Poliomyelitis (from the ancient Greek πολιός -. Gray and μυελός - spinal cord) - Children's spinal paralysis, acute, highly contagious infectious disease caused by a lesion of the spinal cord gray matter poliovirus and is characterized mainly by a pathology of the nervous system. In general proceeds in asymptomatic or obliterated. Sometimes it happens that the polio virus enters the central nervous system, replicates in motor neurons, leading to their death, irreversible paresis or paralysis of muscles innervated by them
Classification 1. By Type Typical (with CNS) Non-paralytic (meningeal) Paralytic (spinal, bulbar, Pontin and mixed) Atypical (non-CNS) Inapparent form (of virus) Abortive form (minor illness) 2. gravity Mild Srednetyazhёlaya form severe form The criteria of severity: Intensity of intoxication syndrome Severity of motor impairment 3. Adrift (nature) smooth grainy With complications On the stratification of secondary infection With the aggravation of chronic diseases
Clinical picture symptoms Fever catarrhal symptomsUpset chairSweating Rash dysuria Muscle aches, paraesthesia Hemodynamic disturbances, cold extremities, cyanosis Fluctuations in blood pressure Shortness of breath, choking Paresis, paralysis Violation of swallowing and phonation meningeal syndrome
Treatment Bed rest, painkillers and sedatives, thermal procedures. Patients are subject to compulsory hospitalization. At the paralytic form, when the development is complete paralysis (4-6 weeks of illness), carried out a comprehensive rehabilitation (medication, physiotherapy and orthopedic) treatment in the future - a periodic spa treatment. At disturbances of breathing - therapeutic measures for its restoration, including resuscitation techniques. At the outbreak of the disease disinfection.