CUPRINS rujeola (1)

8/17/2019 CUPRINS rujeola (1)

1/39

CUPRINS

MENT......................................................................................................2

OLUL I.....................................................................................................3NI DE ANATOMIE SI FIZIOLOGIE A VIRUSULUI RUJEOLEI.......3

OLUL II...................................................................................................5

LA...........................................................................................................5

DEFINITIE...............................................................................................5

STORICUL BOLII..................................................................................5

ATOGENIE..............................................................................................6

TATISTICI MEDICALE........................................................................7ABLOU CLINIC....................................................................................9

ORME CLINICE IN RUJEOLA..........................................................12

VOLUTIE SI PROGNOSTIC..............................................................13

COMPLICATII.......................................................................................14

DIAGNOSTICUL POZITIV..................................................................15

TRATAMENTUL RUJEOLEI..............................................................16

OLUL III................................................................................................19L ASISTENTEI MEDICALE IN INGRIJIREA PACIENTULUI CU RUJEOLA 19

ROLUL ASISTENTEI MEDICALE IN PANUL DE INGRIJIRE.........19

ROLUL ASISTENTEI MEDICALE IN EDUCATIA SANITARA.......19

OLUL IV................................................................................................22

NTAREA CAZURILOR CLINICE......................................................22

CAZUL I.................................................................................................22

CAZUL II................................................................................................28

CAZUL III..............................................................................................34

LUZII.....................................................................................................4

OGRAFIE...............................................................................................41


2/39

ARGUMENT

#$% "&$"%'( )*"#( +$*",$&$ -"&$ ",'$ +/0 )*#/#$ /0-$&'*&*0'"/*"%$ -*",'$ -,$&$0'$ "#$

/ / +"&( 0 $%'$ ',"'"'( &*,$%0('*, *"'$ #(%" %$!0$ //)/#$ $ %,"-"" &*,#/ / +/0

'/ !#/ &*// ", '$" -/ &*!#$"/.

# $0', &",$ !/"! "#$% "&$%'( '$!( " #&,(,// !$#$ :0,/;/,$" "&/$0'#/ & ,;$*#"< " -*%'

0 !$!), "# -"!/#/$/ !$#$ " %-$,/' +$ "&$"%'( )*"#( & &= /" "0/ >0 ,!( / ,/0 ,!",$ț ș

$*/#$ "&/$0 /#*, & * "%$!$0$" "-$& /0$.ț ț

CAPITOLUL I


3/39

NOTIUNI DE ANATOMIE SI FIZIOLOGIE A VIRUSULUI RUJEOLEI

,%# ,;$*#/& $%'$ "$0'# &"%"#. E# $%'$ ,$$0' #" *!# )*#0" >0 %=0$ >0 %$&,$//#$

0/$0$ / ,$%/,"'*,// >0 $#$!$0'$#$ $,'/$ &'"0"'$. V/,%# 0 %$ /0'"#0$'$ #" $,%*0$$ +$*",$&$ 0 $/%'( ,'"'*,/ +$ /,% ,;$*#/&.

orfologie /,%# ,;$*#/& $%'$ * ",'/&#( %-$,/&( +$ 12 128?! >0 +/"!$', & !/&/

"&/&#",$ +$ %,"-"(. S',&',"# &*0/0$ * 0$*&"%/+( & A.R.N / 0 >0$#/ $'$,/*,

' +/0 #//+$ #/&*,*'$/0$ / *#/$'/+$. I0-$&'//'"'$" $%'$ #$"'( +$ "&$%' >0$#/ &" / +$

/#$ +$ @$!"#'/0",$ / @$!*#/(. A0'/$0# $0', ,$"&/" +$ -/",$ " &*!#$!$0'#/ $%'$

0 0$*&"%/+( /", "0!/'$ %$&/-/&/'"/ %0' +"'$ +$ /0$#/. S,$ +$*%$)/,$ +$ "#'$ /,%,/

/,%# ,;$*#/& 0 *%$+( 0$,"!/0/+"(. E/%'( 0 %/0, '/ "0'/$0/&. I*#",$" /,%#/

%" -(&' $ &#',/ +$ $%',/ ,/0/&@/ !"0 %" +$ !"/!( '/#/=0+ %=0$ %" %(#(',/#$

$ +$ #" )*#0"// +$ ,;$*#(.

receptive. M"/!'" /0*&#"'" ",$0'$,"# & /,% ,;$*#*% -"&$ * )*"#" "%$!"0"'*",$ & "

V/,%# *"'$ -/ /*#"' +/0 %"0$ $+"' -",/0/"0 ,$&*#'"' /0 ,/!$#$ 24 +$ *,$ +$ #" +$)' $

$##",$ +/0 ,/0/&@/ +$ !"/!'" %" *!.

