Leptospirosis kubantu: Izimpawu kanye Ukwelashwa

Leptospirosis - zokugula zoonotic ophuma umkhuhlane haemorrhagic syndrome, isibindi kanye nezinso, isimiso sezinzwa.

Izimbangela nemibandela nesenzakalo kwezifo

Lesi sifo sibangelwa Leptospira. Lokhu Kuvunguza nezilwanyana ezincane ukuthi musa yakha ezinhlamvu, noma amaphilisi, futhi abapholile. Basonta izicubu kanye nezinambuzane kungaba ukuhlasela imizwa, imisipha futhi igazi, kanye isibindi nezinso. Ngaphezu kwalokho, ziqukethe endotoxin, okuyinto yakhiwa lipids, polysaccharides futhi polypeptides. Lezi zinto zehlela abonise izakhiwo pyrogenic futhi necrotic. Lapho kukhona leptospirosis e abantu, izimpawu zesifo zinqunywa lezi zici.

Umthombo ukutheleleka - izilwane (namagundane, izinja, ezihuquzelayo nezinyoni). Umuntu itheleleke ku contact ngamanzi, okuyinto ingcoliswe Leptospira. Ngaphezu kwalokho, i-pin kungaba ukudla noma indlela yokudlulisela. Umuntu ogulayo kwabanye akuyona yingozi.

Kufanele kuqashelwe ukuthi nokuzwela leptospirosis siphakeme ngokwanele. Lesi sifo ezimweni eziningi phakathi kwabantu. Ngemva kokubhekana leptospirosis kwakhiwa amasosha omzimba engapheli.

Leptospirosis kubantu: izimpawu

Isikhathi sokuqala lesi sifo ihlala izinsuku eziyisikhombisa. Qala abukhali. Komzimba kwenzeka ukuba 40 ° C, Ukugodola, ikhanda kanye nesicanucanu palpitation. Ngo ukugeleza ezinzima isici ongaphakeme-ebangeni imfiva. Lapho kukhona leptospirosis kubantu izimpawu zihlanganisa nobuhlungu obukhulu imisipha. Necrosis kwemisipha Imicu yotshani okuholela ukulimala kwezinso, okuyinto siba sibi onalesi sifo lesi sifo.

Ezigabeni kokuqala leptospirosis Kutholwe ngamanzi ebusweni amehlo, kukhona izimpawu ejwayelekile lokudakwa. Esikhathini esizayo, nezimpawu zokukhandleka ukulimala kwezinso, isibindi, nenhliziyo namaphaphu alobo. jaundice neziphawulekayo futhi oluhambisana syndrome, esizibonakalisa hemoptysis, hematuria cwe, ukopha izitho ezihlukahlukene noma ukuqubuka ethize.

Lapho ethola ukuthi unesifo leptospirosis kubantu, ziphikelela amasonto 4-6. Ngemva kwalokho, kukhona syndrome eside asthenovegetative nobuthakathaka kumakwe. Ngo 20-60% of amacala lokubuya kwesifo ka leptospirosis, okuyinto iphela kokunqotshwa amehlo nesimiso sezinzwa.

Ukuxilongwa kanye nokwelashwa

Ezigabeni zokuqala kukhona leukocytosis, aneozinofiliya, lymphopenia futhi ngakhula ESR. Ngo amafomu ezinzima, encishisiwe-hemoglobin inani abomvu egazi ashaye nama-platelet. Izakhi umchamo kwakhiwa sengathi ebonwe cishe zonke iziguli. Inani Yokucwaninga has ezingeni elikhulu CPK ku serum igazi, okhombisa umonakalo kwemisipha.

Yini eyosisiza ukuhlolwa ethize leptospirosis? Umuntu ogula lokhu zokugula wembulani uzwakalise microagglutination ukuphendula abanamasiko bukhoma Leptospira. Kufanele kuqashelwe ukuthi ukusabela okungekuhle akusho ngaso sonke isikhathi ususe lokhu isifo, njengoba ukugeleza esindayo omzimba akhiqizwa credits encane.

Lapho ethola ukuthi unesifo leptospirosis, impatho wobuntu Leptospira angcolile, ngempela kuhilela ukuphuza imithi elwa namagciwane. I penicillins ephumelela kunazo. Uma leli qembu izidakamizwa yokungezwani komzimba kwenzeka, khona-ke iqondiswa tetracyclines. Therapy liyasetshenziswa donor immunoglobulin, namavithamini. Phambi yokwehluleka kwesibindi ukusebenza usebenzisa izidakamizwa "Lasix" noma "Mannitol". Uma kunesidingo, hemodialysis.