Salmonella - ke eng? Salmonellosis: matšoao a, kalafo

Salmonellosis - lefu la mofuta tšoaetsanoang, e leng e etsa hore ke libaktheria 'me a e tšoauoa ka botahoa le ho hlōloa, haholo-holo ea mala le mala.

mabaka a

Baktheria ke molamu e bōpehileng joaloka a mob mobile-mpe libaktheria tsa genus Salmonella, lelapa Enterobacteriaceae (Salmonella, Shigella). The kokoana-hloko e manganga ho litšusumetso tikoloho. Ka metsi ho phela ho fihlela ho likhoeli tse tšeletseng mobung bakeng sa likhoeli tse ho fihlela ho leshome le metso e robeli. Nama le lebese hangata e fumanoa salmonella. ke eng e - e bolebeli, polokelo futsanehile kapa re sebetsa - hase ea bohlokoa. Tšoaetsanoang qalong se feela a sireletsa, empa hape le bokhoni ba ho ikatisa. Latsoang 'me le ponahalo ea lihlahisoa e-s'o fetohe. Ho tsuba, salting, lihlahisoa tsa leqhoa ha lebisa ho lefu la hlahang ho yona tšoaetsanoang.

Mohloli oa lefu lena le - motho a kula kapa microcyteme ea libaktheria, hammoho le likhoho le liphoofolo. Tshwaetso e ka ba teng ha u sebelisa nama a fumana ho tswa ho phoofolo nang le tšoaetso (linku, fariki, likhomo, likhantši, matata, likhoho), lebese le mahe a silafalitsoe. Salmonella ka mahe a - sesosa atileng ka ho fetisisa sa tshwaetso. Ka linako tse ling pathogen ka fetisoa ka lintho tse ka tlung, lijo, metsi a matamo, haeba ho na le e ne e le ho kopana le motho ea kulang kapa ea liphoofolo. Lefu lena le o hlahellang teng linaheng tse ngata tsa lefatše. Ho batla ho le tloaelehileng le sebelisoang malapeng likhoeling tse futhumetseng, libakeng tse kholo toropokgolo. batho ba hōlileng le bana ba le kotsing ea ho sona ka lebaka la ho hanyetsa tlaase ho likokoana-hloko.

letotong lefu

Hang ka mpeng le intestine le, Salmonella baktheria fihla intestine tse nyenyane, moo lisele epithelial qabeletsoe le kena mucosa. Mona 'me le ho na le ho ikatisa tsa lona, e leng e etsa hore liphetoho tse hlabang ka mucous le libaktheria ata ka ho eketsehileng ka mali le lisele tsa mmele nodes. E le lefu la Salmonella lona siiloe ke nako ke botahoa kamehla. Khathatseha mali microcirculation, lipalangoang tsa ions, e isang ho arohana e bohale ea metsi le 'di-electrolyte ka lumen ea lisele.

symptomatology

Nako poloko ranges ho tloha lihora tse tšeletseng ho matsatsi a robeli. Ka nako ena, e pathogen ha ea ka ea bontša. Ebe lefu la kena litokelo feletseng, joaloka salmonella, matšoao a latelang hlaha: bochaba sharply mocheso, ho tsekela, ho fokola, hlooho e opang, chills. Mamello kirietsa mala le swells, tšoauoa bohloko ho eona, fokotswa takatso ea lijo, hlephileng litulo bonahala (mohlomong le mucus le fetid), ho hlatsa le ho nyekoa ke pelo.

Ngaka hlahlobang le mamello, ao ho 'ona ho lula Salmonella, matšoao tla senola ho latelang: ho fokotseha ha khatello ea mali, e ile ea eketseha ho otla ha pelo, dehydration (letlalo elasticity e fokotsehile, mucosa palo le o omileng, ka tjhelete e ya fokotseha moroto, ho na le lenyora, hoarseness, ba bang ba mesifa ka convulsive ikhule) , e atolositsoeng spleen le sebete, letlalo le sclera icteric.

Ka linako tse ling boloetse bona ka nka sebōpeho sa sepsis matla, ha litho tsa tse fapa-fapaneng qala ya ho theha se mahareng purulent foci (sebete, meninges, lisele tsa mmele noute, senya nyooko, aorta, matšoafo endocardium, manonyeletso, masapo).

Mathata a atisang ho etsahala ka lefu lena - e tšoaetsanoang-chefo makala, hypovolemic makala, a hlobaetsang le renal ho hloleha.

bacteriocarrier

mofuta ona oa lefu lena le tšoauoa ka 'nete ea hore ha ho na liponahatso litleleniki tsa batho e sa hlokomela, empa Salmonella (photo photo photo photo) lemoha ke serological le lithuto tsa bacteriological. All libaktheria bajari ka aroloa mekhahlelo e joalo: kariki hlobaetsang, sa foleng 'me e fetang.

A hlobaetsang a hlokomela har'a rekonvalistsentov le e tšoauoa ka ho itšehla thajana ea kokoana-hloko ho tswa ho sehlopha sa koloi ea ka nako ea matsatsi a leshome le metso e mehlano ho likhoeli tse tharo.