,;$*#/& " -*%' "+"'"' %/ #" $!),/*0# +$ "/0" $ &"#$ "!0/*'/&" %/ #" !#'/#$ '/,/ +$ &#',/+$ *! %/ !"/!'". D$*#'",$" /,%#/ /0 &#',/ %$ -"&$ #$0' /0 6 8 /#$ %/ %$ +&$ #"

,/ &/'*"'/&$ &","&'$,/%'/&$ &$##$#$ /%/ /$,+ &*0',# "", "&*#$ %/ !"%$ %/0&/'/"#$ &

/ 0$/ &$##$ /"0'/&$ /", /0',"0$", "", /0/0/ "&/+*-/#$.

ra antigenica.V/,%# ,;$*#/& *%$+" * "&'//'"'$ @$!"#'/0"0'". F$0*!$0# $%'$ %$&/-/&

$ %$,# "0'/,;$*#*%. V/,%# *%$+" %/ 0 "0'/$0 -/"'*, +$ &*!#$!$0' &",$ *"'$ -/ % /0

/0 #/&@/+# %$,0"'"0' "# &#',// +$ &$##$ /0-$&'"'$ & /,% &",$ ,$"&'/*0$"" %$&/-/& &&*0"#$%&$0'.

ezistenţa în mediu extern şi la factorii fizici /,%# ,;$*#/& $%'$ /0 ,$/%'$0' >0 !$+/#

!"/ "#$% #" '$!$,"',/ ,/+/&"'$. R$/%'( &='$" %"'(!=0/ #" -,//+$, / !"/ !#'$ #0/ >0 %'",$

( #" 15 %" 79 C. L" 37C >/ /$,+$ ;!"'"'$ +/0 /0-$&/*/'"'$ >0 2 *,$. L" '$!$,"',"

/ #" !/+/'"'$ %&('( ,$/%'( !"/ )/0$ +", /$,+$ 57 +/0 /0-$&/*/'"'$ >0 &*0+/'// +$


4/39

$ &,$%&'(. E%'$ +/%',% ,$$+$ +$ #',"/*#$'$. A&/0$" -*,!*##/ 14 '/! +$ 4 /#$ #" 37

0"&'/",$" /,%#/ /$,+$,$" &*!#$'( " /0-$&/*/'"//. V/,%# ,;$*#/& 0 $%'$ %$0%/)/# #"

0'/)/*'/&.

FIG.1. MORBILIVIRUS – VIRUSUL RUJEOLIC

CAPITOLUL II

RUJEOLA

FINITIE

)*"#" "&'" -*",'$ &*0'"/*"%" %$&/-/& !"0" ,*+%" +$ /,%# ,;$*#/& %/ &","&'$,/"'"

$*#'/$ "'*#/!/'"0'" & -$)," $"0'$! %/ $0"0'$! &","&'$,/%'/&$ &*!#/&"'// -,$&$0'$ %$$,$


5/39

'"'$ +,")/#" +" )*"#". E%'$ &0*%&'" +$ *#"'/$ %) 0!$#$ +$ *;",


6/39

;$*#$/ #" ",%'" +$ 15 #0/ ',$)/$ %'")/#/'$ %/ !$0'/*0"'$ /0 '*"'$ &*#$&'//'"'/#$ !"0$ %/

0$" ',$)/$ /0%/ '*'/ %%$&'// /0+/-$,$0' +$ ",%'". I0 "0# 1984 %" ,"*,'"' /0 '",/#$ /0 &,%

#'",$ &",$ 0 ,"&'/&" "&&/0",$" "0'/,;$*#/&" /0 !"%" !"/ !#' +$ 15 !/#/*"0$ &*// !*,'/

" %/ &*!#/&"'//#$ $/.

