Lefu la seoa: matšoao, phekolo le thibelo

Phofo ea likobo (Californian) ke lefu le tšoaetsanoang ka ho fetisisa le bakoang ke kokoana-hloko A (H1N1), e khetholloang ke ho ba le tšoaetso e khōlō, eo karolo ea eona e leng karolo e phahameng ea ho shoa har'a batho ba kotsing (basali ba nang le bakhachane le batho ba nang le mafu a sa foleng a sa foleng) nete, e tšoauoa ke mathata a ho hema.

Matšoao a mafu a likolobe ho batho

Kliniki ea A (H1N1) e tšoana le matšoao a "mafu a selemo", phapang e ts'oana - ka 20-25% ea bakuli lefu lena le hlaha khahlanong le mokokotlo oa dyspepsia (letšollo, ho hlatsa, ho hlatsoa ke pelo). Ho tšoaetsoa ke mafu a likolobe ho khetholloa ka "qala" ka potlako, e se e le ka letsatsi 2-3 ho fetela pneumonia ea kokoana-hloko, ho fetola sebōpeho sa mali, ho eketsa coagulability ea eona, ho lebisa ho thrombosis, septic shock, myocarditis. Matšoao a lefu lena ho motho e moholo:

• ho fokola ha ho hema;
• feberu ho ea ho likhato tse 38-39;
• maqeba, bohloko mahetleng / mesifa;
• hlooho, ho khohlela ho omeletseng;
• letšollo, ho nyefoloa, ho hlatsa;
• mathata a pelo ea methapo ea pelo: ho theola khatello ea mali, tachycardia, ho se utloe ha pelo molumo,

Sebopeho se matla sa mafu a likhukhu li bontšoa ke mocheso oa pyretic (ka holimo ho likhato tse 39), khohlela e sa beheng, myalgia, hyperthermia, 'metso, ho fokolloa ke matla haholo, lefu la hemorrhagic (manyolo a mongobo a metsoako ea mali, hemoptysis). Phofu e kholo ea likolobe e tšoauoa ka ho hlahisa mathata a kotsi a pulmonary - a matla a ho phefumoloha lefu la mahlaba. Matšoao a bokuli ba ngoana:

• ho khohlela ho omeletseng ho omeletseng;
• bofokoli bo akaretsang, feberu e phahameng (38.5-40 degrees);
• bohloko mahetleng, phefumoloho ea nakoana;
• hlooho, letšollo;
• mahlaba a mpa (bohloko ba mpa);
• 'metso, ho nyefoloa, ho hlatsa.

Ho fapana le batho ba baholo, bana ba fumanoa ba e-na le mefuta e itekanetseng ho ea ho e thata ntle le mathata. Ka lebaka la lefu la catarrhal (mokokotlo, nko, ho khohlela), ho noa joala ho bakoa ke (bofokoli, hlooho, feberu). Matšoao a pampiri ea mathe (ho hlatsa, letšollo) hangata a tsejoa ho bana ba ka holimo ho lilemo tse tšeletseng, sefubeng X-ray ea liphetoho tse sa keneng ka matla ha e fumanoe. Ka kakaretso, tšoaetso ea A (H1N1) ho bana e khetholloa ka tsela e boreleli khahlanong le boemo bo sa tloaelehang ba laboratori boemong ba mali a pherekano.

Phallo ea likhomo: phekolo

Seoa sa (H1N1) Russia se qalile ka January - pele ho nako e tloaelehileng. Phapang e khōlō pakeng tsa seoa sa 2016 ke tlhōlo e bolaeang ea bacha ba phetseng hantle ba lilemo li 25-40, tleliniki e tebileng e potlakileng ka potlako ho pneumonia e nang le kokoana-hloko e nang le likokoana-hloko tse nang le tlhaho ea mali. Ho ea ka lefu la AIDS Federation, kokoana-hloko e ata ka potlako libakeng tsa naha, bakuli ba bangata ba bolaoa ke boloetse bo kotsi, batho ba makholo ba tšoaelitsoe. Lingaka li ipiletsa ho Marussia hore a se ke a tšoha, 'me ha ponahalo ea matšoao a khethehileng a potlakela ho fumana thuso ea bongaka. Haeba ho na le phekolo e lekaneng le e nakong, hangata ho buuoa ka tsela e nepahetseng.

Pheko ea mafu a likolobe

Ho feta ho phekola lefu la nama ea nama ea kolobe? Sehlopha se le seng sa lithethefatsi tse etselitsoeng ho tšoara A (H1N1) ke li-inhibitors tsa neuraminidase: zanamivir le oseltamivir. Ketso ea bona e itšetlehile ka thibelo ea cleavage ke likokoana-hloko tsa li-influenza B le A tsa lihlahisoa tsa sialic acid tse etsang li-receptors tsa glycoprotein tse lintšaneng tsa sele e nang le tšoaetso, e lebisang qetellong ea ho ata ha likokoana-hloko. Khahlano A (H1N1) ho Oseltamivir ke 0.5-0.7%, ho hanyetsa ha Zanamivir ha ho tlalehoe. Ho amoheloa ha Zanamivir (Relenza) le Oseltamivir (Tamiflu) ho kgothaletswa:

• Batho ba ka tlaase ho lilemo tse 19 ba fumanang phekolo ea acetylsacyl acid;
• batho ba nang le HIV le maemo a tebileng a bongaka;
• bakhachane,
• bana ba ka tlaase ho lilemo tse hlano, ba baholo ho feta lilemo tse 65;
• bakuli ba nang le histori e tiileng ea kokoana-hloko ea A (H1N1);
• ka boteng ba matšoao a mabeli a ho thathamisitsoe: bothata ba ho hema ka letsoho, ho khohlela ho omeletseng, ho fokola ha ho hema, feberu, 'metso.

Mefuta e rarahaneng ea A (H1N1) e tšoaroa ka motsoako oa lithethefatsi tse 2 tse thibelang likokoana-hloko: Arbidol + Viferon + Tamiflu, Tamiflu + Cycloferone, Panavir + Cycloferone + Tamiflu. Boima bo boima-e leng motsoako oa Viferon + Tamiflu, Arbidol + Tamiflu, Viferon + Arbidol. Matšoao: marotholi a li-vasoconstrictive bakeng sa nko, febrifuge (Ibuprofen, Paracetamol), lithethefatsi bakeng sa liphallelo tsa ho khohlela (Ambroxol, Tussin), antihistamines (Zodak, Claritin).

Thibelo ea mafu a likolobe: lithethefatsi

Lefu la likhutsana ke boloetse bo kotsi bo bobebe ho bo thibela. Ho tla fihlela joale, bakeng sa thibelo e tobileng, ente e khahlanong le kokoana-hloko A (H1N1) e bōpiloe, litokisetso tsa Arbidol, Tamiflu, Viferon li bontšoa bakeng sa se seng sa prophylaxis.