Izifo zomlomo (i-necrotic stomatitis, i-herpes, i-herpesvirosis)

Izimpawu: ukuphefumula kanzima, ukwenqaba ukudla, ukukhathala, ama-flakes aphuzi emlonyeni Izifudu: ngokuvamile umhlaba omncane Ukwelashwa: kudokotela wezilwane, welaphe kabi. ZITHELELANA nezinye izimfudu, azitheleleki kubantu! Ukubambezeleka kokwelashwa kuholela ekufeni ngokushesha kofudu.

I-Necrotic stomatitis

Izizathu: Lesi sifo kuma-turtles asivamile kakhulu, futhi asivamile kakhulu - njengesifo esizimele. Esimweni sokugcina, imbangela cishe njalo i-malocclusion ehambisana ne-hypovitaminosis A engapheli kanye ne-osteomalacia. Kodwa-ke, ngenxa yesakhiwo esithile somlomo wezimfudu, ukutheleleka kuthatha izimpande kabi lapho. Nge-malocclusion, i-epithelium emgodleni womlomo ingakwazi ukoma futhi ibe yi-necrotic, eyenziwa lula ukuba khona kwezinsalela zokudla endaweni lapho ulimi noma umhlathi ophansi we-turtle awukwazi ukufinyelela khona. Kodwa-ke, ufudu olondlekile olugcinwe emazingeni okushisa angama-28-30 ° C cishe aluze lube ne-stomatitis, ngisho noma lune-malocclusion. Ngokuvamile i-stomatitis ibonakala ezimfuduni ngokukhathala nokugcina amasonto amabili kuya kwangu-2 emazingeni okushisa aphansi (ubusika, ukuthutha, ukuchayeka ngokweqile), njengezimfudu ezithengwe ngo-August-September.

izimpawu: Ukucwiliswa kwamathe ngokweqile, inani elincane lamafinyila asobala emlonyeni womlomo, ulwelwesi lwamafinyila lomlomo olubomvu, noma oluphaphathekile olune-cyanotic edema (amafilimu angcolile amhlophe noma aphuzi angenzeka), imikhumbi enwetshiwe ibonakala ngokucacile, ufudu lunuka kabi umlomo. Ezigabeni zokuqala zesifo, i-foci ye-hemorrhage noma i-hyperemia evamile emnene itholakala kulwelwesi lwamafinyila lomlomo womlomo. Emgodleni womlomo - inani elincane lamafinyila asobala aqukethe amaseli e-epithelial anciphile. Esikhathini esizayo, ukuvuvukala kwe-diphtheria kukhula, ikakhulukazi i-epithelium yolimi kanye nendawo yangaphakathi ye-gingival, okungaholela ku-osteomyelitis, i-diffuse cellulitis ne-sepsis. Kukhona ama-flakes of pus emlonyeni, ahlanganiswe ngokuqinile ku-mucosa yomlomo, noma lapho ekhishwa, i-foci yokuguguleka ivulekile. Lesi sifo singabuye sibe ne-herpesvirus, i-mycoplasmal ne-mycobacterial etiology.

QAPHELA: Imithi yokwelapha esizeni ingaba Engasebenzi! Ufudu lungaba nezifo eziningana ngesikhathi esisodwa, futhi izifo eziningi kunzima ukuzixilonga ngaphandle kokuhlolwa nokuhlolwa ngudokotela wezilwane, ngakho-ke, ngaphambi kokuqala ukuzelapha, thintana nomtholampilo wezilwane nodokotela wezilwane othembekile we-herpetologist, noma umeluleki wethu wezilwane esithangamini.

Ukwelashwa: Emafomu athambile futhi esigabeni sokuqala sesifo, ukuhlukaniswa okuqinile kwezilwane ezigulayo kanye nokwanda kwamazinga okushisa emini ukuya ku-32 ° C kanye nokushisa ebusuku kuya ku-26-28 ° C kuyadingeka. Kudingekile ukuthintana nodokotela wezilwane ukuze axilonge kahle, anikeze ama-antibiotics futhi akhiphe izinto ezi-purulent emlonyeni womlomo futhi azicubungule.

