gerpetik stomatit

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powerpoint presentation urgenchskiy filial tashkentskoy meditsinskoy akademii tema: og'iz bo'shlig'i shilliq qavatining yuqumli kasalliklari. bolalarda o'tkir gerpetik stomatit. 1 gerpeticheskie infektsii sopr gerpevirusi delyatsya na 3 podsemeystva 1. alfagerpevirus vklyuchaet: -virusi prostogo gerpesa 1 i 2 antigennix tipov -opoyasivayushiy lishay (gerpes zoster) 2. betagerpevirus (zab-ya glaz,koji) 3. gammagerpesvirus – o.gerpeticheskiy stomatit, xras,retsidiviruyushiy gerpes gub 2 ostriy gerpeticheskiy stomatit (osg) vstrechaetsya u detey v 80% sluchaev vsex stomatitov naibolee rasprostranen v vozraste 6 mes.-do 3-x let eto svyazano s ischeznoveniem antitel, poluchennix vnutriutrobno ot materi ogs mojet razvivatsya kak v rezultate o. gerpeticheskoy infektsii, tak i vsledstvie reaktivatsii latentnogo virusa. 3 4 ostriy gerpeticheskiy stomatit (ogs) klinika protekaet po tipu infektsionnogo zabolevaniya i imeet 5 periodov:inkubatsionniy, prodromalniy, razgara, ugasaniya, vizdorovleniya inkubatsionniy period:nablyudaetsya pervichnaya virusemiya (vixod virusov v krov). virusi osedayut v pecheni, selezenke, razmnojayutsya, voznikayut porajeniya po tipu nekroza 5 6 ostriy gerpeticheskiy stomatit (ogs) klinika videlyayut legkuyu, srednetyajeluyu i tyajeluyu …

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entov porajeniya pyatno – puzirek s prozrachnim soderjimim – puzirek s mutnim (fibroznim) soderjimim- uchastok nekroza epiteliya po tipu papuli (blyashki)- eroziya – afta – pyatno odnovremenno nablyudaetsya kg, limfadenit podch.sl.jelez razgar bolezni 1-2 dnya, ugasanie – dlitelnee. posle epitelizatsii elementov soxranyaetsya v obl.front.zubov kg izmeneniya v krovi otsutstvuyut 11 12 ostriy gerpeticheskiy stomatit (ogs) klinika srednetyajelaya forma. chetko virajeni simptomi toksikoza i porajeniya slizistoy obolochki polosti rta. temperatura tela do 39°, narushaetsya son, appetit mogut razvitsya simptomi orz podchelyustnie limfouzli uvelicheni, boleznenni v period razgara b-ni na pike pod'ema temperaturi, usilennoy giperemii i otechnosti slizistoy poyavlyayutsya mnojestvennie elementi porajeniya, kotorie imeyut tendentsiyu k retsidivirovaniyu i visipayut daje na gube yarko virajenniy gingivit v krovi soe do 2ml/chas, lekopeniya 13 14 ostriy gerpeticheskiy stomatit (ogs) klinika tyajelaya forma. vstrechaetsya reje. v prodromalniy period vse priznaki ostrogo infektsionnogo zabolevaniya: ochen silnaya golovnaya bol i kojno-mishechnaya giperesteziya. nablyudayutsya simptomi porajeniya sss:bradikardiya ili …

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oevremennogo i pravilnogo lecheniya i nalichiya soputstvuyushix zabolevaniy u kajdogo 7-8 rebenka voznikayut retsidivi s perexodom v xronicheskuyu retsidiviruyushuyu formu deti s etoy patologiey vxodyat v gruppu riska diagnoz ogs stavitsya na osnovanii klinicheskoy kartini laboratornie issledovaniya: virusologicheskie, tsitologicheskie, immunologicheskie. 19 printsipi lecheniya ostrogo gerpeticheskogo stomatita spetsificheskie protivovirusnie sredstva mestnoy terapii: florenalevaya maz 0,5% - effektivna pri vpg (viruse prostogo gerpesa) tebrofenovaya maz 0,5% effektivna pri viruse, a takje vpg (viruse prostogo gerpesa) inteferonovaya maz 50% oksalinovaya maz 0,25% s profilakticheskoy tselyu i v prodromalniy period bonaftonovaya maz 0,05% - prepyatstvuet razmnojeniyu virusa 20 spetsificheskie protivovirusnie sredstva mestnoy terapii: adimalevaya maz 0,5% virusneytralizuyushaya maz ridoksolovaya maz 0,25 i 0,5% aktivna protiv virusa grippa i vpg dezoksiribonukleaza 1% r-r zaderjivaet vnutrikletochnoe razmnojenie dnk-soderjashixvirusov printsipi lecheniya ostrogo gerpeticheskogo stomatita 21 rastitelnie preparati protivovirusnogo deystviya (v osnovnom blokiruyut vpg) alpizarin – 5% maz, tabletki gossipol (iz pigmenta xlopchatnika) 3% liniment v bankax oranjevogo …

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kogo stomatita 24 sredstva keratoplasticheskoy terapii karatolin aevit maslo shipovnika vitamini a i e v maslyanom rastvore aerozoli: gipozol,olazol,inozol printsipi lecheniya ostrogo gerpeticheskogo stomatita 25 sredstva protivovirusnoy terapii obshego deystviya bonafton – po 1 t. 3 raza v den (nerazjevivaniya).kurs lecheniya –10 dney dnkaza –v/m po 500 mg na fizr-re 1 r. v sutki. kurs lecheniya 10 dney alpizarin vnutr po 1 tabl.(0,1 g) 3 raza vden. kurs lecheniya 1-15 dney lizotsim v/m po 100 mg 2 raza v den. kurs lecheniya- 20 in'ektsiy printsipi lecheniya ostrogo gerpeticheskogo stomatita 26 sredstva protivovirusnoy terapii obshego deystviya interferon (iz donorskoy krovi).v/m po 500 mg (1ml ) 1 raz v 3-4 dnya. kurs lecheniya 4-5 in'ektsiy kombinirovanie interferona vmeste s induktorami interferonogenov (prodigiozan, gammaglobulin, levamizol) -prodigiozan (polisaxarid) v kachestve protivoretsidivnoy terapii. v/m, nachinaya s dozi 0,3 ml 1 raz v 5 dney, uvelichivaya do 1 ml. vsego 7 in'ektsiy. printsipi lecheniya ostrogo gerpeticheskogo …

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powerpoint presentation urgenchskiy filial tashkentskoy meditsinskoy akademii tema: og'iz bo'shlig'i shilliq qavatining yuqumli kasalliklari. bolalarda o'tkir gerpetik stomatit. 1 gerpeticheskie infektsii sopr gerpevirusi delyatsya na 3 podsemeystva 1. alfagerpevirus vklyuchaet: -virusi prostogo gerpesa 1 i 2 antigennix tipov -opoyasivayushiy lishay (gerpes zoster) 2. betagerpevirus (zab-ya glaz,koji) 3. gammagerpesvirus – o.gerpeticheskiy stomatit, xras,retsidiviruyushiy gerpes gub 2 ostriy gerpeticheskiy stomatit (osg) vstrechaetsya u detey v 80% sluchaev vsex stomatitov naibolee rasprostranen v vozraste 6 mes.-do 3-x let eto svyazano s ischeznoveniem antitel, poluchennix vnutriutrobno ot materi ogs mojet razvivatsya kak v rezultate o. gerpeticheskoy infektsii, tak i vsledstvie reaktivat...

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