Pseudotuberculosis: Iimpawu and Treatment

Pseudotuberculosis sisifo esichaphazela lonke eli phecana zesisu. Esi sisifo etsolo esosulelayo, nto leyo ke arhente causative lwegciwane emathunjini.

Distribution of pseudotuberculosis

Umthombo usulelo inokuba inani imifuno kunye neemveliso zobisi, ezo kudliwa ngaphandle unyango ubushushu kwangaphambili. Eyona ndlela losulelo - ukutya. Sticks pseudotuberculosis zifumaneka kumhlaba kunye namanzi. Dlulisa isifo inja, iinkomo, iihagu. Kodwa disseminators eziphambili zokugula namabuzi.

Le ntsholongwane ukuba okusingqongileyo kunye nokugcina ubuchule ikhula ngokuhamba kwexesha. Xa umhlaba abahlala kuwo wonke lo nyaka, emanzini - malunga 8 iinyanga, ngobisi - iintsuku ezingama-30, kwi isonka - iintsuku 150, iswekile - iintsuku ezingama-20, kwi-oyile - malunga 5 iinyanga.

Magciwane Ngokuqhelekileyo uziva-phinde ngo 2 ... + 12 ⁰ C, ngoko baye bafumanise pseudotuberculosis entwasahlobo. Iimpawu badla zifana nezinye izifo, ngoko ukubonwa kwezifo ezosulelayo kufuneka bakwenze kuphela.

Iindlela zosulelo

pseudotuberculosis enkenenkene, esebenzisa salads yemifuno (ezifana ikhaphetshu, iminqathe, beetroot). Le izehlo Incopho kwenzeka ngethuba leenyanga entwasahlobo. Oku kungenxa yokuba i-kwivenkile yemifuno zibhalwe pseudotuberculosis ngamagciwane. Sticks ukufika apho kunye ilindle iintaka nezikrekrethi. Xa ucinga ukuba iintsholongwane ungakwazi zixhaphakile kwiqondo lobushushu ngentla 2 ⁰ C, loo nto ayithethi ukuba uzibuze ukuba yintoni kanye le nto ibizwa ngokuba unobangela yokuqala ukusulelwa iziqhamo kunye nemifuno.

ukungcoliswa ngaphantsi kakhulu emanzini - to pick up kusulelo, kufuneka ukusela emanzini, kwaye engqondweni yabo lasekunene uya kuyenza le nto. Ngaba zifo kunye neemveliso zobisi. Ngoko ke, ngaphambi kokuba ukusetyenziswa, kufuneka bonke abavumela ukuba shushu unyango. Ukuba awufuni ukwazi oko kwenzeka kwi iimpawu zesifo pseudotuberculosis, ngoko kuyimfuneko ukuba ukukhumbula ukuba arhente causative le usulelo ubulawa ngokuxuba imizuzwana 10 okanye umzuzu emva kweentsholongwane-2% chloramine.

isifo

Kufuneka kuqatshelwe ukuba akusoloko kusenzeka ukuba ngoxilongo pseudotuberculosis ngoko nangoko. Iimpawu e abantwana badla zifana iimpawu fever ebomvu. Iingcali bachonga izigaba ezininzi zesi sifo.

Eyokuqala kuzo - yinkqubo usulelo. usulelo lwegciwane engena emathunjini, eqala eziza kuqaliswa kuloo eludongeni lwayo. Ngenxa yoko, kukho iimpawu ukudumba - enteritis. Ukususela iindonga izinti emathunjini kusichukumisa ezalathelwe nkovu mesenteric kwaye kukhokelela kuphuhliso lymphadenitis. Oku kwenzeka ekuqaleni komdlalo Inqanaba lesibini esi sifo.

Kwisigaba sokugqibela amagciwane kunye ityhefu pseudotuberculosis eziphuhliswe nabo egazini. Oku ngunobangela bacteremia kunye toxemia. Kweli nqanaba ubukho ezisisigxina eziphilayo ancedisana ye udakada wesibindi. Kwakhona, oko kunokubangela ukuba emathunjini thermal amancinci kunye nophuhliso yokudumba ilunga kunye sikabhobhosi. Kulo mzekelo, kukho umfanekiso appendicitis ahlekise.

Kwakhona kubalulekile ukwazi ukuba okuthatha ziyahluka ukusuka kwiintsuku ezi-3 ukuya kwi-18. Ngoko ke, kunzima ukuchonga umthombo sifo.

picture clinical

Kwiimeko ezininzi, ngokufanayo iqala pseudotuberculosis. Iimpawu ziyafana ngabantu abaninzi. Xa izigulane imvakalelo ngenxa yokubanda kunye ubushushu 38 ⁰ C nangaphezulu. Ukongeza, izigulane ezikhala intlungu amalunga, imisipha, intloko. Kukho kwakhona bubuthathaka.

