Chii shigellosis uye sei kurapa nayo

On nyaya iyi, sezvo nemanyoka, takanzwa vazhinji. Chii shigellosis, zvaidiwa chirwere, zvinokonzera uye nzira kwetsvina - ichi zvose uye anoda ikozvino kuudza zvizere.

mazwi

Pakutanga, zvinokosha kunzwisisa zvazviri kushandiswa chipo nyaya. Saka, chii shigellosis? In mutauro Kunyatsoziva - ndiko nemanyoka, kureva nemavhairasi intestinal chirwere. Kukonzerwa utachiona, izvo ndezvaJehovha mhuri Shigella (kubva pano uye paiva kwaita zita chirwere).

Uyewo, vanachiremba vanoti dambudziko iri unganyanya kuitikira munguva Hottest nguva yegore, kureva kunyanya muzhizha, kwete chando. Vanhu vanotambura pairi zvakaenzana, zvisinei chechikadzi. Zvisinei, izvozvo kazhinji inokanganisa vana pakati pemakore 2 uye makore 4.

About exciter

Utachiona hwakakura Shigella - Shigella bacteria mhuri. Zvikurukuru akaoma musoro ndivo Shigella sonnei. The functionality vanogona kuramba kwenguva refu chaizvo nguva, kunyange mwedzi inoverengeka (mu kunyanya inopisa nguva). Zvikuru mamiriro ezvinhu akanaka nokuda kubereka ezvinhu zvipenyu izvi - ndizvo zvokudya (nyama, yakabikwa uye yakabikwa hove, mukaka nezvinogadzirwa nomukaka, uyewo mondo uye muchero zvinwiwa). Utachiona kutapukirwa mashandiro - fecal-nemumuromo. Yatumwa chete kuonana-mhuri, mvura uye zvokudya. Zvakakosha kuziva kuti unogona kuti utachiona kunyange kana muviri unowana Shigella masero asingasviki 100.

Vanachiremba vanoti kuti aikanganiswa vanhu vakasiyana kuti chirwere ichi yakasiyana Somuenzaniso, zvichienderana boka ropa. Kunonyanyisa utetsa muri vanhu vane mapoka ropa A (II), RP (2), kusawirirana kweropa raamai (-).

pathogenicity zvinhu

Tiri kufunga mberi kuti shigellosis kwakadaro. Zvinofanira kunzi voga utachiona izvi nhaka zvinoverengeka zvivako zviri pathogenic kuvanhu:

• Invasin. Ava anokosha mapuroteni kuti kubatsira mabhakitiriya anokuvadza zvinopfuura mucous Kamudzira yacho ura. Kazhinji, izvi sei panguva Chikamu muviri rezasi.
• Endotoxin. Zviri kuburikidza micronutrients izvi munhu ane zviratidzo kudhaka.
• Exotoxin. Ichi chinhu kunokuvadza fuma kuti anosunungura utachiona kupinda ropa murwere. Uku ndiko kunokonzera dambudziko akadai manyoka.

symptomatology

Kana isu kutaura kwakadaro dambudziko sezvo shigellosis, zviratidzo - ndizvo zvinofanira Chokwadi kuudza. Pakutanga, zvinofanira kucherechedzwa kuti panowanikwa hosha iri chitsuwa chikuru. Chii chimwe anonzwa ari chirwere ichi?

