenda, monga totupa. Ndi chiyani icho? ndi zimayambitsa ndi zizindikiro zotani? ndi mankhwala chiyani? Izi ndi nkhani zina kukambirana mwatsatanetsatane m'nkhani.

Totupa - totupa, lomwe limapezeka pa matenda osiyanasiyana tizilombo. Nthawi zambiri kukhala exanthema tizilombo ana. Mu unyamata kapena akula kudwala ali osowa. Izi ana a matenda opatsirana, monga chikuku, nthomba, chikuku ndi ena, pafupifupi nthawi zonse limodzi ndi maonekedwe a zotupa pa.

zifukwa

The etiology za matenda ndi yosiyanasiyana. Akukhulupirira kuti mapangidwe totupa bwanji imodzi kapena ziwiri pathogenetic limagwirira:

• Zidzolo (chithunzi pansipa amapereka lingaliro ilo) Zikuoneka kuti chifukwa cha kuwonongeka kwa minofu khungu ndi mavairasi amene amafalitsidwa kudzera m'magazi. Choncho kukhala nsungu HIV mtundu 1, ndi enteroviruses ena.

• totupa The aumbike chifukwa anachita pakati pa maselo mthupi la lake ndi tizilomboto. Malinga ndi mfundo imeneyi pali zotupa ndi chikuku.

Totupa, wopangidwa mwa mawanga ndi papules wapatsidwa:

• chikuku;

• chikuku,

• nsungu mtundu 6, amene akapsa chitukuko cha roseola;

• Epstein-Bar;

• cytomegalovirus, chimachititsa chitukuko cha cytomegalovirus;

• Enteroviruses.

Totupa totuluka pathupi pamene:

• The nsungu HIV mtundu 1;

• The nsungu kachilombo komwe kamayambitsa nthomba ndi matailosi;

• koksakiviruse, chifukwa pemphigus tizilombo.

Ndi mavairasi, n'zothandiza papules vizikuleznuyu totupa ndi redness a khungu monga:

• adenoviruses;

• mavairasi amene amayambitsa matenda a chiwindi B ndi C;

• enteroviruses.

B19 Parovirus anawona ambiri erythema akufanana zingwe.

chithunzi matenda

Ndipotu, monga idzaonetsedwa totupa tizilombo, zimakhudza mtundu wa matenda amene amachititsa mapangidwe zotupa.

chikuku

Chifukwa cha chikuku ndi wothandizila opatsirana, a m'banja la paramyxoviruses. Erythema Pankhaniyi limapezeka pa tsiku 4-5th matenda. Pamaso maonekedwe a khungu totupa wodwala akufotokozera chifuwa youma, kutentha thupi likutuluka, pali malungo.

Exanthema yatsoka poyambirira pa mapangidwe mawanga imvi woyera mkati masaya. Poyamba, zidzolo limapezeka pa nkhope ndi khosi. Atamwa totupa zimatengera mtundu wa papules, nthawi zambiri kuphatikiza ndi mzake. Pang'ono ndi zidzolo chimakwirira thupi lonse. Pamene zotupa kufalikira kwa manja ndi mapazi, pa khosi ndi nkhope totupa anayamba kutha. Chikuku totupa silipezeka pa zidendene ndi manja.

chikuku

Development wa chikuku amayamba ndi mavairasi a gulu RNA Togaviridae. Pamene matenda kupangika maculopapular zotupa pochulukitsa chimodzimodzi monga armature lapansi. Chachikulu kusiyana ndi kuti zinthu mopupuluma mu kudwala imeneyi sadzakhalanso kuphatikiza.

The chikhalidwe ambiri wodwala akhoza sadzathyoledwa, koma ena odwala malungo ndi malungo aakulu mwapang'ono.

enteroviruses

Entnerovirusy mgulu la RNA mavairasi. Matenda kuti iwo amayambitsa, ndi sipekitiramu lonse symptomatic. Mwachitsanzo, ngati nkhope ambiri matenda enterovirus kukhala matenda m'mimba, zizindikiro kupuma, malungo.

