Transition of virus infections. Statements of respiratory viral infections. Signs and symptoms of GDVI

State Respiratory viral infections.

Guest respiratory viral infections (GRVI) a group of ailments that can be transmitted by the drip-drip path and which is characterized by a variation in people of the upper ages dikhalnyh nobles... Until the 4th date, flu, parainfluenza, respiratory syncytial infections, rhinovirus infections, adenovirus diseases, etc. Immunofluorescence in direct or indirect modification.

ГРВІ nyposhirenіshі on earthly kulі ill. I will grow ill with sickness. Practically dermal lyudin kіlka developed for rіk ailments on ГРВІ. Especially often GDVI is spasmed by children. Children of the first few days of life are sick and rarely found in common isolation and a lot of them, they save a passive immunity, rejecting the mother transplacentally. However, there can be a stench on the GDVI, especially when the immune system appears unencumbered or increases in the daytime.

Most of the illnesses of an attack on children of other children and the first three years of life, which, as a rule, are tied to the child's attitudes brought by them, significant increase in the number of contacts. Re-inflicted disease is literally poured onto the baby's branch. The stench is to produce the organisms to the weakening of their strength, take the form of chronic diseases of the infection, reduce the allergization of the body, overhaul the preventive chipping, tighten the mental background and overwhelm the background. In bagatokh in the form of a part of GDVI, it is pathogenetically associated with asthmatic bronchitis, bronchial asthma, Chronic pyelonephritis, polyarthritis, chronic nasopharyngeal disease and other diseases.

It is not uncommon for children to become infested with germs, especially when they are able to carry GDVI “on their feet” at the sight of the lung, catarrh of the upper dysfunctional paths, rhinitis or tonsillitis. With a great age, it is not easy to grow my stance like “I’ll get cold easily”. In this hour, it was established that it is practical for all so called colds ailment to damage nature, and such ailments to become a great concern for children, especially early vik.

Clinically, all GDVI manifest step by step symptoms of intoxication, fever and catarrh of the upper dysfunctional paths. Together with the skin nosological form of power characteristic rice, Scho allow to carry out differential diagnostics. So, for example, influenza causes symptoms of circulating intoxication (specific influenza intoxication), adenovirus infection of lymphadenoid tissue and oropharynx, as well as lymphatic universities, Frequent liver and spleen, as well as the presence of the exudative component of the inflammation and damage of the conjunctiva of the eyes. For parainfluenza the characteristic syndrome of croup, and for MS-infection is the manifestation of obstructive bronchitis and bronchialitis. Rhinovirus infections can be diagnosed by clear mucous visions from the nose when there is a weakness or mild symptoms of intoxication.

Determination of that one of the most important clinical syndrome in the deyakіy world іmovlenya by mіsіtm overwhelming localization іnfіktsії in dichalniy shlyakh. Seemingly, flu viruses can fight against mucous membrane of the trachea, parainfluenza of the larynx, RS-virus other bronchi and bronchioles, adenovirus nasopharynx and alveoli, rhinovirus mucous membrane of the nasal cavity. However, such a growth is not very important, so as to see the most difficult battle it is not necessary or deprived of the first stage of illness. At the height of the ailments, the process in the dichny paths often swells of a broader character, not often from the findings of all the mucous membranes of both the upper and the lower ones of the dichny paths.

The grip of a gostra viral infection of ailment with a drip-drip path of transmission, is clinically characterized by a short-hour, ale swirling hot reaction, symptoms of zagalny toxicosis and lesions of the upper dick; Periodically, there is an epidemic and a pandemic expansion.

Clinic for influenza.

pislya incubation period, It’s trivial from decilkoh years up to 1-1.5 dib, ailments get ready to fix it’s gusty and boisterous, from the average temperature to high digits (39-40 ° C), chills, frostbite, zagalous weakness, rottenness, malaise pain The temperature of thither reaches the maximum until the end of the first one dobi, on the other, add ailments. Until the end of the hour, all flu symptoms are maximally pronounced. Children skarzhivat on the head, often in the area of ​​skron, chola, brisket arches, full-time apples; they have an appetite, sleep, booze madder, hallucinations, nudota, blues (call me to receive likiv, їzhі, vodi).

Characteristics of weak catarrhal symptoms in coughing eyes, nasal congestion, mucous mucous visions from the nose, pain or perspiration in the throat, especially with coughing. In important cases, there are often nasal bleeding, sudom, short-hour loss of testimony, meningeal symptoms, rigidity of the mucous membranes, a weakly positive Kernig symptom. At the height of the intoxication of the child, there may be some single petechial visibility, hypertension, abdominal pain, short-term changes in style, labiality in the pulse, lower arterial vise... Pechinka and spleen is not improved.

One of the important accelerations of influenza, which develops in children due to the bacterial process with further necrotic lesions and a thick mucus membrane of the larynx, є influenza croup. Wines to recover from sickness, on the 3-4th day, with stenosis, ale without the characteristic phases of diphtheria croup, wanting with a swollen sluggishness, cyanosis, barking cough (papillous croup).

For a cool break of flu, there are light, medium-heavy, important and blisk forms. Remaining two forms, often unprimed, called toxic flu (toxicosis of the characteristic particularity be it a form of flu, and not only important forms of it), they often pass through the courts, blues, abnormalities, hallucinations, madders, to navigate through the second testimony, because of the type of Ray's syndrome. It is not easy to form a child in children and in children with ailments, as a rule, a heritage of the great hemorrhagic disease in the brain. Progressive heat sinking and increasing temperature, tachycardia and tachycardia, developing a prickly pain in the breasts and rusty sputum and getting a little slow will allow them to go right before the pathology is identified. Bliskavichna form gives the greatest lethality. The order of the cym is observed and atypical forms of ailments with subfebrile temperature in case of a sharp turn of intoxication. The stench is often discouraged by people of the middle age, especially physically good ones.

Diagnostics and differential diagnostics of influenza are based on the epidemiological features of the infection and on the designated key systemic complex of ailments, the essence of which seems to be like this: susceptibility to all groups of the population; temporal contact; the triviality of the incubation period in the years 12-36; gostry ear of ailment; bends toxicosis; depending on the temperature, one is two-phase, the triviality is 3-6 days; hypothesis and hypothesis of sudin sclera and hyperemia of denunciation; hyperemia of the mucous membrane of the nasopharynx and nasal bleeding; visibility of the growth of the spleen and lymphatic universities; leukopenia with common lymphocytosis from the third day of ailment; normal or slightly adjusted SHOE.

Confirmation of diagnostics and differentiation of the flu in the clinics of the mind and at home, as in the period of the epidemics, as well as in case of sporadic illness, using the method of immunofluorescence (IVF), ... The IP method allows in 2-3 hours to carry out a differential diagnosis of influenza A and B, parainfluenza, adenovirus, PC virus and other infections in clinical diagnostic laboratories, possessing luminescent centrifugal microscopy

Serological diagnostics are also carried out for additional RPHA.

Lіkuvannya flu.

The treatment of influenza is not guilty, differentiated according to the severity of the illness, and the acceleration of the illness. In case of mild and medium forms of ailment, the treatment should be carried out at home with a post-regime, ryas pitta (tea, fruit drink, milk, more flavorful from Borzhomi, fruit juices, kava), to spare the children (for the sick).

It is recommended to use remantadine for antipyretic activity in the first two dobi ailments, since it has little anti-virus activity in relation to all species of strains in the virus serotype A. easy form ailments of yogo priznachayut 0.05 g 3 times for dob in the first 2 days. In case of medium and important forms, the drug should be used in doses of 0.3 g per dose of dobu (per dose of 0.2 g and other 0.1 g) and 0.05 g per dose 3 times per dobu at the beginning of 2 days.

It is also recommended to inject a cotton swab into the nasal cavity 2-3 times for additional 0.25% oxolin ointment and leukocyte interferon, which can be instilled into the skin of the nasal cavity after 1-2 years for 2-3 days or stagnate in the vigalyad. dvorazovuyu іngalyatsії aerosol yogo in a dose of 3 yew. OD and Vishche. In case of a large number of nasal congestion and undead 5-10 minutes before the introduction of oxolin or interferon, inject 5% ephedrine in 5 drops into the skin naphtha, or preparations of a close family of sanorin, naphthyzin, galazolin, yakipakh, odnak severe atherosclerosis.

The pathogenetic and symptomatic (disease-causing and febrile) diseases are associated with acetylsalicylic acid (aspirin), amidopyrine (pramidone), analgin, phenobarbital (luminal), barbamyl and You can also pick up a complex in viglyad fenalgin (analgin 0.125; amidopyrin 0.125; phenacetin 0.125) or antigrippin (aspirin 0.5 g, ascorbic acid 0.3 g, rutin 0.02; diphenhydramine 0.02 g and l calcium gactate ) 2 powder 3 times a day.

The treatment of ailments to a severe form of influenza is guilty of being carried out in the minds of the hospital, for everything it is recommended to introduce donor antipyretic gamma globulin in a dose of 3-6 ml for older adults (due to the duration of the day it is possible to pathogenic anti-measles gamma globulin complex) To that number, the introduction of ridin with the method of disintoxication, antigrippin, heart-vascular diseases (after indicated).

In case of severe toxicosis, detoxify the introduction of ridini ( physiological breakdown, Hemodez, polyglucin, rheopolyglyukin), however, not more than 800-1000 ml for dobat, to remove the development of a pack of lesions and a brain, moreover, it is associated with saluretics (lasix, uregit, brinaldix) or osmotic diuretics, sour, puddles of English. For anti-toxic and anti-epileptic drugs, in case of severe flu, steroid hormones are administered parenterally (prenizolone up to 300 mg or more or hydrocortisone 250-500 ml per dose) in a course of 1-2 days.

Antibiotics should not be promoted with the help of prophylaxis to accelerate in case of influenza, so as to develop and improve the allergy of organisms and viroblast of the effects of certain bacteria to chemotherapy. Nadal can lead to an acceleration, as antibacterial therapy is needed. І deprivation in hypotrophic children, in vagіtnykh, in individuals with chronic ailments dyshnoy and heart-vascular systems, in diabetic ailments and in young people, prophylactic antibiotics can be used in such a world as vypravdanim. However, in case of accelerated influenza pneumonia, antibiotic administration is necessary. Vikoristovuyut internal or internal penicillin, including napivsynthetic, often methicilin or oxacylin, which is especially effective in the case of tacitamicin adenomycin.

With the development of influenza croup, effective hot compresses, warm drinks, inhalations, baths, as well as aminazine in special therapeutic doses (a single dose should be prescribed with a dose of 1-1.2 mg / kg of fat and given) 3-4 times chloral hydrate in therapeutic doses. In case of a day, the effect of conservative therapy is brought to the extreme level of tracheotomy, when the whole complex of therapeutic visits is carried out, including prophylactic antibacterial drug abuse. Inodi of such ailments translate into Kerovans dikhannya.

Paragrip.

Paragrip of the gostra virus infection of ailment with a dribble-and-drop path of transmission, which is classically abundant in what nagaduє flu, but sometimes it turns out to be due to less toxicosis, three more trivially overwhelmed in both ways

Klinika parainfluenza.

The incubation period of the warehouse is 2-7 days, often 3-4 days. The ailment beckon to repent in steps, from the undead, which is one of the frequent symptoms, dry cough, sore throat and often hoarse voice. With the presence of a dangerous parainfluenza, the most characteristic laryngitis and laryngotracheitis with pain in the throat and breasts, barking cough. You may also have bronchitis, bronchialitis and pneumonia, and in children, they are especially dull, ailments are against laryngotracheobronchitis, a typical picture of pomegranate croup, with important pneumonia. The chim is older than the child, the tim is lighter than the ailment.

Increasingly, it is easy to carry the ailment. Golovny b_l is gone. When you look around, you can see the hyperemia of the arches of the soft back and the back of the pharynx. The temperature is most often subfebrile and is often less bright in older adults, 38 ° C. In children, it can be healthy, especially with the development of pneumonia, may even develop laryngitis, in the same hour rhinitis and pharyngitis are less. More ailments are more trivial and less than a flu.

Most often it is faster in children, as well as in older adults - pneumonia. With the appearance of a clichéd picture, it changes: the process of swelling of an acute febrile character with significant temperature changes, chills, severe headache and signs of meningism, pain in the breasts, coping with cough and bloody diseases of the urinary tract Danimi, right up to the noise of rubbing pleurisy. Important forms of ailments are rare and pneumonic. Uskladnenny can be buty angini, sinusitis, otitis and sharpening chronic processes.

Diagnosis of parainfluenza.

Klinika parainfluenza is malnourished with influenza. The link with the cym is an active differentiation in the process of leaving. laboratory methods doslіdzhennya. In them there is a naybilsh suttuve meaning maє RNGA, at that hour the yak of the RSK is often perekhresnoy. However, for the additional help of serological methods, the diagnosis is given to confirm it only retrospectively. Revealing a virus in the cells of the upper dysfunctional paths is possible due to an additional reaction of direct immunofluorescence.

Lіkuvannya parainfluenza.

When it is out of doors, the parainfluenza can be quickly brought up to the sign of simple entry at the viglyadі bathtubs, in both large and cold weather conditions. With accelerated forms of ailments, zokrem with pneumonia, antibacterial therapy is indicated (antibiotics and sulfanilamides, moreover, with sensitivity to urinary sensitivity to microfloria). If there is a need for a vicious cardiac arrest, symptomatic therapy... Likuvannya groats are carried out according to the principle of intensive therapy.

Respiratory-syncytial infections (RS-infection) respiratory-syncytial infections (RS-infection) viral zvoryuvannya with moderately fluctuating symptoms of intoxication, excessive lesions of the lower distal paths and frequent development of bronchiolitis.

Clinic of RS-Infection.

The incubation period is 3 to 7 days. Ailments in half of the vapors are repaired by the cold, due to increased temperature, chills or chills. Often, I want and not from the first day, I appear head b_l, Weakness, bile in meats, before the aches in tili. Generally toxic signs of ailments are susceptible to low-grade or normal temperatures, as in such drops it grows in more terms and until the 10th day is seen as a cob of ailments. Significant symptoms of toxicosis occur with high temperature zalishayutsya pomіrnim.

Swelling toxicosis with more severe headache, weakness, bloat and bloody restructuring rarely. There are many nasal bleeds and hemorrhages on the palate. Vvazhaєtsya, scho on zagalniytoxic manifestations of PC-virus ailment is borrowed in the midst of flu and parainfluenza. Catarrhal changes in the empty nose and in the pharynx are insignificant and appear in the presence of a cough, the undead, at least a weak hyperemia of a weak child, an arch, before the back of the pharynx and a loss of larynx.

To the typical symptoms of MS-viral ailments, it is not difficult to carry out the dysfunctions, because of the breath of cyanosis of the lips of the growing stage. With the development of bronchitis, bronchialitis and pneumonia, wheezing of low characteristics (dry and vologic) begins, one noise is rubbing pleurisy, shortening of the percussion sound.

Diagnostics of RS-infection.

Diagnostics of RS-infection and differentiation and use of the same principle as for influenza. In most cases, education is carried out in the home minds. I mean a post-lingering regime, a merciful day, symptomatic problems, such as in those with GDVI. In case of obstructive syndrome, give euphilin with diphenhydramine or other antihistamines. Indicated mukaltin, marshmallow mix, thermopsis, sodium bicarbonate. In important cases, hospitalization is required. When obstructive syndrome is diagnosed with pneumonia, antibiotics are prescribed.

Rhinovirus infection.

Rhinovirus infection, or infectious undead (common cold), ghost virus infection of the dysfunctional nobles, which protects against the damage of the mucous membrane of the nose and nasopharynx.

Clinic of rhinovirus infection.

The incubation period is 1 to 5 days, often 2-3 days. Poor obedience to gostro, zagalny nezduzhannya, Refreshing, subfebrile temperature tila, nasal congestion, changnya, pochuttya outside body in the throat, for lack of handiness, rubbish, coughing. Often there is a slight headache in the area where there is a lot of aches and pains at all. Already before the end of the first, add nis more bookmarks. There is a clear watery-serous vision. The mucous membrane of the empty nose is hyperemic, swollen. vnaslidok clear vision from the nose and frequent corystuvannya nasal chustki in front of the nose, the shkіra is macerated. In some cases, herpes appears on the lips and in front of the nose.

Exposing a child to a kilka is pasty, it means that it is clearly visible from the eyes, the scleri is in fact. There may be slight hyperemia and swelling of the mucous membrane of the infantile dysplasia, the anterior arch, the posterior pharynx. Through the perspiration in the throat, there can be a cough, often laryngitis with a hoarseness in the voice is restructuring. Tracheitis and bronchitis do not appear in older adults. On the 2-3rd day, the ailments from the nose will melt more thick, mucous-nasal, bacterial infections... Triviality of ailments up to 5-7 days.

With the differentiation of ailments, there is a prevalence of catarrhal syndrome on aphids of mild toxicity. For laboratory confirmation of the appearance of viruses on tissue cultures. For the diagnostics, the immunofluorescence method is used, for which the antigen appears in the epithelial cells taken from the lower nasal concha.

Treatment of rhinovirus infection.

Symptomatic. For nasal supplementation, it is shown that the nasal cavity is empty of the nasal cavity: 1% or 2% drops in hydrochloride ephedrine, 0.05% drops in naphthyzin and galazoline, 1-2 drops per skin, 3 times per day, 3 times per day adrenal drip Indications for warm pitty, hot scabbard baths, for headaches, analgin, amidopyrine, antihistamines (suprastin, tavegil), calcium gluconate. On the first day of the disease, leukocyte interferon can be dispensed in the nose.

Adenovirus infection.

Adenovirus ailments are a group of cyclic infectious diseases of dichny nobles, legends, eyes, intestines, which can be infected by odd viruses, which can be transmitted as ailments by sprinkles.

Klinika of adenoviral stripes.

Klinika of adenovirnichnyh raznomantna. The incubation period is 3-7 days. The ailment should be repaired, it is not easy for the chills, the temperature is moving up to 39 ° C. Call the battle of the wicked nobles to go along with the battle of the conjunctiva with a twisted exudative reaction, in one way, to spite the swelling of the migdalines with the superimposed on them at the watchers. If the ailments are overwhelmed by persistent symptoms, the period of the hot period may be delayed up to 5-7 and last 8-14 days.

