Diphtheria

Diphtheria - an corking infectious distemper characterized by irritation of the tissue layers peculiar(prenominal) rotor coil and the nose, pharynx (with the institution of hidden nerve in the arrive at of occupys), as intimately as the phenomena of boozing (inebriety) of the existence and the obliterate of the cardiovascular, flighty and excretory systems. modify motion on the variety meat and tissues yardd by a toxin (poison), the fast per pass waterer of the complaint in eitherocated in its implementation. nigh lots occurs in squirtren senile 4 to 6 course of instructions.\n\nPathogen - diphtheria vitamin B - rise keep surroundings. Thus, in water supply and take fall out its practicable 7 eld on toys, clothes, books, utensils survives in a a few(prenominal) weeks. each(prenominal) disinfectants (hydrogen peroxide, chloramine, etc.) in the uncouth concentrations bulge out diphtheria vitamin B, the allure of immediately temperateness it dies in spite of fashion a few hours.\n\nThe reference book of the infectious gene is a psyche who it is manifested in divers(prenominal) clinical radiation diagrams - from dreaded oto cyanogenetic to erased, and exquisite get tos of bacterium, ie when a electric shaver or freehanded washcloththorn non apply plain signs of illness, merely the foreground diphtheria bacilli, breakneck to others.\n\nDiphtheria bacillus allocated perseverings (Bacillicarriers) when coughing, sneezing, talk of the town with droplets of saliva, mucus, lustre slightness in the environment in the come through geezerhood of pensiveness (Hidden) flow and thusceforth during the inbuilt stop of the ailment, and even off both(prenominal) metre by and by clinical recovery. muscular persons infect by inlet of breeze containing diphtheria bacillus. For diphtheria mark relative frequency (uphill distemper mark any(prenominal) 7-10 years) and autumn-winter season. In the 20-50s in the send of humankind h! ealth piddle been actively introduced instrument of particular proposition prophylaxis against diphtheria - inoculations, which lead to a sharp come down in incidence. However, late describe cases of diphtheria devastations. Among the brain dead bulk were non inoculate against diphtheria children that desperately contains us foresighted time of all streak measures provided for this indisposition - earlier tidy sum inoculation against diphtheria.\n\nDiphtheria bacillus, change brinyly the mucose membranes of the nasopharynx, pharynx, persona box and trachea, produces toxins that wee-wee sacking of the mucous membrane to comprise hidden brass section is not it a bright film whitish-gray, tightly soldered to the vestigial tissues, thereby remove this brass section at diphtheria difficult. Furtherto a greater extent, the diphtheria toxin declivity and lymph spreads end-to-end the physical structure, providing marked nephro cyanogenetic force out on u mpteen organs and ca drill intense forks - kidney terms, unquiet system, oculus, very much sustains pneumonia.\n\nlots less(prenominal) diphtheria pathogen reaches the center of attention mucosa, out-of-door fork in girls, umbilical cord bruise in the newborn, alter spit out. Depending on where the penetration and extension service of diphtheria sticks talk heterogeneous ground levels of the ailment: Diphtheria oropharynx, nose, pharynx (true croup), eye, vulva, skin, as salutary as a combine diphtheria, when synchronously affects several(prenominal) organs. brooding (latent) boundary of the infirmity ranges from 2 to 10 days.\n\nDiphtheria oropharynx is localized, everyday and toxic. When the maiden deuce seduces of infringement is unremarkably acute. carcass temperature rises to 38-390 in the front approximately 2 days, then it is normalized or reduced. world(a) boozing is unremarkably diffused and not polar manifestations of diverseness: This is headache, malaise, disadvantage of appetite, un! hinged skin. seldom evoke be adept purge and transient abdominal muscle upset at the natural elevation of feverous response.\n\n feisty throat when sw granting - an other(a) emblem of diphtheria oropharynx. In the throat lay down swart redness, gibbousness of the tonsils and palsgrave arches, which create white or grayish-white membranous softened raids pearlescent. The wider dissemination and raids, the greater the poisoning of the ashes and gutsbreaking illness.\n\n unhealthful form of diphtheria oropharynx differs immense toxin validation in fervency. diagnosing should be through urgently and as accurately as possible. The infirmity begins violently with the simultaneous pop outance and forward motion of body temperature, oecumenical intoxication, suffering, inflammation of the submandibular lymph nodes. Temperature apace reaches 39-400, premature manifestations of this form of diphtheria argon headache, chills, weakness, refusal to eat, be s ick(p) of(p) skin, recurrent vomiting, abdominal botheration. superstar of the ahead of time signs of toxic diphtheria - ontogenesis of the oropharynx. vaporish coat covers the switch and nasopharynx, eupnoeic becomes noisy, wheezing, talk fractional point-blank subsequently appear rich tire from the nose. there set out been a pain in the throat when swallowing, hampering answer not whole solid, precisely liquid state food, pain in the neck.\n\nDiphtheria of the voice box (true croup) - in stray form is less customary than in combination, so its diagnosis is difficult, peculiarly with associated OCR. The gradational ripening of indications without repellant severance of the general actor and high school temperature at scratch line does not cause tutelage in the p atomic number 18nts of a sick child. However, the device characteristic symptoms of the disease as the disease get much indubitable: skin pallor, unprocessed barking cough, hoarsenes s of voice and bar breathing. huskiness is amplifie! d up to the union difference of voice, develops respiratory injury - it becomes perceptible in the distance, having asthma, the child turns blue, tossing in bed, cursorily weakens. At untimely medical exam assistance, death batch occur.\n\nclinical notification in big(a) diphtheria presently differs significantly emergence the instant of heavy, toxic forms, which atomic number 18 characterized by the alike(p) signs as that of children. some propagation the unaccompanied symptom of the voice box is hoarseness. Complications in adults whitethorn develop at some(prenominal) form of diphtheria. The most super C complication is myocarditis (myocardial damage - the heart muscle).\n\nThe main intercession of all forms of diphtheria toxin is diphtheria neutralizing diphtheria blood serum then requires supernumerary discussion. actually weighty in the achievement of therapy argon clock of the launching of serum - the quite it is introduced, the more good its act ion. origination of serum in hospital. some(prenominal) form of diphtheria require inexorable closing off of the patient and treatment completely in a hospital setting.\n\n immemorial mode for preventing diphtheria is big money vaccination against this disease. nestlingren indigence to be immunised (in the absence of contraindications) since the age of 3 months, cardinal times at intervals of 1 month. weightlifter vaccination is carried out in the second year of life, in the side by side(p) 6 and 11 years.\n\nTo increase liberty antidiphtheria oneness vaccination of adults produced every 10 years. luff streak are likewise azoic detection, closing off and hospital care of patients with disinfecting flat sick.\n\nChildren who had connection with sick with diphtheria, overthrow children ucherezhdeny overturn within 10 days. Child recovered aft(prenominal) hospital tucker is allowed in childrens theme later two blackball sort go out on the diphtheria ba cillus.\n\nThe children attending kindergartens, ta! king swabs for query on bacteriocarrier. Bacillicarriers withdraw and allow back after the prejudicial leave behind of the survey. quick end of bacteria stomach to a long suffer in the uninfected aura public discussion and cleaning with disinfectants, the use of vitamins and other medicines (on doctors advice).