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"lead": "Штамм вирус не идентифицирован или не соответствуют текущей эпидемиологической ситуации ",
"description": "Грипп — это острая вирусная инфекция, легко распространяемая от человека человеку",
"etiology": "",
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"treatment": "<p>С помощью противовирусных препаратов от гриппа, доступных в некоторых странах, можно эффективно предотвращать и лечить болезнь. Их необходимо принимать, по возможности, на ранних стадиях болезни (в течение 48 часов после наступления симптомов). Существует два класса таких препаратов:</p>\r\n<ul class=\"decimal\">\r\n<li>адамантаны (амантадин и ремантадин)1; и</li>\r\n<li>ингибиторы нейраминидазы гриппа (осельтамивир и занамивир, а также перамивир и ланинамивир, лицензированные в некоторых странах).</li>\r\n</ul>\r\n<p>У некоторых вирусов гриппа развивается устойчивость к противовирусным препаратам, ограничивающая эффективность лечения. ВОЗ ведет мониторинг чувствительности циркулирующих вирусов гриппа к противовирусным препаратам в целях своевременного предоставления руководства в отношении использования противовирусных препаратов при клиническом ведении пациентов и для потенциальной химиопрофилактики.</p>",
"prevention": "<p>Самым эффективным путем профилактики болезни или ее тяжелых последствий является вакцинация. Вот уже более 60 лет имеются и используются безопасные и эффективные вакцины. У здоровых людей противогриппозная вакцина может обеспечить умеренную защиту. Однако среди пожилых людей противогриппозная вакцина может быть менее эффективной в предотвращении заболевания, но может ослабить тяжесть болезни и уменьшить число случаев развития осложнений и смерти.</p>\r\n<full></full>\r\n<p>Вакцинация особенно важна для людей из групп повышенного риска развития серьезных осложнений гриппа, а также для людей, живущих вместе с людьми из групп высокого риска или осуществляющих уход за ними.</p>\r\n<p>ВОЗ рекомендует ежегодную вакцинацию для следующих групп населения:</p>\r\n<ul class=\"disc\">\r\n<li>беременные жещины на любой стадии беременности;</li>\r\n<li>дети от 6 месяцев до 5 лет;</li>\r\n<li>пожилые люди 65 лет и старше;</li>\r\n<li>люди с хроническими болезнями;</li>\r\n<li>работники здравоохранения.</li>\r\n</ul>\r\n<p>Вакцинация гриппа наиболее эффективна в тех случаях, когда циркулирующие вирусы в значительной мере соответствуют вирусам вакцины. Вирусы гриппа постоянно меняются, и Глобальная сеть ВОЗ по эпиднадзору за гриппом (GISN), партнерство Национальных центров по гриппу во всем мире, проводит мониторинг вирусов гриппа, циркулирующих среди людей.</p>\r\n<p>На протяжении многих лет ВОЗ дважды в год обновляет свои рекомендации в отношении состава вакцины, нацеленной на 3 (трехвалентная) самых характерных из циркулирующих типов вируса (два подтипа А и один подтип В вирусов гриппа). Начиная с сезона гриппа 2013-2014 годов в северном полушарии рекомендуется состав четырехвалентной вакцины, в которую добавлен второй вирус гриппа В в дополнение к вирусам, входящим в состав обычных трехвалентных вакцин. Ожидается, что четырехвалентные вакцины против гриппа обеспечат более широкую защиту от инфекций, вызываемых вирусами гриппа подтипа В.</p>",
"clinical_picture": "<p>Для сезонного гриппа характерны внезапное появление высокой температуры, (обычно сухой), \"></a>, \">мышечная боль</a> и , сильное (плохое самочувствие), и \"></a>. Большинство людей выздоравливает в течение недели без какой-либо медицинской помощи. Но грипп может приводить к развитию тяжелой болезни или смерти у людей из групп повышенного риска (см. ниже). Период между инфицированием и заболеванием, известный как инкубационный период, длится около двух дней.</p>",
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"pathogenesis": "<p>Частые острые воспалительные процессы в носоглотке, наследственная предрасположенность, аномалии строения, застойные явления (при болезнях сердца, печени, почек), наличие очагов инфекции (кариозных зубов, воспаления неба и миндалин); профессиональные вредности (пыль, газ), вредные привычки (курение, употребление алкоголя), частые переохлаждения.</p>",
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"etiology": "<p>Возникает при повторяющихся острых ларингитах, длительных и чрезмерных напряжениях <a href=\"/symptom/sluhovye_gallyucinacii/\" title=\"Перейти на страницу симптома Слуховые галлюцинации\">голоса</a>, злоупотреблении спиртными напитками и курением, вдыханием пыли и некоторых других профессиональных вредностей, оказывающих неблагоприятное влияние на слизистую оболочку гортани и ее нервно-мышечный аппарат. В ответ на это немедленно возникает защитная реакция в виде сужения голосовой щели, кашля, повышения секреции желез и отека гортани. Страдает голосообразовательная функция гортани. Предрасполагающими факторами являются воспалительные процессы дыхательных путей, заболевания сердца и легких, которые приводят к застою в верхних дыхательных путях.</p>",
"pathogenesis": "",
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"treatment": "<p>Используются средства местного и общего действия. Необходимо прекратить курение, не употреблять алкоголь, не перенапрягать голос, не есть очень горячую или холодную пищу, проводить лечение заболеваний носа и носоглотки, поскольку дыхание через рот вредно отражается на состоянии гортани. Используются ингаляционные процедуры типа щелочно-соляных и масляных ингаляций, инстилляций противовоспалительных средств (10 %-ный раствор иманина, химотрипсин, разведенный на изотоническом растворе хлорида натрия, гидрокортизон, сок каланхоэ), вяжущих средств (3 %-ный раствор колларгола, водно-глицериновый раствор танина). При атрофическом ларингите хроническом назначают йодоглицериновые или сероводородные ингаляции, сочетая с ними щелочные и масляные ингаляции. При выраженной сухости рекомендуются полоскания настойкой ромашки или липового цвета.</p>",
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"clinical_picture": "<p> При ларингите хроническом изменения происходят главным образом в области голосовых складок и межчерпаловидной области. Клинические проявления ларингита хронического выражаются в появлении хрипоты различной степени выраженности, ощущения упорного першения и неловкости в горле, кашля, стенозирования. Различают три основные формы ларингита хронического: катаральную, гипертрофическую и атрофическую.</p>",
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