Nthawi zambiri makolo amakumana ndi vuto monga herpes ana (mitundu, zizindikiro ndi chithandizo cha matendawa zimadalira chitetezo chokwanira). Ndipo kupweteka kwakukulu kumaperekedwa kwa ana omwe ali ndi homeless homasasis komanso chitetezo cha mthupi. Momwe mungazindikire kuukiridwa kwa kachilombo ndi kumuchitira mwana, tidzakambirana zambiri.
Mitundu ya herpes kwa ana
Matenda ambiri omwe ali ndi kachilombo ka HIV ndi matenda opatsirana, omwe amatchedwanso herpes. Mwana angakhoze kulitenga m'mimba, panthawi yopweteka kapena kutsogolo chonyamulira pamsewu. Nyama yathanzi ndi yamphamvu imapanga chitetezo cha moyo nthawi zonse pambuyo pa matenda ena. Izi zikuphatikizapo matenda angapo, okwiya ndi herpes.
Matenda a herpes m'mwana ali ndi mitundu 200, yambiri ndi yachisanu ndi chimodzi. Amasiyana pakati pawo ndi kuopsa kwa matendawa, zizindikiro zake ndi njira zowononga. Ana amawatenga mosavuta matendawa ndipo nthawi zambiri amawapirira pa msinkhu wawo. Izi zikuphatikizapo:
- Mavairasi a mtundu woyamba ndi wachiwiri amatha kuphulika konse, pokhala ndi ma vesicles omveka omwe amapanga malo omwe matendawa anachitika.
- Kachilombo ka mtundu wachitatu kapena Varicella zoster ndi nkhuku , pamene imatuluka, herpes zoster imawoneka mwa ana.
- Mtundu wachinayi wa kachilomboka umayambitsa matenda opatsirana a mononucleosis .
- Mtundu wachisanu wa kachilombo ndi cytomegalovirus ;
- Mtundu wachisanu ndi chimodzi - umayambitsa exanthema ndipo umatchedwa pseudo- wofiira kapena mwana roseola .
Matenda onsewa ali ponseponse mu gulu la ana, koma zovuta kwambiri ndizo mitundu itatu yoyamba. Iwo ali ndi chizindikiro chodziwika bwino ndipo amatsatana ndi mavuto (meningitis, gingivitis ndi zina zotero). Palinso mavitamini awiri a herpes a mbadwo watsopanowu, omwe adapezeka posachedwapa. Madokotala amakhulupirira kuti angayambitse matenda, kupsinjika maganizo, kutopa ndi khansara.
Herpes 1 ndi 2 mtundu wa ana
Malingana ndi mtundu wa herpes umene umayambitsidwa mwa ana, mitundu, zizindikiro ndi chithandizo chake ndi zosiyana. Ambiri ndiwo mitundu yoyamba iwiri. Ana amapititsa m'thupi mwawo pakamwa. Izi zikhoza kuchitika pogwiritsira ntchito zakudya zina, masewera olimbitsa kapena manja otupa. Muzochitika izi, malo amodzimodzi amapezeka pamilomo, chibwano, masaya ndi khosi.
Chitetezo cha mtundu wa 2 chingayambitse matenda opatsirana omwe amachititsa kuti chiberekero chiziyenda m'mimba. Ngati mwanayo akudwala matenda opatsirana ndi tizilombo kapena tizilombo toyambitsa matenda, pali mwayi waukulu wa imfa. Matenda a mtundu wa 1 mwa ana amachititsa iridocyclitis, keratitis, conjunctivitis. Chinthu chovuta kwambiri pazochitikazi chikhoza kukhala kusokoneza kayendedwe ka kayendedwe kabwino ka mitsempha:
- Kufa ziwalo za miyendo;
- chiwonongeko cha nthenda;
- kuphwanya kwa ziwalo, chiwindi, impso.
