Encephalitis Japanese: calaamadaha, side, tallaalka

encephalitis Japanese - cudur la is qaadsiiyo oo ku dhaca dadka ma aha oo kaliya, laakiin sidoo kale xoolaha. Fayrasku waxa uu inta ugu badan saamaysaa maskaxda. dillaaca-gud dhacaan ka August in September, waxana uu socon wax ka badan 50 maalmood sannadkii. Xaaladan roob culus ku saabsan asalka ah ee hawada kulul - waa deegaanka faa'iido cudurka dulinka taranta - kaneecada.

A yar oo taariikh

Xitaa 1871, dhakhaatiirta Japanese tilmaamay cudurka natiijada dilaa ah in 60% ka mid ah xaaladaha. Horeba 1933 Haiashi jaraan virus iyo loo ogaado si sax ah sida cudurka la isugu gudbiyo. On dhulka of Russia, sheegidii ugu horraysay ee fayraska encephalitis Japanese u muuqday 1938, cudurka la ogaaday in Primorye koonfurta.

Fayrasku waxa uu magaceeda sabab u dillaacay cudurka ee Japan helay. Intii lagu guda jiray jeer kuwa laga cabsado, kuwaas oo in 1924, fayraska in ka badan 7000 qof ayaa saamaysay, 80% ka mid ah bukaannada ku dhintay.

In dalka, cudurka waxaa kaloo loo yaqaan encephalitis B, kaneecada ama xagaaga-dayrta encephalitis ah.

Etiology iyo ayidhi encephalitis Japanese

Wakiilka sababaya cudurka waa panulirus ku virus Flavivirus, ee qoyska Togaviridae ah. Virus ayaa la dilay ka dib markii kululeeyo si heerkul ah 56 darajo waa kaliya 30 daqiiqo. Haddii ay kululeeyaan, kadibna dhinta 2 daqiiqo ka dib. Haddii fayraska la qalajiyey iyo la xayiray, waxa aanay lumin doonaa, oo waa la kaydin karaa shiidaa weligiis. Heerkulka qolka, fayruska hayn kari lahaa awood u leh inay ku noolaadaan for ah oo ku saabsan 45 maalmood oo dhexdhexaad ah caanaha ka hor 30 maalmood.

fallaadhaha suurto gal

Under xaaladaha dabiiciga ah, side ugu weyn waa waterfowl. virus jiirka Qaar ka mid ah ayaa sidoo kale waxaa la go'doonsan.

At beerta encephalitis hooyo Japanese matali karta doofaarka iyo fardo. Doofaaro qaadaan cudurka iyada oo aan calaamadaha, iyo Xilliga cudurku ma aha in ka badan 5 maalmood. Aad ayay u yar oo bukaan doofaarro ah wuxuu noqon karaa ilmo lama filaan ah.

qof cudurka qaba waa halis dad kale. In jidhka bini'aadamka virus galo candhuufta ee kaneecada cudurka. In aadanaha, Xilliga cudurku ee u dhaxeysa 4 ilaa 21 maalmood. Raasamaal cudurka ku dhacaa unugyada neerfaha ah ee qaybaha kala duwan ee maskaxda. lesions Vascular waa qolof suurto gal ah iyo unugyada maskaxda. Isla mar ahaantaana, cudurada inta badan astaamo. Dad badan oo aan marnaba ka encephalitis soo gaaray, waxaa jira unugyada difaaca jirka ee nidaamka dhiigga. Iyadoo da'da, hab kasta oo difaaca aadanaha oo kaliya xoogaystay.

Halkee fayruska ku badan tahay?

Dabcan, encephalitis Japan ma aha mid aad caadi u ah dalka. Fayraska waxaa laga helaa oo ku yaalla koonfurta in ay koonfur-bari Aasiya, iyo waa qaybta waqooyi ee Australia, India, Pakistan, Thailand, Japan iyo Indonesia. liiska wadamada "khatar" waxaa ka mid ah oo ku saabsan 24-goboleedyada. Guud ahaan, halis u ah bilawga ah ee dadka ka mid ah oo ku saabsan 3 billion oo qof oo caalamka. In dalka kaneecada keeni kara cudur waxaa laga helaa tuulooyinka tagay oo ku taal duleedka tuulooyinka iyo magaalooyinka, meelaha inta badan da'o iyo huurka badan.

pathogenesis

Character for Japanese encephalitis waxay ku xiran tahay gobolka guud ee caafimaadka. Dadka caafimaad tahay, khatarta yar ee cudurka. Inta badan, virus horeba lagu dilay goobta la muday.

