Utachiona hwepamuviri, hunozivikanwawo se "gastric" muvanhuwo zvavo, chirwere chinopararira. Inobata vose vana nevakuru. Iyo yekupedzisira inowanzorwara nenzira yakatsvaira. Chirwere ichi chinoperekedzerwa nezviratidzo zvinonzi. Kana zvikaonekwa, unofanira kufambidzana nachiremba pakarepo: izvi zvichakurumidza kupora.
Chii chiri chirwere chemukati?
Ichi chirwere chetachiona chinotaridzirwa zvikuru. Kazhinji kazhinji ivo vanorwara pasi pemakore matatu, uye muboka pane ngozi yakawanda vana vari mukudya zvekugadzirira. Maererano nehuwandu, nezera remakore gumi nemaviri, 90% yevanhu vari muropa vane zvirwere zvepamuviri zvirwere. Izvi zvinoratidza kuti vose vakatambura nechirwere chekare.
Inonyanya kukanganisa rotavirus intestinal flu kumapoka akadaro evanhu:
- avo vanotora glucocorticoids kana cytotoxic zvinodhaka;
- vechirwere vezvechirwere;
- Vane HIV;
- vakadzi munguva yekusununguka;
- vanhu avo nhengo dzemukati dzakatemwa;
- vanhu vanotambura nezvirwere zvepamatic.
Mukuwedzera, chirwere chemuviri chirwere chinowanzotambudza vafambi. Pamusana pekuchinja kwakasimba munharaunda yenharaunda uye kuchinja kune kudya kusina kujairika, maitiro ezvirwere zvezvirwere zvezvirwere. Somugumisiro, zvirwere zvinotapukira zvinotadza kubereka mumatumbo. Ichi chirwere chinowanikwawo kune vakwegura, nokuti panguva ino, inowedzera immunodeficiency, uye inowedzera kukura zvirwere zvakasiyana-siyana.
Utachiona hwemumakumbo ndiyo causative agent
Ichi chirwere chinokonzerwa neavo vanoita zvakasimba mumasero e epithelium yemugwagwa wekudya. Mumapfumbamwe makumi matatu ematambudziko, chirwere chemuviri chinokonzerwa ne rotavirus. Yakatanga kuwanikwa mumakore makumi manomwe ezana remakore ekupedzisira mumasero e epithelium yevana, vakafa nekuda kwegastroenteritis yakaoma. Izvo virion yehutachiona yakafanana nekugadzirwa kwegumbo. Muchiri maR molecule ane ruzivo rwehupenyu. Kunze, iyo virion yakafukidzwa nemapuroteni akawanda emaprota ne receptors. Nebatsiro aya mavairasi anosunga kumasero e epithelium e oropharynx uye mumatumbo. Zvadaro zvinopinda muropa.
Mukusara kwe10% yezviitiko, chirwere chemukati chirwere chinogona kutsamwirwa nemavhiviritiri akadaro uye mabhakitiriya:
- salmonella ;
- adenoviruses;
- shigella;
- norovirus;
- E. coli ;
- calicivirus.
Muchechi inoparadzirwa sei?
Kune nzira dzakasiyana dzehutachiona. Hezvino nzira iyo rotavirus inotamiswa nayo:
- kuburikidza nemaoko asina tsvina;
- ine zvokudya zvakasvibiswa nemvura (hutachiona hahufi kunyange pamatambo akaderera);
- nemadonhwe ematehwe;
- nemasese.
Utachiona hwakanyanya kusagadzikana neacid, saka inosvika nyore ku duodenum. Chinangwa chikuru chemuviri uyu wekudya gumbo ndechekunyengedzera kwekudya kwekudya uye kushandiswa kwezvinhu zviduku zvikuru muropa. Iko mukati mukati memukumbo yakafukidzwa nevilli yakatunganidzwa ne enterocytes. Iyo inopinda aya masero mukati, chirwere ichi chinoputsa mapuroteni emuprovupu. Mushure mezvo, anotumira ruzivo rwehupenyu (RNA) kusvika kumucheto wesero "yakatorwa". Somugumisiro, izvi zvinotungamirira mukuputsika kwezvinhu zvose zvinoenderera mberi, uye mune ramangwana - kupera kwemuviri uye rufu rweva enterocyte.
