Brucellosis kubantu: Izimpawu kanye Ukwelashwa

Brucellosis ukutheleleka kuvamile emazweni amaningi nge isilwane athuthukile. ejenti Causative zezifo ezithathelwanayo namakhambi iguliswa kukhona amabhaktheriya brucella. Namuhla kukhona 4 amagciwane kwezinhlobo okubangela brucellosis e abantu - Br. Melitensis, abanikazi okuyizinto izimvu nezimbuzi, Br. Abortus, sisuka izinkomo, Br. Suis, okuyinto sisuka izinyoni, izingulube kanye nezinyamazane, kanye Br. Canis, owenziwa yizinja, kodwa lolu hlobo amagciwane kukalutshwana kakhulu kubantu.

Ezimweni eziningi umthombo ukutheleleka ngoba abantu isiba izinkomo ezinkulu nezincane. Abantu batheleleke lapho izingilazi ubisi noma inyama ka isilwane esigulayo. Ngaphezu kwalokho alimentary, pin izibalo umzila ukutheleleka, ikakhulukazi lapho benakekela izimbuzi nezingulube ngokusebenzisa izandla angcolile, uvolo, ukwabiwa isilwane. Hhayi ngaphandle njengoba aerogenic ukutheleleka indlela, lapho izilokazane ezincane nothuli izinhlayiya udoti isilwane, umquba noboya kuwa in yomoya engenhla. Brucellosis e abantu kuyinto umlingisi professional, iningi leziguli - abasebenzi bezinhlangano ukubhekisiswa ubisi inyama, odokotela bezilwane, abasebenzi imfuyo amapulazi.

Kanjani lesi sifo?

Isikhathi bayashintshana ekufukameleni ngokuvamile esisuka esontweni elilodwa kuya amasonto ayisithupha. ukubonakaliswa Clinical kukhona polymorphism ezahlukene. Indlela lesi sifo yilabo acute, subacute, futhi ezingalapheki futhi asalile. Kaningi kukhona ifomu esicashile lesi sifo, ngoba lapho kukhona ukulungisa Immuno-iguliswa i umzimba. Ukuze ifomu oyingozi futhi subacute libhekene isikhathi prodromal, ebonisa ubuthaka bakhe, ubuhlungu bekhanda, ukukhathala, ngemva kwalokho ezikhulayo izimpawu zokudakwa. In iziguli enomkhuhlane wawubona ephelezelwa sokungidabukela umjuluko imfiva, kweNdikimba ubende kanye kwesibindi, futhi lymph node, ikakhulukazi wesibeletho. Ngokuvamile, in the izicubu ongama akhiwa Izigaxana ubuhlungu - cellulites futhi fibrositis.

Isici umfutho ophansi wegazi, kuphelelwa umfutho inhliziyo imisindo, kwezinye izimo, ukuthuthukisa pericarditis, myocarditis, endocarditis. Lapho inqubo enobuthi-ukonakala asathuthuka inyumoniya, ukucinana kwemigudu yokuphefumula. Lapho isifo sesibindi kungaba jaundice okuncane. Ngethukile uhlelo izilonda ubuthakathaka ngokuvamile manifest, ikhanda, ukuqwasha, neziyaluyalu ngezinye izikhathi engqondweni futhi meningism imihlola. Brucellosis e abantu ngokuvamile iba ifomu esingamahlalakhona noma subacute. Lokhu kungenxa yokuthi Brucella yenziwe yaba yasendaweni intracellularly njalo zigcinwe lapho zizwa yezinto ezingezinhle (ukucindezeleka, hypothermia, sindisa) phambili kabusha isifo nje okungaqondile.

Ifomu ezingamahlalakhona libhekene ukubonakaliswa yansukuzonke kanye lability. Ukwabela sezinzwa, osteo-articular, amafomu uro-zangasese, visceral futhi kuhlanganiswe izifo esingamahlalakhona. Libhekene polyarthritis, perihondrity, bursitis. Kuyinto lesion kwande amalunga enkulu nge ububomvu nokulinganiselwa ukunyakaza. Kancane kancane ukuthuthukisa ankylosis spondylarthritis ephelezelwa izinhlungu abukhali. izilonda alandisa neuropathy isimiso sezinzwa - neuralgia, plexites, radiculitis, paresis. Iziguli futhi ezikhala ngezinhlungu ukucasuka, ukuphazamiseka kokulala, ukukhathala. Ngezinye izikhathi ukuthuthukisa hypochondria, neurosis ezinzima, uthi esisheshayo.

Brucellosis e abantu ezimweni eziningi, libhekene imiphumela ehlala isikhathi eside, okuyinto uboniswe izinguquko Neuro-zengqondo, uhlelo zemisipha. umumo asalayo ngenxa ukungakhuli obusebenzayo ka autonomic nervous system kanye nokuguqulwa mzimba-iguliswa i umzimba.

Ukuxilongwa kanye nokwelashwa

ziqinisekisa kanjani sitholakele brucellosis? Sifo kusekelwe izimpawu zesifo, umlando epidemiological nedatha laboratory. It njengamanje zasebenzisa izindlela serological. Wright futhi ukusabela Heddelsona omuhle ngendlela efanele usaqala lesi sifo. Kuzo zonke izinhlobo ukusetshenziswa futhi TPHA Rnc ezingaba ukubona amasotsha omzimba ngisho L-izinhlobo amagciwane. Kuthathwa sizwele enzyme immunoassay, futhi wasebenzisa Burne isampula, okuyinto uhlala omuhle iminyaka ngemva yokutakula.

Uma isiguli athuthukile brucellosis acute, ukwelashwa kufanele kube esibhedlela. Sebenzisa izikimu ngemithi elwa namagciwane, fluoroquinolones ngempumelelo, rifampicin, tetracyclines. Ngendlela ezingamahlalakhona liphinyiselwe umphumela bungatholakala nawabela wabulala wokugoma zokwelapha. Ukuvimbela ukusetshenziswa lokubuya kwesifo immunoglobulin antibrucellar. Iziguli ekuboniseni Physiotherapy, umzimba, massage, ukwelashwa spa.