Tus kab mob herpes hauv qhov ncauj txaus ntshai npaum li cas? Yuav kho tus kab mob no li cas hauv tus menyuam? Cov lus nug no cuam tshuam rau txhua tus niam txiv. Txhawm rau teb lawv, koj yuav tsum kawm tus kab mob. Cia peb pib nrog qhov tseeb tias tus kab mob herpes lossis herpes yog ib yam kab mob uas tshwm sim los ntawm kev kis tus kab mob herpes simplex. Nws kis tau feem ntau los ntawm txoj kab ntsug (txoj kev transplacental los ntawm niam mus rau menyuam), kev sib deev lossis kis tau (los ntawm cov ntshav). Qee zaum, txoj kev sib cuag ntawm kev sib kis yog ua tau los ntawm kev sib cuag hauv thaj tsam ntawm \u200b\u200b puas rau daim tawv nqaij.
Tam sim no cov kev xav nrov hais tias tus kab mob herpes kis los ntawm cov tee dej hauv cov menyuam yaus yog qhov tsis raug. Pathology nyob rau hauv ib tug me nyuam mos tshwm sim los ntawm 1-2 xyoos, thaum leej niam lub immunoglobulins nyuam qhuav pib hloov los ntawm lawv tus kheej, thiab cov txheej txheem no kav mus txog rau 4-5 xyoo. Yog li ntawd, nws yog qhov tsim nyog los pib kho kom raug raws sijhawm.
Ntse
Tus kab mob no yog intracellular, nws mus tas li integrates rau hauv DNA ntawm paj hlwb ganglion hlwb, pib mus rau qhov siab ceev. Tseem tsis muaj zog, nws tsis ua rau muaj kab mob. Kev hloov mus rau theem nquag tshwm sim vim qhov tsis muaj zogkev tiv thaiv.
Pathology yog tus cwj pwm los ntawm cov pob liab tshwj xeeb hauv daim ntawv ntawm cov vesicles, tawm tsam keeb kwm ntawm cov tawv nqaij reddened nrog pob tshab kua ntsiab lus. Feem ntau cov poj niam uas muaj kab mob herpes tsawg kawg ib zaug ua ntej cev xeeb tub muab lawv tus menyuam cov tshuaj immunoglobulins uas tiv thaiv nws lub cev mus txog 1-2 xyoos.
Yog vim li cas
Cov laj thawj uas ua rau HSV yog hypothermia, tsis tsaug zog, tsis muaj zaub mov noj, ua rau lub cev tsis muaj zog (txo qis ntawm cov interferons thiab lwm yam ntawm kev tiv thaiv kab mob humoral, vim lawv noj ntau ntxiv lossis tsis txaus) vim yog cov hauv qab no:
- Tus kab mob hnyav lossis mob hnyav. Nws tuaj yeem yog SARS thiab yuav luag txhua yam kab mob sib kis.
- Congenital or acquired immunodeficiency syndromes (xws li kab mob khaub thuas kis kab mob HIV).
- kab mob autoimmune.
- Secondary immunodeficiencies.
- kab mob Oncological (leukemia, mob qog noj ntshav, thiab lwm yam), hluav taws xob thiab tshuaj khomob.
- Cytostatic tshuaj muaj cov tshuaj tiv thaiv kab mob muaj zog.
- High dose steroid kho.
- Asthma, atopic dermatitis.
- Kab mob ntawm endocrine system, tshwj xeeb tshaj yog adrenal insufficiency.
Type
Yuav kom nkag siab yuav ua li cas kho tus kab mob herpes hauv lub qhov ncauj ntawm tus menyuam, koj yuav tsum paub nws hom. Tsev neeg ntawm cov kab mob no tau muab faib ua subfamilies (alpha, beta, gamma), suav txog 90 hom kab mob, tab sis tsuas yog ob peb yam txaus ntshai rau tib neeg, tsis hais hnub nyoog li cas.
Tus kab mob Herpes simplex (hom 1) yog tus yam ntxwvcov tsos mob ntawm pob khaus vesicular ua ke nrog kev ua tsis taus pa.
Tus kab mob thib ob hu ua qhov chaw mos, vim nws tshwm hauv qhov chaw mos. Tus menyuam yug tshiab tau kis tus kabmob thaum yug menyuam.
