muscaturile de serpi, artropode,scorpioni, insecte [compatibility mode]
DESCRIPTION
Despre muscaturile de serpi si alte insecteTRANSCRIPT
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MUSCATURILE DE SERPI SI ARTROPODESI ARTROPODE
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MUSCATURA DE SARPE
GeneralitatiClasificareToxicitatea veninuluiManifestari cliniceTratament in prespitalTratament in UPUComplicatiiPrognostic
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GENERALITATI
>40000 muscaturi de sarpe anual in SUA8000 implica serpi veninosi8000 implica serpi veninosi8-15 decese anual in SUADin 5 mil. de muscaturi de sarpe ce au loc panual in lume, 125 deceseDoar 400 din 3000 de specii de sarpe din intreaga lume injecteaza veninintreaga lume injecteaza veninMajoritatea muscaturilor - provocate de om
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GENERALITATI
90% barbati50% cu virste intre 20-25 50% cu virste intre 20 25 ani80% muscaturi la nivelul miinilor40% din victime au pus mina pe sarpe90% se produc in sezonul
ldcald
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CLASIFICARE
5 familii de serpi veninosi in lumeColubrideElapide : f.veninosi,neurotoxine- serpii corali(America de Nord)- cobrele (Asia de sud)- genul Dendroaspis (Asia)genul Dendroaspis (Asia)- genul Bungarus (Asia de sud)- elapide din Australia(s.procoagulanta)
Hydrophide(serpi de mare) – venin f puternic – paralizie si mionecroza (Indonezia America de sud)mionecroza (Indonezia,America de sud)Viperide – in ROMANIA vipera cu corn,vipera comuna,vipera de stepa,Crotalide (America de Nord)
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TOXICITATEA VENINULUI
Veninul de sarpe e un amestec complex de enzime proteine neenzimatice peptide cu enzime,proteine neenzimatice,peptide cu efecte variate : - citotoxice
- neurotoxice- hemotoxice- cardiotoxice
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MANIFESTARI CLINICE
Variabile clinice : - specia si marimeap- cantitatea si tipul de
venin- localizarea
muscaturii profunzimemuscaturii,profunzime- virsta,greutatea si
starea de sanatateToxicitate locala : urme de dinti,durere,papule,hemoragii,echimoza,edem progresiv,sindr.de p g ,compartimentMuscatura uscata
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MANIFESTARI CLINICE
Muscatura de sarpe
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MANIFESTARI CLINICE
Toxicitate sistemica :- gastrointestinal : greata,varsaturigastrointestinal : greata,varsaturi- neurologic : parestezie,fasciculatii,slabiciune,paralizie- hematologic: coagulopatie hemoliza- hematologic: coagulopatie,hemoliza- pulmonar : edem pulmonar necardiogen- cardiovascular : hTA,soc- renal : proteinurie,necroza tubulara acuta
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DATE DE LABORATOR SI DIAGNOSTIC
Coagulopatie : TQ,TPT,fibrinogen,PDF,trombociteQ, , g , ,Hemoliza : hemograma,albuminurieInsuficienta renala : uree,creatinina
Diagnostic : - istoric eveniment- identificare specie- simptome locale- simptome sistemice- analize privind coagulopatiap g p
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MASURI DE PRIM AJUTOR IN MASURI DE PRIM AJUTOR IN PRESPITAL
Prevenirea celei de-a doua muscaturi sau a altei victimePrevenirea celei de-a doua muscaturi sau a altei victimeIdentificarea sau descrierea sarpeluiAccesarea unitatii de urgentaIngrijiri corespunzatoare avind ca scop intirzierea absorbtiei veninului absorbtiei veninului - calmarea victimei- indepartarea haine sau obiecte constrictive- imobilizarea membrului afectat- bandaj elastic veno si limfo constrictor mentinut pina la initierea terapiei cu antivenin
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MASURI DE PRIM AJUTOR IN MASURI DE PRIM AJUTOR IN PRESPITAL-
Aplicarea bandaj compresiv si imobilizarea valabil pt.muscaturile de serpi din fam Elapidept.muscaturile de serpi din fam Elapide
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MASURI DE PRIM AJUTOR IN MASURI DE PRIM AJUTOR IN PRESPITAL
Ingrijiri necorespunzatoare : - ridicarea extremitatii- consum de alcool,ceai,cafea- nu se foloseste gheata- nu se foloseste gheata- garou arterial- incizie si aspirare- incercarea de a captura sarpele
