Listeriosis - He aha ka mea? Listeriosis - Symptoms, lapaʻau, Kāohi

Muli o kona kulana he maa maʻi i kēia lā, noonoo iho la listeriosis. He aha ka mea? O i ike ole ia i keia maʻi ka noho pilikia loa. Akā, i ka kona kumu? He aha ka mea, i ka papa kuhikuhiE symptoms ua pu e? He nui ka hoʻokō ano o ka lapaau a me ka Kāohiʻana? Ua mea hiki somehow, e mālama lākou iā lākou iho? Kēia 'ike E e pono i na kanaka a pau.

Listeriosis - He aha ka mea?

Listeriosis mea he infectious maʻi. Ma lapaau ka mea, uaʻikeʻia ma lalo o kekahi mau inoa, a me nevrellez, he maʻi o ka Tigris muliwai, listerellez, a no laila, ma luna o. D. It e e kaulana i ka wā e like me ka maʻi maʻiʻaʻai kuhikuhi e loli ai i ka lymphatic'ōnaehana a me ko mākou hopohopo'aʻaʻa.

Ua ho'ākāka ke Agena mua o ka maʻi i loko o 1911 ma S. Halfesom. I ka 1926, nä känaka 'epekema ma Kamepelika University (noiʻi alakai ia e J. Murray) i ka mea mua e kuhikuhi i ka causative agena o ka'aʻaʻa, e koho i nā mea maʻi Guinea puaa a me nā' Olu.

Kela manawa, i ka makahiki 1927, au i manaoia ka inoa Piri nei ike pae o microorganisms Listeria (Listeria) i loko o ka hanohano o ke nä känaka 'epekema D. Lister, i kekahi manawa, a nānā aku i ke ano o ka maʻi i loko o South Africa. A ua i loko o 1929, ka pathogen i kaʻawale mai kanaka'aʻaʻa.

Pōkole hōʻike o ka pathogen

Listeria - koʻohune kookoo-hoʻokino, a e pili ana i ka pae ana o facultative anaerobes. It E e kaulana i keia meaola mea hoʻopale i ka mawaho kaiapuni. Listeria mea hiki ke hoonui i ka wai i loko o ka lepo, a ma luna o nā mea kanu a make holoholona cadavers. hiki maʻalahi kēia mau koʻohune tolerate ke kūpaleʻana. A hiki ma lalo o kauoha Map Listeria hiki aua i ka hiki i ka pono, e ola no elua pule.

EYI ala

O ka holo ana, i ke kahe o ka EYI o ka maʻiʻaʻai i ka lā i lawa pili. E like me ua oleloia, Listeria - 'ano ku paa auanei microorganisms i ke ola mahope aku o waho o ka poʻe koa no ka lōʻihi manawa.

A pehea la oukou e kiʻi i kēia maʻi? I mea, i ke ala hele o ka maʻiʻaʻai i e ano okoa - ia mea heʻehu, a me ka fecal-ku una, a me ka transplacental. Ke kumu o ka pathogen hiki ke iho mailoko o kanaka, e like me ka koʻohune i excreted me na feces, tuha, semen a me nā fluids. A hiki EYI o ka maʻiʻaʻai mai ka makuwahine i ke keiki i loko o hāpai keiki, haawi ole breastfeeding.

Eia naʻe, i loko o ka hapanui o na hihia, ka maʻiʻaʻai ia lŘlŘ i loko o ka hana o kaʻai a me ka maʻi holoholona neoneo huahana. I ka mea, holoholona listeriosis mea ole uncommon. Ka maʻiʻaʻai ke hāʻule i loko o kā lākou mau kino, a me ka wai. Most susceptible i ka maʻi nā manuʻaiʻia a me nā holoholona, aole nae pinepine nā moku halihali mokulele o ka listeria mea hihiu mammals (raccoons, rodents,ʻalopeke, māiʻuʻu holoholona), e like me ka iʻa.

Ma ka kekahi lima, maʻiʻaʻai o ke kanaka kino e hana ana i 'ai, inu a ua hoʻohaumiaʻia ka wai a unwashed houʻai a me nā hua.

He loaʻa kekahi kamepiula?

Koke ia mea kumukuai 'ana i kumumanaʻo i ka maʻiʻaʻai i' akomi i loko o nā'āina a pau o Europa, a, o ka papa, he pono ole i loko o nā'āina. Ma ka maʻamau ola kanaka kino, aole ia he 'ikepili i keʻano o ka maʻiʻaʻai. Aka hoi, ke kamepiula pae e hoʻohui i kanaka e hana ana i loko o ke kula o ka holoholona i ka'āina.

