inflammation in the upper airways
and paroxysmal spasmodic cough. most often
infected unvaccinated children under the age of 5 years, and is especially dangerous
pertussis for infants. At older ages, this
infection is much easier.
Whooping cough is caused by
specific bacterium called Bordetella pertussis. Microbe
is transmitted by airborne droplets (coughing, sneezing, talking) when
close contact with the sick person. The disease is highly contagious. but
pin (for example, through toy) mode of transmission is not possible,
because the bacteria dies quickly in the environment.
It produced very stable after an illness and usually persists for the rest
a life. Recurrent disease may occur in the elderly. but
how the rule is, the doctors take it for a cold - so easy
specific bacterium produces toxins that cause
irritation of the respiratory tract mucosa. As a result,
develops a spasm of the diaphragm and the muscles of the bronchi (bronchospasm), and there is
the so-called spasmodic cough. The cough reflex is gradually
fixed in the respiratory center of the medulla oblongata (department head
brain), which leads to increased and more frequent fits of coughing.
(Time from infection to onset of symptoms) lasts
usually one to two weeks. The disease begins gradually.
Slightly raised body temperature, begins runny nose and dry
cough. In this phase of the disease, parents often think that it is "a little
simple ", and the child continues to go to school or kindergarten, infecting
others. The cough gradually increases in intensity and duration
and becomes spasmodic. This is so whooping cough
specific that the doctor is sufficient at least once to hear him, to
immediately make a correct diagnosis.
In a fit of spasmodic
after whistling inspiration followed by a series of short convulsive cough
shocks that nonstop follow each other throughout
one exhalation. Sometimes these attacks are accompanied by vomiting, turning blue
or redness of the face, expectoration.
Within one day of
attacks can be 20-30 and more, depending on the severity
disease. the patient's face becomes puffy, sometimes on the skin
appear hemorrhage, conjunctivitis can begin, and bridle
Language is formed sore. Attacks of whooping cough may occur
at any time, but most of all - at night and in the morning.
Typically, coughing is the child's condition is not very different
of normal. Body temperature, however, remains normal.
Increase in body temperature during most of spasmodic cough
It indicates accession complications.
spasmodic cough lasts for about 3-4 weeks or more, the number of
seizures gradually decreases and they become less intense.
Nevertheless, a small cough, fatigue, irritability
irritability and baby are retained for subsequent
The most common complication
pertussis - is pneumonia, which is caused by other microbes already -
streptococci and staphylococci. In infants whooping cough
dangerous stops breathing during attacks, the duration of which
It varies from a few seconds to several minutes. For lack of
Oxygen can develop their skeletal muscle spasms,
Other complications: bronchitis, pleurisy
(Inflammation of the pleura covering the lungs), purulent otitis, false croup.
Occasionally there are serious complications that arise as a result of strong
cough impulses (brain hemorrhage, rupture eardrums,
The diagnosis of pertussis
exhibited in the presence of the typical cough. To confirm it is
produced sputum and mucus taken from the mucosa
Treatment is usually carried out at home.
Hospitalized with pertussis is rare, mostly young children and patients
with severe or complicated form of the disease.
A great value at
the treatment of this disease takes on a fresh, moist air in the room
patient (frequent airing of the room), split meals (frequent
eating small portions), reducing the impact of external
stimuli can provoke cough (in particular, light
and noise). At normal body temperature useful walk in the fresh
air (at a temperature not lower than -10º C).
drugs the doctor usually prescribe antibiotics, antihistamines
and cold preparations, and sometimes neuroleptics - to loosen
the most effective measure to combat whooping cough is considered to be the introduction of
DTP vaccine, introduced in the mandatory vaccination schedule.
identifying a child with whooping cough, quarantine for 2 weeks
not previously vaccinated and not recover from whooping cough in children under 7 years.