Pseudotuberculosis: Izimpawu kanye Ukwelashwa

Pseudotuberculosis iyisifo esithinta lonke ipheshana emathunjini. Lena isifo oyingozi ezithathelwanayo, okuyinto agent causative-bacterium emathunjini.

Ukusatshalaliswa pseudotuberculosis

Umthombo ukutheleleka kungenzeka eziningi imifino kanye nemikhiqizo yobisi, adliwayo ngaphandle ngaphambi ukwelashwa ukushisa. Umzila main ukutheleleka - ukudla. Sticks pseudotuberculosis ezitholakala umhlabathi namanzi. Dlulisela lesi sifo inja, izinkomo, izingulube. Kodwa disseminators eyinhloko lengculaza namagundane.

Kamuva amagciwane angaba imvelo kanye nokugcina ikhono lukhule ngokuhamba kwesikhathi. Enhlabathini bahlala unyaka wonke, emanzini - izinyanga mayelana 8, obisini - ezinsukwini ezingu-30, esikhathini isinkwa - izinsuku 150, ushukela - ezinsukwini ezingu-20, uwoyela - mayelana 5 izinyanga.

Amagciwane ngokuvamile bazizwe +2 ... + 12 ⁰ C, ngakho ngokuvamile ukuthola pseudotuberculosis entwasahlobo. Izimpawu ngokuvamile zifane nezinye izifo, ngakho uphethwe kwezifo ezithathelwanayo kufanele bakwenze kuphela.

Izindlela ukutheleleka

pseudotuberculosis Ill can, usebenzisa zemifino salads (ezifana iklabishi, izaqathe, beet). Kuvamisile isiqongo kwenzeka ngokuvamile phakathi nezinyanga entwasahlobo. Lokhu kungenxa yokuthi esitolo yemifino eqoshiwe pseudotuberculosis Amagciwane. Sticks uthole khona kanye indle izinyoni namagundane. Futhi lapho ucabanga ukuthi leli gciwane ngenkuthalo ziyanda at okushisa ngenhla 2 ⁰ C, ayinayo ukuzibuza ukuthi yini ncamashi lokhu isici ubizwa ngokuthi imbangela yokuqala ukutheleleka izithelo nemifino.

ukungcoliswa ingasaphathwa ngokusebenzisa amanzi - eyolanda ngegciwane, udinga ukuphuza imizimba amanzi evulekile, futhi engqondweni yabo kwesokudla ngeke wenze lokhu. Can itheleleke nemikhiqizo yobisi. Ngakho-ke, ngaphambi kokuba zisetshenziswe, kumele zonke ukunqotshwa nokushisa ukwelashwa. Uma ungafuni ukwazi ukuthi kwenzeke ngesikhathi izimpawu isifo pseudotuberculosis ke kubalulekile ukukhumbula ukuthi lapho i-ejenti causative nesifo ubulawa abilayo imizuzwana 10 noma iminithi ngemuva magciwane 2% chloramine.

lesi sifo

Kufanele kuqashelwe ukuthi akusiyo njalo kungenzeka ukuxilonga pseudotuberculosis ngokushesha. Izimpawu ezinganeni ngokuvamile zifane izimpawu fever ebomvu. Ochwepheshe ukukhomba izigaba eziningana lesi sifo.

Eyokuqala wabo - yinqubo ukutheleleka. Lwegciwane ukutheleleka ngokufaka emathunjini, ekuqaleni ukuba busuka nodonga lwawo. Ngenxa yalokho, kukhona izimpawu ukuvuvukala - enteritis. Kusukela ezindongeni izinti amathumbu ungakwazi ukungena mesenteric lymph node kanye kuholele ukuthuthukiswa lymphadenitis. Lokhu kwenzeka ngesikhathi nesigaba lesi sifo yesibili.

Esigabeni sokugcina amagciwane kanye ubuthi pseudotuberculosis athuthukile kubo lingene egazini. Kuyinto imbangela bacteremia futhi toxemia. Kulesigaba khona esinqunyiwe eziphilayo izicubu ubende kanye esibindini. Futhi, kungaholela ezishisayo emathunjini amancane nokuthuthukiswa yesifo erosive futhi esidalwa yizilonda emathunjini sibe. Kulokhu, kukhona isithombe appendicitis oyingozi.

Kubalulekile futhi ukwazi ukuthi inkathi bayashintshana ekufukameleni ziyahlukahluka kusuka 3 kuya 18 izinsuku. Ngakho-ke, kunzima ukukhomba umthombo sifo.

emitholampilo isithombe

Ezimweni eziningi, okufanayo iqala pseudotuberculosis. Izimpawu zifana kubantu abaningi. In iziguli umuzwa obandayo futhi izinga lokushisa likhuphuka 38 ⁰ C nokuningi. Ngaphezu kwalokho, iziguli esekhala ubuhlungu amalunga, imisipha, ikhanda. Kukhona ubuthakathaka.