I-Herpesvirus necrotizing stomatitis (i-herpesvirus pneumonia) yezimfudu, i-herpesvirosisI-Herpesviridae (i-herpesvirus) ibangelwa igciwane le-DNA elivela emndenini we-Herpesviridae. Esimweni esivamile, izimpawu zomtholampilo zivela phakathi kwamasonto angu-3-4 ngemva kokutholwa kofudu noma ngemva kobusika. Isibonakaliso sokuqala salesi sifo ukuthungatha amathe, kulesi sigaba sesifo, njengomthetho, ukumbondela kwe-diphtheria nezinye izimpawu azikho. Lesi sifo siqhubeka phakathi kwezinsuku ezingu-2-20 futhi siphetha ngokufa kwesilwane esingu-60-100%, kuye ngohlobo neminyaka yofudu.

Ngeshwa, akunakwenzeka ukuxilonga i-herpesvirosis ezimfuduni ngaphambi kwesiteji esithuthukile emtholampilo eRussia. Kulabhorethri yaseYurophu naseNyakatho Melika, izazi zezilwane zezilwane zisebenzisa izindlela zokuxilonga ze-serological (i-neutralization reaction, ELISA) kanye nokuxilongwa kwe-PCR ngalezi zinhloso.

Lesi sifo siyathelelana kakhulu. Kudingeka ukuvalelwa. Ezigabeni zokuqala, kunzima ukuhlukanisa i-herpes ngokubukeka, kodwa kungcono ukufakelwa izilwane lapho i-mucosa yomlomo iphaphathekile noma iphuzi.

Ukwelashwa: Kunconywa ukwelashwa ngudokotela wezilwane. Kunzima kakhulu ukwelapha. Okokuqala udinga ukuqinisekisa ukuthi ukuxilongwa kulungile. Uma ufudu luhlala nawe isikhathi eside futhi azikho izimfudu ezintsha ezivele ekhaya, khona-ke kungenzeka ukuthi i-pneumonia evamile.

Isisekelo sokwelashwa kwama-turtles nge-herpesvirosis yisidakamizwa se-antiviral i-acyclovir 80 mg / kg, ejojowe esiswini nge-tube kanye ngosuku izinsuku ezingu-1-10, futhi ukhilimu we-acyclovir nawo unqunyelwe ukusetshenziswa kulwelwesi lwamafinyila. umgodi womlomo. Ngokwesistimu, odokotela bezilwane banikeza izidakamizwa ezilwa namagciwane ukulwa nokutheleleka kwesibili - i-baytril 14%, i-ceftazidime, i-amikacin, njll. Izixazululo ze-Antiseptic - 2,5% chlorhexidine, dioxidine, njll.

Okubaluleke kakhulu ekwelapheni i-herpesvirosis ukwelapha okusekelayo, okuhlanganisa ukwethulwa kwezixazululo ze-polyionic nge-glucose nge-intravenously noma ngaphansi kwe-subcutaneous, amalungiselelo amavithamini (catosal, beplex, eleovit) kanye nezingxube zezakhi ezinophenyi esiswini sikafudu. Abanye odokotela bezilwane batusa i-esophagostomy (ukwakhiwa kwe-fistula yokwenziwa yangaphandle ye-esophageal) ukuze kudliwe ngamandla.

