Cudurada afka ( stomatitis necrotic, herbes, herpesvirosis)

CalaamadahaNeefsashada oo ku adkaata, diidmada quudinta, caajisnimo, jajabyo huruud ah oo afka ah qoolley: inta badan dhul yar Daaweynta: dhakhtarka xoolaha, si xun u daaweeyay. INAY KU FAARAN TAHAY qoolleyda kale, oo aan aadamiga qaadsiin! Dib u dhigista daawaynta waxay keentaa dhimashada degdega ah ee qoolleyda.

Necrotic stomatitis

Sababaha: Cudurkan ku dhaca qoolleyda ma aha mid aad u badan, aadna dhif u ah – sida cudur madax-bannaan. Xaaladda dambe, sababta ayaa had iyo jeer ah cillad-xumo la xiriirta hypovitaminosis dabadheeraad ah iyo osteomalacia. Si kastaba ha ahaatee, iyadoo ay ugu wacan tahay qaab-dhismeedka gaarka ah ee daloolka afka ee qoolleyda, infekshanku si liidata ayuu halkaas xidid ugu qaataa. Iyada oo cilladaysan, epithelium ee daloolka afka ayaa qallajin kara oo noqon kara necrotic, taas oo ay fududeyneyso joogitaanka joogtada ah ee hadhaaga cuntada ee aagga uusan carrabka ama daanka hoose ee qoolku gaari karin. Si kastaba ha ahaatee, qoolleyda si fiican loo quudiyo oo lagu hayo heerkul ah 28-30 ° C ku dhawaad ​​waligiis ma yeesho stomatitis, xitaa haddii ay leedahay cillad. Badanaa stomatitis waxaa lagu arkaa tortoises iyadoo daalan oo lagu hayo 2 ilaa 4 toddobaad heerkul hooseeya (jiilaalka, gaadiidka, soo-baxa xad-dhaafka ah), sida qoolleyda la soo iibsaday Agoosto-Sebtembar.

Astaamaha: Candhuuf badan, xaddi yar oo xab ah oo hufan oo ku jira daloolka afka, xuubka xuubka afka oo casaan leh, ama cirro leh bararka cyanotic (filim wasakh-cad ama jaale ah ayaa suurtagal ah), weelasha fidsan ayaa si cad u muuqda, qoolleyda ayaa ur xun ka soo baxa afka. Marxaladaha hore ee cudurka, foci of hemorrhage or general hyperemia khafiif ah ayaa laga helaa xuubka xabka ee daloolka afka. Gudaha daloolka afka - xaddi yar oo xab ah oo hufan oo ay ku jiraan unugyo epithelial-ka-baxsan. Mustaqbalka, caabuqa gawracatada ayaa ka soo baxa, gaar ahaan epithelium ee carrabka iyo cirridka gudaha, taas oo keeni karta lafo-beelka, faafinta cellulitis iyo sepsis. Waxaa jira jajabyo malax ah oo afka ah, kuwaas oo si adag ugu dheggan xuubka afka, ama marka la saaro, xudunta nabaad guurka ayaa furan. Cudurku wuxuu kaloo yeelan karaa fayraska herpes, mycoplasmal iyo mycobacterial etiology.

OGOW: Nidaamyada daawaynta ee goobta ayaa noqon kara waagii hore! Qulqulku waxa uu hal mar wada yeelan karaa cudurro kala duwan, cudurro badanina way adagtahay in la ogaado haddii aan la baadhin oo aan dhakhtar xoolaad baadhin, sidaa awgeed, ka hor inta aanad bilaabin is-daawaynta, la xidhiidh rugta caafimaadka xoolaha oo aad la hadasho dhakhtarka xoolaha ee lagu kalsoon yahay, ama la taliyahayaga caafimaadka xoolaha ee madasha.

Daaweynta: Noocyada khafiifka ah iyo marxaladda bilowga ah ee cudurka, go'doomin adag ee xayawaanka buka iyo korodhka heerkulka maalintii ilaa 32 ° C iyo heerkulka habeenkii ilaa 26-28 ° C waa lagama maarmaan. Waa lagama maarmaan in lala xiriiro dhakhtarka xoolaha si loo ogaado cudurka saxda ah, u qorida antibiyootiga iyo ka saarida walxaha nadiifka ah ee daloolka afka iyo ka baaraandegidda.

