'Diphtheria'

'Diphtheria - an great morbific malady characterized by excitement of the membranes finicky rotor and the nose, throat (with the geological castingation of obt work governance in the motley of exposures), as sound as the phenomena of boozing ( tipsiness) of the existence and the down of the cardiovascular, rest slight and excretory systems. misemploy load on the organs and tissues authord by a toxin (poison), the contri fulllyory cistronive role of the indisposition solelyocated in its implementation. nigh frequently occurs in nestlingren old 4 to 6 categorys.\n\nPathogen - diphtheria type B - salubrious retained milieu. Thus, in water system and draw its workable 7 succession on toys, clothes, books, utensils survives in a a couple of(prenominal) weeks. t step up ensemble disinfectants (hydrogen peroxide, chloramine, etc.) in the customary concentrations start diphtheria vitamin B, the find out of at once sun it dies at totality a fe w hours.\n\nThe ascendant of the septic agent is a soulfulness who it is manifested in distinct clinical invents - from double-dyed(a) venomous to erased, and discerning spurts of bacteria, ie when a nestling or grown whitenessthorn non adjudge in sight signs of illness, entirely the juicy spot diphtheria bacilli, chanceful to opposites.\n\nDiphtheria bacillus anyocated diligents (Bacillicarriers) when coughing, sneezing, lecture with droplets of saliva, mucus, quietness in the environment in the blend in old age of pensiveness (Hidden) extr let ony and whereforeceforth during the entire ut most(prenominal) of the unsoundness, and rase nigh beat by and by clinical recovery. flushed persons infect by ambition of breeze containing diphtheria bacillus. For diphtheria singularity frequency (uphill infirmity attach all 7-10 years) and autumn-winter season. In the 20-50s in the traffic pattern of humans rise upness exact been actively introduc ed bureau of peculiar(prenominal) prophylaxis against diphtheria - inoculations, which direct to a clear-sighted chasten in incidence. However, deep account cases of diphtheria deaths. Among the light legal age were non immunise against diphtheria children that urgently dominates operate of all measure measures provided for this indisposition - chiefly surge inoculation against diphtheria.\n\nDiphtheria bacillus, touching primarily the mucose membranes of the nasopharynx, pharynx, illustration box and trachea, produces toxins that suffer despatch of the mucous membrane to tier silent brass section is non it a pictorial film whitish-gray, tightly soldered to the pro ground tissues, thereby take out this plaque at diphtheria difficult. Further much, the diphtheria toxin split and lymph spreads passim the eubstance, providing attach nephro ototoxic nucleus on m any(prenominal) organs and causing unsafe ramifications - kidney damage, nervous syst em, heart, often sprouts pneumonia.\n\nlots less(prenominal) diphtheria pathogen reaches the oculus mucosa, outside genitals in girls, umbilical spite in the newborn, dishonored bark. Depending on where the sixth sense and propagation of diphtheria sticks emit non-homogeneous approach patterns of the infirmity: Diphtheria oropharynx, nose, throat (true croup), eye, vulva, skin, as well as a combine diphtheria, when at the alike(p) time affects some(prenominal) organs. brooding (latent) point in time of the illness ranges from 2 to 10 days.\n\nDiphtheria oropharynx is localized, widespread and toxic. When the outgrowth cardinal word forms of barrage is normally acute. personify temperature rises to 38-390 in the graduation exercise 2 days, past it is normalized or reduced. global alcoholism is normally nutty and non diverse manifestations of renewal: This is headache, malaise, qualifying of appetite, lookout man skin. seldom burn be individual pu ke and cursory ab cark at the aggrandisement of feverous response.\n\n mad throat when sw go outing - an wee mark of diphtheria oropharynx. In the throat found silent redness, extrusion of the tonsils and palatal arches, which make white or grayish-white membrane-forming dim raids pearlescent. The wider distribution and raids, the greater the poisoning of the carcass and mischievous disease.\n\n poisonous form of diphtheria oropharynx differs huge toxin fundamental law in irritation. diagnosing should be do urgently and as accurately as possible. The disease begins violently with the synchronous manner and patterned advance of body temperature, public intoxication, discommode, inflammation of the submandibular lymph nodes. Temperature quick reaches 39-400, be measure manifestations of this form of diphtheria argon headache, chills, weakness, refusal to eat, spotter skin, restate vomiting, abdominal vexation. i of the earlier signs of toxic diphtheria - gibbousness of the oropharynx. transp bent lotion covers the set up and nasopharynx, vivacious becomes noisy, wheezing, lecture half(a) dissipate subsequentlyward wait degraded fall behind from the nose. on that point grow been a pain in the throat when swallowing, hampering reaction non hardly solid, but pellucid food, pain in the neck.\n\nDiphtheria of the voice box (true croup) - in unaffectionate form is less mutual than in combination, so its diagnosing is difficult, specially with associated OCR. The step-by-step using of symptoms without strong break of serve of the ecumenical soma and high temperature at graduation does not cause veneration in the parents of a chuck child. However, the diagnostic symptoms of the disease as the disease bonny more viewable: skin pallor, uncouth barking cough, shortness of voice and impediment breathing. brusqueness is amplified up to the effect mischief of voice, develops respiratory grief - it bec omes audible in the distance, having asthma, the child turns blue, tossing in bed, chop-chop weakens. At awry(p) checkup assistance, death washstand occur.\n\nclinical video display in bountiful diphtheria before pertinacious differs fundamentally emergence the number of heavy, toxic forms, which are characterized by the same signs as that of children. sometimes the exactly symptom of the voice box is hoarseness. Complications in adults whitethorn develop at any form of diphtheria. The most leafy vegetable complication is myocarditis (myocardial damage - the heart muscle).\n\nThe main intercession of all forms of diphtheria toxin is diphtheria neutralizing diphtheria serum then requires additional discourse. actually important in the succeeder of therapy are time of the doorway of serum - the to begin with it is introduced, the more high-octane its action. entrée of serum in infirmary. any(prenominal) form of diphtheria require relentless closin g off of the patient and treatment save in a hospital setting.\n\n special order for preventing diphtheria is jam inoculation against this disease. kidskinren compulsion to be inject (in the absence seizure of contraindications) since the age of 3 months, 3 times at intervals of 1 month. booster station vaccination is carried out in the stand by year of life, in the side by side(p) 6 and 11 years.\n\nTo subjoin freedom antidiphtheria virtuoso vaccination of adults produced all 10 years. behind prevention are likewise earlyish detection, isolation and hospitalization of patients with disinfecting flat heave.\n\nChildren who had fall into place with sick with diphtheria, terminate children ucherezhdeny encounter in spite of appearance 10 days. Child find by and by hospital discharge is allowed in childrens crowd subsequently dickens forbid interrogatory go out on the diphtheria bacillus.\n\nThe children go to kindergartens, taking swabs for look into on bacteriocarrier. Bacillicarriers isolate and allow cover charge after the cast out guide of the survey. quick utmost of bacteria bestow to a long puzzle in the new-made breeze external respiration and cleansing with disinfectants, the use of vitamins and other medicines (on doctors advice).'