Izimpawu idiphtheria.

Idiphtheria kuyinto obenesifo esibonakala njengoba jikelele ukubonakaliswa esinobuthi fibrinous impendulo indawo ukuvuvukala. Ngokuvamile idiphtheria iyisifo ebuntwaneni, okungukuthi cishe ngo-96% azo zonke izigameko izifo - idiphtheria phakathi izingane. Ngo idiphtheria omdala livela ifomu okwedlula ezinganeni. Kule ndaba, izimpawu idiphtheria e abadala Kuthi evelele.

Izimbangela idiphtheria encishisiwe yezinto ukuba imiphumela emzimbeni lwegciwane womuntu - idiphtheria Corynebacterium (uhlobo yayo toxigenic). Umzila ka-ukudluliselwa lwegciwane - sisemoyeni.

Faka kusigaba idiphtheria endaweni kwasendaweni kwesango ukutheleleka. Izimpawu idiphtheria (uma sikhuluma sendawo) ngokuthi iliphi ifomu lesi sifo isiguli esithile. Ukwabela idiphtheria oropharynx, ikhala kanye ipheshana zokuphefumula. Ngaphezu kwalokho, iqembu elihlukile eziyinkimbinkimbi isehlane ezingavamile kwasendaweni idiphtheria. Lezi zihlanganisa idiphtheria isilonda evele, isikhumba kanye zangasese zangaphandle.

Ukubonakaliswa (Izimpawu of idiphtheria) ngokuqondile ezilinganiselwe nesibalo amagciwane bawenze abulale. idiphtheria ingozi ekhona ngokungenaphutha iqiniso lokuthi ubuthi kuthinta izitho ezibalulekile (inhliziyo, izinso, isimiso sezinzwa).

Ukuze uqalise isifo libhekene imfiva kanye ukubukeka KULETHA phezu le mucosa (isayithi ukutheleleka izenzeko). Encwadini Ukukhetha okwalandela ukuthatha qwembe ifomu futhi zibangele ukwakheka opholile fibrous. Lesi sakamuva aqukethe fibrin zemicu ngqo we lwegciwane. ifilimu Fibrinous ngokuvamile omhlophe noma lemicu empunga elinamathela othini umbala adherent ezicutshini ngaphansi.

Ingozi idiphtheria amafilimu wukuthi ukwanda ubukhulu babo kungaholela ukuphefumula nobunzima kuze asphyxia. Ngokuhamba kwesikhathi, inani lakhuphuka ejenti kwenzeka, okuholela ukugeleza kwegazi ingena semali ushevu. Idiphtheria ushevu kubangela izimpawu ezivamile idiphtheria.

Kobukhulu idiphtheria ixhomeke indawo kwasendaweni yenqubo sokugembula, ubuningi kanye izici lwegciwane uhlobo Corynebacterium. Njengoba izimpawu ezinamandla kakhulu idiphtheria ebonwe kunohlobo oluvamile futhi ezinobuthi (hypertoxic).

Ifomu ezivamile kubonakala izimpawu ezinamandla jikelele lokudakwa (lokushisa febrile, ukucobeka, ubuthakathaka, ugodo isikhumba coloration futhi kome lwamafinyila ngalo ingaphakathi ngomlomo). Ngaphezu izinhlobo ezivamile idiphtheria libhekene: namathansela acute, edema kanye hyperemia ka amalaka, umphimbo obuhlungu, kanye ukwandisa eseduze lymph node kuze kube ngamasentimitha amathathu (kungenzeka ngesisa kunangonyaka palpation zamanzi). Le ndlela lesi sifo Uthatha eziyisikhombisa - izinsuku eziyishumi (kakhulu) futhi ezimbili - amasonto amathathu (neze).

Ifomu kakhulu yingozi futhi okunzima idiphtheria kuyinto hypertoxic. Kusukela ekuqaleni isifo zenzeka Ukudlikizela, ngemuva kwamahora ambalwa ingcindezi ku amathonsi nesineke, isikhumba fade futhi babe abandayo. umphumela Obulalayo ebonwe eyodwa - Ezinsukwini ezintathu kusukela ekuqaleni inqubo sokugembula.

Ngengozi zonke izinhlobo idiphtheria kutfutfukisa yokuthola izifo ezifana no inhliziyo sifo, ukuthuthukiswa idiphtheria myocarditis, kanye ukulimala kwenzwa nokukhubazeka kwemisipha abathintekayo ukuphefumula.

Uhlelo lakhiwa imigomo ngokumelene idiphtheria umise ngokwaso ezingeni eliphezulu kakhulu. Ngenxa yalokho, ezweni lethu, njengoba benza nakwamanye amazwe amaningi, ekhalendeni imigomo zokuvimbela kuhlanganisa DTP (lapho isifinyezo "D" kubonisa khona umgomo idiphtheria toxoid). Ngenxa wokugoma manje idiphtheria kuyinto izifo wokugoma-ezingase zivinjelwe.