Feberu dengue

Dengue feberu - tšoaetso e bongata ba kokwanahloko e le aloang ke likokoanyana tse kang menoang libakeng tse chesang tse mongobo tsa lefatše. Ho na le mefuta e 'meli ea ho:

1. Classic. Ka tsela ena a tshwaetso le hlaha dvuvolnovaya feberu, lekhopho, arthralgia, le lymphadenopathy. Joalo phallo e ka 'na sa bitsoa lefu nang kotsi.
2. Hemorrhagic feberu. Ke habohlokoa ho hlokomela hore e le hlaha haholo tlase khafetsa. Tabeng ena, lefu le bontša trombogemorragichesky makala. A kgonego phahameng ea lefu.

lefu lena ke mofuta o tloaelehileng haholo oa mafu arbovirus batho. Ba ile ba boela kenyeletsa feberu le West Nile kokoana-hloko, le kalafo ea eona e e-s'o utloisise ka ho feletseng.

Histori ea lefu lena

Se ka 1779 ka Indonesia ho ne ho ka tlhaloso e ka toka e qaqileng ea sebopeho sa lefu lena. Lebitso "dengue feberu" e simolohile United States ka 1869. Ha a ntse a le lefu lena ama nomoro e khōlō ea batho, 'me maemong a bjalo tsa lefu li ne li tloaelehile.

Ka 1907, bo-rasaense ba fumana hore dengue feberu (eo hape a tsejoa e le) ke mofuta bongata ba kokwanahloko le hore ke causative moemeli ea menoang. Tsena ke mefuta eohle ea tsona: nipper le Egepeta nkoe monoang. Empa e qetellang jarelang tshwaetso e sa tloaelehang haholo. Mehloli ea lefu lena le le ka etsa hore batho ba kulang le litšoene, maemong a mang - bokotokwe le bo-'mankhane. Bokhoni ba menoang ho tshwaetso le hlaha ka hare ho libeke tse 'ngoe ho tse peli ka mor'a' mele ea bona le kokoana-hloko e kena. menoang tsena ka tšoaetsa bophelong bohle ba hae, ke hore, likhoeli tse 1-3.

tshwaetso batho le hlaha ka mor'a hore likokoanyana loma. Kokoana-hloko ea kena lisele tse ea tsamaiso reticuloendothelial, vascular endothelium, 'me ho eona le kokoana-hloko boikatiso se hlahile.

Nakong ea lihora tse 7 pele keketseho mocheso ka ho ketekoa viremia. Tshwaetso kena maling a motho, o tla tloha o namela litho tsa ka hare tsohle: liphio, sebete, boko, mesifa le linama tse connective.

le matšoao

Nako poloko nka ho tloha matsatsi a mahlano ho tse robeli. Ho na le liforomo tse 'maloa tsa tleleniki:

- lozhnorevmaticheskie;

- icteric;

- simulating appendicitis;

- meningo-ho ruruha ha boko.

Empa mantlha mefuta pitso tse peli tse kang hemorrhagic le khale dengue feberu.

Ea bobeli hangata ho etsahala ka foromo ka toka le bonolo. Matšoao a hlaha feela ha tshwaetso e ka sehloohong. lefu lena ha le bakela kotsi efe kapa efe ka ho khetheha. E qala acutely, le ho phahama bohale mocheso ho likhato 39-40. A hlooho e opang, chills, bohloko e kopanetsoeng, thaka tsa khubelu le feberu (erythematous lekhopho).

Matsatsi a mabeli hamorao, o ka tšoaea ho hlatsa le ho nyekoa ke pelo. Matsatsi a mane hamorao, mocheso marotholi sharply le ka nako e itseng ikutloa molemo. Joale ho tla latela bobeli leqhubu mocheso. Ha dengue hlokomela lefu "leaden seaparo mahetleng a hae," o ile a bontša bofokoling e bohale le ho hloka matla ka ho feletseng.

Bonahala scarlatiniform makulopappuleznaya kapa lekhopho. E kamehla e tsamaisana le ho hlohlona matla. Mora jwalo lekhopho e gommage.

Lefu lena le ka tšoaroa ka makhetlo a mane ka bophelo bohle. Ha botjha tshwaetso, develops e mosa e fapaneng ya feberu - dengue haemorrhagic feberu.

foromo ena se a ntse a ho ba thata haholo. matšoao a hore ba boletsoeng ka holimo, ba phaella ka ho re:

- sabbath bloody sabbath letshollo;

- ho hlatsa mali;

- matetetso ho pholletsa le 'mele;

- petechiae, le tse ling.

Motho a le tšoaetso ea le feberu e ba pherese-e khubelu mahlo khanyang feverishly. Ho phaella moo, o ile a hlokomela lerotholi bohale khatello. Ho na le mekhahlelo e mene ea feberu haemorrhagic, e leng ea boraro le ea bone shocks. Ha o se ke la qala ka nako ea ho phekola lefu lena, e tla disseminated intravascular coagulation (qhala tloaelehile hoama mali). Ka 20% ea linyeoe ho tluoa tabeng ea lefu la mokuli.