Haddii dhammaan virus isla "hakad" ee jirka, dhinaca horumarinta badan ku xiran tahay heerkulka jidhka: haddii uu kor u kaco, ka dibna uu fayrasku "hirarkii" oo si degdeg ah horumarinta. The heerkulka jidhka kor u kordhinaya Dabcan degdegga ah ee cudurka. Marka fayraska ayaa ka soo kabsaday caqabad dhiig-maskaxda, waxaa loo soo diray in ay parenchyma maskaxda. Tani waa meesha virus bilaabmin horumarinta firfircoon. Xaaladaha daran, dhalmo ka bilaabmi karaan in habka dareemayaasha jirka.

encephalitis Japanese: Calaamadaha

In aadanaha, cudurka ku dhacaa saddex marxaladood:

1. Start. muddo Muddada ku saabsan 3 maalmood. Gartaa u kaca lama filaan ah heerkulka 40 ° C, taas oo qaban kara heerkan ilaa 10 maalmood. Man walwalsan ah oo ku saabsan madax-xanuun, qarqaryo, xanuunka ee dhabarta lumbar ah, meelaha caloosha iyo mindhicirka ee addimmada waxay aad. Bukaanjiifka qaar lalabo, wuxuu gaadhi karay mantagi. kordhin kartaa cadaadis iyo nooleeyaa wadnaha 140 garaac.

2. Muddada ba'an. On 3aad ama 4aad maalin yimaado cudurada sii daridda, calaamadaha u muuqan kara xaalad meningitis Dullaysanayay caan bukaanka, xitaa kooma. Bukaan badan ayaa qaba dhibaatooyin dhimmirka, dhalanteed, waaxaan Dhagar ahayn.

cabirida xaalada muruqa u korodho, iyo bukaan-socodka ah wuxuu noqon karaa oo keliya meel la jiifo dhinac ama dhabarka. Addimada waqti isku mid ah waa in meel laaban yihiin. murqo dhacaan ee qoorta, muruqyada qaadka. guduudasho suurtogalka ah ee dareemaha iftiinka, ilaa bararka. Bukaanjiifka qaar waxay leeyihiin pneumonia ama boronkiitada.

3. Muddada bogsashada. encephalitis Japanese in tallaabo this laga yaabaa in 7 todobaad. heerkulka jirka waxaa badanaa lagu xasilin oo ku soo laabtay si caadi ah. Waxaa laga yaabaa in saamaynta haraaga ah ee dhaawac maskaxeed, tabar-dari muruq, luminta isuduwidda, bedsores.

Waxaa jira bukaan qaba cudurka qaab fudud, oo aan calaamado dareemayaasha.

cudur daran waxay noqon karta dhimasho.

Gaar ahaan in saf iyo saadaal

Activators of encephalitis Japanese inta badan lagu arkaa meelaha slaboobzhityh dhow balliyada iyo biyagaleenka. In wadamada kulaylaha, safmar ah muddo dheer ka badan 50 maalmood. kooxda halista waxaa ka mid ah dadka ka shaqeeya dibadda ama u dhow biyaha. Inta badan xanuunsado tan iyo rag encephalitis Japanese 20 ilaa 40 sano.

Halis sidoo kale dalxiisayaal, kuwaas oo uu fasax u aado dalka la cimilada kulaylaha ah, halkaas oo ay jiraan huurka badan iyo monsoon. Tani waa Filibiin, Thailand, gaar ahaan qaybta waqooyi ee gobolka, India, Indonesia iyo dalal kale. Socotada Sidaas awgeed xoog leh lagula taliyey in la tallaalo ka hor inta u safrin wadamada kulaylaha.

Saadaasha for soo kabashada waa mid aad u yar, ixtimaalka ee dhimashada waa 80%. Sida caadiga ah, khatar ah 7 maalmood ee ugu horreeya, bukaanka waxaa ridda galay kooma, suuxdin ama cadaab aan dhammaadka lahayn.

Dadka soo maray oo dhan heerarka kala duwan ee cudurka, inta badan waxay leeyihiin saamaynta haraaga ah:

• waalli;
• hyperkinesis;
• hoos u awoodda caqliga,
• curyaannimo;
• xaalad asthenic.

tallaabooyin lagu ogaanayo

Cilad cudurka - waa set oo ah cilmi-baaris caafimaad oo iyo shaybaarka. Marka aad dooranayso hab dhakhtarradu u janjeedha horrayn on xaaladda bukaanka. Cilad-ka mid ah:

1. imtixaanka shaybaarka. Toddobaadka ugu horreeya ka dib markii cudurka si loo ogaado cudurada ee waxay noqon kartaa by baaritaan dhiig. Labadii isbuuc ee soo socota, waxaad aqoonsan karaa cudurka ku salaysan natiijooyinka waxbarashada ee dareeraha lafdhabarka.