Eia kekahi, ma keia hihia o ka nui o ka'ōnaehana paleʻea nenoaiu. Listeriosis i kānaka me ka hoemi ia'ku ua diagnosed hou pinepine ana. No ka laʻana, no kēiaʻano o ka maʻiʻaʻai e oi susceptible hapai wahine, keiki keiki, a me nā kūpuna. 'Ākena kumumea i loaʻa i ke alo o ka maʻi 'aʻai, mimikō, a me lesions o ka excretory nenoaiu. hiki i kekahi ai 'e uhi i ka ha awina o ka'ōnaehana paleʻea'ōnaehana hoonui susceptibility i Listeria. A nō i kamepiula nā immunocompromised nā mea maʻi.

Ma ke ala, e hoʻonele ai i keia maʻiʻaʻai i hua mai - kekahi ola mai kekahi kanaka ke loaa ka iho mailoko o hou.

Ka lapaʻau kiʻi a me ka pathogenesis

Listeria komo i ke kino ma ka mucous membranes o ka digestive'āpana, ma ka liʻiliʻi loa - ma na mawae ma ka ili. Nolaila na microorganisms pu me ke koko ke hohola ma ke kino. Loa pinepine, ka mea i waihoia ma ka lymph aka wahi, kahi e hoʻomaka i ka 'Imi proliferate, a hiki aku i ka li nui.

Ma ke ala, Listeria ke komo i loko keʻokeʻo koko macrophage keena. Eia ka mea, i masked mai ka'ōnaehana paleʻea'ōnaehana, a lilo impervious i antibiotics. Ma ke kahua o kaʻeleu ulu o koʻohune hana no laila, i kapaʻia listeriomy i nā necrotic nodules. Ma kekahi mau hihia, nui necrosis hiki aku ai i ke kūpono 'ana o ke sepsis. Eia hou kekahi, Listeria pinepine hele io lākou lā i ke ko mākou hopohopo'ōnaehana, a hiki aku i ka pilikia hopena.

Listeriosis: Symptoms i loko o kānaka

Pehea e hooholo i ke ola ana o ka ia i ka maʻi? He aha nā loli i loko o ke kino e pono i mea e hopohopo nei? Koke ia mea kumukuai 'ana i kumumanaʻo i ka incubation wā mau mai ka 3 a hiki i 45 mau lā, ma hope i ka mea i hoʻomaka e hōʻike listeriosis. Symptoms ma kānaka hilinaʻi ma ka pono i nā loko i loli ana e koʻohune. I ka lā, loaʻa nō kekahi mau nui ano o ka maʻi.

• Anginal-septic ke ano o ka lapaau ua manaoia e ia i ka loa, he pono ole. Ma nā kuʻina ka loiloi mua o ka lapaʻau kiʻi mea i 'ano like me ka mea mau angina. Redness a me edema o ka puu. E hoomanawanui i ohumu o kaʻeha ka wā moni 'ia. Kekahi e mālama i ka hoomahuahua i ka morbidity a kokoke lymph aka wahi. Eia hou, ma laila nō, a me ka papa kuhikuhiE symptoms o intoxication - kuni (kekahi manawa, i ka 40-41 degere), headache, luhi, aching nāʻiʻo, ole. I ka wa e kaawale aku o ka iapaau ana i i necrosis. A me ka maʻiʻaʻai ke hohola i ka Central ko mākou hopohopo kahua 'ole.
• Loa pilikia o ko mākou hopohopo listeriosis. Symptoms ma keia hihia e hoohalike ai i ka lapaʻau kiʻi me ka meningitis, meningoencephalitis a me abscesses. Meningitis ua pu ma ka loa headache, ka luaʻi, convulsions, delirium, rigidity o ka'ā'ī nāʻiʻo. Meningoencephalitis ka wā o ka hoʻomanawanui i kekahi symptoms'ē aʻe, a me ptosis (palupalu) o na lihilihi a me ka anikozoriyu (mutilation nui o kekahi o na haumana).
• Ma nā pēpē i iho mailoko o na keiki pinepine hoʻomōhala septic granulomatous listeriosis. Symptoms kona like - he mai kuni,ʻeha, pōʻino i ka'emi'ōnaehana, lōlō, ili poʻe noʻonoʻoʻole, etc. pinepine, i ka maʻiʻaʻai e loli ai,ʻaʻole wale nō ko mākou hopohopo, akā, i naehana hanu a me ka mea'ōnaehana mānowai koko kahua ... Pinepine complication o keia palapala o ka maʻi o ka purulent pleurisy a me ka pneumonia.
• Aia a maka-glandular maʻi i ke kālā no lapaau mea he pohihihi keia. Loa pinepine, i kēiaʻano o ka maʻi e hoʻomōhala ana i loko o ka hui 'ana me mailoko o holoholona. Ka lapaʻau kiʻi i loko o keia hihia kohu purulent conjunctivitis. Pu ma ka maʻi o ka mucousʻili lahilahi li nui o na maka, nani, redness a me ka helehelena o ka copious purulent hookuuia. Pinepine hoʻomanawanui iki mai ohumu o loa ka ohane, e puhi ana i kaʻeha i loko o ka maka a me ka. Ke kiʻiona hiʻona ke komo i ikaika mahuahua ana o ka mahana, a imua o kaʻawahia symptoms, i loko o ka mea maʻamau conjunctivitis i hoikeia. A eia hoi, he mea hiki, e hoailona oukou i ka hua ma ka kokoke lymph aka wahi.

