Dengue fever

Dengue fever - ib tug kab mob uas kis tau los ntawm kab xws li yoov tshaj cum nyob rau hauv teb chaws sov cheeb tsam ntawm cov ntiaj chaw. Muaj ob hom ntawm nws:

1. Classical. Nrog rau qhov no kawg ntawm kab mob tshwm sim dvuvolnovaya kub taub hau, tawm pob, arthralgia, thiab lymphadenopathy. Xws li ib tug txaus tej zaum yuav hu ua benign kab mob.
2. Hemorrhagic kub ib ce. Nws yog ib nqi sau cia hais tias nws tshwm sim ntau npaum li cas tsawg zaus. Nyob rau hauv cov ntaub ntawv no, lub syndrome manifests trombogemorragichesky poob siab. Ib tug siab ntau yam ntawm txoj kev tuag.

Tus kab mob no yog cov feem ntau ntau hom arbovirus kab mob nyob rau hauv tib neeg. Lawv kuj muaj xws li kub ib ce thiab West Nile virus, cov kev kho mob uas yog tsis tau tag nrho to taub.

Lub keeb kwm ntawm tus kab mob

Twb tau nyob rau 1779 nyob rau hauv Indonesia muaj ib tug ncaj ncauj lus kom ntxaws qhia txog qhov ntawm tus kab mob. Lub npe "Dengue fever" originated nyob rau hauv lub tebchaws United States nyob rau hauv 1869. Thaum tus kab mob no muaj feem xyuam rau ib tug lossis loj tus naj npawb ntawm cov neeg, thiab tus neeg mob ntawm txoj kev tuag twb ntau xyaum.

Nyob rau hauv 1907, zaum pom tawm hais tias Dengue fever (kuj hu ua) yog ib yam kab xwm thiab hais tias nws yog ib lub causative tus neeg saib xyuas ntawm yoov tshaj cum. Thiab cov no yog cov hom ntawm lawv: nipper thiab Iyiv tsov yoov tshaj cum. Tab sis lub caij nyoog kawg no yog tau tus kab mob yog tsis tshua muaj heev. Lub qhov chaw ntawm tus kab mob tej zaum yuav ua rau cov neeg mob thiab liab, nyob rau hauv tej rooj plaub - squirrels thiab puav. Nyob rau hauv yoov tshaj cum muaj peev xwm kab mob tshwm sim nyob rau ib mus rau ob lub lis piam tom qab lawv lub cev tus kab mob no nkag mus rau. Cov yoov tshaj cum yuav kis tau rau thoob plaws hauv nws lub neej, piv txwv li 1-3 lub hlis.

Tib neeg raug tus kab mob no tshwm sim tom qab ib tug kab tom. Tus kab mob no nkag mus rau lub hlwb ntawm lub reticuloendothelial system, vascular endothelium, thiab nyob rau tus kab mob no replication tshwm sim.

Thaum lub sij hawm 7 teev ua ntej lub kub nce tau cai viremia. Kab mob tau txais mus rau hauv lub neeg cov ntshav, yuav sai sai no kis tau rau tag nrho cov kabmob: ob lub raum, lub siab, lub hlwb, cov leeg thiab connective cov ntaub so ntswg.

cov tsos mob

Lub ncu tus kab mob lub sij hawm kav los ntawm tsib mus rau yim hnub. Muaj ntau ntau soj ntsuam cov ntaub ntawv:

- lozhnorevmaticheskie;

- icteric;

- simulating hnyuv tws;

- meningo-encephalitis.

Tab sis qhov yooj yim hu ob tug hom raws li hemorrhagic thiab classic Dengue fever.

Cov yav tas feem ntau yuav siv sij hawm qhov chaw nyob rau hauv ib tug ncaj me me daim ntawv. Cov tsos mob yuav tshwm sim thaum cov thawj kab mob. Tus kab mob no tsis ua rau tej qho uas yuav muaj. Nws pib acutely, nrog ib tug ntse sawv nyob rau hauv kub mus 39-40 degrees. Ib tug mob taub hau, ua daus no, mob tej pob txha, liab eyeballs thiab kub ib ce (erythematous pob liab liab).

Ob hnub tom qab, koj yuav kos tus cim rau ntuav thiab xeev siab. Plaub hnub tom qab ntawd, qhov kub thiab txias dauv sharply thiab hauv ib txhia lub sij hawm zoo. Ces los txog rau ob yoj kub. Thaum Dengue cai syndrome "leaden cloak rau nws lub xub pwg nyom," manifested nyob rau hauv lub ntse tsis muaj zog thiab ua kom tiav impotence.

Tshwm scarlatiniform makulopappuleznaya los sis tawm pob. Nws yog ib txwm nrog mob loj heev khaus. Tom qab xws li ib tug ua pob liab vog yog tshwv.

Tus kab mob muaj peev xwm yuav ntes tau plaub lub sij hawm nyob rau hauv ib tug lub neej. Thaum ib tug re-tus kab mob, muaj ib yam txawv ntawm kub taub hau - Dengue haemorrhagic ua npaws.

Qhov no daim ntawv no twb yog ib tug heev nyuaj. Cov tsos mob uas hais saum toj no, yog ntxiv:

- ntshav raws plab;

- ntuav ntshav;

- doog thoob plaws hauv lub cev;

- petechiae, thiab tshaj.

Ib tug neeg uas muaj tus kab npaws kub yuav ntshav-liab ob lub qhov muag ci ntsa iab feverishly. Nyob rau hauv tas li ntawd, muab sau ib tug ntse poob nyob rau hauv siab. Muaj plaub theem ntawm haemorrhagic kub taub hau, uas yog tus thib peb thiab thib plaub shocks. Yog hais tias koj tsis pib nyob rau hauv lub sij hawm los kho tus kab mob no, yuav tsum disseminated intravascular coagulation (kev cuam tshuam ntawm tej ntshav). Nyob rau hauv 20% ntawm cov neeg muaj los kev tuag ntawm tus neeg mob.