Kanyekanye lezi zimpawu kukhona umuzwa isicanucanu. Abanye bangase ukuvula ukuhlanza. Abanye esekhala ubuhlungu besisu, okungase kube unomphela noma cramping. Basuke isebenze ilungelo esiswini aphansi, emhlabeni inkaba, endaweni epigastric noma kwesokudla quadrant engenhla.

Isici sici zokugula kuyinto ketshezi, situlo viscous nge iphunga okunoshukela kanye inclusions angaphandle. Kungenzeka izikhathi 2 kuya ku-15 ngosuku. Kwenzeka ukuthi ihlasela abesilisa kapopopo pseudotuberculosis. Izimpawu e abadala nezingane kulesi simo kuthiwa kwahambisana khona amanyela emkhandweni isikhwehlela sezinyawo noma igazi.

izimpawu zangaphandle

Siye ohlwini izimpawu ejwayelekile lesi sifo. Kodwa ngaphandle kwabo kukhona ekhethekile, ahlukile pseudotuberculosis izimpawu. Ezinganeni (isithombe izingane ezinalesi sifo ingakusiza ukuxilonga ngokwakho, kodwa kungcono uye kudokotela uyofuna icebiso), njengoba ngempela futhi abadala, esinye sezici okuphawuleka ukuvela okuthiwa "hood", "amagilavu", " amasokisi. " Isikhumba ebusweni, entanyeni, izandla nezinyawo abomvu. Izinguquko olubonakalayo 2-4 izinsuku izifo. Ngo 70-80% eziguli ukuthuthukisa ukuqubuka emzimbeni, efana scarlet fever.

Isikhumba iziguli esomile hot. Umuntu angase abe Puffy. Kungaba avame ukubonakala in iziguli conjunctiva ogcwele ukuchitheka. Ngokuvamile izingane imakwe pallor ka unxantathu Nasolabial.

Zikhona nezinye izimpawu zesifo at pseudotuberculosis. Izithombe iziguli abaphethwe isonto lesibili, ayefana kakhulu. Baqala otrubievidno ikhasi off the isikhumba wonke umzimba. Futhi on entanyeni, ubuso, izinyawo nezandla khona lamellar (noma njengoba ibizwa, leaf emise) uyaxebuka.

Ukugula ingathatha izinsuku ezingu-2 kuya ku-15. Izinga loLimi Lokuqala ezigulini camera nge yokuqhuma ezimhlophe, kususwa ezinsukwini 5-7, bese ethola abe luhlaza njengegazi.

nezinye izimpawu

Kodwa adakwe izimpawu - akugcini izimpawu izifo ezifana pseudotuberculosis. Izimpawu (ukwelashwa ebekiwe ngesikhathi, kuzosiza balahle ukubonakaliswa omubi isifo) yilezi ezihlukahlukene. Ngakho, iziguli esekhala ubuhlungu (artlargiyu) e esihlakaleni, iqakala, nedolo interphalangeal amalunga omzimba.

Odokotela futhi ngokuvamile bathola ukuthi iziguli ezine-isibindi lakhulisiwe futhi ubende. Ngezinye izikhathi kuholela jaundice we sclera nesikhumba. Ngaphezu kwalokho, izinguquko ebonwe yisimiso senhliziyo nemithambo yegazi. Basuke iyibhulogi nokububula systolic, uthulisiwe inhliziyo amathoni. Ezimweni ezimbi kakhulu, kukhona arrhythmia.

Ngesikhathi isiqongo lokudakwa ngezinye izikhathi waphawula ukwehla inani umchamo. It kuhambisana ubuhlungu esifundeni lumbar. Asikwazi ukubeka eceleni ukuthuthukiswa izifo ezifana glomerulonephritis ehlasela umzimba. Yiqiniso, pseudotuberculosis kwenzeka kakhulu kuyaqabukela.

nezinye izinhlobo

Kufanele kuqashelwe ukuthi akulula ngaso sonke isikhathi ukuxilonga iziguli wathi isifo. Phela, ngeke kwenzeke ifomu classical. Kuqondane ukuthi nivame esingokwemvelo izimpawu isifo pseudotuberculosis. Izingane (impatho, ngasendleleni, kulesi simo angabelwa kahle, ngakho kungcono kakhulu ukuba kudlule bonke ukuhlolwa) Bluetongue isifo sifana Ari evamile. Futhi izimpawu kusulwe zingase zifane ukudla ezivamile ubuthi.

Njengomthetho, ngcono inhlalakahle iziguli kakade ezinsukwini 5-7. Kodwa zonke izenzo lesi sifo yilabo izinyanga 1.5 kuphela. Kuso sonke lesi sikhathi, isikhumba uyaqhubeka ikhasi off. Plus 20% uyahluleka uma elwa nokuphuza zenzeka, ngakho Kwezinye iziguli lesi sifo kungenziwa ilibele izinyanga 3.

ingozi esondelayo emkhathizwe

Pseudotuberculosis uvame kutholakala izingane. Izimpawu kanye Ukwelashwa (isithombe seziguli ezisencane ukunikeza umqondo wokuthi izenzo zangaphandle zesifo) achazwa esibhedlela. Phela, ukuze kuhlonzwe kuhlolwe kancane ezibukwayo.

