MENINGOKOKKEMIYA

MENINGOKOKKEMIYA (Meningococcaemia), yak nav bemorii siroyatii khele vaznin; ba tavri shadid ogoz meyobad. Harorat ba 39 – 41°S rasida, mariz tablarza mekunad. Paydoishi tabu tasf ba darajai vazninii bemori muvofiq nameoyad. Dar mavridi inkishofi sadamai siroyati-zahri harorat, odatan, past mefaroyad yo mutadil ast. Dar barobari afzudani harorat, alomathoi digari zahroludi (sardard, kamishtihoi yo beishtihoi, sustivu beholi, dard kardani mushakhoi takhtapusht va dastu po, tashnagi, khushkidani dahon, kabudcha shudani pust) niz ba nazar merasand.
Takhikardiya, past shudani fishori sharayon, damkutohi niz rukh menamoyand. Ikhroji peshob kam khohad shud. SHikami baze marizon qabziyat paydo karda, marizoni digar (kudakoni khurdsol), baraks, darunrav meshavand.
YAke az alomathoi asosi va doimii M. busurot (ekzantema) ast. Busurot (donachaho) badi 5 – 15 soati ogozi marizi, goho ruzi duyum paydo shuda, shakl va tarzi joygirii on gunogun ast. Hususan busuroti gemorragi beshtar ba nazar merasad: kholchahoi surkh (petekhiya), gulafshon (purpura), qadama (ekkhimoz). Busurot sitorashakl buda, hangomi dast rasondan ba nazar sakht menamoyad; onho bazan boloi pust baromada meistand va khele bisyorand (dar pusti dastu poy, badan, surin, goho ruy). Bargashtani busurot ba tarzi buzurgii donachaho va chuqurii illati pust vobasta ast. Minbad joyhoi mavtshudai pust khesta, yarachaho karakhsh mebandand va der shifo meyoband (bisyor vaqt nekroz dar sufrai gush, nugi bini, angushtoni dastu poy niz rukh menamoyad). Dar mavridi M. alomathoi sarsom (meningit) dida nameshavand.
M.-i barqoso shakli nisbatan vaznin va khele jiddii bemorihoi meningokokki ast. Mohiyatan vay sadamai siroyati-zahri meboshad. Nogahon khuruj karda, tezutund jarayon megirad. Mariz tablarza karda, haror. badan ba 40 – 41°S merasad (vale pas az chand soat mumkin ast boz past faroyad). Hanuz soathoi avvali marizi busuroti sershumori surkhtob medamad. Busurot ba hamdigar yak shuda, zud nekroz megardand. Dar pust doghoi kabudcha paydo meshavand, ki hangomi tagyir dodani mavqei badan joy ivaz mekunand (onhoro «lakkahoi jasad» – «Livors mortalis» menomand). Pust benur, kabudtob, tar (araqi sard), chehra tegador khohad shud. Mariz bezobita, oshufta, purhayajon ast; dar kudakon tashannuj (sudoroga) paydo meshavad. Soathoi avvali bemori mariz behush ast, az dardi sakhti mushakho va shikam ba khud mepechad, qay mekunad, mumkin az darun khun oyad. Minbad tadrijan vazi sakarot ba vujud omada, bemor az hush meravad. Faoliyati dil taboh megardad, jigaru sipurz kalon meshavad (gepatosplenomegaliya). Tagyiroti gemogramma: giperleykositoz (to 60.109 l), trombositopeniya, afzoishi SOE (50 – 70 mm/soat). Dar surati ojilan va samaranok tabobat nakardan, mariz dar soathoi avvali bemori mefavtad.
M.-i muzmin tarzi kamchini bemorihoi meningokokki ast. Bemori az chand hafta to chand sol davom mekunad. Dar davrahoi ofiyatyobi harorati badan mutadil, busurot safedtob (hatto ba chashm noayon), vazi umumii mariz beh megardad. Artrit, poliartrit, goho hepatosilenomegaliya, hamchunin leykositoz, afzoishi SOE, proteinuriya (dar peshob) sar mezanand. Anjomi M.-i muzmin dar surati muolijai durust nek ast.
Ad.: Qamardinov H. Q., Bemorihoi siroyati, D., 200; hamon muallif, Klinika opasnikh infeksionnikh bolezney, D., 2007.