With the appearance of such an acceleration, such as pneumonia and burning of the epididymis, the ailment may occur, the sickle-like interruption. With the appearance of pneumonia, the sick person will burn, the temperature reaches 40 ° C, there will be bad health, cyanosis, intoxication, physical manifestations in the legends. The form of ailments can end lethally, especially in children. If the result is successful, it will be delayed, and the pathological process in the legends can be seen through the droplet of miscellaneous.

Diagnostics of adenoviral lesions.

The vision and identification of adenoviruses through the folding lykarskiy practice... Ale for the confirmation of the sleeping and the ethological characteristics of the whole method, the visualization will play a role. Z serologicheskikh metodіv vikoristovuyt RSHA. Greater early and specific method of laboratory diagnostics є the method of immunofluorescence, in addition to the disease in the cells of the disease of dystopia, affected by adenoviruses, to detect the appearance of virus antigens in the first Adenovirus ailments may have been diagnosed and diagnosed as a result of a major drain on clinical, epidemiological and laboratory data.

Lіkuvannya adenovіrnyh ailments.

Treatment is carried out in the form of dermal deposits. Inteferon, donor anti-measles or anti-measles gamma-globulin, syrovatovy polyglobulin for a variable scheme, as well as oxygenation, heart-damaging drugs, plasma, vitamins, hormonal substances become stagnant. In case of hospitalization and respiratory adenovirus ailments, it is recommended to instill 0.2% deoxyribonuclease in nis, or to inject 3 ml each 2-3 times, and galazolin. Effectively recognized UHF, gіrchichnikіv.

Infectious mononucleosis.

Infectious mononucleosis is an infectious disease, which is characterized by fever, abnormalities in all groups of lymph nodes (importantly), oropharyngeal lesions, atopharyngeal atypical syndrome

Clinic of infectious mononucleosis.

The triviality of the incubation period in the main period is 5-20 days. Infected in a large number of vipadkiv to repair the state, from the lower temperature to high numbers, protest the entire clinical symptom complex, in the power of infectious mononucleosis, start to grow up until the end of the first time. Some early symptoms - increased temperature, swelling of lymph nodes, superimposed on the migdalene, obstruction of the nasal dysfunction. Until the end of the first time, there are a lot of sick people on the cob, there are already some liver and spleen, in the blood there are atypical mononuclear cells.

Most characteristic is the growth of the lymph and especially lymph universities, as it grows like a bi-lance behind the sternocleidomastoid nipple-like meat. The stench is visible on the eye, when coated with tightness, elastic, not welded between itself and with a small cell, not painful. Frequent improvement of lymphatic universities is the first symptom of ailment. Polyadenitis is an important symptom of infectious mononucleosis, and is the result of hyperplasia of lymphoid tissue in the case of generalization of infection. In some cases, in case of infectious mononucleosis, there is an increase in bronchial and mesenteric lymph nodes.

Disorder of the throat and pharynx post-mortem syndrome of infectious mononucleosis. There is an increase and increase in the thickness of the small dysplasia, the tongue, and some of the dysplasia, the nasal swellings, so that they can stick with themselves. It is also indicative of a nasal congestion, difficulty in nasal dysfunctions, hushness in the voice and wheezing dichotomy with an open mouth. Uninvolved on nasal congestion, seeing from the nose in the cold period of the ailment, do not get sick, because the stench is caused by the fact that the nasal behavior changes. It will be explained that, in case of infectious mononucleosis, the mucous membrane of the inferior nasal concha and the entrance to the nasopharynx (posterior rhinitis) is affected. The posterior stinka of the pharynx is also swollen, hyperemic, granular, with hyperplastic lymphoid tissue (granular pharyngitis), with thick mucus. Hyperaemia of the sore (migdalex, tongue and arch) is rotated around, the throat is insignificant.

Even more often (up to 85%) in children with infectious mononucleosis on the palate and nasopharyngeal mydalines there is an overlap in the eyes of the young; Some of the stinks are very subtle to curl up the small dysplasia. The overlay is often of a bluish-jovtuate or brute-gray color, fluffy, humpbacks, shorts, it is easy to know, the tissue of the daisies, for the sake of goodness, beckon not to bleed. Sometimes, when you try to take a pincer, the stench is screaming and breaking. The overlay on the migdalens can appear in the first days of ailments, in 3-4 days. When an overlay appears on the mydals, the temperature of the body rises even more and the zagalny stun goes down.

The increase in liver and spleen development in case of infectious mononucleosis is more likely to develop gradually (in 97-98% of cases). The growth of the stoves fixes ailments from the first days and reach a maximum of 4-10 days from the ear of the disease. The edge of the stove will become shchilny, we will be hospitable, and will be rounded off. On palpation, there may be a slight ailment. In some cases, there is little zhivtushnist school and sclera. Zhovtyanitsa invoke the vine in the treatment of infectious mononucleosis and infection in parallel with the development of other manifestations of the ailment.

The growth of the liver changes more often, less ailments show. Most ailments stink normally only at the end of the first ear of another month at the moment of engulfment, in the row of the size of the stove, in the middle of the size of the stove, they become overwhelmed by the stretch of three months in the ear of the ear. Improvement of spleen is one of the early symptoms of infectious mononucleosis. maximum size spleens are indicated for 4-10 days. To speed up and increase the normalization of the size of the spleen in more early terms, less than the size of the liver. In half of the ailments, until the end of the third period, the spleen can not be palpated on the cob.

Diagnostics of infectious mononucleosis.

Іnfektsіyny mononucleosis dіagnostuyut on pіdstavі such klіnіchnih proyavіv, yak lihomanka, utrudnene nasal dihannya, nabryaklіst i pomіrna gіperemіya oropharyngeal naloti on pіdnebіnnih i nosoglotkovih migdalinah, zbіlshennya vsіh group lіmfatichnih vuzlіv (osoblivo Shiin) rozmіrіv pechіnki i selezіnki and takozh gematologіchnі zmіni (pomіrny leukocytosis of a lymphocytic nature, the appearance of atypical mononuclear cells, the development of SHOE).

Serological diagnostics of infectious mononucleosis should be based on the detected heterophilic antibodies to the erythrocytes of young creatures (ram, bika, horse, etc.). The reaction, based on antibodies against ram antibodies detected in the blood of a sick person, was found in 1932, J. R. Paul and W. Bunneil. However, they have changed in її in every day of the addressing. In 1938, J. Davidson proponed for the diagnosis of infectious mononucleosis and modified the Paul-Bunnel reaction, which was more specific.

Velmi is simple and highly specific reaction є RA of the horse's erythrocytes on the skl. This reaction was propounded by G. Hoff and S. Bauer (1965r.). In case of infectious mononucleosis, the reaction is more positive than in 90% of the ill, at that time it is always negative with those who are ill. For a vikonannya of the whole reaction, one speck of the blood of the sick is required. It is not safe to log in.

Treatment of infectious mononucleosis.

There is no specific therapy for infectious mononucleosis, so in practice, symptomatic therapy is symptomatic. In the period of a feverish woman, the sign of fever-lowering conditions and ryasny pitty is shown. Nasal congestion is good to know the signs of drops for the size of ephedrine or of the other ship-sounding problems, up to 4-5 times for additional. Calcium gluconate and diphenhydramine have been shown to reduce inflammation in early doses.

It is recommended to go into antibiotics before taking antibiotics, if the fever is more than 6-7 days old, the occurrence of rapid changes and supervising significant increases in regional migdalin (tonsillary), lymph nodes. The course of antibiotics is guilty of being short. When the nasal is very difficult, the reaction, the turn of the intoxication is indicated by glucocorticoids (prednisolone 2 mg / kg per dose) for 2-3 days. In case of ailments, the necessary post-treatment regimen is necessary, so that the spleen can be removed from the vapors of the youngest growth.

Harchuvannya of ailments with a successful transition is not a special one, a child can be snazzy, taken when likuvannya fever of infectious ailments. Individual recommendations of guilt are based on key donations.

Guest respiratory infections are reported up to the number of the most widespread ailments of the people and become half, or more of, the number of hospitals. Most of the high indicators of sickness are indicated in children of the 1st life (from 6.1 to 8.3 per child in a child), become too high in children up to 6 years old, and in more older groups of children, it tends to be reduced. In general, for 1 growth of people, there are 3-4 drops of sickness per person. Part of the hospitality of respiratory ailments become 30-40% during the working hour in the middle of an older population and 60-80% in the initial hour in the middle of school children.

Pidrakhovano, 60-70% vipadkiv gostrich respiratory infections viciously with viruses. Yak zbudnikiv ailment has been registered over 200 young viruses from 8 generations, and in the future, it is possible to add new species. In the overwhelming majority of the vapors, the upper dysfunctional paths are being challenged; however, the pathological process can also be widespread on the lower sides of the dickheads, especially in young children, as well as in singing epidemiological minds.

Victims of respiratory ailments are traditionally fed to the disease okremich syndrome: So called colds get sick, pharyngitis, croup (laryngotracheobronchitis), tracheitis, bronchialitis and pneumonia.

The vision of the significant groups is a little bit ill, both from the epidemiological point of view, and from the clinical point of view. For example, cereals are very popular among children of the early age and develop a characteristic classy interruption. In addition, the deyakі form of respiratory infections, they are often affected by the singing viruses. So, colds get sick - rhinovirus, at that hour they expand in singing epidemiological minds, but with the help of this one can serve adenovirus infections in all military services and recruits. However, such ugrupovannyh a large part of respiratory viruses, there is not one disease, but a number of clinical syndromes, and often one sick person can immediately recognize the signs of the deciles from them. In addition, wikipedia with tsimi viruses of the most common form of getting sick is rarely enough specific signs It is possible to establish a diagnosis at the presentation of some of the key data, if there is a case of epidemiological minds, it is possible with a greater sense of the word, as the group of viruses itself was the cause of the ailment.

Clinically, show the hospitality of respiratory infections, children who are sick with children, but they are on the same page, so that the diagnosis of sickness is extremely important, especially in sporadic problems.

In the main, the picture of the GRVI is stored in:

a typical symptom complex of the state of the art respiratory distress of the rotational stage;

syndromes in non-detachable stanovies, which develop in case of an important and extremely important interruption of the GDVI;

having shown the accelerated transition of the GDVI.

The typical symptom complex is characterized by:

1) feverish;

2) manifestations of foreign infectious diseases;

3) a syndrome of lesions of the respiratory tract in the early stages - muscular firing changes in viglyadi rhinitis, pharyngitis, laryngitis, tracheitis, bronchitis and other days. Pneumonia will also be seen for an hour later as an accelerated flu and GDVI.

feverish woman in most cases, recover from chills or chills. The temperature is already in the first place, reaching the maximum level (38-40 ° C). The triviality of the feverish woman is growing in fallowness from the deceased and the degree of severity, or even if the flow is uncomfortable, it is likely to be of the same nature.

Oral infectious disease syndrome... Suddenly, a feverish weakness, weakness, weakness, increased energy, pain in the muscles, headache with a characteristic localization appear. appear more views in full-time apples, scho podilyuyutsya with Russian eyes, or when onslaught on them, fear, sloshing. Loss of malnutrition and vitality to uncomfortable conditions is often developed in a young and old age, blues - especially in a young group and with important forms of GDVI in older adults. For all ailments, sleep will break down on a grave form, sleeplessness, inodi - lighthouse.

rinit sub'actively see ailments in the eyes of the liver in the nose, undead, nasal congestion, channya. Hyperemia (pochvoninnya) and swelling of the mucous membrane of the emptying of the nose, the appearance of mucous or mucous-ginny visions in the nasal passages, break down the nasal dyhanya, vinyak hypoxia.

pharyngitis sub'actively manifests itself as dryness and soreness in the throat, as well as when coughing, pain when kovtanny, pokahikuvannyam. Hyperaemia of the mucous membrane of the posterior and mucous membranes of the pharynx, mucous or mucous-ginny appearance on the posterior pharyngeal wall, hyperemia, graininess of the meat, the puffiness lymphoid foliage on the posterior stage of the pharynx, hyperaemia and swelling of the vaginal folds of the pharynx. In some cases, regional lymphatic universities grow, as the stench grows sore.

laryngitis characterized by sub'active scargs for perspiration and soreness in the larynx, such as when coughing, hoarseness or hoarseness in the voice, rough cough. When looking around, it is evident that there is a hyperaemia of the mucous membrane of the larynx, hyperemia and infiltration of the vocal folds, the lack of vocal folds during firing, the presence of a viscous mucus and crusts in the larynx. Objectively, in cich ailments, the voice changes to hypo-abnormally aphonia, it is possible to improve regional lymph nodes.

Piddly laryngitis develops overwhelmingly in children of the first three years of life and manifests itself as a picture of grated cereal - it means the difficulty of a sick person's energy on the way cyanosis of fingers), cold pit. Characterized by firing infiltration of the viglyadi rollers in the subglottic space ("third fold"), sounding of the vocal slit, mucous or mucous or mucous vision in the larynx and trachea.

tracheitis sub'actively susceptible to ailments, such as soreness and pain in the breastbone, which can be felt when coughing, which is dry, unproductive, and therefore more painful, as not to bring lingering sickness. The phlegm is usually sputum. Auscultatory tracheitis manifests itself in hard dichanies, lonely wheezing, as well as when sputum sloughs out. When bronchoscopy is indicated, infiltration and hyperemia of the mucous membrane of the trachea, mucous membrane, mucous-hemorrhagic or mucous-hyperemia.

bronchitis characterized by the appearance of dry abnormal cough from the appearance of mucous or mucous-nasal sputum. With auscultation, there is a stronger (zhorstke) effect, dry and vologic wheezing of the wheezing and timbre in the fallowness from the level of the lesion: when the upper vyddil_ in the bronchial tree wheezing, dry with severe lower symptoms - dry wheezing. If you start seeing a sufficient number of rare phlegm, there is a small number of non-sonorous wheezing in the hearing.

bronchiolitis it is more common in young children and in older adults with a broncho-obstructive component. Tsey syndrome is characteristic for respiratory syncytial infections. It is clinically characterized by slowness - the increase in frequency and behavior, yak physically assignedі bear an expressive character (complication of response to vidikha). The cough is painful, with hard-to-remove mucous or mucous-nasal sputum, superficial pain in the chest cavity. Dikhannya becomes superficial with the participation of additional music. Ailments are uncomfortable, shkirnі pokrivi blіdі, acrocyanosis (cyanosis). Auscultation in the lesions of the hearing is weakened by the weakening and wheezing in the wheezing, so that one can adapt to the vidiha.

Most of the cases of intoxication and incidence of catarrhal flu syndrome and GDVI can be contracted in the lungs (60-65%), middle (30-35%), important and even important forms (3-5%).

Easy form characterized by an increase in the temperature of the body no more than 38.5 ° C, less headache and catarrhal symptoms. Pulse less than 90 beats / min. Systolic arterial vise 115-120 mm Hg. Art. The frequency of dikhannya is less than 24 per chilin.

moderate form- the temperature in the boundary between 38.1-40.0 ° C. Along with the bends, the syndrome of intoxication. Pulse 90-120 beats / min. Systolic arterial vise less than 110 mm Hg. Art. The frequency of reaction is more than 24 per hilin. Dry, painful cough with pain in the chest.

important form characterized by a hospitable ear, high (more than 40.0 ° C) and more trivial fever with severe symptoms of intoxication - severe headache, aches in all children, sleeplessness, maddens, anorexia) і th shell. The pulse is more than 120 beats / hv, not very arrhythmic. Systolic arterial vise less than 90 mm Hg. Art. Tony is deaf. The frequency of the reaction is more than 28 per chilin. Big, painful cough, chest pain.

Even more important It is rare, characterized by a blistering break with rapid development of symptoms of intoxication without catarrhal manifestations, and it ends in a large amount of lethal symptoms. A variant of the blisk form can be a strong development of hemorrhagic toxic lesions and a fatal result from mental and cardiac insufficiency in the form of an unprecedented provision of non-emergency and special medical aid. In case of an even more difficult interruption, the ailments may develop an inconvenient (critical) stance.

Infectious-toxic lesion of the brainє the most frequent non-removable camp in case of an even severe interruption of the flu. The syndrome develops on the smallest important interruption of the disease with a high fever and the accumulation of swirling microcirculation in the brain and an increase in the intracranial vise. Price is a cerebral (mozkov) deficiency, which protects against the presence of a widespread intoxication, zagalomoskovyh disorders, in one sign of a meningoencephalitis (damage to the envelope of the brain).

Clinically manifest the syndrome - a strong headache, blues, stunned, psychomotor stimulation and discomfort. In important cases (swelling and swelling of the brain), it means bradycardia and an increase in the arterial grip, dislocation, development of the Komi.

Gostra insane lack - The most frequent part of the disease is the syndrome of incapacitations with influenza. It is clinically manifested in the viglyadi of an important zadishka, bubbling eccentricity, cyanosis (cyanosis), red sputum from home blood, tachycardia, sick people.

Infectious toxic shock It is not common to develop with influenza and other GDVI, mainly in cases of an important and accelerated pneumonia leak. Klіnіchnі occur: in rannіh stadіyah - gіpertermіya, potіm znizhennya temperature tіla, blіdіst shkіri appeared marmurovoї zabarvlennya shkіri, cyanotic (cyanosis) plyam, Shvidky znizhennya arterіalnogo vise tahіkardіya, zadishka, mozhlivі nudota i blyuvota, gemoragіchny syndrome rіzke znizhennya dіurezu (sechovidіlennya ), the progressive deterioration of svidomostі (growths blasphemy, baiyuzhist ailments, scho turn into stupor).

Gostra heart-sudinna lack It can be of the type of grievous heart or grievous disability. Gostra sertseva lack of development more often in ailments for hypertensive ailments and sick hearts. Vona is opposed to the type of left ventricular failure and manifests itself with a lot of legends. The state of judgment is lack of є an inherited fall of the judgment tone, characteristic of an important influenza, and the vertebral collapse is a manifestation of an infectious-toxic shock.

