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					Mumps
Mumps (epidemic parotitis, mumps) referred to mumps is common in
children and adolescents respiratory diseases, are acute upper
respiratory tract infections, caused by the mumps virus, highly
contagious. Clinical features are fever and non-suppurative parotid
gland swelling, and violations of various glands or nervous system,
liver, kidney, heart, joints and other organs. The predilection of
this disease of children, can also be found in adults.
Parotid gland infection causes swelling of the salivary glands of the
cheek and neck pain. Rare complications include meningitis,
meningoencephalitis, encephalitis and meningitis, as well as deafness,
arthritis, orchitis, oophoritis, pancreatitis, kidney, liver, thyroid
inflammation, although no one will be infected , but not vaccinated
school-age children most vulnerable to pollution, winter and spring
high.

[Etiology]
Mumps virus belongs to the Vice mucus virus family, are spherical, the
size of about 80 ~ 300nm. Is a single-stranded RNA virus (ssrna).
Virus envelope hemagglutinin antigen with (v), shell with soluble
antigen (s). s have the corresponding antigen and antibody antigen v,
s whether the protective effect of antibodies is controversial, v
antibody has a protective effect. Virus hemagglutinin of the outer
membrane, could agglutinate chicken and guinea pig red blood cells,
can produce hemagglutination inhibition antibody. In hela cells, human
embryonic kidney and primary monkey kidney cells grew well. The virus
cold, -50 ~ -70 ¡æ to live more than 1 year at 4 ¡æ, the energy can be
stored 2 months, 37 ¡æ for 24 hours when, 55 ~ 60 ¡æ 20 ·ÖÖÓ death.
Considerable resistance to low temperature. Sensitive to UV and
general disinfectant. Strong UV only live half a minute, formaldehyde
solution, 30% to Sur, 75% ethanol, 2 to 5 minutes exposure to
inactivated. Only one serotype of the virus. Human nature is the only
virus host.

[Epidemiology]
Mainly by droplets. Direct contact with infected saliva.
(A) the source of infection of patients and latent infection early.
Virus present in saliva of patients with a longer time, cheek swelling
cheek swelling the first 6 days to 9 days after the saliva of patients
can be isolated from the virus, so two weeks is highly contagious.
Infected with mumps virus, mumps free performance, while other organs
such as brain or testis and other symptoms, the saliva and urine can
also be detected in the virus. Of a pandemic about 30 to 40% of
patients with only upper respiratory tract infection subclinical
infection, is an important source of infection.
Need to isolate. 9 days after symptom onset in patients not allowed to
school or to work. Transmitted from one week before the onset of
symptoms to 9 days after onset of symptoms. Patients within 48 hours
after the onset of symptoms the most contagious.
(B) transmission of the virus spread by droplets in the saliva (saliva
and contaminated clothing can also be transmitted) the contagious than
measles, chicken pox is weak. Pregnant women infected with the disease
can infect the fetus through the placenta, resulting in fetal
malformation or death, also increased the incidence of abortion.
(C) susceptibility generally susceptible, the susceptibility decreased
with increasing age. 90% of cases occur in 1 to 15 years of age,
especially for children aged 5 to 9. Infants less than 1-year-old
mother of delivery may have body immunity, rarely sick. 80% of adults
who have had overt or latent infection. No gender differences in
pediatric patients, more men than women after puberty onset. Illness
can have a lasting immunity.
(D) the distribution of the disease prevalent features of the global,
year-round disease, but in winter, spring based. Was popular or may be
distributed. In the children's collective body, forces and poor
sanitary conditions could easily lead in the crowd outbreak. The
popular rule is the source of infection with the accumulation of
susceptible increase in the formation of the cyclical nature of
fashion, pop wave duration can be 2 to 7 months in between.
Vaccination is not the line in the region, every 7 to 8 year cycle
fashion trend.
[Pathogenesis and pathological changes]
Mumps virus first invaded the upper respiratory tract and eyes with
film, in a large number of local proliferation of epithelial tissue
into the blood circulation after the time (initial viremia), the
involvement of the parotid gland and some tissue blood flow in these
organs were proliferating, again into the blood (secondary viremia)
affected salivary gland, testis, ovary, pancreas, liver and central
nervous system. The virus has a special affinity for the parotid
gland, it is non-suppurative inflammation of the parotid gland as the
main lesion. The glands were swollen red, oozing, bleeding lesions and
leukocyte infiltration. Epithelial edema, necrosis, acinar blood
vessels between the congestion phenomenon. Parotid duct was catarrhal
inflammation, and glandular stroma surrounding ducts in serous fibrin
exudation and infiltration of lymphocytes, often caused by glandular
tissue congestion, increase of internal pressure, leading to swollen
glands. Salivary gland, testis, ovary, pancreas, also have similar
inflammatory changes. Part of the parotid duct obstruction, retention
of amylase in saliva can enter the blood circulation through the
lymphatic system and excreted from the urine, leading to increased
serum and urinary amylase. Brain lesions were acute viral meningitis
can be disease, including nerve cell degeneration, necrosis and
inflammation; occasionally subventricular cell necrosis, scarring of
the brain aqueduct stenosis, the formation of brain water. Adolescent
patients complicated by orchitis. Testicular seminiferous epithelium
was significantly congestion, bleeding spots and lymphocytic
infiltration. Can be seen in the interstitial edema, serous exudate
fibrin.

