Shigellosis ndi mmene tiyenera kuchitira izo Kodi

Pa nkhani imeneyi, monga kamwazi, tinamva anthu ambiri. shigellosis Kodi, mbali ya matenda, zimayambitsa ndi njira ya kutaya - zonsezi ndipo amafuna tsopano kuti mwatsatanetsatane.

terminology

Poyamba, m'pofunika kumvetsa Kunena mwachidule ntchito m'nkhani pano. Ndiye kodi shigellosis? M'chilankhulo bwino - ndi kamwazi, mwachitsanzo tizilombo m'mimba matenda. Ndi bakiteriya, amene ali a banja la Shigella (kuchokera apa ndi apo panali zikamera wa dzina la matenda).

Komanso, madokotala kuti vuto ndi zambiri zimachitika nthawi yotentha ya chaka, mwachitsanzo makamaka chilimwe, osati yozizira. Anthu amadwala mofanana, kaya mwamuna kapena mkazi. Komabe, nthawi zambiri imagwira ana a zaka zapakati pa zaka 2 ndi 4.

About exciter

Tizilomboto Shigella - Shigella mabakiteriya banja. Makamaka akhama ndi Shigella sonnei. The magwiridwe iwo ukapitirize kwa nthawi yaitali kwambiri, ngakhale miyezi ingapo (mu nthawi makamaka otentha). Zinthu zabwino kwambiri kwa kubalana wa zamoyo izi - ndi chakudya (ng'ombe, yophika nyama ndi yophika nsomba, mkaka ndi mkaka, komanso zakudya ndi zipatso zakumwa). Mabakiteriya kufala limagwirira - fecal-m'kamwa. Anatumiza yemweyo kukhudzana-banja, madzi ndi chakudya ndi. Nkofunika kudziwa kuti mungathe kachilomboko ngakhale thupi la munthu afika osachepera 100 maselo Shigella.

Madokotala amanena kuti tilinazo wa anthu osiyana matenda ndi osiyana Mwachitsanzo, malingana ndi gulu magazi. Zolemba malire tilinazo ndi anthu ndi magulu magazi A (II), RP (2), RH (-).

zinthu pathogenicity

Tiganizire wina wosonyeza kuti shigellosis amenewa. Izo ziyenera kuti paokha mabakiteriya ali ndi chiwerengero cha katundu amene tizilombo anthu:

• Invasin. Awa ndi mapuloteni wapadera kuti kuthandiza tizilombo toyambitsa matenda kudutsa nembanemba mucous ya intestine pa. Nthawi zambiri izi zimakhudza pa gawo m'munsi mwa thupi.
• Endotoxin. Ndi kupyolera micronutrients awa munthu ali ndi zizindikiro za kuledzera.
• Exotoxin. Ichi ndi chinthu zoipa kuti akumasula mabakiteriya mu magazi wodwalayo. Ichi ndi chimene chimayambitsa vuto monga kutsekula m'mimba.

symptomatology

Ngati ife kulankhula za vuto monga shigellosis, zizindikiro - ndicho chimene muyenera ndithudi ndikuuzeni. Poyamba, tisaiwale kuti zosayembekezereka wa matenda mu chisumbu chachikulu. Kodi munthu amamvera matenda?

1. Mu malo oyamba pali m'mimba, otchedwa "wamagazi m'mimba".
2. M'mimba omangana. Poyamba, ululu kuzimiririka, umakhala pachimake, ndi cramping m'chilengedwe. Kutanthauzira: pamimba m'munsi, makamaka - kumanzere. Ululu akhoza nakweza pamaso chopondapo, kaŵirikaŵiri uka zilakolako zonyenga.
3. Malungo.
4. Zizindikiro za kuledzera: kuchuluka thupi zizindikiro kutentha, molumikizana mafupa ndi kufooka minofu.

zolozerazi onse likuwonetsedwa za lotsatira maora twente-foro pambuyo matenda. Choncho, makulitsidwe nthawi ya matenda ndi za 1-7 masiku (zina, akhoza kufupikitsa maola 5-10).

pachimake kamwazi

matenda angathandize onse pachimake ndi aakulu. Kodi pachimake shigellosis? Dziwani kuti mtundu uwu matenda akuwonetseredwa wokangalika. Symptomatology yowala. Madokotala amanena kuti mu nkhani iyi anakhudzidwa kwenikweni basi m'matumbo. Zizindikiro za mtundu uwu wa matenda:

• Malungo. Kutentha limatuluka. Ngati ana amatanganidwa, zizindikiro angafikire chilemba cha 40 ° C.
• M'mimba. Poyamba, lalifupi matumbo kayendedwe kusasinthika madzi. Komabe, ndi chitukuko cha matenda chiwerengero cha maulendo ku bafa kuchuluka, nthawi zina nthawi 30 patsiku. zinyalala angapezeke ntchofu, magazi kapena mafinya. Tikumbukenso kuti magazi m'manyi, "iye akuti" kuti munthu kamwazi, osati wina matenda matumbo.
• ululu m'mimba. Kodi cramping m'chilengedwe. Pang'onopang'ono kuwonjezera.
• Tenesmus. Ie wodwala akhoza kuona Tisaiwale onyenga defecate. Komanso, pali ululu chotulukira pambuyo kupita ku chimbudzi.
• Zochepa wamba, koma nthawi zina kunyansidwa ndi kusanza.

