Паротит как инфекционное заболевание и способы его лечения

Свинка у детейЭпидемический паротит (или просто свинка) представляет собой заболевание вирусного характера, при котором воспаляются слюнные железы.

В основном свинкой болеют дети в возрасте 5-15 лет. Лечение свинки у детей и взрослых осуществляется в домашних условиях, в случае отсутствия осложнений. Само заболевание бывает в легкой, среднетяжелой и тяжелой форме.

Паротит: симптомы у детей в зависимости от формы болезни

Легкая 

В случае легкого протекания болезни, температура тела ребенка может быстро повышаться на непродолжительное время. Причем, в этом случае происходит исключительно воспалительный процесс слюнных желез.

Среднетяжелая

При заболевании средней тяжести, ребенка может «трусить» лихорадка. К тому же, помимо слюнных желез могут поражаться также железистые органы иного рода. Ребенок, заболевший свинкой в среднетяжелой форме, чувствует общую слабость, его мучают головные боли, а также могут проявляться нарушения сна и аппетита.

Тяжелая

Тяжелая форма болезни быстро поражает как слюнные, так и другие железы на теле. А в некоторых, особо тяжелых случаях может даже поразить центральную нервную систему. Кроме того, дети больные паротитом, могут переболеть менингитом, и у них может развиться необратимая глухота или хронический панкреатит, вылечить который практически невозможно.

Заразен ли паротит?

Свинка передается от человека к человеку

Свинка передается только напрямую от другого ребенка

Свинка передается исключительно от другого человека, довольно быстро и только воздушно-капельным путем. Однако в медицине известны случаи, когда заражение происходило через те предметы, на которые ранее попала слюна человека.

После того, как вирус паротита (он же возбудитель болезни — РНК-содержащий вирус из семейства парамиксовирусов) попадет в кровь ребенка, он начинает разноситься по всему телу, поражая, прежде всего, центральную нервную систему и железистые органы.

Первые признаки паротита у детей и течение болезни

Начало заболевания происходит довольно интенсивно:

  1. У ребенка начинает повышаться температура тела до 38-40 градусов
  2. Он начинает испытывать слабость во всем теле
  3. У него пропадает аппетит
  4. Но самое главное – ему становится очень больно жевать и даже просто открывать рот

Надо сказать, что началу заболевания способствует инкубационный период, который может длиться 14-25 дней.

Припухлости за ушами

Первые признаки паротитаК первым и, наверное, основным симптомам паротита можно отнести боль в области ушей.

Причем, когда ребенок начинает разговаривать, боль только усиливается. Кроме того, за ушами наблюдается заметная припухлость. После появления начальных симптомов заболевания, эта припухлость может достигать своего максимального размера и иногда даже переходит в область шеи.

Паротит визуально меняет лицо ребенка. Мочки ушей оттопыриваются несколько вперед-кверху и лицо начинает чем-то напоминать свиное рыльце. Именно поэтому заболевание и называется свинкой. По мере лечения паротита, припухлость постепенно уменьшается и через 7-8 дней сходит полностью.

Температура при паротите

От начала появления припухлости до полного ее исчезновения у ребенка наблюдается повышенная температура. Однако родителям по этому поводу переживать не стоит.

Но если температура начинает подниматься уже после процесса нормализации, то это говорит о том, что в организме начался какой-то воспалительный процесс. Поэтому, без похода к доктору не обойтись — он обязательно назначит необходимые лекарственные препараты.

Примечательно, что сам организм старается бороться с проникшим вирусом и активно вырабатывает антитела, стараясь вылечить себя сам. Интересно, что эти антитела могут сохраняться в организме, даже по истечению нескольких лет после выздоровления.

Вакцина корь краснуха паротитПротив паротита существует прививка корь-краснуха-паротит, которую ставят всем детям в 12 месяцев. Обо всех плюсах и минусах этой прививки мы рассказываем в отдельном материале.

Болезни яичек у мальчиков бывают не только после свинки. Здесь мы рассказываем о крипторхизме у детей.

Как вылечить паротит народными средствами и в домашних условиях?

