Rickettsia - He aha ka keia? He aha maʻi i Rickettsia?

I ka 1906, H. rickettsial noiʻi Ua hoʻomaka 'ana kikokiko kuni. I ka 1909 aʻo koko huahana i loaʻa microorganisms i loko o ka palapala o ka hoaa me ka uuku loa Ana. Similar meaola i ua loaʻa i kēia makahiki a me kekahi kanaka noiʻi, S. Rotehama, wale i ka study o typhoid mai kuni. A mai Ricketts make i ka 1910 pono, no ka typhoid, ua mua ia e kamailio e pili ana i kona loaʻa, i ke ano o ka causative Luna o ka maʻi i kapaʻia i loko o kona hanohano - Rickettsia, me ka hoʻomaopopo pono o nā kānakaʻepekema i ka 'epekema.

He aha ka Rickettsia

Rickettsia - i ka poe liilii, ma ka nui Gram-io meaola, a i ka waiwai o nā nā mea hoʻomaʻi a me koʻohune. Mai ka mua ka mea, i ka manawa i nā'ōlelo i loko o eukaryotic keena, akā, i ka mea ia manawa, e like me ka koʻohune e pono ai oxygen, i ka halepaahao pā pōhaku, a ua ikepili koʻikoʻi i ka kekahi pūʻulu o antibiotics. Mau anakahi iki-meaola - prokaryotes, ka mea e mai i formalized ka Kora naʻEsau, aohe mea nana e mitochondria.

Description a me ka morphology

IeAUPIIe, IAa IO nā lālā o ka me ka uuku nui keia ano - i ka 1 micron. i ke kookoo-hoʻokino hou pinepine, akā, ma kekahi kahua o ka hoʻonaʻauao ka mea, hiki e filamentary a me ka bacillary. A, a pau nā loli ana i loko o ka püÿali aeea.

Rickettsia - he paa microorganisms, ka mea e mai i flagella, a ma lalo o noho lakou malaila rula, kuahene pepa uuku, e mālama iā lākou. Pinepine, i kēia mauʻano a hiki ia i loko o ke kino no ka i ka 10 makahiki, e malama, a reactivate ma lalo o 'ano kūpono.

Rickettsia, Chlamydia, Mycoplasma i parasitic i loko o ke kanaka halepaahao, ma o na la maʻi, akā, i kekahi manawa, i loko o ka papa, koke pepehi. Kā lākou 'ia - i ka halepaahao e noho ana i kaʻeleu pūnao. A ina o ka mucousʻili lahilahi o ka waha, puʻu, a me ka urinary'āpana makemake mycoplasma, Rickettsia noho i loko o ka epithelial keena o ka naʻau liʻiliʻi, a me ka vascular endothelium kona papa kuhikuhiE mea nona - na nā mea kolo, a me ke kanaka i ku kokoke a pau nā loko a me nā'aʻaʻa. i makemake Chlamydia e noho i loko o nā nā loko o ka hihiʻo, he aha ka mea i ka reproductive nā loko, a me ia maʻiʻaʻai.

E hoonui i like nā mea hoʻomaʻi, rickettsiae loko o koa keena, wale maternal keena ma ka mahele ana i ka hapalua (i mea ano o koʻohune). Ma keia hihia, aeee iho mailoko o ia me ka parasite e pepehi koke.

Ke ola kalapona o kēia mau microorganisms ka loa mea. 'O kēia kekahi o nā vegetative ke kahua - aeea i hookaawaleʻeleu a quiescent ke kahua.

Ma ka Europa'āinapuniʻole nā mea palahēhē kena ae la ma ka rickettsia, e kŘpa a pohihihi keia. Akā, ma Asia, ma Australia, a ma Tasmania, mau nā mea palahēhē i laha.

Mea Maluna

Ma 26 May 2015? Ueo i ua komo i loko o kēia genus. I ka Ia manawa, mau? Ueo a i hana 'aneʻi ma mua, i hoʻokoe' a hoolilo. Ua pono e mai la oia i ka pono ao malamalama rickettsial Mea Maluna a ka hopena, a ua ole, ua ulu.

I ka like o kēia mau microorganisms ka mea nui loa, no ka mea, aneane hoa a pau o ka genus kumu maʻi, me ona. No laila, he mau manawa lehulehu o ka maʻiʻaʻai o ka noiʻi 'ole i loko o ka hoʻopaʻa' ana i kēia mau microbes.

rickettsial maʻi

Ma ka hopena i febrile Rickettsiaʻano o ka maʻi. A me ka mau inoa no kēia mau mai a pau - rickettsioses. Ka pele o lakou, e like me ka rula, i Ua loa hoopaapaa, a ua ukali ma nāʻano likeʻole o rashes ma luna o kaʻili, trombovaskulitami paha vasculitis.

