Hemorrhagic fever ne renal syndrome

Hemorrhagic fever ine renal syndrome inonzi acute viral yemasikirwo epfungwa, iyo inoratidzwa nezviratidzo zvakawanda:

• fever;
• general inxication;
• kuora kweiyo;
• kusarudza kuparadza kwemidziyo yeropa;
• kukura kwe thrombohemorrhagic syndrome.

Chirwere ichi chinonziwo Far East inopisa simba, Manchurian hemorrhagic fever, Scandinavia denda nephropathy, hemorrhagic nephro-nephritis nezvimwe zvakadaro. Zvinyorwa zvechirwere izvi zvakakonzerwa nekuti yekutanga dzidzo dzakazara dzakabvumira kuisa hutachiona hwahwo hwakaitwa muHarare East yeRussia kune kure 1938-1940.

Zvinokonzera chirwere chacho

MuEurope, zvirwere uye zvirwere zvechirwere ndidzo mhepo yakatsvuka, munda mutsvuku, mutsvuku-grey uye mapirati emumba. Utachiona hweHemorrhagic fever hunoparadzirwa kubva kumakonzo kune vanhu kuburikidza nemugumisiro wekupema, kureva, nemhepo-guruva nzira. Nzira yechipiri yekuendesa kwehutachiwana iko kusangana nemutakuri kana zvinhu zvekunze kwenzvimbo, somuenzaniso: uswa, uswa, mabhushi nezvimwe zvakadaro.

Panewo mukana wekutengesa kupisa kwemafivha kana uchidya zvokudya izvo zvisati zvichitapurirwa, uyewo izvo zvakasvibiswa nevatakuri.

Chinonyanya kukosha ndechokuti hutachiona hahugoni kuparadzirwa kubva kumunhu kusvika kune mumwe munhu, saka, pakutaurirana nemurwere, hazvifaniri kushandiswa kupfeka girazi uye zvimwe zvigadziro zvekudzivirira, vachitya kuipa kwechiitiko nenzira yehutachiona hwemafivha.

Zvimwe zviratidzo zvekushaya ropa zvakanyanya

Nguva yekudzivirirwa inopera pamusana pamazuva 21-25, pane dzimwe nguva inogona kusiyanisa mazuva manomwe kusvika makumi mana. Mazuva mashomanana kusati kwatanga kwezviratidzo zvekuonekwa kwechirwere chinopisa muviri, murwere angave ane hutano, utera uye zvimwe zvinowanzoitika. Mazuva matatu okutanga ekuratidzwa kwemafivha mukati memurwere kune utsi hwepamusoro (38-40 ° C), iyo inogonawo kufambidzana nechills (mune zvimwe zviitiko), musoro, kushaya simba uye yakaoma muromo . Mumazuva okutanga, murwere anowana "hood" syndrome - hyperemia yeganda rechiso, mutsi nepamusoro chebhokisi. Izvo ndezvekukundwa kwezvivara zveganda izvo chiratidzo chakagamuchira zita rakadaro.

Mune febrile period, iyo inoitika mushure mekutanga, kutonhorera kwehutachiona hakuderedzi, asi mamiriro acho anowedzera. Kazhinji kacho, kubva kune yechipiri kusvika kune regumi nerimwe zuva remurwere anorwara, marwadzo ari muzasi ari kushungurudzwa. Kana vasina kuuya mushure mezuva rechishanu remutambo wechirwere, ipapo chiremba ane zvikonzero zvose zvekusahadzika kuongororwa. Vakawanda mushure mekuonekwa kwemarwadzo, kusuruvara kunowanzoitika, izvo zvinosangana nemarwadzo mudumbu. Emetic inokurudzira haisi kuvimba nezvokudya zvakatorwa kana zvimwe zvikonzero, saka hazvibviri kuzvidzivisa iwe pachako. Paanongororwa, chiremba anogona kuona ganda rakaoma pameso uye mumutsipa, conjunctiva uye kuzvikudza kwemaofi. Zvose izvi zviratidzo zvinopedzisa kugona kwechirwere chacho.

Uyezve, mune vamwe varwere, zviratidzo zvakaoma zveHFRS zvinogona kukura:

• yakawedzera fragility yemidzi yeropa;
• chimiro che petechiae;
• macrogematurgy;
• kubuda mumimba;
• kugunun'una pajekiti nzvimbo;
• kuora kwemvura mucheka;
• manzi kubuda ropa .

Matambudziko akadaro anowanikwa musingasviki 15% yeavo vanotapukirwa.

Chiratidzo chinonyanya kukosha chefivha yefivha ndeye kuora kweiyo, iyo inowanikwa mune varwere vose. Ichi chiratidzo chinowanikwa nekubatsirwa kwekuzvikudza kwechiso, maitiro akanaka kune kuongororwa kwechiratidzo chePasternatsky uye chekudya chemaziso.

Munguva yenguva yenyangadza, murwere wehutano hunowanzo, asi azotemia inokura. Murwere anogara achine nyota, uye kurutsira hakuregi. Izvo zvose izvi zvinosangana nekunyengera, kuora musoro uye kunonoka.

Kubvira pazuva rechitanhatu kusvikira pazuva re13, chirwere chinosimuka, musoro unopera zvakare, asi kushaya simba uye kuoma mumuromo kunopfuurira. Murwere anorega kushungurudzwa nemarwadzo muzasi nechemberi, nekuda kwechido chekudya. Zvishoma nezvishoma 20-25 zuva zviratidzo zvinoderera, uye nguva yekudzoka inotanga.