Salmonellosis: okuthatha, ebangela, iimpawu kunye nonyango

Abaninzi kuthi baye ebomini bam kunye ezifana nesifo namathumbu ezifana salmonella. Fever, esiswini iintlungu, ukugabha, rhoqo iihambo ukuya kwigumbi langasese - ukuba ukuba kwenzeka ntoni xa iSalmonella selikho udle. Makhe sihlolisise ngokweenkcukacha ngaphezulu uhlobo kwamatyala ngezifo apho khona, nto leyo ethatha ukuba uhlobo salmonellosis. Ithuba elisuke yothintelo sifo kuya kuhlawulwa ngayo izinto nqaku.

Yintoni salmonellosis?

Salmonellosis - isisu sisifo esosulelayo luphawulwa namaqondo kunxilwe yento ephilayo kunye sisilonda esidumbileyoesingaphakathi yethumbu. Pathology kuyingozi uhlobo oluthile iintsholongwane Salmonella ukuba ufake umzimba ngeendlela ezininzi:

• ngokudla,
• evela imfuyo egulayo,
• kumntu onesifo (zikuzo egula, okanye inaso igciwane).

Ithuba elisuke for salmonellosis imiyinge ebusuku. Esi sifo isisu kakhulu obufihlakeleyo, kuba ekuqaleni ukuthetha ngokwaneleyo, yaye le ndoda, enethemba bachache ngokukhawuleza, ayihlawuli ingqalelo unyango lwakhe.

uhlobo mnene salmonellosis kubonakala oluthile kunzima buqapheleke, isifo kancinane kwesitulo. Nangona kunjalo, kukho iimeko ezinzima ngakumbi esi sifo, leyo ebonakaliswa fever, ilindle evakalala, ukugabha ngokuphindaphindiweyo, iintlungu kakhulu esiswini, intloko ebuhlungu.

Kuyenzeka ukuba umsebenzi ebantwini Salmonella kunokubangela zingqondweni, unditsho, ifiva elide, kukhokelela ekwandeni ngamalungu angaphakathi - le udakada, isibindi - nokwakha nakujoliso olutsha kulo yokubolisa.

Amagciwane kowazo Salmonella

Salmonella - bohlobo iintsholongwane ukuba imilo kwizinti, yaye 7 mm ubude, 0.7 mm ububanzi. Kwala magciwane ke yayintsholongwane eyosulela ebantwini zizilwanyana, njengoko umthetho, ethunjini. La nabalulamileyo kakhulu, ukuphuhlisa sikhulise kumajelo aphantsi kwezondlo.

Ukufumana emzimbeni womntu, le ntsholongwane baqala ukuba esebenzayo, kodwa ngoko nangoko. Ithuba elisuke for salmonellosis abadala isusela iiyure ezi-6 ukuya kwiintsuku ezintathu.

Iintsholongwane ezigcinwe ngokugqibeleleyo kwindawo zangaphandle:

• kumhlaba - ukuya kutsho kwiminyaka enye enesiqingatha,
• amanzi - ukuya kutsho kwiinyanga ezi-5.

Well uzive ngokwabo salmonella ekutyeni. ukuba bagcine zasinda:

• itshizi - ukuya kunyaka 1,
• inyama ekhenkcezisiweyo - 6 iinyanga,
• ibhotolo - ukuya kutsho kwiinyanga 4,
• neemveliso - ukususela nge-2 ukuya ku-4 neenyanga
• iyogurt kunye yotywala - ukuya kutsho kwiinyanga ezi-2
• ubisi - up iintsuku ezingama-20.

Salmonella lonakalisa ukukhanya yelanga nobushushu: xa itshiswa ukuya kwiqondo lobushushu 55 ° C iintsholongwane abulawa iiyure 1.5 ukuya kwiqondo lobushushu 60 ° C - imizuzu-12. Noko ke, iSalmonella akayi kubulawa ngokupheleleyo iyonakala.

Kwezinye iimveliso, ezifana nobisi okanye inyama, salmonella akuyi kuphela zigcinwe, kodwa nande.

Kutheni kukho salmonellosis?

Eyona ndlela iqhelekileyo zosulelo lomntu Salmonella - iimveliso bosulelekile. Kuyaphawuleka ukuba Salmonella ukuphila ukutya ezingcolisekileyo ayitshintshi imbonakalo yawo kunye nemvakalo. Usulelo kwemveliso yezilwanyana (amaqanda, inyama) yenzeka ngenxa yezizathu ezahlukeneyo:

• ukuba engafanelekanga okanye enezo izilwanyana ndanibizayo, anasabela;
• waphula umthetho imithetho iimveliso zokugcina kunye nokulungiselela ukutya (umzekelo, xa ukudibana kweemveliso ezigqityiweyo inyama ekrwada);
• nangokuvutha ngayo iimveliso ezibuthathaka (steaks igazi njalo njalo.);
• ngokusebenzisa amaqanda zeentaka abagulayo, ingakumbi amaqanda idada.