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TRATAMENT DE URGENTA IN TRATAMENT DE URGENTA IN PRESPITAL
Calmare a pacientuluiM ti i bili ii b l i f t tMentinerea imobilizarii membrului afectatMentinerea bandaj constrictorAdministrare de oxigenAdministrare de oxigenAcces venos si initierea terapiei de sustinereTransport la spital
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TRATAMENT IN UPU
Sustinerea functiilor vitale :- evaluare respiratorie si circulatorie- tratamentul tulb.respiratorii si socului
Terapie cu ser antivenin – piatra de temelie in muscatura de sarpe
- in intoxicatii moderate si severe- progresia semnelor si simptomelor locale :agravare
semne locale,anomalii ale teste de coagulare,semne de afectare sistemica
- poate salva viata sau extremitateap- - trusa de resuscitare pt socul anafilactic pregatita
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TRATAMENT IN UPU
Toaleta minima localaP fil i t t iProfilaxie tetanicaAntibiotice doar in caz de infectieTerapia sindr de compartiment: ridicarea Terapia sindr.de compartiment: ridicarea membrului,manitol 1-2gr/kg in 30 min,ser antivenin suplimentar,fasciotomieMuscatura uscata se urmareste 8- 12ore in UPUPacientii cu simptome severe se interneaza in Pacientii cu simptome severe se interneaza in ATI
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COMPLICATII
Reactii anafilactice la serul antivenin : terapie prompta cu adrenalinaprompta cu adrenalinaBoala serului in 5-10 zile de terapie
- nu ameninta viatase trateaza cu prednison- se trateaza cu prednison
Alte complicatii : infectia locala,tetanosul,s. de compartiment
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PROGNOSTIC
Toate victimele muscate de sarpe veninos au nevoie de ingrijiri medicale fara aminarenevoie de ingrijiri medicale fara aminareEfectele severe se pot instala uneori dupa citeva oreIn ciuda nr mare de muscaturi nr de decese este In ciuda nr.mare de muscaturi ,nr.de decese este micMajoritatea deceselor survin din lipsa ingrijirilor medicalemedicalePt. marea majoritate a victimelor prognosticul e bun.
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INTEPATURI SI MUSCATURI DE INTEPATURI SI MUSCATURI DE ARTROPODE – clasificare artropodeartropode
Clasa Insecta-Ord Himenoptera : - bondarii-Ord.Himenoptera : - bondarii
- albinele melifere- viespile- furnicile
-Ord.Diptera : - tintarii- taunii- musca calului- musca de grajd- paduchele negru- paduchele negru
-Ord.Hemiptera : - plosnita de pat- gindacul asasin
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INTEPATURILE DE ARTROPODE INTEPATURILE DE ARTROPODE -clasificare
Clasa Insecta-Ord.Lepidoptera : - larvele de fluturiOrd.Lepidoptera : larvele de fluturi-Ord.Siphonaptera : - puricii-Ord.Anoplura : - paduchiiO d A i i l d i i-Ord.Acarina : - puricele de nisip
- capusele
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INTEPATURI / MUSCATURI DE INTEPATURI / MUSCATURI DE ARTROPODE - clasificare
Clasa Arahnida-Ord Aranea –gen Latrodectus(vaduva neagra)-Ord.Aranea –gen Latrodectus(vaduva neagra)
- gen Loxosceles(paianjenul pustnic cafeniu,paianjenul vioara)
gen Tegenaria(paianjenul hobo)- gen Tegenaria(paianjenul hobo)-Ord.Scorpionide
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MUSCATURILE DE PAIANJENI
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MUSCATURILE DE PAIANJENI
Ordinul Aranea-genul Latrodectus: vaduva neagraVeninul este neurotoxic:- actioneaza la nivel actioneaza la nivel presinaptic si in placa motorie- deschide canalele de CaCa- stimuleaza eliberare de acetilcolina- inhiba recaptarea acetilcolinei - rezulta cresterea frecventei contractiei si a fortei contractiilor
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MUSCATURA DE PAIANJENI
Intepatura punctiforma ce se retrage in 30-120 minReactie locala: eritem minim,durere musculara Reactie locala: eritem minim,durere musculara surda si paresteziiToxicitate sistemica : - spasme musculare si durere la nivelul spatelui si p pabdomenului- greata,voma,diaforeza- parestezie,hiperestezie- rar,la copii mai ales,tulb.respiratorii,status mental alterat,convulsii- intensitate maxima a simptome dupa citeva ore,dar pot persista citeva zile