Ma kekahi hihia, diagnose listeriosis e wale kauka. No laila, i ke ano o na symptoms mua eʻimi 'oihana kōkua.

Hoikehonua, ano o kaʻike,

I ka mea, he nui na maʻi i kā lākou mau symptoms e hoohalike ai Listeria. He aha ka mea a me ka mea mau i ka rula o ka palena pauʻike,? No ka laʻana, ma kekahi hihia, i ka maʻi kohu infectious mononucleosis, a me ka nui puʻu, e like me kela mea hoʻomaʻi naehana nā mea palahēhē.

I ka moolelo o ka maʻi, o ka papa, i hoʻomaka me ka papa inoa o ka hoomanawanui ka hōʻike mai iā ia hoʻopiʻi. I ka wā e hiki mai, nā ho'āʻo ma i hana. Ma 'ana, ma ke keʻena hoʻokolohua hiki ke ike i ka nui mahuahua ma ka helu o nā monocytes Ka Ikepili o ke koko Eia kekahi laʻana. Ma kānaka, i ka hoʻomanawanui ke kaumaha ma muli o ka alo ana o symptoms ua lawe pa mucus, mai ka waha a me ka puʻu, conjunctival hookuuia, cerebrospinal loli. Ma kekahi hihia i ka puncture o ka lymph aka wahi. No kēia listeriosis i hāpai keiki, i kou kauka i hoakaka ia mea hōʻikeʻikeʻuʻuku a me ka hoao ana o kekahi laʻana o amniotic loli a me ke keiki.

Ma lalo o keʻena hoʻokolohua kumu, seeding ua lawe mai i loko o ka nutrient meakino. Kēia kaʻina hana i ka mea hiki ole wale, e hooholo i ke ano o ka pathogen, akā, kona pā lonoaʻili i ka kekahi lāʻau lapaʻau huahana.

Serological hoao no ka listeriosis mea i loa ai pololei, akā, ka mea i haawi wahahee hopena. Hou haʻawina hilinaʻi ma luna o ke kino o ka mea maʻi. No ka laʻana, ka wā i ka hoʻomanawanui kēia alo abscess hoouna ma MRIs. Ua'emi ko ano o ka listeriosis pono kūkā neurologist, e like me ka hooko ana i ka lumbar puncture a me ka lolo EEG.

Pehea e hana listeriosis?

O ka holo ana, i ka mōʻaukala o ka maʻi mea loa nui no ka pono e hoʻomākaukau ai o ka iapaau ana regimen. No laila, ka mea nana e like Inc no na maʻi?

Ke hoomanawanui mua ua kuhikuhi antibiotics. e loa ka hoʻokō antibiotic a ianoiyuaa a manaoia e erythromycin, tetracycline a me ka chloramphenicol. Naʻe, i loko o kekahi mau hihia, i kou kauka i koho 'ē aʻe ai', no ka mea, a pau hilinaʻi nui ma luna o ka degere o ka pā lonoaʻili o ka koʻohune ke kanana nei i ka kekahi waiwai.

A me keia, o ka hoʻomanawanui ua injected intravenously he isotonic pāʻoihana o ka paʻakai koloriside, a i hoakaka ia diuretics - keia kōkua e kiʻi pohaku uinihepa, o nā palapala neoneo huahana, a hoʻopau i ka papa kuhikuhiE symptoms o intoxication.

