Child upkeep. Measles in infants


Measles - a highly contagious acute viral infectious disease, occurring with fever, generalized lesion of mucous membranes of a respiratory tract, mouth, oropharynx, skin eyes, a child of rash and frequent complications mainly by a respiratory system.

Measles is transmitted by airborne droplets through a upper respiratory tract and conjunctiva of the eye, into the blood, causing a general intoxication and failure of different organs, a central nervous system, respiratory and digestive tract.

A source of infection is a person with typical and atypical measles. Maximum abjection occurs in a prodromal phase of the disease. The sick man is dangerous from 9-10 times after exposure. On the 5th time later rash onset patient is not infectious.

Measles susceptibility in vivo universal. In babies, a 1st three months of your, the absolute immunity by producing maternal antibodies in kids 3-6 weeks - relative immunity, however a level of maternal antibodies decreases following 6 weeks of the susceptibility increases sharply due to interruption of maternal antibodies.

Immunity after the disease stable, lifelong.

Presently, the incidence of measles decreased sufficiently, due in timely immunization.

Incubation period of 7 to 17 times, with intravenous immunoglobulin may be increased to 21 hours.

There are 3 periods of a disease: catarrhal, during the time of convalescence, and rash.

Catarrhal time lasts 3-5 times and is accompanied by a rise in aging body temperature to 38-39 ° C, very dry, barking cough, coryza, conjunctivitis, lacrimation and photophobia. The general condition of the baby is suffering, he becomes irritable, tearful, anxious, disturbed sleep and appetite. A any hours before the skin rash on the mucous membrane of the cheeks in front of little molars appear small white spots the size of a grain of sand, surrounded by a reddish rim (spot Bielski-Filatov-Koplik), which are a characteristic symptom of measles.

Period rash accompanied by a new rise in aging body temperature and a externality of the rash. Rash early in a disease appears in the configuration of pale spots on verhnebokovyh areas neck skin, behind the ears, on the cheeks close to the eye, which within days spread all complete a facial skin, neck, arms, and upper chest. The elements of the rash become maculopapular nature (see morphological items rash). Upon a following days a rash spreads over the entire surface of a aging body, and on the third time there on the feet and at the like time begins to fade in a face. Free from face rashes enjoy a ordinary color. Rash within 3 days covered from top to bottom. With an increase in lesions and papules spots ofttimes merge together.

This period is characterized by an increase of the disease symptoms of intoxication and catarrhal symptoms. Marked conjunctival redness eyes, profuse nasal discharge. Newborn face has puffy exterior, marked vascular injection of a sclera, conjunctiva of the eye redness. Lymph nodes in the angle of the lower jaw and the back of a neck skin space can be increased.

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