Chirwere cheSerum chimiro chemuviri, icho chiri chimwe chemaitiro ehutano husingaiti. Inokura mune vamwe vanhu mushure mokunge tanga kupinda mumuviri parenterally (zvisina kunaka) imwe rudzi rwemishonga - immune sera yemhuka yakabva - nechinorapa kana chinangwa cheprophylactic.
Zvinokonzera chirwere chinonzi serum
Kazhinji chirwere chinonzi sérum chinowedzera munyaya yekuiswa kwehurongwa hweheterologous. Izvi ndizvo zvakagadzirwa zvehupenyu zvakagadzirwa kubva muropa remhuka dzakarongedzwa nemamwe marudzi emaantijeni, uye zvine zvigadzirwa zvine maitiro anokwana anokwana aya maantigen. Mishonga yakadaro inoshandiswa kune zvirwere zvinotapukira uye zvinokonzera utachiona: tetanus, botulism, diphtheria, gas gangrene, encephalitis, leptospirosis, anthrax, nezvimwewo. Inoshandiswa isarum iri kugadzirira kurwiswa nyoka dzine uturu.
Zvinowanzowanzoitika, zvinoparidzirwa zvinokonzerwa neropa kana kuwedzerwa kweplasma, insulin uye zvinyorwa zveropa, antibiotics (penicillin, streptomycin, sulfanilamides, cephalosporins, nezvimwe) uye kunyange zvipembenene zvinoridzirwa (kunyanya Hymenoptera). Dambudziko rekudzivirira hutachiwedzera huripo kana pane maitiro ekutanga kune kubudiswa kwemishonga inonzi serum, uye kana kune kuwedzerwa kunzwisiswa kune epidermal mapuroteni emhuka. Nekukudzivirira kwekurwadza kwechirwere chesumum chinoonekwa kakawanda kupfuura nehutachiona.
Utachiona hweSerum ndiyo nzira yekusimudzira
Sezvo chirwere chemu serum chinokonzera, zvirwere zvekudzivirira zvirwere zvinosanganisira mukugadzirwa kwayo. Apo zvinodhaka nemapuroteni kunze kwenyika zvinoshandiswa, zvirwere zvinopindira zvinobatanidzwa pakuumbwa kwezvirwere zvekudzivirira muviri zvinogadzirwa. Nokufamba kwenguva refu mumuviri, izvi zvinowanzoiswa pamadziro e-capillaries emhando dzakasiyana-siyana (lymph nodes, ganda, itsvo, mwoyo, nezvimwewo), zvichiita kuti zvigadzirwa uye kuperera kwezvinhu zvinodzivirira-leukocyte, histamine, serotonin, nezvimwe. Sezvo chikonzero, tishu.
Chirwere cheSerum - zviratidzo
Nenguva yekuyerera, chirwere chinonzi serum chirwere, subacute uye kwenguva refu. Kana serum ichiziviswa kwekutanga, hutachiona hunokura zvakanyanya pazuva rechinomwe, asi dzimwe nguva nguva yekudzivirira inowedzera kwemazuva 12-20. Mumamiriro ezvinhu apo purotini yekugadzirira inoshandiswa kakawanda, chikamu chinotadza chechirwere chinoderedzwa kusvika mazuva 1-6. Chirwere ichi chinogona kuitika mune zvinyoro, zvine mwero uye zvakaoma mafomu.
Unhu huratidzwa hwehutano ndehu:
- kubwinya kweganda;
- kuputika kweganda, kutanga kunotanga panzvimbo yejojo uye kupararira mumuviri wose (zvakafanana pakuonekwa kurticaria , kazhinji kacho karafu fever, erythematous);
- ganda reganda rakasiyana-siyana, rinowanzoenderana nekuoma kwechirwere;
- fever, fever;
- kushaya simba;
- headache;
- yakakura lymph nodes;
- muscle pain;
- kurwadziwa kwepakati mukati memajoini;
- kurwadziwa mukati mamuro netsvo;
- kukanganisa kudya;
- manyawi (zvikurukuru panzvimbo yejojo, pamapapiro, miromo, kumativi);
- moyo palpitations;
- kupfupika kwemhepo;
- kuderedza ropa;
- kunetseka .
Chirwere cheSerum - kuongororwa
Kuita kuti chirwere chinonzi "serum chirwere" chinyatsozivikanwe chinofanira kuenzaniswa nokuunganidza annesis (iyo yakatangira kukura kwehutachiona), laboratori uye dzidzo dzake dzinotipa zvibereko zvinovimbika. Maererano nezviratidzo, chirwere chinogona kufanana neve nodular periarteritis, yakaoma rheumatic fever, masero, scarlet fever nezvimwe zvirwere zvinotapukira, izvo chirwere chesumami chinofanira kuve chakasiyana. Dzimwe nguva, ultrasound uye radiology dzinoitwa.
