Salmonella tifimurium - lwegciwane, uphethwe, ukuphathwa

amagciwane Salmonella tifimurium eyaziwa kwezokwelapha njengoba Salmonella enterica serovar typhimurium. Kuyinto, amagciwane igramu-negative induku emise ne flagella (onsomi izakhiwo izinwele-efana), lapho umzimba uhamba.

amagciwane aqanjwe - imbangela eyinhloko ukudla okunobuthi (salmonellosis) kubantu. It itheleleke ukuthi kwande ukuthi kube inyama yengulube, yenkukhu inyama, amaqanda. Izilwane ezifuywayo Ungase futhi ayidlulisele.

Indlela Salmonella ihlukaniswa?

Ngakho, sinesithakazelo kwesikwenzayo tifimurium Salmonella - causative ejenti leso sifo esiyingozi efana salmonella. Uhlobo salmonella enterica yakhiwa 6 zenyathi:

• enterica;
• salamae;
• arizonae;
• diarizonae;
• houtenae;
• indica.

Enterica zenyathi enterica kuhlanganisa salmonella elandelayo serogroups:

• A (paratyphi A).
• B (derby, typhimurium, Agona, Heidelberg).
• C (cholerae suis, Newport, Muenchen, virchowinfantis).
• D (Dublin, enteritidis, Rostock, Sendai, typhi).
• E (anatum).

Tifimurium Salmonella (S. typhimurium)

Buka enterica ubhekwa pathogenic kubantu nasezilwaneni kanye nezinyoni, kodwa abalulekile kakhulu ezimbalwa kubo kuphela abantu. Futhi amacala iningi salmonellosis zaba S. typhimurium.

zamagciwane Abaningi Salmonella anenkani yesimanje, ngakho anikezwa emhlabeni wonke. Ngakho, salmonellosis nosocomial - inkinga engathí sina okwamanje. Ngo-80% amacala agent causative of nosocomial (nosocomial) salmonellosis - kuyinto S. typhimurium.

pathogenicity izici

Futhi ingozi ngoba imbangela wathi pathogenicity isifo elandelayo izici:

• Flagella inikeza ukunyakaza okusheshayo lesi silwanyana.
• Capsule we igciwane uvikelekile phagocytes. Futhi ngenxa ukunganeli phagocytosis ekuthuthukiseni sepsis.

• Ukuhlasela Ukungena sici kwenza kube kokuhlupheka-free nezicubu ezijulile-amanga.
• Ngenxa adhesion ezinhle (okunamathiselwe), ukunikeza fibrils, pectins, LP-saccharide eziyinkimbinkimbi, igciwane agcinwe emzimbeni.
• Exotoxins (imikhiqizo womsebenzi walo) ukwakha sohudo ne amanzi emzimbeni okwalandela, okusheshayo permeability semithambo.
• Endotoxin ivelele ngokumelene phagocytosis elimazayo. It eziyinkimbinkimbi lipopolysaccharide esakha ukudakwa. Platelet wokuhlanganisa e capillary ezincane kuholela ukuvuvukala, lapho DIC. A uketshezi of Na futhi Cl kunciphisa imisipha bushelelezi futhi ngakhula motility emathunjini.

Kanjani ukumelana amagciwane?

Salmonella tifimurium babe ukumelana izici ezihlukahlukene kwemvelo:

1. Ezinyangeni ezintathu zigcinwa izinto ekamelweni lokushisa ezihlobene.
2. Eminyakeni emine elondolozwe ku indle ezomile kwezilwane.
3. izinyanga ezinhlanu - emanzini, nengxenye ngonyaka - e imikhiqizo yobisi inyama, ku amagobolondo amaqanda - kuze kuphele inyanga.
4. Ukufa kwenzeka kuphela 100 ° C. Imikhiqizo inyama ukumelana lokushisa inyuka (iphawundi inyama kumele kubiliswe kuze kuphele amahora amabili, kodwa ke kuphephile). Ngosizo salting nokubhema ungambulali salmonella.
5. Lokhu lwegciwane zingamelana ukwehla lokushisa ukuba -80 ° C.
6. Kuyinto ukumelana UV ukukhanya.
7. I magciwane liyadingeka ukumelana imizuzu 20 ukubulala amagciwane.