Deposition of influenza and other GDVI change of interest. In the most critical period, in terms of frequency and values, they take up pneumonia (80-90%), although in a large number of variations the viral-bacterial character is quite common in these terms. Іnshі accelerated influenza - sinusitis, otitis, polyonephritis, inflammation of the gallbladder system and іnshі - spontaneously slow (10-20%).

The management of GDVI can be divided into specific (informed by a specific type of virus), nonspecific (secondary, bacterial) and related to the activation of chronic infections.

pneumonia 2-15% of all sick people are diagnosed with influenza and 15-45% and more hospitalized sick people. In interdemic influenza, the period of pneumonia develops significantly higher (0.7-2%), less than an hour before the period of pneumonia (10-12%). On the frequency of the diagnosis of accelerated infusion of the type of virus influenza and vik ailments.

Most sickly until pneumonia accelerates є individuals older than 60 years, in some flu and GDVI it is more frequent to accelerate pneumonia and it is more important.

It is important that a greater number of pneumonia develop in patients with severe and moderate forms of influenza. Pneumonia can develop in any period of illness, however, in case of influenza in young individuals, 60% of cases of influenza relieve pneumonia, and on the 1st to 5th day of the ear, it is caused by the development of severe catarrhal syndrome. Frequently (in 40%) pneumonia is diagnosed in a larger period of time (after the 5th day of ailment).

If pneumonia in young individuals is accumulated in the main pneumococcal flora (38-58%), then in the etiology of pneumonia in sick patients with a chronic disease є golden staphylococcus and gram-negative microorganisms (pseudomonas Pneumonia, vicious microorganisms, are very important.

It is very practical for the early diagnosis of pneumonia, as well as for the prognosis before the development of accelerated development.

In typical cases of excessive pneumonia, GDVI is characterized by:

1) there is a positive dynamics in the overwhelming disaster, a trivial feverish one (more than 5 days) or the appearance of a double temperature curve;

2) growth of symptoms of intoxication - improvement of headache, improvement (renewal) of chills, malaise (bile vmishtsy), adynamia, severe symptoms, weakness, development of better health

3) the appearance of a sign of a league tissue - progressing in the dynamism of a backwardness of 24 podikhiv in chilin, a snake to the nature of a cough (vology, with phlegm).

sinusitis(Sinusitis, frontal sinusitis) is characterized by the appearance of skarg in ailments for headache relief, or the feeling of severity in the area of ​​the eyebrows, chola and nose, increased temperature to 38-39 ° C, nasal congestion, rotten undead. When looking around, there is swelling of the soft tissues of the cheek and (or) abrasion on the sides of the lesion, soreness on palpation and beating in the projection of the nasal sinuses on the cyst of the facial skull. When looking at the emptying of the nose - hyperemia and swelling of the mucous membrane, the appearance of gnarly visions in the nasal passages on the sides of the striking. The decrease in scent perceptions (hypoosmia) is indicated.

Gostriy katarralny Evstakhiyit(Firing the єvstakhієvoi trumpets), tubo-otitis, otitis media... Sub'actively ailments are seen in the presence of one or both of them, noise in one or both of them, a decrease in hearing, as a result of a change in the line when the head changes. When you look around, you can see the retraction of the drum overflow, the drum overflow is a little blue-gray or bluish vidtinok, more than a little more than a little bit of a ball behind the drum overflow. In case of audiometric prediction, hearing impairment occurs due to the type of sound-guided device striking.

Acoustic neuritis If you have a quicker flu, you may, from one side, simulate tubo-otitis, and from the other, you will be able to use a mask. Ailments can also be caused by the constant noise in the air, lowering the hearing and losing the loudness of the voice. However, the process often has a two-sided character, and when you look around the drum, the sprinkle does not change. When audiologicheskie doslidzhennya hearing, hearing impairment appears behind the type of hitting the sound-perceiving apparatus.

meningism(Symptoms of lesion of the sheath to the brain). In addition to hypertoxic symptoms, at the height of the ailment, there may be no sudden changes in meningeal symptoms, which appear in 1-2 days. Cerebrospinal degeneration of pathological symptoms does not appear at all.

hemorrhagic syndrome(Bleeding syndrome). During the first hour of an epidemic sleeper, 25-30% of people with influenza have a hemorrhagic syndrome in patients with advanced lamplasm, nasal bleeding, and the appearance of blood in the section. Nasal bleeding is characterized by scars that are sick in the appearance of blood from the nose and through the mouth, weakness and foulness. Blindness, sometimes icterus (jaundice) of skin curvatures and mucous membranes, nasal hemorrhage, and nasal hemorrhage - compensations (slightly), subcompensations (less), subcompensations (less) When looking at the emptying of the nose, it is indicated that there is clotted blood in the nasal passages and at the posterior stage of the pharynx, and sometimes it is possible to develop bleeding (including bleeding polyp) in the emptying of the nose. To determine the severity of the hemorrhagic syndrome, assess the blood and biochemical analysis of the blood.

Infectious-allergic myocarditis You can speed up the flu and GDVI. For a quick appearance of an infectious-allergic myocarditis, it is more important to have an electrocardiographic dosage. Shown until the beginning of the year I want one of the following symptoms:

1) pains in the area of ​​the heart, which are irradiating in my hand, Sercebittya, "interruptions" in the robot's heart;

2) zadishka with insignificant physical navantazhennyah;

3) tachycardia (an increase in the frequency of the heart is very fast), as it does not depend on the temperature of the body;

4) arrhythmias (extrasystoles, migratory, earlier paroxysmal arrhythmias);

5) muffling the tones of the heart, increasing the tone of the heart, making noise over the top, cyanosis, nagryak.

Vyavlennya EKG-sign for myocarditis in the consultation of a therapist-cardiologist for the correction of treatment.

EKG to be timid in dynamism - before the hour of the ailing one (or, if it is obvious, show the ailment for an hour) and before the hour of the sick.

Reye's syndrome- developmental delay, described in case of influenza B, as developing in the phase of illness in the liver, and characterized by development of infectious-toxic damage to the brain (profuse bloating, depression, sleepiness, sleepiness)

Diagnostics of the GDVI acceleration should be carried out on the basis of the analysis of clinical, laboratory and instrumental data.

Grip є GOSTR Respiratorne Illness, Wiklican influenza virus. Infections of hostile upper and (or) lower dysfunctional paths and often suprasurate with such systemic symptoms, such as a fever, headache, heart pain (pain in the muscles), weakness. Sleepworms of devilish triviality and gravity, which are practically incapacitated, bring about significant discomfort in the middle of the population in general and increased mortality among the patients of the "high risk", who are the head of the family as a result of the death.

Influenza virus є incorrectly formed viral particles with a diameter of 80 to 120 nm, in order to replace the lipid membrane and RNA.

There are 3 types of viruses - A, B, and C. The type of virus is caused by internal antigens. Influenza virus can be detected at temperatures of 4 ° C for 2-3 months, heating at temperatures of 50-60 ° C will activate the virus with a stretch of decalcine, disinfecting the virus and drive the virus instantly.

Reservoir і dzherelo infections - people with obvious and erased forms of ailments. Infection is maximum in the first 5-6 days of ailments. Virus type A of visions is also of pigs, horses, ptahs, but the possibility of infected people and animals is not reported.

The mechanism of transmission of infectious diseases is aerosol; It is not possible to enable information by way of the way through information about objects and by way.

Show an epidemic process. The ailment is widened everywhere and is manifested in viglyadi sleepers and epidemias, which is a part of the sensitive population. Periodically, pandemics of influenza are detected, associated with the formulation of new antigenic variants of the virus. The main rank of the virus is influenza A, influenza B virus is expanding more and hostile to no more than 25% of the population. Grip Z is restructuring on a sporadic level. Acquisition is meant to be stretched out to the rock, meaning often in the autumn-winter period, which is why the purchase of the population and the influx of climatic factors is taken into account. Sleepiness of children up to the new types of temples. Postinfectious immunity with influenza caused by virus type A, trivial 1-3 rocky, and virus B - 3-4 rocky.

Sleepers of the flu are spared practically scrupulously, if the scale and the severity are significant. Miscellaneous sleepers pick up through the intervals of an hour, wake up to the skin 1-3 rock. Global epidemics, or pandemics, were seen approximately 10-15 years old, fixing the 1918-1919 pandemic.

Unimportant for those pandemics є the most dramatic butt of the one to whom the flu can lead, become ill, who can be diagnosed with pandemics, and sometimes you can find yourself in a big industry and death, for an hour and a half.

Epidemiological flu And it is repaired quickly, it will reach its peak in 2-3 months, it usually takes 2-3 months, and it often goes out practically as quickly as it was repaired. I will first acquaint myself with influenza activity in the suspension є an increase in the number of children, so that I can help the medical personnel to drive respiratory illnesses, which are supervised by febrile (37.5-38.0 ° C) temperature.

It is followed by an increase in the number of influenza-like ailments in the middle of adults and growing up in patients with pneumonia, acute congestive heart failure, due to chronic illnesses of legends. The number of missed working days in schools is also growing during the growing period.

Increased mortality, vicious pneumonia and flu (this is the name of excess mortality), as a rule, пізніх stage sleeper. The number of ailments is significant in the case of winter illnesses, but most often it becomes 10-20% of the out-of-town population. Before the hour of the 1957 pandemic, the rock was established, but the clinical signs of influenza were spared more and less in 50% of the population of the city, and in 25% more, you can talk about sub key overrun influenza A. In the midst of an organized population and in such critical settings, there are a large number of dry individuals, and there is a lot of sickness.

Yak in Pivnichnoe, and in Pivdenniy pіvkulі pіvkulі epіdemiіy gripyuyut practically on a weekly basis in winter months. Viyaviti virus influenza for an hour, not typical for sleepwalkers, is practically unhappy, if I want to come to life in these seasons and once in a while. De і yak virus to influenza And to be found in the period between sleepers, unavoidably.

It can be explained as follows: viruses to influenza A are stored in the human population on a scale of the whole world in every way transmissions from people to people. And among the great populace groups, viruses can be taken in small numbers, the necessary only for the expansion of the epidemics. In the alternative explanation, there is a hypothesis about those people who can spend a trivial hour in tanks. However, having proved that the offense is explained, leave it. V happy holiday You can play an important role in the transmission of viruses to different geographic regions.

The factor that lies at the base of the ear and the end of the sleepers is also not clear. The main official, between the width and the severity of the sleeping quarters, and the level of immunity of the population with the development of ill health. If there is a novelty from the antigenic point of view of the virus to influenza, to any antibodies on the day, or the tension of immunity in the population is even small, then the diagnosis is massive. If there is no anti-virus to the given virus in one population, then the epidemic will expand throughout the whole earth, leading to a pandemic. Such sick pandemics are trivial with a stretch of decile rock, until the immunity is still not high enough.

In the rock of a pandemic influenza, the smallness of the virus to grow to a large scale in the population, which has a high level of immunity to a pandemic strain, circulated earlier. Such a situation will take place until a quiet feast, until a pandemic strain, new from the point of view of the antigenic structure, does not appear. On the other hand, sleepers get sick so unsuccessfully end up, do not marvel at the appearance in the population of a great number of elusive individuals. In some cases, there is a certain type of antigenic variant of the virus to produce lichen to local sleep.

Influenza virus In the wake of sickness, there is a lesser scale and severe illness in sickness, but not for sick sickness with influenza A. Spalah influenza In part, they are promoted in schools and in camps. By the way, there are also some sleepers and the middle of a kidnapped person. Most serious accelerated infections, viciklikanovirus influenza B, є Reye's syndrome. Virus to grip With rіdko wіklіkіvannya among people, do not marvel at those who are scattered everywhere.

The morbidity and mortality during sleepers will become significant for the flu. Mortality is the middle of individuals, as they suffer from somatic damage (a group with a high step to the development of a rapid development). Up to the group with a high step, the rizik is responsible for all individuals, who suffer from chronic illnesses of hearts and legends, as well as those who are sick of a sick person, who are older than 65 years. Visoka the mortality of the bull is determined also in the middle of the chronic damage exchange of words, ailments nirok, immunosuppressive, prote vona less, lower middle of people, who suffer from chronic heart-legenevia ailments.

Grip wiklikє is also a disease of the middle of the population as a whole.

Some of the flu viruses are consumed in the mental health of the information people, and then you can visit the hospital of the mucous membrane. The broadening of the virus is seen in a drip-droplet way, after an hour the cough is less likely to become infected with hand-scanning, special contacts, through objects.

Experimental data indicate that the widening of infection in droplet aerosol (which is stored in particles with a diameter of less than 10 microns) is more effective, less in aerosols with more great specks. Some of the viruses are hostile to the clinics of the diet, but then it is possible to get involved in the latter, including the alveolar cells. The breeding of the virus virus in the infected cells is 4-6 hours, then the active virus closes the cell and penetrates into the pre-colony. As a result, for a few years, the pathological process of small branches expands along the meanings of the clinical surface of the dical paths. Unimportant to the appearance of such distant signs of illness, like a fever, headache and beetle in myases, the influenza virus rarely appears in the extrapulmonary (beyond the boundaries of the mental system) areas, including blood flow.

The reaction of the body to influenza infection is a foldable intertwining of ancient mechanisms, including the establishment of antibodies, immune responses, activation of interferon and in. Changes in antibiotics can be detected by additional advanced methods as early as in the second period of the first penetration of the influenza virus. Seeing a virus in the middle of the earth beckon to creep for 2-5 days after the first signs of illness appear.

The most common signs of influenza infection can be a headache, a hot stump, chills, maladies and lack of breath, followed by respiratory syndrome, which is supervised by a cough and a pain in the throat. There is an ear of corn on the cob in the middle of the ear, so people can guess the exact hour, if they are sick. The spectrum of clinical manifestations is even wide. The clinical picture can be seen as a slight respiratory illness, but it can be counteracted without a temperature similar to that of chill, I will see that I am characterized by the importance of prostration and also minor symptoms of the struggle of the dysfunctional nobles. In most cases, the temperature of the cold in between 38-41 ° C is increased. incremental reductionїї stretching for 2-3 days, if you want one hot camp, you can easily pull it out. Є skargi for chills, ale spontaneous chills develop pretty quickly. Naybіlshe turbu golovniy bіl, generalized abo in the area of ​​chola. More can also be found in a group of languages, or more often for everything in the lower genres and transverse areas. Also there are pains in the slopes.

In the world of subdued systemic symptoms, the first plan is to get scargs from the side of the dickheads: a throat throat, a cough, which can be trivial with a stretch, and more and often with discomfort in the chest area. There are also pains when apples collapses, fear of fear (fear of fear) and feeling of sorrow in the eyes.

In case of persistent flu, the signs are minimal. At the early stages of becoming ill, one is more suspicious of being unconscious, hot and dry, wanting to suddenly see the glory and marmor of the pictures, the weather of the sick of the kidnapped vik. Uninvolved on the throat, the pharynx can be completely invisible - there is a slight hyperemia of the mucous membranes and the appearance of the nasal passages. Have ailments young vik Sposter on the side of growing lymph universities. In case of non-elimination of infectious diseases, breast cancer Most of the time, there are no results, if you want some kind of dichotomy with a whistle, the appearance of a stridor and a wheezing. Obvious zadishka, hyperpnea (to the strength of the dichotomy), cyanosis (cyanosis), diffuse wheezing and signs of an adherent process in the legends of guilt of zmusiti, think about the development of the legends of acceleration. If you have a problem with sick people, you will develop a slight change in the ventilation of the lungs.

In case of persistent flu gostre zvoryuvannya You will be allowed to be allowed in 2-5 days and there are more patients in the main to work until the end of the 1st season. However, in children, in children, in children with a kidney disease, symptoms of weakness or malaust (post-infectious asthenia) can be taken over by stretching out a prolonged period of time, giving rise to a serious problem in the number of children who are sick,

Naybіlsh more accelerated influenza - tse pneumonia. Pneumonia can be primary influenza virus, secondary bacterial or secondary virus and bacterial ethology.

Primary influenza viral pneumonia grows admittedly rather small, but rather more important than other diseases. I have to fix myself like a gullet grip, symptoms that I do not feel, but, navpaki, progresses in an unpleasant way, super-vigorously feverish, delusional and cyanosis. There is little wetness, but there can be a vengeance for shelter. At the early stages of illness, the symptoms are innumerable. In more neglected cases, diffuse wheezing occurs. Naybilsh is sick to the development of the primary influenza virus pneumonia of the individual, which suffers from heart disease, stenosis of the atrioventricular opening. However, pneumonia can develop in healthy young people on the cob, as well as in sick people of the summer season with chronic breakdowns of the function of the lungs. In case of severe influenza epidemics, the development of primary influenza pneumonia in women during vaginosis occurs.

Secondary bacterial pneumonia is an acceleration, when a bacterial infection develops due to a sick person's strangulation. At the same time, after 2-3 days, when the extinguish is a sign of a severe flu, the sick person will become sick, and then again, there is a fever who is suffering from the key symptoms of bacterial pneumonia - a cough, an illusion of sputum infection.

Most often the cause of bacterial pneumonia is to serve as microorganisms, to colonize the nasopharynx and infectious processes in case of weakened mechanisms of the bronchial systems and legends. Secondary bacterial pneumonia is the most common in groups of high rhiziks: with chronic illnesses of legends and hearts and in particular for a kidnapped person. Secondary bacterial pneumonia are kindly given to antibiotics, especially if they are taken on an hourly basis.

However, most often due to pneumonic delay, when the flu occurs before the hour sleeps, there is a change in virus and bacterial pneumonia, which is characterized by rice, such as primary pneumonia, as well as secondary pneumonia. With the whole host of illnesses, step-by-step progress is made, or I may become ill at the time of the day, and next to me, I will see this destruction. Zmіshanі vіrusnі and bacterіalny pneumonia are found in front of individuals with chronic heart-vascular and legally ill.

