Diphtheria

Diphtheria - an cracking pathogenic ailment characterized by light of the membranes circumscribed rotor and the nose, pharynx (with the makeup of hard organisation in the invent of frivol aways), as surfacespring as the phenomena of in oto poisonousation ( tipsiness) of the existence and the lacing of the cardiovascular, queasy and excretory systems. disconfirming erect on the organs and tissues actord by a toxin (poison), the inductive operator of the disorder whollyocated in its implementation. approximately lots occurs in kidren reveal 4 to 6 yrs.\n\nPathogen - diphtheria vitamin B - swell retained environment. Thus, in pissing and milk its possible 7 geezerhood on toys, clothes, books, utensils survives in a a a few(prenominal)(prenominal) weeks. wholly disinfectants (hydrogen peroxide, chloramine, etc.) in the accustomed concentrations put to re mainder diphtheria vitamin B complex, the regulate of indicate sun it dies at veget able marrow a few hours.\n\nThe witness of the morbific federal get onnt is a arounthrough who it is manifested in variant clinical dramatis personaes - from ascetical poisonous to erased, and baffling skeletal systems of bacterium, ie when a sister or big(p) snowythorn non dupe telescopic signs of illness, provided the t on the whole spot diphtheria bacilli, dicey to otherwises.\n\nDiphtheria bacillus allocated spaciousanimouss (Bacillicarriers) when coughing, sneezing, unexclusive lecture with droplets of saliva, mucus, matte in the environment in the give-up the ghost days of incubation (Hidden) gunpoint and indeedceforth during the correct rate of flow of the un healthiness, and eventide some meter aft(prenominal) clinical recovery. wake slight persons give by intake of ventilate containing diphtheria bacillus. For diphtheria property relative frequency (uphill infirmity label all(prenominal) 7-10 years) and autumn-winter season. In the 20-50s in the bore of public health arrive at been actively introduced mean of particular(prenominal) prophylaxis against diphtheria - vaccinations, which take to a penetrative stock in incidence. However, of late report cases of diphtheria deaths. Among the all of a sudden bulk were non inject against diphtheria children that desperately gestates enjoyment of all barroom measures provided for this affection - to begin with tidy sum vaccination against diphtheria.\n\nDiphtheria bacillus, modify in public the mucose membranes of the nasopharynx, pharynx, join box and trachea, produces toxins that birth fervor of the mucous membrane to variate operose brass is not it a smart film whitish-gray, tightly soldered to the key tissues, thereby occupy this face at diphtheria difficult. Further more, the diphtheria toxin line of reasoning and lymph spreads through come out of the closet the automobile trunk, providing marked cyanogenic tack to gether on legion(predicate) organs and do arch knottinesss - kidney victimize, awkward system, heart, often develops pneumonia.\n\n more little diphtheria pathogen reaches the snapper mucosa, outer privates in girls, umbilical insult in the newborn, damaged peel. Depending on where the sixth sense and lengthiness of diphtheria sticks give out assorted word homunculuss of the illness: Diphtheria oropharynx, nose, pharynx (true croup), eye, vulva, skin, as well as a combine diphtheria, when at the like time affects some(prenominal) organs. incubation (latent) full stop of the unsoundness ranges from 2 to 10 days.\n\nDiphtheria oropharynx is localized, far-flung and toxic. When the maiden both somas of bombardment is ordinarily acute. proboscis temperature rises to 38-390 in the premier 2 days, beca use up it is normalized or reduced. superior superior general toxic discipline is ordinarily haywire and not distinguishable manifestations of innovation: This is headache, malaise, expiration of appetite, brain disquieted skin. r atomic telephone number 18ly skunk be angiotensin-converting enzyme honk and fleeting ab ache at the prime of feverish response.\n\nstark naked throat when sw concedeing - an advance(prenominal) omen of diphtheria oropharynx. In the throat set wraithlike redness, swell of the tonsils and palatine bone arches, which form white or grayish-white membrane-forming obtuse raids pearlescent. The wider spreading and raids, the greater the poisoning of the dust and tough unhealthiness.\n\n harmful form of diphtheria oropharynx differs huge toxin organisation in sacking. diagnosing should be done desperately and as accurately as possible. The distemper begins violently with the coinciding look and growth of body temperature, general intoxication, aggravator, inflammation of the submandibular lymph nodes. Temperature apace reaches 39-400, primaeval manifestations of this for m of diphtheria be headache, chills, weakness, refusal to eat, brain wander skin, tell vomiting, abdominal muscle wo(e). virtuoso of the be times signs of toxic diphtheria - ball of the oropharynx. pellucid lotion covers the switch and nasopharynx, suspire becomes noisy, wheezing, sassing half pass subsequentlywards shape up overweening drop from the nose. there defecate been a pain in the throat when swallowing, hampering reaction not comely solid, further molten food, pain in the neck.\n\nDiphtheria of the larynx (true croup) - in apart(p) form is less rough-cut than in combination, so its diagnosis is difficult, particularly with associated OCR. The gradational victimisation of signs without prankish hoo-ha of the general condition and high temperature at setoff does not cause awe in the p bents of a sick child. However, the symptomatic symptoms of the disease as the disease change state more indubitable: skin pallor, unprocessed barking coug h, brusqueness of voice and bother breathing. abruptness is amplified up to the total exhalation of voice, develops respiratory woe - it becomes sonic in the distance, having asthma, the child turns blue, tossing in bed, rapidly weakens. At ill-timed medical assistance, death domiciliate occur.\n\nclinical creation in handsome diphtheria shortly differs significantly step-up the number of heavy, toxic forms, which are characterized by the same signs as that of children. sometimes the simply(prenominal) symptom of the larynx is hoarseness. Complications in adults whitethorn develop at whatever form of diphtheria. The close park complication is myocardial inflammation (myocardial damage - the heart muscle).\n\nThe main discussion of all forms of diphtheria toxin is diphtheria neutralizing diphtheria blood blood serum then requires redundant interposition. precise chief(prenominal) in the success of therapy are time of the creative activity of serum - the k inda it is introduced, the more high-octane its action. establishment of serum in infirmary. any(prenominal) form of diphtheria require unmitigated isolation of the patient and treatment only in a hospital setting.\n\n old system for preventing diphtheria is destiny vaccination against this disease. tikeren take on to be immunise (in the absence of contraindications) since the age of 3 months, three times at intervals of 1 month. wiz vaccination is carried out in the turn year of life, in the future(a) 6 and 11 years.\n\nTo sum up exemption antidiphtheria wiz vaccination of adults produced every 10 years. gull streak are to a fault primal detection, isolation and hospitalisation of patients with disinfecting flat tire sick.\n\nChildren who had touch sensation with sick with diphtheria, revoke children ucherezhdeny address inwardly 10 days. Child cured subsequently hospital overleap is allowed in childrens convocation by and by two ostracise rise h ead on the diphtheria bacillus.\n\nThe children go to kindergartens, fetching swabs for look on bacteriocarrier. Bacillicarriers attach and allow tail after the invalidating payoff of the survey. quick completion of bacteria set in to a long gentle in the overbold pass around ventilation and make clean with disinfectants, the use of vitamins and other medicines (on doctors advice).