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"diagnostics": "<p>Диагноз сложно поставить на ранних стадиях инфекции. Необходимо использовать серологические тесты.</p>",
"treatment": "<p>Лечение патогенетическое и симптоматическое. Специфических методов терапии нет. Летальность в зависимости от характера эпидемии колеблется от 1 до 25 %. В целях профилактики заболеваний лиц, выезжающих за рубеж в местности, неблагополучные по желтой лихорадке, вакцинируют. Во время пребывания на такой территории используют средства защиты от комаров – репелленты, защитные сетки.</p>",
"prevention": "<p>Вакцинация — основной способ профилактики желтой лихорадки. В районах с высоким риском заболевания, для которых характерен слабый охват прививками, важнейшим условием предотвращения эпидемий является своевременное выявление и подавление вспышек болезни посредством массовой вакцинации населения. При этом, чтобы не допустить дальнейшего распространения заболевания в регионе, где зафиксирована вспышка, важно обеспечить большой охват иммунизацией подверженного риску населения (не менее 80%).</p>\r\n<full></full>\r\n<p>Для предотвращения вспышек применяется ряд стратегий: плановая иммунизация детей грудного возраста; проведение кампаний по массовой вакцинации для расширения охвата в странах, где существует риск вспышек болезни; вакцинация лиц, совершающих поездки в районы, эндемичные по желтой лихорадке.</p>\r\n<p>Вакцина от желтой лихорадки является безопасной и недорогостоящей. При этом одна доза вакцины достаточна для формирования пожизненного иммунитета без необходимости ревакцинации.</p>\r\n<p>В редких случаях сообщается о серьезных побочных эффектах вакцины против желтой лихорадки. Показатель частоты таких «неблагоприятных проявлений после иммунизации» (НППИ), когда после введения вакцины наблюдаются поражения печени, почек и нервной системы, что делает необходимой госпитализацию, составляет от 0,4 до 0,8 на 100 000 вакцинированных.</p>\r\n<p>Уровень риска выше у лиц старше 60 лет, пациентов с тяжелым иммунодефицитом, связанным с симптоматическим ВИЧ/СПИДом или другими факторами, а также лиц с нарушениями вилочковой железы. Вакцинацию людей старше 60 лет следует проводить после тщательной оценки потенциального риска и пользы иммунизации.</p>\r\n<p>Как правило, к числу лиц, не подлежащих вакцинации, относятся:</p>\r\n<ul class=\"disc\">\r\n<li>дети грудного возраста младше 9 месяцев (кроме случаев эпидемии, когда вакцинации подлежат дети грудного возраста от 6 до 9 месяцев в районах с высоким риском инфекции);</li>\r\n<li>беременные женщины (кроме случаев вспышки желтой лихорадки и высокого риска инфекции);</li>\r\n<li>лица с тяжелыми формами аллергии на яичный белок;</li>\r\n<li>лица с тяжелым иммунодефицитом, связанным с симптоматическим ВИЧ/СПИДом или другими факторами, а также лица с нарушениями вилочковой железы.</li>\r\n</ul>\r\n<p>В соответствии с Международными медико-санитарными правилами (ММСП) страны имеют право требовать от лиц, совершающих поездки, представить свидетельство о вакцинации против желтой лихорадки. При наличии медицинских противопоказаний к вакцинации необходимо предоставить соответствующую справку от компетентных органов. ММСП — это юридически обязательный механизм, предназначенный для предотвращения распространения инфекционных заболеваний и других источников угрозы для здоровья населения. Применение к лицам, совершающим поездки, требования по предоставлению свидетельства о вакцинации оставлено на усмотрение каждому государству-участнику и в настоящее время практикуется не всеми странами.</p>",
"clinical_picture": "<p>Инкубационный период продолжается 3–6 дней. Болезнь начинается внезапно, температура тела поднимается до 39–40°, отмечаются: резкая \"></a>, \"></a>, боли в пояснице и конечностях, с ознобом\">Озноб</a>\"> с ознобом\">озноб</a></a>, \"></a>, иногда \">Рвота</a>\">\">рвота</a></a>, . Лицо, шея, верхняя часть туловища гиперемированы, веки отечны, лицо одутловато. Затем развиваются десен, , отмечается примесь крови в кале. На 4–5-й день болезни наступает ремиссия, длящаяся от нескольких часов до одних суток. В легких случаях за этим наступает выздоровление. Чаще состояние больного вновь резко ухудшается, развиваются: интоксикация, тяжелый геморрагический синдром – кровотечения из носа, желудка, кишечника, матки, появляется геморрагическая .</p>",
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"code": "B30",
"name": "Вирусный конъюнктивит",
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"lead": "Вирусный конъюнктивит – острое воспалительное заболевание слизистой оболочки глаз, вызванное различными вирусными инфекциями. Главными в глазной патологии вирусных конъюнктивитов являются герпесвирусы и аденовирусы.",