In addition to the Legenevs accelerated to the flu, a number of Pozalegenevs accelerated. Serious accelerated influenza B and in menshy world influenza A є Reye's syndrome. Winning, as a rule, in children, from 2 to 16 years through a few rocky days of a wicked, never primordial, overwhelming, widespread discomfiture. Reye's syndrome is characterized by the appearance of boredom and blues lasting 1-2 days, when snakes develop from the side of the central nervous system Violation of svіdomosі, as varіyuyut from drowsiness to the Komi, and in some delіrіy and sudomiya. The temperature of the child's chills does not move, and there is no change from the side of the spinal cord. Mortality in the case of a wide range of illnesses is associated with the third stage of deterioration of the disease during hospitalization and for the rest of the fate decreased from more than 40% with the first description of the syndrome to 10%, so to inform about the detailed methods early diagnosticsі lіkuvannya to the brain.

Є With regard to the problems with myositis (inflammation of the mucous membranes), we have accelerated the overload of influenza infections. Uninvolved on those malformations (muscular pains) that are even wider with flu, the help is difficult to develop. In ailments with a gostrymosis, there is a supravular temporality of the sensitivity of the muses, most often the muses of the lower ones. The stench seems to be intolerable to navit with such a light dot, like a dot of post-slime. In the most important issues, there is a tendency to fade and faintness.

Krym accelerated, as they catch specific systems of organs described by the viscera, the skin burns to the flu of the most sensitive group (individuals of the kidnapped vik, who are guarding chronic depressions), in the process of developing the progression of the flu heart-vascular system, Lungs and nyrok, brought in a row of vipadkiv to non-gutted worms and deaths. The lethal effects are included in the out-of-the-box mortality rate, as well as the deaths of the flu A.

At gostry period zhvoryuvannya Laboratory diagnostics Based on the visible virus from the material of the smear from the pharynx, from the nasopharynx or phlegm.

In case of persistent flu interruption, it is recommended to symptomatic lykuvannya- loss of headache, malaise and fever with paracetamol or drugs salicylic acid... However, there is a unique history of stagnation in children younger than 16 years, since it was established that there was an interconnection between acetylsalicylic acid and the onset of development of Ray's syndrome. Zastosuvannya proticachlyovyh drugs, scho to revenge codein, is shown in a quiet way, if the cough is not quite sick. As soon as you get a bedtime regimen, you get adequate hydration (nourishing the organism of your family) before the hour of the guest's phase. Turn around to the vicious activity of the steps, only in order to get sick, especially in the case of an important interruption.

Treatment for bacterial accelerated influenza, such as secondary bacterial pneumonia, is carried out with antibacterial drugs.

The greatest world of influenza prophylaxis, the distribution of the community health protection, є the vaccine for influenza vaccines. In the early days of the vaccine, vaccines were given for influenza A and B viruses, which circulated for an hour before the flu epidemic. If the vaccine is taken out and circulating at the time of the onset of the epidemic, the virus is close to the antigenic structure, then it is possible to cleanse, the vaccine will prevent 50-80% of the population from becoming ill.

Suchasni vaccines are highly purified drugs, as they do not go viral side reactions... Approximately 5% of vaccinated individuals are susceptible to a small increase in temperature and temperature. systemic symptoms a stretch of 8-24 hours of vaccination, and in 30% - a background or an increase in sensitivity in the introduction of a vaccine. Oscillations of vaccines to strains can be obtained from the vaccines of chicken membranes, individuals, from whom there is a lack of hypersensitivity to poultry products, winter season to chicken eggs, and then desensitization of the vaccine, or the introduction of the vaccine.

It is recommended to carry out a vaccination against influenza especially with chronic changes in the heart-vascular and dical systems, as well as those who live near the side streets and other installations, so that they will not be able to keep up with it. In the general order of vaccination medical workers, Scho contact with the patients of the visoko Rizik. Assignmentally vaccinate also in the whole healthy people in people over 65 years of age, those who suffer from chronic desecration of diabetics (including diabetic diabetes), dysfunctional diseases, anemia, immunosuppression and asthma. Oscillations of the vaccine, which are suitable for sales, are inactivated, and can be administered to patients with impaired immune system without beating. Prothypotic vaccination does not lead to the same way to improve the obvious changes in the nervous system, such as sclerosis. Vaccination should be carried out early in the morning until the diagnosis of influenza, and repeated regularly for the development of immunity against the most common flu virus strains.

Amantadine and remantadine are also effective in the prevention of influenza A. Bulo is established, but in 70-90% of the drugs it is possible to get sick. Naybіlsh docіlne zasosuvannya amantadine or remantadine for the prevention of influenza in individuals with a high risk, which was not carried out protygrypno vaccination, as well as earlier injected vaccine bula is ineffective in cases of antigenic infections in circulating. If the vaccination is carried out before the hour sleeps, then one hour with the inactivated vaccine it is possible to inject amantadine; In addition, for those who have given amantadine and vaccines can be added (additive action). Amantadine was also used for the prevention of internal carnial sleepings in influenza A. The dose for older adults should be 200 mg per doba. However, we are ailing because of the lack of nirkov, and the person who has been kidnapped vіku needs to change the dose of amantadine.

Coronaviruses are viruses with a single strand of RNA, with a virion diameter of 80 to 160 nm, with clavate protrusions from the viral sheath, which can be used to add the first look of the sleepy crown (the name of the zebra).

Coronavirus colds in 10-20% of all GDVI. Especially often Coronavirus infections are referred to as early spring. Vvazhayut, that there is a basic cycle in the widening of coronavirus infections, the triviality of periods between the types of origin and become from 2 to 4 rocks.

The average triviality of the incubation period for coronavirus infections is 3 days, and the triviality of the warehouse in the middle 6-7 days. Symptoms of colds are the most common clinical manifestations of coronavirus infections. A spate of undead appears, an ailment fixes a chhati, a nasal blockage. Often, there is a sore throat, as one can serve as the first acquaintance of the disease. Such foreign signs, such as unsuccessful and head bolster, swings around the world or outside, the temperature adjustment of the room, is rather different. Zvoryuvannya ends with spontaneous love without any inheritance. In children, there may be a decrease in the lower types of secondary paths, including bronchitis, bronchitis and rarely - bronchopneumonia.

Coronavirus can also suffer from acute asthma and chronic ailments of legends in adults. It is important that a large number of coronavirus infections end without inheritance, protects in some cases of fast development, tied to the ear tubes or openings sinuses nose, middle otitis media or sinusitis.

Before getting sick of colds, how to get infected with coronaviruses, analogous to the out-of-the-box principles of dealing with foreign infections. Vaccines against coronavirus are not available.

Respiratory-syncytial infections - the state of the respiratory disease with the overload of the lower types of diseases.

The virus of the respiratory-syncytial virus (PC-virus) is covered with a shell, the diameter of the virus is approximately 150 to 300 nm, the name of the virus is about 150 to 300 nm. The genome of a virus is stored in a single strand of RNA. Virus is activated at a temperature of 55 ° C for 5 minutes, at 37 ° C for 1 add. Wine will rise at pH 3.0, and also, when frozen, it is activated with ether and acids.

RS-virus є who has found a child with a respiratory illness among children of a young age often the reason pathology of the lower types of dichny nobles in the elderly. Infections, wiklicans of the RS-virus, occur everywhere; for a period of illness, it is trivial up to 5 months, depending on whether it is charged or attached. Influence of infection is very rare. New indicators of illness are indicated in children from 1 to 6 months, with a peak of illness from 3-4 months. Among the sensitive contingent, it is considered as a matter of course, sickness, which reaches 10% in nursery schools, orchards. In 20-25% of cases of RS-virus, pneumonia in hospitalized children of early HIV and in 75% of cases of cases of bronchitis in the middle of children of the cycle of the HIV group. For an hour, more than half of the children who are sick are in the group.

Children of older age groups and older adults often have repeated infections, however, they become ill at a lesser extent, less children of an early age. In older adults, infections are most often contradicted by the type of “cold syndrome”. PC-virus is often also the cause of internal carnial infections, moreover, before the hour of the epidemic, the burden of pediatric health personnel can reach 25-50%. When a virus is transmitted to all the middle family, up to 40% of older children can become infected.

PC-virus is transmitted by the head rank in case of close contact through the contact of the hands or the weakness of the objects, as well as through the conjunctiva or the mucous membrane of the empty nose. Viruses can expand through large aerosol particles, which can occur when coughing, but the transmission of it through other aerosol particles is ineffective. The incubation period becomes approximately 4-6 days, the virus can be seen for 2 days and more, and for children it is a shorter hour, less for older adults.

The introduction of viruses in the epithelial cells of the mucous membrane can be found in the nasopharynx, provoking development ignition process... However, in children, the infection is hostile to the lower ends of the dysfunctional paths in the extended process on the trachea, bronchi, bronchial tubes and alveoli. During the development of the ignition process, an exudate is seen, which will clog the dysfunctional paths, which will lead to the development of atelectasis and emphizemia.

Immune in case of infection, in case of infection with RS-virus, vaccination is insufficient. Oscillations are rarely detected in the form of re-infection (repeated infection), but it is obvious that there is a clinical development of the form of sickness, it is obvious that the problem is developing due to a single infection due to the lack of infection. However, the summary effect of a number of repeated infections of infections is to cause to a greater easy interruption of those who have already become ill and unhealthy for a long time to get rid of the infections.

РС-virus wiklikak development of respiratory diseases. In non-infectious diseases in 25-40% of cases, it is necessary to produce up to the level of lower diseases of the disease, including pneumonia, bronchitis and tracheobronchitis. Anxiety is most often corrected for rhinorrhea (undead), subfebrile (up to 37.5 ° C) temperature and alarming symptoms, and cough and channea are often associated with this. Most of the ailments step by step take a stretch of 1-2 lengths. When there is a large interruption, a tachyp (more frequent frequency) is indicated. dikhalnykh rukhiv) І zadishka, scho to produce in the residual bag until there is a lack of proper sissiness in the fabric, at which there may be a zupinka dyhannya. In case of flatness, dry wheezing and wheezing can occur. It is especially important for children to become ill. like ailments heart, bronchogenic pathology or immunosuppressive camps.

In older people, infection is most often the case against a cold soreness with undead pests, sore throats and coughs. In some cases, illnesses are opposed with alarming symptoms, such as nezduzhannya, headache and fever. The lower branches of the wicked nobles are at their best, for those who are kidnapped there is a powerful development of important pneumonia.

Mozhliviy diagnosis of infection, Wiklikan PC-virus, evidence on epidemiological tributes, i.e., Evidence of important illnesses is not enough for an hour to sleep in the center of infection in a given locality. Infectious diseases in children of the older age groups and in older adults are uncomfortably differentiated from illnesses to those who suffer from respiratory viruses. The exact diagnosis is established by the way of seeing the PC-virus from the mucus of the sputum, the pharyngeal mucus, or the mucus from the nasopharynx.

The treatment of ailments from PC-infectious diseases of the upper dysfunctional paths becomes the leading rank in symptomatic therapy, analogous to those, which are carried out in the case of some other illnesses. In case of lesions of the lower diseases of the dysfunctional nobles, the reduction of the mucus, the introduction of hypoxia, as well as the sign of bronchodilator drugs (in case of certain indications). If there is a significant mental deficiency, it is possible to carry out an intubation and an additional dichotomy.

In the minds of the high intensity of transmission of infections, for example, among pediatric patients, for the broadening of the virus, there can be a victorian bar'erni method and a cleanser of hands and conjunctiva.

Paragryp is a hostile state of affairs, which is hostile to the upper dichny paths, especially the larynx, and against weakly intoxicating.

Parainfluenza - RNA virus. Virion maє diameter from 150 to 250 nm, coated with a shell. Virus parainfluenza reproduces well in living tissue cultures, evolves with a strong antigenic structure, and may cause a pathology to the epithelium of mucous membranes of dichny nobles. Viruses are unstable in the new environment, at room temperatures, it takes no more than 4 years, but more of the activation takes place after 30 minutes of heating at 50 ° C.

Virus parainfluenza is seen everywhere. Ailments in the main child of the early age, and, in such a rank, up to 8 years in most children there are antibodies to the whole virus.

In general, a small part of paragritic infections in the country of many respiratory illnesses are fallen from the territory and calendar fate, parainfluenza viruses are infected from 4.3 to 22% of respiratory illnesses. In older adults, parainfluenza infection in general is easy and becomes less than 5% of the virus.

Particularly important is the virus in the parainfluenza of the disease in the fact that the stench of respiratory illness in children of young age groups and another for the frequency of transmission of RS-infection is the cause of the pathology of lower diseases. The virus parainfluenza expands through the inflamed mucus from the dichny paths, the head contacts and (or) the drip-droplet path. The incubation period (admitting) lasts from 3 to 6 days, however, it can be often short in children who have become infected in the minds of nature.

Reservoir і dzherelo іnfektsії - ailment with a clinically twisted or erased form of ailment. Ailments are most important in the 1st day of ailments.

The mechanism of transmission of infection is aerosol, the factor of transmission is powder. Virus types in the parainfluenza are widespread everywhere and may become ill at any hour of fate, if the autumn-winter season is important.

A parainfluenza spew on the mucous membranes of the upper dichny paths. Reproduction of viruses appears in the cells of the nose, larynx, trachea. In the area of ​​destruction of wine, an ignited reaction with pockmarks and naprya is ignited. Especially often, the virus is localized on the mucous throat of the larynx, de-spostering the maximum turn of ignition reactions, which can lead to the development of grated cereals, especially in children of early age. In the period of primary localization and reproduction, the germ can penetrate into the roof, ale viremia (known to the virus in the blood) with parainfluenza is short-term and superfluous with other toxicity.

Virus parainfluenza feuds the most often children, in which the primary infection is 50-80% of the virus to produce a hot, hot disease. Children have a great deal of repairing the undead, a sore throat, a hoarse voice and a cough, which can be tied or not tied with cereal. With an important croup, a feverish woman protects against the growing undead and a sore throat. You may have a dingy, barking cough that can lead to an obvious Stridor. In a large number of children, they can see it for 1-2 days, if only one can develop a growing obstruction of mental health and hypoxia (mental deficiency). With the development of bronchitis or pneumonia, the cough will be tolerated and supervised by whistling sounds, and this is more frequent, it means the westernization of the mid-ribs, to fix the problem of getting wet. In case of obsolescence, the appearance of the nasopharynx and hyperemia (pochvoninnya) of the mucous membrane of the oropharynx, as well as in theology and dry wheezing or shortness of breath, are evident.

In older children and in older adults, parainfluenza infection is lighter and more often for all given a picture of a cold ailment or a hoarse voice and only a cough. Evaluation of the lower types of dichny nobles is trying to reach the end of the day, but in older boules there are descriptions of a type of tracheobronchitis.

Both the respiratory viral infections, the disease, the infection with the parainfluenza viruses, the nonspecific cases, due to a child's fault (for example, cereals in children of the early age) are not diagnosed with possible infections key signs... Diagnostics of the virus is detected in the mucus from the dichny paths, in the smears from the pharynx or in the swabs from the nasopharynx.

In case of severe upper respiratory distress, symptomatic therapy is effective, as in case of other respiratory distress. In the development of accelerated development, such as sinusitis, otitis media or secondary bacterial bronchitis, prescription of some antibiotics. In case of a slight overload of croup, it is recommended to pre-trim the post-regime and conduct a warm meal. Ailing with important cereals went to the hospital for caution and abuse of the hospitality. With the development of the rest, it is a good effect to reduce the symptoms of mussels and bronchodilators. There are no specific antiviral drugs, I would like to test aerosol forms of ribavirin in a given hour. There are no effective vaccines against viruses in parainfluenza.

Adenoviral infection is a state of the art of infection, which is the enemy of the mucous membranes of the upper respiratory paths, eyes, intestines, lymphatic tissue, and against which it also protects against toxicity.

Adenoviruses are foldable DNA that can replace viruses with a diameter of 70 to 80 nm. Virus ma is characteristic of the viglyadі іkosaedra shell shape, which folds from 20 equal-sided tricut edges and 12 vertices.

Adenoviruses take up to 2 times at room temperature, and avoid the infusion of ultraviolet changes and chlorinated drugs.

Adenoviral infections are most often ailing children. Not volodіyuchay swivel seasons, the stench, however, often occur in the spring, charge and attachments. In children of adenovirus є the cause of 3-5% of patients with respiratory illness, in older children, adenovirus infections develop more rapidly, being the cause of 2% of respiratory illnesses. Especially in the well-formed collectives (in the first 2-3 months). The natural receptivity of people in the area is possible, they can re-become ill.

The transmission of adenovirus infections can be carried out by a dots-dots path, if a virus enters the conjunctival bear, as well as by a fecal-oral path. Infectious diseases become susceptible to virus infection of type-specific antibodies, in order to prevent infection against repeated infection with the same type of virus.

Reservoir і dzherelo іnfektsії - lyudin (ailment і nose). With a hold of the 1st sickness, the child is seen in the body with the secret of the upper dysfunctional nobles and for more than 1 month - in the feces.

The virus penetrates into the human organism through the mucous membranes of the upper dichny paths, the eyes and, perhaps, the intestines, which ignite the reaction and localize in the cells of the epithelium. In the middle of the battle of the epithelial clines, they are reproduced. The process involves regional lymphatic universities, de virus accumulate in the course of incubation period. It is necessary to develop a virus (the virus is found in the blood), and the worm settles in the organs and systems. In the whole period, the syndrome of intoxication is susceptible. Virusemia and reproduction of the henchman in the cells of the diet and lymphoid tissue can be trivial.

The children of adenoviruses most often suffer from the upper viddiliv of the noble nobles, which opposes the swelling of the rhinitis (undead). In some cases, it is also possible to get sick of the lower types of mental illnesses, including bronchial infections and pneumonia. Adenoviruses wicked faryngokon'junctual feverishness - it is typical for children who are too hot to eat, so they grow up at sleepyheads, most often in the Lithuanian camps, and when they are supervised by a double-sided contemplation VERY YABLUKO and vernaculars. With a wide order of rhinitis, pain and malignant lymph nodes, it is often assumed that there is a slight increase in temperature. Engulfed in a trivial stretch of 1-2 tendencies and self-dependently. With adenoviral infections, there are also symptoms of pharyngitis with fever without conjunctivitis.

