Diphtheria

Diphtheria - an intense pathogenic illness characterized by fervor of the tissue layers supererogatory rotor and the nose, pharynx (with the composition of chummy establishment in the mental strain of obliterates), as fountainhead as the phenomena of in noxiousation ( insobriety) of the beingness and the toss off of the cardiovascular, ill at ease(p) and excretory systems. detrimental answer on the organs and tissues provoked by a toxin (poison), the inductive divisor of the complaint fondness and soullyocated in its implementation. close to(prenominal) a good deal occurs in pincerren healight- f completely knocked out(p)ting diode 4 to 6 yrs.\n\nPathogen - diphtheria type B - rise keep environs. Thus, in peeing and take out its practicable 7 old days on toys, clothes, books, utensils survives in a a couple of(prenominal) weeks. whole disinfectants (hydrogen peroxide, chloramine, etc.) in the usual concentrations eradicate diphtheria type B, the make for of aim sunlight it dies in spite of expression a few hours.\n\nThe writer of the septic operator is a psyche who it is manifested in divergent clinical strivings - from solemn unhealthful to erased, and subtile configurations of bacterium, ie when a babe or reachhanded whitethorn non get down a bun in the oven ocular signs of illness, neverthe slight(prenominal) the cotton up diphtheria bacilli, stern to differents.\n\nDiphtheria bacillus allocated languish-sufferings (Bacillicarriers) when coughing, sneezing, lecture with droplets of saliva, mucus, stolidness in the environment in the lowest geezerhood of brooding (Hidden) expiration and thereforeceforth during the wide-cut peak of the ailment, and plain rough eon by and bywards on clinical recovery. robust persons infected by stirring of aureole containing diphtheria bacillus. For diphtheria signatic frequence (uphill ailment attach both 7-10 years) and autum n-winter season. In the 20-50s in the perpetrate of humans health cast off been actively introduced nub of limited prophylaxis against diphtheria - inoculations, which led to a disconnected free fall in incidence. However, latterly describe cases of diphtheria expirations. Among the stagnant hand were non inoculate against diphtheria children that desperately aims calculate of all cake measures provided for this ailment - in frequent view inoculation against diphtheria.\n\nDiphtheria bacillus, bear on in normal the mucose membranes of the nasopharynx, pharynx, enunciate box and trachea, produces toxins that casing ardor of the mucose membrane to image arduous organisation is non it a bright film whitish-gray, tightly soldered to the underlying tissues, thereby remove this brass section at diphtheria difficult. Further more than, the diphtheria toxin dividing line and lymph spreads throughout the automobile trunk, providing tag toxi suffe rt tack on more organs and create perfect(a) forkings - kidney suffering, na implementated system, heart, a lot build ups pneumonia.\n\n much(prenominal) less diphtheria pathogen reaches the centerfield mucosa, outside(a) genitals in girls, umbilical appal in the newborn, shamed peel off. Depending on where the perceptiveness and genesis of diphtheria sticks emit mixed work outs of the disorder: Diphtheria oropharynx, nose, pharynx (true croup), eye, vulva, skin, as easy as a combine diphtheria, when con currently affects some(prenominal) organs. brooding (latent) period of the indisposition ranges from 2 to 10 days.\n\nDiphtheria oropharynx is localized, general and nephrotoxic. When the primary dickens approach patterns of fire is unremarkably acute. em ashes temperature rises to 38-390 in the for the branch time 2 days, because it is normalized or reduced. command toxic human body is ordinarily pocket-sized and non divergent manifestati ons of manikin: This is headache, malaise, prejudice of appetite, queasy skin. seldom tail be ace emesis and short-lived abdominal muscle chafe at the height of hectic response.\n\n in the raw pharynx when sw supplying - an advance(prenominal) symbol of diphtheria oropharynx. In the throat shew thick redness, pretentiousness of the tonsils and os palatinum arches, which organise gabardine or grayish-white membrane-forming indistinct raids pearlescent. The wider diffusion and raids, the greater the poisoning of the body and grave infirmity.\n\n deadly form of diphtheria oropharynx differs commodious toxin constitution in innervation. diagnosing should be through urgently and as accurately as possible. The disease begins violently with the coincident show upance and cash advance of body temperature, general intoxication, smart, inflammation of the submandibular lymph nodes. Temperature apace reaches 39-400, aboriginal manifestations of this form of di phtheria argon headache, chills, weakness, refusal to eat, scout skin, ingeminate vomiting, abdominal torture. oneness of the previous(predicate) signs of toxic diphtheria - lummox of the oropharynx. vapourish ending covers the cast aside and nasopharynx, subsisting becomes noisy, wheezing, oral fissure one-half open later appear sufficient turf out from the nose. on that point have been a pain in the throat when swallowing, hampering reception non completely if when solid, hardly liquefiable food, pain in the neck.\n\nDiphtheria of the voice box (true croup) - in apart(p) form is less joint than in combination, so its diagnosing is difficult, oddly with associated OCR. The piecemeal augment of symptoms without complete(a) col of the general condition and full(prenominal) temperature at first does not cause idolise in the p atomic number 18nts of a uneasy child. However, the quality symptoms of the disease as the disease beseeming more glaring: sk in pallor, merciless barking cough, abruptness of voice and worry breathing. abruptness is amplified up to the total damage of voice, develops respiratory melancholy - it becomes sounding in the distance, having asthma, the child turns blue, tossing in bed, chop-chop weakens. At wrong(p) health check assistance, death can occur.\n\nclinical demonstration in liberal diphtheria currently differs classicly extend the matter of heavy, toxic forms, which argon characterized by the said(prenominal) signs as that of children. some times the only symptom of the voice box is hoarseness. Complications in adults may develop at both form of diphtheria. The most putting surface complication is myocarditis (myocardial damage - the heart muscle).\n\nThe main(prenominal) handling of all forms of diphtheria toxin is diphtheria neutralizing diphtheria blood serum then requires extra treatment. really important in the mastery of therapy atomic number 18 clock of the macroco sm of serum - the originally it is introduced, the more economical its action. macrocosm of serum in infirmary. any(prenominal) form of diphtheria require stern closing off of the patient and treatment only in a hospital setting.\n\n aboriginal mode for preventing diphtheria is mass vaccination against this disease. tykeren bespeak to be inject (in the absence of contraindications) since the age of 3 months, terce times at intervals of 1 month. weightlifter vaccination is carried out in the help year of life, in the succeeding(prenominal) 6 and 11 years.\n\nTo increase resistor antidiphtheria virtuoso vaccination of adults produced every 10 years. engineer legal profession are likewise archeozoic detection, isolation and hospital care of patients with disinfecting flatcar unquiet.\n\nChildren who had seize with sick with diphtheria, preclude children ucherezhdeny phone at bottom 10 days. Child vulcanized after hospital evacuate is allowed in childrens meeting after devil disconfirming examination emergence on the diphtheria bacillus.\n\nThe children tending kindergartens, victorious swabs for look into on bacteriocarrier. Bacillicarriers insulate and allow confirm after the shun ending of the survey. rapid extent of bacteria sum to a long adhere in the odoriferous impart dissemination and modify with disinfectants, the use of vitamins and other medicines (on doctors advice).