Leptospirosis ho batho: Matšoao le Phekolo

Leptospirosis - zoonotic bolwetse eo o tsoela pele le feberu le lefu haemorrhagic, sebete le liphio, tsamaiso ea methapo.

Lisosa le maemo ketsahalo ea lefu

Lefu lena le e bakoang ke Leptospira. Sena microorganisms spiral hore u se ke ua theha hlobo, kapa capsules, 'me ke kopanele tšebeletsong. Ba ho matleng a dinama tse nyenyane tse 'me likokoana-hloko a ka hlasela methapo, mesifa le mali, hammoho le sebete' me liphio. Ho phaella moo, ba na le endotoxin, e entsoe ka lipids, polysaccharides le polypeptides. metsoako tsena bontša thepa pyrogenic le necrotic. Ha ho na le leptospirosis ka batho, e leng matšoao a lefu lena le ikemiselitse ke makgetheng tsena.

Mohloli oa tshwaetso - liphoofolo tse (litoeba, lintja, lihahabi le linonyana). Motho tshwaetso ka kopana le metsi, e leng e silafalitsoe ke Leptospira. Ho phaella moo, thakhisa e ka ba le lijo kapa tsela ea phetiso. Motho kulang ba bang ha se kotsi.

Re lokela ho hlokomela hore ho nahanela ho leptospirosis ke phahameng ka ho lekaneng. Lefu lena le ka maemong a mangata har'a batho. Ka mor'a a utloa bohloko leptospirosis thehoa maloetseng ho sa feleng.

Leptospirosis ho batho: matšoao

Nako ea pele ea lefu lena le nka ho fihlela ho matsatsi a supileng. Qala le nchocho. Hyperthermia le hlaha ho 40 ° C, chills, hlooho e opang, 'me ho nyekoa ke pelo le ho palpitation. Ka phallo e matla bath feberu tlaase sehlopheng. Ha ho na le leptospirosis batho matšoao a kenyeletsa utloe bohloko bo boholo ka ho mesifa ena. Necrosis ea likhoele mesifa ea isang ho tshenyo a liphio, e leng mpefala le itse'ng lefu lena.

Ka mekhahlelo ea pele ea leptospirosis lemoha e phallang ea sefahleho le mahlo, na le matšoao a tloaelehileng la botahoa. Nakong e tlang, ho ntshetsa pele matšoao a liphio senya, sebete, pelo le matšoafo. Hlokomeleha nyooko le lefu hemorrhagic, e bontša hemoptysis, tebileng hematuria, tsoa mali ka makala a sa tšoaneng kapa lekhopho itseng.

Ha fumanoa hore o tšoeroe ka leptospirosis ho batho, matšoao phehella libeke tse 4-6. Ka mor'a moo, ho na le ke nako e telele asthenovegetative syndrome, le bofokoli tšoauoa. Ka 20-60% ea maemo a ho khutlela mokhoeng oa leptospirosis, eo e qetella ka ho hlōloa ha mahlo le tsamaiso ea methapo.

Tepelletse maikutlong le kalafo

Ka mekhahlelo e ka lekhetlo la pele ha ho leukocytosis, aneozinofiliya, lymphopenia le eketseha ESR. Ka mefuta e matla, fokotswa haemoglobin palo ea lisele tse khubelu tsa mali le liplatelete. The moroto thehoa likarolo hlahella hore o ile a re ka ho hoo e ka bang tsohle bakuli. Diagnostic boleng na boemo ba ka bo boholo ba CPK ka serum mali ka eona e bontšang mesifa senya.

Ke'ng se tla thusa e le teko e itseng bakeng sa leptospirosis? Motho ea kulang bolwetse ena re bonahatse bontša microagglutination itsoara joang ka litso u phele tsa Leptospira. Re lokela ho hlokomela hore ba ikutloa ka tsela e mpe ha e kamehla busa tsoa le lefu lena, ho tloha phallo boima lisireletsi hlahisoa teng diakhontong nyenyane.

Ha fumanoa hore o tšoeroe ka leptospirosis, kalafo batho ba silafalitsoe Leptospira, hakaalo ho akarelletsa ho ho nka lithibela-mafu. The penicillins atlehang ka ho fetisisa. Ha sehlopha sena lithethefatsi allergy etsahala, ebe laolwa tetracyclines. phekolo e le boetse le sebelisoa mofani immunoglobulin, le divithamini. Ka ho ba teng ha ho hloleha sebete ho sebelisa lithethefatsi "Lasix" kapa "Mannitol". Haeba ho hlokahala, e le hemodialysis.