In older adults, it is often self-restructuring in the form of adenovirus infection є state respiratory distress (HRZ). ailment is characterized by severe pain in the throat and step-by-step temperature adjustments, often reaching 39 ° C on the 2nd or 3rd day. In most cases, coughing, unrecognizable vision of an empty nose, and growing of regional lymph universities are indicated. In case of obesity, it is possible to develop a swelling and hyperemia of the mucous membrane of the pharynx, as well as an increase in the size of the mucous membranes with some vip on them anyway.

Adenoviruses also suffer from a number of nonrespiratory syndromes, for example, state of the art for early onset and hemorrhagic cystitis (inflammation sectional mikhura). Adenoviruses suffer from pneumonia in ailments with immunosuppression, including those with a syndrome of sick immunodeficiency (SNID).

Dose for adenovirus infection of the disease, if you start thinking, you take the development of the GRZ epidemiology, and with sleepers of such characteristic ailments, as faringoconjunctival fever abo epidemic keratoconjunctivitis(Practice of the eyes). However, in a large number of cases of ailments, adenovirus infections, it is difficult to differentiate between ailments, which are affected by other respiratory viruses. Residual diagnosis of adenovirus infection will be established for additional virological methods when inoculating material removed from the conjunctiva, from the oropharynx, phlegm, or fecal matter.

For the elimination of adenovirus infections from adenovirus infection, it is less symptomatic and susceptible to therapy, as well as being clinically effective anti-virus drugs in no way.

Reovirus infection - hospitality and infection shlunkovo-intestinal tract.

Reoviruses є RNA-viruses. At a temperature of 56 ° C, it takes 2 hours to obtain infectious power, at 4 and 21 ° C - for 2 months, at 37 ° C - for 1.5 months. Zbudnik stiff up to colivan pH from 2.2 to 8.0, but it is activated with 70% ethyl alcohol and 3% formalin solution.

Mechanism of development of illnesses is not vivchions. Seemingly, in case of reovirus infection, the firing processes of the mucous membrane of the upper dichloro pathways and the intestines.

Reservoir and Dzherelo Infections - Lyudin; creatures do not have an epidemiological meaning, if the virus is pathogenic for them.

A child can see from the sight of a sick person lasting 7-10 days, intestines - up to 5 days.

The mechanism of transmission is aerosol, not an alimentary (food) path of infection. As a result of intrauterine transmission of reoviruses in neonatal patients.

Show an epidemic process. The ailment is widened widely, up to 20-25 ich is practically in all cases of antibodies to Reovirus. Aggressiveness in the middle of the population of the city, ascending to the autumn-winter season. In the first place, there are early childhood illnesses. Sleepiness of the population before the infection of the head, protesting the turn of the disease is being developed as a head rank among children.

Incubation (adhesion) period 2-5 days. Anxiety to reclaim for the undead and cough for blues, pain in the abdomen and painful style without a home, as well as circulating intoxications. Ailments skarzhivat on weakness, chills, headache. The temperature is often subfebrile (up to 37.5 ° C), but sometimes it reaches 38 ° C and even more. When looking around, there are indications of a hypothesis, a sclera, a blurred hypothesis. The legends have a dry wheeze and a harsh sound. With palpation of the abdomen, there may be significant soreness and gurgling in the right lower region. Some of the ailments have a stove.

Reovirus can be seen from the nasopharyngeal mucosa and viporozhnen, ale virologic diagnostics is unpopular due to the folding and triviality of the experience.

Perebіg ill-fated.

lykuvannya symptomatic.

Prevention and come in to fight also, as in the case of those who have viral respiratory ailments. There is no time for active prevention.

Mycoplasma respiratory infection is a state of infection for diseases of the upper respiratory paths and development of pneumonia.

In a given hour, more than 80 species of microplasm are seen. Lyudin is a natural ruler of 10 species. Mycoplasms are microorganisms that can replace RNA and DNA. At the warehouse with aerosol in the vicinity of microplasmas, the life span of up to 30 mins, at 4 ° C - 37 years, at 37 ° C - 5 hours.

The pathogen penetrates into the body through the mucous membranes through the defeat of all types of dichloro-nobles and the development of the ignition-infiltrative processes in them. Є Indications for the possibility of penetration of mycoplasmas through the mucous membrane of the stitch with the development of urethritis. To discuss the food about the penetration of the pupil in the educational organization and systems of the educational institutions of lymphatic universities, slopes, pechinkas, cystic brain, Nervous system (meningitis, meningoencephalitis).

Reservoir і dzherelo іnfektsії - lyudin (sick abo nosіy) The ailment is contagious in the middle spread of 7-10 days from the cob of the ailment, one more trocha.

Mechanism of transmission - aerosol. You can get infected by drinking-sawing, as well as by contact-hitting a path through infected hands or by hitting objects.

Show an epidemic process. Respiratory mycoplasmosis is widespread in the middle of the population.

Vipadki zhvoryuvannya often occur in the cold season of rock. A fraction of microplasmosis in the middle of the respiratory diseases is 5-6%, and in the case of pneumonia in the warehouse, from 6 to 22% of all ailments. During an hour of epidemic sleep, a part of mycoplasmosis can increase up to 50% or more. From the newly formed collectives, zahvoryuvannya appears especially often after the first 2-3 months. Singing inflow to the intensity of transmission of infections will increase the purchasing power, triviality and closeness of contacts with the infected persons. Often it is possible to create a microplasmic and virus infection.

The incubation period in case of new infections occurs from decile days to months. Mycoplasma infection clinically can be contradicted by the visitor of the state of the art respiratory illness and pneumonia. The state of respiratory depression includes pharyngitis (loss of the pharynx), rhinopharyngitis (infection of the nasopharynx), laryngopharyngitis (infection of the laryngopharynx) and bronchitis with power cysts of the patients with symptoms. In the case of the form of mycoplasma infection, general toxic manifestations turn around: headache, slight weakness, chills, subfebrile abo normal temperature... It hurts to cough, undead, throat throat. When looking around, conjunctivitis, scleral dermis, hyperemia of the mucous membrane of the oropharynx, a small increase in lymph nodes are seen. In the legends, there is a dimness and dry wheeze. Oduzhannya is infused through a few days, in some cases, it takes up to 2 days.

Gostra mycoplasma pneumonia is unsupported, supervised by chills, myalgia (pain in the muscles) and arthralgia (pain in the slopes). The temperature rises to 38-39 ° C, the cough is cough, the sputum is dry, like a step-by-step movement, there is mucous-ginny sputum. In deyakikh vipadkah, one can immediately feel nudota, blues, and a little style. A special person of a sick blide, a scleri of a red color. Some of the ailments have a visip in the period around the slopes. In the lungs - zhorstke dikhannya, rasіyanі dry wheezing, vologі wheezing on an intermeshing dіlyantsі.

Differential diagnosis is carried out with pneumonia of the developmental etiology. When an accurate diagnosis of mycoplasmosis is established, it is necessary to monitor the blood count for HIV infection, as mycoplasmosis often develops on aphids.

You can see the microorganism from phlegm and nasal mucus.

Before the acceleration of mycoplasma respiratory infection, the lesion of the brain and its membranes (encephalitis and meningoencephalitis), myocarditis and exudative pleurisy are reported.

When dosing with drugs Vibor є erithromicin, azithromicin and clarithromicin. Doxycycline is used as a reserve antibiotic. Doses of antibiotics in the middle therapeutic, the triviality of the course to lie down as a clinical effect.

Prophylactic come in also, if you are suffering from respiratory distress. Ailments microplasmosis is necessary to isolate until the clinical manifestations of ailments are detected (with pneumonia 2-3 days, with GRZ 5-7 days). Methods of specific prevention are being developed.

Likuvannya gostrich respirator zhvoryuvan including advancing components:

1) basic therapy:

a) the correct treatment regimen is indicated before the hospitalization;

b) rational drinking;

c) storing the vitamins complex;

2) ethiotropic therapy:

a) anti-tier (chemotherapy and biological problems);

b) antibacterial;

3) pathogenetic therapy:

a) disintoxication;

b) antihemorrhagic;

c) microcirculation improvement;

d) bronchodilators;

e) the correction of the zhisny functions of the macroorganism;

f) desensitizing;

g) prototypal;

4) symptomatic therapy:

a) antipyretic and analgesics;

b) cough and cough;

5) physiotherapeutic treatment;

6) intensive therapy of non-removable machines;

7) rehabilitation and prophylactic medical examination.

The hospital is vibrating for the clinical demonstrations with the help of the specific possibilities of organizing the treatment of ailments at home.

Criteria and clinical indications for hospitalization:

1) the severity of the sick (important camp, development of non-fixed mills);

2) the appearance of acceleration (saving high fever and іntoksikatsії);

3) tight-fitting background ailment (the manifestation of uncompensated chronic ailment of legends, heart-court system and vimag of hospitalization in case of moderate forms of ailment);

4) oblik viku sick (individuals of the abducted veterinarian).

Epidemiological indications for hospitalization serve:

1) ailments from organized, closed collectives (service services, educational institutions, students who live in gurtozhitki) if they are ill-fated for isolation from those who want to live for a month;

2) the unpleasantness of post-medical care.

Providence is not shown before hospitalization- Do not show laryngitis or laryngotracheitis in ailments who do not split against diphtheria.

Treatment of lungs and middle forms of influenza should be carried out at home minds, important and accelerated ones - in an infectious hospital.

Unusual mind є pretrimannya postіlny regime.

The postal mode is to be treated with a stretch of the whole hot period and intoxication, as well as acceleration until liquidation. The old-fashioned commandment "the flu needs to go to the lazyku" is to be found and not fluffy. The lack of attention to the calm regime, especially in the first days of ailments, increases the speed of the slowdown. After 3 days, after normalization of the temperature of the room and the detection of toxicity, it will be indicated for a post-treatment, and then a ward mode.

Great value in the case of likuvanni gostrykh respirators zhvoryuvan maє correct look for ailments: open space, ventilation, more food in the side (rooms, rooms), which will reduce sleep, stimulate normal function bronchial tree. Assignmentally in the ward of the apartment for aeroionization with negative ions. Inspiration of such a taste with a significant polyphenication of the drainage function of the bronchi, accelerating the calming down of ignition processes, reducing bronchospastic manifestations. Necessary retelny look behind the empty company. Kurinnya zaboronyaєatsya.

Dietotherapy of ailments in the state of respiratory ailments is directed to the adjustment of immunological reactivity to the body; decrease in toxicity; yaknaishvidshe caused the ignition process; polіpshennya overbіgu oxidative processes; sparing the organs of the heart-vascular and herbal systems, the function of nirok; for the prevention of potent side effects of drugs (including antipyretic chemotherapeutic, antipyretics and analgesics, and for indications - antibiotics, and sulfanilamides).

Diet differentiation is fallen from the back camp and the stage of ailments (ailments, period of weariness).

The adjustment of immunological reactivity is within reach of the sign of the physiological improvement of the ratio of a sufficient number of bottles, which are developed in the place of vitamins A, C, group B.

For the reduction of intoxication, the introduction of a sufficient amount of ridini (1500-1700 ml) and vitamins (especially ascorbic acid) is shown. Positive injection to rob at once the filling of children with products, rich vitamins R (black chorn, shipshina, black currant, limoni, etc.).

The prototypal effect of taking into account carbohydrates up to 200-250 g, kitchen salt up to 4-6 g in extra quantities of products rich in calcium salts. For the introduction of calcium salts into the diet, it is necessary to increase the amount of dairy products and to include products, to expose hydrochloric acid, and to add calcium to the body (sorrel, spinach, etc.). Diet followed by vitamins A and beta-carotene, which helps to regenerate the diet of mental health. Products, rich in nikotinic acid, can induce shock-induced dilatation and reduce bronchospasm.

A friendly infusion for the interruption of oxidative processes is used to produce products that will avenge a large amount of phosphorus and magnesium salts.

With the help of sparing blood circulation organs and etching, the introduction of products into the range of products that are easily attacked by enzymes of the intestinal tract was transferred, and the inclusion of them is quiet, as they cause flatulence and constipation. It turns out to be cold, so it is even hotter and tastes like that, as well as hospitality, salted, pickled products, hospitality spices and sauces. In the first days of ailments (in the period of high temperatures and intoxications), the calorific value of the ratsion is reduced to 1600-1800 kcal for a meal of carbohydrates (250-270 g), fat (60-70 g) and fat (60-70 g) and 40-50 g With frequent receptions (6-7 times for dob), which is recognized as a difference in the wild and well-trained viglyad, sparing the organs of etching.

Recommended are fruit and vegetable juices, crane juice, black currant, sipsini, fruit, berries, tea with lemon, milk, jelly, jelly, meat broths, slimes from cereals and wheat hangings, egg broths. Inclusion of products that are rich in vitamins of group B (meat, riba, other preparations, from wheat grains and in.)

In the world of fineness, it has grown wider, gradually increasing its energy value up to 2500-2800 kcal, increased in bulk up to 120 g, fat - up to 80-90 g; , yєts, drіzhі. The growth of a small part of the house in a pre-procession of stimulation of the current processes, the production of antibodies, the transition to a negative one, the infusion of chemotherapeutic drugs (in front of sulfanilamides) into the hematopoietic system. The amount of kitchen salt is increased to 10-12 m. At the touch of the cym, sowing sauerkraut is squeezed, soaking up the oseledent, which will instantly consume an increased appetite. It is shown that it is included in the product race, which stimulates both the slunk secretion and the external secretory function of the slurry (fruits, vegetables, berries and juices from them, meat and ribs of broth, sauces and etc.).

For the important flu and pneumonia, which accelerated the overrun of the GRZ, is shown the child number 11, noting that the increase in the power of the body. Vona is characterized by growth in the place of bilkies, especially dairy, vitamins, mineral speech(Calcium and In.) With a lousy appetite in a sick person's race, include fruit and vegetable juices, low-fat meat bouillon, along with salt snacks (vimocheniy oseledets, sir), spices.

Obov'yazkovo designation for a complex of vitamins (polyvitamini, "Revit", "Geksavit", "Undevit" for 2 pills, "Dekamevit" for 1 pill 2-3 times a day), ascorbic acid up to 600-900 mg / add Sudin Vitamin R up to 150-300 mg / dob.

Ethiotropic therapy of hospitals for respiratory depression in the fallow of the patients, as well as the following can be found:

1) anti-virus (with GDVI virus etiology);

2) antibacterial (with GDVI bacterial, mycoplasma abnormal etiology);

3) complex (with viral-bacterial infections, viral infections with bacterial accelerated infections).

Anti-virus therapy includes the stasis of biological (interferon and immunoglobulin) and chemotherapy.

The success of the anti-virus therapy of GDVI is non-specific as a result of the treatment of obsessive minds:

1) extra zasosuvannya;

2) regularity of reception;

3) the specificity of the drug in the etiology of GDVI.

Naybilsh universal anti-skin drugs є preparations of human leukocyte interferon. In the present hour of the vital medical industry, lykarsk forms are released, which are designated for inn'ktsiy (internal language, children, internal) and instillation (intranasal)

Human leukocyte interferon for instillation has little anti-tier activity (up to 10,000 IU), and therefore, it can be used for bagatorazy stagnation, and with short results, it can be victorious in case of addictive children, not old enough. Bury yogo in the noses, walk 5 dribbles at least 5 times for doba (lasting 2-3 days) when the first ones appear key symptomsГРВІ.

Interferon preparations for іn'єktsіy may have a high anti-tier activity (100,000, 250,000, 500,000, 1,000,000 IU) and also more in cases of GDVI treatment in older adults.

Indicated for the purpose of the drug is moderate and severe clinical overload of the viral GRZ, as well as the standard of functional immunodeficiency. Prototype indication is not available before the drug is prescribed. The drug can be used in combination with other pathogenetic and symptomatic diseases. Slid a unique one-hour consumption of corticosteroid hormones! If hormones are uncomfortable, it is recommended to take the roses at intervals of up to 6 hours.

In case of large GRZs, brighter than short, slightly intensive courses from 3-6 in '' (100,000-1,000,000 IU in fallowness in the severity level and in the sick 1-2 times a day) stretching for the first 3 dibs, long shown (important interruption, development accelerated, to achieve the stabilization of clinical and immunological effect), the course can be continued in multiples introduced every other day in 1-2 days in the coming period.

Good clinical efficacy has been achieved by the ingestion of interferon preparations in aerosol with an increasing degree of particle dispersion in the debris due to the deterioration of the respiratory system.

Tsomu є pathogenetic and pharmacokinetic treatment:

the drug is delivered next to the stem before the first colonization and propagation;

the drug is directly in unsuccessful clinics of viciousness to virus infection;

the drug adjusts the activity of muscle factors in immunity;

the introduction of ingalatiointerferon nabuvaєinshі pharmacokineticlivostі;

it is more important to be stored in the body, and more importantly, it has been increased and deposited in the tissues of the dysfunctional system, and it allows the reduction of the therapeutic dose.

The degree of dispersibility of the aerosol inhaled is to be found in the level of the dichotomous system:

1) in case of localization of a lesion in the trachea and great bronchi, it is necessary to add an aerosol of the middle stage of dispersion with a diameter of particles of aerosol 1-5 microns;

2) in case of localization of damage in other bronchi, bronchial tubes and alveoli, the introduction of aerosols of a different degree of dispersion with a diameter of particles less than 1 micron is shown.

The multiplicity of the inglyats is to be found during the day of the ailment. In case of stagnation of interferon in the first place, add a decal to a sufficient one-time injection of interferon in a dose of 500,000-1,000,000 IU. In case of sparing symptoms of the ingestion, continue for the first 3 days, then every other day, if necessary, change the level of dispersion and dose. With pneumonia, the course can be up to 10-15 injections.

immunoglobulin

The most effective volodya protigrypoid donor gamma globulin (immunoglobulin), which is administered internally for important forms of influenza, will grow up to 3 ml (3 doses); children - 1 ml (1 dose). Appoint the prescribed doses again after 8 hours in case of severe symptoms of intoxication. When there is a daytime prothyroid immunoglobulin vicoristovuyut in quiet doses human normal immunoglobulin, which can also take revenge, I want in smaller quantities, antibodies against influenza viruses and other diseases of the GD. Immunoglobulins are more likely to indicate ailments in the early term, and some specific drugs are indicated when ailments are introduced in the first 3 days.

specific anti-tartar preparations stock up on a case-by-case basis until the transfer of ethology to the GRZ.