2. Serology. Cilad ku lug isticmaalaya immunoassay enzyme, ama baaritaan RN, RNGA-, RTGA- iyo DGC.

daaweynta caafimaadka

Daaweynta bukaan "kulmay" dulinka ah encephalitis Japanese aan lagu qaban karin hal dhakhtar oo kaliya. therapy waxaa ka mid ahaa cudurrada faafa, neurolojiga iyo resuscitators. Under xaaladaha taagan bukaanka waxaa maamula immunoglobulin gaar ah ama serum, ku saabsan 3 jeer maalintii muddo hal todobaad ah ee daaweynta. Oo ay la socoto this isagoo therapy astaamaha iyo pathogenetic. Hawlahaas waxaa loogu talagalay ka hortaga bararka cerebral, naanin, caadi dhammaan xubnaha iyo nidaamka.

Dhibaatada ugu weyn waa in daawo ma aha encephalitis Japanese suurto gal. Therapy ka saari kara oo keliya calaamadaha. Sidaa darteed waxaa aad muhiim u ah in la talaalo si wakhtiga dhowreysa.

Ka hortagga cudurka

Si looga hortago cudurro dillaaca waa mid aad u muhiim ah tallaalka firfircoon ee dadweynaha. Tallaalka encephalitis Japanese leeyihiin magaca "formolvaktsina". prophylaxis degdeg ah dadban ka dhigan tahay maamulka of 6 ml iyo 10 ml hyperimmune immunoglobulin serum equine.

Intaa waxaa dheer, ka-hortagga cudurka - waa taxane ah oo tallaabooyin dhamaystiran si looga hortago weerar kaneecada. Meelaha khatarta epidemioligal in lagu taliyo karaan isticmaalka dhar badbaadin. isticmaalka qasabka ah ee Dawooyinka, cadar si buufiyo ee, isticmaalka dhammaan tallaabooyinka si looga hortago kaneecada ka imanaya qolka fadhiga.

Iska tallaal encephalitis Japan ee Moscow waxaa laga yaabaa in hay'adaha caafimaadka ee degmada iyo kuwa gaarka ah.

Inta badan, qofka la tallaalo, "dilay" tallaalka, si dhib ma tallaalka ka dib. Isla mar ahaantaa, waxaa lagu talinayaa in la tasho dhakhtar haddii ay jiraan kuwo dareen diidmo oo xasaasiyadeed. Waxaa laga yaabaa in muuqaalka kore ee casaan iyo bararka meeshii la duray. ayaa laga yaabaa inuu madax xanuun, shuban, xanuun muruqyada ah. Bukaanjiifka qaar ayaa ka cabanaya wareer iyo lalabbo, qarqaryo, iyo finan.

Tallaalka looma fuliyo ay goobjoog ka ahaayeen tiro ka mid ah cudurada faafa ee muddada uurka iyo nuujinta, haddii la og yahay in diidmo bukaanka borotiinka heterologous, cadaanyo daran.

Maanta, waxaa jira 4 noocyada aasaasiga ah ee tallaalka encephalitis Japanese:

• daarnayn;
• ku salaysan unugyada maskaxda mouse;
• daarnayn ku salaysan unugyada Vero;
• recombinant nool oo ku nool tallaalka fayruska.

Tallaalka ugu caansan SA14-14-2 maray kuwii horeba WHO oo soo saaray Shiinaha.

Dalxiisayaasha, tallaalka waa la fuliyay, iyada oo ku xidhan waddanka ay u socdaan si ay u tagaan, halkaas oo ay ku nool yihiin doonaa, oo ku taalla daafaha magaalada ama magaalada, inta, 1 toddobaadka, bisha ama sanadka.

Tallaalka la fulin karo iyada oo laba qorsheyaasha:

Citizens qaba beer waqti-dhiman, waa inay hubiyaan tallaalka xoolaha, halkaas oo ay ku koray. Doofaaro yihiin inta badan la isticmaalo tallaalka "live". Meelaha lagu tilmaamay goobaha halista, waxaa lagu talinayaa inay fuliyaan daaweyn joogto ah la cayayaanka.