[Clinical manifestations]
Clinical manifestations were fever, parotid gland swelling, pain, fear
of eating into the acid. Include fever, neck, submandibular,
preauricular salivary gland swelling and pain. After puberty, the male
patients, 25% of testicular swelling, one-third of infected persons
may be asymptomatic.

Incubation period of 8 to 30 days, an average of 18 days. Most of more
acute onset, no prodromal symptoms. Fever, chills, headache, sore
throat, poor appetite, nausea, vomiting, body pain, parotid gland
swelling and pain several hours, became clear, body temperature can
reach 39 ¡æ or more, adults are generally more serious. The most
characteristic parotid gland swelling. Generally earlobe as the
center, forward, back, under development, shaped like a pear-shaped,
the edge is unclear; local skin tight, shiny but not red, touch of
tough and flexible, with touch of pain; speech, chewing (especially
acid into the diet), the stimulated salivary flow, leading to the pain
got worse; side of parotid gland swelling is usually 1 to 4 days after
the involvement of the contralateral, and bilateral swelling by about
75%. Submandibular or sublingual gland may also be involved. Height of
the surrounding tissue with severe edema who parotid gland, distorts,
and difficulty swallowing occur. Tube opening in the early stage of
parotid gland swelling, purulent discharge has never been squeezed
from the parotid gland opening overflow. Most of parotid gland
swelling in 1 to 3 days to reach the peak for 4 to 5 days and
gradually subsided back to normal. Takes about 10 to 14 days.
Submandibular and sublingual glands may also be involved at the same
time, or appear alone. Submandibular gland enlargement, showed
enlargement of the anterior mandibular swelling of the glands can be
touched. Sublingual gland swelling tongue and floor of the mouth
visible swelling and the emergence of difficulty swallowing.
Mumps infection before the March pregnancy, often cause fetal death
and abortion, and may cause congenital endocardial elastic fibers
hyperplasia.
[Laboratory]
(A) of the blood leukocyte count normal or slightly lower, the
relative increase in post-lymphocytes. White blood cell count of
complications may be increased.
(B) Determination of serum and urine amylase 90% of serum amylase in
patients with mild and moderate increase, will help diagnosis. Amylase
levels are often associated with parotid gland swelling increased in
proportion. Parotid gland swelling in patients without meningitis,
urinary amylase can also be increased. In addition to detection of
suspected pancreatitis complicated by amylase, serum lipase
determination will help confirm the diagnosis.
(C) Serology
1. Low titer of neutralizing antibody tests, such as 1:2, suggest
specific immune response. Neutralizing antibody specificity, but not
for routine use.
2. Complement fixation and hemagglutination inhibition test and the
recovery of early determination of double complement fixation and
serum hemagglutination inhibition antibody, there can be diagnosed by
a significant increase (more than 4 times the potency). Adsorption of
foreign law by enzyme-linked immunosorbent and indirect fluorescent
immunoassay igm antibodies, can be used for early diagnosis.
3. Virus isolation in patients with early saliva, urine, blood,
cerebrospinal fluid isolate the virus.
4. Renal involvement can occur when the urine protein in urine, red
white, and even a similar change in Urine.
[Complications]
(A) of the reproductive system complications of mumps virus a good
body of violations of mature gonads, it is more common in young adult
patients late, rare in children.
1. Incidence of testicular inflammation in patients with adult males
accounted for 14 to 35%. Usually after the age of 13 to 14 the
incidence was significantly higher. Common in about one week after
cheek swelling, sudden high fever, chills, testicular swelling and
