Haemophilus influenzae

An esosulelayo etsolo isifo ziibhakteriya uhlobo, okubangelwa komkhuhlane wand (Haemophilus influenzae influenzae), iye ngokuba Haemophilus influenzae influenzae. Kuba sifo luphawulwa kuphuhliso izitshanguba ubovu kwizigqeba, izitshanguba inkqubo yokuphefumla kunye luvo. Le bacterium enobubanzi coccobacilli ukuya ku-1 micron. Kuba zamasiko bahlule 7 biotypes bacilli, ezinye zazo capsule. Namhlanje yaziwa iintlobo influenza philisi 6, apho onombhalo ukusuka A ukuya F. I zokugula kwabantu kakhulu ngokubaluleka Haemophilus influenzae influenzae yohlobo b.

Haemophilus influenzae usasazwa ugqithiselwa kuphela kwindlela abantu yosulelo - emoyeni. Ngowe-90% yabantu abanempilo uyazimela nasopharynx ka-Haemophilus influenzae influenzae, nto leyo 5% pathogen lwenzeka uhlobo b.

Xa uninzi amatyala ebhalwe Haemophilus influenzae influenzae kubantwana abaminyaka ukusuka kwiinyanga ezintandathu ukuya kwiminyaka emihlanu. Kakhulu kuncipha usuleleko kwenzeka kwiintsana kunye nabantwana abadala ngaphezu kweminyaka emihlanu. Kutshanje Haemophilus influenzae abhalwe ngakumbi kubantu abadala. Le izehlo Incopho kwenzeka kwiinyanga Februwari nasentlakohlaza.
Gateway isifo nasopharyngeal. Lwegciwane ukwazi ukuqhubeka ixesha elide ngaphandle iimpawu. Ngenxa buthathaka umzimba uhlobo abagxothwa usulelo ungaya kwi libonakalalisiwe. Haemophilus influenzae Distributed ancedisana ezingqongileyo, ngaloo ndlela ebangela uphuhliso iphika, otitis, sinusitis, inyumoniya. Kuba dessiminirovannoy izifo kwakhona uphawu samathambo suppurative kunye cellulitis, kwaye kwezinye iimeko, kunye nokubandakanyeka ilungu lwangaphakathi. Ngaphezu koko, isifo systemic kwenzeka kuphela xa gciwane capsule. Ngaphandle iintlobo philisi iintsholongwane ezibangela ukudumba inwebu yangaphakathi kuphela.

iimpawu

Cwangcisa ixesha okuthatha akukho kunokwenzeka kwesi sifo baye isifo kwangumqondiso ngokuqhelekileyo kubangelwa angasebenzi. unobangela rhoqo losuleleko ngokubanzi ngayo abantwana Haemophilus influenzae influenzae yohlobo b.

Haemophilus influenzae, njengokuba umthetho, sibi. Pi ifomu dessiminirovannoy zesi sifo isiqingatha amatyala ukuphuhlisa ubovu meningitis ngo-20% yamatyala - kukukrala emiphungeni, maxa wambi kukho ezinye izilonda focal. Isifo luphawulwa wabonakala lwezonyango zilandelayo:

- pneumonia oyingozi;
- ubovu meningitis;
- ukudumba inyama ongama;
- septicemia;
- ubovu samathambo;
- epiglottitis;
- media otitis, sinusitis, pericarditis, nezinye.

Haemophilus influenzae - nobangela rhoqo ubovu meningitis ebantwaneni ukususela kunyaka omnye ukuya kwiminyaka-4. Meningitis ziqhele iqala iimpawu nezigulo zokuphefumla. Kamva ukuvela okufana meningitis amagciwane iimpawu. Isifo njalo ihamba nzima, ngowe-10% yamatyala iphela olubulalayo. Maxa wambi zihamba kunye ubovu meningitis, isifo kunye cellulite. Haemophilus influenzae inyumoniya nto zombini lobar kunye focal, ngokufuthi nzima ubovu unepleurisy. Inyumoniya ezingakhona zidityaniswe kunye ukudumba phakathi indlebe kunye ubovu pericarditis.
Nokudumba senzeka amaninzi abantwana abangaphantsi konyaka omnye, uthatha indawo ngesantya ngumbane kunye nophuhliso umothuko yokubolisa. Cellulite kwakhona uphawu abantwana abangaphantsi konyaka omnye kwaye iqala iimpawu zesifo ezihlasela zosulele ngokuphefumla. Xa abantwana abadala, ngokufuthi localized cellulite apha emilenzeni. Epiglottitis (ukudumba epiglottis) uthathwa ukuba kakhulu lwe usulelo ekhatshwa bacteremia ngo-90% yamatyala. samathambo yokubolisa le zibangelwa kokushenxa hematogenous iintsholongwane kwamalunga, kwaye soloko ilandelwa yi osteomyelitis.

Isifo kwaye afumane unyango
Haemophilus influenzae lineminyaka ulwelo lwe-cerebrospinal, isikhohlela, ububomvu kunye isigulane. Ukusabela electrophoresis ezizayo ngamanye amaxesha asilele ukubona iintsholongwane e ulwelo fluid okanye yokuchama.
Kuba unyango lwezifo usebenzisa antibiotics tetracycline, ampicillin kunye chloramphenicol. Noko ke, unyango losulelo kuzisa iingxaki ezithile, ekubeni inegciwane linamandla kakhulu elwa ezininzi. Xa sijonga ubunzima loxilongo kunye nonyango kwezifo iya ugonyo ebaluleke nxamnye usulelo Hib. Ugonyo lwe-Haemophilus influenzae influenzae ngo 95-100% yamatyala kuthintela usulelo. Ugonyo kunciphisa kakhulu kweziganeko, kwaye okona kubaluleke kakhulu, izinga lokusweleka kweentsana ekubonakalisweni kakhulu zokosuleleka.