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Muscatura vaduvei negre
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MUSCATURA DE PAIANJENI
Terapie de sustinere a functiilor vitaleIngrijirea ranii,profilaxia tetanosIngrijirea ranii,profilaxia tetanosRelaxante musculare : benzodiazepineAnalgezice opioideAntivenin : - combate rapid si eficient simptomele Antivenin : combate rapid si eficient simptomele in 30-60 min
- copii si batrini- forme cu durere severaforme cu durere severa- forme severe cu convulsii,constienta
alterata,soc- reactie anafilactica la antivenin
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INTEPATURA DE PAIANJENI
ORDINUL Aranea,genul Loxosceles – peste 100 de specii in intreaga lumep gPaianjenul mic maro de 1 cm lungimeVeninul citotoxic - contine enzime: hialuronidaza, lipaza, ribonucleaza, hialuronidaza, lipaza, ribonucleaza, dezoxiribonucleaza cu efect distructiv celular, sfingomielinaza D ce produce necroza celulara si hemoliza
- actiune : liza celulara, elib. de prostaglandine, activare complement
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MUSCATURA DE PAIANJENI
Intepatura: - nedureroasa- 2-6 ore apar prurit,durere la 2 6 ore apar prurit,durere la
apasare,eritem si edem- 6-12 ore eritemul neregulat se
intensifica,apare o vezicula centrala- 12-24 ore necroza albastra a
veziculei,zona alba ischemica in jur- 1-7 zile zona de necroza se mareste
l i d t l d l tiluind aspectul de ulceratieEfecte sistemice rare,apar dupa 24-48 ore :- greata,frisoane,transpiratii,artralgii,eruptii,
C- hemoliza,coagulopatie,CID,necroza tubulara acuta
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MUSCATURA DE PAIANJENI
Terapie : ingrijirea ranii,VTA,
- Dapsona cu efect de inhibare a leucocitelor,se da in 24
d l d b tore de la debut- Antibiotice :
eritromicinaExcizie grefa- Excizie,grefa
- Nu exista antivenin
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MUSCATURA DE PAIANJEN
Paianjeni
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MUSCATURA PAIANJENULUI MIC MUSCATURA PAIANJENULUI MIC CAFENIU-Loxoscelles reclusa
La citeva ore de la muscatura
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MUSCATURA PAIANJENULUI MUSCATURA PAIANJENULUI CAFENIU
La 3 zile de la muscatura
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MUSCATURA PAIANJEN CAFENIU
La 9 zile
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MUSCATURA PAIANJENULUI MUSCATURA PAIANJENULUI CAFENIU
La 38 de zile
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MUSCATURA PAIANJENULUI MUSCATURA PAIANJENULUI CAFENIU
Cicatricea dupa 10 luni
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MUSCATURA PAIANJENULUI MUSCATURA PAIANJENULUI CAFENIU
Arahnidism necrotic
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INTEPATURILE DE INTEPATURILE DE SCORPIONI
6 famili,650 specii,50 pot produce otraviri grave la omVariatii mari intre specii privind toxinele ; neurotoxine,hematotoxine,cardiotoxineMortalitate mare la copii <5 aniEfecte locale: Efecte locale: durere,arsura,parestezie,hiperestezieEfecte sistemice: - hiperestezii,parestezii,nistagmus,disfagiep ,p , g , g- hiperactivitate,fasciculatii,spasme- tahicardie,HTA,disritmii,colapsSunt disponibile antiveninuri in intoxicatii moderate si severemoderate si severe
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INTEPATURILE DE INSECTE ORD INTEPATURILE DE INSECTE ORD. HYMENOPTERE
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INTEPATURILE DE INSECTE INTEPATURILE DE INSECTE –ORD.HYMENOPTERE
Ordinul Hymenoptere : albine,viespi,barzauniIn SUA se semnaleaza mai multe decese anuale fata de In SUA se semnaleaza mai multe decese anuale fata de muscatura de sarpeVeninul este imunogen si poate declansa reactii anafilactice si toxice directeEfectul toxic se manifesta la om in prezenta mai multor contacte cu veninulComponentele venin :
– nealergenice (histamina, serotonina, dopamina, bradikinina,acetilcolina)
– Alergenice (fosfolipaza A, hialuronidaza, fosfataza acida, melitina), )
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INTEPATURILE DE INSECTEINTEPATURILE DE INSECTE-ORD.HYMENOPTERA
