Salmonella - abin da yake da shi? Salmonellosis: cututtuka, magani

Salmonellosis - wata cuta daga wani dauke da kwayar cutar yanayi, wanda aka sa da kwayoyin da aka halin maye da shan kashi, yafi ciki da kuma hanjinsu.

dalilai

Bacteria ne sanda-dimbin yawa da gram-korau kwayoyin da HALITTAR Salmonella, da iyali Enterobacteriaceae (Salmonella, Shigella). A microbe ne resistant zuwa muhalli da tasirinsa. A cikin ruwa don tsira har zuwa watanni shida a cikin ƙasa har zuwa goma sha takwas watanni. A nama da madara sau da yawa samu Salmonella. Mẽne ne - wani dubawa, matalauta ajiya ko aiki - ba da muhimmanci. Kamuwa farkon ba kawai kiyaye su, amma kuma da ikon haifa. Ku ɗanɗani da kuma bayyanar da kayayyakin da aka ba su canja ba. Shan taba, salting, daskarewa kayayyakin ba su kai ga mutuwa na wani dauke da kwayar cutar asalin.

A tushen da cutar - da rashin lafiya mutum ko m da kwayoyin cuta, kazalika da kaji da kuma dabbobi. Kamuwa na iya faruwa a lokacin da yin amfani da nama samu daga kamuwa da dabba (da tumaki, da alade, da shanu, geese, ducks, kaji), gurbata madara da kuma qwai. Salmonella a qwai - mafi kowa hanyar kamuwa da cuta. Wani lokaci pathogen za a iya daukar kwayar cutar ta hanyar iyali abubuwa, abinci, ruwa a cikin kududdufai, idan akwai lamba tare da m mutum ko dabba. Haka kuma cutar na faruwa a kasashe da dama na duniya. Shi ne mafi kowa a cikin warmer watanni, a manyan Metropolitan yankunan. Tsofaffi mutane da yara ne mafi yiwuwa ga shi saboda low jure pathogens.

cuta ci gaban

Da zarar a ciki tare da hanji, Salmonella bacteria kai kananan hanji, inda epithelial Kwayoyin makale da kuma shiga cikin mucosa. Ga kuma akwai ta haifuwa, wanda ya haddasa kumburi canje-canje a cikin mucous da kwayoyin da yada kara shiga cikin jini, kuma Lymph nodes. Kamar yadda mutuwa ta m Salmonella ne akai su buguwa. Damuwa jini microcirculation, sufuri na ions, wadda take kaiwa zuwa wani kaifi rabuwa na ruwa da kuma Wutan cikin lumen na Kwayoyin.

symptomatology

A shiryawa zamani jeri daga shida hours zuwa kwana takwas. A wannan lokaci, da pathogen kanta bai nuna. Sa'an nan da cutar shiga cikin cikakken 'yancin, kamar Salmonella, da wadannan cututtuka bayyana: sharply mafitar zazzabi, juwa ko jiri, wani rauni, ciwon kai, jin sanyi. Haƙuri tsãwa ciki kuma ta kumbura, alama zafi a cikinta, rage ci, sako-sako da stools bayyana (watakila da gamsai kuma fetid), amai da kuma tashin zuciya.

Doctor auna haƙuri, cikinsa da zaunar Salmonella, cututtuka za ta bayyana da wadannan: raguwa a jini, ta ƙara zuciya rate, dehydration (fata elasticity an rage, mucosa kodadde da bushe, da adadin fitsari tayi, akwai ƙishirwa, hoarseness, wasu tsokoki iya convulsive ji ƙyama) , kara girman baƙin ciki, kuma hanta, fata da kuma sclera icteric.

Wani lokaci da cutar zai iya daukar nau'i na tsanani sepsis, a lokacin da daban-daban gabobin fara da nunawa sakandare surkin jini foci (hanta, meninges, Lymph kumburi, gall mafitsara, lakã, huhu, endocardium, gidajen abinci, ƙashi).

Matsalolin mafi sau da yawa faruwa a wannan cuta - wani dauke da kwayar cutar-mai guba buga, hypovolemic buga, m na koda gazawar.

bacteriocarrier

Wannan nau'i na cutar halin da cewa ba na asibiti manifestations a cikin mutane da aka ba a lura, amma Salmonella (photo) gano serological da bacteriological karatu. All kwayoyin dako za a iya raba wannan Categories: m karusa, na kullum da kuma mai shudewa.

M gani, rekonvalistsentov kuma halin kadaici da microbe daga jiki na abin hawa na tsawon kwanaki goma sha biyar zuwa watanni uku.