Nthawi zina matendawa amapezeka kokha enterovirus totupa. Zizindikiro zina kwina. Enterovirus totupa ali ndi masiyanidwe lonse. Chingathe kuonekera papules, vesicles, pustules kapena vesicles ndi okhutira hemorrhagic.

nampsopsonetsa matenda

Izo zimayambitsa matenda Epstein-Barr HIV, omwe ali mbali ya gulu nsungu cha mavairasi. Matenda totupa mu nkhani iyi ndi yoonekeratu, monga chikuku, kusiyana kokha - kuyabwa kwambiri.

roseola

matenda amayamba ndi matenda ndi nsungu 6 ndi mitundu 7. Zizindikiro zoyambirira za matenda ndi mwadzidzidzi kutentha kuwonjezeka, yatsoka malungo, kusowa chilakolako cha dyspepsia. Izi zochitika catarrhal, chifuwa ndi chimfine, nthawi zambiri kwina.

Kutentha akutsikira pa tsiku 4 ndi zidzolo akuwonekera. Totupa mu nkhani iyi ndi punctate pinki totupa. Choyamba, totupa awonekere pamimba ndi kumbuyo, ndiyeno totupa chimakwirira thupi lonse. Kuyabwa palibe, merging zinthu zotani zomwe anaona.

Matenda, kukhala ndi matenda ndi nsungu simplex kachilombo

Childs, matenda pulayimale nsungu simplex HIV kumachitika ana aang'ono. matenda Symptomatic ndi matenda, ndipo anthu matenda kobwereza limapezeka bubbly zidzolo pa mphuno kapena milomo (matenda a mtundu 1 HIV). Infection ndi nsungu simplex HIV mtundu-2 limapezeka nthawi zambiri kudzera mu kugonana ali mwana. Zizindikiro za matendawa ndi zotupa pa khungu la kumaliseche ndi matako.

Matailosi ndi katsabola

Chotero ali mwana nthenda chifukwa cha HIV, wa gulu nsungu. Pambuyo HIV tikalowa m'thupi akufotokozera matenda lililonse (katsabola). Pambuyo achire, kachilombo konse m'thupi ndipo ali mu mkhalidwe zobisika. chitetezo chokwanira yafupika lingachititse kusuta kachilombo ndi chifukwa matailosi.

Exanthema chizindikiro mu nkhani iyi ndi totupa matuza chimene chimayanga mu varicella thupi ndi ili m'mbali misempha ndi matailosi. Ndi kukanda ndi zotupa zambiri amapezeka matenda sekondale, kuchititsa zotupa kukhala purulent.

Matenda oyamba ndi parovirusom B19

% 20 Only odwala parovirusom B19 matenda zotsatira mu exanthema khalidwe. Poyamba, tsaya amakhala reddened khungu, zotupa ndiye anapanga, omwe ali ndi maonekedwe a zingwe kapena nkhata zamaluwa. Kawirikawiri isanafalikire totupa pakhungu la miyendo, osachepera - pa thunthu. Nthawi zina zingaoneke kuyabwa kwambiri.

Pa matenda totupa parovirusom B19 ali njira undulating - akhoza kutha kwa nthawi yaitali ndipo akuwonekanso. totupa nthawi zambiri limodzi ndi zizindikiro za chimfine ndipo molumikizana mafupa.

Ngati wapezeka totupa, khungu totupa zithunzi zenizeni ndi matenda makamaka, dokotala angakuuzeni.

diagnostics

Matenda a matenda tizilombo, amene yodziwika ndi maonekedwe a exanthema zikuphatikizapo kuphunzira bwino maonekedwe matenda ndi kuyezetsa.

M'pofunikanso kuganizira makhalidwe awa a zotupa:

• kutiumba ndi maonekedwe;

• sharpness a m'mbali;

• kukula ndi propensity kwa maphatikizidwe;

• kuchuluka;

• kusintha kwa khungu (reddened, cyanotic, wosasintha);

• chikhalidwe cha totupa pamaoneka (osakwatira tsatane, pang'onopang'ono yoweyula woboola pakati).

