Haemophilus

An chenjera chirwere chirwere kwemabhakitiriya hunhu, kunokonzerwa yokuSpain seinä (Haemophilus influenzae), yave kunzi Haemophilus influenzae. Nokuti chirwere dzinoratidzwa kukura purulent maronda zvomukati, maronda ari kufema uye tsinga. Utachiona iri coccobacilli dhayamita kusvika 1 micron. Nokuti tsika ehupfumi kusiyanisa 7 biotypes bacilli, vamwe vane Kamudzira. Nhasi inozivikanwa mhando yokuSpain Kamudzira 6, izvo zvinenge kubva A kuna F. The dzevanhu zvokurwara zvikuru Haemophilus influenzae mhando b.

Haemophilus iri inoparadzirwa chete panzira dzevanhu chirwere - kuenda neherikoputa. Muna 90% vanhu utano iri voga kubva nasopharynx pakati Haemophilus influenzae, inova 5% kubva nayo utachiona kunoitika mhando b.

In ruzhinji nyaya yakanyorwa Haemophilus influenzae mune vana vane makore kubva mwedzi mitanhatu kwemakore mashanu. Ndoda kazhinji chirwere kunoitika muna vacheche uye vana vakura kupfuura makore mashanu. Recently Haemophilus vari kuwedzera akanyorwa nedzevakuru. Yepamusoro kuitika rinowanikwa muna February yomunakamwe mwedzi.
Gateway ndiye nasopharyngeal mucosa. Utachiona hwakakura kukwanisa angagara kwenguva refu pasina zviratidzo. Tiine kwakaderera kutapata Isimba rakadini rinogona kubudiswa muchimiro chirwere vanogona kuenda vari pachena. vakagovera Haemophilus akapoteredza munyama, nokudaro vachikonzera kukura bronchitis, otitis, sinusitis, mabayo. Nokuti dessiminirovannoy Zvirwere vari zvakare yo suppurative chearthritis uye cellulitis, uye mune zvimwe zviitiko, uye munyika nhengo kubatanidzwa. Uyezve, systemic chirwere kunoitika chete kana nayo utachiona ane Kamudzira. Pasina Kamudzira mhando utachiona kukonzera kuzvimba mucous Kamudzira chete.

zviratidzo

Isa nguva yose incubation nguva hazvibviri mune chirwere ichi kwave chirwere symptomatic anowanzoonekwa kukonzerwa Isimba rakadini rinogona kubudiswa. Kakawanda chinokonzera generalized chirwere muvana ndiyo Haemophilus influenzae mhando b.

Haemophilus influenzae, somunhu mutemo, ndizvo chakasimba. Pi dessiminirovannoy chimiro zvirwere hafu nyaya kuva purulent yomumuzongoza muna 20% nyaya - ane kuzvimba mumapapu, dzimwe nguva kune mumwe muzinda maronda. Nokuti chirwere dzinoratidzwa zvinotevera zvinoratidza zvekuchipatara:

- chenjera nemabayo;
- purulent yomumuzongoza;
- kuzvimba subcutaneous tishu;
- septicemia;
- purulent chearthritis;
- epiglottitis;
- otitis Vezvenhau, sinusitis, pericarditis, dzimwe anokuzviratidza.

Haemophilus influenzae - kupfuura kakawanda chinokonzera purulent yomumuzongoza muvana kubva gore rimwe kusvika 4 makore. Yomumuzongoza Kazhinji kunotanga zviratidzo zvechirwere kufema chirwere. Gare gare kuzviratidza kwese kuti kwemabhakitiriya yomumuzongoza zviratidzo. The chirwere nguva dzose anomhanya zvakaoma, muna 10% nyaya rinoguma inouraya. Dzimwe nguva vaine purulent yomumuzongoza, chearthritis uye cellulite. Haemophilus influenzae nemabayo zvose lobar uye zvatichiri, kazhinji kuoma nokuda purulent pleurisy. Nemabayo anogona kuitika Rakabatanidzwa kuzvimba yapakati nzeve uye purulent pericarditis.
Sepsis hwapedyo kazhinji vana pasi gore rimwe, kunoitika panguva semheni chete kukura septic kuvhunduka. Cellulite zvakare yo vana pasi gore rimwe uye kunotanga zviratidzo chakasimba kufema chirwere. In vana vakura, kazhinji vemunyika cellulite pamusoro makumbo. Epiglottitis (kuzvimba epiglottis) anonzi kuva kwazvo chimiro chirwere uye pamwe bacteremia muna 90% nyaya. Septic chearthritis dzinokonzerwa hematogenous vasakukurwa mabhakitiriya majoini, uye kunowanzoguma osteomyelitis.

Kuongorora chirwere uye kurapwa
Haemophilus influenzae kure cerebrospinal fluid sputum, pus uye murwere. By maitiro motokari electrophoresis dzimwe nguva anotadza kuona utachiona mu cerebrospinal mvura weti kana.
Nokuti kurapa zvirwere kushandisa mishonga inorwisa mabhakitiriya tetracycline, ampicillin uye chloramphenicol. Zvisinei, mishonga chirwere anouya zvimwe zvinetso, sezvo bacillus iri zvikuru nemishonga inouraya mabhakitiriya akawanda. Akapiwa kuoma nechirwere uye kurapwa zvirwere zviri kuramba kukosha kubaya pamusoro Hib zvirwere. Vaccination pamusoro Haemophilus influenzae muna 95-100% nyaya chinonditadzisa hweHIV. Majekiseni anodzivirira kunoita zvikuru kuitika, uye Chikurukuru, mucheche mwero wokufa kwevanhu kubva kwazvo kuratidzwa utachiona.