Haemophilus

An pachimake opatsirana matenda a bakiteriya chilengedwe, chifukwa fuluwenza Wand (Haemophilus influenzae), umatchedwa Haemophilus influenzae. Matendawa yodziwika ndi chitukuko cha purulent zotupa ziwalo, zotupa a dongosolo kupuma ndi mantha. Bakiteriya ndi coccobacilli awiri mpaka 1 micron. Pakuti katundu chikhalidwe kusiyanitsa 7 biotypes oyambitsa, ena amene ali ndi kapisozi. Lero amadziwika mitundu ya fuluwenza kapisozi 6, zomwe zimalembedwa kuchokera A kuti F. The kudwala anthu a kwambiri kufunika Haemophilus influenzae mtundu b.

Haemophilus imafalikira yekha ku njira anthu matenda - airborne. 90% ya anthu athanzi n'kopanda ku nasopharynx wa Haemophilus influenzae, umene uli 5% ya tizilomboto kumachitika mtundu b.

Mu ambiri milandu olembedwa Haemophilus influenzae ana a zaka kuyambira miyezi sikisi zaka zisanu. Anaiwononga zambiri matenda amapezeka mu makanda ndi ana okulirapo kuposa zaka zisanu. Posachedwapa Haemophilus ambiri opezeka akuluakulu. Pachimake zochitika amapezeka mu February ndi kasupe miyezi.
Pachipata ndi nasopharyngeal mucosa. Tizilomboto akhoza angapitirize kwa nthaŵi yaitali popanda zizindikiro. Ndi chifooke chitetezo chokwanira zobisika mawonekedwe a matenda mukhoza kupita mu kunaonetsa. Kugawira Haemophilus ndi zimakhala ozungulira, motero kuchititsa chitukuko cha matenda, otitis, sinusitis, chibayo. Pakuti dessiminirovannoy matenda komanso ndi khalidwe la suppurative nyamakazi cellulitis, ndi zina, anthu kutengapo mkati limba. Komanso, matenda zokhudza zonse kumachitika kokha pamene tizilomboto ndi kapisozi. Popanda mitundu kapisozi mabakiteriya chifukwa kutupa nembanemba mucous yekha.

zizindikiro

Khazikitsani nthawi ya nthawi makulitsidwe sikutheka matenda akhala matenda symptomatic kaŵirikaŵiri amayamba ndi zobisika. Pafupipafupi chifukwa cha zowombetsa mkota matenda ana Haemophilus influenzae mtundu b.

Haemophilus influenzae, monga ulamuliro, ndi pachimake. Ku Pihahiroti dessiminirovannoy mtundu wa matenda mu theka la milandu kukhala purulent meninjaitisi 20% milandu - kutukusira kwa mapapo, nthawizina pali zotupa zina focal. Matenda yodziwika ndi zotsatirazi mawonetseredwe matenda:

- chibayo pachimake;
- purulent meninjaitisi;
- kutukusira kwa minofu subcutaneous;
- septicemia;
- purulent nyamakazi;
- epiglottitis;
- TV otitis, sinusitis, pericarditis kusonyeza ena.

Haemophilus influenzae - ambiri amayambana a purulent meninjaitisi ana kwa chaka chimodzi mpaka zaka 4. Meninjaitisi zambiri akuyamba ndi zizindikiro za matenda kupuma. Kenako kuoneka lililonse kwa bakiteriya meninjaitisi zizindikiro. Matendawa nthawi akuthamanga molimbika, 10% milandu itha woopsa. Nthawi zina limodzi ndi purulent meninjaitisi, nyamakazi cellulite. Haemophilus influenzae chibayo ndi onse lobar ndi focal, nthawi zambiri zimakhala zovuta ndi purulent pleurisy. Chibayo angayambe osakaniza ndi kutupa pakati khutu ndi purulent pericarditis.
Sepsis akufotokozera zambiri ana pansi chaka chimodzi, kukuchitika pakubweranso liwiro mphezi ndi chitukuko cha mantha septic. Cellulite ndi khalidwe la ana osaposa chaka chimodzi ndipo akuyamba ndi zizindikiro za matenda pachimake kupuma. Mu ana okulirapo, nthawi zambiri isanafalikire cellulite pa miyendo. Epiglottitis (kutupa epiglottis a) imatengedwa kuti ndi mawonekedwe choopsa cha matenda ndi limodzi mwa bacteremia 90% ya milandu. Septic nyamakazi ndizo zotsatira za hematogenous kulowerera mabakiteriya mu mafupa, ndipo nthawi zambiri limodzi ndi osteomyelitis.

Matendawa ndi mankhwala
Haemophilus influenzae olekanitsidwa madzimadzi cerebrospinal, sputum, mafinya ndi wodwalayo. Malinga ndi mmene chimadza electrophoresis nthawi zina amalephera kudziwa mabakiteriya mu madzimadzi cerebrospinal kapena mkodzo.
Zochizira matenda pogwiritsa ntchito maantibayotiki tetracycline, ampicillin ndi chloramphenicol. Komabe, mankhwala a matenda akupereka mavuto ena, kuyambira Bacillus kugonjetsedwa kwambiri kuti mankhwala ambiri. Popeza n'kovuta matenda ndi mankhwala a matenda ndi kukhala zofunika kwambiri katemera ndi matenda Hib. Katemera ndi Haemophilus influenzae mu 95-100% milandu chindiletsa matenda. Katemera kwambiri kuchepetsa kufala, ndipo ambiri Chofunika, khanda amafa ku mawonetseredwe choopsa cha matenda.