Atamwa totupa mwana kumaonekera motere:

• totupa limapezeka pa tsiku 2 matenda kapena mtsogolo;

• totupa patsogolo malungo, kuchepa ake zimawonedwa pa zinthu choyamba totupa;

• Zizindikiro catarrhal kawirikawiri kwina;

• Nthawi zambiri exanthema tizilombo zimachitika vesicular ndi maculopapular totupa.

Doctor anapereka kusanthula magazi ndi Elisa, amene amapanga zotheka kuti azindikire chitetezo kwa Antigen mwazi wa wothandizila opatsirana.

chithandizo

Woteroyo chodabwitsa monga zotupa mankhwala symptomatic. miyeso achire zimadalira matenda.

Pamene chikuku ndi chikuku amafuna mankhwala symptomatic ndi kugwilizana ndi bedi zina. Nkofunika kwambiri kuteteza ubwenzi matenda sekondale chifukwa cha zomwe angathe mavuto monga otitis TV, encephalitis ndi chibayo.

Symptomatic chithandizo cha varicella ndi kuteteza suppuration, kuti izi zitheke, chifukwa lubricating zinthu mopupuluma ntchito aniline utoto.

Matailosi kutumikiridwa mankhwala "Acyclovir" Malamulo ake osankhidwa dokotala anthu paokhapaokha ndi zimadalira chikhalidwe ambiri ndi zaka mwanayo.

Zochizira matenda amene kukula pamene matenda ndi nsungu HIV, zipangizo ntchito monga "Valacyclovir", "Acyclovir", "Farmtsiklovir".

Ngakhale matenda paravirusami ndi enterovirus mankhwala enieni zilipo. Choncho, mankhwala tichipeza mu kuchotsa zizindikiro ndi kuchepetsa wodwalayo.

ethnoscience

Totupa - ndichiyani ndi zimene mankhwala chikhalidwe amagwiritsa ntchito, tapeza kunja. No sakhala ogwira polimba chodabwitsa ndi maphikidwe kwa mankhwala.

Kuthetsa kuyabwa ndi zidzolo kudzakuthandizani kusamba ndi decoction wa chinangwa, wowuma. Madzi kutentha akhale pamwamba 37-38 ° C. Kugwiritsa ndi kusamba ndi infusions zitsamba, monga celandine, calendula, chamomile, motsatizana. Pakuti kulowetsedwa ndi angagwiritsidwe ntchito, ndi zosakaniza zomera. Lita imodzi ya madzi otentha kupanga 100 ga therere (zitsamba kapena zosakaniza). Siyani adzapatsa, ndiye Usatong'olere kulowetsedwa ndi kutsanulira mu mphika wa.

Ntchito mkati Ndi bwino kukonzekera teas zokhalamo mabulosi abulu, anauka, rasipiberi, currant. N'zothekanso kuwonjezera kumwa rasipiberi ndi currant masamba.

Mwadzidzidzi totupa - ndichiyani?

Ndi matenda tizilombo, amene amakhala ndi isanayambike mwadzidzidzi ndi waufupi nthawi. Nthawi zambiri akufotokozera totupa mwadzidzidzi ana kwa miyezi sikisi zaka 2. Nthawi zina matenda amapezeka ana okulirapo, achinyamata ndi akulu omwe.

Mwadzidzidzi totupa kuyambika kachilombo ndi nsungu HIV 6 (HHV-6), mu nthawi zina - ndi nsungu HIV 7 (HHV-7). Amapatsirana exanthema kudzera mwa kukhudzana ndi m'malovu airborne. The makulitsidwe nyengo ya matenda kumatenga masiku 7-8.

zizindikiro

Zizindikiro za matenda zimadalira m'badwo wodwalayo. matenda akuwonetseredwa ndi kuchuluka kutentha, irritability, kutupa lymph mfundo mu khosi, rhinitis, kutupa zikope za, kutsekula m'mimba. Totupa zikadzatha maola 12-24 pambuyo kuwuka kutentha. Isanafalikire totupa pa khosi, pamimba, mmbuyo ndi malekezero. Khungu amakhala pabuka ndipo atamukakamiza mongoyembekezera chimazilala. The totupa sayambitsa mavuto aliwonse: zilibe kupweteka ndipo alibe itch. totupa awa si opatsirana, kutha pambuyo masiku 3-4 ndipo sati anabwerera. Mu ana okulirapo kukhala ndi zizindikiro monga malungo kwa masiku angapo, chimfine mphuno, kutsekula m'mimba. Pa zaka achikulire, ndi zotupa limapezeka kamodzikamodzi.

miyeso achire

Ngakhale kuti totupa mwadzidzidzi ambiri zokwanira, matenda lolondola ndi osowa. Chifukwa cha ichi ndi waufupi matendawa.