No laila, i ke kumu o ka maʻi Rickettsia? I ka lā, loaʻa nō ka mea kēia:

1. 'ōkuʻu typhus, he lua inoa - typhoid.
2. Maʻi Brill-Tsinsersa ole sparodichesky typhus (Rickettsia typhus, ma hope o ke kanaka ka mea, ua i mai no ka manawa mua, lawe i ka uuku palapala, ma hope makahiki, a hiki makahiki o hiki recurrence o ka maʻi, a i loaa ka inoa). Ka hapanui pinepine ike i loko o nā kūpuna.
3. Endemic typhus a iole kuni.
4. Palakila typhus.
5. North hawaiian a'Aukekulelia tick typhus.
6. Pohaku Mountain ke kikohukohu kuni.
7. Rickettsial pox.
8. ʻIseraʻela wela (hou ka mea, ua kapa wela o Marseille a me ke Kaiwaenahonua ke kikohukohu kuni).
9. Murine typhus (lua o ka inoa -ʻuku lele, e like me ka? Aieeeua no ka hoololiia ana iʻuku lele).
10. Quintan.
11. Tsutsugamushi, wela, a me Japanese (hapa nui nā moku halihali mokulele i rodents a me ka maʻiʻaʻai trombidiidae).
12. Malay scraper kuni.
13. Sumatran tick kuni.
14. TIBOLA, tick a lymphadenopathy - maʻi, wehe like nei me penei.
15. DEBONEL, a necrotic strupalimfadenopatiya (, kena ae la ia e ka hookahi ano o Rickettsia. Maʻi OAOOUIEeE wale symptoms).

No hoi i ike i:

• Q kuni;
• hale kaʻa kuni;
• ospovidny typhus (aole nae ia ua kapaia rickettsialpox);
• Queensland kuni:
• Astrakhan rickettsial kuni.

Kēia papa inoa mea kāpili papa inoa o ka maʻi i kanaka ke loaa ka iho mailoko o.

Aoao o ka maʻiʻaʻai

Rickettsia mawaho o na keena - keia mea he loa ka poe no ka paʻewa o ka waho honua, a make koke mai i ka hopena o nā aʻe microorganisms. Ia mea ke kumu e pono ai kūikawā transporters. No kēia kūlana, lea i ke koko-keiki omowaiu nā mea kolo, e like meʻuku lele, na uku hoi kekahi a me ticks.

No ka mea, na uku hoi kekahi a me nāʻuku lele i loaʻa mai'ō a'ō, na maʻi ka mea, e lawe, e endemic, oiai na lepeta i kā lākou kekahi wahi, a me ka poe mai, kena ae la ia ia, i ke ano o ka endemic.

Ma hope o ka hueloʻawa i loko o ke kanaka kino haule Rickettsia. Pathogens o ka gastrointestinal mucosaʻuku lele, na uku hoi kekahi a me lepeta hoololiia i loko o ke koko, a me ka hopena - he kuni a me ka nui maʻi. A kākaʻikahi mau pilikia ia lakou iho arthropods Rickettsia. A ua noho hihia o ka EYI o microbes, parasites o nā mea kolo, mai ia hanauna aku ia hanauna aku ma na hua. Eia arthropods e hoʻohana wale i ka? Aieeeua no waho pūnaewele o microorganisms. No hoi, a me ka insect infestation hiki i hoʻomaka ai kanaka hoomanawanui ka koko ma i ka manawa o ke nahu.

Inā ke lawe i ka tick Rickettsia, ka pathogen hiki ke loaa ma ka nahu, ina ka microorganism mea i loko o ka salivary glands, a ma ka anaanai i loko o kaʻili i ka wa a ka insect wale pēpē.

Aia ka he okoa subspecies, ua oi hoʻopale i? Aneie ana i kapaia o Coxiella. Hoʻonāukiuki aku kēia mau rickettsia maʻi ma insectʻaki e like me, a me airborne droplets, a i ka hapanui o kekahi o ka ekolu ano o Q mai kuni.

A Japanese wela ua i ho'īli 'ana ma o ka hoʻomanawanui a hiki i ke ola i ke kanaka. Pono i ke alo o ka mea uwao. A oi ma mua o pinepine i loko o kona kūlana ua pâʻani 'o ia ma kekahi iole a iole. Lākou nahu hiki e weliweli loa.

symptoms o ka maʻi

Mai ke kumu ma ka rickettsia, ke hoike mai ai ia lakou iho ma naʻano likeʻole, akā, hiki nō, he pono ole symptoms e kūlana. Ka mea, e like penei:

• headache a me Muscle eha o ka ike me Kinohi;
• kuni;
• nāʻano likeʻole o nā rashes a me insect akiaki oukou me ka wahi eschar hanaʻuʻuku ma ka nui, a darkens me ka manawa, me ka puʻe manaʻo ma luna o ka mea, kona rigidity;
• li nui o ka lymph aka wahi, a me kā lākou mau mea ulu ma ka nui;
• maloo cough.

