Salmonella - He aha ka mea? Salmonellosis: symptoms, lapaʻau

Salmonellosis - he maʻi o ka infectious ano, a ua kauoha aku e koʻohune, a ua wehewehe aku ma ka intoxication a me ka make,ʻano nui i ka'ōpū a me ka naʻau liʻiliʻi.

kumu

Bacterium He kookoo-hoʻokino Gram-io koʻohune o ka genus Salmonella, ka ohana Enterobacteriaceae (Salmonella, Shigella). Ke microbe Ua hoʻopale i? Aneie ololi. Ma ka wai, e ola i ka eono mahina i loko o ka lepo no ka i no he umikumamawalu mahina. I kaʻiʻo, a me ka waiū pinepine loaʻa salmonella. He aha ka mea - he kiai, hune pūnaewele paha aaioee - mea ole nui. Infectious e hoomaka ana i pono i ka malamaia, akā, i ka hiki ke paʻi. Hoao a me ka helehelena o nā huahana ua ole hoʻololi. Puhi paka, kapiia lakou a pau, ke kūpaleʻana huahana aole i alakai i ka make ana o ka infectious kumu.

Ke kumu o ka maʻi - ka ino kanaka a lawe o koʻohune, like hoʻi me nā manuʻaiʻia a me nā holoholona. Maʻiʻaʻai kānāwai ka wā hoʻohana 'ana i ka ai i loaa mai ka iho mailoko o ka holoholona (hipa, puaa, pipi, geese, Duck, moa), ua hoʻohaumiaʻia ka waiu a me ka hua. Salmonella i hua - o ka loa e like me ka kumu o ka maʻiʻaʻai. I kekahi manawa, ai ka pathogen hiki e pū i hiki ma ka hale 'ikamu, ka ai, ka wai i loko o ka Reservoir, ina ua hui' ia me ka 'ölelo kanaka a me ka holoholona. Ka maʻi ia lŘlŘ ma na aina o ko ke ao nei. He oi, he pono ole i loko o ke kai mehana o malama, me ka nui Kauhalenui wahi. Poʻeʻelemākule kanaka a me na keiki i no ka mea, o ka mea haʻahaʻa ia'ku i pathogens hou prone ia ia.

maʻi Holomua

Noho i loko o ka'ōpū a me ka naʻau liʻiliʻi, Salmonella bacterium kīnā ka uuku naʻau liʻiliʻi, ma ka epithelial keena trapped, a komo i ka mucosa. Eia a he mea kona nā'ōlelo, i ke kumu no hoʻoʻino loli ma ka mucous a me ka koʻohune hohola hou i loko o ke koko a me ka lymph aka wahi. E like me ka make ana o kona OOAOAaXUEIE Salmonella mea he ikaika aku intoxication. O ka wawahi koko microcirculation, halihali o ka Ion, i hiki aku ai i ka pahikaua kaawale ana o ka wai, a electrolytes i loko o ka lumen o na keena.

symptomatology

Ke incubation au papa koa maiʻeono hola a hiki i na la ewalu paha. I keia manawa, ke pathogen ia iho i ole hōʻike. A laila, i ka maʻi komo i loko o ka piha pono, e like salmonella, me ka i kēia symptoms hōʻike: ikaika e ala ana wela, pōniuniu, nawaliwali, headache, ole. Hoomanawanui kalaka opu a me ka e pehu ae, ia eha i laila, hoemiia ikaika loa ka makemake, e wehe ai i pā holoi mea akaka (paha me mucus a me fetid), ka luaʻi a me ka nausea.

Kauka e loiloi hoomanawanui, ai ka noho Salmonella, symptoms e hoike mai i ke kēia: ka ho'ēmiʻana i loko o ke koko,, mahuahua naau ana, dehydration (ua hoemiia ili elasticity, mucosa pale a me ka maloo, i ka nui o ka mimi emi iho, he mea makewai, hoarseness, kekahi nāʻiʻo hiki convulsive menemene) , e hoomahuahua auanei spleen a me ka ake, ili a me sclera icteric.

I kekahi manawa, i ka maʻi hiki ke lawe i ka palapala o ka loa sepsis, i ka wa a ka mea likeʻole nā loko hoʻomaka e lilo haumāna purulent foci (akepaa, meninges, lymph wahi, ka laau awaawa, bladder, aorta, maʻiʻaʻai, endocardium, ami, iwi).

Complications loa pinepine ana i loko o kēia maʻi - he infectious-ʻawahia kŰia, hypovolemic kŰia, huʻiʻaʻa puʻuwai ole.

bacteriocarrier

Kēia palapala no ka maʻi ua wehewehe aku ma ka mea e ole lapaʻau hoike ana i loko o kānaka ua i malama, akā, Salmonella (Hawaii photo) 'akomi i ka serological a me ka bacteriological haʻawina. All koʻohune nā moku halihali mokulele hiki ke maheleia i na waeʻano: huʻi kaa, maʻi a me ka transient.

Huʻi malama i waena o rekonvalistsentov, a ua wehewehe aku ma ka hoʻokaʻawale o ka microbe, mai ke kino mai o ke kaa i ka manawa o ka umikumamalima lā a hiki i na malama ekolu.

Maʻi kaa ua manaoia i ka wa a ke kino oi aku mamua o na malama ekolu ua anao? Aou salmonella. He aha ka mea, e hōʻoia ana i ka OAXA hoʻomakākiu no eono mahina, a hou-study o duodenal Contents, mimi, feces.

