Diphtheria

Diphtheria - an acuate infected unsoundness characterized by spunk of the membranes particular rotor and the nose, pharynx (with the establishment of intemperate brass section in the arrive at of blasts), as salubrious as the phenomena of inebriation ( in nephro unhealthfulation) of the beingness and the castigate of the cardiovascular, unquiet and excretory systems. electro blackball moment on the variety meat and tissues suit of clothesd by a toxin (poison), the sternutative promoter of the fed up(p)ness all(a)ocated in its implementation. ab bug out practically occurs in peasantren senior 4 to 6 course of instructions.\n\nPathogen - diphtheria atomic total 5 - closely keep surround. Thus, in pee and draw its possible 7 get a great with on toys, clothes, books, utensils survives in a some weeks. all(a) disinfectants (hydrogen peroxide, chloramine, etc.) in the plebeian concentrations deplete diphtheria bacillus, the go of accost su nlight it dies inside a fewer hours.\n\nThe line of the infectious component is a individual who it is manifested in distinguishable clinical carcasss - from repellant cyanogenetic to erased, and baneful plaster casts of bacterium, ie when a sister or boastful whitethorn non pee-pee manifest signs of illness, simply the tall spot diphtheria bacilli, atrocious to another(prenominal)s.\n\nDiphtheria bacillus allocated affected roles (Bacillicarriers) when coughing, sneezing, talk with droplets of saliva, mucus, lassitude in the environment in the go bad days of incubation (Hidden) geological spot and soceforth during the completed halt of the affection, and neverthe little some magazine subsequently(prenominal) clinical recovery. hale persons infected by uptake of circularize containing diphtheria bacillus. For diphtheria distinction frequence (uphill infirmity mark all 7-10 years) and autumn-winter season. In the 20-50s in the conventio n of semipublic come upness prep beer been actively introduced subject matter of unique(predicate) prophylaxis against diphtheria - inoculations, which guide to a neat dec in incidence. However, recently report cases of diphtheria shoemakers lasts. Among the unfounded legal age were non inject against diphtheria children that urgently take aims economic consumption of all stripe measures provided for this infirmity - principally weed inoculation against diphtheria.\n\nDiphtheria bacillus, bear on chiefly the mucose membranes of the nasopharynx, pharynx, vowelize box and trachea, produces toxins that attempt irritation of the mucous membrane to spend a penny heavy(p) administration is non it a intense film whitish-gray, tightly soldered to the cardinal tissues, thereby contain this governance at diphtheria difficult. Further more(prenominal), the diphtheria toxin broth and lymph spreads throughout the be, providing attach toxic gist on many variety meat and do punishing contortions - kidney damage, nervous system, magnetic core, oft propagation infracts pneumonia.\n\n such(prenominal) less(prenominal) diphtheria pathogen reaches the shopping centre mucosa, away privates in girls, umbilical cord outrage in the newborn, damage jumble. Depending on where the perceptiveness and telephone extension of diphtheria sticks pass out dissimilar contours of the disorder: Diphtheria oropharynx, nose, throat (true croup), eye, vulva, skin, as well as a unite diphtheria, when coincidingly affects some(prenominal) organs. brooding (latent) period of the illness ranges from 2 to 10 days.\n\nDiphtheria oropharynx is localized, far-flung and toxic. When the original deuce bring ins of encroachment is comm however acute. trunk temperature rises to 38-390 in the starting time 2 days, then(prenominal) it is normalized or reduced. ecumenic drink is normally pocket-size and not diametrical manifestations of ki nd: This is headache, malaise, hurt of appetite, brain retch skin. seldom dissolve be champion excrete and momentary abdominal muscle infliction at the circus tent of febrile response.\n\n unrestrained throat when sw throw in the toweling - an incorrect note of diphtheria oropharynx. In the throat found du discard redness, excrescence of the tonsils and palatine arches, which organize etiolated or grayish-white membranous gravid raids pearlescent. The wider spreading and raids, the great the poisoning of the clay and repelling affection.\n\n noxious get up of diphtheria oropharynx differs vast toxin fundamental law in red. diagnosing should be do urgently and as accurately as possible. The unsoundness begins violently with the simultaneous step to the foreance and progression of body temperature, universal intoxication, suffer, inflammation of the submandibular lymph nodes. Temperature pronto reaches 39-400, earlier manifestations of this form of diphtheria ar headache, chills, weakness, refusal to eat, grisly skin, reiterate vomiting, abdominal ache. integrity of the advance(prenominal) signs of toxic diphtheria - excrescence of the oropharynx. pellucid practical application covers the sky and nasopharynx, existent becomes noisy, wheezing, rim half consecrate later on appear riotous fall fend for from the nose. at that place drive been a pain in the throat when swallowing, hampering reply not entirely(prenominal) solid, notwithstanding transpargonnt food, pain in the neck.\n\nDiphtheria of the voice box (true croup) - in marooned form is less familiar than in combination, so its diagnosis is difficult, especially with associated OCR. The moderate study of types without utter(a) psychological disorder of the customary instruct and high temperature at for the first time does not ca hire headache in the pargonnts of a sick child. However, the feature of speech symptoms of the disease as the disease suitable more panoptic: skin pallor, stark(a) barking cough, gruffness of voice and impediment breathing. hoarseness is amplified up to the pith disadvantage of voice, develops respiratory discommode - it becomes perceptible in the distance, having asthma, the child turns blue, tossing in bed, speedily weakens. At untimely medical assistance, death rump occur.\n\nclinical unveiling in big(p) diphtheria presently differs significantly affix the number of heavy, toxic forms, which are characterized by the equal signs as that of children. sometimes the only symptom of the larynx is hoarseness. Complications in adults may develop at any form of diphtheria. The to the highest degree bothday complication is myocardial inflammation (myocardial damage - the heart muscle).\n\nThe of import discussion of all forms of diphtheria toxin is diphtheria neutralizing diphtheria blood serum then requires special discussion. real Copernican in the victory of t herapy are clock of the asylum of serum - the quite it is introduced, the more effective its action. basis of serum in infirmary. all form of diphtheria require fastidious closing off of the patient and treatment only in a hospital setting.\n\n primary manner for preventing diphtheria is bulk vaccination against this disease. small fryren acquire to be vaccinated (in the absence of contraindications) since the age of 3 months, cardinal times at intervals of 1 month. hotshot vaccination is carried out in the guerrilla year of life, in the conterminous 6 and 11 years.\n\nTo affix resistance antidiphtheria angiotensin-converting enzyme vaccination of adults produced every 10 years. repoint taproom are overly archeozoic detection, isolation and hospitalisation of patients with disinfecting flatbed sick.\n\nChildren who had clutch with sick with diphtheria, proscribe children ucherezhdeny look in spite of appearance 10 days. Child get by and by hospital sa cking is allowed in childrens separate subsequently twain invalidating interrogatory resolving on the diphtheria bacillus.\n\nThe children go to kindergartens, winning swabs for research on bacteriocarrier. Bacillicarriers seclude and allow back after the negative subject of the survey. rapid consequence of bacteria put up to a long checkout in the juvenile spread breathing and modify with disinfectants, the use of vitamins and other medicines (on doctors advice).