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怎么判斷是不是水痘 如何判斷是否得了水痘

出處：媽媽育兒網(wǎng)日期：2022-05-15 14:12:20編輯：森林
水痘是種傳染性皮膚疾病，多見(jiàn)于兒童群體之間，雖然水痘也有其明顯的癥狀特點(diǎn)，但是其中一些癥狀也是和一些其它疾病比較相似的，因此不少家長(zhǎng)都不知道如何判斷孩子是否患上的是水痘。那么，怎么判斷是不是水痘呢？下面就讓我們來(lái)看看如何判斷是否得了水痘吧！
怎么判斷是不是水痘 如何判斷是否得了水痘
怎么判斷是不是水痘
1、出現(xiàn)食欲不振、發(fā)熱的癥狀：一般在水痘病發(fā)之前，孩子都會(huì)表現(xiàn)出與平常不一樣的表現(xiàn)，比如食欲不振，渾身無(wú)力等。因?yàn)樗划吘故怯刹《靖腥疽鸬囊环N疾病，因此在抵抗力弱的孩子身上就會(huì)顯示出來(lái)患病時(shí)的病態(tài)。而大多數(shù)的孩子在感染病毒的當(dāng)晚就會(huì)出現(xiàn)發(fā)熱的癥狀，這時(shí)候家長(zhǎng)就可以根據(jù)孩子去過(guò)的地方或者見(jiàn)面的人是否患有水痘，去判斷孩子的癥狀是否被感染了。
 
2、身體上出現(xiàn)紅色的小點(diǎn)：水痘的初期形態(tài)，就像是被蚊子叮咬后出現(xiàn)的紅點(diǎn)一樣。如果家長(zhǎng)不注意的話，幾乎都會(huì)判斷錯(cuò)誤?？墒?，水痘的發(fā)展的速度是很快的，幾個(gè)小時(shí)之內(nèi)就可能長(zhǎng)滿全身，之后還會(huì)變成紅豆大小的水泡，并且還會(huì)有嚴(yán)重的瘙癢。但這個(gè)時(shí)候，家長(zhǎng)應(yīng)該注意不要讓小孩抓破水泡，以免引起其他的并發(fā)癥的出現(xiàn)，也會(huì)留下疤痕。
 
3、全身性癥狀：小孩出水痘的初期，首先是身體主干部位會(huì)出現(xiàn)相關(guān)反應(yīng)，長(zhǎng)痘瘙癢等，然后才逐漸長(zhǎng)到頭面部、手臂、腿上。但這些出水痘的癥狀，主要還是分布在身體主干位置，面部、手臂、腿上出現(xiàn)的癥狀往往要少一些。另外，口腔、眼部、頭部等也有可能出現(xiàn)感染水痘的癥狀，并且有強(qiáng)烈的疼。
 
4、具有傳染：水痘具有一定的傳染性，如果是兩個(gè)孩子在一起，一個(gè)孩子發(fā)燒了，另一個(gè)孩子，用不了兩天也發(fā)燒了，這也有可能是水痘的一種表現(xiàn)。另一方面，在水痘初期，孩子的皮膚表面會(huì)有一些紅，還可能會(huì)有刺癢的感覺(jué)。如果是患上水痘的嬰幼兒，在發(fā)燒的同時(shí)還會(huì)出現(xiàn)抓撓皮膚的情況，這也可能是水痘的癥狀。在這個(gè)時(shí)候我們需要及時(shí)的帶孩子去醫(yī)院檢查，檢查排查是否患有水痘的可能性。
怎么判斷是不是水痘 如何判斷是否得了水痘
如何判斷是否得了水痘
想要判斷是否得了水痘可以通過(guò)目測(cè)及醫(yī)療篩查判定。正常情況下，孩子突然出現(xiàn)發(fā)燒、乏力等癥狀，后于數(shù)小時(shí)至2天左右體表開(kāi)始陸續(xù)出現(xiàn)紅色小點(diǎn)樣皮疹，水痘的皮疹可出現(xiàn)在皮膚及粘膜，呈向心性分布，軀干部及頭面部多，四肢比較少。疾病初期皮疹首先為斑丘疹，隨著病情進(jìn)展，皮疹的泡液逐漸增多形成皰疹，水痘的皰液比較澄清，皰壁比較薄，皰的頂端有凹陷，周?chē)@以紅暈，呈分批出現(xiàn)的特點(diǎn)，往往病程中斑丘疹、皰疹及部分結(jié)痂皮疹有共同存在的情況。
 
水痘的皮疹伴有明顯瘙癢，搔抓后容易出現(xiàn)皮膚感染，這些是水痘的主要特征，如患者有明確的水痘或帶狀皰疹患者接觸史，疾病符合以上特點(diǎn)，基本則可初步認(rèn)定為水痘。在醫(yī)療篩查方面判斷水痘的方法有很多，例如血常規(guī)檢查、血清抗體檢測(cè)、病毒分離檢查等都可進(jìn)行水痘病理篩查：
 
