What are the symptoms of epidemic vapotitis? How to diagnose epidemic vapotitis? How is the treatment of epidemic vapotitis? Answers to these questions you will find in the article.
Content
Infection occurs with airborne droplets (when coughing, sneezing,
conversation) from a sick person who is infected until the 9th day of the disease.
Symptoms and diagnostics of epidemic parotitis
Incubation period from 11 to 23 days (more often than 15-19 days). Some for some
1-2 days Promotional phenomena (breaking, malaise, muscle pain,
headache, cognition, sleep disorders and appetite). With development
inflammatory changes in the salivary gland intoxication become more
pronounced, marked signs by lesions of the salivary glands: dryness in
mouth, ear pain, increasing with chewing, conversation.
The pain is expressed at some points:
Ahead of the ear of the ear, behind the uhi mushfa (symptom of Filatova) and in the area
Summer reproduction. Murso Symptom - Inflammatory Mystery Reaction
Shell in the field of output duct of the affected parish gland. Leather
over her tense, gloss, swelling can spread to
neck. An increase within 3 days reaches a maximum, keeps 2-3 days
and gradually (within 7-10 days) decreases. From laboratory methods
Diagnosis confirmation The most evidence is the allocation of the virus
Parotitis from blood, wasches from the pharynx, the secret of the parole salivary gland,
Spinal fluid and urine. Immunofluorescent methods allow
detect viruses on cell culture after 2-3 days (when
Standard research method - only 6 days).
Immunofluorescent method allows you to detect a viral antigen
directly in nasopharynk cells, which makes it possible
quickly get the answer. Serological methods allow you to reveal
The increase in the titer of antibodies is only 1-3 weeks from the beginning of the disease.
Various methods are used.
The most informative is
solid phase immunoassay analysis, later results get
With the help of simpler reactions. Explore steam rooms
Serum, the first is taken at the beginning of the disease, the second - after 2-4 weeks.
The diagnostic is considered to increase the titer 4 times and more. May be
Used intradermal trial with antigen (allergen).
The diagnostic is considered to transition a negative sample in a positive
If the skin test is positive already in the first days of the disease, then this
It indicates that a person has previously suffered steam.
Treatment
Epidemic parotitis
Patients with epidemic vapotitis can be treated at home. Hospitalize
patients with severe complicated forms, as well as on epidemiological
Indications. Isolate sick houses for 9 days. In children
institutions where the case of a fear disease is identified, is established
Quarantine for 21 days. Disinfection in the foci of vapotitis is not held.
No etiotropic treatment. An important task of treatment is
Prevention of complications. Important compliance with beddown no less
10 days in men who did not comply with the beddown during the 1st
weeks, orchit developed 3 times more often (in 75%) than those,
hospitalized in the first 3 days of the disease (in 26%).
For prophylaxis
pancreatitis, in addition, it is necessary to comply with a certain diet
Avoid overeating, reduce the amount of white bread, macaroni, fats,
Cabbage. The diet must be milky vegetable from the croup better
Consume rice, black bread, potatoes are allowed. With orchitis
Perhaps before presnomolene prescribed for 5-7 days, starting with
40-60 mg and reducing the dose every day per 5 mg, or other
Corticosteroids in equivalent doses. For parotitite meningitis
Auspicious influence has a rigneling puncture with extracting
Small number of liquor. Some meaning is moderate
Dehydration therapy. In acute pancreatitis prescribed liquid
gentle diet, atropine, papaverin, cold on the belly, with vomit -
aminazine, as well as drugs that inhibit enzymes, in particular
Contractor (Trasilol), which is injected intramuscularly (slow) in
glucose solution, on the first day is 50,000 units, then 3 days at 25000 U / day and
5 more days 15000 U / day. Locally, warming compresses.