Imeko kakhulu ukuba umsebenzi iintsholongwane Kukudla kunye guquki elulwelo kunye nejeli ye-ezifana - aspic, izithambiso, salads. Iba ukusetyenziswa ingakumbi yingozi ngexesha nyanga zishushu ezi mveliso: Ngokwezibalo, ehlotyeni, ekufudumaleni, izehlo salmonellosis kwandisa ngezilingo.

Kukho iintlobo ezininzi leengxaki:

• emathunjini (zesisu)
• tifopodobnaya,
• izilonda,
• nazimpawu,
• bacteriocarrier.

kwesisu

Olu hlobo esi sifo ezivame kakhulu. Ithuba elisuke ngenxa salmonellosis, iimpawu ezithi zenzeke ngokukhawuleza kwaye eqaqambileyo kakhulu - ixesha xa abantu sele zenzelwe iikhontrakthi, kodwa iimpawu zesi sifo kodwa. Okokuqala, kukho ubuthathaka kunye ebuhlungu, isiyezi, umkhuhlane omkhulu, kuthibaza.

Okulandelayo, kukho iimpawu yokuqala wokugaya - nesisu esibuhlungu kwi inkaba; Ukugabha kunye yokutyiwa ezibonakalayo ukutya, yaye kamva - kunye enyongweni; Sorhudo kunye endleni ezibuhlazarha, kunye yencindi yomlomo. Kukho kwakhona singabemiqondiso kubonakaliswa zokubonwayo salmonellosis: ulwimi ogulayo yayisoma emhlophe, kukho kome emlonyeni, ukuqumba, Ngokucofa leyo eyenzeka intlungu.

Sorhudo kunye nefomu salmonellosis zesisu ihlala iintsuku eziliqela kwaye lidla nesohlwayo: emzimbeni kwenzeka kulahleka iityuwa yezimbiwa, isiguli ukunciphisa uxinzelelo lwegazi, yaye kubonakala unditsho, maxa wambi zichaphazela luvo - kukho syncope kunye nesiyezi. Esifike unyango yesigulana kube lula ngolwesihlanu usuku, kodwa a full ukululama ngokuqhelekileyo kwenzeka ekupheleni le yesibini kwiveki.

Tifopodobnaya kanye nokulimala neefom

picture ezibalaseleyo kakhulu zesi lonyango tifopodobnaya neentlobo yokubolisa of salmonellosis.

efana kakhulu iimpawu zesifo emathunjini-uhlobo ngezifo yi tifopodobnaya sifo. Ezo salmonellosis (okuthatha endodeni ezibizwa ngokuba elele okanye efihlakeleyo) ekuqaleni nazo luphawulwa ubuthathaka kunye iqondo lobushushu emzimbeni eliphezulu. Ngaphezu koko, uhlobo sifo uba ezifana necesina, umntu unalo ixesha elide (phakathi evekini), ifiva, isiyezi kunye nemibono kunokwenzeka. Ngomhla esiswini ye ogulayo nerhashalala, ulwimi uba umbala engwevu-omdaka, isikhumba uba libunile kakhulu, isisu ngokubonakalayo idumbile. Zalisa ukufunyanwa isigulane kolu hlobo salmonella lwenzeka ngaphaya emva kweenyanga 1-1.5 unyango abanobuchule.

uhlobo yokubolisa esi sifo kubonakala kunqabile kakhulu. Ngokomthetho zesifo nga kwenzeka kubantu abanamajoni omzimba buthathaka, ezisanda kuzalwa kunye nabantu abadala. Isifo ihamba fever elide, ukubila lweenkcukacha, nenyongo, iinkqubo ukudumba ekubunjweni amalungu. Ikhondo le isifo kugcine ekufeni.

ifomu nazimpawu kunye bacteriocarrier

Nazimpawu ingqalelo uhlobo salmonellosis, apho umzimba womntu ufumana imali encinci iintsholongwane kunye amajoni omzimba ukuba bamelane ngokwabo ezincane amazwe.

Bacteriocarrier ebizwa isimo apho loo mntu egula, kodwa salmonella xa ilindle ngenxa ixesha elithile (idla ngokuba akukho ngaphezulu kwe ezintathu iinyanga).

Kwenzeka ntoni emzimbeni?

Salmonellosis iphuhliswe zingadlulanga iintsuku ezintathu ukususela ekudalweni elalana iintsholongwane emzimbeni womntu. kuqala iiyure 6-8 kwesi sifo akuthethi ukuzibonakalisa.