Herpesvirus necrotizing stomatitis (herpesvirus pneumonia) ee tortoises, herpesvirosisHerpesvirosis ee tortoises waxaa sababa fayraska DNA ee qoyska Herpesviridae (herpesviruses). Xaalad caadi ah, calaamadaha caafimaadku waxay soo baxaan 3-4 toddobaad gudahood ka dib marka la helo qoolleyda ama ka dib xilliga qaboobaha. Calaamadaha ugu horreeya ee cudurku waa candhuuf, marxaladdan cudurka, sida caadiga ah, gowracatada dulsaaran iyo calaamado kale ayaa maqan. Cudurku wuxuu ku socdaa 2-20 maalmood gudahood wuxuuna ku dhammaanayaa 60-100% dhimashada xayawaanka, iyadoo ku xiran nooca iyo da'da qoolleyda.

Nasiib darro, waa wax aan suurtagal ahayn in la ogaado herpesvirosis ee tortoises ka hor marxaladda caafimaad ee hore ee Ruushka. Shaybaadhyada Yurub iyo Waqooyiga Ameerika, dhakhaatiirta herpetologists waxay isticmaalaan hababka ogaanshaha serological (falcelinta dhexdhexaadinta, ELISA) iyo PCR diagnostics ujeedooyinkan.

Cudurku aad buu u faafayaa. karantiilka ayaa loo baahan yahay. Marxaladaha hore, way adag tahay in muuqaal ahaan la go'doomiyo herpes, laakiin way fiicantahay in la beddelo xayawaanka kaas oo xuubka afku uu yahay midab ama jaalle ah.

Daaweynta: Daawaynta dhakhtarka xoolaha ayaa lagula talinayaa. Aad u adag in la daweeyo. Marka hore waxaad u baahan tahay inaad hubiso in cilad-sheegashadu sax tahay. Haddii qoolleyda uu kula noolaado muddo dheer oo aysan jirin qoolley cusub oo ka soo muuqday guriga, markaa waxay u badan tahay inay tahay oof-wareen caadi ah.

Saldhigga daawaynta qoorleyda ee leh herpesvirosis waa dawada ka hortagga fayraska acyclovir 80 mg/kg, taas oo caloosha lagu duro tuubo maalintii hal mar muddo 1-10 maalmood ah, iyo kareemka acyclovir ayaa sidoo kale loo qoraa si loo codsado xuubka xuubka godka afka. Si nidaamsan, dhakhaatiirta xooluhu waxay u qoraan dawooyinka lidka ku ah bakteeriyada si loola dagaallamo caabuqa labaad - baytril 14%, ceftazidime, amikacin, iwm. Xalalka antiseptic - 2,5% chlorhexidine, dioxidine, iwm.

Muhiimadda weyn ee daaweynta herpesvirosis waa daaweyn taageero ah, oo ay ku jiraan hordhaca xalal polyionic leh gulukoos xididka ama subcutaneously, diyaarinta fiitamiinada (catosal, beplex, eleovit) iyo nafaqo isku dhafan oo leh baaritaanka caloosha qoolleyda. Dhakhaatiirta xanaanada xoolaha qaarkood waxay ku taliyaan hunguriga (abuuritaanka fistula hunguriga macmalka ah) si xoog loogu quudiyo.

