Vibrio cholerae. Ka noho pilikia cholera

Vibrio cholerae - ka koʻohune e kauoha aku i ke kanaka loa intestinal maʻiʻaʻai. Typical no ka cholera o ka pio ana o ka mea liilii, naʻau liʻiliʻi, a me ka hooulu ana o ka huʻi intoxication nā keʻena lāʻau lapaʻau, lua diarrhea, profuse ka luaʻi, a loa kokololio lilo o ke kino fluids. cholera ke ola i loko o ka papa no ka lōʻihi manawa, akā, eʻoiaʻiʻo nō e pono i kekahi kanaka (vibrionositel) no lākou kūpono 'ana a me ka'ōlelo. hiki ole Oia kanaka i ka iki symptoms, noke ka hoʻokuʻu 'i loko o ka papa hou, a nui cholera.

Vibrio cholerae ua pū i hiki mai ka kanaka ma ka fecal-ku una ala hele. Ie, feces ua hoʻohaumiaʻia me ka koʻohune kuu i loko o ka papa (lepo, ka wai), a i laweʻia e nā mea kolo, i hookuu lele i kaʻai a me ka maʻamau o ka hale mau.

A hiʻona o ka cholera mea i ka mea, IeAUPIIe, IAa IO wale pili ma ke ano o ka maʻi laha. I ka papa kuhikuhiE endemic foci ua manaoia e ia Africa, Roma Amerika, South-East Asia. Cholera ua heluʻia me ka quarantine nā mea palahēhē.

I ka lā, loaʻa nō oi ma mua o hoʻokahi haneri a me kanaha pūʻulu o Vibrio cholerae. Causative konohiki o ka cholera nā 'elele o ka serogroup O1 - Vibrio cholerae O1. E like me kona ano Vibrio cholerae mea he pōkole uma laau, a me ka flagellum. Kēia gram-io aerobic koʻohune e ulu ana ma luna o kona'ākilikai nutrient me Media ma ka Ambient wela o 10-40 kekelē Kelekia. Kekahi o cholera - Vibrio cholerae El Tor mea hiki ia oe hemolyze hipa erythrocytes.

Ka muli o ke cholera

E pāpā ikaika a pau o nāʻaoʻao a ma i cholera ua ho'īli, i kapa i ka fecal-moʻoleloʻano papa hana o ka EYI. Ka maʻi kanaka a vibriocarrier ke hookuu aku oia i loko o ke kaiapuni cholera. Mai laila Vibrio loa pinepine komo ka wai ma a i iho mailoko o na kanaka me ka cholera. Eia hou, i ka paha aiʻai iho mailoko o ka wa o ka la hoomalolo, hāʻawi, 'ai, holoi a me ka pūnaewele.

A kūikawā kūlana i loko o ka laha ana o cholera pâʻani ino hui hoʻomaʻemaʻe rula, kiʻekiʻe heluna nuʻa, he nui pele o nā kānaka eʻe'āina mai endemic pāhili. Ma hope o ka maʻi i loko o 4-5% o ka hihia kanaka i maʻi nā moku halihali mokulele o ka vibrio, i ua aia i loko o ka gallbladder. No ano o ka lawe i ka mea kūpuna. Ma nā hihia, hānau maʻi produces ikaika e hoʻonele i ka serotype i iho mailoko o kanaka.

incubation au

Ka lōʻihi like 'ole o ka incubation o Vibrio cholerae loli aʻe, mai ka mau o ka hola a hiki i kekahi mau lā (i ka elima), akā, nui ka ma kahi o 24-48 hola. Ke oolea o ka maʻi, he kanaka no kēlā me kēia kanaka. Symptoms o ka maʻi hiki e nā holoiia a hai (i loko o ia mau hihia, make ia lŘlŘ i ka lā mua lua paha o ka pahi dehydration).

symptoms

Cholera kekahi helu o ano symptoms me: huʻi hookahi, profuse lua diarrhea no kekahi mau lā, i ka noho i ka pasty a wai a hana mau kukui oho waihoʻoluʻu, odorless. Ka luaʻi: no ka mea, o ka manawa mua nei ai ka ai, a ma hope ka mea lilo i ka wai, ua like no me ka raiki wai. Ka wela ua i nui ae, ma ka loa hoopii, aia no he emi mai i 35-35.5 kekelē Kelekia. Ke hoomanawanui i na hoailona a pau o ka dehydration. Mimi auaiaea kulu ikaika, ma hope o ka loli ana o ka piha kaawale o ka urination.

lapaʻau

Lapaʻau o ke cholera i mālama 'ia ma ka malama ana i ka ai hoʻolahaʻia ke koko ka leo a me ka'aʻaʻa ke ola electrolyte haku mele' ana. No kēia mau mea, pono invasive Inc me intravenous Saline pāʻoihana a laila ka hōʻoiaʻana i ka wai-eletrolitnogo mail.