Muchiitiko chakafanana, utachiona uye rufu rwemasero akavakidzana anoitika. Nemhaka yeizvi, chikafu chinopinda mumatumbo chinorega kugadzirwa nenzira yakasununguka. Mukuwedzera, muchikamu ichi chegumbo rekudya, disaccharides inowedzera, inokwevera munyu nemvura. Zvose izvi zvinosanganiswa kubva mumuviri, zvichiita kuti mvura isapera mvura: munhu anonzwa kuparara.
Intestinal flu - incubation period
Iyi nguva inotangira kubva panguva iyo mujeri anopinda mumuviri kusvika pakuratidzwa kwezviratidzo zvokutanga zvechirwere. Kazhinji inonzi nguva yakaderera. Rotavirus incubation period yakapfupika: kazhinji inotora 24-48 maawa. Mushure meizvi, kunouya chikamu chakaoma, nguva iyo inoparadzaniswa kubva pamashure matatu kusvika kune manomwe. Zororo rokudzorera rinotora mazuva 4-5.
Inguru yakawanda sei?
Ichi chirwere chetachiona chinotaridzirwa zvikuru. Nhengo dzakanyanyisa kurwisana nemamiriro ekunze, izvo zvinowedzera mamiriro acho ezvinhu. Chirwere chinoshandiswa zvinoshandiswa zvakanyanya pane 70% ethanol alcohol solution. Mukuwedzera, mapurisa anoparara panguva yekubikira. Hezvino kuti yakawanda sei rotavirus inotapukira (kana isingaiti kurapwa kwemishonga):
- paganda remaoko - anenge maawa mana;
- mumamiriro ekunze (pamusoro pematayini, zvinhu zveimba, mumhepo) - vhiki 2-3.
Utachiona hwechirwere zviratidzo
Chirwere chemakiriniki chinogona kusiyanana zvishoma zvichienderana nechetatu chechirwere. Pakutanga kwekutanga, zviratidzo zveR rotavirus zvinotevera:
- kutonhora kwemuviri kunopfuura 38 °, pamwe chete nechirwere uye fever;
- headache;
- kurasikirwa nechido;
- kurwadziwa kwepamuviri;
- kurutsa;
- kurima kwemuti;
- chirwere chakanyanya (kusvika kusvika makumi maviri pazuva);
- kutsanangurwa kwemasese, streaks yeropa inogona kuvapo mairi;
- Kutambudzwa mumutsipa;
- akadzikama;
- kurwadziwa kana kuchimedza.
Mazuva mashomanana gare gare mamiriro ezvinhu ari kuwedzera. Nenguva iyo zvakare yakawedzera zviratidzo zvakadaro zve rotavirus:
- kudzvinyirira kunodonha;
- ganda rinopera;
- kuyerwa kunoratidzika kwehutano hwemuviri kunoonekwa;
- kurohwa kusagadzikana kunogona kuitika.
Rotavirus assay
Pangopera zviratidzo zvekutanga zvemuviri zvinotanga kuonekwa, iwe unofanira kubva wataurirana nachiremba (kunyanya kana mwana ari kurwara, ane pamuviri kana munhu ane chirwere chekuita immunodeficiency). Chokutanga, chiremba achanyatsoongorora murwere, uye iye zvino acharumbidza kwaari kuti aedze rotavirus, iyo iyo yakadzidza zvinhu ndeyezvipfeko. Izvo zvakaguma zvakagadziriswa zvakawanikwa zvinoratidza kuti kuongororwa kwakasimbiswa. Sekuwedzera kuongororwa, chiremba anogona kukurudzira kutora miedzo yakadaro:
- ropa - kana murwere ane chirwere chemukati, zvigumisiro zvicharatidza kuwedzera kwezvinyorwa zve leukocytes;
- urin - inogona kuwanika protein, hyaline cylinders, erythrocytes uye leukocytes.
Rotavirus - kurapwa
Kurapa mune varwere vane chirwere ichi chiratidzo. Kusvika iye zvino, hapana mishonga inorwisa zvakananga nehutachiona. Nokuda kwechikonzero ichi, chiremba anorayira mishonga, achifunga nezvehuwandu hwemurwere. Anoziva maitiro ekurapa rotavirus, kuitira kuti chirwere ichi nokukurumidza chinogona kugadziriswa, zvakakosha kunyatsoshandisa mazano ayo. Utachiona hwechirwere ichi hunofanira kunge hwakazara. Inosanganisira mazano akadaro:
- kuzviparadzanisa kwomurwere uye kupa kwekuzorora pamubhedha;
- kudzorerwa kwemvura-electrolyte balance;
- kubvisa kudhakwa;
- kusimbisa kudzivirira ;
- chirwere chokurapa;
- kubviswa kwesimba.