Salmonella, ukuya kungena esiswini kunye nokutya, ihlangana umendo umqobo wokuqala yendalo - imeko asidi, ngenxa apho iintsholongwane kunzima ukuhamba kuzo. Noko ke, ukuba Salmonella zaneleyo omzimba umzimba engena emathunjini amancinci. Inxalenye iintsholongwane ayabulawa, apho endotoxin uyakhululwa. Kweli nqanaba, lo mntu impawu kusekwangoko isifo.

Ezi ntsholongwane abalindelekanga babulawa, ukuba ahlale emathunjini amancinci ahlasele nodonga lwawo, ngaloo ndlela esizimeleyo ekwayityhefu. ukulahleka Amanzi kwenzeka ngokusebenzisa emathunjini, ichaphazela luvo, nokuphazamiseka ilizwi nemithambo. ngcembe salmonella angene egazini kusetyenziswa apho wonke umzimba kwaye angene kungena ezintsweni, imiphunga, iindawo nkovu, udakada, apho ezifakwe.

Kwimeko apho sifo omelele, inyathelo elilandelayo loxhelelwa Salmonella, kungenjalo kukho ukuyilwa izilonda ezintsha ukudumba - ibamba esifo uphuhliso okanye ifomu yokubolisa ngezifo.

Yinto eyaziwayo ukuba kuyingozi kakhulu kids salmonellosis. Ithuba elisuke ebantwaneni iyafana kubantu abadala, kodwa kumaxesha amaninzi sifo unyango nzima kwaye inzima kakhulu. Njengoko ukufumana inkqubo umntwana omdalana yokuzikhusela yomelezwa kunye susceptibility ku Salmonella abahlukene lifinyele.

ekuxilongweni

Uxilongo Salmonella iqala yangaphandle uviwo malunga nesigulane eso. Ugqirha oqondela iimpawu asenokubonisa ukuba kukho izifo ebantwini, ichaza isimo jikelele yempilo, wonyula ngokuhlahlela bacteriological kunye zululwazi. Njengoko izinto igazi kuphela kunye nomchamo, kodwa vomitus, endleni, inyongo, amanzi esiswini ezifunyenwe nkqubo ngokuhlamba esetyenzisiweyo.

uxilongo Efanelekileyo salmonellosis ibaluleke ngeyona ndlela, njengoko lokwaluka emva unyango akuthethi ukunika abantu bachache ngokupheleleyo, yaye imeko zophendlo lwezifo udla ifomu kakhulu kwaye kukhokelela kuphuhliso ukudumba esiswini (peritonitis), amalungu (zihlaselana) okanye abangele shoka ityhefu.

Ukuze unyango kufuneka zisetyenziswe ngokukhawuleza kamsinya nje yokuqala salmonellosis kuyakrokreleka (okuthatha). Unyango lwe sifo ngokuqhelekileyo kwenzeka njengoko OPD. Esibhedlela salmonellosis ungayikhetha. Noko ke, isibhedlele iboniswe kubantwana, abantu abadala, abasebenzi kwishishini yokutya, kwakunye uhlobo kakhulu kwesi sifo.

unyango

unyango salmonellosis yinkqubo entsonkothileyo ukuba ngokudibanisa iindawo ezininzi:

• Unyango antibacterial lokulawula Salmonella;
• yokubuyisa ngu ezikhethekileyo ukubuyisela umthamo ulwelo elahlekileyo nesifo sorhudo kunye nokugabha;
• amalungiselelo sonyango ukuba isiqabu yenkqubo ukunxila;
• ngokubuyiselwa microflora emathunjini;
• ukunamathela ukutya ekhethekileyo ekutyeni;
• amanyathelo okubuyisela.

In ekulweni iintsholongwane usebenzisa iziyobisi ezivela penicillin kunye fluoroquinolones. Ngenxa yokuba iSalmonella ilifa ubuchule ngokukhawuleza siqhelane nemithi, ukusetyenziswa nezinye iziyobisi ezifana tetracyclines kunye aminoglycosides rhoqo kuphela. Kukho umthetho ekuthi ngawo nemithi hayi lwenziwa ngendlela ezolileyo zesi sifo, ngokunjalo ukuba akukho gazi kwi esitulweni.

Ukunciphisa iimpembelelo kunxilwe usebenzisa chelators ezifana carbon iyasebenza, "Enterosgel," "Polisorb". antispasmodics ususe syndrome iintlungu ( "No-Spa").

Ukuba ubudala n'wina isigulane abadala, ngokunjalo ukuba imbali zezifo ezingapheliyo niyinikele esiswini okanye amathumbu, kucetyiswa lokuthathwa amalungiselelo transcriptase ezifana "Pancreatin" okanye "zemikhosi".