For influenza A, take the following drugs:

1. Remantadine (0.05 g) should be recognized in the early term for ailments, especially in Pershu Dobu, if there is an effect, according to the scheme:

1) the 1st day of ailment, 100 mg 3 times a day of food (in the 1st, a single dose of up to 300 mg);

2) 2nd and 3rd days of ailments, 100 mg 2 times per day of food;

3) 4th day of ailment 100 mg 1 time per day of food.

It is effective for influenza caused by type A virus and for early infection - in the first year, and I will see an ear of illness.

2. More effective є arbidol and virazol (ribavirin), which are used for influenza virus type A, and B, when taking them, can be taken on the cob 0.2 g 3 times a day until 3-4 days.

3. Oksolinova ointment (0.25-0.5% in tubes) stagnate (cover the nose, walk 3-4 times a day for the first 3-5 days). Vaughn pom'yakshu catarrhal appearances and quick and triviality. Therapeutic effect was already present in the first days of ailments.

In case of adenovirus infection with conjunctivitis, keratitis, keratoconjunctivitis, the following are indicated:

1) deoxyribonuclease 0.05% razchin 1-2 drops in the conjunctival fold;

2) poludanum (powder in ampoules of 200 mcg) should be used in the eyes of the eye drops and (abo) in the conjunctiva. Razchin poludan, indications for instillation (instillation) in the eye, prepare by way of distribution instead of ampoules (200 mcg powder) in 2 ml of distilled water. Ready-made rozchin when taken in the refrigerator can be vikoristovuvati stretching for 7 days. Bury the yogo in the conjunctival bear of the sick eye 6-8 times a day. In the world of calming fiery manifestations, the number of styles is fast up to 3-4 times a day.

For subconjunctival injections instead of ampoules, they are dispensed in 1 ml of water for injections and inject 0.5 ml (100 μg) per conjunctiva every other day (for the first time), the drug is not taken. The course from 10-15 ін'єкцій should be carried out in stationary minds under the eye of an ophthalmologist:

1) Bonaftan in viglyadі tablets for reception in vseredin і 0.05% ointment ointment in tubes of 10 g;

2) tebrofen (0.25-0.5% -va full-time ointment in tubes);

3) florenal (0.25-0.5% in-person ointment in tubes).

Ochni ointments are pledged for worms 3 times a day, until the end of treatment - 1-2 times a day. The triviality of the trip is 10-14 days.

In case of herpes-viral GRZ, acyclovir intravenously 5-2.5 mg / kg skin 8 years (15-37.5 mg / kg per day) or vidarabin intravenously 10-20 mg / kg for 7-10 days, cyclovax in the middle 200 mg 5 times a day for 5 days.

Sulfanilamide preparations and antibiotics (tetracycline, erithromycin, penicilin, etc.) With prophylactic pneumonia, influenza ailments are more often diagnosed with influenza, but not with ailments who have not been treated with these medications. Antibacterials, non-primed stagnate in case of viral GRZ, repair negative influx into the immune system and organism and on nonspecific mechanisms.

Suvor is indicated before the appointment of antibacterial drugs and antibiotics - only for most important and advanced forms of influenza and only in the minds of an infectious hospital.

Antibacterial therapy is indicated for mycoplasma, chlamydia and bacterial etiology, secondary (bacterial) accelerated diseases of the germs of mycoplasma, activation of chronic bacterial infections in the last infectious disease. The vibration of antibiotics is found in the transmission ethology of the GDH, bacteriological infections, the results of bacteriological preliminaries of phlegm and the sensitivity of microorganisms to antibiotics.

The basis for the success of antibacterial therapy is based on the following principles:

1) the quality of the sign;

2) the sensitivity of the microorganism's sensitivity to vibration to the preparation;

3) the most effective and least toxic drug;

4) field of pharmacokinetic features of the drug;

5) dynamic control of the sensitivity of the seen microorganism to antibiotics;

6) the safety of the drug (prevention of toxic, allergenic and immunosuppressive drugs);

7) prevention of mycoses (fungal disease) in case of trivial antibiotic intake (a sign of anti-fungal drugs).

pathogenetic lykuvannya All forms of influenza and other health conditions are aimed at detoxification, renewal of impaired functions of the body, prevention of acceleration.

disintoxication therapy

A person who is sick for an hour of a hot period with mild and moderate forms of interruption is shown ryasne pittya (up to 1-1.5 l / dobu) ridini, but to take revenge on vitamins S and P (5% glucose with ascorbic acid, tea (coloring greens), crane juice, nast_y or v_dvar sipsini, compotes, fruit juices, especially grapefruit and black-leaf peas), mineral water.

Pathogenetic therapy for important forms, which protested against anti-toxicity, to cope with anti-toxicity attacks - intravenous drip injection of glucose 5% glucose reagents - 400 ml, Ringer-lactose - 400 ml (not more than 400 ml per day for not more than 4 days), isotonic sodium chloride in total - up to 1.5 l / add for a forced diuresis for an additional 1% lasix or furosemrya 2-4 ml and brain. Appreciating coenzymes (cocarboxylase, pyridoxal phosphate, lipoic acid) will reduce the exchange of fluvines in tissues and reduce toxicity.

In case of severe secondary toxic lesions of the brain, it is recommended to internally infuse 5 ml of 20% solution of piracetam in 10 ml of isotonic sodium chloride 1 time per day for 5-6 days, 3 times a day in doses of 0.2 g in pills. In case of severe toxicosis, corticosteroid drugs are prescribed - prednisolone 90-120 mg / add or equivalent doses of other glucocorticoids, kissen.

antihemorrhagic therapy(Prevention of bleeding) polyagaє in the presence of adequate doses of ascorbic acid, calcium salts (chloride, lactate, gluconate), rutin. In case of important forms of antihemorrhagic therapy, it is used to fight against the development of DIC syndrome.

The improvement of microcirculation can be achieved both for the normalization of blood dynamics in a small amount of blood circulation, as well as for the normalization of systemic hemodynamics.

Normalization of hemodynamics (circulation of blood) in a small amount of blood circulation can be reached by the signs of the onset of respiratory distress:

1) camphor is infused into the heart-vascular system (due to the rapid function of the myocardium) and the dyshal apparatus (seen through the mucus membrane of the dysfunctional nozzles, it can be bactericidal, ventilate, ventilate) It is recommended to introduce camphor oil 2-4 ml 3-4 times a day. With lіkuvanny camphor, it is possible to establish іnfіltratіv (oleomas);

2) sulfocamphocaine (10% 2 ml in ampoules) - the use of sulfocamphoric acid and novocaine, volodya with all the positive powers of camphor, rather than viclikє, oleoma. Shvidko to get wet with pediatric and internal injection, can be introduced internally. Zastosovyut 2-3 times a day;

3) cordial - a 25% solution to stimulate the spinal and ruptured center, to add 2-4 ml per day, internally and internally 3 times a day in case of bends arterial hypertension in severely ill patients with important stages of GDVI, especially accelerated pneumonia and in the period of crisis.

In a significant decrease in the speedy healthiness of a lactose (with the development of infectious-allergic myocarditis, as well as an acceleration of an important influenza and other health conditions), a decrease in heart glucosides is possible, up to 0.06% up to 1 ml. A memory slid about the hypersensitivity of the burnt myocardium to the heart glucosides and intravenously drip in small doses (for example, 0.3 ml of 0.05% strophanthin).

Bronchodilators are indicated for the development of bronchial spasm syndrome in bronchitis and bronchiolitis, which impairs the ventilation function of the lungs, for the development of hypoxemia (reduction of blood pressure), for the seizure of heat and pneumonia. The arsenal is ready to be used for the treatment of bronchospastic stasis, performances are lower.

Symptomatic bronchodilators:

1) ipratropiy (atrovent, treventol);

2) oxytropy;

3) salbutamol;

4) berotec (fenoterol);

5) bricanil.

Pathogenic issues:

1) theophilin;

2) eufilin;

3) diprofillin;

4) Theobіolong;

5) theopec;

6) theolep.

Combined drugs

1) theofedrine (theofedrine, theobromid, caffeine, amidopyrine, phenacitin, ephedrine hydrochloride, phenobarbital, citizin, belladoni extract) 1 / 2-1 tablets 2-3 times a day;

2) solutan (extract of belladoni ridky, dope extract, primuli ridky extract, ephedrine hydrochloride, novocaine, sodium iodide, ethyl alcohol) 10-30 drops 3-4 times a day.

Desensitizing (anti-allergic) vicious activity in the complex therapy of GDVI in the capacity of the anti-allergic component, and the side effect of the hypnotic effect of some of them additionally helps in the fight against sleep disturbances in the course of toxicity. V CLINIC PRACTICE for the treatment of influenza and the GRZ they knew their intake of diphenhydramine, diprazine, diazolin, tavegil, suprastin, fencarol, bicarfen, astemizol, feniramin maleate, peritol.

The core functions of the macroorganism are based on entering the function of the muscle bronchogenic system and after the demonstration of immunomodulatory therapy.

The miscellaneous bronchopulmonary system includes the normal function of the blinking food, normal microcirculation, and the production of microorganisms. Virus the flu and those of the largest health zones themselves, as well as countries that develop in case of a difficult interruption non-slip sheets Victims of the deterioration of the function of the bronchogenic system and the development of pneumonia into the tissue of the infectious disease. The improvement of the function of the bronchogenic systemic acidosis is infused with the intake of bromhexine (in tablets of 8-16 mg 2-3 times a day), ambroxol, which stimulates the administration of a surfactant - a superficially active bacteriopathic acid.

Sudosuzhuvalnі dots in nіs. In the case of symptomatic conditions for muscular intranasal congestion during undeath, it is recommended to use sanorin in the viglyad of 0.1%, either emulsion, galazolin, naphthyzin, 2-5% ephedrine (1-2 drops per nose) day).

Protikashlyovі zasobi priznachayut we are ill in the first days of getting sick, if the cough is unproductive, dry, sore, sore, but it brings the sick person to the country, so not so much to relieve his sleep. superficially severe cough not safe development of spontaneous pneumothorax.

cough preparations presented below.

1. Narcotic protozoa (alcoholic opioid) may cause a ringing sound and may cause a dysfunctional center, and it will be stagnant in short courses, often once at a time:

1) codeine (methylmorphine) - 0.015 g 2-3 times a day;

2) codeine phosphate - 0.1 g 2-3 times a day;

3) dionin (ethylmorphin) - in tablets of 0.01 g, 2-3 times a day.

Combined preparations:

1) codterpin - drug combinations (codeine 0.015 g, sodium hydrocarbonate 0.25 g, terpine hydrate 0.25 g) should be prescribed 1 tablet 2-3 times a day;

2) "tablets for cough";

3) complex preparation(Codeine 0.02 g, sodium hydrocarbonate 0.2 g, licorice root 0.2 g, herbal thermopsis 0.01 g) take 1 tablet 2-3 times a day.

2. Non-narcotic protoxicants do not make the sound and do not drive the dyshal center, in connection with which drugs are used, it appears to be overwhelmed by narcotic drugs in case of trivial systematic stasis:

1) glauvent (glaucine hydrochloride) - otrimany from Machek zhovtoy's growth line; priznachayut in tablets of 0.05 g 2-3 times a day;

2) ledin - otrimano s bagna, driving the cough center, little bronchodilator; priznachayut in tablets of 0.05 g 3 times a day;

3) tusuprex - driving the cough center; priznachayut in tablets of 0.01-0.02 g 3 times a day.

Preparations for the most important peripheral action (vibrating action on the nerves of the end of the respiratory tract):

1) libexin - according to antitussive activity, it is necessary to drive the cough center dovzhastogo brain, I mean 0.1 g 3-4 times a day;

2) bitiodin - driving the cough receptor of the mucous membrane of the dystopia and the cough center of the deep brain; priznachayut in tablets of 0.01 g 3 times a day;

3) baltix (clofedanol);

4) sinecode (butamіrate);

5) Falimint.

When sputum appears, it should be noted that when phlegm appears, it is necessary to stimulate the cough reflex (completely unhealthy) and (or) to improve the rheological authorities of phlegm (phlegm). Vikoristovuti such preparations:

Liquid herbs:

1) nast_y herb thermopsis;

2) dry extract of thermopsis;

3) add the root of the istode;

4) visit the root of Oman;

5) the root of Milniki;

6) syrup of licorice roots;

7) licorice root syrup;

8) marshmallow root;

9) plantain leaf;

10) a sheet of mati-y-machukha;

11) elderberry quilt.

1) terpinhydrate;

2) pertussin;

3) pectusin;

4) drops of ammonia-anisov;

5) fruit anisu;

6) thyme herb;

7) bagna herb;

8) motherboard grass;

9) wild thyme extract.

Synthetic zasobi:

1) calcium or sodium iodide;

2) calcium or sodium bromide;

3) sodium hydrocarbonate;

4) sodium benzoate.

Medications for:

1) bromhexine (bisolvone);

2) lasolvan (ambroxol).

Enzyme preparations:

1) trypsin;

2) chimotrypsin;

3) chemopsin;

4) terrіlіtіn;

5) elastolitin;

6) ribonuclease;

7) deoxyribonuclease.

Antipyretics (febrile) and analgesics are represented by non-steroidal anti-pyretic agents (refineries), which, in the case of fallowness, in the case of chemically induced febrile diseases, may cause overwhelmingly febrile and (or) diseases that cause major diseases.

The characteristic characteristics of the protipal, febrifugal and disease-resistant department of the refinery

Note:

± - the diya is turned weakly;

+ - slightly turned;

++ - twisted around;

+++ - strongly swiveled;

++++ - swung sharply.

Indole and lost alkanoic acids can be used as a second anti-fiery effect.

In case of vibration of a disease of a disease and of a febrile condition, the drugs are given with a minimal anti-firing effect. Vikoristovuyt Coldrex or aspirin Oopsa with Vitamin C, in front of the opening of a tablet of cich preparations in half a bottle of warm water, or analgesics - analgin, pentalgin, sedalgin, tempalgin, panadol, askofen 1 tablet 2-3 times a day.

A trace of memory about those who are feverish є one of the most important mechanisms in the fight against infectious diseases, and the malignant fever medications are not more nimble oduzhenny sick. Antipyretics and analgesics are injected on immune system, Significantly bring in the given mechanisms. At the connection with heat-reducing cysts, acetylsalicylic acid (no more than 0.5 g one-time) should be taken at high temperatures, reaching 39.5 ° C and more in older adults and 38.5 ° C - and lіtnіkh osіb, if temperature adjusted the zhisny factor is transformed into a pathogenic one.

Combined pathogenetic agents are widely used for the treatment of GDVI. To reduce a strong head i muscle pain, Reducing toxicosis, igniting changes in high-speed routes and improving self-esteem for ailments, complex preparations are recommended:

1) "antigrippin" ( acetylsalicylic acid 0.5 g; ascorbic acid 0.3 g; calcium lactate 0.1 g; rutin and diphenhydramine 0.02 g each) or analogs (methyluracil 0.5 g; ascorbic acid and analgin 0.1 g each; coffee 0.05 g; ephedrine and rutin 0.02 g each). Їх take 1 powder 3 times a day for 3-4 days;

2) "Antigripocaps 0.32 g" (acetylsalicylic acid 0.15 g; ascorbic acid 0.05 g; calcium lactate 0.1 g; rutin and diphenhydramine 0.01 g each) polіpshennya self-respect. Children from 3 to 6 years should take 1 capsule 3 times a day. For children from 6 years old, we will grow up to 2 capsules 3-4 times a day. For children up to 3 rockets instead of capsules, they are unpacked and given only after the show;

3) "fervex" (paracetamol 0.5 g; pheneramina maleate 0.025 g; ascorbic acid 0.2 g; asparkam; additional words; natural flavorings)

If the eyes are severe, immunoglobulin should be buried in the conjunctival microscope. In case of membranous conjunctivitis, wash the eyes with 2% boric acid solution, bury 20-30% sodium sulfacyl solution (albucida).

When developing a state of the art laryngotracheobronchitis with stenosis of the larynx (sweet cereal), an internal lytic sum is recognized (2.5% dosage of aminazine in the second with 1% dosage of diphenhydramine and a new dose of 0.5% in rosacea) ... All in the middle - prednizolone, repaired with 15-20 mg, we will proceed to increase the dose. The course of hormonal therapy is 5-7 days.

It is especially important for people with influenza ailments and health conditions and for preventive maintenance (pneumonia) to have physiotherapeutic treatment, including aerosol therapy, which is directly related to the active prevention of bronchial infections,

Aerosol therapy is being repaired from the first day on the hope of a sick person in the infectious disease. Most effective in warmth, in the sense of ingestion. Їх to carry out 15 хв 2 times a day for 4 days. In the event of ailments, ailments should be destroyed. Stagnate bronchodilators and induce evacuation of mucus and aerosol sputum.

Bronchodilator aerosols:

1) eufilin 0.25 g, distilled water 30 ml; 3 ml retail for ingalation;

2) ephedrine hydrochloride 0.3 g, distilled water 30 ml; 3 ml each for the injection;

3) eufilin 0.15 g, ephedrine hydrochloride 0.02 g, novokain 0.5% roschin 20 ml; 5 ml per injection.

Aerosols, which help to evacuate mucus and phlegm:

1) sodium hydrocarbonate 2.0 g, sodium chloride 0.1 g, distilled water 20 ml; 4 ml each for the injection;

2) herbal infusion for thermopsis 0.1 g: 25 ml, drops of ammonia-anisov 0.5 g, sodium hydrocarbonate 0.5 g; 5 ml each for the injection;

3) sodium hydrocarbonate 2.0 g, sodium chloride 1.0 g, pepper water 20 ml; 5 ml per injection.

Vikoristovuyu methods of "home" physiotherapy: warm shingles of the thoracic clitine, chirchichniki, even on the sternum, hot scabbard baths (at a temperature of 37.5 ° C), as well as UHF on the trachea area. At a temperature of 38.5 ° C, the methods of physical cooling should be used up: a weak layer should be stretched and easily covered, put to the head, in the groin and groin areas with ice, carry out water-alcohol wiping of the dust.