Matenda a herpes simplex 3 mwa ana
Herpes Zoster mwa ana kapena kachilombo ka mtundu wachitatu. Matendawa pa nthawi yoyamba imayambitsa nkhuku. Ngati kachilombo kachilombo kachiwiri kachilomboka, ndiye kuti akhoza kukhala ndi zibwenzi. Koma njira yachiwiri ndi yosavuta pakati pa ana, chifukwa mankhwala opangidwa ndi tizilombo toyambitsa matenda amapangidwa m'thupi labwino ndi kubwerezabwereza kubwerezabwereza kumawoneka achikulire omwe ali ndi mphamvu yofooka.
Herpes wa mtundu wa 4 mwa ana
Epstein-Barr HIV mu ana kapena mtundu 4. Ichi ndi matenda aakulu omwe amakhudza machitidwe a lymphoid. Ngati mwana wakhudzidwa ndi matendawa, ndiye kuti ali ndi zizindikiro zotere:
- ziwalo zowonjezera zowonjezereka ;
- kutentha kwa thupi;
- edema wa adenoids;
- pakhosi;
- kukula kwa chiwindi ndi nthata.
Matendawa amachititsa kuti thupi lisatetezedwe. Ali ndi zaka 13, theka la ana ali ndi kachirombo ka HIV. Ambiri a iwo amamva zizindikiro zotupa. Chidziwitso chomaliza chingapangidwe kuchipatala mutatha kupitilira ndikuyezetsa mayeso. Matendawa ali ndi zoopsa zofanana ndi Burkitt's lymphoma, yomwe imapezeka pakati pa ana aang'ono ku equatorial Africa.
Herpes wa mtundu wa 5 mwa ana
Cytomegalovirus m'mwana kapena kachilombo ka mtundu wachisanu. Choyamba chimapezeka mu makanda a zaka ziwiri, pamene ayamba kuyendera magulu okalamba m'matumba. Nthawi zambiri, matenda a intrauterine amapezeka, omwe amachititsa kusokonezeka pa chitukuko ndi zotsatira zina zoipa. Kutenga ndi kovuta kwambiri, chifukwa kungathe kwa nthawi yaitali kusadziwonetsere.
Mwana akhoza kukhala wothandizira HIV, ndipo makolo sangadziwe za izo ndipo sadzachita. Pachiyambi cha zizindikiro za cytomegalovirus nthawi zambiri zimawonekera, monga mu matenda opatsirana a mononucleosis, okha popanda kupweteka kwa mitsempha ku ma toni ndi nodes. Matendawa ndi owopsa kwambiri kwa amayi apakati ndi ana omwe akubadwa. Athandizeni ndi mankhwala odana ndi mankhwala.
Matenda a herpes simplex 6 mwa ana
Ngati pali herpes ya mtundu 6 m'mwana, amadziwonetsera ngati mawonekedwe a exanthema ndi roseola. Matendawa ali ndi zizindikiro zooneka ngati mapuloteni aang'ono a p pink phungu, otsika panthawi yovuta. Pakutha kwa matenda, mwanayo akhoza kukhala ndi malungo, koma palibe mphuno ndi chifuwa. Madokotala nthawi zambiri amasokoneza kachilombo ka HIV ndi ARD, ARVI, rubella kapena zovuta, kotero ndikofunikira kupititsa mayesero musanadziwe matendawa.
Herpes ndi njira za matenda
Poyankha funso lokhudza mawere a ana, mitundu, zizindikiro ndi chithandizo cha matendawa, munthu ayenera kuyamba kuchokera momwe mwanayo watengera. Kawirikawiri izi zimachitika pamene mwana alankhulana ndi munthu amene ali ndi chithandizo cha kachilomboka, ngakhale mu gawo lochepa. Pa chifukwa ichi, kuchepetsa kuyankhulana kwa zinyenyeswazi ndi anthu omwe angakhale magwero a matenda.
Herpes m'magazi a mwana amapatsirana pa nthawi ya mimba kapena pa lactation. Panthaŵiyi, mayi wamng'onoyo amalephera kudya zakudya ndi zakudya zake, zomwe zimapangitsa kuchepa kwa thupi, hypovitaminosis komanso kupezeka kwa kachilombo ka HIV. Malingana ndi chiŵerengero, pa ana 100,000, 54,000 amabadwa mwamsanga ndi matendawa. Chokhachokha champhamvu cha mkazi ndi matenda chingakhoze kuwateteza.