Kab mob qhua pias yog ib hom kab mob 3 (Varicella zoster) uas yuav luag txhua tus neeg muaj thaum yau, vim nws kis tau los ntawm cov tee dej hauv huab cua thiab kis tau zoo heev. Qhov tshwm sim yog kev tiv thaiv lub neej mus ib txhis, tab sis tus kab mob sib txawv tuaj yeem ua rau koj mob thaum twg los tau.
Tus thib plaub ntawm tus kab mob Epstein-Barr, nws ua rau tus kab mob kis tau tus kab mob mononucleosis, uas tshwm sim nrog kev puas tsuaj rau cov qog ntshav.
Herpes virus type 5 yog tshwm sim los ntawm tus kab mob cytomegalovirus, qhov tshwm sim yog asymptomatic, tab sis hom mob ntawm cov poj niam cev xeeb tub yog qhov txaus ntshai rau tus me nyuam hauv plab los yog fraught nrog cov kab mob hauv lub paj hlwb lossis txawm tias malformations.
Tus kab mob 6 yog ib qho exanthema, zoo li rubella, tab sis tseem txawv ntawm qhov tshwm sim.
YHerpetic stomatitis
Tam sim no cia peb mus rau lub ntsiab lus ntawm kev kawm. Txhawm rau teb yuav ua li cas kho tus kab mob herpes hauv lub qhov ncauj ntawm tus menyuam, koj yuav tsum nkag siab nws cov yam ntxwv. Lwm yam ntawm lawv tom qab.
Herpetic stomatitis tshwm sim thaum cov tsos mob vesicular tshwm nyob rau hauv lub qhov ncauj. Nws cuam tshuam rau lub puab tsaig, cov pos hniav (gingivitis), tus nplaig (glossitis) thiab palate, kis mus rau palatine tonsils, arches, nraub qaum caj pas (pharyngitis). Nws tshwm sim los ntawm ob hom kab mob thawj thiab thib ob.
Cov kab mob:
- easy;
- moderate;
- hnyav;
- latent.
Phases:
- ntsim;
- subacute.
Recurrence: remissions, exacerbations.
Symptoms of disease
Cov npuas tshwj xeeb tshwm sim hauv tus menyuam lub qhov ncauj, uas tawg sai sai, reddening ncig lawv. Nws tag nrho cov ci unbearably, kub hnyiab, khaus, mob, nrog los ntawm nce salivation.
Tus mob feem ntau yog nruab nrab, qee zaum hnyav. Tus pas ntsuas kub qhia cov naj npawb febrile, qhov kub ntawm 39-40 degrees, uas kav ntev txog ib lub lim tiam. Nws tshwm sim los ntawm qhov mob, tawm hws, mus ob peb vas thiab nervousness. Tus me nyuam tsis kam noj, uas ua rau nws mob hnyav ntxiv.
Kev nyuaj siab
Muaj feem yuav kis tau tus kab mob thib ob, feem ntau streptococcal. Qee zaum cov txheej txheem txuas mus rau palatine tonsils thiab ua rau herpetic lossis streptococcal tonsillitis. Tus kab mob no tuaj yeem ua rau muaj kev cuam tshuam los ntawm herpetic tracheitis, thaum kis tau mus rau bronchi - bronchitis, thiab txawm tias mob ntsws herpetic, uas yog, mob ntsws. Qee qhov xwm txheej, muaj cov kab mob herpetic ntawm lub cev tsis pom kev: corneal yaig, episcleritis, chorioretinitis, uveitis. Hauv cov xwm txheej hnyav ntawm cov ntaub ntawv dav dav lossis cov teeb meem hnyav, DIC, kab mob siab mob siab, thiab txawm tias muaj tshuaj lom yuav tshwm sim. Lawv xav tau kev saib xyuas hnyav.
Tus me nyuam yau, yuav muaj teeb meem ntau dua xws li herpetic meningitis thiab encephalitis yuav tshwm sim yog tias tsis kho.
Herpetic pneumonia thiab encephalitis yogtuag taus. Yog tias qhov mob herpetic tshwm sim tawm tsam keeb kwm yav dhau los ntawm thawj lossis theem nrab kev tiv thaiv kab mob, cov kab mob no tshwj xeeb tshaj yog mob hnyav thiab qhov yuav muaj teeb meem nce ntxiv, thiab tus kab mob thib ob kuj koom nrog.
Hnub nyoog nta
Muaj cov yam ntxwv tshwj xeeb rau hnub nyoog - cov kab mob neonatal lossis congenital herpes cais cais. Nws kis tau los ntawm leej niam uas muaj tus mob herpetic kab mob thiab tshwm sim, raws li txoj cai, nyob rau hauv ib tug generalized daim ntawv nrog herpetic stomatitis. Pathology yuav tsum tau pib tam sim ntawm kev kho mob zoo, txwv tsis pub nws yog fraught nrog cov teeb meem tuag taus.
