Yersiniosis. Izimpawu, Sifo Nokuselapha

isifo ezithathelwanayo eyinqaba kubantu nasezilwaneni, ikakhulukazi ezithinta pheshana emathunjini bese enokuthambekela izilonda generalized amasistimu ehlukahlukene izitho, ngokuthi yersiniosis. Izimpawu ukutheleleka ziyabonakala njengoba Ukugodola, ikhanda elibuhlungu, umkhuhlane, ubuhlungu emalungwini nemisipha. Kungase kube ukungakuthandi ukudla, umphimbo obuhlungu, ukuqwasha.

Izindlela zika ukulondolozwa kanye ne-transmission ukutheleleka zifana kakhulu pathogenesis ka pseudotuberculosis. Ukufana alichaza bengabakaJehova uhlobo lwe efanayo kwamagciwane Yersinia. Lwegciwane iersinioza - igremu-negative igciwane Yersinia Enterocolitica, omndeni Enterobacteriaceae. Ngesikhathi besanda kuqala ukutheleleka libhekene ukubukeka omzimba athile egazini isigaba Igm, Iga futhi IgG. Indima kwezilwane njengoba umthombo ukutheleleka ukungalingani. The main causative ejenti ngokwemvelo abhekwa sidla amagundane amancane. Umthombo ukutheleleka kungenzeka zilwane ezinkulu ngaphezulu, babazi ukugula noma kudedelwa le lwegciwane.

The main imodi yokudlulisa i kuyinto yokudla okunempilo. ngokuvamile Lokhu kwenzeka ngokudla ukonakaliswa amafilosofi igciwane. Ngokuvamile kuba inyama, avalele nemifino imikhiqizo. Ngokuvamile, liye ukutheleleka aphakanyisiwe bacterium ezithile uhlobo lwe by amagciwane protozoan.

Ngokuvamile yibona oqabukelayo (ngezikhathi ezithile) izibonelo isifo. Izifo kuthinta bobudala, kodwa propensity kekulukulu kufika ubonakala izingane eminyakeni engu-3 ubudala, abantu nokushiyeka mzimba, buthaka amasosha omzimba. Yiqiniso inamagquma nge exacerbations njalo futhi uyahluleka uma elwa nokuphuza - omunye izici ezithile esibonisa yersiniosis. Izimpawu ze-ichazwe ukudakwa jikelele, ngumkhuhlane ejwayelekile, Izilonda, pheshana emathunjini, amalunga omzimba. Amafomu eyinhloko lesi sifo yilabo enterocolitis, enteritis, adenitis mesenteric, sepsis kancane ezivamile futhi angina, kanye amasayithi yesibili ukutheleleka. Yezinkinga njalo iningi isifo - erythema nodosum, peritonitis kanye arthritis esisheshayo.

yersiniosis Ubucayi ihlaba umkhosi ukukhanya, aphakathi nendawo kanye ezisindayo, ifomu septicemic. Ngokwe Yiqiniso sifo kubonakala acute, ezingalapheki, ne uyahluleka uma elwa nokuphuza njalo.

Gastroenteritis - lesi sifo ezivamile ukuthi iqala yersiniosis. Izimpawu ze-ke kancane kuhlukile kunoma yikuphi ukutheleleka acute emathunjini okwenzeka. Ngaphezu kwalokho ukusabalala (nje okungaqondile) ke wonke umzimba uchaza ukwehluka zinothile ukubonakaliswa emtholampilo. Ikakhulukazi incike amafomu ukutheleleka, phakathi awo:

• ifomu emathunjini ne izilonda sici ikholoni, esiswini, isithasiselo;
• ifomu okuxubile lapho izindikimba ezimbili imbozwe izilonda noma ngaphezulu;
• ifomu generalized, ehambisana ne ukuthuthukiswa sepsis, umonakalo wamaphaphu, izinso, isibindi, ulwelwesi ingqondo;
• ifomu lesibili-ebalulekile, asathuthuka isizinda ngaphambilini agelezé ukuvuvukala ezithathelwanayo. Ukuzibandakanya wakhe eyinqaba enqubeni sokugembula emathunjini, amalunga, inhliziyo, imisipha, isikhumba.

Kusukela lwegciwane ukungena emzimbeni wesiguli kuze ukubonakaliswa yokuqala emitholampilo ngokuvamile ubabonisa akukho isikhathi esingaphezu kwesonto. Bona ungaboniswa ngesimo syndromes eziningana libhekene izinhlobo ezihlukahlukene zokubusa ngesimiso yersiniosis. izimpawu jikelele syndrome anobuthi e izilonda wokugaya ukudla ibonakaliswe njengeyenziwe imfiva nohudo, ukucanuzela kwenhliziyo, ubuhlungu bekhanda, ukuhlanza, ukuqaqamba emalungwini nemisipha, iziyaluyalu isimiso sezinzwa. A sibi lesi sifo ngokuvamile sihlala 3 izinsuku, ezinzima uyakwazi imisiwe ize 2 amaviki. isikhathi eside kuholela ekuphelelweni amanzi emzimbeni.

Yersiniosis ezimweni ezingajwayelekile, liyavela ukuqubuka izakhi ngesimo izindawo, amachashazi ezincane, zivela kaningi phezu kwezinyawo nezandla. Ngokuvamile, ezifana isici inkulumo sifo kuthiwa uphawu "amasokisi namagilavu." Ukuqubuka kungase kuhambisane uyaxebuka, isikhumba esivuthayo.

Ngo amafomu ezinzima zalesi sifo ibhalwe ukubonakaliswa letindzala ubuthi syndrome, ukuqubuka, umphimbo obuhlungu, iziyaluyalu wokugaya ukudla, isibindi lakhulisiwe, ubende, futhi zamanzi. Ngokuvamile izimpawu zifane appendicitis oyingozi. Uma sithinta emalungeni ezimakwe nge ukuvuvukala yabo, ubuhlungu, ukunyakaza elinganiselwe.

Secondary-ebalulekile ifomu yersiniosis icaciswe ngoba is phetho of nezinye izinhlobo. Izici eziyinhloko leli fomu ungaboniswa ngesimo enterocolitis, polyarthritis, monoarthritis, eshaya omunye emalungeni ezinkulu, Reiter Syndrome, erythema nodosum, myocarditis. Enough ungaboniswa iziyaluyalu ngokucijile autonomic (ukujuluka ngokweqile, isikhumba marbling, ingcindezi kwemali).

ukuhlolwa Laboratory kukhona indlela eyinhloko asungula yersiniosis. Sifo esekelwe ukuthola usebenzisa i-PCR isinqamu zofuzo we lwegciwane eyinhloko endleni noma igazi. Assay immunosorbent kusiza ukuhlonza khona amasosha yersiniosis. Ukuze bacteriological efundwayo luhlolo kungaba endleni, umchamo, isikhwehlela, Bile, cerebrospinal fluid, igazi. Izindlela ukuxilongwa wezinsimbi lesi sifo zihlanganisa Endoscopy,-X-ray cwaningo we ileum, ukuvumela ukuthola ileitis follicular.

Ukwelashwa nokuvikelwa yamaphaphu futhi kusulwe imisinga iersinioza e ukungabi khona kwezifo concomitant kungathatha indawo ekhaya, kufanele kwenziwe yonke izincomo udokotela izifo ezithathelwanayo bese ulandela ukudla. Lapho ngokulinganisela ifomu okunzima isiguli kufanele aphathwe kuphela esibhedlela.