Reactia locala :- durere,eritem mare(10-15cm),edem,prurit- acul poate ramine la locul intepaturii-reactiile locale severe - probabilitate de r. sistemica
in viitorReactia anafilactica : - mediata de IgE- necesita o expunere anterioara- debutul simptomelor e rapid,in 15 min si max. 6 ore
urticarie angioedem bronhospasm hTa- urticarie,angioedem,bronhospasm,hTa- sincopa,anxietate,dureri precordiale- crampe abd.,greata,voma,vertij,frisoane,febra- deces prin obstructie de cai respiratorii sup. si soc
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INTEPATURILE DE INSECTEINTEPATURILE DE INSECTE-ORD.HYMENOPTERA
Reactia toxica a veninului- necesita contacte multiple- greata,voma,cefalee,febra- somnolenta,pierderea constientei
-convulsii,mionecroza,rabdomioliza
- hiperK,necroza tubulara tacuta
- urticarie si bronhospasm absente
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INTEPATURILE DE INSECTE INTEPATURILE DE INSECTE –ORD.HYMENOPTERA
Viespea si intepatura de viespe
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INTEPATURILE DE INSECTEINTEPATURILE DE INSECTE-ORD.HYMENOPTERE
Reactia intirziata – apare in 5-14 zile si e asemanatoare bolii serului febra stare de asemanatoare bolii serului-febra,stare de rau,cefalee,urticarie,limfadenopatie,poliartrita.E mediata de complexele imuneReactii neobisnuite – encefalopatie, nevrite, vasculita, nefroza, s.Guillain Barre
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INTEPATURILE DE INSECTEINTEPATURILE DE INSECTE-ORD.HYMENOPTERA
Terapie preventiva : - se evita culorile deschise
parfumul,parfumul,- mersul cu picioarele goale- teste cutanate- autoinjector cu adrenalina - imunoterapie- imunoterapieTerapie locala :
- se indeparteaza acul prin radere
- se aplica gheatase ap ca g eata- profilaxie tetanicaTerapia anafilaxiei
- protejarea invaziva a caii respiratorii
- adrenalina 0,2-1mg iv/im/sc la adult
- adrenalina 0,01-0,1mg iv/im/sc la copii
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INTEPATURILE DE INSECTE INTEPATURILE DE INSECTE ORD.HYMENOPTERA
Terapia anafilaxiei:umplere volemica 1 2 l ser fiziologic- umplere volemica 1-2 l ser fiziologic
- antihistaminice: difenhidramina 50-100mg im/iv,1-2 mg/KG la copii- corticosteroizi : metilprednisolon 125mg
iv,1-2 mg/Kg la copii- bronhodilatatoare : albuterol 2,5 mg prin bronhodilatatoare : albuterol 2,5 mg prin
nebulizare in 3 ml ser, la copii 0,1 mg/Kg prin nebulizare in ser fiziologic repetat la 15 min15 min
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Albinele aduc foloase omului,ele Albinele aduc foloase omului,ele nu inteapa decit daca sint agresateg
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INTEPATURILE DE INSECTEINTEPATURILE DE INSECTE-ORD.DIPTERA-TINTARII
Reactie locala imediata de scurta durata –eritem,placa urticariana,prurit,p ,pReactie locala intirziata – edem si prurit ce poate persista ore,zile,saptaminiUneori reactie locala severa cu necrozaReactie alergica:edem local si generalizat,febra,greata,voma,stare de rau generalTerapie simptomatica : antihistaminice si AINS t ti b t i tifAINS.protectiv-subst. insectifugeTintarii reprezinta pericol major – vectori in transmiterea unor boli: encefalita,malaria
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ORD.DIPTERA-TINTARUL
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INTEPATURILE DE INSECTEINTEPATURILE DE INSECTE-ORD.DIPTERA-MUSTE
Taunul, musca calului, flebotonul, paduchele negruReactie dureroasa la locul intepaturii si pruritReactie dureroasa la locul intepaturii si pruritRareori reactii alergiceTerapie simptomatica : comprese reci,antihistaminice,corticosteroizi oral,steroizi , , ,topici,antibiotice in caz de infectieMiaza-infestarea pielii cu larvele unor specii de muste cu producere de i it tii f li lit ( hi i t i t ti l)iritatii,foliculite(nas,ochi,ap.urinar,gastrointestinal)
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ORD.DIPTERA
Musca
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MUSCATURA DE INSECTE-MUSCATURA DE INSECTEORD.HEMIPTERA(plosnita de pat si gindacul asasin)g )