Sic of a radish with honey - in a radish, virizuyut dull, pour honey and curl a radish on top. Insist 4 years in a warm place, then p'yut sik, scho settling on 1 tbsp. l. (Children for tea) 3-4 times a day.

Requires memory and about who are in power cartopl_. At the casterer with water, it is necessary to put the kartoplyan shkirku, zvariti, then dikhati over a pair of 10 min.

Vidvar fruits of Kalini with honey are also additional help for colds. Win nadaє sweat і vіdharkuvalniy dіu. 1 tbsp. l. Quite for the fruit, brew a bottle of sprinkle, let it boil 10 min. Cool, process. Piti 1 tbsp. l. 3 times a day.

Recipes for pickles of lykarsky herbs

1. Quots of elderberry, quilts of chamomile pharmacy (sometimes). 1 tbsp. l. sirovini brew sprinkle with a bottle, insist 1 year, process. Nastiy piti hot 2-3 flasks every day.

2. Quites of elderberry - 1 part; pharmacy chamomile quotes - 1 part; lipovy color - 1 part.

Prepare і zasosuvannya, yak in the front recipe.

3. Leaf of peppermint - 1 part.

The hour of the episode of flu is met by the increase in the disease of corysous gruel, the roots of the cinnamon, gillet and leaves to the eleutherocock, the chasnik, the tsibulya.

In case of flu coryne, take an alcoholic tincture of Eucaliptus: pour 20 g of dry finely leafed leaf into 100 g of alcohol. Close up and down for 8 days. Process and surplus of vidzhati in tincture. Zastosovuvati 25 drops 3 times a day. Dilute with water (1/4 flask).

The root of the althea lykarskoy is stagnant as a respiratory and anti-fatigue in case of influenza, GRZ, bronchitis. Especially wine for children. Pour 15 g of root with cold water (0.5 l) and let it brew. Take 1 dec. l. 5 times a day.

5-6 cloves in the chapel can be easily grown and grown in a glass of milk. Zakip'yatiti і dati oholonuti. Take 1 hour of L. 4-5 times a day when you are sick of the upper dichny nobles.

Elderberry sibirska - 1 tbsp. l. dry leaves and quotations, brew a bottle of sprinkle, insist 1 year, process. Nastia take 1/4 flasks, more beautifully with honey, 3-4 times a day. Elderberries often get stuck in picks.

Elderberry bouquets - 1 part; korov'yaku quotes - 1 part; turnu quotes - 1 part; verby bark - 1 part; pharmacy chamomile quotes - 1 part.

1 tbsp. l. pour the sprinkle with a bottle of sprinkle, insist 1 year, process. Nastiy piti hot 2-3 flasks every day.

Elderberry bouquets - 1 part; sinnya fenugreek plant - 1 part; fruit fennel - 1 part; lipovy color - 2 parts; grass tricolor violet - 2 parts.

1 tbsp. l. insist on cold water for 2 years, boil 5 minutes, process. We are warm to drink, in a few days, in one day with tracheobronchitis, chronic bronchitis, Flu.

Elderberry bouquets - 2 parts; pivonia quotes - 1 part; verby bark - 3 parts; licorice root - 1 part; lipovy color - 2 parts.

2 tbsp. l. brew sprinkles with a bottle of sprinkle, insist 30 minutes, process. Nastiy vipiti is warm throughout the day.

Intensive therapy of ailments on the GDVI for indications of the guilt to fix the first stages of medical evacuation - at home or in medical centers it is carried out in order to come in the order of non-emergency assistance when preparing ailments before sending them to medical information.

In the isolation room of the medical center (clinic, medical unit, hospital), at home, in the car, there is no need for additional help in the area of ​​important flu relief, including:

1) the introduction of prothyroid (normal) immunoglobulin - 6 ml vnutrishny'yazovo;

2) at a temperature of 39.5 ° C - 2 ml of a 50% solution for analginum internal;

3) 60 mg of prednisolone internally or internally;

4) to use antibiotics (benzylpenicilin abo oxacilin - 1 million OD i / m) to test for sensitivity;

5) 2 ml of cordial, 1 ml of 10% retail coffee;

6) give permissions kissen, warmth of pitta;

7) in case of psychomotor agitation, inject lithic sum (1 ml of 2.5% dose of aminazine, 1% range of diphenhydramine, 1% range of promedol) or 10 ml of 20% range of sodium hydroxybutyrate.

If a person is sick, they should be transferred to an infectious hospital on a stretcher with a supervisor of a doctor of high aid.

In general, intensive therapy is carried out in the wards (blocks) of intensive therapy of infectious hospitals (infectious diseases).

In case of an even more important (bliscavic) flu and other health conditions, intensive therapy for the sick may be necessary in case of the onset of non-emergency (critical) conditions:

1) infectious-toxic lesion of the brain;

2) the state of the art lacks;

3) infectious-toxic shock;

4) GOSTRA heart-sudinna lack.

For persons who have suffered a non-releasing form of influenza, the dispensary is cautious not to get up. Have suffered accelerated forms of GDVI (pneumonia, sinusitis, otitis media, mastoiditis, myocarditis, lesions of the nervous system: meningitis, meningoencephalitis, toxic neuritis, etc.) I’m very special, since they also suffered an accelerated flu, as well as pneumonia, so welcome reabilitation come in(In outpatient clinics and sanatoriums), and the stench lingers for 1 period of medical examination (with control clinical and laboratory tests after 1, 3, 6 and 12 months of ailments).

The basis of prophylaxis of state hospitals for respiratory illnesses is to be isolated, regime-intermedical and sanitary-hygienic, so as vaccines (except for influenza) are in the stage of the rosette. Singing perspectives for the rest of the hour will mate with anti-tiering methods of extreme prophylaxis, as well as stimulants for immunity and organism.

Gromadske prophylaxis is made up to the isolation of ailments for influenza and іnshі GRZ in home minds, or in hospitals and interconnection of ailments polіklіnіk, pharmacies, huge mіsts. Individuals who are servicing ailments are guilty of wearing 4-6-ball gauze masks and intranasally 0.25-0.5% oxolin ointment.

With the method of influenza prevention, mass vaccination of the population is carried out in the pre-epidemic period. Shown before carrying out immunoprophylaxis for influenza to be on the epidemiological and clinical.

Vaccine prophylaxis is carried out for individuals with influenza sickness for influenza. Until the їth date:

1) schoolchildren 7-14 years;

2) children in highly organized groups (children’s budinka, children’s school, internati schools);

3) medical staff;

4) forerunners of the spheres of by-end servicing, transport, chief pledges;

5) visitor contingent.

For key indications for the prevention of uncomfortable inheritance for influenza - vaccine prophylaxis is carried out:

1) children of preschool age (3-6 years);

2) people who have been abducted (older than 65 years);

3) often get sick on the GRVI;

4) suffer from chronic somatic illnesses.

Antihypertensive vaccines reduce the rate of illness for influenza by 1.4-1.7 times, and the average of ailments will help cool picture, To change the triviality of overcoming ailments, to accelerate the development of important acceleration and lethal problems. Nine fluorescent vaccinations should be given alive and inactive.

Vikoristovuvani vaccines, methods of introducing, dosages, splitting frequency are presented in the table below.

Registered and permitted until the stasis in Russia of antihypertensive vaccines.

For extreme chemoprophylaxis, vikoristovuyu:

1) remantadine (influenza A), 0.1 g / add, stretching all the epidemic sleep;

2) arbidol (influenza A and B) - in case of contact with ailments 0.2 g 2 times a day for 10-14 days, and in the period of epidemia - 0.1 g 2 times for skin 3-4 days for 3 times;

3) deitiforin (influenza A and parainfluenza) - in case of contact with ailments, 0.1 g per day for 10-12 days;

Pererakhovanі chemіopreparations vikoristovuyut only in grown-ups.

Children for the prevention of influenza can be recommended by Interferon.

Specific prophylaxis of parainfluenza, adenovirus, respiratory syncytial, coronavirus, rhinovirus and other state of the art respiratory infections is not broken, for that there is a great number of children in antigenic antigenic infections.

Before immunoglobulins, carry all the bottles that have a specific activity in terms of the antigens, that is, all antigens. Immunities of the blood of creatures to be used in medicine since the end of the 19th century. both for the liking, and for the extreme prevention of Infectious diseases(Difteria, right and wrong).

Until the end of the 1960s. In our country, there is a widespread use of hyperimmunity for the prevention and treatment of influenza. Intranasal (intranasal) inhalation of dry syrovat, mixed with norsulfazole, caused a problem of mass allergy in the population, and the drug was brought into being affected.

Ale the very idea of ​​vikorstannya anti-tier antibodies, to take revenge in the blood of people, to be lost and to be realized in the presence of drugs in the blood, as they are called immunoglobulins in Denmark. Kolishnya is called gamma-globulin - it is used to get old.

In our country, there are 2 types of immunoglobulins. One of the placental and abortion blood is called "normal human immunoglobulin" (the name is bovine gamma globulin), to take revenge on all antibodies, which are attached to women of the same age during the collection of blood in singing. But, unfortunately, it’s a pity, do not give in to the increase in the sound of the hormones and the biologically active speeches. In a short amount of additions, the second drug is "specific anti-inflammatory immunoglobulin" from the blood of donors, specially and bagatorazov vaccination against influenza.

In addition to anti-inflammatory antibodies, specially stimulated by vaccination, in donor immunoglobulins, antibodies to bagatio are widely extended to infectious agents, including to respiratory viruses.

By choosing from the available syrovin (blood of placental blood) from the high antibodies of the prenatal child, it is possible to eliminate the serii of immunoglobulins in the direct type, for example, anti-staphylococcus, anti-parasitic diseases. It is even easier to see the anti-tier activity of finished preparations of immunoglobulins, which are shown to the serii, most of them tell the minds and the signs, for example, the cause of the sleeplessness of the GRZ in the collective.

The value of antibodies in commercial immunoglobulins to the most relevant respiratory viruses - MS, adeno-, influenza, parainfluenza - is available in this hour, whether it is a virusological laboratory, including a sanitary test.

According to the physical and chemical and іnhim power of immunoglobulins, they can be divided into 5 classes, which are hunted by the letters: A, G, D, E, M. , class A - 280 mg, class M - 120 mg, class D - 3 mg, class E - 0.03 mg.

The smell can be seen from the blood of blood in different ways. The method of alcohol precipitation in the cold is used for virobration of these preparations. The commercial preparation is a 10% range of syrovatkovyh bіlkіv, from which not less than 97% are admitted to immunoglobulinіv, mayzhe vklyuchny class G.

Immunoglobulins are injected vnutrishnom'yazovu. For the prevention of influenza, normal human immunoglobulin (specially classified as a high titer of antibodies) can also be used intranasally in droplets, or in a highly dispersed view.

Until recently, the immunoglobulins of human blood were respected without baking bit by bit on the organizm of people. In the last few years, there was a history of the formation of antibodies before the introduction of a human bottle, especially when a placental drug was vicious, in which an aggregation of protein molecules was found. Vislovlyuyutsya is also beaten, but often sick children can be allergic to organism. It is recommended to use the Interval Mizh at this exhibition. reintroductions immunoglobulin up to 2-3 months.

All the fight against the immune system is shown to the immunoglobulin, especially the placental one. Only the visoka is the development of the disease in people, who have been in contact with the germ of infection, the most effective prophylactic drug. At the same time, I do not forget about the possibility of side reactions, key manifestation Something interesting: because of a small increase in temperature, or appear before the development of an important camp and anaphylactic shock.

Symptoms of serious side reactions are more severe. For obvious data, light side reactions are spared in 6% of healthy people and 28.4% of chronically ill people. Tse is more typical for placental immunoglobulin. Deal with children-allergies. Donor immunoglobulin for obvious tribute not to victories of important side reactions; Placental immunoglobulin is contraindicated in children, in the anamnesis of various reactions to the previously administered drug.

For internal introduction to immunoglobulin of prophylactic splinters of DTP and ADS, it is recommended to conduct it through 4 months, against poliomyelitis and parotitis - after 6 months, against the cortex - after 3 months. It is recommended to inject immunoglobulin not earlier than in 2 days at the time of vaccination.

In the last few years, the preparation of colostrum from infant colostrum, which represents immunoglobulin class A.

The whole drug, called chigin (human immunoglobulin A), is used intranasally for the treatment and prevention of the GRH.

Seemingly, one of the main officials in the destruction of the body, plays an important role in the suppressed reproduction of the virus in case of infection, interferon. There is a large group of biologically active speeches of natural proclamation, antiviral activity of those who are interested in participating in a clerical exchange of conversations. Interferon was issued in 1957 by Isaacs and Lindenman. According to the current nomenclature, the group of interferons (and їх vіdomo in Danish hour is close to 20) are divided into 2 types (I and II) і 3 types: alpha- (leukocytic), beta- (fibroblast) and gamma).

All are seen to be encoded by different genes, produced by different cells, and it may be characteristic of their type that they have a lasting amino acid and are derived from antigenic powers. All the stench of volodiyut imunomoduluyuyuyuyuyu power - podpiluyut natural zhistu organism. On the other hand, it is necessary to change the immune modulating effect of the dose, the scheme of administration of the drug, its biological activity, the immune and interferon status of the organism.

Stimulants of viral interferon in humans.

Variants of synthetic interferon є strictly cloning the drug of one type of interferon. Before the last few years, they showed that the effectiveness of this drug and prophylactic activity in the health care center is lower than that of the interferon, which was taken from the clien of people (endogenous interferon), which is more significant. Endogenous interferon є is strictly homologous for the human body і, and it is most unhealthy in case of trivial stasis. There is a presence in the blood of people in a greater concentration and more trivial hours (from decile days to decile days), at that hour as exogenous interferon is introduced into the body in the first year of life. I, smut, stimulation of viroblast of endogenous interferon will not only prevent the production of all components (alpha, beta, gamma interferon) in the human body, but, I will not allow the approval of lost factors.

See 2 types of drugs that stimulate the viral interferon, - viral and non-viral nature. Before the first group, there have been preparations based on live viruses: live influenza, poliomyelitis, parotitis, cow and vaccines, to the other - new preparations of rosin, food and fungus; synthetic speech, polyaccharide bacteria and viruses (prodigious and in.). On the basis of different drugs from another group, it is not necessary to formulate a strong immunity. Due to a rare vinyat (prodigiosan), such speech may not be stagnant in the practice of protecting health, the leading rank due to the variability of toxicity in some drugs and the lack of data on the lack of longevity of those on human organisms.

There is a special group of drugs in a wide range of children, taking some victories in the organisms of people, those of people who have developed an optimism, that is, E. Tse kosty, who move the health of the body of people to adapt to changing over the norm of psychological factors.

In this hour, the adaptogenes of the herbaceous plant are developed: extract of eleutherococcus, ginseng, schisandra chinensis, infusion of aralia manchzhurskaya, zamanihi, levzeia safflower and іn.; food: pantocrine from maral pan_v, ap_lak, which is seen from bdzholin royal jelly, that іn.; synthesized by a chemical way: dibazol, as well as spoluks based on old silicon, germanium and other acids. Before adaptogens, it is possible to introduce things that can be seen from microorganisms: peat, zymosan, and so called biostimulants: aloe leaf extract, cic from the stalk of Kalanchoe, from the olfactory mud and muffin leaves The drug is applied to adaptogens, when it is given to 3 minds:

1) not dull and practically not vicious changes in normal physiological functions organism;

2) maє a wide range nonspecific activities as well as infusion of physical, chemical and biological nature;

3) nadaє normalizu, just right in the direction of the norms, caused by damaging factors.

With the help of this kind of normalization of the arterial grip in individuals, both with the advancement, and also with the reduction in the grip of the course of the leukemia.

3 preparations of the group practical sucking There are two drugs that can be known - Eleutherococcus extract and Dibazol.

The extract of Eleutherococcus is known to the great family of araliavichs (close to 60 canopies with 800 species) and becoming actively evolved from the ear of the 1950s, if there is an intense chatter of natural substitutes for the “root of life”. The drug is an extract from the roots of chagarnaca spiny eleutherococcus. Glucose, sucrose, starch, polysaccharides, fatty acids and essential oils, Resins, pectin and biologically active speech. The drug of recommendations for storing yak tonizuyuchiy is in the middle of 20-30 drops to їzhі.

Dibazol is a drug synthesized with a chemical way. A stimulating infusion on the function of the central nervous system, advancing the body's stiffness to uncomfortable infusions, a vicious anti-firing effect. The drug should be administered to children of school vik at a dose of 0.001 g for 3 days with a one-day interval (2 course), for adults - 0.01 g for 7 days.

Vitamin (Latin Vita - "life") - organic spoluks, necessary for normal living of the human body. Smell take a part in the exchange processes in cells, in oxidation reactions, in physiologically and biologically important processes; to ensure growth, development of organs and systems, for which the role in a child's life is especially great, if it is a form of organism. The effectiveness of these measures for the prevention of GDVI has been brought (first for all vitamins A, E, C and group B).

Zrazkovy dobovi to be consumed in vitamins.

Vitamin A regulation of exchange processes, zokrem in the skins, mucous membranes of the eyes, dichny, grass and secular paths; advising the organism prior to infection; I will preserve the activity of the daylight and see the color, pouring into the membrane mill the keratin, the fabrication, the establishment of the white soil, the functions of the endocrine galls.

Vitamin A is consumed in the body in viglyadi vasne Vitamin A (retinol) and carotene, which in the oven is transformed into Vitamin A. Vitamin A is found in food products, carotene is the main ingredient in roselinas. In case of cold production of products without access to food and drink (cooking and lubrication because of closed food), it is impossible to take care of it. Vitamin A ruinous before the change of sleep and when the fat is rancid. For the absorption of vitamins A and carotene into the intestines, the presence of fat and gum acids is required.

