Leptospirosis i roto i te tangata: Tohu me te rongoā

Leptospirosis - māuiuitanga zoonotic e puta ki te kirika, me te haemorrhagic syndrome, ate me whatukuhu, pūnaha io.

Ko te take, me ngā āhuatanga o te takanga o te mate

meinga ana te mate e Leptospira. Tenei microorganisms tōrino e kore e e hanga pua, capsules ranei, a ka he hohekore. no ratou ki te kikokiko, me te taea pirinoa patu i raru, uaua, me te toto, me te ate me te tākihi. I tua atu, i roto ratou endotoxin, tito nei o lipids, polysaccharides me polypeptides. whakaatu ēnei pūhui āhuatanga pyrogenic me necrotic. A, no te reira he leptospirosis i roto i te tangata, kua oti te whakarite nga tohu o te mate i enei āhuatanga.

Ko te puna o te mate - kararehe (kiore, kuri, ngokingoki me nga manu). Ko te tangata huaketo i runga i te whakapā ki te wai, poke nei te ki Leptospira. I tua atu, kia waiho te titi he kai ara o te tuku ranei. He tangata e mate ana ki ētahi atu e kore te mea mōrearea.

Me kï reira e te tūtohutanga ki te leptospirosis he tiketike nui. Ko te mate i roto i nuinga o te wā i roto i nga tangata. I muri te mamae leptospirosis i hanga wātea i te mate tonu.

Leptospirosis i roto i te tangata: i te tohu

Ko te wā tuatahi o te mate pumau ki runga ki te whitu nga ra. Tīmata koi. puta tūāhuruiti ki 40 ° C, Chills, ānini, me whakapairuaki me palpitation. I roto i te rere nui āhuatanga kirika iti-kōeke. A, no te reira he leptospirosis i roto i te tangata ngā tohu mamae nui i roto i te uaua. Necrosis o muka uaua ārahi ki kino tākihi, e worsens te waitohunga o te mate.

I roto i te wāhanga tuatahi o te leptospirosis kitea te Makere o te mata, me kanohi, he tohu angamaheni o te haurangi. I roto i te heke mai, te whakawhanake i tohu o kino tākihi, ate, ngakau me pūkahukahu. jaundice taa'eraa me hemorrhagic syndrome, e faaite hemoptysis, hematuria kerekere, toto i roto i ngā whēkau ponana motuhake ranei.

A, no te pāngia ki te leptospirosis i roto i te tangata, tohu tohe 4-6 wiki. I muri i taua, i reira ko te syndrome asthenovegetative roa me te ngoikore tohua. I roto i te 20-60% o ngā take o te matahoki o leptospirosis, e mutu ki te mate o kanohi, me te pūnaha io.

Tātaritanga me te maimoatanga

I roto i te wāhanga tuatahi i reira he leukocytosis, aneozinofiliya, lymphopenia me nui haere ESR. I roto i te puka kino, heke nui pūtoto o ngā pūtau toto whero, me te platelets. puta te mimi i hanga āhuatanga e kitea i roto i tata katoa tūroro. uara Tātaritanga he taumata nui o CPK i te serum toto, e tohu kino uaua.

Eaa te ka tauturu i te whakamātautau motuhake mō te leptospirosis? Ko te tangata e he kino tenei māuiuitanga fakahā faaite microagglutination tauhohe ki ahurea ora o Leptospira. Me kï reira e kore e waiho hei kingi tonu te tauhohenga kino i roto i tenei mate, mai i te rere taimaha o paturopi whakaputaina i roto i te whiwhinga iti.

A, no te pāngia ki te leptospirosis, maimoatanga tangata o Leptospira poke, tika tā tango paturopi. Ko te penicillins whai hua tino. Ki te mate pāwera puta tenei rōpū o taero, ka whakahaere tetracyclines. Kei te whakamahia hoki te therapy kaituku immunoglobulin, me huaora. I roto i te aroaro o te kore ate whakamahi taero "Lasix" ranei "Mannitol". Ki te tika, he tātari toto.