pain, with severe tenderness, severe scrotal skin, a significant
edema, a yellow sheath cavity effusion, most violations of the side of
the lesion, acute symptoms of about 3 5, the entire 10 days or so.
Disease in about 1 / 3 to 1 / 2 of cases occur in different degrees of
testicular atrophy. Because the tumor often unilateral, even if both
sides are only part of the seminiferous tubes involved. It rarely
causes infertility.
2. The incidence of ovarian inflammation in patients with adult women
accounted for about 5 to 7%. Mild symptoms, does not affect the
pregnancy. Mainly as a sudden, chills, fever, lower abdominal or
lumbosacral pain, menstrual cycle disorders, severe swelling of the
ovaries can be touched, accompanied by tenderness. Does not affect
fertility.
(B) of the pancreatitis rate of about 5%, rare in children. Often
occurs in about 1 week after the parotid swelling to the upper
abdominal pain and tenderness, muscle tension as the main symptoms.
With vomiting, fever, abdominal distension and constipation, and
sometimes palpable enlargement of the pancreas. Pancreatitis symptoms
are usually gone in a week. Elevated serum amylase activity can not be
the sole basis for diagnosis, serum lipase value of more than 1.5¦Ì%
(normal 0.2 ~ 0.7¦Ì%), suggest recent pancreatitis exists.
(Iii) Nervous system complications
1. The incidence of meningitis or meningoencephalitis 5 ~ 25%, in some
areas up to 35%. Department of the virus is generally believed that
the central nervous system caused by direct invasion. Parotid gland
swelling and swelling of the first 6 days or 2 weeks after the
emergence of more commonly occur within 1 week. Clinical
manifestations of acute high fever with severe headache, vomiting,
drowsiness or unconsciousness, and other positive meningeal
irritation, cerebrospinal fluid examination showed viral encephalitis
or meningitis change. Prognosis is usually good, serious cases can
cause death of the individual.
2. Multiple neuritis, myelitis even in 1 to 3 Zhou Fasheng mumps, the
prognosis is good. Swelling of the parotid gland may cause temporary
paralysis of facial nerve compression. Sometimes balance disorders,
trigeminal neuritis, hemiplegia, paraplegia, ascending paralysis.
Occasionally after meningoencephalitis due to aqueduct stenosis,
concurrent hydrocephalus.
3. Deafness showed vomiting, rotating halo, tinnitus and other
symptoms, mainly by listening endolymphatic labyrinthitis and neuritis
due. Although the incidence rate is very low (about 1 / 15, 000), but
can become permanent and complete deafness, but fortunately it
occurred in the unilateral (75%), it can still retain some of the
hearing.
(D) about 4 ~ 5% of myocarditis patients with myocarditis, prevalent
in the course of 5 to 10 days. Showed pale, fast or slow heart rate,
low heart sound blunt, irregular heartbeat, temporary enlargement of
the heart. Systolic murmur. ECG shows sinus arrest, atrioventricular
block, st-segment depression, t wave low, flat or inverted and so on.
In severe cases, can be deadly. However, most only obvious clinical
symptoms without ECG change. Occasionally pericarditis.
(E) nephritis early separable from mumps virus in urine, so that the
mumps virus can directly damage the kidneys, light a small amount of
protein in urine, severe and acute glomerulonephritis, the performance
of the same individual can occur in severe cases acute renal failure
and death. But most of good prognosis.
(Vi) other about 5 to 10%, such as mastitis, osteomyelitis, hepatitis,
pneumonia, prostatitis, bartholinitis, thyroiditis, thymus
inflammation, thrombocytopenia, urticaria, lacrimal gland
inflammation, acute herpes conjunctivitis Dengjun rare. Arthritis
occurred in the parotid gland swelling within 1 to 2 weeks, mainly
involving the elbows, knees and other large joints, sustainable 2 days
to 3 months, completely recovered.