Kuzionetsetsa thupi, poyamba pa zonse, kuphunzira zinthu za totupa lapansi. The exanthema mwadzidzidzi yodziwika ndi yaing'ono pinki mawanga anazimiririka pa papules diascopy ndi 1-5 mm. Komanso okhadzula zinthu pang'ono anakweza pamwamba khungu.

Mu magazi Kupenda anaulula wachibale lymphocytosis, leukopenia, granulocytopenia, eosinopenia. Kudziwa HIV PCR njira ntchito. Ntchito kuti mupeze njira chikhalidwe mu magazi yogwira HIV.

Ndi chitukuko cha mavuto a exanthema mwadzidzidzi akufunika kumuthandiza Dokotala cardiologist, Dokotala gastroenterologist, katswiriyu ana. Komanso, awerenge kafukufuku zina monga ultrasound m'mimba, ECG, akugwirira ndi ena.

Ngati kutentha maofesi aliyense alibe kupulumutsa, ndiye mankhwala Sikuti. M'pofunika kulenga chilengedwe womasuka mu chipinda kumene wodwalayo. Sikuti kuvala mwana zinthu zambiri. zovala zapadera zingachititse nyamuka kutentha.

Nthawi zina, zidzolo mwadzidzidzi pa maziko a kutentha okwera limodzi ndi zopweteka. Mwa ana zaka 1.5-3 febrile khunyu ndi zofala (5-35% ana exanthema mwadzidzidzi anakumana ndi chodabwitsa cha). Nthawi zambiri, khunyu si owopsa, ngakhale izo zikuwoneka ndithu wowopsa.

makolo ayenera kuchita chiyani kupweteka mwana?

1. Yesani kudzilimbitsa ndi chete moyo wa mwanayo.

2. Oyera-kuyang'ana zinthu zonse zakuthwa ndipo ikani mwana kumbali yake kotero malovu akhoza kutuluka ndi kuyenderera mkamwa.

3. Pansi pa mutu wake, ikani pilo.

4. Dikirani mpaka matumbo omangana chokani.

Nthawi zambiri ana pambuyo zopweteka kugona tulo, zimenezi si zachilendo. Pambuyo nkhondo, dokotala ayenera kufufuza mwanayo.

zosokonezeka

Pambuyo exanthema mwadzidzidzi nthawi zina kwambiri kukhala mavuto alionse, kupatula ana amene chitetezo lafooka. Pamene chitetezo wathanzi akufotokozera chitetezo chokwanira wonse HHV-7 ndi HHV-6. Komabe, dokotala pa mwadzidzidzi exanthema chogwirira akuyimabe. mwana A malungo ndi zidzolo kale kukayezedwa, muyenera kuteteza ku kukhudzana ndi ana ena.

Kupewa ndi madokotala ananena zawo

zodzitetezera atetezedwe ku matenda ndi tizilombo osiyana. Pofuna kuteteza matenda ndi chikuku kapena chikuku, muyenera kukhala katemera. Popewa matenda nsungu exanthema pa ntchito wothandizila mavairasi oyambitsa. Komabe, kachilombo amalimbikira mu thupi ndi moyo, pamene iye anatsitsa chitetezo chokwanira zikhoza adamulowetsa ndi hule kusuta matendawa.

Pomaliza

M'nkhani ino mwaphunzira zokhudza chodabwitsa monga totupa - chimene icho chiri, zimayambitsa, zizindikiro, chithandizo. Tikukhulupirira zimenezi zidzakhala zothandiza inu. Khalani wathanzi!