,"!# OMS EPI E"0+$+ P,*,"!!$ *0 I!!0/"'/*0 %" /0% &*!)"'$,$" ,/0

$" " %"%$ )*#/ /0-$&'/*"%$H +/-'$,/$ '$'"0*% '$,'%%/% *#*!/$#/'" ,;$*#" %/ ')$,&#*" &",$

!&*// $ #*) #" -/$&",$ !/0' %/ @"0+/&"$"" /0&" 1. R;$*#" $%'$ ,$%*0%")/#" +$ 13 +/0

*,'/ %/ %$&@$#$.

OGENIE

",'" +$ /0',",$ " /,%#/ ,;$*#/& $%'$ !&*"%" 0"*-",/0/"0( / &*0;0&'/"#(. U0// "'*,/ "&( *",'" +$ /0',",$ " /,%#/ ", -/ 0!"/ !&*"%" &*0;0&'/"#( &*// ,$&$'// #" ,;$*#(

*0'"&' & )*#0"// +$ ,;$*#( 0 " -"&' )*"#" +"&( #/ %" "#/&"' *&@$#",/ &",$ "&*$,$"

,$/0$ *,)/'"#( %" +"&( #/ %" /0%'/#"' %$, +$ &*0"#$%&$0' >0 %"&# &*0;0&'/"# .

( "',0+$,$" ,/0 !&*"%( /,%# ";0$ >0 $%',/#$ #/!-*/+$ 0+$ %$ !#'/#/&(

" +$ /0&)"/$ . V/,%# " '' -/ /*#"' +/0 %=0$ >0 "&$"%'( $,/*"+( #" !"/!$. C=0+ %"

* !#'/#/&",$ !"/!( " /,%#/ "&$%'" /0"+$"( %=0$#$ / *,"0$#$ ,**&=0+ ,/!$#$",/ "#$ )*#//. V/,%# ,;$*#/& %$ /*#$"( >0 "&$"%'( $,/*"+" +/0 %=0$ +/0 %$&,$//

0/$0$ / +/0 ,/0(. :0 %=0$ /,%# ,;$*#/& $%'$ #*&"#/"' >0+$*%$)/ >0 #$&*&/'$ >0 &",$ %$ /

( &$$" &$ ", $#/&" #$&*$0/" / !*+/-/&(,/#$ &,*!**0/&$ -,$&$0'$ +/0 ,;$*#( .

,;$*#( %$ ,*+& / "#'$ !*+/-/&",/ /!0*#*/&$ / !$'")*#/&$. A%'-$# >0 -*,!$#$ %$$,$ +$

" &*0%'"'"' * /!0*%,$%/$ /!*,'"0'( !"/ "#$% " /!0/'"// &$##",$ +$!*0%',$"( ,/0',

$ " 0!(,#/ +$ #/!-*&/'$ T / %&(+$,$" ,$/%'$0$/ #" /0-$&// )"&'$,/$0$. R;$*#" ,"( &",$

&$0' #" ',*/&$ %$ /0%*$'$ +$ * $#/!/0",$ !"/ ,$#0/'( " /,%#/ ,;$*#/& / +$ ,$$0"

'( " &$##$/ /"0'$ 829 /#$ -"( +$ * +,"'( !$+/$ +$ 6 /#$ >0 ,;$*#" *)/%0/'(. S$

( &( "&$%' "%$&' ,$$#"'*, +$ ,"/'"'$ %$ +"'*,$,'$ 0$/ '$,0/&$ +$,/!",/ " /!0/'"//

#" &*/// & !"#0',//$ &$$" &$ ", -"*,/" ,*#/-$,",$" /,"#( / ,"/'"'$" )*#//.


7/39

ATISTICI MEDICALE

" -*%' +$ +$",'$ &$" !"/ -,$&$0'" )*"#" /0-$&'/*"%" /0+/&// +$ !*,)/+/'"'$ /0 '",/#$ /0 &",$

",$" %" -"&' ,$#"' %/ %/%'$!/& " ";0% #" 15 16 #% 1 +$ #*&/'*,/. I0&/+$0'"

0 ,$/0$" $,*$"0" /0 $,/*"+" 198 1991 /0,$/%',$"" 0 &*0'/0 +$/0 /0 1991 -//0+

17 525 &",/ &$$" &$ ,$,$/0'" * %&"+$,$ +$ 77 *,/ -"'" +$ 198. I0 R*!"0/" /0 $,/*"+"