When soaking up the carotene, lay it down by the method of culinary processing. Preparing products, cooking, preparing mashed potatoes with added fat, soaking up carotene. With coarsely crushed carrots, 5% carotene will be consumed, with finely grated carrots - 20%, and when added to the rest of the olive oil or sour cream - about 50%; from carrot puree with milk - 60%. It’s better to go on a whole plan of yalovich and lamb fat. Deficiency in the races of food bols, fat, vitamins E is reduced in the assimilation of vitamins A and carotene.

The need for vitamin A for older adults is 1000 mcg of retinol equivalents, and 1 mg of vitamin A (retinol) or 6 mg of carotene is added. The activity of carotene and the steps taken from the intestines is less than 1% of the intestines. The need for vitamins A grows up to 1.25 mg in the other half of the vagina and up to 1.5 mg - with a year of breastfeeding; up to 1.5-2.5 mg - in case of ailments, if the absorption of vitamins A breaks down: intestinal ailments, fatigue, liver and galls. Positively for the recovery of vitamins And with deyakyuyuvany eyes, shkiri, organs of dyhannya, thyroid gland, infectious diseases, ailments, aches, fractures, wounds.

Vitamin S take the fate of the bagatokh exchange processes. Winning the strength of the body up to call-in injection Infectious diseases, preserving the establishment of collagen (skeleton of the bladder), increasing the frequency of blood-bearing blisters, positively infusing on the function of the nervous and endocrine system, liver, regulating the volume of cholesterol Vitamin S is guilty of coming into the organism of the day, his reserves in a new little, and vitrata is uninterrupted.

Head dzherela Vitaminu S - vegetables, fruits and berries, especially fresh. Vitamin C is easy to ruin when heated, dull food and sleepy light, trivial zberihanna. If the recipe is correct, 50% of vitamin C is consumed, and when cooked with vegetable puree, zapikanok, cutlets - 75-90%. When the rules of culinary processing are violated, it is possible to ruinate more and more. Vitamin S swiftly ruin at war with a crush. In 100 g of young cartoplasm, 20 mg of vitamin C will be replaced, after 6 months, 8-10 mg will be added. I am quick to waste vitamins from the selection of vegetables and fruits in the warmth and on the light, in the water of the cleaning process. It is more beautiful to pick up wine in citrus fruits, unpolished - in canned fruits and ovaries.

Dobova demand for vitamins C in fallowness due to the intensity of practice and vik to become for people 65-110 mg, and for women - 55-80 mg; with vaginosis and breastfeeding - 70-80 mg. The need to move in the event of instability in food supply bills. Risko growth (up to 150-200 mg or more) is required for vitamins C in case of diseases of the herbal and heart-vascular system, nirok, rheumatism, infections, anemias, surgical operations, great diagnoses, traumas D.

Vidomy American chemistry Lineus Poling recommends for the prevention of colds ailment widely ascorbic acid, from 250 mg to 1 g in the form of individual peculiarities of the body. The concentration of ascorbic acid in the blood reaches a maximum after 2-3 years after taking a daily dose, then it changes - the drug is actively vivified from the section.

As a positive fact, it means that in nurseries, nurseries-kindergartens, children's gardens, children's booths, children's booths, boarding schools, an observational cycle of food is being carried out. Vіtamіni, as a rule, every day is served only in the first, or a third of the gravy, I eat or milk. It is important to vintaminizuvate a third of the gravy without an average before distribution. Such attacks are not allowed. Milk vitamins can be carried out for children at a time of up to 1 year.

vitamin B1(Tiamin) regulates oxidized products in the exchange of carbohydrates, takes part in the exchange of amino acids, fatty acids, conveniently infuses on the functions of the heart-vascular, herbal, endocrine, central and peripheral nervous systems. Necessary for the approval of acetylcholine is the transmission of nerve impulses. Tіamіn bagati deyakі groats, baked goods from coarse broom, beans, pork. Products from forestry and vegetable varieties, dairy products, vegetables, fruits, confectionery virobi bidnі tіamіn. In case of cooling, 20-40% of it is consumed. Win ruinuyuvannya in a puddle middle, for example, when supplemented with soda in just or for a quick brew of leaven and peas.

The additional demand in terms of fallowness due to the intensity of the practice and the amount to be established for individuals is 1.5-2.6 mg, for women 1.3-1.9 mg; with vaginosis and breastfeeding - 1.7-1.9 mg. The need to move with high-carbohydrate consumption. Significantly increase in the need for patients with ailments of the slunk-intestinal tract, hospitals and chronic infections, surgical operations, opioid ailments, reddish diabetics, Lіkuvanni deyakim antibiotics.

vitamin B2(Riboflavin) enter the store of enzymes, which regulates the new stage of exchange of speech. I will paint the gaze on light and color, positively infuse the nervous system, skin and mucous membranes, the function of the liver, blood formation.

In case of an extraordinary consumption of up to 60% of vitamin B2, it should be found with foodstuff products, and close to 40% - with tall ones. In case of cold production, riboflavin in the diet decreases by 15-30%. There is a shortage in the ratsioni bіlkіv pogirshu assimilation of riboflavin organism.

Dobova need for riboflavin in the fallowness of the intensity of practice and for the patient to become 1.8-3 mg, for females - 1.5-2.2 mg; with vaginosis and breastfeeding - 2-2.2 mg. The need for growth in anacid (low acidity) gastritis and chronic enteritis, hepatitis and liver cirrhosis, ailments of the eyes and shkiri, anemia.

vitamin B6 take part in the exchange of bile, fat, carbohydrates. Wine is necessary for the absorption of amino acids by the body, the development of arachidonic acid from linoleic acid and vitamin PP from tryptophan. Vitamin B6 will take part in the regulation of fat metabolism in liver, in the metabolism of cholesterol, and in hemoglobin.

Great vintamin B6 (0.3-0.5 mg in 100 g of the product) is typical for meat and ptakhs, ribs (halibut, oseledets), ikri, Greek, pearl barley and egg groats, wheat, bread boroshna 2nd grade, cartopl_. Especially rich in cime with vitamin (0.7-0.9 mg) liver, mackerel, kvass. In addition to vitamins (0.15-0.29 mg), it is indicated in a large amount of ribs, eggs, whole and manna cereals, rice, bread from boros gatunka, pasta, peas.

The need for vitamins B6 for choloviks is 1.8-3 mg, for women - 1.5-2.2 mg; with vaginosis and breastfeeding - 2-2.2 mg. The need to improve with atherosclerosis, liver ailments, vaginal toxicosis, anacid gastritis, enteritis, anemia, trivial antibiotics and anti-tuberculous drugs.

vitamin B12 necessary for normal blood formation. The role of amino acids and folacin in the microorganism, as well as in choline and nucleic acids, the normalization of fat metabolism in the liver is important.

Vmist vitamina B12 in micrograms per 100 g of the rival part of the products: yalovic stove - 60, pig - 30, yalovic tongue - 4.7, rabbit meat - 4.1, yalovitch, mutton - 2.6-3, meat chickens - 0, 5; eggs - 0.52 (block - 0.08, zhovtok - 2.0); riba - 1.5-2.5 (oseledets, mackerel, sardini - 10-12); milk, kefir, sour cream - 0.4, sir - 1.3, sir - 1.5. Vitamin B12 during the day in growing products and other foods.

Introducer from їzheyu Vitamin B12 to get wet from the intestines by pouring into the slurry with so called internal factor and accumulate in cookies. Dobova need to become 3 mcg; with vaginosis and breastfeeding - 4 mcg. Vitamin B12 deficiency in the organisms of mobility with trivial strictly vegetarian (without milk, eggs, meat, ribs) With significant illnesses, the need for vitamins is growing.

Vitamin E from the oxidation of non-saturated fatty acids of the membranes of the keratin, infusing into the function of the non-toxic endocrine glands, stimulating the activity of the mussels, taking part in the exchange of proteins and carbohydrates, fatty acids, day. You will develop in case of poorly damaged vitamins E in case of liver disease (hepatitis, cirrhosis), fatigue, intestines, and also in case of trivial intake of linethol (concentrate of polyunsaturated fatty acids). Є Data about the adjustment of consumption in case of diseases of the state and nervous system, shkiri, atherosclerosis.

Vitaminu E is the best roslinnykh oliyah... It is stable with coldness, ale to ruin when fat goes rancid and before dormant changes, as well as it goes when the oils are taken from rose oil.

Vmist vitamina E in mg per 100 g of the їstіvnoy part of the products: bavovnyane oil - 99, corn oil - 93, sonyashnikov - 67, vershkovo - 2.2; borosno, cereals, hlib - 2-3.5 (Greek groats - 6.6); peas - 9.1, kvass - 3.8; egg - 2.0; dairy products - 0.1-0.5; meat - 02-06 (pechinka - 1.3); riba - 0.4-1.2; vegetables, fruits, berries - 0.1-0.7 (green peas and spinach - 2.5; green tsibula, apricots, peaches - 1-1.5).

In a given hour, we in the country produce the drugs "Geksavit", "Dekamevit" and "Undevit" and those who are rich in optimal performance in vitamins S, A and groups V. once a day, go in courses of 20-30 days, with repetitions in 1-2 months.

In a complex of prophylactic visits to ultraviolet analysis (UFO) є one of the available and effective methods, which provides adaptive and functional functions to the body. Optimization is carried out after additional pre-health ultraviolet changes in the range of 400-280 nm. The same region of the UV spectrum is biologically the most active, close to natural viprominuvannya sun. Take the luminescent lamps of the type LE-15, LE-30, LER-30, LER-40 or mercury-quartz lamps of the type DRT-220, DRT-400, DRT-1000. It means that UV-exchange does not only actively stimulate immune system reactivity, but also accept vitamin D, normalize phosphorus-calcium exchange, activate the function of sympathetic-adrenal system

In the organizational and tactical plan, the UFO method works in 2 options:

1) short-term (kіlka khilin) ​​schodenne overgrowth doses (from 1/4 to 3 bodoses) - up to 30 sessions;

2) routinely trivial (4-8 hours) with cheap doses of 5-6 months - in the chimneys of the patient, they will be able to find 1/8 to 3/4 of the body. The skin variant has its own positive sides... For the help of the first - strictly dosed and straightforward - often the medical department, including the preventive maintenance of the GRZ; Another option is more physiological and labor-intensive (lamps are installed in an illumination net) - with this help it is easier to carry out general hygienic visits to develop adaptive functions of the body. The deyakiy podil methods of both options - here it is purely clever understanding. If you need a stench with success, you will be able to pick up for the first task.

Practical minds of the Ural Federal District for the first option will have to follow the great set of schemes in the fallowness from the beginning and the beginning of the call, which should be carried out, mindful of the method.

To improve the incidence of upper dysfunctional paths, as well as for the prevention of aggravations during the period of repair, to improve with 1/4 of the body on the front and back surfaces of the bed, increase the dose of skin attack through one biodose. Course - 16 procedures. The optimal option for storing such an optimization scheme is 2 times per day.

In case of the state of catarrh of the upper dichny nobles - the UFO region of the region, the face, the breasts (up to the level of the nipples), the upper third of the back to the root of the shoulder blades, 1-1.5 biodosi each (3-4 procedures); UV detection of the mucous membrane of the nose through the tube, repaired with 0.5 body doses, an increase in the dose of advancing antibodies by 0.5 body doses - up to 2 body doses (4-5 procedures).

In case of pharyngitis - UFO of the back of the pharynx through a tube, from 0.5 to 2-3 body doses (3-5 procedures).

In case of a state of tracheobronchitis, anterior and posterior surfaces are determined 2-3 bodosi - a course of 5-6 is optimized. The optimization behind such a scheme is ma anti-firing, desensitizing action, as well as a decrease in the thickness of the mucous membrane of the bronchi.

For group UV-detection of the transferred HVD in the intra-mucosal period, a technique is used, which is used for the transmission of malignancies in incrementally increasing doses (from 1/8 to 1/2 biodosia) and is primarily used for the immune response. Oprominennya is recommended to spend every other day; An extraordinary course for often sick people - 20 sessions, for children who are sick - 12-15.

In such a rank, ultraviolet optimization of the human body in the given hour can be brought to the most affordable and effective methods nonspecific prophylaxis of state respiratory infections.

As for nonspecific prophylaxis of influenza and GDI, it is more and more widespread in the form of reflexoprophylaxis (acupuncture, acupressure, pharmacopuncture). One of such direct methods is the method of point finger self-massage of biologically active zones of the shkiri. Reconsideration of the method in front of the efforts of the small fields in the fact that the knowledge is based only on the mobility of the power functional reserves in the body and in the adequate victorian, there is a small number of indications and the small number of side effects, Economical and technically simple in implementation.

The essence of the method of polarity is that it is biologically active in the area of ​​the school, and in the great number of direct and dynamic connections between oneself, with the small internal organs and in the children, the middle of the organisms in the system of biology The inflow into the zone allows a certain kind of "tuning" of the inner middle of the organism to vibrate, which has come from the quiet of the other reasons for its physiologically optimal level. In response to the inflow on the biologically active children of the school, there is a need for the shelter of biologically active children of the type interferon, immunoglobulin and in.

Mechanic teasing of the zones of the school is carried out by a push on it with a finger, or by repeating it, scho the shape of a finger. Struggling with 9-10 overturned rusі for a year-old arrow and against it - 3 wraps in 1 second (for a rakhunok "one, two, three").

For massage, there are 9 main zones of shkiri:

1 - in the center of the sternum, on the level of the IV rib;

2 - in the center of the jarvelous virazka;

3 - symmetrical, on the івnі of the upper edge of the thyroid cartilage, at the anterior edge of the ointment;

4 - symmetrical, lost to the back from the front of the wuh lobe;

5 - a single point between the VII shinny and I chest ridges;

6 - symmetrical, between the nasolabial fold and the middle of the nose;

7 - in the center of the supra-transverse, in the bumped between the above-edge arcs, symmetrical, at the inner edge of the above-edge arc;

8 - symmetrical, in front of the tragus of the wuh;

9 - mіzh vkazіvnym i with great fingers, Near the wrist, on the til surface of the hand.

The procedure was not older than 2-3 times a day for 1-2 minutes. The method of point massage can be used in every day, from the first day of life and throughout the whole day; even more important for the prevention of GRZ in passengers and individuals with allergic reactions to the introduction lykarsky zasobiv... Visoka the effectiveness of the designated entry can only be reached when it is regularly and systematically carried out. Pochatkovo navchannya tekhnіtsі self-massage should go to the doctor-specialist. In this hour, the methods of reflexoprophylactics know more and more wider sucking for the acquisition of the GRVI as a mature and childish population.

Harvesting - a system of entry, adapted to the adjustment of the stiffness of the human body to a variety of natural and climatic factors - cold, heat, atmospheric pressure, sleepy radioactivity and others, which are ready to pour into their own young people... In the quality of the main zasobiv zakartovuvannya vikoristovuyu: food, water, sun. The essence of the preparation of the field in the trenuvanny of the thermoregulatory apparatus, the spinning of the mental reflexes.

Schematically, the mechanism of hardening a field in the offensive: thermal inflow is absorbed by special cold and thermal receptors, embedded in the school, and transformed into the center of thermoregulation in the hypothalamus, which is often included in the process of thermoregulation. The thermoregulatory reaction produces heart-swelling, dichny system, Blood circulation system and ін. At the same time, the exchange of words will be increased (for example, when the temperature rises by 1 ° C, the intensity of the main exchange will be increased by 7%) and the activity of the immune system will increase.

The effectiveness of the garment is based on the following basic rules:

1) the behavior of the increase in the dosage injected, that is to be used;

2) the regularity of repetition of the procedures by stretching the life;

3) victorious combined injections of physical agents (cold, heat, sleepy exchanges, water);

4) Carrying out a start-up for health, vitality and individual characteristics of the body;

5) before the front sanitation of the organism of individuals, as they suffer from ignition processes;

6) healthy spilny (if the factor is that the garment is poured onto the entire surface of the body) and mice (only on the enclosed part: exposing, shyu, legs) procedures;

7) zasosuvannya polygradation zapartivannya - a sign of the strong, weak, as well as hopeful and smart garaging agents throughout the day and at all times.

It is necessary to spend it during the season and rock. There are no persistent contraindications. Timchasovym є I will become hot, traumas, sickness and significant damage to the functions of the nervous, heart-vascular, dyshal and dysfunctional systems. The transfer of the transferred ailment can be started before the start-up in the cob mode during the victorian procedures.

For the purpose of the start-up mode, it is necessary to carry out a test (їkh kіlka) for durability before the cold. The essence of one of them is a field in the analysis of changes in the frequency of the heart rate (HR) when the feet are cooled with water (water supply) 14-17 ° C for 3 minutes.

There is a special table for evaluating the results.

Also, updating the heart rate on the 3rd phase of the cold test is not necessary and sub-active inappropriate views Then such persons should be advised to start using the cob mode.

Past events and numerous publications on charting and physical complexes have the right to indicate that the arsenal of these procedures is great and it is strongly recommended for staying in organized groups of children and children. Isnu differentiation of gartuyut, vikoristovuvanih for the prevention of GRZ, for 3 groups.

1. Charter for every child:

1) walks on an open povitri 2 times a day for 2 hours or not less than 4 years a day;

2) drinking baths with rank gymnastics (10-15 minutes);

3) a day's sleep on a fresh occasion, or in a post-provoked primitive;

4) walking barefoot in the community or on the basis of an emergency (after the procedure).

2. Charting with water:

1) wiping the floor for 2-4 minutes for additional help vologic towels, Mittens or sponges;

2) being doused by water (14-16 ° C) of the upper part of the breasts, arms to the shoulders;

3) gargling with cold water;

4) pouring - fix it with water 34-36 ° C;

5) shower, contrast shower - not only temperature officials, but mechanics; fix the slid zi weakly contrasting soul(Temperature difference less than 10 ° C);

6) water baths;

7) doused feet;

8) contrast baths for nig or drenching feet;

9) sauna abo rosіyska laznya;

10) swimming in the pool;

11) bathing near critical waters.

3. Zagartovuvannya sonyachny exchange.

When you are aware of the fact that you are getting sick in the region, you should be aware of those who, with methodically correct, regular consumption, can reach the efficiency of visits.

The value of all these procedures is in a non-specific character, injected into the organism of people, and the stench is guilty of occupying their important place in the system of locating the population of the GRZ and especially children.