He aha ka shigellosis, a pehea e hana ia

Ma kēia pukana, e like me ka hī koko, ua lohe i ka hailona ana o kanaka. He aha ka shigellosis, hiʻona o ka maʻi, nā kumu o ka a me ka aoao o ka hoʻolilo - i keia, a makemake manawa, e hōʻike i ka au mamuli.

terminology

Initially, ia mea pono e maopopo i ke kumu o hua'ōlelo hoʻohana 'ia i loko o ka keia pauku. No laila, he aha ka shigellosis? I hou aku nā 'ōlelo - ka hī koko, oa mea hoʻomaʻi intestinal maʻiʻaʻai. Kena ae la ia e koʻohune, a e pili ana i ka ohana o Shigella (mai iʻaneʻi, a ua i ka muli o ka inoa o ka maʻi).

No hoi, kauka e olelo aku i ka pilikia mea loa paha, e ana i loko o ka kaua manawa o ka makahiki, oa ʻano nui i loko o ke kau, i ka hooilo. People e ae mai ka mea like, nānā 'ole o ka wahine. Naʻe, ka mea loa pinepine e loli ai i na keiki ma waena o nā makahiki o ka 2 a me 4 makahiki.

About exciter

Pathogen Shigella - Shigella koʻohune ohana. Pakahi aku la ia tenacious mau Shigella sonnei. Ke functionality ka mea, ke hoomau no ka lōʻihi loa ka manawa, a me kekahi mau mahina (i pakahi aku la ia wela manawa). Ka loa 'ano kūpono no ka'ōlelo o kēia mau meaola - ia meaʻai (pipi, hoolapalapaia ai, a hoʻolapalapa i ka iʻa, ka waiu a me ka haleʻuwī waiū huahana, like hoʻi me jelly a me ka hua inu). Koʻohune EYIʻano papa hana - fecal-ku una. Hoolale ae la oia hui '-hale, ka wai a me ka ai ana. He nui e hoailona oukou ia oe ke loaa ka iho mailoko a hiki ina ke kanaka kino loaʻa emi o 100 Shigella keena.

Kauka nei no hoi i ka pā lonoaʻili o kekahi mau kanaka a hiki i keia maʻi mea okoa, no kekahi laʻana, ke kaumaha ma muli o ka koko pae. I kā mākou pā lonoaʻili, he mau kanaka me ke koko pūʻulu A (II), Rp (2), RH (-).

pathogenicity kumumea

Mākou e manao hou ia ia shigellosis. Ua pono e olelo mai la ia ma o lakou iho i kēia mau koʻohune loaa ana i ka helu o ka waiwai i mea pathogenic i kānaka:

• Invasin. Mau mea kūikawā nā polokina e kōkua nā palapala koʻohune e komo iloko o ka mucousʻili lahilahi o ka naʻau liʻiliʻi. Ma ka hapanui o hoopii, keia ua loli ana i ka pauku malalo o ke kino.
• Endotoxin. Ua mea ma kēia mau micronutrients ke kanaka symptoms o intoxication.
• Exotoxin. He He palapala waiwai e hookuu aku oia i koʻohune i loko o ka hoʻomanawanui ka koko. He mea ke kumu o ka pilikia e like me diarrhea.

symptomatology

Inā mākou e kamailio e pili ana ia i ka pilikia e like me shigellosis, symptoms - e Aloha e mea maopopo leʻa hai. Initially, ka mea e e hoʻomaopopo i ka hanana o ka maʻi i loko o ka papa kuhikuhiE mokupuni. He aha kekahi Kahalaopuna i loko o kēia maʻi?

1. Ma ka wahi mua he mea diarrhea, ka ai-kapaia "koko diarrhea".
2. Abdominal cramps. Initially, ka eha, ua hoopaa hoi, lilo ae la ia oi huʻi, ua cramping ma ka ano. IIeEeAIEUAA: lalo abdomen, ka hapanui - ma ka hema. Pain hiki ke listen mua noho, kekahi pinepine e ala wahahee makemake.
3. Mai kuni.
4. Symptoms o intoxication: a mahuahua nui kino wela nā hoailona, oleloʻeha a me ka Muscle nawaliwali.