Паротит лечится домаВылечить паротит каким-то специфическим способом на данный момент нельзя. Поэтому, если нет никаких осложнений, лечение свинки проводится в домашних условиях. Как правило, в период заболевания необходимо строго придерживаться диеты и определенных лечебных мероприятий, к которым относят:

  1. Повязки на горло и компрессы. Они помогут снять болевой синдром. Кстати, очень хорошо помогает теплый масляный компресс. Для его приготовления – нагреть 2-3 ложки растительного масла и смочить в нем салфетку.
  2. Полоскание горла. Неплохо помогает при лечении ларингита и паротита содовый раствор в этом случае, который приготовить очень просто – достаточно в стакан воды засыпать ложку соды.
  3. Следует соблюдать строгий постельный режим. Что касается еды, то желательно в этот период давать ребенку растительно-молочную пищу, блюда на основе риса или картошки.

Народные рецепты

Довольно неплохо помогают избавиться от паротита и народные средства.

Обычно, в этом случае, принимают внутрь настои или отвары лечебных трав. Вот некоторые из них:

  1. Взять ст. ложку липового цвета и залить ее 200 мл кипятка. Когда сырье настоится в течение четверти часа, настой процеживается. Пить необходимо по 1/3 стакана 3 раза в день.
  2. 1,5 ст. ложки липового цвета залить 250 мл холодной воды и настаивают 20 минут. По истечении этого времени, настой процеживается и дается больному по трети стакана за раз 3 раза в сутки.
  3. 1 ст. л. Листьев шалфея заливается 250 мл кипятка и настаивается 30 минут, после чего настой процеживается. Настой принимать теплым, 3 раза в день.

Медикаментозное лечение

Лечим паротит медикаментами

Паротит: фото заболевшего ребенка

Если народные средства не помогают, то паротит можно вылечить специальными медицинскими препаратами. Таких препаратов не так много, однако они имеются и вполне неплохо себя зарекомендовали.

Итак, средства от паротита следующие: Аконит, Белладонна, Феррум фосфорикум (Aconite, Belladonna, Ferrum phosphoricum). Правда, эти препараты помогают только на начальном этапе протекания заболевания, когда и проявляют свою основную эффективность.

К еще одному типу препаратов относится пилокарпус джаборанди. На данный момент – эти препараты считаются самыми лучшими для лечения паротита. И если используется именно этот препарат, то использовать другой нет необходимости.

Чем опасен и какие осложнения?

Заболевание в целом не опасное, но может привести к определенным осложнениям.

Бесплодие после свинкиВ особой опасности находятся мальчики-подростки в период полового созревания. Свинка у мальчика может привести к воспалению яичек (орхиту), а затем и к бесплодию в 10% случаев. Поэтому если ваш сын до 15 лет не переболел свинкой, настоятельно рекомендуем прививаться вакциной от паротита.

На фоне сниженного иммунитета из-за болезни, в очень редких случаях могут появиться такие осложнения, как:

  1. Воспаление поджелудочной железы (или панкреатит)
  2. Воспаление яичников у девочек (оофорит)
  3. Воспаление мягкой оболчки мозга (менингоэнцефалит)
  4. Снижение слуха или глухота

Профилактика

Если говорить о профилактике паротита, то на данный момент самым эффективным способом считается иммунизация, т.е. прививки. Такие прививки обычно делают маленьким детям в 12 месяцев и повторяют, когда им исполняется 6 лет.

Кроме того, если ребенок имел контакты с больным паротитом, то его необходимо подвергнуть профилактическому осмотру через 10 дней после такого контакта.

Подведем итоги

  • Детский эпидемический паротит — инфекционное заболевание, вирус которого передается воздушно-капельным путем от человека к человеку
  • Часто протекает в форме эпидемий, особенно в детских учреждениях
  • 90% заболевших — дети 5-15 лет
  • Лечение проводится дома, особым режимом и диетой. Чаще всего дополнительные лекарства не требуются
  • Для мальчиков болезнь может иметь достаточно серьезные осложнения, вплоть до бесплодия
  • Самый эффективный способ профилактики — вакцинация от паротита

Норма гемоглобинаВы знаете какова норма гемоглобина у детей? В разном возрасте – это разный показатель, особенно часто он меняется в первые пол года. Чтобы понапрасну не паниковать, ознакомьтесь с нашей статьей.

С кровью могут случиться и проблемы посерьезней. Тут мы описываем симптомы лейкоза и как поступать родителям в этой непростой ситуации.

Еще одним опасным заболеванием является аутизм: http://bo-bo-bo.ru/bolezni/nervnaya-sistema/autizm-simptomy.html Это болезнь, требующая самого быстрого реагирования со стороны родителей.

Видео

Доктор Комаровский рассказывает об эпидемическом паротите и об опасном осложнении для мальчиков – бесплодии:

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