Brucellosis muvanhu: Zviratidzo neMarapirwo

Brucellosis chirwere kwakazara munyika dzakawanda dzakabudirira mhuka. Causative vamiririri zvinotapukira uye sema zvirwere ndivo brucella utachiona. Mazuvano pane 4 mabhakitiriya mhando kukonzera brucellosis muvanhu - Br. Melitensis, varidzi vari makwai nembudzi, Br. Abortus, zvitange kubva mombe, Br. Suis, iro zvitange kubva shiri, nguruve uye nondo, uyewo Br. Canis, izvo akatakurwa imbwa, asi ichi mhando mabhakitiriya zvikuru kusingawanikwi muvanhu.

Muzviitiko zvizhinji kunobva chirwere vanhu ava makuru uye yemombe. Vanhu vanova utachiona kana unoparadza mukaka kana nyama ine mhuka anorwara. Uyezve alimentary, mbambo Counts uye nzira chirwere, kunyanya kana kutarisira mbudzi nenguruve kuburikidza nemaoko utachiona, shinda, mhuka yavaive. Dziripowo sezvo aerogenic chirwere nzira, umo zvigare uye guruva tudonhwe mhuka nemarara, mufudze nemvere vanowira chokumusoro Airways. Brucellosis kwevanhu nyanzvi hunhu, ruzhinji varwere - vashandi akaitwa kuti kubudiswa mukaka uye nyama, Veterinarians, vashandi zvipfuwo mapurazi.

chirwere sei?

The incubation nguva rinowanzova kubva vhiki rimwe vhiki nhanhatu. Clinical kuratidzwa zvakasiyana polymorphism. Chimiro chirwere vari chakasimba, subacute, uye chirwere uye residual. Kazhinji pane Isimba rakadini rinogona kubudiswa chimiro chirwere, iro pane Immuno-sema shandurudzo ane muviri. For chenjera uye subacute chimiro kunoratidzwa munhu prodromal nguva, zvinoratidza utera, kutemwa nomusoro, kurukutika, pashure iyo kukura zviratidzo kudhaka. In varwere nemuumbi nefivha achiperekedzwa Munonyorovesa ziya uye fivha, akawedzera chirwatata uye chiropa, uye node nodes, kunyanya remuromo. Kazhinji, ari subcutaneous zvinyama vari kuumbwa zvinorwadza nodules - cellulites uye fibrositis.

Mamirire yakaderera BP, muffled mwoyo ruzha, mune zvimwe zviitiko, kuva pericarditis, myocarditis, endocarditis. Apo chepfu-septic nedanho kusimukira nemabayo, bronchitis. Kana chiropa chirwere chingava zvishomanana jaundice. Tsinga maronda kazhinji pachena simba, kutemwa nomusoro, kushaya hope, uye zvirwere dzimwe nguva pfungwa uye meningism zvakavapo. Brucellosis muvanhu kazhinji anova chirwere kana subacute fomu. Izvi imhaka yokuti Brucella vemunyika intracellularly uye zvinogona kuramba kuramba pamusoro nokufumura vanoshorwa zvinhu (kushushikana, hypothermia, zadzisa) mutobvu kuzodzosera hweHIV zvavo.

The chirwere chimiro kunoratidzwa idzokororo kuratidzwa uye lability. Govera huta, osteo-articular, uro-dzokubereka nadzo, visceral uye mubatanidzwa siyana chirwere. Hwokuratidza polyarthritis, perihondrity, bursitis. Zviri anonyanya lesion makuru majoini chete akatsvuka uye akavarambidza nemafambiro. Zvishoma nezvishoma kuva ankylosis spondylarthritis achiperekedzwa unopinza kurwadziwa. Mamirire maronda uye peripheral tsinga - neuralgia, plexites, radiculitis, paresis. Varwere uyewo chokunyunyuta pamusoro kushatirwa, hope chinovanetsa, kurukutika. Dzimwe nguva kuva hypochondria, zvikuru neurosis, reactive anoti.

Brucellosis muvanhu muzviitiko zvakawanda, kunoratidzwa-refu refu zvinokonzerwa, varehwa ari kuchinja kubva neuro-vepfungwa, zvetsandanyama nemapfupa hurongwa. Residual chimiro nokuda dzichipfekeka vanotaura pamusoro autonomic tsinga uye masoja-sema shandurudzo ane muviri.

Kuongorora chirwere uye kurapwa

Sei kuzosimbisa zvokuongorora kuti brucellosis? Chirwere inobva zviratidzo chirwere, epidemiological nhoroondo uye mumarabhoritari Data. Zvinonzi pari kushandiswa serological nzira. Wright uye maitiro Heddelsona zvakanaka achiri pavaipfuura chirwere. In kwose kushandiswa uye TPHA RNC kuti anogona kuona antibodies kunyange L-siyana mabhakitiriya. It anonzi zvikuru anenge enzayemu immunoassay, rinoshandiswawo Burne mharidzo, aripo zvakanaka kwemakore pashure kupora.

Kana murwere yakatanga rikwanise brucellosis, kurapwa kunofanira muchipatara. Isai inorwisa mabhakitiriya zvirongwa, vanobudirira fluoroquinolones, rifampicin, tetracyclines. Mugore chirwere chimiro iziviswe zvinogona kuwanika kana mabasa vakauraya kuchirapa mushonga. Kudzivisa kuitazve kushandiswa antibrucellar immunoglobulin. Varwere kuratidza physiotherapy, kushandisa kurapa, masaja, Spa kurapwa.