Leptospirosis i loko o kānaka: Symptoms a me ka iapaau ana

Leptospirosis - zoonotic pathology i puka mai me ke kuni, a me ka haemorrhagic maʻi pale, ake a me nā puʻupaʻa, ko mākou hopohopo nenoaiu.

Nā kumu a me nā kumu o ka hanana o ka maʻi

I ka maʻi ua kena ae la ia e Leptospira. Uaʻoni iho microorganisms mea e ole hana spores, a capsules, a ua AEeOEXAaI. i ka'aʻaʻa ka mea, no a me parasites ke hoouka mai nā aʻalolo, nāʻiʻo a me ke koko, e like me ake a me ka hakuʻala. Eia hou, e pihaʻi me endotoxin, i ua mele o lipids, polysaccharides a me polypeptides. Mau hui ho'āʻo pyrogenic a me ka necrotic waiwai. Ka wā he mea leptospirosis i loko o kānaka, e hooponoponoia ia mea, ma kēia mau hiʻona na symptoms o ka maʻi.

Ke kumu o ka maʻiʻaʻai - holoholona (rodents, ilio, mea kolo a me nā manu). A kanaka mailoko o ka hui 'ana me ka wai, a ua ua hoʻohaumiaʻia me Leptospira. Eia hou, i ke kui e ia i kaʻai a me ka alanui o ke EYI. A maʻi kanaka i kekahi mea,ʻaʻole pilikia loa.

It E e hoʻomaopopo i ka pā lonoaʻili i ka leptospirosis mea kiʻekiʻe nui iho la ia. Ka maʻi i loko o ka hapanui o na hihia iwaena o na kanaka. Hope e loaa ana leptospirosis i hanaʻia me ka loihi e hoʻonele.

Leptospirosis i loko o kānaka: na symptoms

I ka loiloi mua wā o ka maʻi mau mai a hiki i nā lāʻehiku. Omaka pahi. Hyperthermia ia lŘlŘ i 40 ° C, ole, headache, a me ka nausea a me ka palpitation. I loa pele ano haʻahaʻa-kaha kuni. Ka wā he mea leptospirosis i loko o kānaka symptoms nā loa kaʻeha ma nā nāʻiʻo. Necrosis o Muscle olona, alakai i ka hakuʻala pōʻino, a worsens ka prognosis o ka maʻi.

Ma nā kahua o ka hoʻonaʻauao loiloi mua o ka leptospirosis akomi i flushing o ka maka a me ka maka, i typical symptoms o ka intoxication. I ka wā e hiki mai, hoʻomōhala symptoms o ka hakuʻala poino, ake, naau, a ia maʻiʻaʻai. Noteworthy jaundice a me ka hemorrhagic maʻi pale, i hoike mai ai ia hemoptysis, manoanoa hoi hematuria, kahe ana ke koko ma nā nā loko a me kekahi poʻe noʻonoʻoʻole.

I ka diagnosed me ka leptospirosis i loko o kānaka, symptoms hoomau anei 4-6 pule. Ma hope iho o ia, aia no he lōʻihi asthenovegetative maʻi pale, a kaha ka nawaliwali. I 20-60% o ka hihia o ka relapse o leptospirosis, a welau a me ke pio ana o na maka a me ko mākou hopohopo kahua.

ʻike, a me ka lapaʻau

Ma ka loiloi mua kahua o ka hoʻonaʻauao he mea leukocytosis, aneozinofiliya, lymphopenia a mahuahua ESR. I loa ano, hoemiia hemoglobin dala o kaʻulaʻula koko keena a me platelets. Ka mimi hana hehee hou i ike ia ma aneane pau loa nā mea maʻi. PalekanaEND_LINK waiwai i ka nui loa o CPK i loko o ke koko lāʻau lapaʻau, i Hōʻike Muscle ka pōʻino.

He aha e kōkua i kekahi mau 'hoao no leptospirosis? A kanaka i ka maʻi i kēia pathology hōʻikeʻia maila microagglutination naoh me ka hana 'ike loea ola o Leptospira. It E e kaulana i ka io naoh 'aʻole i mau noho aliʻi mai i kēia maʻi, mai ke kahe kaumaha o nā mea'aʻaʻa hua mai la i ka poe liilii, ai ho'ēmi'.

I ka diagnosed me ka leptospirosis, kanaka hana o ua hoʻohaumiaʻia Leptospira, pono kŰia lawe antibiotics. Ka loa ka hoʻokō penicillins. Inā keia pae o ka ai 'allergy i, laila lawelawe tetracyclines. Ke Inc Ua hoi hoʻohana mau pou immunoglobulin, a me nā wikamina. Ma ke alo o ke akepaa 'ole ka hoʻohana' ana ai ' "Lasix" a me "Mannitol". Inā pono, he hemodialysis.