{"id":774,"date":"2022-12-19T10:29:10","date_gmt":"2022-12-19T08:29:10","guid":{"rendered":"https:\/\/doctorchat.md\/ro\/?p=774"},"modified":"2023-01-09T12:43:09","modified_gmt":"2023-01-09T10:43:09","slug":"enteroviroza-la-copii","status":"publish","type":"post","link":"https:\/\/doctorchat.ro\/enteroviroza-la-copii\/","title":{"rendered":"Enteroviroza la copii!"},"content":{"rendered":"<p><span style=\"font-weight: 400;\"><strong>Enteroviroza<\/strong> sau <strong>boala diareic\u0103 acut\u0103<\/strong> de cauz\u0103 viral\u0103 este definit\u0103 ca o accelerare a tranzitului, brusc instalat\u0103, \u0219i care determin\u0103 pierderi de ap\u0103 \u0219i electroli\u021bi.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tabloul clinic\u00a0 const\u0103 \u00een cre\u0219terea num\u0103rului de scaune ( mai mult de 3 scaune \/ zi ), cu sc\u0103derea consisten\u021bei acestora.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00cen func\u021bie de evolu\u021bie, se descriu 3 forme:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">diareea acut\u0103 cu durata de p\u00e2n\u0103 la 2 s\u0103pt\u0103m\u00e2ni;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">diareea trenant\u0103 ( \u00eentre 2 s\u0103pt\u0103m\u00e2ni \u0219i 3 luni );<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">diareea cronic\u0103 cu durata de peste 3 luni.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Enterovirozele sunt mai frecvente \u00een sezonul rece. Cele mai implicate virusuri sunt: rotavirusurile, norovirusurile, adenovirusurile.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Contagiozitatea este mare, transmiterea se face at\u00e2t pe cale fecal-oral\u0103 ( m\u00e2ini, alimente, obiecte contaminate ), c\u00e2t \u0219i pe cale aerian\u0103.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Clinic, se pot manifesta de la forme u\u0219oare, p\u00e2n\u0103 la forme grave, cu deshidratare sever\u0103.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Rotaviroza r\u0103m\u00e2ne cea mai frecvent\u0103 \u0219i cea mai sever\u0103 dintre bolile diareice de cauz\u0103 viral\u0103, care, datorit\u0103 vaccin\u0103rii, tinde sa fie \u00een sc\u0103dere. Debutul poate fi marcat de vom\u0103, urmate de dureri abdominale importante \u0219i scaune apoase, voluminoase, numeroase ( 10-20 scaune \/ 24 ore ). Febra \u00eenso\u021be\u0219te tot acest tablou clinic. De obicei este vorba despre o febr\u0103 joas\u0103, \u00eens\u0103 \u00een rotaviroz\u0103 poate atinge 40\u00b0C.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pericolul cel mai mare \u00eel reprezint\u0103 deshidratarea, mai ales \u00een cazul copiilor mici care refuz\u0103 s\u0103 primeasc\u0103 lichide corespunz\u0103toare pierderilor \u00eenregistrate prin voma\u00a0 \u0219i diaree.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Semnele deshidrat\u0103rii pot fi: facies incercanat, buze uscate, lacrimi reduse, fontanela anterioar\u0103 deprimat\u0103, plicul cutanat abdominal lene\u0219, puls accelerat, frecven\u021b\u0103 respiratorie crescut\u0103, senza\u021bie permanent\u0103 de sete.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Diagnosticul etiologic se pune pe baza examin\u0103rilor de laborator, prin depistarea antigenelor virale din scaun.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Diagnosticul diferen\u021bial trebuie f\u0103cut la diareile de cauz\u0103 bacterian\u0103 (Campylobacter jejuni, Yersinia, Salmonella, E. Coli entero-patogen, Clostridium difficile) sau de cauz\u0103 parazitar\u0103 (Giardia Lamblia).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00cen tratamentul bolii diareice acute, primul gest const\u0103 \u00een administrarea solu\u021biilor de rehidratare oral\u0103, frac\u021bionat cu linguri\u021ba, seringa, cana &#8211; ini\u021bial 5 ml, la interval de 5 minute , \u0219i se cre\u0219te progresiv. Medica\u021bia antidiareica se va administra \u00een context clinic, la recomandarea medicului.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Enteroviroza sau boala diareic\u0103 acut\u0103 de cauz\u0103 viral\u0103 este definit\u0103 ca o accelerare a tranzitului, brusc instalat\u0103, \u0219i care determin\u0103 pierderi de ap\u0103 \u0219i electroli\u021bi. Tabloul clinic\u00a0 const\u0103 \u00een cre\u0219terea num\u0103rului de scaune ( mai mult de 3 scaune \/ zi ), cu sc\u0103derea consisten\u021bei acestora. \u00cen func\u021bie de evolu\u021bie, se descriu 3 forme: diareea &hellip; <a href=\"https:\/\/doctorchat.ro\/enteroviroza-la-copii\/\">Continued<\/a><\/p>\n","protected":false},"author":33,"featured_media":775,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[236],"tags":[],"class_list":["post-774","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicina-de-familie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.9 (Yoast SEO v23.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Enteroviroza la copii! - Doctorchat Romania<\/title>\n<meta name=\"description\" content=\"Enteroviroza este definit\u0103 ca o accelerare a tranzitului, brusc instalat\u0103, \u0219i care determin\u0103 pierderi de ap\u0103 \u0219i electroli\u021bi.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/doctorchat.ro\/enteroviroza-la-copii\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Enteroviroza la copii!\" \/>\n<meta property=\"og:description\" content=\"Enteroviroza este definit\u0103 ca o accelerare a tranzitului, brusc instalat\u0103, \u0219i care determin\u0103 pierderi de ap\u0103 \u0219i electroli\u021bi.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/doctorchat.ro\/enteroviroza-la-copii\/\" \/>\n<meta property=\"og:site_name\" content=\"Doctorchat Romania\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/doctorchat.md\/ro\" \/>\n<meta property=\"article:published_time\" content=\"2022-12-19T08:29:10+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-01-09T10:43:09+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/doctorchat.ro\/wp-content\/uploads\/sites\/5\/2022\/12\/a.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1640\" \/>\n\t<meta property=\"og:image:height\" content=\"924\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"gaiturmihaela\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/doctorchat.ro\/enteroviroza-la-copii\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/doctorchat.ro\/enteroviroza-la-copii\/\"},\"author\":{\"name\":\"gaiturmihaela\",\"@id\":\"https:\/\/doctorchat.ro\/#\/schema\/person\/e2b9ddf1225729dfdb744a7bf2479639\"},\"headline\":\"Enteroviroza la copii!\",\"datePublished\":\"2022-12-19T08:29:10+00:00\",\"dateModified\":\"2023-01-09T10:43:09+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/doctorchat.ro\/enteroviroza-la-copii\/\"},\"wordCount\":353,\"publisher\":{\"@id\":\"https:\/\/doctorchat.ro\/#organization\"},\"image\":{\"@id\":\"https:\/\/doctorchat.ro\/enteroviroza-la-copii\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/doctorchat.ro\/wp-content\/uploads\/sites\/5\/2022\/12\/a.jpg\",\"articleSection\":[\"Medicina de familie\"],\"inLanguage\":\"ro-RO\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/doctorchat.ro\/enteroviroza-la-copii\/\",\"url\":\"https:\/\/doctorchat.ro\/enteroviroza-la-copii\/\",\"name\":\"Enteroviroza la copii! 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