Hauv cov menyuam yaus hnub nyoog qis dua 3 xyoos, cov txheej txheem kab mob kuj tuaj yeem ua tau dav dav, thiab yuav tsum tau ua nrog tonsillitis thiab pob khaus ntawm daim tawv nqaij ncig lub qhov ncauj, nrog rau qhov kub siab heev uas kav li 5-7 hnub. Hauv cov menyuam yaus hnub nyoog kawm ntawv preschool thiab tsev kawm ntawv, tsis muaj kev xav rau kev nthuav dav, qhov hnyav ntawm chav kawm, tshwj tsis yog lub xeev tiv thaiv kab mob hnyav.
Survey method
Kev kho mob yog kws kho mob sau. Nws txhais tau hais tias:
- chaw kuaj ntshav nrog nthuav cov leukocyte;
- txiav txim qhov muaj thiab tus lej ntawm tus kab mob herpes simplex hauv cov ntshav, nrog rau nws hom;
- qib ntawm immunoglobulins G thiab M;
- Scraping los ntawm cov npuas tawg thiab lawv cov tshuaj tiv thaiv kab mob.
Kev kho mob
Tsis yog txhua tus paub yuav kho tus mob herpes hauv qhov ncauj ntawm tus menyuam thiab yuav kho li cas (ntawm ib xyoos lossis laus dua). Kev kho mob ntawm tus kab mob no yog pathogenetic, cov tsos mob thiab hauv zos. Thov:
- Antivir altshuaj. Lawv yog lub hauv paus ntawm kev kho mob, lawv muaj txiaj ntsig zoo, tab sis, hmoov tsis, lawv tsis tuaj yeem rhuav tshem tus kab mob no, vim nws tiv thaiv los ntawm lub xov tooj ntawm tes, uas nws "cov kab mob". Tab sis cov tshuaj txo cov kev ua ntawm tus kab mob biochemical zoo heev. Piv txwv li, "Acyclovir", "Gerpevir". Cov tshuaj yog muab los ntawm qhov ncauj los yog intravenously, drip. Cov koob tshuaj "Acyclovir" yog 45-60 mg / kg ib hnub twg, muab faib ua 2 txhaj tshuaj. Cov tshuaj tiv thaiv kab mob kuj tseem siv tau rau hauv daim ntawv ntawm cov tshuaj pleev, tab sis lawv muaj txiaj ntsig zoo rau ntawm daim tawv nqaij ntau dua li cov mucous membranes.
- Immunoglobulin npaj, xws li Pentaglobin lossis Intraglobin. Lawv yog siv rau kev kis kab mob loj lossis mob hnyav.
- Tshuaj, nrog rau cov inducers ntawm endogenous interferon. Qhov tom kawg yog qhov tsim nyog, nws qhov tsis txaus hauv lub cev yog them nyiaj: qhov ntswg te, tshuaj tsuag, ntsiav tshuaj, tshuaj suppositories.
- Antipyretic non-steroidal tshuaj tiv thaiv kab mob. Lawv yog siv nyob rau hauv qhov kub thiab txias thiab rau kev kho mob. Lawv kuj inhibit prostaglandins, cyclooxygenase thiab lwm yam inflammatory mediators, tshem tawm.
- tshuaj Antihistamine, piv txwv li, Fenistil, Fenkarol. Lawv tuaj yeem txo qhov khaus thiab txo cov haujlwm ntawm cov lus teb inflammatory.
- Ascorbic acid thiab tocopherol. Lawv ua lub luag haujlwm kho mob hauv kev kho mob herpes. Koj tuaj yeem siv cov tshuaj txhaj tshuaj, nrog rau cov vitamins ntau hauv kev ncua, dragees tom qab 6 xyoo. Vitamins A, E, D kuj muaj zog tshaj plaws.
- kho mob hauv zos. Muaj ntau cov tshuaj pleev uas muaj antiherpeticchaw. Lawv kuj yog rau conjunctiva. Kev npaj vitamin E kuj tuaj yeem siv tshuaj pleev ib ce los kho kom zoo ntawm daim tawv nqaij puas thiab mucous daim nyias nyias.
