Ifilada doofaarka: calaamadaha, daaweynta iyo ka hortagga

Ifilada doofaarka (Kaliforniya) waa cudur aad u faafa oo keena fayruska A (H1N1), oo lagu garto cudur-maskaxeed (infekshin), taas oo ah mida ugu sareysa ee dhimashada dadka khatarta ku jira (haweenka uurka leh iyo dadka qaba cudurrada jirka ee joogtada ah), rabshad koorso, ciladaha neefta ee la tilmaamay.

Calaamadaha ifilada doofaarka ee dadka

H1N1) waxay la mid tahay calaamadaha "ifilada xilliyeed", farqiga u dhaxeeya - 20-25% dadka bukaanku ka dhaco asal ahaan dyspepsia (shuban, matag, lalabo). Caabuqa hargabka doofaarka waxaa lagu gartaa "bilawga" degdeg ah, horeyba maalinta 2-3aad waxay u gudubtaa fayruuska fayraska, isbeddelka dhiigga, wuxuu kordhiyaa suunka, wuxuu keenaa dhiig-xinjirowga, sambab xanuun, miyokarditis. Astaamaha cudurka ee qof weyn:

• Neefsaarid la'aanta;
• qandho illaa 38-39 digrii;
• qarqaryo, xanuun ku dhaca xubnaha / murqaha;
• madax xanuun, qufac qalalan;
• shuban, lallabo, matag;
• cudurrada nidaamka wadnaha iyo xididdada: hoos u dhigidda cadaadiska dhiigga, taakuleysiga, maqal la'aanta wadnaha wadnaha,

Nooca ugu xun ee ifilada ifilada doofaarka waxaa lagu muujiyaa heerkulka maskaxda (heerkulka 39 digrii), qufac aan dabiiciga aheyn, myalgia, hyperthermia, dhuun xanuun, neefsasho gaabis ah, cilladda dhiigbaxa (dhiigbax sanka / sambabada ah, hemoptysis). Ifilada doofaarka daran ee aadka u daran waxaa lagu gartaa horumarinta dhibaatada sambabada ee halista ah - cillad maskaxeed oo qatar ah. Astaamaha xanuunka cunugga:

• qufac qalalan oo qallalan;
• tamar daro, qandho sare (38.5-40 degrees);
• xanuun ku dhaca qaybaha, neefta gaaban;
• madax xanuun, shuban;
• xanuunka caloosha (xanuunka caloosha);
• dhuun xanuun, lalabbo, matag.

Si ka duwan sida dadka qaangaarka ah, caruurtu waxaa lagu helaa foomam dhexdhexaad ah oo aan lahayn wax dhib ah. Xanuunka cudurka catarrhal (diifka sanka, cune-xanuun, qufac), cilladda suntu waxay u badan tahay (tabar-dari, madax-xanuun, qandho). Cudurada mareenka caloosha iyo mindhicirrada (matag, shuban) ayaa badanaa lagu xusay carruurta da'doodu tahay ilaa 6 sano jir, raajada feedhaha ee isbeddelka infiltrative lama ogaan. Guud ahaan, infakshanka A (H1N1) ee carruurta ayaa lagu gartaa koorso siman oo ka soo horjeeda astaamaha dhexdhexaadka ah ee xaddiga shaybaarka ee dhiigga dillaacay.

Ifilada doofaarka: daaweynta

Epidemic A (H1N1) ee ka bilowday Ruushka wuxuu bilowday Janaayo - ka hor intii caadiga ahayd. Farqiga ugu weyn ee u dhexeeya faafka 2016ka waa jebinta dhimashada ee dhalinyarada caafimaad leh 25 ilaa 40 jir, oo ah xarun caafimaad oo aad u deg-deg ah oo u dhexeysa fayruska laba-cudur ee fayruska-bakteeriyada leh ee leh muraayad-uurjiif. Sida laga soo xigtay ilaalada faafa ee Ruushka, fayruusku si dhakhso ah ayuu ugu faafay gobollada dalka, daraasiin bukaan ah ayaa u dhintay cudurka halista ah, boqolaal qof ayaa qaba cudurka. Dhakhaatiirtu waxay ugu yeeraan dadka reer Ruushku inayan argagaxin, iyo sida muuqata calaamado gaar ah isla markiiba raadso gargaar caafimaad. Marka laga hadlayo daaweynta ku filan iyo waqtigeeda, prognosis caadi ahaan waa mid wanaagsan.

Daweynta ifilada doofaarka

Ma laga yaabaa in lagu daaweeyo hargabka doofaarka? Kooxda kaliya ee daawooyinka loogu talagalay in lagu daweeyo A (H1N1) waa kuwa daaweynta neuraminidase: zanamivir iyo oseltamivir. Ficilkoodu wuxuu ku saleysan yahay xakamaynta iskudhafka ee fayrasyada infalawansada B iyo A ee haraaga siyaliga ah ee ka samaysan geelasha glycoprotein oo ku yaal xajiyaha unugyada cudurka qaba, taasoo keenaysa joojinta isku dhufashada fayraska. Resistance A (H1N1) ee Oseltamivir waa 0.5-0.7%, diidmada Zanamivir lama kaydin. Qabashada Zanamivir (Relenza) iyo Oseltamivir (Tamiflu) waxaa lagula talinayaa:

• Dadka da'doodu ka yar tahay 19 sano jir ee qaata daaweynta acetylsacyl acid;
• dadka qaba HIV iyo xaalado caafimaad oo halis ah;
• haweenka uurka leh,
• carruurta 5 sano jirka ka yar, dadka waaweyn ee ka weyn 65 sano;
• bukaanka qaba taariikhda la xaqiijiyey ee fayraska A (H1N1);
• iyada oo ay joogaan laba calaamadood oo ku qoran liiska: dhibaatada neefsashada sanka, qufac qallalan, neefsasho la'aan, qandho, dhuun xanuun.

Noocyo isku dhafan ee A (H1N1) ayaa lagu daaweeyaa isku-dar ah 2-3 dawooyinka antiviral: Arbidol + Viferon + Tamiflu, Tamiflu + Cycloferon, Panavir + Cycloferon + Tamiflu. Dhexdhexaad ah - culeyska Viferon + Tamiflu, Arbidol + Tamiflu, Viferon + Arbidol. Astaamaha: Dareeraha dareeraha ee sanka, febrifuge (Ibuprofen, Paracetamol), daawooyinka lagu quudiyo qufaca (Ambroxol, Tussin), antihistamines (Zodak, Claritin).

Ka hortagga ifilada doofaarka: daroogooyinka

Ifilada doofaarku waa cudur halis ah oo sahlan. Ilaa hadda, si looga hortago khaas ahaan, tallaal lagaga hortago fayruska A (H1N1) ayaa la sameeyay, diyaarinta Arbidol, Tamiflu, Viferon ayaa loogu talagalay baaritaanka aan qaaska ahayn.