[Diagnostics]
(A) the prevalence and clinical diagnosis based on history of exposure
to the typical features of acute onset of parotid swelling, diagnosis
is not difficult. Not a typical case of suspected cases, according to
the following laboratory methods to further confirm the diagnosis.
(B) for the laboratory diagnosis of parotid gland swelling or
recurrent non-cases and suspected cases are not typical, diagnosis
depends on serological and viral methods.
1. Double complement fixation test titer more than 4 times and can be
diagnosed, or a serum titer of 1:64 by a diagnosis. S can be
determined simultaneously when necessary antibody and v antibody. s
antibodies showed that new infections increased, v increases and s
antibody, said antibody does not increase the infection had previously
received.
2. Convalescent serum hemagglutination inhibition test mumps virus can
inhibit the agglutination of chicken red blood cells, and weak
inhibition of the early serum, such as the inhibition titer increased
4 times or more that is positive.
3. Virus isolation when necessary, desirable patient saliva, blood,
cerebrospinal fluid or urine, inoculated human embryonic kidney or
cultured monkey kidney cell culture tubes for identification. As
complicated procedures, the general rarely used.
[Differential Diagnosis]
(A) the side of suppurative parotitis often, local swelling and
tenderness apparent mass limitations, there are fluctuations in the
late sense of parotid gland swelling nozzle can be squeezed out pus.
Secretion smear and culture can be found pyogenic bacteria. The total
number of blood leukocytes and neutrophils significantly increased.
(B) of the neck and preauricular lymphadenitis, enlargement is not the
ear lobe as the center, limited to the anterior neck or ear, for the
nuclear-like body of hard, clear edge, tenderness obvious, superficial
may activities. Can be found in the anterior cervical lymph nodes or
ear inflammation-related organizations, such as angina, boils and
other sore ear. Leukocytes and neutrophils significantly increased.
(C) symptoms of parotid gland enlargement in diabetes, malnutrition,
chronic liver disease, certain drugs such as iodide, hydroxyl
phenylbutazone, can cause such isoproterenol parotid gland
enlargement. The characteristics are: symmetry, no swelling sense of
touch of the soft, fatty tissue examination mainly.
(D) caused by other viruses such as herpes simplex virus mumps,
parainfluenza virus type 3, Ke Saji a group and b group viruses,
influenza viruses can cause parotitis. Diagnosis was confirmed by
means of serology and virology separation.



[Therapy]
No effective therapy for treating mumps, general antibiotics and sulfa
drugs ineffective. Mainly full of water, enough to eat, bed rest,
aspirin services to control infection. To try interferon, the role of
the virus. Integrative Medicine is often used method of symptomatic
treatment.
(A) general nursing isolation of patients to make bed rest until the
parotid gland swelling dissipated. Attention to oral hygiene, diet to
liquid or soft diet is appropriate, to avoid acidic food, that fluid
intake.
(B) symptomatic treatment should be scattered wind relieving, heat
detoxification. 60 to 90 grams with Ban Langen Shuijianbi or silver
wings plus Daqingye 15 grams bulk Shuijianbi; Local coated tablets can
be purple or indigo casual tone with vinegar, treated local, several
times a day; or the British public with a thin,; Commelina communis,
Narcissus root, purslane and other smashed external application, can
reduce local pain. Oral tablets when necessary, to the pain, aspirin
and other antipyretic analgesics.
Severe meningoencephalitis, severe orchitis, myocarditis, can be
short-term use of adrenal cortex hormones. Such as hydrocortisone,
adult 200 ~ 300mg / day, or prednisone 40 ~ 60mg / day for 3 to 5
days, children reduce it.
Orchitis treatment: adult patients diethylstilbestrol in the early
stage of the disease, each time the number of 1mg, three times a day,
with effect to reduce swelling and pain.
Encephalitis meningoencephalitis therapy treatment may be handled.
High fever, headache, vomiting, dehydration when the given amount of
diuretics.
Pancreatitis: fasting, infusion, repeated injection of atropine or
anisodamine, early corticosteroids.

[Prognosis]
No re-infection, lifelong immunity after illness.