- Hepatoprotectors. Nrog rau kev kho mob mus sij hawm ntev nrog cov tshuaj antiherpetic, yuav tsum muaj kev tiv thaiv lub siab hlwb. Yog li ntawd, kev tswj tus kws kho mob yog ib qho tseem ceeb.
Qee tus neeg nug seb yuav kho tus mob herpes hauv qhov ncauj ntawm tus menyuam li 1 xyoos thiab yuav kho li cas. Muaj cov yam ntxwv txog hnub nyoog ntawm kev siv txoj kev kho kab mob. Hauv cov menyuam yug tshiab thiab cov menyuam yaus hnub nyoog qis dua 3 xyoos, cov tshuaj suppositories predominates. Immunomodulating tshuaj, piv txwv li, "Viferon" lossis "Laferobion" yog qhov tsim nyog, vim tias kev tiv thaiv kab mob hauv lub hnub nyoog no tseem tsis tau ua haujlwm ntawm nws tus kheej.
Txog thaum muaj hnub nyoog 2-3 xyoos, tus menyuam muaj niam lub immunoglobulins, thiab tom qab lub hnub nyoog no thiab thaum lawv tsis tuaj yeem siv cov tshuaj immunoglobulins.
Kev Kho Ntxiv
Tsis paub yuav kho tus mob herpes hauv lub qhov ncauj ntawm tus menyuam li cas thiab yuav kho li cas thaum muaj hnub nyoog 2 xyoos, nws yuav tsum nco ntsoov tias txhawm rau kom tsis txhob mob khaub thuas hauv cov menyuam yaus hnub nyoog qis dua 3 xyoos, tsis yog tshuaj tiv thaiv steroidal. inflammatory tshuaj yog siv nyob rau hauv cov kev kho mob complex. Piv txwv li, "Ibuprofen", "Paracetamol" hauv suppositories. Hauv cov ntawv hnyav, nyuaj thiab dav dav, cov tshuaj tau muab tso rau hauv cov hlab ntsha.
Ntau tus tsis paub yuav kho tus mob herpes hauv cov menyuam hauv qhov ncauj thiab ib puag ncig. Ua infusion therapy raws li kev kho mob raws tu qauv thiab cov lus qhia. Duration 7-21 hnub. NtawmKev siv "Acyclovir" mus ntev yuav tsum tau ntxiv cov tshuaj hepatoprotectors rau txoj kev kho mob, vim nws ua rau muaj kev puas tsuaj rau lub siab.
Neonatal herpes, lossis herpes nyuaj los ntawm kab mob, yog kho nrog tshuaj tua kab mob. Ua ke nrog lawv, probiotics thiab txawm tias cov tshuaj tua kab mob kuj tau siv.
Ntau tus neeg xav paub yuav kho tus mob herpes hauv qhov ncauj ntawm tus menyuam li cas thiab yuav kho li cas thaum muaj hnub nyoog 5 xyoos. Qhov tseem ceeb tshaj plaws kom nkag siab yog tias rau txhua qhov kev xav tsis thoob, kev tshwm sim, kev sab laj kws kho mob ib txwm tsim nyog. Thaum muaj hnub nyoog 3-6 xyoos, tus kab mob no mob me me, tab sis qhov mob tshwm sim ntawm kub hnyiab, khaus thiab mob ntau dua, vim hais tias myelination ntawm cov hlab ntsha xaus tsim thiab rhiab heev. Cov kev xav no tuaj yeem cuam tshuam tus menyuam pw tsaug zog. Yog li ntawd, nws tsuas yog tsim nyog siv cov tshuaj uas tsis yog-steroidal anti-inflammatory thiab antihistamine tshuaj uas pab daws qhov mob no. Kev kho mob tshuaj pleev ib ce txij li 3 xyoos mus txog yuav suav nrog kev npaj muaj lysozyme, xws li Lyzobact.
6-15 xyoos
Ntau tus neeg nug yuav ua li cas kho tus kab mob herpes hauv qhov ncauj ntawm tus menyuam hnub nyoog 9 xyoos. Hauv cov menyuam yaus hnub nyoog 6 txog 15 xyoos, muaj kev loj hlob thiab kev loj hlob ntawm txhua lub cev thiab lub cev, kev txawj thiab peev xwm. Yog li ntawd, cov tshuaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj yog siv.
Lub hnub nyoog no, nws yuav tsum siv cov tshuaj tiv thaiv kab mob, uas tseem muaj nyob hauv cov ntsiav tshuaj, piv txwv li, Cycloferon thiab cov vitamins.