Mishonga yemukumbo chirwere
Kushandisa zvinodhaka munyaya imwe neimwe kunogona kusiyana, nokuti inonyatsoenderana nezvinoitwa nedzimwe chirwere chacho. Nokuda kwechikonzero ichi, usati ruchiita chirwere ichi, chiremba anonyorawo kumurwere kumwe kuongorora. Kazhinji kacho panguva yekurapa inorayirwa mishonga iyi:
- tsvina (Enterosgel, Smecta, yakagadzirwa carbon);
- probiotic magadzirira (Hilak Forte, Bifiform, Bifidumbacterin Forte);
- chikafu chemakemikari (Pancreatin, Creon);
- mhinduro dze electrolytes ( Regidron , Trisol, Lactasol);
- antipyretics (Nurofen, Inotevera), asi kana rotavirus isina kutonhorera madhiragi akadaro haatauri;
- antiitussive zvinodhaka (Sinekod, Bromheksin, Bronholitin);
- antispasmodics (No-Spa, Spasmalgon);
- immunostimulants (Cycloferon, Kagocel, Cytovir).
Rotavirus - kudya
Kuti chirwere chacho chidzoke nokukurumidza sezvinobvira, murwere anofanira kudya zvakanaka. Kubva pakudya unoda kubvisa zvokudya zvakadaro:
- mukaka nemikaka yakabikwa yemukaka;
- sweets;
- upfu;
- nyama yakakora nehove;
- tsvina;
- fried food;
- Pickles;
- doro;
- zvokudya zvinokurumidza;
- spicy dishes.
Kudya kwemuviri wemukati kunoreva kuvapo mukudya kwezvokudya zvakadaro:
- mifuta purees;
- porridges akabikwa pamvura (buckwheat, rice);
- biscuit cookies;
- pasi-mafuta-muto;
- apulo zvakabikwa;
- bananas;
- rye crumbs;
- nyama yakabikwa yakadyiwa uye hove dzakaderera-mafuta.
Zvokudya zvinofanira kuva zvishoma. Iyo yakakurudzirwa nguva yakawandisa yekudya kudya inokwana 6-8 pazuva uye mune zvikamu zviduku. Iwe unofanirwa kunwa zvinenge maita maviri emvura pazuva. Kuti uite izvi, zvinotapira nyeii chaiyo (kwete yakasimba), kuiswa kwejaspberry, chiroro kana currant zvakakodzera. Mukuwedzera, oats uye mucheka wemupunga zvakanaka munyaya iyi: ivo vapfumi mumashizha, saka vanofukidzira masvingo emudumbu uye vanozvidzivirira kubva pakuparara.
Kudzivirira kwepamuviri chirwere
Chero chirwere chiri nyore kuchengetedza kupfuura kuporesa. Izvozvowo ndezvechokwadi chemukati chirwere. Imwe yenhengo dzekudzivirira dzinoshanda ndiyo chirwere chinopikisa rotavirus. Kune zvimwe zviyero zvinotarisirwa kudzivirira utachiona:
- kuzviparadzanisa nomunhu anorwara;
- kunwa mvura yakanaka chete;
- Chikafu chinofanira kugadzirirwa kubva kune michero mitsva, ichizviisa pakurapa kwakakwana kwekupisa;
- kushamba maoko nguva dzose (mushure mumugwagwa, chimbuzi, nzvimbo dzevanhu, vasati vadya uye zvimwewo);
- usati watanga mishonga mitsva yakanyorova kwemaminitsi gumi muvhiniga yega 3%, zvino osuka nemvura yakachena;
- nguva dzose yekuchenesa kunatswa kwekamuri;
- kusimbisa kusagadzikana;
- kusiya tsika dzakaipa;
- kudzivirira rotavirus mumhuri umo kune chirwere chepachirwere chinorwara, chinosanganisira kuporesa zvakakwana zvinhu zvevanhu.