परिभाषा

Tetanus is a bacterial infection. The infection affects the nervous system. It can lead to severe muscle spasms. Such spasms lead to lockjaw. This spasm makes it impossible to open or close the mouth. Tetanus can be fatal.

धनुस्तंभ

का कारण बनता है

Tetanus bacteria is found in soil, dust, or manure. It enters your body through a break in the skin.

Once in your body, the bacteria creates a toxin. This toxin causes tetanus.

जोखिम कारक

Factors that increase your risk of tetanus include:

  • Lack of tetanus vaccination (or not updating tetanus vaccination in timely manner)
  • IV drug use
  • आयु: 50 या उससे अधिक
  • Skin sores or wounds
  • बर्न्स
  • Exposure of open wounds to soil or animal feces

लक्षण

Symptoms of tetanus may include:

  • सिरदर्द
  • Stiff jaw muscles (lockjaw) or neck muscles
  • Drooling or trouble swallowing
  • Muscle spasticity or rigidity
  • पसीना आना
  • बुखार
  • चिड़चिड़ापन
  • Pain or tingling at the wound site
  • बरामदगी
  • सांस लेने में दिक्क्त
  • Heart beat that is irregular, too fast or too slow

निदान

The doctor will ask about your symptoms and medical history. A physical exam will be done. The diagnosis is mainly based on the medical history.

Your doctor may test the wound. A culture will grow the bacteria causing the infection. Culture results are not always accurate for tetanus.

उपचार

उपचार में शामिल हो सकते हैं:

  • Hospitalization—to manage complications of the infection
  • Opening and cleaning of the wound—entire wounded area may need to be surgically removed
  • एंटीबायोटिक दवाओं
  • Tetanus immune globulin—antibodies against tetanus that help neutralize the tetanus toxin
  • A tetanus shot—if your tetanus vaccine is not up to date
  • Medication to treat symptoms—may include antiseizure medication or muscle relaxants

Tetanus can cause severe problems with breathing or swallowing. A breathing tube may be inserted in the throat. This will help keep the airway open until you heal. A surgical procedure called a tracheotomy may be done. This will provide an open airway if your upper airway can not be accessed.

रोकथाम

The best means of prevention is immunization. Immunization schedule for tetanus is as follows:

  • All children (with few exceptions) should receive the DTaP vaccine series. This protects against diphtheria, tetanus, and pertussis.
  • बच्चे वृद्ध 11-12 years that have completed the DTaP series of shots will receive another vaccine called Tdap.
  • Adults should receive a booster dose of the tetanus and diphtheria vaccine (Td) every 10 years. They may also receive this vaccine after an exposure to tetanus. It is not harmful to receive a tetanus vaccination earlier than 10 years.

If you or your child has not been fully vaccinated, talk to the doctor. There are catch-up schedules available.

In addition to the vaccine, you can prevent tetanus by taking proper care of wounds:

  • Promptly clean all wounds.
  • See your doctor for medical care of wounds.
शीर्ष करने के लिए स्क्रॉल