Umkhuhlane we-Hemorrhagic ene-syndrome ye-renal

Umkhuhlane wesifo kunye nesifo se-renal ubizwa ngokuba yi-acute disease focal disease, ebonakaliswe yimpawu ezininzi:

• umkhuhlane;
• utywala;
• umonakalo wezintso;
• umonakalo okhethiweyo wemithambo yegazi;
• uphuhliso lwe-thrombohemorrhagic syndrome.

Esi sifo sabizwa ngokuba ngumkhuhlane we-Far East, i-Manchurian fever, i-scandinavian epidemic nephropathy, i-nephro-nephritis enobuhlungu kunye nokunye. Iingqamaniso zesi sifo zibangelwa ukuba iiphando zokuqala ezivakalayo eziye zavumela ukuseka uhlobo lwentsholongwane lwazo lwaluqhutyelwa kwiMpuma Ekude yaseRashiya ekude kuma-1938-1940.

Izizathu zesifo

EYurophu, ii-pathogens kunye nezilwanyana zesifo ziyimpuphu ebomvu, imouse yasendle, ibhokhwe ebomvu kunye neerati zendlu. Intsholongwane yesifo somlilo idluliselwa kwiindundane kubantu ngokusebenzisa indlela yokuphefumula, oko kukuthi, ngendlela yomoya-uthuli. Indlela yesibini yokudluliselwa kwintsholongwane inxibelelana nomphathi okanye izinto zendalo yangaphandle, umzekelo: utshani, intlanzi, i-brushwood kunye nokunye okunjalo.

Kukho umngcipheko wokubambisana nesifo somlilo xa udla ukutya okungazange kwenziwe unyango, kunye nalawo ahlambulukile nabathwali.

Kubalulekile kukuba intsholongwane ayikwazi ukudluliselwa kumntu ukuya kumntu, ngoko ke, xa udibana nesigulane, akudingekile ukusebenzisa i-gauze yokugqoka kunye nezinye izixhobo zokukhusela, ukwesaba imiphumo emibi ngesimo somkhuhlane.

Iimpawu eziphambili zesifo somkhuhlane

Ixesha lokuxubusha lihlala lingama-21-25 iintsuku, kwezinye iimeko ziyakwazi ukuhluka ukusuka kwiintsuku ezi-7 ukuya kwezi-46. Kwiintsuku ezimbalwa ngaphambi kokuqala kweempawu zokuqala kwentsholongwane yesifo somzimba, isigulane sinokuthi siphumelele, sinyanzelise kunye nezinye iziganeko. Iintsuku zokuqala ezintathu zokubonakaliswa kwesifo somlilo kwisigulane kukho ukushisa okuphezulu (38-40 ° C), enokuthi ihambisane nama-chill (kwezinye iimeko), intloko, ubuthathaka kunye nomlomo owomileyo . Ngethuba lokuqala, isigulane sithatha i-"hood" syndrome - i-hyperemia yesikhumba ebusweni, entanyeni nasentloko. Kungenxa yokutshatyalaliswa kwezi ndawo zesikhumba ukuba uphawu lufumene igama elinjalo.

Ngethuba le-febrile, elenzeka emva kokuqala, ukushisa kwe-HIV kuyancipha, ngelixa imeko ibuhlungu. Ngokuqhelekileyo, ukususela kwisibini ukuya kwishumi elinanye yesifo sesigulane, iintlungu ezisezantsi ziphazamiseka. Ukuba abafikanga emva kosuku lwesihlanu kweso sifo, ngoko ugqirha unesizathu sokungabaza ukuxilongwa. Uninzi emva kokubonakala kwentlungu, ukuhlanza rhoqo, okuhamba kunye nentlungu esiswini. Isibongozo se-Emetic asixhomekeke ekutheni ukutya okanye ezinye izinto, ngoko akunakwenzeka ukuzinqanda. Xa uhlolisiswa, ugqirha unokubona isikhumba esomileyo ebusweni nasentanyeni, conjunctiva kunye nobuqhopholo bentloko ephezulu. Zonke ezi zimpawu zigqitywa ukuba kukho isibetho.

Ngaphezu koko, kwezinye izigulane, iimpawu ezinzima ze-HFRS zinokuphuhlisa:

• ukukhubeka kwemithambo yegazi;
• ukubonakala kwe-petechiae;
• macrogematurgy;
• ukuphuma kwamathumbu emathunjini;
• ukubethelwa kwiindawo zokungenwa;
• ukubola kwe-sclera;
• ukuphuma kwamanzi .

Iingxaki ezinjalo zifumaneka kwi-15% yabathelelekileyo.

Isibonakaliso esona simboko sesifo somlilo sisifo umonakalo wezintso, obonakalayo kuzo zonke izigulane. Esi sibonakaliso sifumaneka ngoncedo lobungangamsha obusweni, ukuphendula okulungileyo ekuvavanyweni kwempawu zikaPasternatsky kunye ne-pasty yeefoloji.

Ngethuba lexesha lomonakalo lomzimba, ubushushu begulane buqhelekile, kodwa i-azotemia iyaqhubeka. Isigulane sisoloko somele, kwaye ukuhlanza akusiyeki. Konke oku kuhambelana nokunyaniseka, intloko kunye nokuphuza.

Ukususela ngomhla we-9 ukuya ku-13 wesigulo, ukuhlanza ukuyeka, iintloko zinyamalala, kodwa ubuthathaka nokuma emlonyeni kuyaqhubeka. Isigulane siyeka ukuphazamiseka ngenxa yeentlungu kwi-back back and esiswini, ngenxa yeso sifiso esibuyela kuyo. Kancinci ngeentsuku ezingama-20-25 iimpawu ziyahla, kwaye ixesha lokubuyisela liqala.