Isimo nzima yokuthi kusaqalwa ukuthola lesi sifo ngaso sonke isikhathi kungenzeka. It sitholakale njengoba umthetho, uma yomzimba eqala ukufa ngobuningi amagciwane bawenze abulale.

Kubalulekile ukwazi kungaba kanjani sibonakalise pseudotuberculosis (izimpawu) ezinganeni. Izibuyekezo basikisela ukuthi uphethwe sekwephuzile futhi ukwelashwa hhayi oqokwe ngesikhathi kuholela kokunqotshwa zonke izinhlaka futhi izinhlelo. Odokotela wachaza ukuthi izigaxana izinguquko esiwohlozayo ziqala ukuvela granulomas futhi microabscesses.

On nolwelwesi lwamafinyila (umlomo, nomphimbo, amathumbu) Izilonda esenzelwa opha. Uma ingelashwa zingaholela izinguquko necrotic emisipheni abathintekayo.

ukuhlola

Ukuhlola jikelele ukubonakaliswa yomtholampilo, udokotela kufanele oda ukuhlolwa. Ukuze kukhiqizwe "pseudotuberculosis" ukuxilongwa kudinga bacteriological futhi ukuhlolwa serological. Ukuze uthole umbono ophelele sifo iziguli kuthathwe igazi, indle, umchamo. Futhi kufanele uhlole i-cerebrospinal fluid kanye lymph.

Ukukhomba pseudotuberculosis Amagciwane asendabeni usebenzisa indlela ELISA (enzyme-exhumene Assay immunosorbent). Futhi yakhetha ngosizo uphethwe okusheshayo. Ukuze wenze lokhu, kwenziwa inhlolo-vo ephathelene ukusabela hemagglutination engaqondile nge immunoglobulin ukuhlola. Kwaze kwaba yilapho sebeshiye ucwaningo umnyuziki kungashiwo ukuthi umuntu pseudotuberculosis. Izimpawu ezinganeni ngokuvamile ziyafana izimpawu nezinye izifo. Ngakho-ke, uphethwe umehluko Kwenziwa parallel, ukuze ngakususi scarlet fever, rubella, obuhlungu emphinjeni, isifo sokusha kwesibindi, appendicitis, Gastroenteritis noma polyarthritis.

amacebo yokwelashwa

Uma usola isiguli ungeniswe pseudotuberculosis esibhedlela. Kube Kwenziwa ukuhlolisisa ngokugcwele futhi amise ukusazi ngokunembile isifo esikuphethe. Ekwelapheni usebenzisa imithi elwa namagciwane, chemotherapy, futhi sulfonamides. Isikhathi esidingekayo yokwelapha kunqunywa udokotela. It kuncike Yiqiniso lesi sifo. Ifomu generalized kumelwe zibe yizinsuku ezingu 12-14 okwelashwa, lapho yenziwe yaba yasendaweni ngokwanele 10.

-antibiotic ukusetshenziswa "Chloramphenicol" Ukuze ekwelapheni kakhulu. Ukuqeda izimpawu zokudakwa iqondiswa emthanjeni glucose isixazululo nge ascorbic acid. Kwangathi futhi bafake Iringa-Locke. Ngo izilonda ezinzima ngokusebenzisa corticosteroids.

Imithi kuyabekwa kuye lokho kunikeza pseudotuberculosis izimpawu ezinganeni. Photo izingane emazingeni ahlukahlukeneko wendlela sifo ukuqonda kufanele uqhubeke kanjani. Kuphoqelekile ukuba linqume amavithamini C no B ezishukumisayo kwesimiso somzimba sokuzivikela ezifweni.

Ngaphezu kwalokho uqoke desensitizing ejenti. Kwangathi zisebenzisa izidakamizwa ezifana "Diazolin", "Suprastin" nezinye analogue.

Ukuvimbela izifo

Ngeshwa, okwamanje awukho umuthi wokugoma ezifweni ezinjenge pseudotuberculosis. Izimpawu zalesi ukutheleleka kubalulekile ukwazi konke ngesikhathi umsolwa wakhe futhi bafune iseluleko wezokwelapha.

Medicine akakabi bakwazi ukuvikela iziguli HIV, kusukela ekuthelelekeni pseudotuberculosis. Ngakho-ke kubalulekile ukugxila izinyathelo. Kufanele kwenziwe ezingeni wombuso. Kuyadingeka ukuba ukuqapha ezitolo yemifino ukuqhuba ukulawula izifo namagundane, ukuhambisana nayo yonke imithetho isitoreji kanye zokuhamba imifino. Ngaphezu kwalokho, kufanele kwenziwe nokuqapha njalo izinga lokuhlanzeka kwamanzi enikeziwe.

efiselekayo ukusebenzisa kuphela yokuvimbela isifo ukudla thermally kusetshenzwe futhi aphuze amanzi abilisiwe.