Parainfluenza

Parainfluenza amatanthauza gulu la ma virus omwe amatsogolera kumatenda apamwamba komanso otsika kupuma.

Pali mitundu inayi ya kachilombo ka parainfluenza. Zonsezi zimatha kuyambitsa matenda opatsirana kapena opuma mwa akulu ndi ana. Vutoli limatha kuyambitsa croup, bronchiolitis, bronchitis ndi mitundu ina ya chibayo.

Chiwerengero chenicheni cha milandu ya parainfluenza sichidziwika. Chiwerengerocho chikuganiziridwa kuti ndi chachikulu kwambiri. Matenda amapezeka kwambiri kugwa komanso nthawi yozizira. Matenda a Parainfluenza amakhala ovuta kwambiri kwa ana ndipo amakhala ocheperako ndi msinkhu. Pofika msinkhu wopita kusukulu, ana ambiri amakhala kuti ali ndi kachilombo ka parainfluenza. Akuluakulu ambiri ali ndi ma antibodies olimbana ndi parainfluenza, ngakhale amatha kudwala matenda obwereza.

Zizindikiro zimasiyanasiyana kutengera mtundu wamatenda. Zizindikiro zoziziritsa kukhosi zomwe zimakhala ndi mphuno yothamanga komanso chifuwa chofala ndizofala. Zizindikiro zowopsa za kupuma zitha kuwoneka mwa ana akhanda omwe ali ndi bronchiolitis komanso omwe ali ndi chitetezo chamthupi chofooka.

Kawirikawiri, zizindikiro zimaphatikizapo:

• Chikhure
• Malungo
• Mphuno yothamanga kapena yothina
• Kupweteka pachifuwa, kupuma movutikira, kupuma
• Chifuwa kapena croup

Kuyezetsa thupi kumatha kuwonetsa kufooka kwa sinus, zotupa, ndi pakhosi lofiira. Wothandizira zaumoyo amvera mapapu ndi chifuwa ndi stethoscope. Phokoso losazolowereka, monga kulira kapena kupumira, kumveka.

Mayeso omwe angachitike ndi awa:

• Mitsempha yamagazi yamagazi
• Zikhalidwe zamagazi (kuthana ndi zifukwa zina za chibayo)
• X-ray pachifuwa
• Kujambula kwa CT pachifuwa
• Kuwerengera kwathunthu kwa magazi (CBC)
• Swab mphuno kuti ayesedwe mwachangu ma virus

Palibe chithandizo chenicheni cha matendawa. Mankhwala ena amapezeka pazizindikiro za croup ndi bronchiolitis kuti kupuma kuzikhala kosavuta.

Matenda ambiri mwa akulu ndi ana amakhala ofatsa ndipo amachira popanda mankhwala, pokhapokha ngati munthuyo ali wokalamba kwambiri kapena ali ndi chitetezo chamthupi chachilendo. Kulowererapo kwachipatala kungakhale kofunikira ngati zovuta zakupuma zikukula.

Matenda a bakiteriya achiwiri ndi omwe amafala kwambiri. Kutsekeka kwa ndege mu croup ndi bronchiolitis kumatha kukhala koopsa komanso koopsa, makamaka kwa ana aang'ono.

Itanani omwe akukuthandizani ngati:

• Inu kapena mwana wanu mumayamba kupuma, kupuma, kapena vuto lina lililonse lopuma.
• Mwana wosakwana miyezi 18 amakhala ndi chizindikiritso chamtundu uliwonse chapamwamba.

Palibe katemera wa parainfluenza. Njira zingapo zodzitetezera zomwe zingathandize ndi izi:

• Pewani makamu kuti achepetse kuwonekera panthawi yayitali kwambiri.
• Sambani m'manja nthawi zambiri.
• Chepetsani kupezeka m'malo osamalira ana masana, ngati zingatheke.

Kachilombo ka parainfluenza; Ma HPIVs

Ison MG. Matenda a Parainfluenza. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 156.

Weinberg GA, Edwards KM. Matenda a Parainfluenza. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 339.

Wanzeru Sr RC. Matenda a Parainfluenza. Mu: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, olemba. Feigin ndi Cherry's Bookbook of Pediatric Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 179.