A pau kēia mau nā hoailona i hōʻike no e pili ana i ka mea e hiki mai ana he iwakaluakumamaha hora ma hope maʻiʻaʻai. Pela, ke incubation wā o ka maʻi mea e pili ana 1-7 lā (i loko o kekahi mau hihia, hiki e hoopokole ai i 5-10 hola).

huʻi ka hī koko

Kēia maʻi hiki i nā huʻi a me ka maʻi. He aha ka huʻi shigellosis? Ua mea waiwai 'ana i kumumanaʻo i ua hoikea mai oia, loaʻeleu i kēia' ano o ka maʻi. Symptomatology huali. Kauka e olelo aku nei i loko o keia hihia loli kuhikuhi pono i ka AeXIeAaOIePEAaI. Symptoms o keia palapala ana i ka maʻi.

• Mai kuni. I ka mehana. Inā e hoʻomau ana keiki, na nā hoailona ke kau i ka hoailona o 40 ° C.
• Diarrhea. Initially, pōkole na naau oʻu neʻe i ka lua hana mau. Naʻe, a me ka hooulu ana o ka mai i ka helu o ka huakaʻi a hiki i ka make up māhuahua, i kekahi manawa, i ka 30 manawa no ka lā. Ka wao akua hiki ke loaʻa mucus, ke koko a hiki pus. Ia e ke kaulana, i ke koko i loko o ka noho, "ke i mai nei" i kekahi kanaka me ka hi koko, a me ka ole kekahi intestinal kāna hana.
• Abdominal eha. E cramping ma ka ano. Ua hoʻonui.
• Tenesmus. Ie ke hoʻomanawanui i ka mahina koi aku ia wahaheʻe e defecate. Nō hoʻi, he mea i eha ma ka anus ma hope o ka hele ana i ka 'Ia.
• Emi ole, akā, no kekahi manawa, nausea a me ka luaʻi.

Inā ka manawa e hoʻomaka lapaau, i ka pilikia hiki ke hana mai i loko o ka hebedoma. I ole ia he mea no ka pilikia o complications. A, i hiki ona.

maʻi hī koko

Maʻi shigellosis hiki ke diagnosed ka wā o ka maʻi mea no ka oi mamua o na malama ekolu. Papa o ka maʻi ma laila e e heʻokoʻa.

Penei, he pilikia e hana ana ma luna o kekahi mau kumu, relapse hiki ke kānāwai. Kēiaʻano o ka maʻi ua i wehewehe aku ma ka manawa o ka relapse. Symptomatology hoike aku i ka nui uuku loa ma mua i loko o ka huʻi palapala. Symptoms o ka maʻi i smoother,ʻaʻole no laila,'ōlelo ai. Ma ka hapanui o na hihia aohe mea i ke koko i loko o ka noho, a me ke kino mahanaʻikepili mai i oi aku i ka hoailona o 37,5 ° C.

A mau olelo e pili ana i na keiki

Shigellosis i loko o nā kamaliʻi loa pinepine ia lŘlŘ ma ka kamaliʻi makahiki. A nui pilikia o ka mea i ke kamaiki pinepine kokokeʻino lima a me toys i loko o kona waha i kēiaʻaoʻao a me ka huikau iho mailoko o. Kauka o ka 'ikepili helu mai nei ia ma kahi o 70% o nā mea a pau e hoomanawanui i - keia o na keiki.

It E e hoʻomaopopo i ka shigellosis i loko o na keiki ia lŘlŘ ka uuku okoa ma mua i loko o nā mākua. He aha ka ano no ka muli loa nā mea maʻi:

• Noho copious, pilau-honi, omaomao. Ua hiki ke huai ae i ka mucus, like hoʻi me popo palaoa o undigested ai. Streaks o ke koko, ua pohihihi keia.
• 'ōpū i keiki ua i unuhiia, a inflated.
• Helu toxicosis mea nawaliwali, akā, 'aʻole ka haumāna - ikaika. Pilikia pūnao, loli a me ka electrolyte koena.
• Pinepine hoʻomōhala pneumonia a otitis Media - kiʻekiʻe mea koʻohune maʻiʻaʻai.
• I ka maʻi i ka wavy külana. Nō hoʻi, na na keiki uuku i ka welelau o ka maʻi maʻi.

lapaʻau '

He aha aʻe 'oe pono e ike e pili ana i kēia maʻi like shigellosis? Lapaʻau '(iniiaiie) hiki ke lawe mai, a hiki ma ka hale. Me ua i haiia ae maluna, i ke kumu nui anakahi o ke alo o keia maʻi - koko i loko o ka noho. Inā ua keia symptom, e pono e koke imi i kekahi kauka o ke kōkua. He aha mea he akamai?

