Izvozvo zvinokonzerwa nekusvivha zvinosvika kumativi ose. Munguva yechirwere, munhu wose asingabatanidzi masero uye anotarisana nayo, anorwara nacho. Epidemic inodzokororwa nguva nenguva mushure memakore gumi nemana, apo nhamba iri kukura yevana inopararira chirwere. Munhu mumwe nomumwe anokonzera masero anogara aripo. Nemhaka yekukwirira kwepamusoro kumasero, inobata vana vechikoro chepachikoro chesekondari uye yepuraimari. Meso, kakawanda, anobata vana mumapoka evana. Chirwere chinotapurika chinosiya kusachengetedzwa kweupenyu hwose. Vana vecheche munguva yekutanga kwemwedzi 3-6 yehupenyu vane hutachiona husingawaniki hwakawanikwa neparcenta kubva kuna amai. Nekuderera kwehutachiona hwemunhu asina hutachiwana, hutachiona hwemasero hunoderera, zvisinei, kana huri hutachiona, hutachiwana hunowedzera mune zvinyoro, zvinyorwa. Mwana akaberekwa kubva kuna amai vasina zvirwere, nenzira yepanyama haavi nehutachiona husingaiti.
Clinical picture.
Nguva yekudzivirira - kubvira panguva yekutapukira kusvikira pakutanga kwekukurumidza - inotora mazuva 14.
Prodromal period . Muvhiki yechipiri yenguva yakaderera, pane fever, runny nose, kukohwa, conjunctivitis. Izvi zviitiko zvinowedzera. Chikoro chinova chinorwadza, pane maziso anoona, photophobia. Kuputika mapiropa emaoko kunamatirana pamwechete. Muchengetedze memuromo wemuromo uye nehuro inonzi hypermicic. 2-3 mazuva kusati kwaonekwa ye exanthema, kutonhora kunodonha kwenguva pfupi. Munguva iyi, chimwe chinhu chinowanikwa mumasero chinowanikwa: pamucherechedzo mucosa wematama pamusoro pezvinyorwa zviduku kune mavara machena, ukuru hwepini rinopoteredzwa nemuganhu wakatsvuka - mavara a Filatov-Koplik.
Munenge panguva imwe chete neaya mavara kana nguva pfupi pashure pacho, ananthema inowanikwa mumuchembera wemvura yakanyoroka uye yakaoma: mavara matsvuku, ayo dzimwe nguva anogona kuwana hutachiona hwemhirizhonga. Dzimwe nguva follicular tonsillitis inoonekwa. Rurimi rwakarongedzwa, pane kuputika pamiromo, mishonga yecervical lymph nodes inowedzera kuwedzera.
Nguva yenguva. Mushure memaawa 24-48 mushure mokunge mavara eFucatov-Koplik awanikwa exanthema. Izvo zvinokonzerwa nekudhakwa zvinowedzera. Mwana, aneta nefivha, kushaya hope, kusuruvara kusingagumi, anova asina hanya, asina hanya uye anotarisa zvakanyanya. Panguva ino mushure memakumbo, pane chiso, mutsipa, chikafu chikaonekwa chinopenya mavara, kuenzana kwemajeri. Zvadaro kuputika kunopararira kune chitunha, maoko uye kunofukidza muviri wose kwemazuva maviri. Pakutanga, humwe humwe hutsika hwehushonga hune unhu hwemapinki emapinki, zvino hukava hukuru, hutsvuku hwemavara ayo anotevera kuwana mhangura-mutsvuku. Zvinhu zvekushongedza, kusangana pamwe chete, kusiya nzvimbo dzeganda pasina rusununguko rwechimiro chezviwi zviduku. Kugeza rash kunonyanya kutaurwa pachiso nedu.
Chiso chemuviri wekuyeresa, chigumbuso, nemakumbo emakumbo, ane unhu; kuchema, photophobia, runny pua, red rash.
Apo kupisa kunosvika pamagumo ayo, zviratidzo zvehuwandu hwema malaise hutanga kutanga kuderera. Izvo zvinotonhora zvinoderera, zvino, mushure memazuva maviri, zvive zvakasikwa. Kuparara kwechirwere ichi kunoitika mukuenzana kwakafanana nekuputika kwakaitika. Mushure memazuva mana kusvika kumashanu, izvo zvinyorwa zvekutsvaira zvinotora pane unhu hwemavara akachena mavara. Izvi zvinogona kuonekwa kwevhiki mbiri. Panguva imwe chete nekuparara kwechirwere ichi chinotanga zvishoma-pancreatic peeling peganda.
Mufananidzo uri pamusoro apa wekliniki unofanana nechirwere chekunyanyisa. Kune mhando dzakanyanyisa dzechirwere, umo kuputika uye zviratidzo zvinowanzoonekwa zvishoma. Sezvimwe nezvimwe zvirwere, kune zvinouraya masero.
Measles inokuvadza iri pachayo nekuda kwezvinetso zvayo .
Kurwadziwa kwepakutanga isuyisa. Kutanga muchikamu checatarrhal uye kunyatsoratidzira laryngitis, iyo inowanikwa munenge mhando dzose dzemasikisi, inotora unhu hunorema hunokonzerwa nekugadzirwa kwelaryngeal stenosis. Kutyisa kunosimbisa kusvika kune aphonia.
Kuvhiringidza kwepakati chenzeve. Otitis inowanikwa munguva yecatarrhal kana kutanga kwe nguva ye convalescence.
Bronchopneumonia. Zvinowanzomira zvinetso mumucheche nevana vaduku, pamwe nevana vasina simba.
Encephalitis. Iyo yakaoma kwazvo, nerufaro, kusanzwisisika kusingadikanwi kwemasero. Inooneka kana pakuguma kwemazuva ekupedzisira, kana mumazuva ekutanga e nguva ye convalescence, pamwe chete nekusimudzirwa kwekushisa uye zviratidzo zvakakomba zveperesi.
Kurapa kwemapikisi kune chiratidzo. Zvinotarisirwa kutevera mubhedha wezororo mukati mevhiki uye kusvika kumavhiki maviri ekurapwa kwemusha. Nemhaka ye photophobia, mwana anonzwa zviri nani mumumvuri-rima. Kuti kuderedza kuora mwoyo kunorwadza, mhepo muimba yacho yakanyoroveswa nemushuturizer kana mashizha ane mvura. Kana zvichidikanwa, sarudza antipyretic uye inonyorera kukwepa mishonga. Kana zvikaitika, zvinorwisa mabhakitiriya zvinoshandiswa.
Kwapera vhiki mushure mekurapwa kwemakiriniki, kuparadzana kwemurwere kunoguma. Iye zvino majekiseni ekudzivirira kupikisa masero ndeyemvumo. Hemamende inogona kuendeswa nekuwedzera kwekushisa uye kuonekwa kwechirwere chekare.
Migumisiro yechirwere ichi chinoenderana nezera remurwere, kukura mumuviri, kusanganiswa kwemasero uye dzimwe zvirwere zvinogona kuitika. Measles inogona kuva chirwere chinotyisa kune vacheche vanorwara ne dystrophy. Vana vakwegura kupfuura makore matatu vanowanzomiririra zvakanaka.