Leptospirosis e abantu

yezinkinga ezinzima futhi njalo elinesimo izifo okunjalo kuyingozi ezithathelwanayo ezifana leptospirosis. Amagciwane amabhaktheriya esifo anaerobic bohlobo lwe-Leptospira. Izifo ezithandwa hhayi kuphela izilwane, ngokuvamile ukuthi nginesifo leptospirosis kubantu. Izimpawu ze- sifo ukuvela, njengoba umthetho, kabi. Isikhathi bayashintshana ekufukameleni ihlala okuyisilinganiso sabangu-amasonto amabili. Khona-ke isiguli okwanda lokushisa (40 ° C), kukhona Ukugodola zinkulu, imisipha ubuhlungu, ngokuvamile ithole, nekhanda. Leptospirosis kubantu futhi esibonakala ngokuqina ububomvu nobuso Puffy, palpitations kanye ukuphefumula, umfutho ophansi wegazi.

Ngemva kwezinsuku ezingu-3 kusukela ekuqaleni isifo ngokuvamile kubonakala urtikalnaya iphuzu futhi ukuqubuka kwesikhumba, kukhuphuke ubende kanye isibindi, ukuchama kunzima, ngokuvamile bavele izimpawu meningeal, jaundice. Ngokuvamile, izinga lokushisa kugcinwa cishe isonto, bese encishisiwe kakhulu. Kukhona futhi igagasi imfiva yesibili.

Umthombo lengculaza kwezohwebo, ezifuywayo nezilwane zasendle ukuthola ukusuka leptospirosis. I-bacterium angu excreted ku umchamo isikhathi eside kwaba izilwane engagwenywa imvelo. Abathwali Leptospira, ezimweni eziningi, kukhona onogwaja, shrews, amagundane kanye namagundane. Zisakaze izifo ezilwaneni ezifuyiwe. Umuntu ungenwa contact, njengalapho ngokuluhlaza ageza amachibi, isilwane Ukulunywa, ukuncela - ne hay alimentary - uma kusetshenziselwa imikhiqizo Leptospira kungangcoli. Leptospirosis e abantu ngokuvamile professional. Lokhu ikakhulukazi kuthinta izisebenzi kwezolimo, inyama processing izitshalo kanye namadela, kanye Plumbers futhi abavukuzi.

yezinkinga leptospirosis
Zimelela ingozi yezinkinga ezinkulu zesifo. Leptospirosis kumuntu ngezinye izikhathi kuholela yokuthola izifo ezifana no ukwehluleka kwezinso, inyumoniya, myocarditis, edema palsy, ukulimala ahlukahlukene iso, acute iziyaluyalu kwegazi. Nokufa kule isifo ifinyelela 1-3%, kodwa ngesikhathi umqedazwe, lesi sibalo antante 35%. Okwamanje imbangela yokufa iziguli ngokuya sibi yokwehluleka kwesibindi noma sezinso, futhi kwezinye izimo, meningoencephalitis futhi oluhambisana nenyumoniya.

Ukuxilongwa kanye nokwelashwa
Ukuze leptospirosis esolwa zokwenza izitshalo umchamo, igazi cerebrospinal fluid kwabezindaba izakhi. Qinisekisa uphethwe nokusetshenziswa ka serological ukuhlolwa - mikroagglyutenatsii-lysis, RSK, Phragmites. Leptospirosis kubantu ukuhlukanisa ezifweni ezifana mononucleosis ezithathelwanayo, oluhambisana nemfiva, isifo sokusha kwesibindi kohlobo okunobuthi, meningitis.

ukwelashwa Leptospirosis Kwenziwa kuphela esibhedlela. Iziguli ebekiwe antibiotic, ngokuvamile i-penicillin. Leptospira zibuye zibe nezinzwa ukuba lo muthi cephalosporin, chloramphenicol, polymyxin, tetracycline. Ezimweni ezimbi kakhulu ukusebenzisa protivoleptospirozny immunoglobulin multivalent elawulwa ezinsukwini zokuqala ezintathu imfiva isikimu. Ngesikhathi ukubonakaliswa kancane izimpawu ukwehluleka kwezinso noma ukuthuthukiswa of hepatic encephalopathy esetshenziswa resuscitative izinyathelo.

ukwelashwa antibiotic kwaqhubeka kwaze kwaba usuku lwesikhombisa lokushisa lomzimba lesiguli evamile. Ngesimo anicteric futhi ukungabi yezinkinga Izibikezelo evumayo. Ezimweni eziningi leptospirosis kubantu izophela yokutakula, okuyinto eyenzeka, ngokwesilinganiso, kuleli viki lesine lokugula. Njengomthetho, iziguli isikhathi eside bakhathazekile imisipha ubuhlungu nokuphelelwa amandla.

Abantu basengozini enkulu yokuthola leptospirosis ekukhiqizeni, kuncike umgomo ethize wabulala wokugoma Leptospira.