What is mumps. Prevention of mumps

Content

  • Mumps symptoms
  • Diagnosis, treatment and prevention of disease



  • Mumps symptoms

    Mumps (Mumps, mumps) - an acute infectious
    disease characterized by fever, general intoxication,
    the defeat of the salivary glands, and sometimes sexual, and other glands, nervous
    system. The causative agent of the disease - a virus, which is characterized by high infectivity and low stability in the external environment. The source of infection - a sick man, he becomes contagious 1-2 days before the appearance of symptoms of the disease and in the first 5 days of illness.
    The virus is transmitted by airborne droplets. The susceptibility to the disease is high. Most children get sick. Persons who suffer from male mumps 1.5 times more often than women.
    With the penetration of the body, the virus replicates in the nasopharynx and
    then it gets into the salivary glands, where they find the best conditions for
    reproduction. Develops characteristic inflammation of the parotid salivary
    gland, which is why the face becomes puffy and makes a kind
    shape.
    After suffering a disease of any severity develops
    persistent immunity to reinfection.
    The incubation period lasts from 11 to 23 days.

    There is a short prodromal (initial) period - marked weakness, malaise, muscle aches, headache, chills, sleep disturbance
    and appetite. With the development of inflammatory changes in salivary gland
    there are signs of its defeat: dry mouth, pain in the ear,
    aggravated by chewing, talking.

    The disease can occur in
    light and in the severe form. Depending on the temperature can
    be from subfebrile to 40C, intoxication is also dependent on
    severity. The characteristic manifestation of the disease - the defeat of the salivary
    glands, usually the parotid. The gland increases in size, there is a
    sore to touch, which is especially pronounced in front of the ear,
    behind the ear lobe and mastoid region. The skin over
    inflamed gland tense, shiny, swelling can
    spread to the neck. Swelling persists for about 3-10 days. After
    penetration into the blood, mumps virus reaches the other glandular
    authorities - are suffering the pancreas
    (Causing acute pancreatitis), testicles (orchitis), the ovaries (oophoritis, Owari).
    The virus is able to penetrate into the brain and then developing the viral
    meningoencephalitis (inflammation of the pia mater and the brain). Inflammation of the testis and epididymis. Inflammation of the testis more often in adults.

    What is mumps. Prevention of mumps
    In most cases 5-7 Day of onset
    body temperature rises again to 39-40S, there are strong pains
    in the scrotum and testicles. The testicle increases, reaching sizes
    goose egg, it becomes painful. Inflammation of the testicle can
    preceded by the defeat of the salivary glands, or occur simultaneously.
    Sometimes inflammation of the testicle develop in the absence of lesions of the salivary
    glands. In 3-17% of patients are affected both testicles.

    In half of the cases (in the absence of a special treat) inflammation
    eggs in mumps in 1-2 months it is
    decrease with the weakening of the function. In the case of bilateral reduction
    after testicular inflammation in mumps often
    developing infertility.

    The defeat of the central nervous system in mumps
    is one in ten children, boys 3 times more likely than
    girls.

    In most cases there is a fever on day 4-7 illness again
    body temperature rises to 39C and above, there is a strong
    headache, vomiting. The patient developed inflammation of the membranes
    brain.

    In 25-30% of patients develop an inflammation of the meninges
    with the onset of inflammation of the salivary glands, one in ten
    It may precede, but many patients can develop without hitting
    salivary glands. Recovery from an inflammation of the meninges at
    mumps is slow.

    In some patients, along with inflammation meninges
    develops inflammation of the brain, which is manifested by lethargy,
    drowsiness, impaired consciousness. Subsequently they may have
    changes in the central nervous system in the form of violations
    behavior, headaches, seizures, deafness in one ear, violations
    view.



    Diagnosis, treatment and prevention of disease

    Laboratory methods for confirmation of the diagnosis - Virus isolation
    mumps from the blood, swabs from the throat, the secret of the parotid gland,
    cerebrospinal fluid and urine. immunofluorescence techniques
    can detect viruses in 2-3 days.

    Usually performed at home. Patients with central nervous
    system and inflammation of the testicle are sent to the infectious diseases hospital.
    Assigned to bed rest for 10 days.

    Patients with inflammation of the salivary glands is moderately liquid recommended
    lacto-vegetarian food, limit white bread, fat, rough
    fiber, after each meal you need to rinse your mouth.

    With the development of inflammation of the testicle is assigned jockstrap, prednisolone
    Scheme 5-7 days. When meningitis apply corticosteroid
    drugs (prednisone, hydrocortisone), conduct lumbar punctures,
    intravenously 40% solution of hexamine. When we developed acute
    pancreatitis appointed liquid light diet, atropine, papaverine, cold
    on the abdomen, the drugs that inhibit enzymes - gordoks, contrycal
    trasilol.

    Medicinal drugs acting directly on the mumps virus, does not exist.

    To create immunity to mumps,
    provided vaccination of children with 1.5 years, as a vaccine
    using live attenuated mumps virus. Vaccines
    Mumps: Priorix - measles vaccine for the prevention,
    mumps and rubella; Trimovaks - combined vaccine
    for the prevention of measles, mumps and rubella; Mumps vaccine live
    dry; Imovaks oreyon.

    Vaccination is carried out once. It should be children,
    adolescents and adult men, without a history of mumps and
    those who in the past it was not carried out.

    Children up to 10 years in contact with the patient, not bolevshie
    mumps, subject to dissociation for 21 days from start
    contact with the patient.


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