Isibhadalala salmonellosis kwesifo ebonwe ehlobo, ngokuvamile kutholakala izingane ezincane ngenxa yokungapheleli isimiso somzimba sokuzivikela ezifweni.

Pathology wadluliselwa alimentary futhi uthintane futhi contact-yasendlini. By the way, kubalulekile e ukusetshenziswa amaqanda ukuba banake uhlobo amaprotheni kanye isikhuphasha. Lapho turbidity, ukopha, iphunga ezibolile, iqanda cishe utheleleke. Kumele kulahliwe, izitsha uthele chlorine izandla njengoba bayihlanganisa. Soap kulezi zimo kungasizi.

Winter flash, ukufa okusezingeni eliphezulu kanye ne-transmission contact-yasendlini indlela yezakhi ezimelana nemithi kwenzeke izizathu futhi ngenxa yokuthi nokuvikeleka ukudla eyodwa.

bayashintshana ekufukameleni inkathi

Isikhathi bayashintshana ekufukameleni Uthatha amahora nelesithupha ngosuku, kodwa kaningi izimpawu zokuqala avele phakathi ngosuku lokuqala noma amabili ngemuva kokudla umkhiqizo enobuthi.

Kungukuphula amanzi-usawoti umzimba ngenxa yesifo sohudo, sezinyawo iba lwamanzi, frothy, esinuka, nge imifino, okusikhumbuza "marsh udaka" nge imvamisa izikhathi abafinyelela kwabayishumi ngosuku, ngeviki noma ngaphezulu.

Lesi sifo iqala babazi, libhekene ubuthakathaka, ukucobeka, omnene ubuhlungu besisu (epigastric futhi umbilicus). Esiswini kubuhlungu ku palpation, ukuduma ezwakalayo nokuvuvukala kubonakale.

Salmonella tifimurium - Laboratory Ukuxilonga

Ngezinye uphethwe ehlaselwe amapharamitha alandelayo:

• anda erythrocyte sedimentation isilinganiso;
• leukocyte nge shift kwesokunxele;

Lwegciwane itholiwe kusuka uketshezi begazi (indle, igazi, umchamo, isitho abathintekayo) kanye nemikhiqizo osolisayo indlela bacteriological. Umphumela wokugcina, njengoba umthetho, okulungiselelwe, usuku lwesihlanu.

Lapho ukutheleleka nge Salmonella tifimurium, okulandelayo zimpawu:

• umkhuhlane;
• Ukugodola;
• uhudo olubi;
• ukuhlanza.

ukwelashwa

Lesi sifo kungaba yingozi esewusana, abadala, futhi kwezinye iziguli kanye nokuvikeleka esincishisiwe. Futhi lokhu kuyingozi Salmonella tifimurium.

Ukwelashwa wukuthi lisetshenziswe antibiotic rehydration. Futhi linqume antispasmodics, enzyme amalungiselelo, sorbents, antidiarrheals. "Uhlu №4» ikhombisa Ukudla.

Ukwelashwa kufanele ubanjwe ngaphansi kweso lwezokwelapha esiqinile, futhi izinyathelo resuscitative esetshenziswa ezimweni ezinzima. Of sorbents ngokuba ngokukhishwa kobuthi egazini yomzimba kungcono ukusebenzisa izidakamizwa ezilandelayo:

• "Enterosgel";
• "Liferana";
• ocushiwe carbon;
• "Smecta";
• "Enterodeza".

Nge njalo ukuhlanza eziphikelelayo kuphoqelekile ukubiza i-ambulensi ukuze kuvinjelwe ukuphelelwa amanzi emzimbeni. Isiguli ngokuvamile okunqunyiwe "Regidron". lokushisa Ukwandiswa incipha antipyretics.

Active ngokumelene salmonella salmonella enterica imithi elwa namagciwane

ejenti elwa namagciwane asebenzayo ngokumelene salmonella salmonella enterica, enze "furazolidone" "Ciprofloxacin", "Rifaximin", "nifuroxazide". Kodwa abakwazi kuphela linqume udokotela, ngiphakamisa umthamo ngamunye kanye ikhumbula ngezimo zesiguli, itheleleke nge-salmonella tifimurium.