[Prevention]
(A) the management of the source of infection until the early
isolation of patients until the complete regression of parotid
swelling. Contacts generally do not quarantine, but the group of
children in institutions, military, etc. should be kept for 3 weeks,
should be immediately suspicious temporary isolation.
(B) the general immune globulin passive immunization, adult blood or
placental globulin had no role in the prevention of this disease.
Convalescent patients or blood and immune globulin specific immune
globulin can be expensive have a certain effect, but the source of
difficulties, not easy to promote.
(C) autoimmune live attenuated mumps vaccine effective, immunization
intradermal injection, subcutaneous injection, nasal spray or aerosol
can be inhaled by law, the vaccine can not be used for pregnant women,
congenital or acquired immunocompromised persons and those who are
allergic to egg white. In recent years, reported the use of foreign
mumps vaccine (measles, mumps and rubella vaccine), though
significantly reduced the incidence of mumps, but due to mumps vaccine
virus infection should pay close attention.
Have a preventive vaccine. In the 12-15 months vaccinated against
measles, mumps, rubella vaccine to include mumps vaccine.
The best prevention is vaccination at the appropriate age. Pregnant
women, those with egg allergy vaccine by doctors can decide.
(D) Drug use prevention Ban Langen 30 grams or 9 grams of decoction of
honeysuckle, day 1 for 6 days.



References:
Mumps is commonly known as "mumps" is caused by a virus
highly contagious acute respiratory disease.

What are the performance of children got the mumps?
¢Ù fever, headache, sore throat, dry mouth, thirst, general weakness,
crying and upset, do not want to eat.
¢Ú 1 to 2 days after illness, may have parotid enlargement. Surface of
the skin tight, shiny, not red, fever, pain significantly. Sour mouth
or eat something worse. First side of the parotid gland enlargement,
and development of both sides. Sometimes the same time bilateral
parotid gland enlargement.
¢Û 2 ~ 3 days after the prominent symptoms, body temperature can reach
39 ~ 40 ¡æ, in the buccal mucosa near the maxillary second molar, and
can see the enlargement of the parotid gland orifices, no discharge of
purulent secretions. About 7 to 14 days recovery.

Mumps parotid gland enlargement is it?
Parotid swelling caused by many reasons, so that the parotid swelling,
the disease should be carefully after they asked to check the case of
parotid gland swelling, swelling of the parotid gland may cause the
reason is to determine whether the mumps.
Some children go to the doctor because the swelling of the parotid
gland, the first is mumps, with some medicine, swelling will be
refunded. Who knows every part of the same long and swollen up, and
even made several times repeated, which is probably not mumps, because
mumps is caused by the mumps virus, life was rarely 2 times. If
repeated, it is likely a virus or bacteria to other parotid swelling
caused by mumps was mistaken. Therefore, in determining the disease,
we must fully consider, in particular, is the second time also
appeared the same situation, should be carefully analyzed, there is no
other reason, such as suppurative parotitis, etc. may, in order to
avoid misjudgment, delay treatment.

Mumps and preauricular lymphadenitis What's the difference?
Enlargement of the preauricular lymphadenitis only part of the
preauricular area. Range of small, circumscribed edge of enlarged
lymph nodes, can be touched by a hard touch the nuclear-like glands,
tenderness obviously, no swelling of parotid gland orifices. Often
accompanied by otitis media and other primary lesions.
Mumps is a swollen part of the center lobe, diffuse swelling around
the edge of the ill-defined, when the slightest touch by playing sexy,
light tenderness, swelling of the parotid gland orifices.

How to distinguish between purulent parotitis with mumps?
Suppurative parotitis caused by bacterial infection, only one side of
the parotid gland enlargement. Gland surface skin irritation around
the edge of clear boundaries, a sense of volatility from time to time
by touch, tenderness evident when the parotid gland squeezing pus out
of the nozzle. Suppurative parotitis occurred in the case of lower
body resistance.
Mumps is a viral epidemic of parotid gland diseases. Occurred in the
winter season, there a history of contact with mumps patients. Most of
all sides of the parotid gland swelling, redness of skin surface of
the gland, no sense of volatility, light tenderness, when the parotid
gland squeezing pus out of the nozzle no.
Liushen to cure mumps

Spring and autumn, children susceptible to mumps. Simple treatment, a
daily service Liushen 3 times, each 5 to 8,
At the same time every day Liushen 10 20 crush, vinegar and mix
thoroughly coated surface of the skin, 2 to 3 days to bear fruit.
Mumps on the fetus it?

