Monday, 28 January 2008

 

Η ΓΡΙΠΗ είναι μια οξεία λοίμωξη του αναπνευστικού συστήματος, από ιό,(και για το λόγω αυτό δεν αντιμετωπίζεται με αντιβιοτικά, συνήθης  λοίμωξη στους χειμερινούς μήνες, με μεγάλη μεταδοτικότητα . Μεταδίδεται από άνθρωπο σε άνθρωπο δια μέσου του αέρα (με φτάρνισμα, βήχα, ακόμη και με την ομιλία ιδίως σε κλειστούς χώρους.). 

Τα συμπτώματα, σε όλους γνωστά βήχας επίμονος ξηρός στην αρχή, πυρετός >38 οC , κεφαλαλγία, κακουχία, συνάχι, μυαλγίες και αρθραλγίες. Ειδικά στα παιδιά μπορεί να έχουμε και διάρροια ή και εμετό. 

Η μετάδοση αρχίζει λίγο πριν εμφανιστούν τα πρώτα συμπτώματα και διαρκεί μέχρι 7-10 ημέρες. Η περίοδος επώασης είναι από μία μέχρι τέσσερεις ημέρες. Ο ιός εξαπλώνεται εύκολα σε χώρους με συνωστισμό ατόμων.

 

Όπως όλες οι αναπνευστικές λοιμώξεις, και η γρίπη, έχει επίδραση στο βρογχικό άσθμα που το επιδεινώνει, όπως επ'ισης και την ΧΑΠ, προκαλώντας δύσπνοια -συριγμό (γατάκια).

Σε ένα ασθματικό ασθενή μπορεί να προκαλέσει  ακόμη και σοβαρή κρίση άσθματος, σε ηλικιωμένους  υπάρχει  ο κίνδυνος λοιμώξεων (πνευμονία).

 Όταν υπάρχει παροξυσμός λόγω λοίμωξης ακολουθούμε τις βασικές οδηγίες που μας έχει δώσει ο γιατρός μας (ερχόμαστε σε επαφή μαζί του). Αύξηση δηλαδή των εισπνοών, τόσο των εισπνεόμενων κορτικοστεροειδών(και για τον απαραίτητο χρόνο) όσο και β2 διεγερτών. Κάποτε χρειάζεται και συμπλήρωμα αντιφλεγμονώδους φαρμάκου από το στόμα. Σε περίπτωση μικροβιακής επιπλοκής  χρειάζεται και αντιμικροβιακή αγωγή.

 Γίνεται σαφές λοιπόν, ότι είναι αναγκαίος ο αντιγριπικός εμβολιασμός, των ασθματικών ατόμων και παιδιών, εκτός κι αν έχουμε λόγους που αυτό αντενδείκνυται. .

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