Shock fever

Idengue fever - igciwane lohlobo esizigubungeleyo zizinambuzane ezifana neengcongconi kwiingingqi emvula kulo mhlaba. Kukho iindidi ezimbini kulo:

1. Classical. Ngale ndlela usulelo kwenzeka dvuvolnovaya ifiva, irhashalala, arthralgia, kunye lymphadenopathy. Loo kwamanzi kubizwa ngokuba sisifo elihle.
2. Sophele fever. Kubalulekile ukuphawula ukuba kwenzeka phi alufane. Kulo mzekelo, esi sifo ubonisa umothuko trombogemorragichesky. A Amathuba eliphezulu ukufa.

Esi sifo olona hlobo luqhelekileyo izifo arbovirus ebantwini. Kwakhona ziquka umkhuhlane kunye nentsholongwane West Nile, unyango apho akukaqondwa kakuhle.

Imbali sifo

Sele 1779 e Indonesia kwakukho caciso eneenkcukacha yohlobo esi sifo. Igama "umkhuhlane shock" yavela eUnited States ngowama-1869. Nangona esi sifo sichaphazela inani elikhulu labantu, kunye namatyala yokufa baba eqhelekileyo.

Ngowe-1907, oosonzululwazi bafumanisa ukuba shock fever (eyaziwa ngokuba) bemvelo wentsholongwane kwaye ukuba iarhente causative iingcongconi. Zizo ezi ntlobo zazo: umtheni kunye Egyptian tiger iingcongconi. Kodwa ke yokugqibela uthwala usulelo kunqabile kakhulu. Imithombo sifo unokwenza abantu abagulayo kunye neemfene, kwezinye iimeko - nomatse namalulwane. Kumandla iingcongconi ukuba usulelo kwenzeka kwisithuba omnye ukuya ezimbini kwiiveki emva imizimba yabo engena ntsholongwane. Ezi iingcongconi ezingasosulela, ubomi bakhe, okt iinyanga 1-3.

usuleleko Human kwenzeka emva kukulunywa sisinambuzane. Le ntsholongwane ungena iiseli kwenkqubo reticuloendothelial, endothelium semithambo, kwaye apho ukukotshwa Intsholongwane.

Ngexesha iiyure 7 phambi kokuba ukunyuka kwamaqondo obushushu singabonakala viremia. Usulelo ngokungenisa igazi lomntu, kuya kungekudala kwalutyhutyha lonke amalungu: ntso, nomhlehlo wesibindi, ingqondo, izihlunu kunye zomzimba nokuqina.

iimpawu

Ithuba elisuke ithatha iintsuku ezintlanu ukuya kwezisibhozo. Kukho iintlobo ezininzi clinical:

- lozhnorevmaticheskie;

- icteric;

- simulating appendicitis;

- meningo-kobuchopho.

Kodwa ezingundoqo iintlobo call ezimbini ezifana ukopha kunye Classic shock fever.

Le yokugqibela kaninzi kwenzeka ngohlobo ngokwanelisayo ngobulali. Iimpawu zibonakala kuphela xa usuleleko zaseprayimari. Esi sifo ayibeki nawuphi na umngcipheko ethile. Kuqala wayibona, kunye ukunyuka okukhulu lobushushu ukuya degrees 39-40. A intloko ebuhlungu, kuthibaza, amalungu abe buhlungu, amehlo ebomvu kunye nomkhuhlane (angawokubhuda erythematous).

kweentsuku ezimbini kamva, ungenza phawula ukugabha kunye isicaphucaphu. kweentsuku ezine kamva, kubanda kakhulu kwaye ngamanye amaxesha uziva ngcono. Kwandule ke ukubakho lobushushu wave yesibini. Xa shock waphawula syndrome "ingubo leaden emagxeni akhe," ebonakaliswa ubuthathaka ezibukhali induku ngokupheleleyo.

Ivela scarlatiniform makulopappuleznaya okanye angawokubhuda. Kusoloko kunye ukurhawuzelela kakhulu. Emva kokuba esinjalo iyaxobuka.

Isifo ezibanjwa izihlandlo ezine ebomini. Xa kwakhona usulelo-, liphuhlisa ngohlobo olwahlukileyo umkhuhlane - Idengue haemorrhagic fever.

Le fom ukuba nzima kakhulu kakade. Iimpawu ezikhankanywe apha ngasentla, zongezwa:

- sorhudo igazi;

- igazi Ukuphalaza;

- amanxeba wonke umzimba;

- petechiae, kwaye ngaphezulu.

A onesibetho umkhuhlane kuba amehlo ebomvu red-likhanya ngamandla. Ukongeza, waphawula nokwehla okukhulu koxinzelelo. Kukho izigaba ezine haemorrhagic fever, ezo izothuso yesithathu neyesine. Ukuba ngaba uqale ngexesha ukunyanga esi sifo, kuya zasasazwa coagulation intravascular (ukuphazamiseka igazi ekunqandeni oqhelekileyo). Ngowe-20% amatyala kuza ukufa isigulane.