1、血常規(guī)檢查：血常規(guī)檢查也叫血象檢查，一般是化驗(yàn)外周血中血液細(xì)胞數(shù)量和質(zhì)量。當(dāng)寶寶的檢查結(jié)果顯示細(xì)胞總數(shù)正?；蛘呤巧陨杂悬c(diǎn)增高，說(shuō)明兒童有可能出水痘。
 
2、血清抗體檢測(cè)：檢查血清抗體是為了知道兒童體液免疫功能的情況。檢查血清抗體有三種方法。
 
（1）直接熒光抗體法檢測(cè)：這種方法是查出兒童的皮膚組織中有沒(méi)有免疫球蛋白或者是補(bǔ)體沉積。
 
（2）間接免疫熒光法：可以查出兒童的血清中有沒(méi)有存在某種特異抗體或者是自身抗體，是早期診斷是敏感和快速的手段。
 
（3）補(bǔ)體結(jié)合試驗(yàn)測(cè)定：是在間接免疫熒光法的基礎(chǔ)上發(fā)展起來(lái)的。如果寶寶出水痘在出診后的第1—4天里血清中就會(huì)出現(xiàn)補(bǔ)體結(jié)合抗體，到了2—6周補(bǔ)體結(jié)合抗達(dá)到高峰，等到6—2個(gè)月后就會(huì)逐漸下降。
 
3、病毒分離檢查：醫(yī)生在兒童出水痘的3天內(nèi)取出皰疹液做細(xì)胞培養(yǎng)，其病毒分離陽(yáng)性率高，最后再用免疫熒光，酶聯(lián)免疫吸咐試驗(yàn)及放射免疫等方法鑒定。當(dāng)然也可取新鮮皰疹內(nèi)液直接做電鏡檢查。這種方法簡(jiǎn)單、快速，而且沒(méi)有副作用。
 
4、皰疹刮片或組織活檢：具體的方法是刮取新鮮皰疹基底物用瑞氏或姬姆薩染色檢查多核巨細(xì)胞，用酸性染色檢查核內(nèi)包涵體。
怎么判斷是不是水痘 如何判斷是否得了水痘
得了水痘怎么護(hù)理
1、及時(shí)隔離：水痘屬于常見(jiàn)的傳染性疾病之一，因此要注意及時(shí)隔離。由于水痘-帶狀皰疹病毒對(duì)于大部分人群普遍易感，尤其是老年人、小兒、孕婦等，所以要及時(shí)隔離患者直到水痘皰疹結(jié)痂脫落；
 
2、注意消毒：要做好生活環(huán)境的消毒措施，包括多通風(fēng)保持室內(nèi)空氣清新、注意手衛(wèi)生、及時(shí)清洗并晾曬水痘患者使用的毛巾、床單、被褥、內(nèi)衣、內(nèi)褲等。水痘患者的餐具要單獨(dú)使用，然后及時(shí)清洗并煮沸消毒。同時(shí)還要加強(qiáng)對(duì)患者排泄物的管理，注意衛(wèi)生間和馬桶的消毒，比如使用稀釋84進(jìn)行衛(wèi)生間地面和馬桶的消毒等，消毒后及時(shí)開(kāi)窗通風(fēng)，以免引起消毒劑中毒；
 
3、調(diào)整飲食：水痘患者發(fā)病期間要注意調(diào)整飲食，不要吃海鮮以及辛辣刺激性的食物，比如辣椒、蔥、姜、蒜等，多吃清淡的食物，比如米粥、稀面條等，也可以吃一些新鮮的蔬菜和水果，有利于病情的好轉(zhuǎn)；
 
4、皮膚護(hù)理：由于水痘皰疹會(huì)導(dǎo)致患者出現(xiàn)明顯的皮膚瘙癢癥狀，抓撓后可能會(huì)繼發(fā)細(xì)菌感染，容易加重病情，因此要注意皮膚護(hù)理。可以遵醫(yī)囑使用氯雷他定或者阿昔洛韋乳膏，可起到止癢、抗病毒的作用。同時(shí)及時(shí)剪短指甲，避免撓破皮膚。
怎么判斷是不是水痘 如何判斷是否得了水痘
通過(guò)上文的介紹，相信大家已經(jīng)了解怎么判斷是不是水痘了。水痘首先是由水痘帶狀皰疹病毒感染導(dǎo)致的經(jīng)呼吸道傳染的一種自限性疾病，具有一定的潛伏期，潛伏期10～14天，病程一般2周左右。在發(fā)病前兩天會(huì)出現(xiàn)發(fā)熱、乏力、咽喉疼痛等上呼吸道感染的癥狀隨后出現(xiàn)皮疹。在出疹期間，患者會(huì)瘙癢難耐，這個(gè)時(shí)候可以在醫(yī)生指導(dǎo)下合理使用一些止癢藥劑，謹(jǐn)防抓撓皮疹，因?yàn)樗蛔テ坪蟛粌H容易留下痘坑還很可能造成更大范圍的感染。

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