Symptoms, diagnosis and treatment of whooping cough


  • Symptoms of pertussis
  • Diagnosis and treatment of whooping cough
  • Prevention of pertussis

  • Whooping cough - an acute infectious disease, with
    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
    disease occurs.

    Symptoms of pertussis

    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.

    Symptoms, diagnosis and treatment of whooping cough
    incubation period
    (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
    several months.

    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,
    encephalopathy, etc.

    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,
    pneumothorax, etc.).

    Diagnosis and treatment of whooping cough

    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
    spasmodic cough.

    Prevention of pertussis

    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.

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