Kwangaxeshanye nezi mpawu kukho yimvakalelo isicaphucaphu. Bambi ukuvula egabha. Abanye ezikhala iintlungu esiswini, esenokuba ngokusisigxina okanye cramping. Bona eyendayo esiswini asezantsi ekunene, ngeenxa inkaba, kummandla epigastric okanye ikota yesangqa ephezulu ngasekunene.

A phawu uphawu le ngezifo na ulwelo, isitulo viscous kunye ivumba elitsarhayo kunye inclusions amazwe. Kusenokuba amaxesha-2 ukuya ku-15 ngemini. Kuyenzeka ukuba ichaphazela zombini ikholoni pseudotuberculosis. Iimpawu abadala kunye nabantwana kule meko ziye zincediswe ubukho ubumdaka kwi yencindi isitulo okanye igazi.

iimpawu zangaphandle

Siye kuluhlu imiqondiso ezithile zesi sifo. Kodwa ngaphandle kwabo zikhona ezikhethekileyo, elikhethekileyo pseudotuberculosis iimpawu. Xa abantwana (photo kids nesi sifo anokukunceda gciwane ngokwakho, kodwa kungcono ukuba udibane nogqirha), njengoko, eneneni, yaye abadala, omnye iimpawu okuphawuleka ukuvela ebizwa ngokuba "hood", "iiglavu", " iikawusi. " Ulusu ebusweni, entanyeni, izandla neenyawo ebomvu. Utshintsho olubonakalayo iintsuku 2-4 yezifo. Ngowe-70-80% ezigulane ukuphuhlisa kwamaqhakuvana emzimbeni, ezifana nomkhuhlane ebomvu.

Isikhumba izigulane owomileyo kunye kushushu. Umntu usenokuba puffy. Kunjalo nje kungabonwa kwizigulane kunye conjunctiva bubomvu. Abantwana laziwa pallor kanxantathu nasolabial.

Kukho nezinye iimpawu zesi sifo kwi pseudotuberculosis. Amafoto ezigulane abaphethwe kwiveki yesibini, efana kakhulu. Baqala otrubievidno Ixolo off isikhumba lonke phezu komzimba. Kwaye phezu entanyeni, ubuso, iinyawo nezandla apho lamellar (okanye njengoko kubhaliwe ngokuba, amagqabi-ezimile) yokuzikhwebula.

Isigulo unokuthatha ukusuka iintsuku ezi-2 ukuya kwezili-15. ulwimi lokuqala kwizigulane isale ibiselityatyambile emhlophe, kususwa ngeentsuku 5-7, emva koko unenxaxheba nombala obomvu.

nezinye iimpawu

Kodwa ukunxila kunye neempawu - loo nto zonke iimpawu izifo ezifana pseudotuberculosis. Iimpawu (unyango emiselweyo kwexesha, kuya kunceda kukuphelisa wabonakala engakhiyo sifo) kakhulu zahlukene. Ngenxa yoko, izigulane akhalaze intlungu (artlargiyu) kwi iwotshi, iqatha, kwedolo interphalangeal amalungu.

Oogqirha nabo baye bafumanise ukuba izigulane ezinochaso isibindi zikhulisiwe udakada. Maxa wambi kukhokelela senyongo le sclera kunye nesikhumba. Ukongeza, utshintsho kuvandlakanywa nemithambo yegazi. na abayibona yambombozela iSystolic, iithowuni intliziyo iyathula. Kwiimeko kakhulu, kukho arrhythmia.

Xa kwincopho kunxilwe wambi wazibona ukuhla mali umchamo. Oko kukhatshwa intlungu kummandla empontshwa. Asinako ngaphandle uphuhliso izifo ezifana glomerulonephritis kwentamo. Liyinyaniso elokuba, pseudotuberculosis kwenzeka kunqabile kakhulu.

nezinye iintlobo

Kufuneka kuqatshelwe ukuba akusoloko kulula ukubona izigulane bathi sifo. Ngapha koko, eli candelo alikwazi kuqhubeka ngohlobo zoqobo. Kwenzeka ukuze lubricated iimpawu izifo pseudotuberculosis azalwa. Abantwana (unyango, ngasendleleni, kule meko linokukwenziwa ngokuchanekileyo, ngoko ke kungcono ukuba kudlula zonke iimvavanyo) isifo Olubhlowu ifuze Nakhon Sawan ngokwesiqhelo. Kwaye iimpawu acinywe ukuze zifane ityhefu ukutya eqhelekileyo.

Njengomgaqo, kwaphuculwa kakuhle ukuba izigulane sele kwiintsuku 5-7. Ke zonke izinto ezibonisa sifo uneenyanga 1.5 kuphela. Ngalo lonke eli xesha, isikhumba iyaqhubeka amaxolo off. Plus 20% of likakade kwenzeka, ngoko ezinye izigulane esi sifo azide iinyanga ezi-3.

ingozi ezayo

Pseudotuberculosis amaninzi sifo ebantwaneni. Iimpawu kunye noNyango (photo izigulane abaselula ukunika ufifi wabonakala lwangaphandle sifo) ichazwe esibhedlele. Ngapha koko, ngenxa uxilongo ukuhlolwa encinane ezibonwayo.

