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Редкое, но чень опасное детское заболевание – синдром Рея

Синдром Рея у детейСиндром Рея – это достаточно редкое, но довольно опасное заболевание, которое может угрожать жизни ребенка. Это заболевание сопровождается ожирением печени и воспалением головного мозга, полным нарушением жизнедеятельности организма. В основном синдром Рея атакует детей и подростков, крайне редко он развивается у взрослых.

Первое описание синдрома появилось в 1963 году. Это многолетний труд Рейе и его коллег. В течение нескольких лет проводились наблюдения за заболевшими, изучались причины заболевания, симптомы.

Еще тогда было отмечено, что существенные вспышки заболевания отмечались среди заболевших гриппом, ветряной оспой, краснухой, корью и т. д. Именно команда Рея заметила, что прием аспирина и препаратов тетрациклиновой группы только усугубляли развитие заболевания.

Симптомы синдрома Рея

Рвота при синдроме РеяОсобой симптоматики синдром Рея не имеет, поэтому его довольно сложно определить на самой начальной стадии. Ведь родители уверены, что у их ребенка банальная простуда или отравление.

А если родители еще для подавления температуры тела использовали аспирин или препараты тетрациклинового ряда, то это обязательно усугубит развитие заболевания.

  1. Итак, ребенок вроде бы начинает выздоравливать, но вдруг появляется обильная и продолжительная рвота.
  2. Затем, практически за короткий промежуток времени полностью меняется поведение ребенка. Изначально у него может появиться сонливость, он становится заторможенным. На ваши вопросы у ребенка появляется неадекватная реакция.
  3. Затем ребенок попадает в состояние ступора, он не обращает ни на кого внимание, перестает двигаться.
  4. Следующий этап – это галлюцинации, которые преследуют ребенка. Но в таком состоянии он еще самостоятельно дышит и реагирует на раздражители, например, свет.
  5. А затем наступает самая страшная стадия – коматозное состояние, которое сопровождается судорогами, а затем остановкой дыхания.

Почему возникает это страшное состояние?

До сих пор причина атаки синдрома Рея не установлена. Но известно, что в его развитии играют не последнюю роль вирусы гриппа, ветряной оспы и т. д.

Также замечено, что прием аспирина может быть причиной развития синдрома. Причем прием аспирина для подавления высокой температуры во время гриппа или ветрянки увеличивает риск развития заболевания в 35 раз.

Именно поэтому прием ацетилсалициловой кислоты в детском и подростковом возрасте считается опасным и ни в коем случае не назначается детям до 12 лет.

Как диагностировать эту болезнь?

Диагностика синдрома РеяДиагностировать Синдром Рея может только квалифицированный специалист. Если на фоне гриппа или ветрянки у ребенка начинается сильная рвота, также есть признаки отека головного мозга – врач ставит диагноз – Синдром Рея под вопросом.

Затем обязательно назначаются анализы – люмбальная пункция и биопсия печени. По результатам которых и ставится окончательный диагноз.

Также часто отмечаются изменения митохондрий почек, поджелудочной железы и миокарда. Анализы необходимо сдавать как можно быстрее, потому что синдром Рея развивается с огромной скоростью. Нужно не упустить драгоценное время, пока ребенок не впал в кому.

Низкая температура тела у ребенкаУ ребенка низкая температура тела и вы не знаете что делать? Мы постарались ответить на самые частые вопросы молодых мам о низкой температуре.

Что вы знаете об отеках? Есть один очень опасный – отек Квинке, здесь мы подробно рассказываем о нем.

Лечится ли синдром Рея у детей?

Лечения синдрома РеяРазвитие синдрома Рея остановить полностью не возможно. Огромную роль играет раннее диагностирование болезни. Только получают подтверждение в развитии заболевания, сразу приступают к интенсивной терапии, ведь дорог каждый час.

  1. Интенсивная терапия направлена на поддержание всех жизненно важных функций. Также внутривенно вводятся: глюкоза, электролиты, витамин К, жидкости и другие препараты.
  2. Для уменьшения внутричерепного давления назначается маннитол, дексаметазон, глицерин.
  3. С помощью аппарата искусственной вентиляции легких поддерживается дыхание ребенка.
  4. В особо сложных случаях вводится катетер в вены и артерии, это для того, чтобы держать полностью под контролем артериальное давление, а также содержание в крови газов.

Прогнозировать исход лечения довольно сложно. Все зависит от тяжести изменений в головном мозге, от скорости развития заболевания и от его прогрессирования. Дети, которые перебороли острую фазу болезни, практически всегда выздоравливают.

Судороги при синдроме РеяЕсли у ребенка были судороги, то позже это скажется на умственном развитии. В последствии могут появиться подергивание мышц и судорожные расстройства.

Вероятность смертельного исхода очень велика – более 80%, если ребенок находится в глубокой коме. И всего 2%, если заболевание протекает в легкой форме. Однако стоит отметить, что синдром Рея редко бывает повторный. Переболев один раз, вряд ли когда-либо ребенок вновь перенесет такое опасное заболевание.

Подведем итоги

  1. Как уже понятно из статьи – синдром Рея опасное заболевание.
  2. Поэтому родители должны четко усвоить для себя, что ни в коем случае нельзя давать ребенку для снижения температуры тела аспирин (ацетилсалициловую кислоту), и даже любые аспирин содержащие препараты, хоть там и доза аспирина не велика.
  3. При первых признаках заболевания ребенка необходимо мгновенно обратиться к врачу и принимать только препараты назначенные специалистом.
  4. Если у вашего ребенка развилась сильная рвота, дезориентация, возбуждение, спутанность сознания, а тем более, если у ребенка судороги или он вообще потерял сознание – немедленно вызывайте скорую помощь.
  5. Не ждите следующего дня, чтобы пойти на прием к лечащему врачу. Помните, дорога каждая минута.

Видео

Елена Малышева и ее коллеги ведут разговор о синдроме Рея и опасности принятия аспирина и парацетамола. Важно знать всем родителям:


Синдром волчанкиКрасная волчанка – болезнь редкая, поэтому до сих пор не до конца изученная. При возникновении на лице сыпи в форме бабочки – срочно отправляйтесь с ребенком к врачу!

Симптомам волчанки мы посвятили отдельную статью.

Сыпь может оказаться и нейродермитом: http://bo-bo-bo.ru/bolezni/kozha/nejjrodermit-simptomy-lechenie-foto.html Прочитайте о его симптомах в отдельной публикации.‎

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Редкое, но чень опасное детское заболевание – синдром Рея: 2 206 комментариев
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