978 $,/*"+" +/0"/0'$" "&&/0",// "0'/,;$*#/&$ /0 !"%" !*,)/+/'"'$" " ",/"' /0',$ 32554 #"

+$ #*&/'*,/ 1968 %/ 73893 #" 1 +$ #*&/'*,/ 1969 /0 ,$%'# "0/#*, -//0 /0 ;, +$ 5

,/ #"1 +$ #*&/'*,/. N/$## !*,)/+/'"'// /0 "0// $/+$!/&/ " "'/0% 6 75 +$ &",/ #"

+$ #*&/'*,/ -"'" +$ 22 33 &",/ /0 "0// /0'$,$/+$!/&/. E*#'/" ,;$*#$/ /0 R*!"0/" +"

$,$" "&&/0",// "0'/,;$*#/&$ /0 1979 ,$/0'" ,!"'*",$#$ &","&'$,/%'/&/H

&"+$,$" !*,)/+/'"'// +$ #" 544 1 #*&/'*,/ /0 1978 # ""#*,/ +$ %) 221

&/'*,/ /0 $,/*"+$#$ /0'$,$/+$!/&$ "+/&" * %&"+$,$ +$ ",*/!"'/ 246 *,/.

M$0'/0$,$" $,/*+/&/'"'// !#'/"0"#$ & "",/'/" 0*, $/+$!// #" /0'$,"#$ +/0 &$ /0 &$ !"/

0/ +$ #" 0 "0 #" ',$/ %/ "*/ #" "', "0/ %/ & ,$+&$,$" /0&/+$0'$/ /0 $/+$!/$ %) 0/$##

/+$!//#*, +/0 $,/*"+" ,$"&&/0"#".

A!#*",$" "&$%'*, ",/"'// $/+$!/&$ '/0$ +$ !"%" +$ ,$&$'/" &,/0%" ,/0 "&!#",$" +$

/ $0$,"'// ,$&$'/$.M/0/$/+$!//#$ +$ ,;$*#" &*0'/0" %" -/$ ,"*,'"'$ &"0+ ,,/ #",/ +$ %%&$'//#/ %0'

0/'$ /0 &*#$&'//'"'/ /0&@/%$.

0"," %/ %$*0/$," " /0&/+$0'$/ ,;$*#$/ /0 R*!"0/" " "'/0% 0/$## !"/! /0 #0/#$ +$ ,/!"","

!"/ & 347 &",/ 28.97 &",/ /",0" $ &"0+ "," %" /0,$/%',"' 21325 +/0

/,/ /", '*"!0" 1564.

tia pe grupe de varsta

!*,'"0'" ",'/&#"," " ",%'$/ /0 &$$" &$ ,/$%'$ !*,)/+/'"'$" ,/0 ,;$*#" $%'$ 0 -"'

0$&0*%&'.

M";*,/'"'$" &",/#*, %$ %/'$"" /0 ," 21 "0/ !*,)/+/'"'$" -//0+ %$0%/)/# $"#" $0', &$#$

" %),$ &*!*0$0'$H 15 "0/ %/ 51 "0/.


8/39

D/$,%$ %'"'/%'/&/ +$ $ #*) &*0%$!0$"" !*,)/+/'"'$" &$" !"/ ,/+/&"'" +$ ",*/!"'/ 2

1 #" ,$$ 15 %/ 59 "0/.

"0" #" 15 "0/ ,;$*#" "",$ #" 9884 5 +/0',$ &*// 0 ,*&$0' /0-/! -"&"0+ ,;$*#" +"

$"%'" ",%'".

0 '",/#$ /0 &,% +$ +$*#'",$ *)%$,"'//#$ $/+$!/*#*/&$ ,$#$" &" %&"+$,$" 0/$##/ +$ ',"/

"&*!"0/"" & %&"+$,$" ",%'$/ &*0'"/0// ,;$*#" "-$&'"0+ & ,$&"+$,$ %",// %/ &*//.

