RESPIRATORNI SISTEM - RESPIRATORNI SISTEM Acc Infekcije...

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RESPIRATORNI SISTEM Acc. Infekcije respiratornog sistema najčešće su virusne etiologije. Superinfekcije bakterijama dovode do produžavanja i komplikovanja kliničke slike. Nazeb (kiiavica) Acc. Virusna bolest: Rhinovirusi Miksovirusi: RSV, Virus parainfluence I i II Corona virusi Enterovirusi: Coxsackie A21, Echo Uzročnike prenose oboleli, najčešće kijenjem. Stečeni imunitet ne postoji zbog velikog broja tipova virusa. Inkubacija traje 1-5 dana. Bolest počinje osećajem suvoće i zapušenosti nosa otokom sluznice, a ubrzo nastaje kijanje, sekrecija iz nosa (najpre vodena i sluzava, a zatim gnojna). Često postoji suzenje očiju, bol u uhu ili sinusima (zbog zatvaranja Eustahijeve tube (tj. sinusa) edemom sluznice). Opšte stanje je blago poremećeno: glavobolja, malaksalost, neodredeni bolovi u ekstremitetima, T nije povišena. Simptomi traju nekoliko dana, dok sekrecija iz nosa može trajati i 2-3 nedelje. Povećanje temperature uz komplikacije (sinuzitis, otitis, laringitis...) govore u prilog bakterijskoj superinfekciji. Dg .: Klinička slika Dif. dg .: Početak može ličiti na alergijski rinitis ili morbile Th.: Odmaranje, simptomatska terapija (analgetici, antipiretici, kapi za nos), antibiotici kod bakterijskih komplikacija. Farinksni sindrom Et.: Adenovirusi Miksovirusi: influence i parainfluence Enterovirusi EBV (infektivna mononukleoza) P hemolitički streptokok grupe A Inkubacija prosečno traje 5-10 dan. Infekcija nastaje inhalacijom infektivnog aerosola (kijanje, kašljanje). Farinksni sindrom je karakteriše gušoboljom sa otežanim gutanjem.
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Praćen poremećajem opšteg stanja: umerenom febrilnošću. Postoji promuklost, kašalj,
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