Okubaluleke kakhulu ke ukubuyiselwa kwalo mqulu elichithwe incindi yomzimba. Ukongeza ukuba ziseze luncedo ukusebenzisa iziselo iziqhamo, iziselo iziqhamo, iti buthathaka.

Ngokubambisana yonyango ngamachiza isoloko isetyenziswa zokupheka amayeza emveli. Ngemihla okuqala arhente sifo isetyenziswa equlathe tannins, - garnet omdaka, amaqunube cherry zasendle, oki ixolo. Kamva le izixhobo ngasentla, ungadibanisa abafumana imifuno anti-ukudumba - calendula, chamomile, amaqunube zasendle, lobulumko.

Yokudla salmonellosis

Kubaluleke kakhulu kwi ukunyanga salmonellosis into yokutya. Ngemihla Ekuqaleni sifo azibandakanywanga mgangathweni.Ukutya lobisi neemveliso zobisi.

Le isigulane contraindicated ukutya abonakalisa isiphumo ukubacaphukisa kwi iphecana zesisu: iimveliso, imicu erhabaxa ifumile, ifayibha; nokudla okugcinwe; pickles; ukudla okuneziqholo eqhotsiweyo. Le ndlela yokulinganisa ifanele kwenziwa kuphela ngexesha unyango, kodwa inyanga emva ukululama.

Iimveliso engabandakanywayo zivuse iinkqubo yokubola ukubola ethunjini. Ezi ziquka imifuno, iziqhamo, carbs ekhawulezayo - muffins, goods.

Kungenjalo, isigulane Kucetyiswa ukuba basebenzise isuphu defatted (umz, imifuno pureed), inyama iyabiliswa okanye intlanzi ezinqinileyo; amaqanda soft-ebilisiweyo okanye omelet; yaphekwa ngamanzi, kunokuba ubisi cereal, curd, ngomgama - ibhotolo; crackers; jelly; compote leziqhamo ezomileyo, iti.

Kwimeko webele-lokutyisa ayikhuthazwa ukunqanda usana sifo.

amanyathelo othintelo

Uthintelo salmonellosis uza ngokujonga imithetho elula eyaziwa bonke:

1. Awukwazi kutya inyama engakhange wadlula kolawulo kweenkonzo zempilo ezifanelekileyo.
2. Inyama kufuneka phantsi ukufudumeza unyango ubuncinane iiyure ezimbini xa ulungiselela isiqwenga enye enkulu.
3. Ayikwazi aphele amaqanda idada ekrwada - kufuneka iphekiweyo ubuncinane ngekota yeyure.
4. Phambi kokuba wenze i omelet, amaqanda kufuneka zihlanjwe. Emva manipulation iqanda iqokobhe izandla kufuneka ngocoselelo icocwe.
5. Ikhitshi kufuneka iibhodi ubuncinane ezimbini ukusika - enye inyama, okwesibini - kuba ezinye.
6. Musa ukugcina kwisibandisi, inyama ekrwada endhawini nezinye iimveliso.
7. Ukusela kunye ukuhlamba iziqhamo empompini kuphela (okanye ebilisiweyo) ingasetyenziswa amanzi.
8. Ezidada ixesha efudumeleyo kufuneka avunyelwe kuphela kulo, kuba kunokwenzeka ukuba bosulelwe kunye salmonella, undirhabulise amanzi avela ichibi xa bequbha.
9. Abantwana basemngciphekweni, kuba iimpawu zokhuselo lomzimba yomntwana ithambile kunolo omdala. Umsebenzi abazali - ukufundisa usana lwakho unyango oluchanekileyo izilwanyana neentaka.

Ngaloo ndlela, kuyenzeka ukuba ukushwankathela konke oku kungentla. Kweli nqaku sihlolisise iingongoma eziphambili malunga salmonella - wamathumbu sisifo esibangelwa igciwane, salmonella.

Ekubeni arhente causative lwesifo ithe yaginywa kunye nokutya, kwaye ukusuka kumntu osulelekileyo okanye isilwanyana, kufuneka ibekwe esweni ngokusondeleyo ukuqinisekisa ukuba badle, indlela esiziphatha ngayo kuluntu kunye izilwanyana.

Materials sobala ukuba iyeza uyazazi iintlobo ezininzi esithathwe salmonella. Ithuba elisuke, ebangela zokugula kubantu abadala kunye nabantwana ngokufanayo, kodwa kunzima for kids ubunzima salmonellosis. Oku kungenxa awohluke yeenkqubo omzimba abantwana.

Ngu yonyango esi sifo kufuneka zisetyenziswe kwangoko. Therapy salmonellosis - multicomponent ejoliswe abambe umsebenzi njengoko ntsholongwane emzimbeni, kunye nokubuyiselwa yempilo emva emzimbeni kunye ukuphazamiseka le microflora wamathumbu ngenxa sorhudo, ukugabha, lemikhuhlane.