What are parotitis
h What are mumps?
Epidemic parotitis refers to acute infectious and viral diseases accompanied by an inflammatory process large salivary glands. Most often parotid glands are inflamed, less often (10% of cases) – submandibular and sublingual. In some cases, the disease gives a complication to the nervous system.
Parotite is common in temperate climates and climates, which are characterized by cold winters. In most cases, among the victims are children 7-10 years old, although the adult population is also affected. Mumps are characterized by outbreaks in certain regions.
Causes of mumps
The reason for mumps is a filtering virus. The disease is transmitted by airborne and by contact-household way. The incubation period of the disease is approximately 2-3 weeks.
Symptoms of mumps
Symptoms of mumps depend on the severity of the disease: mild, moderate or severe.
If the disease is mild, its symptoms are poor. Swelling of the salivary glands in the patient is moderate, in most cases, inflammation affects only one side. Subfebrile temperature usually passes in a couple of days. After a light massage, a little saliva is released from the gland.
With an average severity, the disease begins with a three-day prodromal period (the time between the end of the incubation period and the onset of the disease). There are slight malaise, chills, headache, neck pain, limb muscles and joints, appetite disappears. Gradually the symptoms of mumps become more and more noticeable. The temperature rises, dryness in the mouth appears, the parotid glands swell up. Most often the inflammatory process affects both glands, but not immediately, usually the inflammation of the second gland begins two days after the increase in the size of the first. At inspection of iron has a soft, elastic structure. There is no inflammation in the mouth of the salivary duct, salivation is scarce.
With a severe form of the disease, the prodromal phenomena are clearly pronounced. The glands are significantly enlarged in size due to the inflammatory process of the surrounding tissues. The skin above the area of inflammation usually does not change its color, but is in a stressed state. In most cases, the salivary glands, increasing in size, hurt, shift the earlobe and can change the width of the ear canal. The patient may have difficulty opening the mouth. The mucous throat and the mouth of the ducts of the salivary glands become hyperemic, sometimes stomatitis joins. Saliva secretion is significantly reduced or practically absent. The severe form of mumps is characterized by high fever in the first five days of the disease. Then the fever gradually subsides, the edema subsides and the inflammation passes.
In the absence of treatment or with improper treatment, parotitis can cause a number of serious complications in which the inflammatory process passes into a chronic form. Against mumps, orchitis, mastitis, meningitis, pancreatitis, arthritis, a hearing disorder that threatens to deafness may occur. / H / m3
Treatment of mumps
In outpatient settings treat children with mild to moderate form of mumps; in severe cases, treatment in a hospital is necessary.
Ill children are kept in isolation for nine days. Children in contact with sick children are isolated for 21 days. In kindergartens, immunization with a live vaccine is used to prevent the spread of the disease.
When parotitis is prescribed symptomatic treatment. In the first 7-10 days it is important to comply with bed rest. In the diet of the child include products that can enhance salivation (crackers, acidic drinks and fruits), as well as dairy dishes, fruits and vegetables. Oily and spicy food, flour products are excluded.
Great attention is paid to hygienic procedures: after brushing your teeth twice a day, it is recommended to rinse your mouth with solutions of antiseptics. At normal body temperature, physiotherapy is prescribed for the salivary gland and dry compresses are applied. When arresting acute inflammation, it is necessary to massage the glands from time to time, drink plenty of fluids and observe a diet that promotes salivation.