Kullum karusa da ake nufi a lokacin da jiki fiye da watanni uku da aka kasaftawa Salmonella. Mene ne shi, shi ya tabbatar da m kula ga watanni shida da kuma sake nazarin duodenal abinda ke ciki, fitsari, tumbi.

Dõgẽwa bacteriocarrier yakan haifar da rashi na asibiti ãyõyi a lokacin binciken da suka gabata watanni uku, kuma bacteriological gwaje-gwaje sun ba da wani m daya - sau biyu tare da wani tazara da rana daya, tare da korau sakamakon a nan gaba.

bincikowa da

Gano wace irin cuta a cikin tambaya, za ku iya, tattara ANNOBA data (Salmonella a qwai da kuma sauran abinci, da kungiyar yanayin da cutar). A cikin dakin gwaje-gwaje sami tabbaci da resorting to takamaiman bincike hanyoyin.

Bacteriological jarrabawa. Na ciki lavage, fitsari, jini, bile, vomitus, tumbi kasaftawa Salmonella. Mẽne ne - da kuma tabbatar da binciken.

A dauki na kai tsaye ba hemagglutination, agglutination gwajin, najumla kam gwajin - ne m da titer na antibodies da pathogen a cikin jini magani.

Na ba-takamaiman hanyoyin da dakin gwaje-gwaje bincikowa da cikakken jini count da ake amfani.

bambanci ganewar asali

Don bambanta wannan daga kamuwa da ehsherihioza da dysentery, typhoid da kuma kwalara, abinci mai guba dabba poisons ko kayan lambu asalin, inorganic da kwayoyin abubuwa, appendicitis, kuma tsokar zuciya infarction.

far

Da zarar ruwan dare Salmonella, magani ya kamata hada da ciki an wanke da biyu, uku lita na ruwa ko wani kashi biyu cikin dari bayani daga sodium hydrogencarbonate. A haƙuri da ake sa wa a rage cin abinci da ya hada da abinci, yanã rãyar da gastrointestinal fili, duka biyu mechanically da chemically. Lokacin da Salmonella da aka gano, da magani unshi da m dawo da ruwa matakin a cikin jiki da kuma adadin Wutan.

A cikin m irin cutar da dehydration regidrotatsiya gudanar da baki (da bakinka) kwayoyi "rangadi", "Regidron", "Tsitroglyukosalan" da sauran electrolyte mafita. Yana yiwuwa a yi amfani da sugar-gishiri bayani, wanda aka shirya ta ƙara zuwa daya lita, daga ruwan zãfi takwas teaspoons na sukari da kuma biyu teaspoons na gishiri. A total girma na ruwa cika girma kamata daidai da ruwa rasa a cikin stool da kuma ruwa.

Idan cutar da / ko mai tsanani dehydration yarda, to, koma ga igiyar jini mafita daga polyionic ( "Ringerlaktat", "Chlosol", "Acesol", "Trisol", "Kvartasol"). The bayani ne ya gabatar a wani gudu da kuma a wasu girma, wanda ya dogara a kan mataki na ruwa asarar da dehydration matakin.

Domin lalata da pathogen sun koma ga daya daga wani adadin antimicrobials "Ofloxacin", "norfloxacin", "Ciprofloxacin" "Ceftriaxone".

Don rage mataki na maye, yi tunani akai enterosorbents "Polisorb", "Polyphepan", "Enterosorb", "Enterodez".

Dawo da electrolyte balance, illa cuta, taimaka "Bismuth subsalicylate" kwayoyi "Sandostatin" "Imodium", "asfirin", "Indomethacin"

Har ila yau, da mãsu haƙuri dole dauki kwayoyi da kara ba takamaiman juriya da kwayoyin kuma ya mayar da al'ada hanji microflora (kwayan eubioticheskie, bitamin, antioxidants). Rubũta da haƙuri kamar yadda zai yiwu bayan farko na cika asibiti dawo da bacteriological nazarin tabbatar da rashin a cikin tumbi da causative wakili.

rigakafin

Rigakafin cutar ne m dabbobi da kuma tsafta iko da kashe kaji da dabbobi, batun dukan dokokin da kuma fasahar don aiki na bisansu daidai sufuri, ajiya da kuma sayar da abinci. Akwai maganin, wanda ya hada da wani inactivated Salmonella. Wannan shi ya hana a cutar da tsuntsaye da dabbobi, da aka sani zuwa ga kowa da kowa. A binciken da na ma'aikata a cibiyoyin da abinci kamfanonin kuma taimaka rigakafin cutar.