Ngati nthawi kuyamba chithandizo, vuto akhoza yafotokozedwa sabata. Apo ayi pali chiopsezo matendawo. Komanso, n'zothekanso amapha.

kamwazi aakulu

Matenda shigellosis akhoza matenda pamene matenda ndi kwa miyezi yoposa itatu. Njira ya matenda pangakhale yosiyana.

Choncho, vuto kumachitika nthawi zonse, muyambirenso angayambe. mtundu uwu matenda amadziwikanso yodziwika ndi nthawi kumwa. Symptomatology anaonekera Mbali zambiri wamng'ono kuposa mu mawonekedwe pachimake. Zizindikiro za matendawa ndi see, osati kutchulidwa. Nthawi zambiri palibe magazi m'manyi, ndi kuwerenga thupi kutentha musalumphe chilemba cha 37,5 ° C.

mawu ochepa A za ana

Shigellosis ana nthawi zambiri amapezeka mu zaka sukulu. A vuto lalikulu kwambiri n'chakuti mwanayo zambiri amakoka manja zauve ndi zidole mkamwa mwake njira iyi ndi kukhala ndi kachilombo. Madokotala a Kafukufuku limanena kuti pafupifupi 70% odwala onse - ichi ndi ana.

Tikumbukenso kuti shigellosis ana kumachitika pang'ono mosiyana akuluakulu. khalidwe la odwala wamng'ono ali:

• Chopondapo mvula, chonunkha, wobiriwira. Iwo akhoza kuona ntchofu, komanso apezeka chakudya undigested. Milozo magazi n'zochepa.
• M'mimba mwa ana si kukopedwa ndi mpweya.
• toxicosis chofunika ofooka, koma yachiwiri - amphamvu. Posasangalala kagayidwe, madzimadzi ndi bwino electrolyte.
• Nthawi zambiri kukhala chibayo kapena TV otitis - matenda sekondale bakiteriya.
• Matendawa ali ndi khalidwe wavy. Komanso, ana aang'ono ndi chizolowezi matenda aakulu.

diagnostics

Kodi china chimene muyenera kudziwa za matenda monga shigellosis? Diagnostics (chachikulu) akhoza kuchitika ngakhale panyumba. Monga tanenera kale pamwambapa chizindikiro chachikulu cha kukhalapo kwa matenda - magazi m'manyi. Ngati panali chizindikiro ichi, muyenera yomweyo kupempha thandizo dokotala. N'chiyani chimachititsa katswiri?

1. Bacteriological njira. Iwo wafesa ndowe kuti zingakuthandizeni kudziwa tizilombo toyambitsa matenda.
2. Serological. Pankhaniyi, magazi kufunafuna chitetezo kwa shigella. Koma tisaiwale kuti njira imeneyi ndi pafupifupi konse ntchito. Pambuyo nkhani zonse mukhoza kudutsa mosavuta ndipo adzatsekeredwa ndi njira bacteriological.
3. PCR. Njira amagwiritsidwanso ntchito kwambiri kawirikawiri, chifukwa mtengo ndithu. Ndizo tanthauzo la majini mu chopondapo Shigella.

chithandizo

Tikambirana matenda zina monga shigellosis. Kuchiza ndi njira kuchotsa vuto - komanso ayenera kuuzidwa. Kodi mankhwala agwire dokotala?

• Mankhwala "Regidron". Amathandiza zonse bwino madzi-mchere umene chimodzimodzi wosweka, ngati m'mimba wodwalayo.
• Sorbents. Awa ndi mankhwala monga "Smecta", "Enterosgel". cholinga chawo chachikulu - kuchepetsa zotsatira poizoni pa thupi, komanso polimbana ndi matenda otsekula m'mimba.
• Mankhwala. Ngati matenda ndi wofatsa, ntchito zawo si chofunika. Komabe, nthawi zambiri, ngati pali kusakanizikana kwa magazi, madokotala mankhwala kawirikawiri kuposa chimbudzi monga "Ciprofloxacin". Mukhoza kugwiritsa ntchito zipangizo monga "Tetracycline", "ampicillin". Nthawi phwando angakhale osiyana, koma avareji masiku 5.

Chenjezo! Kulandira mankhwala m'mimba monga "Loperamide", "Immodium", ndi koletsedwa. Iwo m'mbuyo kutulutsidwa kwa lumen wa tizilomboto matumbo. Izi zayamba prolongs lipole ndi excretion wa tizilombo toyambitsa matenda.

Zakudya, zakudya

M'nkhaniyi, n'zoonekeratu kuti Shigellosis - kamwazi, mwachitsanzo vuto zokhudzana thirakiti m'mimba. N'chifukwa chake, pamodzi ndi mankhwala wodwala ulipo zakudya zenizeni. Ngati wodwala ali m'mimba, amasonyeza tebulo №4. Kwenikweni ake: yafupika zili mafuta ndi chakudya mu chokwanira cha mapuloteni kudyedwa. Nkofunika Pankhaniyi kuthetsa zakudya zimene zimachititsa flatulence ndi bloating.

