Mourning of mumps

Epidemic parotitis, or in another way mumps, is an acute viral infection transmitted by airborne droplets. First of all, the parotid and submandibular salivary glands suffer from it. They swell, because of what the face spreads (that's why people get paroxysm and got such a name - "pig").

Epidemic parotitis, or in another way mumps, is an acute viral infection transmitted by airborne droplets. First of all, the parotid and submandibular salivary glands suffer from it. They swell, because of what the face spreads (that's why people get paroxysm and got such a name - "pig").

Both adults and children are sick, but children more than 3 years old are more likely to suffer from it. In the first year of life, babies from the virus are reliably protected by maternal antibodies that are transmitted during pregnancy through the placental barrier, and after the baby's birth, through breast milk. Moreover, boys are infected with mumps virus 2 times more often than girls.

Infection can be infected by coughing, talking from a sick person. The entrance gates for infection are the mucous membranes of the throat and nose. From there, through the lymphatic and blood vessels, the virus enters the parotid and salivary glands and can reach the pancreas and genitals.

The incubation period is 1.5-3 weeks. Then there is a temperature of 39 ° C, headache, salivary glands behind the ears and under the jaw swell, sometimes the swelling falls on the neck. The child refuses to eat, because it is difficult for him to chew. If the causative agent of an infection settles in the genitals, the boys feel pain in the testicles, the girls - in the lower abdomen.

Puffiness and fever usually drop by 3-5 days, on the 8-11th day the piglet recedes completely. Nevertheless, one must know that the diseased is dangerous for those around the 1st to the 9th day of the disease, quarantine must be strictly maintained and go out on the 10th day after the onset of symptoms of mumps.

The surviving mumps get lifelong immunity.

And it seems to be not afraid of mumps, but for some reason everyone is afraid of it. And they do it right. Danger is not so much the disease itself as its long-term consequences. And it is believed that most often serious consequences are "visited" by boys. If the virus settles in the testes, it can cause their inflammation - orchitis, and this often leads to infertility. This complication occurs in 20-30% of the sick boys and adult men. In girls and adult women, in 5% of cases the mumps virus affects the ovaries and develops their inflammation - oophoritis. This can also lead to infertility.

In about 4% of cases, the mumps virus causes inflammation of the pancreas (pancreatitis), in 1 of 200-5000 cases, inflammation of the brain envelopes (meningitis) can develop, in 1 of them 10,000 people - meningoencephalitis (inflammation of the membranes and brain matter) that can lead to the most tragic end.

Preventive mumps

When parotitis is carried out purely symptomatic treatment. Specific antiviral therapy, as for measles, and rubella, no. Modern medicine can not prevent a serious course of the disease and the appearance of complications. For this reason, the main means of preventing this ailment is vaccination.

In accordance with the national vaccination calendar, the first vaccination against mumps is carried out in Russia in 12-15 months and the second time in 6-7 years. It is believed that after this the child acquires lifelong immunity. Those who are not sick with mumps and who are not vaccinated from it can be vaccinated at any age. Emergency prophylaxis is administered to children from 12 months, adolescents and adults who have not had mumps, who have not been vaccinated before and who have had contact with patients. In the absence of contraindications, the vaccine is administered no later than 72 hours after contact with the patient. Vaccination from mumps can be carried out in one day with vaccinations against measles, poliomyelitis, hepatitis B, pertussis, diphtheria and tetanus.

Mumps vaccines

In Russia, the following vaccines against mumps have been registered and approved: MMP II, Prioriks, mumps enteric culture live dry.

MMP II and Priori are complex vaccines, they are vaccinated immediately from measles, and from rubella, and from mumps. Domestic vaccine mumps culture alive dry, like MMP II and Priori, contains a severely weakened mumps virus. Unlike imported vaccines, it is made on the basis of quail eggs, and not chicken eggs, and on quail eggs allergy is less common.

Adverse reactions of mumps vaccination

Adverse reactions to these vaccines are rare. In 10% of vaccinated in the place of grafts, there may be a small swelling and redness. Edema after 1-2 days passes independently, treatment is not required. There are also possible reactions in the form of a slight increase in temperature, redness of the throat, and a runny nose. It happens that within 1-3 days there is an increase in parotid salivary glands. These symptoms can appear from 5 to 14 days after vaccination, an increase in parotid salivary glands - and on the 21st day after inoculation.

Allergy occurs, as a rule, on the so-called ballast, or additional substances that make up the drug. An allergic reaction usually begins within the first 1-2 days after vaccination. It is said about if the swelling and redness at the injection site is more than 8 cm in diameter.

On the 6-11 day after vaccination against a background of high (more than 38 ° C) temperatures, babies may experience febrile convulsions. After this, it is necessary to show the child to the neurologist.

Vaccino-associated disease after mumps vaccination is serous meningitis (non-inflammatory inflammation of the cerebral membranes). This occurs with a frequency of 1 case per 100,000 doses of the vaccine. When the disease is mumps, this complication occurs in 25% of the cases, that is, 25 000 per 100 000 diseased.


In acute and exacerbation of chronic diseases, the vaccine is postponed until recovery or persistent remission. Contraindicated vaccination against mumps also during pregnancy, with immunodeficient conditions and severe reactions to the introduction of measles vaccine, as well as allergies to quail eggs and aminoglycosides.

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