1. Bacteriological hana. Ua Ua lulu feces mea e hana ia i hiki ke kuhikuhi i pathogens.
2. Serological. Ma keia hihia, i ke koko, e nana ana i nā mea'aʻaʻa e shigella. Akā, he mea pono e kaulana i keia iaoia ua aneane loa i hoʻohana. Ma hope o nā mea a pau i ka 'ike' oe ke kiʻi ma loa ke puana a paa ma bacteriological ki ina hana like.
3. PCR. Kēia papa hana ua kekahi hoʻohana loa kākaʻikahi, no ka mea, Ua pipiʻi. A mea: ka wehewehena o nā nā'ōewe i loko o ka noho Shigella.

lapaʻau

hou ia na maʻi like shigellosis mākou noonoo. Lapaau a me ka aoao, e pakele no ka pilikia - ka mea i pono, e e hai aku. He aha ai 'ke koho i kekahi kauka?

• Uluwehi O "Regidron". Ua kōkua hooponopono wai-paakai kaulike, a ua pono wāwahiʻia, ina o ka hoʻomanawanui ka diarrhea.
• Sorbents. Mau mea ai 'e like "Smecta", "Enterosgel". Lākou mau papa kuhikuhiE manao - e kńʻawahia 'ole ma ke kino, e like me ka pono me ka kaua e ku e diarrhea.
• Antibiotics. Inā ka maʻi mea mehana, kā lākou hoʻohana ua i koi 'ia. Eia naʻe, i loko o ka hapanui o na hihia, ina he mea he admixture o ke koko, kauka i koi 'ia i kēia ka lapaʻauʻia oi pinepine ma mua i loko o ka feces like "Ciprofloxacin". E hiki no hoi ke hoʻohana hana e like me "Tetracycline", "ampicillin". Duration o? Eaia hiki e kekahi, akā, he awelika o 5 mau lā.

Aʻo! Loaa antidiarrheal ai 'e like me "Loperamide", "Immodium", ua pololei pāpā. Ka mea, 'ūlōlohi mai ana i ke kala ana o ka lumen o ka intestinal pathogen. Kēia 'ano hooloihi ae i ka e olaʻi kaʻina hana, a me ka excretion o nā palapala koʻohune.

Kino,ʻai

Ma keia 'atikala, ka mea, ua ike ia Shigellosis - ka hī koko, oa pilikia e pili pū ana i ka gastrointestinal'āpana. I mea no ke aha la, pu me ke lapaau i ka hoʻomanawanui ua häʻawi mai ai i kēiaʻai. Inā ka hoʻomanawanui i diarrhea, oia hōʻike i ka papaʻaina №4. Kona o Mānoa,: hoemi maʻiʻo o nā bipi kūpaluʻia, a carbohydrates i loko o ka maʻamau dala o ke kumuʻiʻo lukuʻia. He mea nui i loko o keia hihia, e hoʻopau ai i mea flatulence a me ka bloating.

Products paipai e loaa:

1. Me ka hua palaoa crackers.
2. Nā Kopa ma ka malamalama kai me ka cereal.
3. Kahi I ai nā manuʻaiʻia a me nā iʻa hoolapalapaia.
4. Hou haʻahaʻa-momona e eiooaa? Me ka waiū.
5. Porridge ma luna o ka wai: oatmeal, raiki, buckwheat.
6. Hua: mahu paha hoolapalapaia palupalu-hoolapalapaia, i oi aku 2 pcs. no ka lā.
7. Moʻaʻai.

Food pahu kapu o:

1. Palaoa a me ka Hale Puhi Palaoa nā huahana.
2. Momona kai, waiho ihola a me Nā Kopa ka nānā 'ana ma luna o ia mau mea.
3. Momoma meaʻono, ka iʻa.
4. Ka waiu a me nā huahana loko mea.
5. Nulu'Īkalia.
6. Kashi: palaoa, bale, bale.
7. Legumes.
8. Houʻai a me nā hua.
9. Cocoa, kope, carbonated kea.

