Brucellosis anthu: Zizindikiro ndi Chithandizo

Brucellosis matenda m'mayiko ambiri anayamba nyama. wothandizila Causative matenda opatsirana ndi matupi awo sagwirizana ndi mabakiteriya brucella. Masiku ano pali 4 mabakiteriya a mitundu kuchititsa brucellosis anthu - br. Melitensis, eni amene ali nkhosa ndi mbuzi, br. Abortus, kuchokera ng'ombe, br. Suis, amene kuchokera mbalame, nkhumba ndi mbawala yamphongo, komanso br. Canis, yomwe ikuchitika ndi agalu, koma mtundu wa bakiteriya ali osowa kwambiri anthu.

Nthawi zambiri gwero la matenda kwa anthu wayamba ng'ombe yaikuluikulu. Anthu kukhala ndi kachilombo pamene wonyeketsa mkaka kapena nyama ya nyama odwala. Komanso alimentary, pini udindo ndi njira matenda, makamaka pochita mbuzi ndi nkhumba kudzera zoipa, ubweya, Kugawilidwa kwanthaka nyama. Osati lilibe monga aerogenic matenda njira, imene tizilombo ndi fumbi la nyama zinyalala, manyowa ndi ubweya kugwa mu Airways chapamwamba. Brucellosis anthu ndi khalidwe akatswiri ambiri odwala - antchito amakampani kwa processing wa nyama ndi mkaka, veterinarians, antchito a minda ziweto.

Kodi matenda?

Nthawi makulitsidwe zambiri kwa mlungu umodzi kuti masabata asanu. Matenda mawonetseredwe zosiyana polymorphism. Mtundu wa matenda ndi pachimake, subacute, ndipo aakulu ndi yotsalira. Nthawi zambiri ndi zobisika mawonekedwe a matenda, imene pali zosinthidwa za chamoyo immuno-matupi awo sagwirizana. Pakuti pachimake ndi subacute mawonekedwe amakhala ndi nthawi prodromal, zikusonyeza kufooka, litsipa, kutopa, kenako kukula zizindikiro za kuledzera. Odwala malungo Amowabu limodzi ndi mongondimvera thukuta ndi malungo, kukulitsa a ndulu ndi chiwindi, ndi lymph mfundo, makamaka khomo lachiberekero. Kawirikawiri, minofu subcutaneous anapanga chowawa tinatake tozungulira - cellulites ndi fibrositis.

Khalidwe la kuthamanga otsika magazi, phokoso muffled mtima, zina, kukhala pericarditis, myocarditis, endocarditis. Pamene poizoni-septic ndondomeko ya kudwala chibayo, chifuwa. Pamene chiwindi matenda mwina pang'ono matenda a chikasu ndiyo. Mantha dongosolo zotupa zambiri kuwonetseredwa kufooka, mutu, kusowa tulo, ndi matenda zina maganizo ndi zochitika meningism. Brucellosis anthu kawirikawiri aakulu kapena subacute mawonekedwe. Izi kotero kuti Brucella isanafalikire intracellularly ndipo akhoza mosalekeza anakhalabe pa padzuwa la zinthu akumane (nkhawa, hypothermia, zimamuchulukira) kutsogolera kuti adzathe matenda a generalization.

Mawonekedwe aakulu amakhala ndi mawonetseredwe kobwereza ndi lability. Kuonetsetsa mantha, osteo-articular, uro-maliseche, choipidwa ndi amaphatikiza mitundu ya matenda aakulu. Yodziwika ndi polyarthritis, perihondrity, bursitis. Ndi wamba chotupa zimfundo lalikulu ndi redness ndi kuletsa magulu. Pang'onopang'ono angayambe ankylosis spondylarthritis limodzi ndi ululu lakuthwa. zotupa khalidwe ndi zotumphukira mantha dongosolo - neuralgia, plexites, radiculitis, paresis. Odwala komanso amadandaula irritability, kugona chisokonezo, kutopa. Amatha kukhala hypochondria, aakulu gwero lachisokonezo, zotakasika limati.

Brucellosis anthu nthawi zambiri amakhala ndi zotsatira yokhalitsa, amene anafotokoza mu kusintha, dongosolo neuro-maganizo minofu ndi mafupa. mawonekedwe yotsalira chifukwa zinchito kuwonongeka kwa dongosolo autonomic mantha ndi chitetezo-matupi awo sagwirizana zosinthidwa za chamoyo.

Matendawa ndi mankhwala

Kodi otsimikiza matenda a brucellosis? Matendawa zachokera zizindikiro za matendawo, mbiri AIDS ndi deta zasayansi. Panopa ntchito njira serological. Wright ndi anachita Heddelsona zabwino pa siteji oyambirira a matenda. Mitundu yonse ya ntchito ndi TPHA RNC kuti angazindikire chitetezo ngakhale mitundu L-mabakiteriya. Amaona mwamsanga kuposa enzyme immunoassay, komanso ntchito Burne nyemba, zomwe sadandaula kwa zaka pambuyo kuchira.

Ngati wodwala anayamba pachimake brucellosis, mankhwala ayenera kukhala mu chipatala. Ikani ziwembu mankhwala, fluoroquinolones ogwira, rifampicin, tetracyclines. Mu mawonekedwe aakulu kutchulidwa zotsatira chingapezeke pamene kupatsidwa anapha katemera achire. Pofuna kupewa muyambirenso ntchito antibrucellar immunoglobulin. Odwala kusonyeza physiotherapy, sonyezani mankhwala kutikitirako spa chithandizo.