Pamene tizilombo toyambitsa matenda timapezeka m'mabanja, zifukwa zomwe zimayambitsa matenda zimadalira osati kulankhulana mwachindunji, komanso pa moyo, mwachitsanzo, kugwiritsa ntchito zovala zofanana, nsapato, tepi, zida, kudya chakudya. Vutoli limakhala pa iwo kwa masiku angapo. Matenda ena akhoza kuchokera kwa munthu amene ali ndi kachilombo koyambitsa matenda omwe amatha kuwonedwa pamilomo, pokambirana kapena pogompsona. Kutenga, kugunda thupi la ana, kwa nthawi yayitali sikungathe kuchitidwa mpaka itayamba kuwonjezeka pansi pa zifukwa zabwino.
Zomwe zimapangitsa kufotokoza kachilomboka ndizo:
- matenda a nthenda;
- kutentha kwambiri kapena kutenthetsa dzuwa;
- mulungu ;
- kupsinjika maganizo nthawi zambiri ndi kukhumudwa;
- kusowa zakudya m'thupi;
- kuchepetsa chitetezo chokwanira.
Kodi herpes amasonyeza bwanji ana?
Nthawi zambiri makolo amafunsa funso lokhudza momwe ana am'mimba amachitira ana - mitundu, zizindikiro ndi chithandizo cha kachilombo ka HIV zimakhudzidwa ndi amayi ambiri omwe adakumanapo ndi kachilombo ka HIV. Kwa ana aang'ono, izi zimachitika mwa mawonekedwe:
- fever;
- kutopa;
- kukwiya;
- ululu minofu.
Kumadera kumene kumatuluka msanga, mwana amamva ngati akuwotcha, akuyaka, kuyabwa komanso ngakhale kupweteka. Mankhwala a khungu pa khungu la mwana amatha kuyenda limodzi ndi zilonda zam'mimba, kumene mabalawo amapangidwanso, omwe ana amawaphatika nthawi zambiri ndi magazi, amawakhudza ndi kuwachotsa. Nthawi zotere zimapangitsa kuti zikhale zovuta kwambiri ndi kuchepetsa machiritso ndi kupitiriza kutalika kwa matendawa. Zilonda zam'mimbazi zimapezeka pakamwa (pamimba, lilime, palate, pambali pamasaya).
Mwana akakhala ndi herpes, zizindikiro zimakhala ngati:
- kutupa kwa maselo amphamvu;
- zilonda za m'kati mwa pakhosi;
- kuwonjezeka kwa kutentha;
- zonunkhira zosautsa pakamwa;
- kudumpha.
Kuthamanga kwa ana kumatenga pafupifupi sabata ndipo kujambula m'magazi a mabelters kumapitirizabe masiku ena asanu ndi awiri. Kukhazikitsidwa kwa ziphuphu kumadalira mtundu wa munthu payekha kapena pa mitsempha ya mitsempha yomwe mafinya ake amasonkhanitsa. Kuthandiza kuti matendawa akhale otupa kapena bala limene kachilomboka kanalowa. Makolo ayenera kusunga zinyenyeswazi ndi thanzi lawo, kusunga malamulo a ukhondo, ndipo ngati n'koyenera, funsani dokotala.
Kuposa kuchiza herpes pa mwanayo?
Pamene tizilombo toyambitsa matenda amapezeka m'thupi, chithandizo chimadalira danga la zilonda:
- Mphuno ya mwanayo imatsukidwa ndi mankhwala osokoneza bongo, zitsamba zamitsamba. Chakumwa chotentha kwambiri ndi zakudya za mkaka zimaperekedwa. Sichikukoma zokoma, zokometsera, zowawa ndi zamchere kuti zisakwiyitse kamphanga.
- Zophimba za khungu zimatengedwa ndi mafuta odzola komanso amapereka mapiritsi.
Chithandizo cha kachilombo ka herpes chiyenera kuyamba ndi zizindikiro zoyamba. Momwe mumaperekera mapiritsi mofulumira ndikusamalira malo okhudzidwa, zimadalira nthawi ya misomali ndi zochitika zovuta. Dose, mankhwala ndi mafupipafupi ayenera kusankhidwa ndi dokotala yemwe amatsogoleredwa:
- pa kulemera kwa zinyenyeswazi;
- chiwerengero cha matendawa;
- boma la thanzi.
