Nguruve chirwere: zviratidzo, kurapwa nekudzivirira

Nhamba yeguruva (Californian) chirwere chakanyanya kupararira chinokonzerwa nehutachiona A (H1N1), chinoratidzwa nehuwandu hwehutachiona (hutachiona), humwe huri huwandu hwekufa pakati pevanhu vari pangozi (vakadzi vane pamuviri nevanhu vane zvirwere zvisingaperi) nzira, yakanyorwa marwadzo ekufema.

Zviratidzo zveguruva muvanhu

Kliniki A (H1N1) yakafanana nezviratidzo zve "seasonal flu", musiyano wakafanana - muna 20-25% yevarwere chirwere ichi chinopesana nekwakabva dyspepsia (chirwere, kurwisa, kusuruvara). Kutapukirwa nehove yenguruve inoratidzika ne "kutanga" nokukurumidza, ikozvino pazuva 2-3 inopinda muropa revhavhaya, inoshandura kuumbwa kweropa, inowedzera coagulability, inotungamirira ku thrombosis, septic shock, myocarditis. Zviratidzo zvechirwere kune munhu mukuru:

• kuporesa kusakwana;
• fever kusvika 38-39 degrees;
• chills, marwadzo muzvibatanidza / misumbu;
• kuora musoro, kuora;
• kurara, kusuruvara, kurutsa;
• kushungurudzika kwepfungwa dzemumwoyo: kuderedza ropa, tachycardia, matsi yemwoyo inonzwika,

Chirwere chakanyanya chepachirwere chirwere chinoratidzirwa nekushisa kwepirini (inopfuura 39 degrees), kukora kusabereka, myalgia, hyperthermia, gumbo rinorwadza, kupera kwakanyanya kwemhepo, hemorrhagic syndrome (nasal / pulmonary hemorrhages, hemoptysis). Kunyanya kurwara chirwere chenguruve chinoratidzirwa nekugadzirwa kwedambudziko rinokonzera mapirmaria - acute respiratory distress syndrome. Zviratidzo zveurwere hwemwana:

• kuora kukuru kwakanyanya;
• kushaya simba, hovha huru (38.5-40 degrees);
• kurwadziwa muzvibatanidza, kupera kwekufema;
• musoro, diarrhea;
• kurwadziwa kwepamuviri (kurwadziwa mumimba);
• gwepa, kusuruvara, kurutsa.

Kusiyana nevanhu vakuru, vana vanoonekwa kuti vane mafungiro ekuenzanisa-ku-akaoma pasina zvinetso. Pamusoro pemudumbu weCatarrhal (runny pua, kurwadziwa, kuputika), kunwa doro rinokonzera (kushaya simba, musoro, fivha). Kushungurudzwa kwemuviri wepamuviri (kurutsa, chirwere) kunowanzoonekwa muvana kusvika pamakore gumi nematanhatu, pamapfupa X-ray ekuchinja kwepachirwere hauna kuonekwa. Muzhinji, hutachiona hweA (H1N1) muvana hunoratidzwa nenzira yakashata inopesana nemamiriro ezvinhu asina kuenzaniswa mu laboratori dzemiganhu yenhepfenyuro yeropa.

Nguruve chirwere: kurapwa

Mhirizhonga A (H1N1) muRussia yakatanga munaJanuary - mberi kwekugara. Kusiyana kukuru pakati pemhirizhonga ye2016 ndiko kukunda kunouraya kwevanhu vane utano hwakanaka vechidiki 25-40, vane kliniki yakaoma iyo inokurumidza kupinda mukati mevirt-bacterial bilateral pneumonia ine purulent-inokonzera simba. Maererano nehutachiona hweHussian Federation, hutachiona hunopararira nokukurumidza munyika dzose, vazhinji vevarwere vakafa kubva kune chirwere chinotyisa, mazana evanhu vane utachiona. Vanachiremba vanoshevedza vanhu veRussia kuti vasazovhunduka, uye pakuonekwa kwezviratidzo zvakananga pakarepo kutsvaka rubatsiro rwechiremba. Mumamiriro ekurapa akakwana uye panguva yakakodzera, kufungidzira kunowanzodiwa.

Mushonga wenguruve chirwere

Kupfuura kurapa chirwere chepork? Iboka rimwe chete remishonga yakagadzirirwa kubata A (H1N1) neuraminidase inhibitors: zanamivir uye oseltamivir. Chiito chavo chakavakirwa pakuvhara kwe cleavage nemishonga yeHIV yeAIDS neA yea sialic acid zvigadziri zvinoumba glycoprotein receptors iri pa membrane yesero inotapukirwa, iyo inotungamirira pakuguma kwekuwedzera kwemavirusi. Kurwisana A (H1N1) kuna Oseltamivir iri 0.5-0.7%, kushorwa kweZanamivir hakuna kunyorwa. Kugamuchira Zanamivir (Relenza) uye Oseltamivir (Tamiflu) inokurudzirwa:

• Vanhu vane makore pasi pemakore makumi mapfumbamwe nemashanu vari kugamuchira acetylsacyic acid therapy;
• vanhu vane HIV uye zvirwere zvakakomba;
• vakadzi vane pamuviri,
• vana vari pasi pemakore mashanu, vanhu vakuru vanopfuura 65;
• varwere vane chinyorwa chechokwadi cheA (H1N1) utachiona;
• pamberi pezviratidzo zviviri zvezvakanyorwa: kunetseka kufema kunopisa, kuputika kwakaoma, kupera kupora, fivha, kurwadziwa kwehuro.

Mhando dzakaoma dzeA (H1N1) dzinobatwa pamwe nekubatanidzwa kwemaswere maviri antiviral: Arbidol + Viferon + Tamiflu, Tamiflu + Cycloferon, Panavir + Cycloferon + Tamiflu. Pakati-kurema-kusanganiswa kweViferon + Tamiflu, Arbidol + Tamiflu, Viferon + Arbidol. Zviratidzo: Vasoconstrictive madonhwe emhino, febrifuge (Ibuprofen, Paracetamol), zvinodhaka zvekubatsira kugunzva (Ambroxol, Tussin), antihistamines (Zodak, Claritin).

Kudzivirirwa kwechirwere chirwere: madhiragi

Nguruve chirwere chinotyisa chirwere chiri nyore kudzivirira. Kusvika iye zvino, pakudzivirira zvakananga, chirwere chinorwisana nehutachiona A (H1N1) chakasikwa, kugadzirira Arbidol, Tamiflu, Viferon inoratidzirwa nokuda kweiyo isina prophylaxis.