1. Pakutanga pane manyoka, vanonzi "ropa manyoka".
2. Abdominal chinyamunhari chinorwadza. Pakutanga, kurwadziwa mikukutu, anova chakasimba, ari cramping zvakasikwa. Localization: yakaderera mudumbu kunyanya - kuruboshwe. Marwadzo inogona yakakura pamberi chetsoka, uyewo kazhinji simuka zvido venhema.
3. Fivhiri.
4. Zviratidzo kudhaka: yakawedzera muviri tembiricha zviratidzo, kurwadza kwemajoini uye tsandanyama simba.

zviratidzi zvose izvi zvinoratidzwa nekuda rakatevera makumi maviri nezvina maawa pashure chirwere. Nokudaro, incubation nguva chirwere anenge 1-7 mazuva (dzimwe nguva, zvinogona pfupi kuti maawa 5-10).

chenjera nemanyoka

chirwere ichi chinogona kuva zvose chakasimba uye refu. Chii chenjera shigellosis? Zvinokosha kucherechedza kuti ichi Chirwere kunoratidzwa chaizvo. Symptomatology rinobwinya. Vanachiremba vanoti mune iyi sei achinyanya chete muura. Zviratidzo chimiro ichi chirwere:

• Fivhiri. Tembiricha inokwira. Kana vana vanobatanidzwa, kuti zviratidzo vanogona kusvika chiratidzo 40 ° C.
• Manyoka. Pakutanga, pfupi bowel masangano vane rizere mvura kusachinja-chinja. Zvisinei, pamwe kukura chirwere nhamba nzendo kuchimbuzi yakawedzera, dzimwe nguva kusvika nguva 30 pazuva. The tsvina inogona kuwanikwa madzihwa, ropa kana kunyange pus. Zvinofanira kucherechedzwa kuti ropa iri pachituru, "anodaro," kuti munhu manyoka, uye kwete mumwe intestinal nyonganyonga.
• Abdominal marwadzo. Vari cramping zvakasikwa. Zvishoma nezvishoma kuwedzera.
• Tenesmus. kureva murwere vanogona chido wenhema defecate. Uyewo, pane kurwadziwa horo pashure kuenda chimbuzi.
• Ishoma, asi zvakadaro dzimwe nguva svoto uye kurutsa.

Kana nguva kutanga kurapwa, chinetso chinogona kugadziriswa iri vhiki. Zvikasadaro pane mukana yematambudziko. Uyezve, uyewo zvinogoneka zvinouraya.

chisingaperi nemanyoka

Chirwere shigellosis kunogona chirwere kana chirwere nokuda inopfuura mitatu. Course chirwere pangava zvakasiyana.

Saka, mumwe dambudziko kungaitwa kuramba hwaro, kuitazve anogona kuitika. mhando iyi chirwere chiri dzinoratidzwa nguva wava kusvutazve. Symptomatology akaratidza kuti zvikuru muduku zvakadini pane ari rikwanise chimiro. Zviratidzo zviri chirwere vari muchechetere, kwete saka raidudzwa. Kazhinji hapana ropa pachituru, uye muviri tembiricha kuverengwa haapfuuri chiratidzo 37,5 ° C.

A mashoko mashoma nezvevana

Shigellosis muvana kazhinji zvinoitika mumakore vanoenda kukireshi. Dambudziko guru ndechokuti mwana kazhinji anokwevera maoko tsvina uye matoyi mumuromo make saizvozvo uye tisava utachiwana. Doctors of Statistics rinoti vanenge 70% wevarwere zvose - izvi vana.

Zvinofanira kucherechedzwa kuti shigellosis vana kunoitika zvishoma zvakasiyana pane nedzevakuru. Chii maitire nokuda varwere gotwe:

• Chetsoka zhinji, kuvengwa, girini. It anogona madzihwa, uyewo nemavhinga undigested chikafu. Streaks ropa hadziwanzowaniki.
• Dumbu muvana hauna wakavhomorwa uye inflated.
• Primary toxicosis simba, asi yechipiri - simba. Anetseka muviri, Urume uye electrolyte mwero.
• Kazhinji kuva nemabayo kana otitis nhau - yechipiri noutachiona.
• The chirwere ane Wavy hunhu. Uyewo, vana vaduku vane tsika chirwere.