1. Antibiyootikada Baytril 2,5% 0,4 ml / kg, maalin kasta, koorsada 7-10 jeer, gudaha muruqa garabka. Ama Amikacin 10 mg/kg, maalin kasta, 5 jeer wadarta, IM cududda sare ama Ceftazidime.
2. Xalka Ringer-Locke 15 ml / kg, oo lagu daro 1 ml / kg 5% ascorbic acid. Koorsada 6 duritaan maalin kasta, maqaarka bowdada hoostooda.
3. Jar cidhifka cirbadda cabbirka ee 14-18G. Dulalka sanku ku luqluqdo cirbaddan 2 jeer maalintii adigoo isticmaalaya dhibcaha indhaha ee Oftan-Idu / Anandin / Tsiprolet / Tsiprovet, adigoo ku sawiraya siringe. Intaa ka dib, fur afka qoolleyda oo si taxadir leh uga nadiifi dhammaan waxyaalaha xuubka leh ee xididdada carrabka.
4. Subaxdii, burburin oo ku shub carrabka 1/10 ee kiniiniga Septefril (oo lagu iibiyo Ukraine) ama Decamethoxin ama Lyzobact.
5. Fiidkii, mari in yar oo kareem Zovirax ah (Acyclovir) carrabka. Dhaqitaanka sanka iyo daawaynta xuubka xabka ayaa socda ilaa 2 toddobaad.
6. Burji 100 mg acyclovir oo kiniin ah (kiniin joogto ah = 200 mg, ie qaado 1/2 kiniin), ka dibna karkari xalka istaarijka (qaado 12 tsp istaarijka galaas biyo qabow, walaaq, si tartiib ah u karkari oo qabow) ku cabbir 2 ml oo jelly ah silinge, ku shub fijaan. Dabadeed ku shub oo si fiican u qas kiniinka la jajabiyey. Si qoto dheer ugu duri hunguriga isku dhafkan iyada oo loo marayo kateetarka, 0,2 ml / 100 g, maalin kasta, muddo 5 maalmood ah. Ka dibna samee dufcad cusub, iyo wixii la mid ah. Koorsada guud waa 10-14 maalmood.
7. Catosal ama ama wax kasta oo B-complex ah 1 ml/kg hal mar 1 maalmoodba IM bowdada.
8. Ku qub qoolleyda maalin kasta (kahor duritaanka), biyo diiran (32 darajo), 30-40 daqiiqo. Liqitaanka sanka ka sokow, nadiifi afka qoolleyda marka ay neeftu ku yaraato.

Daaweynta waxaad u baahan tahay inaad soo iibsato:

1. Xalka Ringer-Locke | 1 vial | farmashiyaha xoolaha Ama xalinta Ringer's ama Hartmann | 1 vial | farmashiyaha dadka + xal glucose | 1 xirmo| farmashiyaha dadka 2. Ascorbic acid | 1 baakidh oo ampoules ah | farmashiyaha dadka 3. Fortum ama analogues | 1 vial | farmashiyaha aadanaha 4. Baytril 2,5% | 1 vial | farmashiyaha xoolaha ama amikacin | 0.5g | farmashiyaha dadka + biyaha la isku duro | 1 xirmo| farmashiyaha dadka 5. Oftan-Idu ama Tsiprolet ama 0,05% Chlorhexidine, Dioxidine | 1 vial | farmashiyaha aadanaha ama Tsiprovet, Anandin | farmashiyaha xoolaha 6. Septefril (Ukraine) ama kaniiniyada kale ee ku salaysan Decamethoxine | 1 baakidh oo kiniin ah | farmashiyaha dadka (Decasan, Oftadec, Aurisan, Decamethoxin, Conjunctin, Septefril) ama Lyzobact 7. Zovirax ama Acyclovir | 1 baakidh oo kareem ah | farmashiyaha dadka 8. Aciclovir | 1 baakidh oo kiniin ah | farmashiyaha dadka 9. Catosal ama wax kasta oo B-complex ah | 1 vial | farmashiyaha xoolaha 10. Istaarij | dukaanka raashinka 11. Siringes 1 ml, 2 ml, 10 ml | farmashiyaha dadka

Qoolleyda bukooday waxay ahaan karaan sida fayraska qarsoon inta ay nool yihiin oo dhan. Inta lagu jiro marxaladaha kicinta (jiilaalka, walbahaarka, gaadiidka, cudurrada iswada, iwm.), fayrasku wuxuu noqon karaa mid firfircoon oo dib u soo noqnoqda cudurka, kuwaas oo ay adag tahay in laga jawaabo daaweynta etiotropic ee acyclovir.