Zvishoma nezveSARS.
ARVI (achirweredza kupora utachiona hwehutachiona) iboka rezvirwere zvichiendeswa nekuputika kwemhepo, inozivikanwa nebhasiki. Kutapurirwa kwehutachiona hunoenda kumhepo. Chikonzero chechirwere ichi muvana mavirusi anokonzera marudzi akasiyana-siyana ezvirwere, zvakadai se pharyngitis, scleritis, laryngotracheitis, rhinitis nezvimwe zvakadaro. Nezvechecheche, zvirwere zvakadai zvakaoma kwazvo kwavari, sezvo zvisingabatsiri. Zviratidzo: vakatsunga kufungidzira epidemiological anamnesis yakaunganidzwa, kureva kuti, vanofanira kuziva chirwere ichi munzvimbo yavo (zvakare inobva pane nguva dzenguva). Uyezve, tsanangudzo yekuoma kwechirwere ichi, kufanana nemamiriro ezvinhu, nguva yekufamba kwemazuva 5-7, zviratidzo zveziso (kurwadziwa mumaziso, nezvimwewo), zvinotungamirira kuporesa syndrome uye kuongorora kwekusava nehutano hwezviratidzo (nzvimbo yekutsvaira kwekuvhiringidza, lymph nodes yakakura).
Nezvekliniki mazviratidzo.
Kuita mishonga: Rhinitis ndeyekuputika kwemukati mutsva, mwana anoramba achichema uye achishevedzera nokuti mhino inonyangadza, mwana haanomwa mukaka kubva pachifuva. Izvi zvinokonzerwa nokusava nekufema kweputi uye kusakwanisa kufema nemuromo panguva yekudya. Eustachiitis - inowedzera nenzira yehutano hwehutano hwetitis. Chirwere chacho chinokura pamusana pokuvhara kweEustachian tube. Paunobata treecat, mwana wacho achanyanya kukuvara. Meso omwana anotungamirirwa kune avo vanorwara. Purulent otitis - inoratidzirwa nekudzora kubva munzeve, ndizvo zvakaita kutonhora kwemuviri. Laryngitis - chirwere ichi hachiitiki muhupenyu hwakachena, chinoratidzwa ne "kuchenesa" kukoromora uye kushandura chirevo chezwi romwana. Ne laryngitis, pane edema yemuvara wemarita, iyo inoderedza chiedza chayo, dyspnea inoitika. Kune zvidimbu 4 zvekupemha kusakundikana ne laryngitis:
1. Breathing is deep, pauses are reduced, retraction of the jugular fossa.
2. Mwana anotora chikamu chekumanikidzirwa, kusungirirwa kwepakati dzekati, cyanosis ye nasolabial triangle.
3. Kuwedzerwa kwepenisitiri, zvichibva pamapfupa ekufema asidi, kufarira kunooneka, kuputika kwemafuro kunowedzera, kuora mwoyo, jugular fossa, intercostal nzvimbo, subclavian fossa, kuwedzera kwemwoyo, cyanosis.
4. Asphyxia - zivo yakaputsika, Cheyne-Stokes kufema, tsvina-kufanana nemhepo, kurara kwemwoyo kunoderera, kushungurudzika kwehutano uye zvachose cyanosis inoitika.
Nezvekurapa.
Muzviitiko zvakakomba, chirwere chinokurumidza kupararira (zvikurukuru laryngitis), kugovera mwana kuvhara kwakakwana kwemapapu, kubviswa kwezviratidzo zvekushaya mwoyo, musadhi yemafodhi inofanira kushandiswa, mabheji etsoka, pathogenic teas, inhalation therapy - uchishandisa maerbiotics anerosol kana mapuroteni eproteolytic (trypsin, acetylcysteine ). Uyezve, tsanangudzo yemishonga, iyo inoshandiswa chete navanachiremba uye chete nokuda kwechinangwa chavo, pasina mhaka isingashandisi iwe pachako, inogona kutungamirira kune zvinetso zvezvirwere zvepamusoro nepamusoro uye mupfupa wepamusoro. Nokuda kwekutengesa, 40% glucose solution inoshandiswa, 5% vitamini C, 5% potassium chloride solution - 1 mita pagore rehupenyu, prednisolone 1, 5-3 mg pa 1 kg. Kugadzirisa kana kudzorera pH yakakodzera, 4% soda solution inoridzwa mukati. Nezvirwere izvi, dehydration therapy (kupera mvura - kunyura mvura) kunogona kuitwa, kudzivirira mamiriro akadaro mumwana sechirwere chedema. Kuti uite izvi, ita zvinodhaka kubva kune boka re diuretics (diuretics). Kuti udzivise kuora mwoyo kwebasa remwoyo, caffeine-sodium benzonate, euphilin inogonawo kurongerwa kana kudzvinyirirwa kwemukati wepumusoro, pamwe chete, oxygen therapy inoshandiswa, uye pa 3-4 degrees of asphyxia, kunyange tracheostomy. Antipyretics inogona kushandiswa zvose kune chiremba chiremba uye nokuda kwechirwere chinoratidzira. Saizvozvowo, kana zvinowanzoitwa antipyretic zvinodhaka hazvibatsiri, unogona kushandisa musanganisi we lytic (nzira yekuigadzirira uye kuisa pfungwa yacho haina kuratidzika, pasinei nokuti kuzvipira kunoshandiswa chii).
Kana mwana wako asina fivhiri yakakwirira kudarika 38-38, 5 anorwara, mune zvaunofunga, haufaniri kumhanyira nokukurumidza uye kumutungamira nokukurumidza kuna chiremba, asi unoda kuziva etiology yekumhanya kwekushisa, ndiko kuti, chikonzero chakakonzera kupisa kwekukwira. Zvichida izvi zvinopisa, sekusvika ikozvino mabhawende akasiyana-siyana ari kuita izvo zvisingaiti mhepo kana kuti kubhururuka kwevana, iyo inowanikwa muvabereki vaduku vari kuunza mwana mukamuri, iyo yatopisa uye ichaita kuti avete mumatare matatu. Hazvidi kuti kungoisa mwana wacho nemishonga yakasiyana-siyana iyo inogona kunge isingakoshi kwaari. Yeuka kurapa kwakajeka kwezvirwere zvepamusoro chekupumha kwepamusoro, pamwe nekudzivirira kuendesa kweimba nguva dzose, unogona kutora maminitsi gumi nemashanu kubva maawa matatu, kuwanda kwezvokudya nekumwa pakukumbira kwomwana. Usanyanyisa uye usapa diuretics nenzira kana kuti nzira yekuvandudza kutuka, nokudaro iwe uchaita kuti kurashikirwa kukuru kwemvura, kunowedzera kuwedzera nguva yekudzorera. Imba yekufambisa inofanira kuva MANDATORY, kunyanya kunwa uye kudya kune zvinodiwa. Usarwara.