1. I-Antibiotic Baytril 2,5% 0,4 ml / kg, zonke ezinye izinsuku, inkambo izikhathi ezingama-7-10, nge-intramuscularly ehlombe. Noma i-Amikacin 10 mg/kg, zonke izinsuku, izikhathi ezi-5 sezizonke, IM engalweni engaphezulu noma i-Ceftazidime.
2. Isixazululo se-Ringer-Locke 15 ml / kg, sinezela i-1 ml / kg ye-5% ascorbic acid kuso. Isifundo semijovo eyisi-6 njalo ngolunye usuku, ngaphansi kwesikhumba sethanga.
3. Sika ichopho lenaliti yomjovo wegeji engu-14-18G. Geza amakhala ngale inaliti izikhathi ezi-2 ngosuku nge-Oftan-Idu / Anandin / Tsiprolet / Tsiprovet iso drops, uwadonsele kusinja. Ngemuva kwalokho, vula umlomo we-turtle bese uhlanza ngokucophelela zonke izimbobo ze-purulent kusuka kumsuka wolimi.
4. Ekuseni, uchoboze futhi uthele ngolimi i-1/10 yethebhulethi ye-Septefril (ethengiswa e-Ukraine) noma i-Decamethoxin noma i-Lyzobact.
5. Kusihlwa, gcoba ukhilimu omncane we-Zovirax (Acyclovir) olimini. Ukugeza amakhala kanye nokwelapha ulwelwesi lwamafinyila kuqhubeka amasonto amabili.
6. Gcoba i-acyclovir enethebhulethi engu-100 mg (ithebhulethi evamile = 200 mg, okungukuthi thatha ithebhulethi engu-1/2), bese ubilisa isisombululo sesitashi (thatha 12 tsp isitashi engilazini yamanzi abandayo, ugovuze, ulethe kancane ngamathumba futhi upholile) , linganisa u-2 ml wale jeli ngesirinji, uthele ku-vial. Bese uthele futhi uhlanganise kahle ithebhulethi echotshoziwe. Jova ujule emphinjeni le ngxube nge-catheter, 0,2 ml / 100 g, nsuku zonke, izinsuku ezinhlanu. Bese wenza iqoqo elisha, njalonjalo. Inkambo evamile yizinsuku ezingu-5-10.
7. I-Catosal noma noma iyiphi i-B-complex 1 ml/kg kanye njalo ezinsukwini ezi-1 IM ethangeni.
8. Geza ufudu nsuku zonke (ngaphambi kokujova), emanzini afudumele (ama-32 degrees), imizuzu engama-30-40. Ngaphezu kokugeza amakhala, hlanza umlomo wofudu lapho ukuphefumula kanzima.

Ukuze uthole ukwelashwa udinga ukuthenga:

1. Isixazululo se-Ringer-Locke | 1 ibhodlela | ikhemisi lezilwane Noma isixazululo sikaRinger noma sikaHartmann | 1 ibhodlela | ikhemisi labantu + isixazululo seglucose |Iphakethe elingu-1| ikhemisi lomuntu 2. Ascorbic acid | 1 iphakethe lama-ampoules | ikhemisi labantu 3. Fortum noma ama-analogues ayo | 1 ibhodlela | ikhemisi yabantu 4. Baytril 2,5% | 1 ibhodlela | ikhemisi lezilwane noma i-amikacin | 0.5g | ikhemisi labantu + amanzi okujova | 1 iphakethe| ikhemisi yabantu 5. Oftan-Idu noma Tsiprolet noma 0,05% Chlorhexidine, Dioxidine | 1 ibhodlela | ikhemisi labantu noma Tsiprovet, Anandin | ikhemisi yezilwane 6. I-Septefril (Ukraine) noma amanye amaphilisi asekelwe ku-Decamethoxine | 1 iphakethe lamaphilisi | ikhemisi labantu (i-Decasan, i-Oftadec, i-Aurisan, i-Decamethoxin, i-Conjunctin, i-Septefril) noma i-Lyzobact 7. Zovirax noma i-Acyclovir | 1 iphakethe likakhilimu | ikhemisi labantu 8. Aiclovir | 1 iphakethe lamaphilisi | ikhemisi labantu 9. I-Catosal noma iyiphi i-B-complex | 1 ibhodlela | ikhemisi yezilwane 10. Isitashi | isitolo segrosa 11. Amasirinji 1 ml, 2 ml, 10 ml | ikhemisi labantu

Izimfudu ebezigula zingahlala zingabathwali begciwane abacashile empilweni yabo yonke. Phakathi neziqephu ezivusa inkanuko (ubusika, ukucindezeleka, ezokuthutha, izifo ezihambisanayo, njll.), leli gciwane lingase lisebenze futhi libangele ukubuya kwesifo, okunzima ukuphendula ekwelapheni kwe-etiotropic nge-acyclovir.