Vectori potentiali ai unor boliM t t dMuscatura este nedureroasaLocal apar papule,bule eritematoase,placi urticarieneurticarieneTerapie simptomatica : comprese reci,topice cu steroizi,antihistaminiceRar reactii alergice sistemice:corticoizi oral
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ORD.HEMIPTERA
Plosnita de pat
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MUSCATURA DEINSECTEMUSCATURA DEINSECTE-ORD.HEMIPTERA
Muscatura de plosnita
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INTEPATURILE DE INSECTEINTEPATURILE DE INSECTE-ORD.LEPIDOPTERA(omizi)
Dermatita de contact produsa prin iritare mecanica si inocularea unui veninDermatita de contact –prurit,urticarie,papule uneori hemoragiceTerapie simptomatica Terapie simptomatica locala:antihistaminice,steroizi topiciRar reactii alergice ce necesita adrenalina si lichide iv.s c deReactie cronica – eruptie maculo-papulara si poliartritaCoagulopatie de consum si fibrinolizaCoagulopatie de consum si fibrinoliza
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ORD.LEPIDOPTERA
Omida
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ORD.LEPIDOPTERA
Iritatie a pielii produsa de omida
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MUSCATURA DE INSECTE-ORD. MUSCATURA DE INSECTE ORD. SIFONAPTERA, ANOPLURA (purecii si paduchii)(p p )
Produc leziuni asemanatoareMi i l t i t l Mici papule ce pot singera central inconjurate de placi eritematoase si urticariene,prurit intens,pPosibila infectia secundara,impetigo la copiiT i t l t l l i Terapie: toaleta locala, comprese reci, calamina, antihistaminic si steroizi local, antibiotice
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ORD.ANOPLURA
Paduchele
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ORD.ANOPLURA
Leziunile date de paduche pe pielea l icapului
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PURICELE
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ORD.SYFONAPTERA
Leziunile date de muscatura de ipurice
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MUSCATURA DE INSECTEMUSCATURA DE INSECTE-ORD.ACARINA(capusele)
Atac nedureros dar cu fixare puternica in pielePericolul major este transmisia de boli prin inoculare de j pvirusuri.bacterii,protozoareBoala Lyme,tularemia,febra patata,febra de capuse,febra recurenta, encefalita de capuse, erlichioza, babesiozaNeurotoxina ce produce o paralizie flasca simetrica Neurotoxina ce produce o paralizie flasca, simetrica, ascendenta, cu pierderea r. tendinoase profunde,paralizie respiratorieTerapie preventiva-substante insectifugeTerapie-extragerea cit mai rapida a insectei din piele pt.a preveni transmiterea germenilorAntibiotice profilactic – ex.doxiciclina 200 mg doza unica
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ORD.ACARINA
Capusa
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MUSCATURA DE CAPUSA
Capusa
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ORD.ACARINA
Capusa ce transmite boala Lyme
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MUSCATURA DE CAPUSE
Boala Lyme
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MUSCATURA DE CAPUSE
Boala Lyme : paralizie,artrita
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INTEPATURILE DE INSECTE-INTEPATURILE DE INSECTE-ORD.ACARINA(PURICELE DE NISIP)NISIP)
Infestarea se produce datorita hranirii larvelor cu celulele cutanatelarvelor cu celulele cutanateReactie locala-eritem,pruritReactie severa cu febra,celulita,leziuni Reactie severa cu febra,celulita,leziuni similare eritem polimorfTerapie:steroizi topici,antihistaminice plus t i i l i i li d l lsteroizi oral in cazuri severe,lindan local
Antibiotic pt. infectia sec.
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ORD.ACARINA
Puricele de nisip
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MUSCATURA DE INSECTE MUSCATURA DE INSECTE ACARIENI
Leziuni produse de puricele de nisip
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ORD.ACARINA
Sarcoptes scabie
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ORD.ACARINA
Scabia
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CONCLUZII
Prevenirea intepaturilor si t il d i i t d muscaturilor de serpi si artropode
prin educatie