424164.ppt
- Количество слайдов: 15
Chicken pox is an acute contagious disease, mainly in children, characterized by fever, mild General intoxication and bubble rash. Ребёнок, болеющий ветряной
PATHOGEN The disease is caused by a virus from the family of herpes (Varicella zoster - Stays Zoster, subfamily Ctype). Варицелла-Зостер
FEATURES OF THE VIRUS contains DNA; unsustainable in the external environment; inactivated at temperatures 50 -52 degrees for 30 minutes; sensitive to ultraviolet radiation; tolerates low temperatures, repeated freezing and thawing.
THE SOURCE OF INFECTION Patient chickenpox child or adult. Infected patient with the last 2 days incubation period to 5 -th day from the moment of occurrence of the last bubble; - the patient herpes zoster (shingles).
TRANSMISSION airborne; at least - contacthousehold, vertical. Cause the air flow can be transported large distances (in other rooms on other floors).
THE PROCESS OF DEVELOPING THE DISEASE The virus, once on the mucous membranes of the upper respiratory tract, penetrate them, multiplies and enters the bloodstream, which spreads throughout the body, but mainly deposited in the skin. Here is further reproduction and damage to the skin with the formation of bubbles.
THE DEFEAT OF THE INTERNAL ORGANS liver Kidney Meninges The brain substance
THE MAIN CLINICAL SIGNS OF CHICKENPOX symptoms of intoxication acute onset with fever body typical spotted-bubble rash on the skin, scalp, mucous membranes of the cheeks, tongue, palate each new wave of the rash is accompanied by a rise in body temperature the parallelism between the severity of the condition and quantity of rashes on the mucous membranes and the skin
STAGES OF DEVELOPMENT OF ELEMENTS RASH spot (the macula); nodules(papules); blisters (vesicles) bubbles with pus (pustules) brown
CONGENITAL VARICELLA developing the infection in the first 4 months of pregnancy clinically manifested underdevelopment of limbs due to scarring, pathology of the eye, retarded psychomotor development; during infection with 5 -6 days before the birth, the child's symptoms may occur immediately after birth; when the disease pregnant immediately before delivery chickenpox in the newborn is manifested by 5 -10 day life.
TREATMENT Is at home in uncomplicated hospitalization in the isolation ward of the infectious hospital shown in severe, complicated cases or under epidokruzhenii (accommodation in residence and others); mode: bed acute period diet: by age, mechanical gentle, with a limit of meat products enriched with vitamins care: special attention is paid to the cleanliness of bed and underwear. To accelerate drying bubbles is recommended to grease their 2 -5 % solution of potassium permanganate, or 1 % alcohol solution brilliant green
SYMPTOMATIC THERAPY antipyretics (aspirin is contraindicated!), the antibiotics in the development of purulent complications and other medications, depending on features of disease.
PREVENTION isolation of the patient to 5 -th day since the last eruption separation of children under 7 years are not bolevshim chickenpox from 9 th to 21 days after contact with sick daily medical observation of contact of children with temperature measurement, examination of skin and mucous; sufficient ventilation of the premises and wet cleaning; specific active immunization abroad use live attenuated stays zoster vaccine (or “Arawaks”);
passive prevention of specific immunoglobulin stays zoster shows the contact to children from “risk group” with blood diseases, immunodeficiency States and pregnant women who have not suffered from chickenpox (shingles).