*,!",$" +$ &*#$&'//'"'/ +$ &*// !/&/ &,$%$ ,"+/0/'$ -"*,/$"" +$#"%",$" !*,)/+/'"'//

,$ "&$%'$ "%'$ &",/ %) 2 "0/ %/ &@/", %) 1 "0 -//0+ -,$&$0'$ &$$" &$ /!0$ "&&/0",$"

'/,;$*#/&" %) ",%'" +$ 1 "0. S$# %$ ",$ &" 0 ;*"&" 0 ,*# /!*,'"0' /0 /0&/+$0'" )*#//.

0 R*!"0/" /0 $,/*"+" 19781992 !*,'"#/'"'$" %&"+$ ,*,$%/ +$ #" 1171 +$ #*&/'*,/

1978 "0 ,$"&&/0"# #" 31 +$ #*&/'*,/ /0 1992 "+/&" %&"+$ +$ 39 +$ *,/.

BLOU CLINIC

"/" >0 !$+// $%'$ +$ 1 /#$ & ",/"// >0',$ 8 / 11 /#$ -//0+ 0" +/0 $,/*"+$#$ +$ /0&)"/$

-/$. P*"'$ -/ ,$#0/'( (0( #" 2128 +$ /#$ +"&( >0 &,%# "&$%'$/ $,/*"+$ %" "+!/0/%',"'

#*)#/0(.

ioada de invazie %'"+/# ,$$,'/ $,/*"+" &"'","#( .%'( $,/*"+( +,$"( 34 /#$ (0( #" "",//" $,/$/. D$)'# $%'$ ,"+"' / 0 ),%& &" >0

( & -$),( &",$ &,$'$ ',$'"' #" 3839C /0%*/'( +$ &$-"#$$ /0+/%*//$ / +$ -$0*!$0$

&*0;0&'/"#$ / "#$ &(/#*, ,$%/,"'*,// %$,/*",$. C"'",# &*0;0&'/"# $%'$ $,/!"' ,/0 H

//'$ ,*// #$*"$ !-#"'$ *&@/ #"&,"!*/ $%'$ /0%*/' "+$%$" +$ -*'*-*)/$. C"'",# &(/#*,

,// $%'$ #*&"#/"' /0//"# #" 0"*-",/0$ / #",/0$. B*#0"# %',(0'( / ,$/0'( * %$&,$/$ 0""#(

'( %$,*!&*"%( %" !&*,#$0'( &",$ /,/'( narinele /0%*/'( 0$*,/ +$ $/%'"/%. C"'",#0""# +" -$$/ )*#0"#/ 0 -"&/$% +$ &*/# #=0%


9/39

%/%'$!"'/& >0 "&$"%'( $,/*"+( 0 >0 $/+$0( >0 $%'$ ;!"'"'$ +/0 &",/ /!"/0/ +$

0/$ /0'$,%'//"#(.

a bucală.

!$#$ /#$ +$ )*"#( !&*"%" )&"#( $%'$ &*0$%'/*0"'( !"/ "#$% >0 -0+# ,//. P$ "&$%' -*0+

"' %$ *)%$,( $'$ /0'$0% &*0$%'/$ 0$*,/ &@/", @$!*,"/&$. P$'$#$ %0' +$ +/!$0%/0/ !/&/

>0 +/"!$', & &*0', 0$,$#"' -//0+ -,$$0'$ $ (## "#"'/0 / >0 -0+# ='#/. L/!)"

,"#( +", ,*/$ $ !",/0/ & '$0+/0$ +$ +$%&"!",$ >0 /#$#$ ,!('*",$.

mnul Koplik !*+/-/&",$ &","&'$,/%'/&( ,;$*#$/ >0 "&$"%'( $,/*"+( $%'$ &*0%'/'/' +/0 &('$"

0!$,*"%$ !/&,*"#$ "#)$ %" +$ &#*",$ "#)"%', +$%&@/% /*#"'$ %" >0 !/&/ ,,/

$ * *0" ,*/$ & 0 +/"!$', +$ &=/" !/#/!$',/. A&$%'$ !/&,*"#$ %0' %/'"'$ $ !&*"%"

=0( #'/!// !*#",/ !"/ ,", $ /0// >0 "0# ;*!"/#", / $&$/*0"# >0 "#'$ (,/" 0""#(. E#$ " -*%' &*!","'$ & ,(0$#$ +$ ,/ %" & !/&/ %',*/',/ +$ ", ,$%(,"'$ $

"( &*0$%'/*0"'(. A&$%'$ 0&'$ ,$#/$-"'$ %$ +"'*,$%& 0*, >0,*(,/ $/'$#/"#$ -//0+ +$%'# +$

+$ !&*"%(.

