cututtuka na baki (necrotic stomatitis, herpes, herpesvirosis).

Alamun: wahalar numfashi, ƙin cin abinci, rashin jin daɗi, ɓangarorin rawaya a baki Tuddai: sau da yawa ƙananan ƙasa Jiyya: a likitan dabbobi, an warke sosai. MASU CUTAR da wasu kunkuru, ba masu cutar da mutane ba! Jinkirin magani yana haifar da saurin mutuwar kunkuru.

Necrotic stomatitis

Dalilai: Wannan cuta a cikin kunkuru ba na kowa ba ne, kuma musamman rare - a matsayin cuta mai zaman kanta. A cikin akwati na ƙarshe, dalilin shine kusan ko da yaushe malocclusion hade da na kullum hypovitaminosis A da osteomalacia. Duk da haka, saboda ƙayyadaddun tsari na rami na baka na kunkuru, kamuwa da cuta yana da tushe sosai a can. Tare da malocclusion, epithelium a cikin rami na baka zai iya bushewa kuma ya zama necrotic, wanda aka sauƙaƙe ta hanyar kasancewar ragowar abinci a cikin yankin da harshe ko ƙananan muƙamuƙi na kunkuru ba zai iya kaiwa ba. Duk da haka, kunkuru mai cin abinci mai kyau wanda aka ajiye a yanayin zafi na 28-30 ° C kusan ba ya tasowa stomatitis, koda kuwa yana da malocclusion. Sau da yawa ana lura da stomatitis a cikin kunkuru tare da gajiya da ajiyewa na tsawon makonni 2 zuwa 4 a yanayin zafi kadan (hunturu, sufuri, wuce gona da iri), irin su kunkuru da aka saya a watan Agusta-Satumba.

Kwayar cututtuka: Yawan salivation, karamin adadin gamsai mai haske a cikin rami na baka, mucous membrane na baki tare da jajaye, ko kodadde tare da edema cyanotic (fim mai datti-fari ko rawaya yana yiwuwa), tasoshin dillalai suna bayyane a fili, kunkuru yana jin wari daga bakin. A farkon matakan cutar, ana samun foci na zubar jini ko kuma hyperemia mai laushi na gabaɗaya akan ƙwayoyin mucous na bakin baki. A cikin rami na baka - ƙananan ƙwayar ƙwayar cuta mai haske wanda ke dauke da ƙananan ƙwayoyin epithelial. A nan gaba, kumburin diphtheria yana tasowa, musamman na epithelium na harshe da gingival surface na ciki, wanda zai iya haifar da osteomyelitis, yada cellulitis da sepsis. Akwai flakes na mugunya a cikin baki, wanda ke manne da mucosa na baka, ko kuma idan an cire su, sai a bude ido na yazara. Haka kuma cutar na iya samun herpesvirus, mycoplasmal da mycobacterial etiology.

hankali: Tsarin magani a kan shafin na iya zama Tsoho! Kunkuru na iya samun cututtuka da yawa a lokaci guda, kuma cututtuka da yawa suna da wahalar ganowa ba tare da gwaje-gwajen gwaje-gwaje da likitan dabbobi ba, don haka kafin fara jinya, tuntuɓi asibitin dabbobi tare da amintaccen likitan dabbobi na herpetologist, ko mai ba da shawara kan likitan dabbobi a dandalin.

Jiyya: A cikin nau'i mai laushi kuma a farkon matakin cutar, tsananin keɓancewa na dabbobi marasa lafiya da haɓaka yanayin zafin rana zuwa 32 ° C da yanayin dare zuwa 26-28 ° C ya zama dole. Wajibi ne a tuntuɓi likitan dabbobi don daidaitaccen ganewar asali, rubuta maganin rigakafi da cire kayan purulent daga kogon baka da sarrafa shi.

Herpesvirus necrotizing stomatitis (herpesvirus ciwon huhu) na kunkuru, herpesvirosis.Herpesvirosis a cikin kunkuru yana haifar da kwayar cutar DNA daga dangin Herpesviridae (herpesviruses). A cikin yanayin al'ada, alamun asibiti suna bayyana a cikin makonni 3-4 bayan sayan kunkuru ko bayan hunturu. Alamar farko ta cutar ita ce salivation, a wannan mataki na cutar, a matsayin mai mulkin, diphtheria overlays da sauran bayyanar cututtuka ba su nan. Cutar ta ci gaba a cikin kwanaki 2-20 kuma ta ƙare tare da mutuwar 60-100% na dabba, dangane da nau'in da shekarun kunkuru.

Abin takaici, ba shi yiwuwa a gano cutar ta herpesvirosis a cikin kunkuru kafin wani mataki na asibiti a Rasha. A cikin dakunan gwaje-gwaje na Turai da Arewacin Amurka, likitocin likitancin dabbobi suna amfani da hanyoyin bincike na serological (maganin rashin daidaituwa, ELISA) da PCR don waɗannan dalilai.

Cutar tana da saurin yaduwa. Keɓewa da ake bukata. A farkon matakai, yana da wahala a iya ware herpes a gani, amma yana da kyau a dasa dabbobin da mucosa na baki ya kasance kodadde ko rawaya.

Jiyya: Ana ba da shawarar magani daga likitan dabbobi. Da wuya a yi magani. Da farko kana buƙatar tabbatar da cewa ganewar asali daidai ne. Idan kunkuru yana zaune tare da ku na dogon lokaci kuma babu sabon kunkuru ya bayyana a gida, to tabbas yana da ciwon huhu na yau da kullun.

