Salmonella - he aha te mea te reira? Salmonellosis: tohumate, maimoatanga

Salmonellosis - he mate o te āhua hopuhopu, meinga nei e te huakita me te āhuatanga e haurangi me te hinga, te nuinga te puku, me te paru.

take

Huakita he huakita Gram-tōraro tokotoko-āhua o te puninga Salmonella, te whānau Enterobacteriaceae (Salmonella, Shigella). he ātete ki awe taiao te microbe. I roto i te wai ki te ora ki runga ki te ono marama i roto i te oneone mō ake ki waru marama. maha kitea te kai, me te waiu Salmonella. He aha te mea te reira - he tirotiro, rokiroki rawakore tukatuka ranei - kahore he nui. timatanga hopuhopu kore noa tiaki, engari ano hoki te kaha ki te whakaputa uri. e kore e puta ke reka me te ahua o nga hua. Smoking, te waitote, hua mīti e kore arahi ki te mate o te take mai hopuhopu.

Ko te pūtake o te mate - te tangata kino ranei kawe o huakita, me te heihei me te kararehe. kia puta mate ka whakamahi i kai whiwhi i te kararehe huaketo (hipi, poaka, kararehe, kuihi, parera, heihei), waiu poke me hua. Salmonella i roto i hua - te take tino noa o te mate. I te tahi taime e taea te tuku i te tukumate i roto i ngā tūemi whare, kai, te wai i roto i te Faarii, ki te reira ko whakapā ki te tangata kino kararehe ranei. Puta ana te mate i roto i nga whenua maha o te ao. Ko reira atu noa i roto i te marama mahana, i roto i ngā wāhi nui tāone. He nui ake e pängia ana ki reira iwi toulekeleka me tamariki no te mea o te ātete iti ki tukumate.

haereraa i mate

Kia i roto i te kopu ki te whēkau, tae Salmonella huakita te kōpiro iti, te wahi mau nga pūtau epithelial me tomo te mucosa. Here a reira ko tona uri, e ai huringa inflammatory i roto i te mucous me horapa atu huakita ki te toto, me te tīpona waitinana. Ka rite ki te mate o tona Salmonella tawhito ko te haurangi tamau. microcirculation oto toto, transportation o katote, e arata'i ki te wehenga koi o te wai, me te electrolytes ki te lumen o te pūtau.

tohutanga

pae te wā heki i ono haora ki te waru nga ra. I tenei wa, te tukumate iho kihai i whakaatu. Na ka tomo te mate ki te tika tonu, rite Salmonella, puta nga tohu e whai ake nei: koi maranga pāmahana, whanoke, ngoikore, ānini, Chills. Manawanui haruru puku me āmai, mamae tohua reira, puta hiahia iti, kumete wewete (pea ki hūpē me fetid), ruaki me te whakapairuaki.

Doctor kaitirotiro manawanui, te Salmonella noho, ka whakakitea ai tohu te whai ake: whakaiti i roto i te pēhanga toto, auau ngakau nui haere, maroketanga (heke elasticity kiri te, koma mucosa me maroke, te nui o heke mimi, i reira he matewai, whango, etahi uaua taea takiri holomui) , kōateate rahi me te ate, kiri, me te icteric mā karu.

I te tahi taime e taea te tango i te mate te puka o sepsis nui, ina timata te ngā whēkau ki te hanga i aronga tuarua purulent (ate, meninges, waitinana kōpuku, au tōngāmimi, haoraora, pūkahukahu, endocardium, hononga, wheua).

Pōauautanga tino maha puta i roto i tenei mate - he hopuhopu-paitini ru, ru hypovolemic, whakapeka täkihi.

bacteriocarrier

āhuatanga tēnei puka o te mate e te meka e kore te kore faaiteraa haumanu i roto i te tangata kitea, engari Salmonella (whakaahua) kitea e serological me rangahau bacteriological. Ka taea te wehea huakita kaikawe katoa ki taua kāwai: whakapeka hariata, mau tonu, me te molengofuá.

kite koi i roto i rekonvalistsentov me te āhuatanga e noho wehe o te microbe i te tinana o te waka mo te wā o ma rima nga ra ki te toru marama.

auraa hariata ma'i te ka tohaina atu te tinana i te toru marama te Salmonella. He aha te mea te reira, haapapu te reira i te titiro whakahauanga mō te ono marama, me te anō-ako o tirotiro duodenal, mimi, feces.