Inā ka noho mea normalized, e hiki ke hele aku ma luna o kaʻai №2. He nui softer ma mua o ka mea mua kekahi. Ma keia hihia, keʻai ke komo ano i kēiaʻai:

• Stale berena.
• Ka ai a me ka iʻa.
• Haleʻuwī waiū huahana.
• Oo ka hua a me ka hua i loko o ka palapala o ka hoʻoweliweli.
• Mea ala: ke kanakē, ke kanakē, ke kanakē.

Kāohi

E pale i na pilikia, e like me shigellosis, Kāohiʻana - i ka mea nui. Ma hope o ka nānā i kekahi ana, ia mea oluolu, e pale aku i ka ulu ana o keia maʻi.

1. He mea pono e holoi lima me pinepine i hiki. He oi loa nui, e hana i kēia ma hope o ka hele ana i ka 'Ia.
2. Young keiki, mai kekahi kakahiaka nui elemakule e aoiaʻi auanei na rula o ke kino kou niho.
3. He nui no ka pono hoahu a kukeʻana i kekahiʻano o kaʻai.
4. Ma hope o hui 'ana me nā mea maʻi e eʻoiaʻiʻo, e holoi i kou mau lima. Hoʻomanawanui i hiloʻia e ke disinfected.
5. Nā mea maʻi e ole kipa wahi kahi kanaka pūʻulu (e hele i ka hana, ke kula, kindergarten). Ma hope o nā mea a pau, ka mea, i nā moku halihali mokulele o ka maʻiʻaʻai. Ua hiki ke hana wale ma hope o ka hopena maikaʻi hopena o ka mea koʻohune inoculation hōʻike.

Pakahi aku la ia lehulehu i nā mea a pau o ka luna o ia hoʻi, nā mea hoʻomakaʻala pono hana poe hana huina o ka ai paa.

complications

He aha ka shigellosis - maopopo. Ma ka hopena, ua pono i ka e hoʻomanaʻo i kēia maʻi ka wā,ʻaʻole ponoʻia ke ulu i keʻano o nā complications. He aha laila mea e e makaʻu ai?

Prolapse o ka rectum. Kēia hiki hiki mai ma muli o ka tenesmus a me ka pinepine huakaʻi i ka 'Ia.

Dehydration. Halawai me ka profuse lua noho. Fraught me ka hopena maikaʻi ka hopena i mea e loli i nā mea a pau nā loko, a kino nenoai.

I kekahi manawa, he mea no hoi intestinal kahe ana ke koko. Ma ia hihia i ka hoʻomanawanui hōʻike koke hospitalization.

Loa intoxication (ma ka lapaau ua kapaia keia kulanaʻawahia megacolon). Eia ua'ōʻia haahaa hapa o ka naʻau liʻiliʻi nui, kona pā ai hanaʻia naʻe. E like me ka hopena, i ke koko o ke kemu i ou wahi lihi iki o toxins. Keia ano hiki i alakai i ka make.

Ua hiki ke ālai ia 'aʻe me ka functionality o nā puʻupaʻa, i kekahi manawa loaʻaʻa puʻuwai insufficiency. Ka mua hoike ana o keia pilikia - oliguria, oa heʻoi emi i loko o ka nui o ka mimi i ka hoʻomanawanui.

Hemolysis. Ma keia hihia, i ka hoʻomanawanui i hoʻoikaika loa anaemia, ke koko platelet helu ua me ka nui loa hoemiia.

Bacteremia. Ma keia hihia, ke hoʻomanawanui i ka koko koʻohune kiʻi. Keia ano pinepine ia lŘlŘ ma malnourished nā mea maʻi. Ua kahe loa paʻakikī a me ka pinepine welau a me ka make.

Secondary maʻiʻaʻai. Ua lŘlŘ ma muli o ka exhaustion. Ma ia kekahi hihia pinepine ai ka haohao ana maʻi e like me urinary'āpana maʻiʻaʻai paha pneumonia.

Ma hope o recuperating no kekahi manawa hiki ke hoolaia noho kāna hana. A pau i kēia paha e ku pono ana i ka mea e, i Shigella hoʻohuli ai i nā intestinal mucosa, i hiki aku ai i hoʻoponopono nā palapū.

Young keiki hou ana mai o ka maʻi i loko o ka nui ano no kekahi mau mahina i ia i ka nawaliwali o ke kino, exhaustion, luhi. Nō hoʻi, he pinepine ka mea, he pilikia e like me goiter.