Le meko nzima ngenxa yokuba usaqala okuva sifo akusoloko kusenzeka. Oku une umthetho, xa umzimba ziqala ukuba sife en sinye amagciwane abulale.

Kubalulekile ukwazi njani ngazo pseudotuberculosis (iimpawu) ebantwaneni. Ukuphonononga lubonisa ukuba isifo kade kwaye unyango na oqeshwe kwexesha kukhokelela ngokoyiswa onke amalungu kunye neenkqubo. Oogqirha wachaza ukuba inwebu utshintsho sisiba mandundu ziqala ukuvela granulomas kunye microabscesses.

Kwi inwebu yangaphakathi (umlomo, umqala, emathunjini) izilonda kwakheka exesheni. Ukuba lunganyangwa ukuba kusenokukhokelela kwiinguqu necrotic emzimbeni abachaphazelekayo.

ekuxilongweni

Ukuhlola wabonakala lwezonyango jikelele, ugqirha kufuneka odola iimvavanyo. Kuba imveliso "pseudotuberculosis" sifo kufuna bacteriological kunye novavanyo lokukhangela. Ukuze ufumane umfanekiso opheleleyo sifo izigulane wathabatha igazi, endleni, umchamo. Kufuneka kwakhona ujonge ulwelo lwe-cerebrospinal kunye emithanjeni.

Ukuze ukuchonga amagciwane pseudotuberculosis kwi umbandela usebenzisa indlela ELISA (olungqanyaniswa enzyme-kulingwa immunosorbent). Kubhenelwa uncedo ngokukhawuleza. Ukuze wenze oku, yaqhuba uphando indlela hemagglutination ngqo kunye noxilongo immunoglobulin. Kuphela emva kokuba uphando epheleleyo kuthiwe ukuba pseudotuberculosis umntu. Iimpawu kubantwana zidla iyafana iimpawu zezinye izifo. Ngoko ke, uxilongo umahluko oluqhutywa ngaxeshanye, ukuze ukwahlula ngumkhuhlane nebomvu, rubella, isibetho umqala, hepatitis, appendicitis, gastroenteritis okanye juvenile.

Amaqhinga zonyango

Ukuba ukrokrela isigulane amkelwe pseudotuberculosis esibhedlele. Kukho ikhutshwa phandle i zoviwo ezipheleleyo nokumisela ukuxilongwa. Xa unyango usebenzisa nemithi, amayeza ichemotherapy, kunye sulfonamides. Ubude efunekayo uthomalaliso emiselwe ngugqirha. Kuxhomekeke khosi yesi sifo. Ngendlela nolahlo ngokubanzi kufuneka iintsuku 12-14 unyango, xa localized ngokwaneleyo-10.

ukusetyenziswa "Chloramphenicol" zintsholongwane Kuba unyango kakhulu rhoqo. Ukuze ukuphelisa iimpawu kunxilwe ezilawulwa efakwa isisombululo iswekile kunye ascorbic acid. Kwakhona bafake Iringa-Locke. In izibhaxu usebenzisa corticosteroids.

Amayeza emiselweyo kuxhomekeke oko onika pseudotuberculosis iimpawu ebantwaneni. Photo kids kumanqanaba ahlukeneyo isifo ukuze aqonde ukuba kufuneka uqhubeke njani. Kunyanzelekile ukuba amisele iivithamini C no-B nokukhuthaza kwamajoni omzimba.

Ukongeza ityumbe desensitizing arhente. Ngamana basebenzise iziyobisi ezifana "Diazolin", "Suprastin" kunye nezinye analogue.

Prevention of izifo

Ngelishwa, akukho nto okwangoku akukho lugonyo izifo ezifana pseudotuberculosis. Iimpawu zesi sifo ukuba kuyimfuneko ukwazi bonke ixesha omrhanelayo kwaye ufune iingcebiso zonyango.

Medicine alikafiki nako ukukhusela izigulane ukususela ekusulelekeni pseudotuberculosis. Kubalulekile ke ngoko ukuba bagxininise amanyathelo othintelo. Kufuneka kwenziwe kumgangatho karhulumente kulo. Kuyimfuneko ukuba esweni koovimba imifuno ukuba aqhube ulawulo othintelo kweempuku, ukuthobela yonke imithetho ukugcinwa kunye nothutho nemifuno. Ukongeza, kufuneka wenziwe esweni rhoqo ubulunga bamanzi anikiwe.

enqwenelekayo ukusebenzisa kuphela ekuthinteleni izifo zokutya thermally kwaye usele amanzi abilayo.