Diagnostics

Chiizve unofanira kuziva nezvechirwere ichi sezvo shigellosis? Diagnostics (chikuru) anogona kuitwa kunyange kumba. Sezvambotaurwa pamusoro, chikuru chinoratidza pamberi chirwere ichi - ropa iri pachituru. Kana paiva chiratidzo ichi, unofanira pakarepo kutsvaka chiremba kubatsirwa. Chii chinoita mazvikokota?

1. Bacteriological nzira. Zvinonzi kudyara mutsvina yadzo kuti zvichaita kuti tikwanise kuziva utachiona.
2. Serological. Panyaya iyi, ropa vachitsvaka antibodies kuti shigella. Asi zvinofanira kucherechedzwa kuti nzira iyi inenge kumboshandisa. Mushure ose mashoko unogona kuwana kuburikidza zviri nyore uye zvakanaka nokuda bacteriological nzira.
3. PCR. Nzira iyi rinoshandiswawo chaizvo kashoma, nokuti zvinodhura zvikuru. Dzakasviba: tsanangudzo majini zviri pachituru Shigella.

mabatiro

We funga zvimwe zvirwere zvakadai shigellosis. Treatment uye nzira kubvisa chinetso - asiwo anofanira kuudzwa. Ndezvipi zvinodhaka vave chiremba?

• Drug "Regidron". Zvinobatsira chengetedza mvura-munyu mwero iri chaizvo kuputswa, kana murwere manyoka.
• Sorbents. Ava zvinodhaka akafanana "Smecta", "Enterosgel". chinangwa chavo chikuru - kuderedza chepfu migumisiro iri muviri, uyewo pakurwisa manyoka.
• Mishonga. Kana hosha iri munyoro, avo kushandiswa haina kuzvireva. Zvisinei, kazhinji kacho, kana pane admixture ropa, vanachiremba mishonga iyi kakawanda kupfuura mutsvina yadzo se "Ciprofloxacin". Unogonawo kushandisa munowanika "Tetracycline", "ampicillin". Duration kugamuchirwa kunogona zvakasiyana, asi avhareji 5 mazuva.

Yambiro! Kugamuchira zvinodhaka antidiarrheal akadai "Loperamide", "Immodium", iri zvachose wairambidza. Ivo kunetesa kusunungurwa lumen ari intestinal utachiona hwakakura. Izvi substantially kunowedzera apore uye excretion kuti mabhakitiriya anokuvadza.

Nutrition, kudya

Munyaya ino, zviri pachena kuti Shigellosis - nemanyoka, kureva dambudziko chokuita nemudumbu. Ndokusaka, pamwe marapirwo murwere itungamirirwe imwe kudya. Kana murwere ane manyoka, iye anoratidza tafura №4. Its Chaizvoizvo: kwakaderedza kugutsikana kwemafuta uye makabhohaidhiretsi mune chakaipa uwandu mapuroteni kuparadzwa. Zvakakosha iyi nyaya kubvisa zvokudya anokonzera flatulence uye bloating.

Products vanorumbidzwa kugamuchira:

1. Gorosi tika.
2. Soups ari chiedza muto pamwe nechipiriso.
3. Soft nyama yehuku uye hove akabika.
4. Fresh pasi-mafuta koteji chizi.
5. Porridge pamusoro mvura: oatmeal, mupunga, Buckwheat.
6. Mazai: steamed kana yakabikwa munyoro yakabikwa, hapana anopfuura 2 bv. pazuva.
7. Vakabika miriwo.

Food taboos:

1. Furawa uye bhekari zvigadzirwa.
2. Mafuta broths uye soups kunobva kwavari.
3. Mafuta nyama, hove.
4. Mukaka uye zvigadzirwa hwokurara kwazviri.
5. Pasta.
6. Kashi: gorosi, bhari, bhari.
7. Bhinzi.
8. Fresh miriwo nemichero.
9. Cocoa, kofi, carbonated zvinwiwa.