Mwanayo ayenera kudyetsedwa mokwanira panthawi yovuta, pamene amadya zakudya zouma, nsomba, masamba, nyama ndi mkaka. Pakati pa kubwerera mwanayo amapatsidwa anti-herpetic inoculation. Ngati phokoso pa khungu la nyenyeswa ndilo nthawi zambiri, makolo amafunika kuwonetsa kwa thupi lake, yemwe adzayese kufufuza thupi ndikupereka mankhwala othandizira kubwezeretsa ntchito zoteteza.
Mapiritsi a herpes kwa ana
Poyankha funso la momwe angachiritse herpes mwana, muyenera kuonana ndi dokotala kuti mukalembedwe mankhwala. Akatswiri amalemba:
- mankhwala oletsa tizilombo toyambitsa matenda, interferons (Acyclovir, Immunal) - kuwononga mavairasi ndi kuwaletsa kuti azichulukitsa nthawi zonse;
- magetsi (Arpetol, Gronprinosin) - kuthandizani thupi la mwana kulimbana ndi kachilombo ka HIV ndipo musapereke kachilombo kukhudza ziwalo zatsopano za thupi;
- antihistamine zosokoneza mankhwala (Fenkarol, Diazolin, Tavegil);
- mankhwala othandiza kubwezeretsa (nsomba mafuta, calcium, vitamini C).
Mafuta a herpes kwa ana
Pomwe panali herpes pa thupi la mwana, ndiye kuti achotse kuyabwa ndi kuchepetsa kupweteka, mungagwiritse ntchito mankhwalawa. Zimakhala ngati mawonekedwe a antiseptic ndi kuchepetsa mafuta odzola. Mankhwala othandiza kwambiri ndi awa:
- Lysozyme, Pancreatin ndi Hymopsin - mankhwala omwe ali ndi mapuloteni a proteolytic;
- Balm Shostakovskogo - amachepetsa kupanga mapangidwe;
- Furacilin, Etakridin, Dimexid - antiseptics ndi anesthetics;
- Oxolinic, Florenal, Acyclovir - mafuta opangira mavitamini;
- Nucleinate sodium, Methyluracil mafuta - amachititsa chitetezo chakumidzi.
Herpes m'mwana - mankhwala ndi mankhwala ochiritsira
Pamene herpes akuwonetseredwa mwa mwana, mankhwala amtunduwu nthawi zambiri amathandiza kuchipatala. Malamulo akuluakulu omwe amagwiritsidwa ntchito ndi ochenjeza, kuti asayambitse mwanayo. Zogwira mtima kwambiri ndi zokonda ndi zovuta kuchokera ku:
- madzi a celandine;
- mapuloteni osakaniza zinziri mazira;
- mitsuko ya melissa, chamomile kapena marigold;
- mbatata zouma, adyo kapena maapulo;
- nyanja ya buckthorn kapena mafuta a masamba;
- mankhwala opumira.
Zotsatira za herpes kwa ana
Kwa ana, kachilombo ka HIV kamakhala kovuta kwambiri ngati zovuta pambuyo pa zipsyinjo. Ngati palibe mankhwala, matenda oterewa angapangidwe:
- encephalitis;
- Cerebral palsy;
- kutupa kwa glands;
- chiwindi;
- Matenda a DIC;
- keratoconjunctivitis.
Kupewa tizilombo toyambitsa matenda pakati pa ana
Matenda onse ndi ovuta kupewa kuposa kuchiza. Pachifukwa ichi, kupeŵa kwa herpes kumaphatikizapo:
- kuumitsa thupi la mwana;
- chitetezo chokwanira;
- kusewera masewera;
- kugwiritsa ntchito mavitamini ndi mchere;
- chakudya chapamwamba;
- kuchotseratu foci ndi matenda aakulu;
- Kusungulumwa kwa mwana wodwala kuntchito ya ana;
- kulandira mankhwala osokoneza bongo pamene akudwala matenda.