Tushen maganin kunkuru tare da herpesvirosis shine maganin antiviral acyclovir 80 mg / kg, wanda ake allura a cikin ciki ta bututu sau ɗaya a rana don kwanaki 1-10, kuma an wajabta acyclovir cream don aikace-aikacen mucous membranes na kogon baka. A tsari, likitocin dabbobi suna ba da magungunan antimicrobial don magance kamuwa da cuta na biyu - baytril 14%, ceftazidime, amikacin, da dai sauransu. Maganin maganin antiseptik - 2,5% chlorhexidine, dioxidine, da dai sauransu.

Babban mahimmanci a cikin jiyya na herpesvirosis shine tallafi na tallafi, gami da gabatarwar mafita na polyionic tare da glucose a cikin jini ko kuma ta hanyar subcutaneously, shirye-shiryen bitamin (catosal, beplex, eleovit) da gaurayawan abinci tare da bincike a cikin kunkuru. Wasu likitocin dabbobi suna ba da shawarar maganin esophagostomy (halittar fistula na waje na wucin gadi) don ciyar da karfi.

1. Antibiotic Baytril 2,5% 0,4 ml / kg, kowace rana, hanya sau 7-10, intramuscularly a cikin kafada. Ko Amikacin 10 mg/kg, kowace rana, sau 5 gaba daya, IM a hannu na sama ko Ceftazidime.
2. Maganin Ringer-Locke 15 ml / kg, yana ƙara 1 ml / kg na 5% ascorbic acid zuwa gare shi. Hanya na allura 6 kowace rana, ƙarƙashin fatar cinya.
3. Yanke ƙarshen allurar ma'auni na 14-18G. Kurkure hanci ta hanyar wannan allura sau 2 a rana tare da ruwan ido na Oftan-Idu / Anandin / Tsiprolet / Tsiprovet, zana su cikin sirinji. Bayan haka, buɗe bakin kunkuru kuma a hankali tsaftace duk abin da ke rufewa daga tushen harshe.
4. Da safe, murkushe da zuba a kan harshen 1/10 na kwamfutar hannu na Septefril (wanda aka sayar a Ukraine) ko Decamethoxin ko Lyzobact.
5. Da yamma, shafa dan kadan Zovirax cream (Acyclovir) akan harshe. Ana ci gaba da wanke hancin hanci da kuma kula da mucosa na tsawon makonni 2.
6. Murkushe 100 MG tableted acyclovir ( kwamfutar hannu na yau da kullun = 200 MG, watau ɗaukar 1/2 kwamfutar hannu), sannan a tafasa maganin sitaci ( ɗauki 12 tsp sitaci da gilashi a cikin gilashin ruwan sanyi, motsawa, sannu a hankali kawo zuwa tafasa da sanyi) , auna 2 ml na wannan jelly tare da sirinji, zuba cikin vial. Sa'an nan kuma zuba da kuma Mix da dakakken kwamfutar hannu da kyau. Zurfafa zurfafa cikin esophagus wannan cakuda ta hanyar catheter, 0,2 ml / 100 g kowace rana, tsawon kwanaki 5. Sannan yi sabon batch, da sauransu. Tsarin gabaɗaya shine kwanaki 10-14.
7. Catosal ko ko kowane B-complex 1 ml/kg sau ɗaya kowane kwana 1 IM a cikin cinya.
8. A wanke kunkuru kullum (kafin allura), a cikin ruwa mai dumi (digiri 32), tsawon mintuna 30-40. Baya ga kurkure hanci, a tsaftace bakin kunkuru lokacin da karancin numfashi ke faruwa.

Don magani kuna buƙatar siyan:

1. Maganin Ringer-Locke | 1 kwandon | kantin magani na dabbobi ko maganin Ringer ko Hartmann | 1 kwandon | kantin magani na mutum + maganin glucose | fakitin 1| kantin magani na mutum 2. Ascorbic acid | 1 fakitin ampoules | kantin magani na mutum 3. Fortum ko analogues | 1 kwandon | kantin magani na mutum 4. Baytril 2,5% | 1 kwandon | kantin dabbobi ko amikacin | 0.5g | kantin magani na mutum + ruwa don allura | 1 fakiti | kantin magani na mutum 5. Oftan-Idu ko Tsiprolet ko 0,05% Chlorhexidine, Dioxidine | 1 kwandon | kantin magani na mutum ko Tsiprovet, Anandin | kantin magani na dabbobi 6. Septefril (Ukraine) ko wasu allunan bisa Decamethoxine | 1 fakitin allunan | kantin magani na mutum (Decasan, Oftadec, Aurisan, Decamethoxin, Conjunctin, Septefril) ko Lyzobact 7. Zovirax ko Acyclovir | 1 fakitin kirim | kantin magani na mutum 8. Aciclovir | 1 fakitin allunan | kantin magani na mutum 9. Catosal ko duk wani hadadden B | 1 kwandon | kantin magani na dabbobi 10. Starch | kantin kayan miya 11. Syringes 1 ml, 2 ml, 10 ml | kantin magani na mutum

Kunkuru waɗanda ba su da lafiya na iya kasancewa masu ɗauke da ƙwayoyin cuta a ɓoye a duk rayuwarsu. A lokacin tashin hankali aukuwa (wintering, danniya, sufuri, concomitant cututtuka, da dai sauransu), da cutar za a iya kunna da kuma haifar da sake dawowa da cutar, wanda da wuya a mayar da martani ga etiotropic far tare da acyclovir.