Tsvakurudzo inotevera inotsvakurudza inotsigira kuongororwa inotorwa munyaya yacho:
- kuderedza kana kuwedzera munhamba ye leukocytes;
- eosinophilia ;
- kuwedzera mu erythrocyte sedimentation rate;
- kuwedzera mune zvinyorwa zve cryoglobulins muropa;
- kuvapo kweprotheni uye erythrocytes mumuguta;
- kuvapo kwemasero eplasma muropa smear;
- kuvhuvhuta kwemidziyo, kuonekwa necheputi yeganda, nezvimwewo.
Chirwere cheSerum - kurapwa
Panosimbisa hutachiwana hwe "serum chirwere", zviratidzo uye kurapwa hazvina kukwaniswa kuwirirana: zvichienderana nehuwandu hwekuratidzwa uye kuoma kwemitambo, chirongwa chekurapa chinorayirwa. Varwere vane zvirwere zvinyoro, vasina zvinetso, vanogona kurapwa pamusana pepfungwa. Hospitalization inofanirwa mumatambudziko akaoma, pakuvapo kwechiremera chemoyo uye nheyo yehutano, kuvapo kwekutambudzika kwakanyanya kuenderera mberi, kutarisa zvakajeka, utana uye kukwegura.
Utachiona hweSerum hurumende
Kana chirwere chevanaphylactic chikaitika, chirwere cheSerum chinotarisirwa kukurumidza kukura, nokuti kutyisidzira kuupenyu kunogadzirwa. Muchiitiko ichi, chimiro chemakiriniki chinoratidzirwa nechisimba, nzira yakaoma zvikuru: kune utera hwakasimba, kuoma kunetseka kufema, kudonha kwakasimba kweropa, kurasikirwa kwekuziva. Izvo zvinoda kukurumidzira kushevedza ambulensi kana kutumira murwere kuchipatara chiri pedo, apo achabatwa ne adrenaline. Pamberi pokusvika kwachiremba, zvinodiwa:
- Isa murwere panzvimbo yakadzika, kusimudza makumbo ake uye kutenderera musoro kune rumwe rutivi.
- Ipa mweya wakachena.
- Shandisai tourniquet pamusoro peiyo nzvimbo yejojo uye shandisai chando munzvimbo ino.
- Kana kusina kufema uye kupisa, fambisa unhu husina kurongeka hwemwoyo, kupumha kwemaitiro.
Chirwere cheSerum - kliniki mazano
Mune zviitiko zvishoma, chirwere cheSerum chinowira pacharo kwemazuva mazhinji, kunyange pasina kurapwa. Kuchengetedza mamiriro acho uye kukurumidza kupora, mapoka anotevera emishonga anorayirwa:
- antipruritic mishonga yemunharaunda (semuenzaniso, kubva pam menthol);
- antihistamine (Suprastin, Tavegil, Dimedrol);
- Kugadzirira kwe calcium;
- mishonga yekusimbisa masvingo emasera (Ascorutin).
Mune mamwe maitiro akaoma, kuwedzera kune zvakasarudzwa, chirwere chinonzi serum chirwere chekurapa chinosanganisira zvinotevera:
- corticosteroids (Prednisolone, Hydrocortisone
- kwete-steroidal anti-inflammatory drugs (Ketoprofen, Ibuprofen, Analgin);
- diuretics (Lasix, Furosemide), nezvimwewo.
Chirwere cheSerum - zvinetso
Syndrome of serum chirwere, kuwedzera kune anaphylaxis, inogona kuomeswa nedzimwe zvirwere zvinowanzoitika nekusavapo kwenguva refu kwerapi. Tinonyora zvinetso zvinogona kuitika:
- neuritis;
- myocarditis;
- synovitis;
- kupararira kwekubatana kwezvibvumirano;
- glomerulonephritis;
- hepatitis;
- necrosis yeganda uye zviduku zvakashamiswa munzvimbo yejojo.
Utachiona hweSerum - kudzivirira
Izvo zviyero zvepamusoro maererano nekudzivirira kwokuti chirwere chesumum chinoitwa ndechei:
- kushandiswa kwekugadzirira nepamusoro yekunatswa;
- kuiswa kwezai yemhuka kubva kune zviratidzo zvakasimba, kana zvichikwanisa kuisa panzvimbo yavo nevana gamma globulin;
- kuchengeta kuchengetwa kwakasununguka paunopinza serums kune vanhu vakatova nekutarisa kwekugadzirisa;
- kutakura ganda kuongororwa vasati vakuyiwa;
- kuiswa kwezaiyo diluted kana kushandiswa kwezvimwe zvirongwa zvejairo.