Pregnant women are susceptible mumps. Incidence rate of pregnancy were
0.8 10/10000. Mumps virus infection in pregnant women after any impact
on fetal development, has not been determined. Some people think that
mumps can cause miscarriage, premature birth and congenital
malformations, but some studies have shown that the incidence of these
has nothing to do with the mumps.
Mumps Mumps is an acute viral respiratory infections, commonly known
as Mumps, mumps ear style, big mouth disease, pig wind and so on. Can
occur throughout the year, the highest incidence in winter and spring
of children aged 2 to 15, the threat seriously, and often popular in
kindergartens and schools.
Mumps can be a result of talking, coughing, sneezing and through
saliva, droplets, a small number of patients can also be contaminated
items (food, utensils and toys) indirect spread of acute onset.
Incubation period is generally 16 to 18 days, the main symptoms of one
or both parotid glands (the lower part of the preauricular and ear)
swelling, the earlobe as the center forward, the next expansion,
filled in between the mandible and mastoid process, edge is unclear,
touch and flexible, and mild tenderness, swelling, local skin shiny,
but not red, the surface can be fever, but it will not fester, mouth,
pain when swallowing and eating, eating local food is more acidic
pain. Side of the parotid gland swelling is usually the first, 1 to 4
days after the other side have been swelling, submandibular gland,
sublingual gland, lymph node involvement and may be swollen. Also see
severe jaw, neck or chest, before the swelling, which is due to the
sublingual gland, submandibular gland is also involved in the reason.
Children often have chills, fever, headache, sore throat, loss of
appetite, general malaise, accompanied by severe chills, nausea,
vomiting, lethargy, stiff neck, coma or convulsions and so on.
Swelling at 3 to 4 days up to the peak, and then for 4 to 5 days after
the waning, 6 to 7 days the body temperature gradually decreased,
after treatment, symptoms can disappear for 10 days or so, and access
to lifelong immunity.
Mumps is self-limiting disease, currently no effective therapy, in
recent years found that application of dipyridamole, ribavirin
significant effect. Chinese Zijin available local application of
Vinegar tablets.
Once a child had mumps should be isolated immediately, the daily
necessities, toys, stationery and other boiled or disinfected
exposure; room to pay attention to ventilation; patients have to pay
attention to rest in bed; given liquid diet, not to perfect, too sour,
too sweet the spicy food; to drink plenty of water, in order to
facilitate removal of toxins; to pay attention to oral hygiene to
prevent secondary infection; such as hyperthermia, may be given
appropriate antipyretics; complications such as antibiotics and sulfa
drugs available symptomatic treatment . Found testicular swelling,
tenderness, local cold wet towels available. Prevention of mumps and
complications, should pay attention to in the winter and spring to
strengthen the child's nutrition, warmth and cold exercise. Injection
of live attenuated mumps vaccine can also play a preventive role.
Placental globulin gamma globulin or no preventive effect against
mumps, should be attention. Ban Langen after the onset of oral
granules can be, and often salt water gargle, Chongbi. Mumps epidemic
periods, not to focus on people in public places, to avoid contagious
source.
People tend to only pay attention to the parotid gland swelling has
disappeared, but often ignore its more serious complications. High
fever caused by the mumps, may cause coma, convulsions, cardiac
arrhythmia, acute myocarditis and encephalitis, meningoencephalitis,
orchitis, oophoritis, acute pancreatitis, acute glomerulonephritis,
thyroiditis, deafness and so on. This is due to an infringement of the
organ caused by the mumps virus. Very few patients can leave a mental
decline, hearing impairment, motor paralysis of a permanent unilateral
hearing loss or died of encephalitis.
Mumps virus attacks the reproductive organs via the blood circulation,
can cause orchitis male and female ovarian inflammation, these two
diseases on reproductive function in the future will bring harmful
effects.
According to statistics, between 12 and 18-year-old patient suffering
from mumps, about 20% of the concurrent orchitis. Once the onset of
testicular inflammation, may be high fever, chills, testicular
swelling, redness, pain, accompanied by severe tenderness. In addition
to testicular swelling, the scrotal skin edema, sheath effusion, about
one-third of the patients developed testicular atrophy, if only
suffering from the side of the testicles, can cause oligospermia; if
involving the testes can cause azoospermia disease. Recently, scholars
have pointed out, mumps can affect even the loss of male infertility,
testicular germ is not the ability, but rather generated by its own
antibodies to kill sperm, a condition called autoimmune infertility.
When the girl concurrent ovarian inflammation, abdominal pain, low
back pain and other symptoms, can also cause infertility. 5 ~ 7% of
adult female patients with mumps oophoritis, causing menstrual
disorders, early menopause. Many infertile women, the inspection found
that ovarian dysfunction, can not be normal ovulation, of whom some
people who have had mumps.
If men and women are at puberty, after suffering from mumps orchitis
or oophoritis concurrent, for the future of reproductive function is
particularly large. So, after puberty, mumps suffering, should be
taken to avoid orchitis or oophoritis place.