Other ano o ka Inc hilinaʻi nui ma luna o keʻano a me ka oolea o ka maʻi. No ka laʻana, a me lesions o ka'emi'ōnaehana ua lawelawe i nā mea maʻi benzylpenicillin. Inā pepehi maka maʻi, laila kona lapaʻau hoʻohana maka kulu, a me kekahi manawa hoʻoʻino corticosteroid mea poni.

A hiki i lōʻihi-makahiki Inc pono listeriosis? Lapaʻau ua lawe mai wale i ka wahi ana - o, ma o ka infectious Oihana. E like me ka rula, nalo hope 2-4 pule i ka papa kuhikuhiE symptoms o ka maʻi. Mahope, ua koi 'ia ke hoʻomanawanui, e kekahi mea loiloi hou - ina ka hoao ana hualoaʻa hoopaa i ka wa e kaawale aku o listeria, he kanaka i hiki ke kakau iho. Eia naʻe, listeriosis i ua maʻi no elua makahiki pono e kakau ma ka infectious 'Oihana a me ka undergo maʻamau' inikua examinations.

ina paha e hiki complications?

Ma ka hapanui o na hihia, e kokua i ka hoʻolako 'ia o nā pono lapaʻau ma ka manawa e koke pakele o keia maʻi. Akā, loaʻa nō kekahi complications, a ua pili i listeriosis. He aha ka mea?

No ka hoʻomaka ka mea, o kona waiwai 'ana i kumumanaʻo i complications i loa paha waiho kokoke ana i keiki na keiki, a me ka poʻe me loa compromised'ōnaehana paleʻea nenoai. Ma hāpai keiki, maternal maʻiʻaʻai a me ke kino, niioaaonoaaiii, i ka fetus ke alakai i ka mae wale ana o ke fetus, stillbirth, i ka muli o kekahi fetal malformations i loko o ka ulu ana, etc. Inā Ua iho mailoko o ke keiki i loko o ka nahunahu hanau, i ka lā mua o ke kino i ke keiki o ke 'ike complications e like me purulent meningitis, he' aʻe 'ana i ka ÷ naehana hanu a me ka circulatory nenoai. Listeria hiki i ka nui 'ano o ka pneumonia, a pinepine welau a lethal no ke keiki.

Kokoke hoopopilikia loa i ka ua'emi ko ano o ka maʻi. Ke keiki i ka hiki ke alakai i ka pōʻino i ka Central ko mākou hopohopo'ōnaehana, a, niioaaonoaaiii, entails complications e like me likeʻano o ka maʻi noʻonoʻo retardation, epilepsy, lōlō.

Ma nā mākua, i ka loa e like me ka 'ole nā endocarditis a me ka hepatitis. Akā, e like me ka adulthood ua'emi ko ano o ka listeriosis ma wahi me ka lapaʻau welau lethally i loko o ka 45 -% o ka hihia 70. I mea no ke aha la i loko o kekahi hihia e ole kāpae'ōlelo i nā symptoms a me ka hoʻoponopono-lapaʻau.

Paipai kāohi ana

Eia naʻe, i ka lā,ʻaʻole nō he lapaau i kanaka ke hoomalu mai o ka maʻi i kapaia o listeriosis a mau loa aku. Kāohiʻana i loko o keia hihia ua huikau ma ka mea i ka bacterium mea nui hoʻopale i ka mawaho a puni, a me ke komo i ke kanaka kino ma naʻano likeʻole.

Ia mea ke kumu o ka wale maoli ka hoʻokō aoao o ka 'ohana ka palekana o ke akahele ma hope a pau ola kino a me ka maluhia a me ka holoholona ola lula. Ma aina, a ma ka aina pū i kanu holoholona, holoholona pono e nānā 'ia ai e mau, a hoomakaukau i na mea e like ai lapaʻau ina e pono ai. Like no ke kino maluhia, oe E ole hoʻopoina e pili ana i ka pono pēpēʻana o kaʻai - ia mea e pono e hoʻolapalapa i ka waiu, ka ai, a me ka sausages 'ē aʻe ai nā huahana ke akahele ka ohinu ana loa.

A kanaka diagnosed me ka maʻi e e hana i loko o ka haukapila, no laila, i ole e lilo i ke kumu o ka maʻiʻaʻai i ka 'ē aʻe. Extract mea hiki wale ina ka hoao ana hualoaʻa hoʻopaʻa i ka piha hou ana a me ka wa e kaawale aku o ke kino-ma o na la bacterium.