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"etiology": "<p>В зависимости от возбудителя конъюнктивит может быть изолированным, то есть когда вызывается энтеровирусом, вирусом Коксаки, аденовирусом, простым герпесом, опоясывающим лишаем или сопутствует системным вирусным инфекциям — краснухе, свинке, кори (см. симптомы кори у взрослых), ветрянке, гриппу. Острая фарингоконъюнктивальная <a href=\"/symptom/vysokaya_temperatura_38-42/\" title=\"Перейти на страницу симптома Высокая температура 38-42° \">лихорадка</a> наблюдается при заражении аденовирусами 7, 4 и 3 типа, а эпидемические кератоконъюнктивиты — при инфицировании аденовирусами 19, 8 типа. При вирусном конъюнктивите, симптомы обычно возникают одновременно с поражением и верхние респираторных путей.Чаще всего вирусный конъюнктивит поражает оба глаза, даже если начало заболевания было сконцентрировано только в одном глазу, очень быстро вирус переходит на другой. Почти 70% причин вирусного конъюнктивита считаются госпитальными инфекциями. Это высоко контагиозное заболевание, передающееся контактным путем, то есть через руки, близкое соприкосновение, воздушно-капельным путем заражение маловероятно, но возможно.<br></p>",
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"diagnostics": "<p>Диагноз вирусный конъюнктивит обычно устанавливается клинически; для проведения посева необходимы специальные тканевые культуры. Вторичная бактериальная инфекция развивается редко. Однако если симптомы соответствуют бактериальному конъюнктивиту (например, имеется гнойное <a href=\"/symptom/vypot/\" title=\"Перейти на страницу симптома Выпот\">отделяемое</a>), то мазки из глаза должны быть исследованы микроскопически и сделаны посевы на бактериальную флору.<br></p>",
"treatment": "<p class=\"rtejustify\" style=\"margin-bottom: 22px; border: 0px; outline: 0px; vertical-align: baseline; background-image: initial; background-attachment: initial; background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;\">Вирусные конъюнктивиты являются высококонтагиозными, поэтому должны быть соблюдены меры предосторожности по предотвращению их передачи (как указано выше). Дети, как правило, должны находиться вне школы до выздоровления.</p><p class=\"rtejustify\" style=\"margin-bottom: 22px; border: 0px; outline: 0px; vertical-align: baseline; background-image: initial; background-attachment: initial; background-size: initial; background-origin: initial; background-clip: initial; background-position: initial; background-repeat: initial;\">Вирусный конъюнктивит может излечиваться самопроизвольно, длится до одной недели в неосложненных случаях и до трех недель - в тяжелых случаях. Они требуют только холодных компрессов для симптоматического облегчения. Однако больным с выраженной светобоязнью или тем, у кого снижено зрение, могут быть полезны глюкокортикоиды. Сначала должен быть исключен кератит, вызываемый вирусом простого герпеса, так как глюкокортикоиды могут провоцировать его обострение.</p>",
"prevention": "<p>Болезнь проще предупредить, чем впоследствии заниматься её лечением. Главное правило при профилактике вирусного конъюнктивита – соблюдение правил личной гигиены:</p><p>- 2 раза в день вымывайте любые частицы, которые попадают вам в глаза в течение дня; </p><p>- никогда не носите контактные линзы других людей; </p><p>- не позволяйте использовать свою косметику другим людям;</p><p> - укрепляйте иммунитет, правильно питаясь и регулярно занимаясь физкультурой; </p><p>- постарайтесь избегать пыльных, грязных помещений;</p><p>- пользуйтесь индивидуальными средствами личной гигиены; </p><p>- не желательно купаться в общественных местах, особенно это касается бассейнов.</p><p>Желательно проводить свой досуг в открытых водоёмах с проточной водой. Либо при плавании в бассейне необходимо надевать специальные очки. Помните, при первых симптомах заболевания необходимо полностью отказаться от контактных линз до полного выздоровления.</p><p>Если всё же заражение произошло, в первые 2 - 3 недели от начала течения заболевания необходимо соблюдать следующие меры, чтобы избежать заражения окружающих: </p><p>- использовать отдельное полотенце, постельные принадлежности. Постельное бельё, полотенце необходимо кипятить 2 раза в неделю;</p><p>- пользоваться отдельной посудой. Посуду больного мыть одноразовой губкой;</p><p>- не трогайте глаза руками, используйте для этих целей одноразовые салфетки, бумажное полотенце;</p><p>- мыть руки перед и после закапывания лекарственных средств;</p><p>- глазные капли должны быть индивидуального пользования;</p><p>- не допускается использование оптических и солнцезащитных очков и других личных вещей больного.<br></p>",
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"name": "Иммунодефициты с преимущественной недостаточностью антител",
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}
]
}