"Big mouth" of the mumps
3 pairs of salivary glands, parotid gland, sublingual gland and
submandibular gland, the largest and one pair of the parotid gland.
After the children got the mumps, face swollen like a fat face.
Because the parotid gland is located at both sides of the cheek near
the ear lobe, when mumps is swelling of the parotid gland lobe as the
center, to spread around, so the mumps in the folk known as the
"big mouth." Mumps is caused by the mumps virus violation of
the parotid gland of acute respiratory infectious diseases, the
patient is the source of infection, inhalation of droplets is the main
route of transmission, contact with patients 2-3 weeks after onset.
Mumps mainly for one or both sides under the ear lobe swelling,
swelling of the parotid gland often has dome to the center edge of the
ear lobe is unclear, the surface heat angular pain, mouth, or local
pain when chewing. 1-3 days in the onset of parotid gland swelling,
the most obvious, and then gradually subsided, about 2 weeks back to
do completely swollen. 3-5 days in the early stages of disease, may
have fever, fatigue, do not want to eat, and other systemic symptoms.
Once mumps, children should be immediately isolated, bed rest. Diet
should be soft, easy to digest, avoid the hot and sour and other spicy
food. Because these foods are easy to stimulate salivary gland
secretion, resulting in local pain intensified. To drink water, keep
the mouth clean, rinse borax compound can also be used. Swelling of
the parts used topical Chinese medicine, take indigo 15 grams, or
proprietary wishful golden powder 15 grams, then mix thoroughly with
water. Reduced after topical local pain, help reduce the swelling.
While also serving Banlangen granules. Once the children with mumps
should be isolated to the parotid gland swelling completely subsided
only after the nursery or school to avoid spreading disease to other
children. Because mumps in nurseries in the popular easy, so if it
found that children, should strengthen the morning check the work of
children in contact with suspected patients should be observed for 21
days, while preventive oral Banlangen granules. General continuous 3-5
days. It should be noted, no gamma globulin on the prevention of
mumps. Mumps (mumps, epidemic parotitis) ... ... mumps equivalent
medicine called "Mumps", commonly known as "frog
blast", in medicine, it is toxic heat from the wind acute
infectious disease caused by . Clinic with fever, ear pain is
characterized under. Can occur throughout the year, spring fashion is
easy. Incidence of any age can be, but the highest incidence in
children aged 5-9. The general prognosis is good, a few children as a
serious condition, visible coma, convulsions change card. After
puberty, although suffering from the disease is rare, but infection
often occurs and permits, testicular swelling and pain complicated by
men, women complicated by the lower abdomen pain. Modern medicine,
mumps is caused by the mumps virus in acute respiratory infection,
characterized by non-suppurative parotid gland swelling and pain, and
has a tendency to spread to the whole body organizations, and most had
fever and mild discomfort, complications for the different levels of
meningoencephalitis. Pathogens: mumps virus is a sticky virus group,
ribonucleic acid (rna)-type, present in saliva, blood, urine and
cerebrospinal fluid. Rapid death in UV light, ethanol, methanol
solution for 2-5 minutes be killed. Modern medical pathology: the
virus through nasal droplets into the mouth, the viremia located in
the parotid gland, submandibular gland, sublingual gland, pancreas,
gonads and other glands, and sometimes invasive nerve tissue.
Involvement organization-based non-suppurative inflammation disease is
characterized by symptoms, gland and surrounding tissue showed
congestion, edema, or swelling and bleeding points. Etiology and
pathology of Medicine: Chinese medicine, this disease is caused by the
feelings of rheumatoid cult poison. Cult poison from the nose and
mouth into the room after Gallbladder violations, toxic heat