Foleng kariki e ne a bolela'ng ha dikgwedi 'mele ho feta tse tharo e abetswe salmonella. ke eng e, ho tiisa leihlo e tlamang ka likhoeli tse tšeletseng 'me a boela ithuta la tse ka hare duodenal, moroto, mantle.

E fetang bacteriocarrier bolela ho ba sieo ha matšoao litleleniki tsa nakong ea phuputso e entsoeng le kgale likhoeli tse tharo, 'me liteko bacteriological ba file e ntle e mong - habeli ka karohano ea letsatsi le le leng, ba le liphello tse mpe nakong e tlang.

tlhathoba

Fumana mofuta ofe lefu ka bolona, u ka khonang, ho bokella ya data epidemiological (salmonella ka mahe le lijo tse ling, sehlopha se mofuta wa lefu lena le). Ka laboratoring fumana netefatso ke retelehela mekhoa e itseng ho etsa lipatlisiso.

Bacteriological hlahloba. Ea lavage gastric, moroto, mali, bile, vomitus, mantle abelwa Salmonella. ha e le efe - le tiisoa ke thuto.

Ba itšoara joang ea hemagglutination sa tobang, agglutination teko, motlatsi fixation teko - e laolwang ke titer tsa lisireletsi ho pathogen ka serum mali.

Mekhoa bao e seng e itseng ea tlhathoba laboratori ea e feletseng mali count ya e sebediswa.

tepelletse maikutlong differential

Ho khetholla ena tšoaetsong na ehsherihioza le letšollo, feberu ea mala le k'holera, lijo chefo phoofolo chefo kapa hlahang ho yona meroho, dintho inorganic le manyolo, appendicitis, le myocardial infarction.

phekolo

Hang ka thōko Salmonella, kalafo lokela ho kenyeletsa mala e hlatsoa ka tse pedi, tse tharo a etsang dilitara tse metsi kapa ba etsang liphesente tse peli tharollo ea hydrogencarbonate sodium. Mokuli o abetsoe ho lijo tse akarelletsang lijo, o qenehela pampitšana gastrointestinal, bobeli mechanically le lik'hemik'hale. Ha Salmonella e lemoha, kalafo e akarelletsa ho hlaphoheloa tlamang ea boemo mokelikeli ka 'mele' me palo ya electrolyte.

Ka mofuta o le bonolo la lefu le dehydration ba regidrotatsiya khanna ka molomo (ke molomo) lithethefatsi "nkile leeto", "Regidron", "Tsitroglyukosalan" le tharollo e meng electrolyte. Ho ka etsahala ho sebelisa tsoekere le letsoai tharollo, e leng e lokisetsa ka ho eketsa ho litara e mong oa a phehile metsi dikgabana robeli tsa tsoekere le dikgabana tse pedi ea letsoai. Moqolo oa kakaretso ea mokelikeli ho tlatsa molumo lokela lekanang mokelikeli tse lahlehileng ka setuloana le metsi.

Ha lefu lena le le ho / kapa dehydration haholo amohela, joale ba retelehela ho ditharollo intravenous tsa polyionic ( "Ringerlaktat", "Chlosol", "Acesol", "Trisol", "Kvartasol"). tharollo e hlahiswa ka lebelo itseng le bophahamo ba modumo itseng, e leng itšetlehile ka tekanyo e tahlehelo mokelikeli 'me boemo ba dehydration.

Hore ho timetsoe pathogen li resorted ho e 'ngoe ea tse' maloa tsa lithibela-mafu tsena "Ofloxacin", "norfloxacin", "Ciprofloxacin" "Ceftriaxone".

Ho fokotsa tekanyo ea ho botahoa, na mokhoa oa ho itsireletsa ho enterosorbents "Polisorb", "Polyphepan", "Enterosorb", "Enterodez".

Khutlisa electrolyte ho leka-lekana, lefu phytoteratology, thusa "Bismuth subsalicylate" lithethefatsi "Sandostatin" "Imodium", "aspirini", "Indomethacin"

Hape, mokuli o lokela ho nka lithethefatsi tse eketsa ho hanyetsa bao e seng e itseng ea phelang 'me a tsosolosa e tloaelehileng microflora mala (baktheria eubioticheskie, divithamini, antioxidants). Ho laela mokuli kamoo ho ka khonehang ka mor'a qala ho ea ho hlaphoheloa feletseng ea tleleniki le lithuto tsa bacteriological netefatse ho hloka ka mantle a moemeli causative.

thibelo

Thibelo ea lefu e tlamang a diphoofolo le taolo bohloeki la polao likhoho le liphoofolo tse ruiloeng, e ikamahantse le melao eohle le theknoloji e ka sebetsa litopo, lipalangoang nepahetse, polokelo le mebaraka ea lijo. Ho na le ke ente, e neng e akarelletsa ho inactivated Salmonella. Hore e thibela ke lefu la linonyana le liphoofolo, tse tsejoang ho mong le e mong. Phuputso e 'ngoe ea basebetsi mekhatlo le lik'hamphani lijo boetse e thusa ho thibela maloetse.