Kaumaha rickettsioses nui mau ana me ka wela a me ka delusional moku'āina, ahonui hanu a me ka pokole kaumaha. Pathologyʻike, He pinepine ka pilikia nui ma. ʻike, hiki ke hana ma ka ili biopsy mai ke nahu. Ma kona ili ka wā maʻiʻaʻai ua mau ka papule ua hanaʻia, a laila, huliʻeleʻele.

Wela hoʻomaka puni i ka hā o ka lā ma hope maʻiʻaʻai, akā, i keʻula a kona helehelena no ka manawa hou o ka manawa. Ke hoomanawanui e hoʻomōhala ana i ka moku'āina o apathy. Lymph aka wahi (mua ka poe e kokoke ana i ke nahu, alaila, na 'ē aʻe) e wela ai, a māhuahua ma ka nui.

A pule ma hope o ka mua na hoailona o ka maʻi hoʻomaka e hōʻike typical symptoms o rickettsial maʻi - kiʻekiʻe kuni, a me ka maloo cough mea e hoʻomōhala ana i loko o bronchitis a pneumonia, he mea photophobia, conjunctivitis. Paha no ka mea, o ka wela ulu delirium, e like me ka helehelena a piha lilo o ka hālāwai hoʻolohe manaʻo. Ka ili i Konakele. Melkopapuleznaya poʻe noʻonoʻoʻole, ka oi aku ma luna o nā wāwae, akā, i kekahi manawa, ma ke kino.

Inā 'oe e ole hoʻomaka lapaau, i ke kuni, e hoʻomau no elua pule. Hiki o lethal i ka 40% o nā mea a pau nā mea palahēhē. A, o ka pilikia o ka make hilinaʻi nui ma luna o ka makahiki, 'ano o ka maʻi a me ka'ōnaehana paleʻea uea' o ke kanaka kino.

Microbiologicalʻike,

I kakahiaka nuiʻike,ʻo ia ka mea e hiki ai ke oia i ka hoola ana kaʻina. A kokololioʻike, o ka Rickettsia - he biopsy o eschar. Akā, ka mea hiki ke hookupaa iho la ia wale nō ma ka hoʻokaʻawale o nā mea'aʻaʻa mai immunizedʻiole ma hope o ke koko maʻi kanaka.

aoao o ka diagnosing kekahi ua hana ka hoʻohana 'ana serological ki ina hana like. Akā, me nā hualoaʻa e e hoohalike ana me ka nui mālama nui, no ka mea, pinepine ia lŘlŘ ma waena o ke kanana nei o kekahi mea koʻohune? Ueo kea-reactivity.

Kekahi o ka loa e like me ka ho'āʻo no ka 'ike o ka Rickettsia - hāpana mooseri-Neil. Ma keia hihia, i loko o ka opu o ka venous koko o ka hoʻomanawanui ua lawelawe i ka Guinea puaa ma ke kakahiaka nui febrile ke kahua. Inā ka maʻi ua hoʻopaʻa, na holoholona hōʻike symptoms o ke kuni,'aʻaʻa necrosis, a me kane puaʻa scrotum e pehu ae. Loa pinepine, ina o kaʻike, ua hookupaa iho la ia, o ka holoholona make.

E hoʻonele i rikketsiozah

E like me ka ua liʻiliʻi nui like 'ole i kēiaʻano o ke anakahi iki-meaola i kekahi antigens (AG), ka hapanui lipopolysaccharide ano. Au ike i ka ua hypertension ma Rickettsia koʻohune Proteus, i kahi mamao lawa aku, mai ka papaʻaina i loko o kekahi kahua hoʻonohonohoʻanaʻano o Rickettsia. Nolaila, ina he kanaka i ae mai kekahi o na mai, kena ae la ia ma kekahi ano o keia ano keia ano, me ka hope o ka ia ano, e hali ana i ka ia antigen i mea ole weliweli. Ma hope o nā mea a pau, i ke kea-e hoʻonele e hoʻomōhala ana i loko o ke kanaka kino.

lapaʻau

Ke kaumaha ma muli o nā kiʻina hana i waeʻia o ka hana maikaʻi maʻi. Wale palapala hōʻoia no infectious maʻi hiki e i ka pololeiʻike, a me ka hoakaka lapaau. Ma nā rickettsial na mai kuni ia ka hoohiki ana antipyretics, e like me "aspirin", "prednisolone" 'ole' ē aʻe glucocorticosteroids, antibiotics ( "Rifampicin" a me "Levometitsin").