!0# *#/K "",$ +/0 $,/*"+" +$ /0"/$ +$ *)/&$/ /0 " 2" / / $,%/%'( &='$" /#$

0+ / 23 /#$ +/0 $,/*"+" $,'/( "*/ +/%", >0&$=0+ & 0&'$#$ "#)/&/*"%$ &",$ #"%( >0

0&' @$!*,"/& $ * ",$*#( &*0$%'/( ,$%' +$ *#/K


10/39

'( +/0 !"&#$ &*0$%'/$ +/%", #" ,$%/0$ +$ &#*",$ ,* #" >0&$' !/&/ +/"!$+,# +$

! '=0+ ,(!(0$ &" "'",$ $,/$ !/&,*!"&#*"%( %" &,$%&=0+ >0 %,"-"( +$ 13 &! >0

& !",/0/ 0$,$#"'$ %" *, +/0"'$ $,/" !"&,*!"&#*"%(.

*, ,$#/$-"'$ %/ &"'/-$#"'$ #" /(/' %0' /*#"'$ +", +$ *)/&$/ &*0-#/"( #(%=0+ $ "#*&,/

+$ /$#$ %(0('*"%( &" 0/%'$ /0%#$ & &*0', 0$,$#"'. A&$%' "%$&' $%'$ //)/# !"/ "#$% $

+$ $,/" $%'$ !"/ /0 "&&$0'"'( &@/", >0 &"# 0$/ $,// /0'$0% &*0-#/$0'$. :0 $0$,"#

"('( 0 "%$&' ('"' &" / &! ", -/ %',*/'( & * &#*",$ ,*/$. E,/" *"'$ -/ *,

*"%(. D" 23 /#$ $#$!$0'$#$ $,'/$ (#$%& / +/%", >0 *,+/0$" >0 &",$ " "(,' #(%=0+ /0

'/! +$ &='$" /#$ $'$ (#)/ &"-$0// & "#*",$ +/"0*%'/&( ,$',*%$&'/(. A&$%' "%$&'

$%'$ !"/ /0'$0% &=0+ $,'/" " -*%' @$!*,"/&( !#' /!$0' %"0/0$ $',"""'. D$ *)/&$/

* +$%&"!"/$ -/0( -,-,"&$$.ada posteruptivă &*0"#$%&$0". :0 ,;$*#" 0$&*!#/&"'( '$!$,"'," ,$/0$ #" 0*,!"# *+"'(

" / '$,$,$" $#$!$0'$#*, $,'/$ /", )*#0"# >/ ,$&"('( ',$'"' %'",$" "0'$,/*",(. :0 "&$"%'(

&*0"#$%&$0'# $%'$ $% #" ",/"'$ &*!#/&"// )"&'$,/$0$. E*#/" ,;$*#$/ $%'$ +$ *)/&$/

+$&,=0+ -(,( %" & /0$ &*!#/&"// !"/ "#$% #" &*// >0 %'",$ +$ 0',//$ 0*,!"#( / >0

+$ )0( >0,/;/,$. :0 $/+$!// !",/ !"/ "#$% >0 ,$/0/#$ & *#"/$ %)0',/'( / & ,$/%'$0(

,;$*#" %$ >0+,($'$ +$ &*!#/&"//. C*!#/&"// !"/ -,$&$0'$ #" &*// %) 2 "0/ #" ,"@/'/&/ #" %" #" &$/ & -*&",$ /0-$&/*"%$ ,$$/%'$0'$ "", 0 0!"/ >0 &,%# )*#// +", +$%$*,/ &(',$

"&$%'$/" / >0 &*0"#$%&$0(. P$%'$ 9 +/0 &",/#$ !*,'"#$ +$ ,;$*#( %0' +"'*,"'$

//#*,. E'/*"'*$0/" &*!#/&"'//#*, $%'$ &*!#$( &*0',/)/0+ >0+$*%$)/ #" %&(+$,$"

$/ $0$,"#$ "0$,/" ,;$*'/&( / " &$#$/ #*&"#$ !&*"%" ,$%/,"'*, / " &"/'(/#*, "+/"&$0'$

