Osowa chifuwa - zizindikiro kwa akuluakulu

Lero chifuwa chimaonedwa kuti ndi matenda osadziwika. Komabe, chifukwa cha izi chikhoza kukhala muzochepa zomwe madokotala achichepere akuwatsogolera odwala. Mwamwayi, pali milandu pamene wodwala akuvutika ndi chifuwa chokwera pamapazi ake, monga adapezedwa ndi banal ARVI. Choncho, sizingatheke kuti mudziwe zomwe zizindikiro za chifuwa cha munthu akukula.

Zizindikiro za chifuwa chowopsya kwa akuluakulu

Matendawa amatanthauza matenda opatsirana ndipo amayamba ndi Bordetella pertussis. Kupititsa patsogolo kwake kuli kovuta. Izi zikudziwika kuti m'mbiri ya anthu panali nthawi yomwe panalibe chifuwa chokhwima, ndipo mliri weniweni unachitika umene unapha anthu zikwi zambiri. Kawirikawiri, matenda ndi owopsa kwa ana, koma kodi akulu angathe kuvutika ndi pertussis?

Ndipotu matendawa amakhudza munthu pa msinkhu uliwonse. Akuluakulu amadwala kawirikawiri chifukwa cha chitetezo cha thupi, chimene chimalepheretsa ntchito ya pertussis. Pankhaniyi, ndi bwino kukumbukira kuti tizilombo toyambitsa matenda timakhala mosavuta kumakhala ndi chilengedwe komanso matendawa amapezeka mwachindunji ndi wodwalayo.

Zizindikiro za pertussis munthu wamkulu zimaphatikizapo chifuwa cha paroxysmal, chomwe ndi choopsa chifukwa chingayambitse kupweteka kwa bronchi. Mu chithunzi chachipatala cha matendawa, pali magawo atatu.

Catarrhal amatenga pafupifupi masabata awiri. Ndi nthawi yomwe zizindikiro zoyamba zimadziwonetsera okha:

• owuma, amphamvu kwambiri chifuwa, kuzunzika wodwalayo nthawi zonse:
• malaise ambiri opanda malungo.

Nthawi imeneyi nthawi zambiri imasokonezeka ndi matenda ndi bronchitis kapena ARVI. Chifukwa chake, mankhwala sagwira ntchito. Ngati adokotala amatha kuzindikira zizindikiro zoyambirira za chifuwa chachikulu kwa akuluakulu pa sitepe ya catarrhal, mankhwalawa amatha msanga. Ngati palibe njira yabwino, chifuwa chimakhala paroxysmal.

Nthawi ya paroxysmal imakhala ndi zizindikiro zambiri, malinga ndi zomwe zimakhala zosavuta kudziŵa matenda:

• zovuta za chifuwa , zomwe zimakhala ndi mabala asanu ndi awiri (5-10 bronchial spasms);
• Panthawi ya chiwonongeko, mphutsi zimachitika pafupifupi mopuma;
• Kumapeto kwa chiopsezo wodwalayo amapuma mpweya, monga nthawi ya chifuwa sakupuma;
• mpweya nthawi zambiri umatsagana ndi mluzi;
• sizimapatula chisokonezo cha glottis;
• pobwezeretsa kupuma kwabwino, chiwonongeko chimabwerezedwa mobwerezabwereza;
• chiwopsezocho chimapitirira ndi kumasulidwa kwa sputum, kumeza kwake kungachititse kusanza;
• Kugwedeza kumayambitsa kupweteka m'maso mwa nkhope, kumabweretsa khungu lofiira;
• Lilime likhoza kutuluka panja mukakakokera, zomwe nthawi zina zimawopsyeza ziwalo.

Ngati dokotala sakudziwa zizindikiro zoyambirira za chifuwa chachikulu kwa akuluakulu, mankhwala amachedwa. Kugwidwa kwa paroxysmal kumatha kwa miyezi itatu, kumangopweteka wodwalayo.

Gawo lomalizira limatanthauza kukhululukidwa, pamene chifuwa chimakwera pang'ono pang'onopang'ono.

Kuzindikira kuti chifuwa chimakhudza anthu akuluakulu

Ngati mukukayikira kuti paliponse, ma diagnostic akugwira ntchito. Mbeu za bacteriological sizothandiza kwambiri, kutsimikizira kuti matendawa ndi 15-20%. Njira zachilengedwe Ndi abwino pamayendedwe apamwamba. Kusanthula kwamakono a ma antibodies kumathandiza kuti muzindikire matendawa chifukwa cha kukhalapo m'magazi a mapepala oyambirira a IgM komanso kumapeto kwa Ig G.

Pali njira zogwiritsira ntchito mofulumira ndi matenda a antigen. B. Kupindula kwa njirayi ndi kuti patapita maola ochepa, nkutheka kukana kapena kutsimikiziranso zoyamba zodziŵika. Njira yozindikiritsira ya latex microagglutination imalola pambuyo pa mphindi 30-40 kuti aone antigen mumasewu atengedwa kuchokera pamwamba pa khoma lachitsulo la larynx.