Ka poʻe ia mea e pono ke lawe mai detoxification ma ka infusion, no ka 3 lā gemodeza, intravenous ka pahu kui no 3 lā monakō koko pāʻoihana a me ka inu ke kinowai i 2,5 nā lika no ka lā oralita pāʻoihana i elima mau lā.

Ma ia he noaia supplementation ka mahana hoi i ka maʻamau ma ka lā 9-11. wehe About mau pule ma hope au i kino aches a me kou luhi, i loko o nā nāʻiʻo, a me ekolu pule ma hope nalowale lapuwale ia ma ke kino, i mea aneane piha ke ola.

No ka iapaau ana o ka tick-hanau typhus i manaoia kekahi noaia o ka lapaʻau.

• Ka loaa ana tetracycline antibiotics, a (ole) levomitsetinovoy hui e malama i - mea'ōnaehana mānowai koko ai 'ma lōpū dosages.
• Inā ka maʻi Ka hoʻomaka 'ana kaumaha delusional moku'āina, a ua ike' ē aʻe hanahana loa symptoms, me ka hou o ka monakō koko intravenously elima pakeneka pāʻoihana mea e emi i ka toxication o ke kino.
• Ma pohihihi keia hihia hou lawelawe hormones a me cardiac glycosides.

Ma keia regimen, piha loaa ia lŘlŘ ka hola hoʻokahi mahina.

Q wela ua malamaia lakou nei, 'ai, inu o antibiotics, "chloramphenicol" a me ka lāʻau tetracycline pae ka poʻe. Inā, i loko o ekolu eha paha lā ka mea e ole e ike hou i, hou hoʻokomo o glucocorticoid ai '. A hiki i kaʻaoʻao 'ole e like me ka myocardium, hou hoʻolauna cardiac a me ka vasopressor ai'. detoxifying konohiki ka lawelaweia ana intravenously (monakō koko a me ka Saline). Ka iapaau ana mau e pili ana i ka hapalua o ka mahina.

rickettsial lapaʻau e pono lawe wahi i loko o ka haukapila, ma lalo o ka hooponopono ana o infectious maʻi. Nui hou ole i ka hana maʻi i kena Rickettsia, Chlamydia i ka hapai a me ka umauma-e ai ana, e like me keia waeʻano o nā mea maʻi e loaa ana contraindicated ai 'tetracycline hui. Ma keia hihia, he oi akahai, akā, emi ka hoʻokō "Chloramphenicol" (breastfeeding i ka manawa o ka iapaau ana e hooki).

Children mai i ka makahiki ewalu me ka rikketsiozah malama ia no elike "Chloramphenicol" i loko o 'umi mau lā, a me nā kiʻekiʻe loa, e like me nā mākua - doksitsiklinovoy pae, e lawe i kekahi mahele lāʻau o ka emi.

Kāohi

I ka lā, ke kino a me ka hoʻohana 'ia ma ka lapaau laʻau koʻokoʻo atenuirovannaya o ka laha typhus, a ku e ia Q kuni.

Akā, i kela kanaka keia kanaka i ka manawa kūpono e e vaccinated, hele ma ka Holiday i ka aina kahi e loaʻa nāʻekeʻeke o nā mea palahēhē rickettsial ka maʻi. Nolaila, ae hana i kekahi mau mea rula, e hiki ke hoomalu oe ia oe iho a me kou 'ohana, mai o lakou.

1. Inā 'oe e hele ai i ka paka, paka, ulu lāʻau, Zoo' ole kekahi 'ē aʻe wahi kahi hui' ana me ticks,ʻuku lele a me nā moku halihali mokulele, hookomo i ke kapa me ka lole a lōʻihi, a ia - laulā-brimmed ua inaina i ka.
2. E hōʻoia i ka hoʻohana hana, kipaku aku i nā mea kolo.
3. Mai poina e nānā iho a me kā lākou mau keiki i ke alo o insectʻaki. Uku i nānā 'ia ai, groin, armpits, a me ka wahi ma lalo o nā kuli - he punahele wahi tick nahu.
4. Ka wā e kipa kahua iho mailoko e kekahi rickettsiosis, eʻoiaʻiʻo, e hookomo i ke kapa impregnated me ka dimethyl phthalate.
5. I aloha e moe ke ao o waho i loko o nā halelewa? A laila, e moe ana ma ka cot, aʻaʻole ma ka lepo.
6. Noho iho la na ulu maila e pili ana i ka maʻi o ka mea pili rickettsiosis? Alaila, mai kānalua, e hoʻohuli i i infectious maʻi.
7. Personal kou niho i ole, ua hōʻoki aku.