,// ,$&@$" !$+/$ %/0%,/ ,/0 #$/0/#$ /0-#"!"'*,// ,**&"'$ +$ /,%# ,;$*#/&. S$

"%'-$# 0!$,*"%$ *,/ +$ /0',",$ $0', %,"/0-$&// )"&'$,/$0$. M";*,/'"'$" &*!#/&"//#*,

)"&'$,/$0$ %,$0/0+ $ 0 '$,$0 ,$","' +$ "&/0$" /,%#/ ,;$*#/&. E#$ *' -/ -"*,/"'$

/ +$ !$+/ $'$,0/ %/'"#/",$ >0 %"#*"0$ &*!!0$ >0,/;/,/ /0%-/&/$0'$. U0$#$ &*!#/&"//

,!/0"'$ &@/", +$ /,%# ,;$*#/& #",/0/'" 0$!*0/" /0'$,%'//"#( $0&$-"#/'".

RME CLINICE IN RUJEOLA


11/39

pectul erupţiei :

. R;$*#" & $,/$ ,$#/$-"'(.

. R;$*#" & $,/$ !/#/",(.

. R;$*#" & $,/$ )#*"%(.

. R;$*#" & $,/$ ,,/&(.

. R;$*#" & $,/$ &*0-#$0'(.

. R;$*#" !*+/-/&"'( %" !/'/"'( +( "+!/0/%',",$ +$ "!!"#*)#/0$ >0 $,/*"+" +$

0&)"/$ ",$ "%$&' "'//& #/%/0+ 0$#$ %/!'*!$ %" "(,=0+ >0',* -*,!( +/%&,$'(

/!'*!$#$ &"'","#$ *' #/%/ /", $,/" &*0%'( +/0',0 0!(, ,$+% +$ $'$ ,/%//'$ $ &*,

&$"%'( -*,!( *"'$ "(,$" #" 35 #0/ +$ #" 0"'$,$ #" %",// &",$ !"/ +$/0 0 ,$%' +$

!0/'"'$ !"'$,0(.. R;$*#" -(,( $,/$ "",$ #" "&&/0"/ %" #" &$/ &",$ " ,/!/' 0 !"'$,/"# +$ /!0/",$

"%/( "&$"%'( -*,!( ',$)/$ +/"0*%'/&"'( >0%( $ )"$ %/,$ H /0/&$ $/+$!/*#*/&$.

tensitatea simtomatologiei!

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15/39

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16/39

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17/39

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CAPITOLUL III

OLUL ASISTENTEI MEDICALE IN INGRIJIREA PACIENTULUI CU

RUJEOLA

LUL ASISTENTEI MEDICALE IN PANUL DE INGRIJIRE

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LUL ASISTENTEI MEDICALE IN EDUCATIA SANITARA


18/39

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19/39

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20/39

CAPITOLUL IV

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21/39

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BIBLIOGRAFIE

T%+%*%&' L,&*)+%' G@/+ +$ 0,%/0 & '$@0/&/ +$ $"#",$ %/ /0,/;/,/

&*,$%0"'*",$ 0$*/#*, -0+"!$0'"#$ E+/'," V/"'" M$+/&"#"

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T%+%*%&' L,&*)+%' I0,/;/,/ %$&/"#$ "&*,+"'$ "&/$0'/#*, +$ &"',$

"%/%'$0'// !$+/&"#/ E+/'," V/"'" M$+/&"#" R*!"0$"%&" 26

M= R'9, V'$)+% M/&,*)/*#*/$ %/ ","/'*#*/$ E+/'," D/+"&'/&" %/ P$+"*/&" 197

T%+%*%&' L,&*)+%' D/&'/*0", +$ '$,!$0/ $0', "%/%'$0'/ !$+/&"#/

E+/'," V/"'" M$+/&"#" R*!"0$"%&" 23

O@!*9 D/&'/*0", +$ M$+/&/0" E+/'," A## 25

C?%!+' M%*&)' B*#/ I0-$&'/*"%$ E+/'," M$+/&"#" N"'/*0"#" 22

V!%&,$)-&, M'*% B*#/ I0-$&'/*"%$ E+/'," M$+/&"#" 1981

B!*,9)$ C!*)$%, M"0"# +$ M$+/&/0" I0'$,0" $0', &"+,$ !$+//

E+/'," A## 1998

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