bacteriocarrier tūao fakahu'unga te ngaro o nga tohu haumanu i te wa o te rangahau, me te toru marama o mua, a ka kua hoatu whakamātautau bacteriological he tetahi pai - e rua ki te wā o te ra kotahi, me hua kino i roto i te heke mai.

tātaringa

Kimihia i roto i te mea ahua o te mate i roto i te pātai, koutou taea, te kohi raraunga tahumaero (Salmonella i roto i hua, me te tahi atu kai, te āhua rōpū o te mate). I roto i te taiwhanga riro te haamauraa na roto i te paitanga ki ngā tikanga rangahau motuhake.

whakamātautau Bacteriological. O lavage pekitīlia, mimi, toto, ate, vomitus, tohaina feces Salmonella. He aha te mea te reira - ka whakapumautia e te ako.

whakaritea e te titer o paturopi ki te tukumate i roto i te serum toto - te tauhohenga o te hemagglutination autaki, whakamātautau agglutination, whakamātautau warea ngä.

O tikanga kore-motuhake o tātaritanga taiwhanga whakamahia tatau toto oti te.

tātaritanga pārōnaki

Hei te wehe tenei i mate i ehsherihioza te koripi, ka, taipō me te korara, paihana kararehe paihana kai ranei takenga huawhenua, matū pararopi me te organic, whēkau, me te infarction myocardial.

therapy

Kia, horoia taratahi Salmonella maimoatanga e ngā te kopu i te rua, e toru rita o te wai ranei te otinga e rua ōrau o te konutai hydrogencarbonate. whakaritea te manawanui e ki te kai e ngā kai, e tohu i te wahi gastrointestinal, e rua mihini me matū. A, no te kitea Salmonella te, te maimoatanga tā te ora whakahauanga o te taumata wai i roto i te tinana, me te nui o electrolytes.

I roto i te puka ngawari o te mate me te maroketanga regidrotatsiya whakahaere waha (i te mangai) taero "hāereere", "Regidron", "Tsitroglyukosalan" me ētahi atu rongoā kawehiko. Ko taea ki te whakamahi i otinga huka-tote, rite nei mā te tāpiri ki te kotahi rita o te wai kohua waru tīpune o te huka, me te rua tīpune o te tote. kia rite te katoa rōrahi o te wai ki te whakaki i te rōrahi te inu ngaro i roto i te kumete me te wai.

Ki te manako i te mate maroketanga kino, me te / ranei, ka huihui ki rongoā rō-uaua o polyionic ( "Ringerlaktat", "Chlosol", "Acesol", "Trisol", "Kvartasol"). whakaurua te otinga i te tetahi tere, me tetahi rōrahi, e whakawhirinaki i runga i te tohu o te mate inu, me te taumata maroketanga.

Kua haere hoki te whakangaromanga o te tukumate ki tetahi o te maha o antimicrobials "Ofloxacin", "norfloxacin", "Ciprofloxacin" "Ceftriaxone".

Ki te whakaiti i te tohu o te haurangi, i puritia ana ki te enterosorbents "Polisorb", "Polyphepan", "Enterosorb", "Enterodez".

Whakaora kawehiko toenga, mate waimaero, te āwhina "bismuth subsalicylate" taero "Sandostatin" "Imodium", "ahipirini", "Indomethacin"

Hoki, me tango te manawanui raau taero e whakanui i ātete kore-motuhake o te rauropi, me Kia whakahokia te microflora noa intestinal (eubioticheskie kitakita, huaora, antioxidants). Whakahau i te manawanui rite taea i muri i te tīmatanga o te ora haumanu tonu me rangahau bacteriological whakau kore i roto i te feces o te kaihoko fakatupu.

ārai

Prevention o mate he kararehe whakahauanga me te mana parukore o te parekura heihei me te kararehe, i raro ki nga tikanga katoa me hangarau mo te tukatuka o tinana, transportation tika, rokiroki, me te hokohoko o te kai. He he he kano, i ngā he inactivated Salmonella. E ārai reira he mate o manu me kararehe, mohiotia ki te katoa. tauturu hoki te rangahau o ngā kaimahi i roto i ngā pūtahi me kamupene kai te ārai o te mate.