Zamgululi analimbikitsa kulandira:

1. Tirigu crackers.
2. Soups pa msuzi kuwala ndi monga chimanga.
3. Zofewa nyama nkhuku ndi nsomba yophika.
4. Mwatsopano otsika-mafuta kanyumba tchizi.
5. Phala pa madzi: oatmeal, mpunga, buckwheat.
6. Mazira: steamed kapena yophika zofewa-yophika, wosaposa ma PC 2. patsiku.
7. Yophika masamba.

Chakudya taboos:

1. Ufa ndi ophika buledi mankhwala.
2. broths mafuta ndi soups m'Malemba.
3. nyama mafuta, nsomba.
4. Mkaka ndi mankhwala otengedwa therefrom.
5. Pasitala.
6. Kashi: tirigu, balere, balere.
7. Nyemba.
8. zamasamba ndi zipatso.
9. Koko, khofi, enaake zakumwa.

Ngati mpando ndi dekhetsa, inu mukhoza kupita pa zakudya №2. Ndi lililonse limatisokoneza kwambiri kuposa m'mbuyomu. Pankhaniyi, zakudya zikuphatikizapo zakudya kale zotsatirazi:

• Buledi wakalekale.
• Nyama ndi nsomba.
• Mkaka.
• Kucha zipatso ndi zipatso mu mawonekedwe a kukulumbutsuk.
• Maswiti: maswiti, maswiti, maswiti.

kupewa

Kupewa mavuto amenewa, monga shigellosis, kupewa - chofunika. Pambuyo poona zinthu zina, n'zosavuta kupewa chitukuko cha matenda.

1. M'pofunika kusamba m'manja monga Nthawi zambiri. Ndikofunikira kuchita zimenezi pambuyo kupita ku chimbudzi.
2. Ana adakali aang'ono ayenera kuphunzitsidwa malamulo a ukhondo.
3. Nkofunika bwino kusunga ndi kuphika zakudya zosiyanasiyana.
4. Pambuyo kukhudzana ndi odwala ayenera kuonetsetsa kuti muzisamba m'manja. nsalu Wodwala ayenera kupopera mankhwala.
5. Odwala sayenera kukaona malo magulu a anthu (kupita kuntchito, kusukulu, sukulu ya mkaka). Ndipotu, iwo ali ndi matenda. Izi zikhoza kutheka pokhapokha zotsatira zoipa bakiteriya inoculation mayeso.

Makamaka tcheru kuti zonsezi pamwambapa zikutanthauza kusamalitsa ayenera kuchita antchito okwana establishments chakudya.

zosokonezeka

ndi shigellosis Kodi - anamvetsa. Kumapeto tiyenera kukumbutsidwa kuti matenda pamene bwino ankachitira akhoza kukula zosiyanasiyana zosokonezeka. Nanga kuwaopa?

Prolapse ya rectum. Izi zingachitike chifukwa tenesmus pafupipafupi maulendo ku chimbudzi.

Madzi m'thupi. Akukumana ndi profuse madzi chopondapo. Zinadzala ndi zotsatira zoipa zimene zingakhudze ziwalo zonse ndi machitidwe thupi.

Nthawi zina palinso matumbo magazi. Mu nkhani yoteroyo wodwala limasonyeza hospitalization yomweyo.

Aakulu kuledzera (mankhwala chikhalidwe ichi amatchedwa megacolon poizoni). Apa lidakali m'munsi gawo za m'mimba, mpanda wake thicken. Chifukwa, magazi odzipereka kwambiri kwa poizoni. Matenda akhoza kuyambitsa imfa.

Vuto ndi magwiridwe a impso, nthawizina aakulu aimpso insufficiency. Mawonetseredwe loyamba vutoli - oliguria, mwachitsanzo kuchepa lakuthwa kuchuluka kwa mkodzo wodwalayo.

Hemolysis. Pankhaniyi, wodwala angathe kuchepa magazi kwambiri, magazi kupatsidwa zinthu za m'mwazi achiyesa ali kwambiri yafupika.

Bacteremia. Pankhaniyi, mabakiteriya magazi wodwalayo kupeza. chikhalidwe ichi nthawi zambiri amapezeka mu odwala zakudya m'thupi. Wasefukira zovuta ndipo nthawi zambiri umatha mu imfa.

matenda Secondary. Kumachitika chifukwa cha kutopa. Zikatero zambiri uka matenda monga thirakiti matenda a njira ya mkodzo kapena chibayo.

Pambuyo anapangidwa kwa nthawi yaitali angapulumuke mpando matenda. Zonsezi zikhoza kukhala chifukwa chakuti, pa Shigella akhudzidwa mucosa matumbo, imbaenda anavulala kwambiri.

Ana atachira matenda mu mawonekedwe Chaukali wina wa miyezi mwina kufooka kwa thupi, kutopa, kufooka. Komanso, nthawi zambiri pali vuto monga Chotupa chija.