Kana chairs normalized, unogona kuenda kudya №2. Zviri manyoro kupfuura yapfuura mumwe. Panyaya iyi, zvokudya ingasanganisira zvokudya kare zvinotevera:

• Stale chingwa.
• Meat uye hove.
• Dairy zvigadzirwa.
• muchero waibva uye kumuromo muchimiro yasvika.
• Sweets: zvihwitsi, zvihwitsi, zvihwitsi.

dziviriro

Kudzivisa zvinetso zvakadai, akadai shigellosis, dziviriro - kuti zvinokosha. Pashure pakuchengeta zvimwe matanho, zviri nyore kudzivirira kukura chirwere ichi.

1. Zvakakodzera kugeza maoko kakawanda sezvinobvira. Zvinokosha kuita izvi mushure kuenda chimbuzi.
2. Vana vaduku kubva vaduku vanofanira kudzidziswa mitemo utsanana.
3. Zvakakosha kuti zvakanaka kuchengeta uye kubika zvokudya zvakasiyana siyana.
4. Pashure kuonana varwere vanofanira kuva nechokwadi kuti maoko ako. Patient yomucheka zvinofanira disinfected.
5. Varwere havafaniri kushanyira nzvimbo uko vanhu mapoka (kuenda kubasa, kuchikoro, kukireshi). Pashure pezvose, vari vatakuri chirwere. Izvi zvinogona kuitwa chete pashure nemigumisiro yakaipa kwemabhakitiriya inoculation bvunzo.

Zvikurukuru dzakateerera ose pamusoro zvinoreva zvokungwarira vanofanira kubata vashandi inosvika chikafu establishments.

yematambudziko

Chii shigellosis - kunzwisisa. Panopera tinoda kuyeuchidzwa kuti chirwere ichi kana kwete zvakanaka kurapwa kunogona kukura zvakasiyana siyana yematambudziko. Saka anofanira kutyiwa?

Prolapse of mugaranhoko. Izvi zvinogona kuitika nokuda tenesmus uye kakawanda achienda kuchimbuzi.

Kupera mvura mumuviri. Inosangana pamwe kunonyengedza rizere mvura chetsoka. Hwakazara zvakaipa kuti zvinogona kukanganisa nhengo dzose uye muviri enyika.

Dzimwe nguva panewo intestinal kubuda ropa. Kana zvakadaro murwere zvinoratidza pakarepo muchipatara.

Zvakakomba kudhaka (mu mushonga ichi anonzi muchetura megacolon). Pano rwakaramba nechepazasi chikamu guru ura, masvingo aro thicken. Somugumisiro, ropa zvakawanda yakawanda muchetura. Ichi kunogona kunyange kurufu.

Inogona kuvhiringidza functionality etsvo, dzimwe nguva yakanyanya renal insufficiency. kuratidzwa yokutanga dambudziko iri - oliguria, kureva rakapinza kuderera chitsama weti murwere.

Hemolysis. Panyaya iyi, murwere anogona kuva zvakakomba kupererwa, ropa platelet count iri yekudyidzana ipfupi.

Bacteremia. Muchiitiko chino, mabhakitiriya ropa murwere kuwana. Ichi chirwere rinowanzoberekera Varwere akaondoroka. Inoyerera zvakaoma chaizvo uye kazhinji kunoguma murufu.

Secondary chirwere. It kunoitika nokuda vaneta. Pakadaro kazhinji panomuka zvirwere zvakadai Urinary turakiti hweHIV kana nemabayo.

Pashure vainaya kwenguva yakati angaponeswa cheya nyonganyonga. Izvi zvose zvingave nokuti kuti, panguva Shigella nedambudziko intestinal mucosa, iyo inosvitsa makuvaro akakura.

Young vana kupora kubva chirwere ari kwazvo chimiro mumwe vaviri kwemwedzi angava neutera muviri, kuneta, kurukutika. Uyewo, kazhinji pane dambudziko akadai goiter.