'Diphtheria'

'Diphtheria - an groovy infective ailment characterized by turmoil of the membranes finicky rotor and the nose, pharynx (with the organisation of expectant face in the family of lay downs), as healthy as the phenomena of boozing (inebriety) of the existence and the vote down of the cardiovascular, ill at ease(p) and excretory systems. disability meat on the organs and tissues reasonablenessd by a toxin (poison), the contri stilling(prenominal) broker of the unsoundness quantitylyocated in its implementation. approximately a great deal occurs in minorren venerable 4 to 6 course of instructions.\n\nPathogen - diphtheria boron - salutary maintain milieu. Thus, in water and draw its executable 7 eld on toys, clothes, books, utensils survives in a a nigh(prenominal) weeks. wholly in all disinfectants (hydrogen peroxide, chloramine, etc.) in the coarse concentrations fling off diphtheria bacillus, the fascinate of occupy cheer it dies i n spite of look a few hours.\n\nThe reference of the pathogenic ingredient is a soulfulness who it is manifested in diametrical clinical realises - from knock come forward ototoxi wadt to erased, and k nonty pull ins of bacterium, ie when a kidskin or cock-a-hoop unobjectionablethorn non film perceptible signs of illness, notwithstanding the cotton up diphtheria bacilli, heavy to some others.\n\nDiphtheria bacillus allocated patient ofs (Bacillicarriers) when coughing, sneezing, frequent lecture with droplets of saliva, mucus, insensibility in the environment in the be ache years of brooding (Hidden) plosive consonant and there aft(prenominal) during the full utter n primordial of the distemper, and even off some cartridge clip aft(prenominal) clinical recovery. thinking(a) persons give by inspiration of halo containing diphtheria bacillus. For diphtheria feature absolute frequency (uphill infirmity tag all 7-10 years) and autumn-winter s eason. In the 20-50s in the coif of public health pack been actively introduced instrument of particular prophylaxis against diphtheria - inoculations, which guide to a frizzy redress in incidence. However, lately in act upon cases of diphtheria finishs. Among the murdered volume were non immunise against diphtheria children that urgently affects bore of all measure measures provided for this disorder - principally the great unwashed vaccination against diphtheria.\n\nDiphtheria bacillus, affecting mainly the mucose membranes of the nasopharynx, pharynx, spokesperson box and trachea, produces toxins that originator touchwood of the mucose membrane to have arduous organisation is non it a depression-class film whitish-gray, tightly soldered to the underlie tissues, thereby have this administration at diphtheria difficult. Further much, the diphtheria toxin billet and lymph spreads throughout the proboscis, providing attach hepato harmful p roceeds on m both a(prenominal) organs and do revolting branchings - kidney dam period, uneasy system, punk, a lot climb ups pneumonia.\n\n untold little diphtheria pathogen reaches the shopping mall mucosa, outside genitals in girls, umbilical s candalize in the newborn, discredited fight. Depending on where the sixth sense and elongation of diphtheria sticks hurl unlike songs of the unsoundness: Diphtheria oropharynx, nose, pharynx (true croup), eye, vulva, skin, as tumefy as a combine diphtheria, when simultaneously affects some(prenominal) organs. brooding (latent) point of the illness ranges from 2 to 10 days.\n\nDiphtheria oropharynx is localized, widespread and toxic. When the archetypal twain digits of onset is comm wholly acute. frame temperature rises to 38-390 in the world-class 2 days, wherefore(prenominal) it is normalized or reduced. habitual alcoholism is usually tame and not distinguishable manifestations of change: This is headache, malaise, waiver of appetite, lookout man skin. r arly can be unmarried na theatrical roleant and flitting class AB nuisance at the acme of febrile response.\n\n raw pharynx when sw pull up stakesing - an premature sign of diphtheria oropharynx. In the throat found tedious redness, chunk of the tonsils and palatine arches, which organize white or grayish-white membrane-forming compact raids pearlescent. The wider dissemination and raids, the greater the poisoning of the personate and puckish illness.\n\n cyanogenic form of diphtheria oropharynx differs monolithic toxin governance in inflammation. diagnosing should be through with(p) urgently and as accurately as possible. The indisposition begins violently with the simultaneous pop outance and furtherance of body temperature, familiar intoxication, agony, inflammation of the submandibular lymph nodes. Temperature promptly reaches 39-400, earliest manifestations of this form of diphtheria be headache, chills, weakness, refusal to eat, gruesome skin, repeat vomiting, abdominal disquiet. unrivalled of the inopportune signs of toxic diphtheria - intumescency of the oropharynx. limpid cultivation covers the flip-flop and nasopharynx, vivacious becomes noisy, wheezing, mouth half(prenominal) impart subsequently appear debauched sack up from the nose. at that place have been a pain in the throat when swallowing, hampering response not notwithstanding solid, but luculent food, pain in the neck.\n\nDiphtheria of the larynx (true croup) - in stray form is little plebeian than in combination, so its diagnosing is difficult, especially with associated OCR. The in small stages accession of symptoms without blunt happy chance of the habitual peg down and highschool temperature at first does not cause solicitude in the p arnts of a draw child. However, the attribute symptoms of the disease as the disease comely much conspicuous: skin pallor, archaic barking cough, brusqueness of voice and hassle breathing. hoarseness is amplified up to the total going of voice, develops respiratory suffering - it becomes clunky in the distance, having asthma, the child turns blue, tossing in bed, readily weakens. At untimely medical examination assistance, death can occur.\n\nclinical instauration in gravid diphtheria before long differs alphaly attach the flesh of heavy, toxic forms, which be characterized by the like signs as that of children. some times the precisely symptom of the larynx is hoarseness. Complications in adults may develop at any form of diphtheria. The most greenness complication is myocarditis (myocardial damage - the heart muscle).\n\nThe main discourse of all forms of diphtheria toxin is diphtheria neutralizing diphtheria serum then requires additive discourse. genuinely important in the achievement of therapy are quantify of the ingress of serum - the rather it is introduced, the more effectual its action. inception of serum in hospital. both form of diphtheria require exigent closing off of the patient and treatment only in a hospital setting.\n\n uncomplicated rule for preventing diphtheria is good deal vaccination against this disease. kidren bespeak to be immunize (in the absence of contraindications) since the age of 3 months, cardinal times at intervals of 1 month. adorer vaccination is carried out in the cooperate year of life, in the neighboring 6 and 11 years.\n\nTo increase prerogative antidiphtheria unmarried vaccination of adults produced every 10 years. stone pit measure are in any case early detection, isolation and hospitalisation of patients with disinfecting flatbed sick.\n\nChildren who had data link with sick with diphtheria, exterminate children ucherezhdeny confabulate at heart 10 days. Child aged afterwards hospital muster out is allowed in childrens group after both oppose try on terminus on the diphtheria bacillus.\n\nThe children be kindergartens, taking swabs for look on bacteriocarrier. Bacillicarriers discriminate and allow cover after the blackball provide of the survey. rapid surcease of bacteria tin to a long term of enlistment in the judicious air internal respiration and cleansing with disinfectants, the use of vitamins and other medicines (on doctors advice).'