Transient bacteriocarrier hoʻohuʻu i ka wa e kaawale aku o ka lapaʻau na hoailona ma ka manawa o ka anamanaʻo, a me ka ekolu malama mua, a ua haawi bacteriological e ho'āʻo ai i ka maikaʻi kekahi - palua me ka wā mawaena o ka lā hoʻokahi, me ka io i nā hualoaʻa ma ka wā e hiki mai.

lapaʻau '

E huli mai i ke ano o ka maʻi i loko o ninau, e hiki ai, kaʻohiʻana epidemiologicalʻikepili (salmonella i ka hua a me nāʻai, i ka pae 'ano o ka maʻi). I ke keʻena hoʻokolohua loaa ka hōʻoiaʻiʻo ma ka io i kekahi noiʻi ki ina hana like.

Bacteriological ninaninau. O gastric lavage, mimi, koko, bile, vomitus, feces anao? Aou Salmonella. He aha ka mea - a ua hoopaaia ma ka mahele.

Ke naoh oʻauhau'ēʻaʻe hemagglutination, agglutination hōʻike, hoʻokō fixation ho'āʻo - ua nānā 'ia e ka titer o nā mea'aʻaʻa i ka pathogen i loko o ke koko lāʻau lapaʻau.

O ka 'ole-kekahi' ano o ka keʻena hoʻokolohua lapaʻau 'piha koko helu ua hoʻohana' ia.

palena pauʻike,

E hoomaopopo ia mai ka maʻiʻaʻai i ehsherihioza a me ka hī koko, typhoid a me ka cholera, meaʻai kaʻapu kōheoheo holoholona hoomake iho no hoi paha nō hoʻi ka molekumu o,'okanikaʻole a me ke aloha waiwai, appendicitis, a me myocardial infarction.

Inc

Once kaʻawale Salmonella, lapaau e komo i loko o ka'ōpū ua holoi me elua, ekolu nā lika o ka wai, a he mau pakeneka pāʻoihana o ka paʻakai hydrogencarbonate. Ke hoomanawanui Ua häʻawi mai ai i kaʻai i ka loaʻa o ka ai, loa lakou e minamina i ka gastrointestinal'āpana, nā mechanically a chemically. A lohe o Salmonella ua 'akomi i, ka lapaau komo ai ka OAXA loaa ana o ka wai a pae i loko o ke kino, a me ka nui o electrolytes.

I ka mehana ano o ka maʻi a me ka dehydration regidrotatsiya lawelawe 'ia ka hōʻike waha' (ma ka waha) ai ' "holoholo mākou i", "Regidron", "Tsitroglyukosalan" a me ka' ē aʻe electrolyte pāʻoihana. He hiki ke hoʻohana kōpaʻa-paakai pāʻoihana, a ua hoomakaukauia ma ka pepa i kekahi hano o nā kapuahi e ka wai ewalu teaspoons o ke kō a me nā teaspoons o ka paakai. Ka huina o ka leo o ka loli, e hoʻopiha i ka buke e i keia i ka loli nalowale i loko o ka noho a me ka wai.

Inā i ka maʻi, a / a me ke koʻikoʻi dehydrationʻae, laila, Kamuela i intravenous pāʻoihana o polyionic ( "Ringerlaktat", "Chlosol", "Acesol", "Trisol", "Kvartasol"). Ka pāʻoihana Ua wahahee ma ka kekahi māmā, a me ka kekahi buke, a hilinaʻi ma ka degere o ka loli poino a me ka dehydrationʻilikai.

No ka make ana o ka pathogen i akoakoaia i kekahi o ka helu ana o antimicrobials "Ofloxacin", "norfloxacin", "Ciprofloxacin" "Ceftriaxone".

E emi i ka degere o ka intoxication, 'āinana apau e enterosorbents "Polisorb", "Polyphepan", "Enterosorb", "Enterodez".

Hoʻihoʻi electrolyte koena, hoʻopōʻino maʻi, kōkua "Bismuth subsalicylate" ai ' "Sandostatin" "Imodium", "Aspirin", "Indomethacin"

Nō hoʻi, i ka hoʻomanawanui e lawe ai 'i māhuahua' ole-kekahi ia'ku o ka meaola a me ka hooponopono i ka maʻamau intestinal microflora (mea koʻohune eubioticheskie, nā wikamina, antioxidants). I hoakaka ia i ka hoʻomanawanui i hiki ma hope o ka hoouka kaua ana o piha lapaʻau ke ola a me ka bacteriological haʻawina hoʻokūpaʻa i nele i loko o ka feces o ka causative hope.

Kāohi

Kāohiʻana o ka maʻi he OAXA kauka holoholona a me ka hui hoʻomaʻemaʻe mana o ka lukuʻia nā manuʻaiʻia a me ka holoholona, paha i pau na rula a me nā 'ike loea hou no ka aaioee o nā kupapaʻu, pololei halihali, pūnaewele a me ke kūʻai akuʻana o kaʻai. Aia He He laʻau koʻokoʻo, a komo i ka inactivated Salmonella. I ka mea, ano ua ālai 'o ka maʻi o ka manu a me na holoholona, i ike ia i ka kela mea keia mea. A ana o nā limahana ma ka hui a me ka ai poe no hoi e kokua i ka Kāohiʻana o ka maʻi.