Accumulation meridians, stagnation leave and blood stasis. Pulse due
to the Foot-Shaoyang starts from the inner canthus, on the arrival Tau
Kok under the ears, around the ears and the line, so see diffuse
swelling of parotid cheeks, hard and aching. Since the beginning of
evil committed by lung and stomach, so accompanied by aversion to
cold, fever, head and body pain, loss and symptoms of lung and throat
health of stomach pain on the red witness, Shaoyang Jueyin compared
with the table, Jue Yin Liver Meridian of Foot around the clock under
the shade, heat and toxic by the Jue Yin Shao Yang Chuan, the visible
swelling testes or ovaries. Such as temperature and toxic flaming,
fleeing into the camps points, caught in the pericardium, Fan Wei
invasion of the brain, you can place strong fever, headache, vomiting,
convulsion Jue, delirium faint, and strong limbs (meningitis,
encephalitis). In recent years, can still have heart and kidney Qi and
Yin Hao Shang, causing palpitations, chest tightness, breathlessness
and other evidence (concurrent myocarditis). However, most cases of
mild disease, the prognosis is good. Summarized the basic pathogenesis
of this disease were as follows: wind-heat upside, deter Shaoyang;
bile heat Fan Wei, Kui stagnation of qi and blood; temperature drug
flaming, involving heart and liver; blood loss, phlegm retention; evil
back is true, Qi Yin depletion and so on. Diagnosis: 1. Epidemiology:
the local epidemic, and history of contact with the patient, is more
common in winter and spring. 2. Clinical manifestations: in the center
before the bottom of the earlobe swelling, stiff and tenderness, and
more bilateral and does not become septic. Some patients may be
complicated by orchitis, myocarditis, pancreatitis, meningitis.
Latency :14-24, to 17-18, the most common. Precursor of 1-2, often
fever, fatigue, muscle aches, loss of appetite, vomiting, headache,
conjunctivitis, pharyngitis, even meningeal irritation may first
appear, most patients can no prodromal period, the lower part of the
ear swelling and pain for the first symptoms. Swelling of the cheek:
cheek swelling was bilateral and more generally, can be found in the
side, 1 to 2 is also the other side of the future enlargement of the
parotid gland swelling in earlobe as the center, spread to the
surrounding, 2 ~ 3 days peak, local pain, mouth or chewing more
obvious, surface hot, cheek swelling can be seen within the parotid
gland orifices, submandibular and sublingual gland has also affected.
Parotid gland swelling subside after 4 to 5, the whole course of about
1 to 2 weeks. 3. Laboratory tests: WBC count was mostly normal or
slightly reduced, the relative increase in lymph node, concurrent
orchitis, pancreatitis or meningoencephalitis, and the total number of
neutrophils increased. Blood and urine amylase activity increased more
than 50% of cerebrospinal fluid cells increased slightly. If
necessary, special serological (neutralizing antibody, complement
fixation, hemagglutination inhibition) examination, a skin test
inactivation of disease and virus isolation and diagnosis. 4.
Complications of meningoencephalitis and orchitis were more common.
Differential Diagnosis: 1. Suppurative parotitis: (TCM as fat yi),
mostly on one side, swelling and pain significantly, after the sense
of volatility into pus, white blood cells in the total number of
neutrophils were significantly higher, antimicrobial treatment is
effective. 2. Neck, preauricular lymphadenitis: Not to earlobe as the
center was clear edges of induration, tenderness significantly more
inflammation in their vicinity (teeth, angina, sore ears, etc.). 3.
Secondary parotid gland enlargement: seen in diabetes, malnutrition,
chronic liver disease, drug-induced (iodine, hydroxy phenylbutazone,
isopropyl kidney, etc.), more symmetrical, soft, no pain. 4. Other:
even or still to the same allergic parotitis, parotid duct obstruction
of identification, these are recurrent history BZX all speed. There
adolescent men who simply swollen cheek, but not with other symptoms.

				
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