Chongani ofalitsidwa matenda rickettsial: Chithandizo, Zoyambitsa, Zizindikiro

matenda opatsirana - gulu la zinthu pathological kuti amapatsa opatsirana. matenda amenewa chifukwa mabakiteriya ena ndi mavairasi. matenda onse ndi makhalidwe ofanana. Zikuphatikizapo: EPIDEMIOLOGY, modes wa HIV ndi mawonetseredwe matenda. Amodzi mwa matenda opatsirana ndi bango Nthenda yofanana ndi tayifodi. Pali mitundu ingapo ya matenda. Phatikizani rickettsioses onse zizindikiro monga malungo, matenda kuledzera, chachikulu cutaneous mtima chotupa kusintha. Njira yaikulu ya kufala kwa matenda amenewa - transmissible. Ndiko kuti, kudzera kulumidwa tizilombo wamba zinthu zenizeni nyengo.

Kufotokozera ofalitsidwa ricketsiosis

Chongani ofalitsidwa rickettsial matenda - ndi kudwala matenda, yodziwika ndi mawonetseredwe khungu, vasculitis matenda wamba ndi kuledzera. Matendawa ali ndi makhalidwe transmissible ndi ndimakokedwe. Kunyamula matenda nthata ndi nsabwe. Pali zingapo zimene mungachite rickettsial otaya. Chachikulu kusiyana pakati pathologies izi ndi mtundu wa tizilomboto. Ena rickettsioses wamba mu steppe ndi m'chipululu malo, pamene ena - mu kutentha. Komabe, pathologies onsewa ndi ofanana chithunzi matenda. matenda akuganiza zingakhale zizindikiro khalidwe, komanso chifukwa makhalidwe AIDS. The njira yaikulu matenda ndi mayeso serological, amene amalola molondola kudziwa mtundu wa tizilomboto.

Kodi rickettsioses?

Monga amadziwika, rickettsioses - gulu lalikulu la matenda. Iwo amafalitsidwa padziko lonse lapansi. Ambiri ndi mitundu zotsatirazi:

1. Rickettsia prowazekii - wothandizira zimenezi zimachititsa Nthenda yofanana ndi tayifodi. matenda opatsirana mwa vekitala Ofalitsidwa (mwa kulumidwa nsabwe).
2. Rickettsia typhi - nthumwi causative enaake a pakhungu murine. Iye kudzera mwa kulumidwa wa makoswe ndi utitiri.
3. Rickettsia sibirica. tizilomboto Zimenezi zimachititsa matenda North Asian Mafunso Chongani ofalitsidwa matenda rickettsial.
4. Rickettsia burneti. Ndi malowedwe a tizilomboto mu thupi osauka Q malungo. Opatsirana matenda transmissible ndi - kudzera kulumidwa wa nkhupakupa.
5. Rickettsia orientalis. Monga yapita mitundu matenda rickettsial, kudwala imeneyi imafalikira ndi Mafunso Chongani kuluma.

Kuwonjezera matenda amenewa, pali matenda oyamba chifukwa mitundu yosiyanasiyana ya tizilomboto lapansi.

AIDS makhalidwe a matenda rickettsial

Rickettsioses amasiyana osati mtundu wa wothandizira, koma makhalidwe AIDS. Ngakhale ambiri padziko lonse, aliyense matenda ambiri m'madera ena. Mwachitsanzo, mliri Nthenda yofanana ndi tayifodi, amatchedwanso malungo ndende kapena chombo, monga kudwala imeneyi imafalikira kudzera kulumidwa nsabwe amene inafalitsidwa mwa akaidi ndi panyanja. A matenda ofanana, koma chifukwa tizilomboto Rickettsia typhi, nthawi zambiri mayina madera nyengo ofunda. Nthawi zambiri izo zimapezeka m'madera akumidzi pa chilimwe.

Chongani ofalitsidwa matenda rickettsial zofala malo tizilombo izi. Gulu la pathologies opatsirana opezeka kumpoto Asia, Japan, Australia, m'madera a mapiri. matenda ambiri rickettsial matenda zoonotic. mosungiramo wapakatikati matenda amaonedwa kukhala nyama za kuthengo ndi zoweta, makoswe. Ricketsiosis onyamula mitundu yosiyanasiyana ya nthata. Popeza tizilombo izi kawetedwe m'chilimwe (May-September), kufala limatuluka zikuchepa mu nthawi ino. Nthawi zambiri, matenda amakhudza anthu amene amagwira ntchito panja (munda, minda masamba, msipu) ndipo anakumana ndi nyama.

Chifukwa cha ricketsiosis

Etiological wothandizila matendawa ndi bakiteriya - rickettsia. tizilomboto Izi akhoza zimachitika ndi mabakiteriya kapena mavairasi. zodabwitsazi anafotokoza chifukwa chakuti, ngakhale dongosolo la bakiteriya (ndodo kapena cocci), Rickettsia angalimbikitse parasitism okhudza maselo ambiri. Nthumwi causative akhala wosakhazikika pa chilengedwe. Rickettsia akuphedwa ndi kukhudzana ndi kutentha kapena disinfectants. Komabe, iwo kupulumuka kwa nthawi yaitali m'dera ozizira ndi youma. Komanso transmissible kufala njira, Rickettsia akhoza kulowa m'thupi kudzera magazi, kwa mayi pa nthawi yobereka. Matenda ena, gulu amakhala ndi njira zina zamatenda. Pakati pawo - matenda alimentary ndi airborne. Zinthu n'zothandiza Mafunso Chongani ofalitsidwa rickettsial matenda, monga:

1. Lumikizanani ndi ziweto kumidzi, agalu.
2. Kulephera kusunga ukhondo.
3. Lumikizanani ndi anthu kachilombo ndipo ndi matenda.

zimagwirira chitukuko matenda

Matendawa akufotokozera mwa masiku angapo pambuyo kumayambiriro mudzichonga mu khungu. Kutalika kwa nthawi makulitsidwe zimatengera mtundu wa wothandizila ndiponso mmene m'thupi. Pamene mudzichonga uyo anachita m'derali. Khungu amakhala edematous, hyperemic, amalembedwa mwachikondi. Kusalola kumachitika chifukwa kudzikundikira maselo mthupi pa malo oyamba a tizilombo ndi. Kuyambira pamenepo, causative wothandizila - Rickettsia - kudutsa mu zotengera lymphatic ndi mfundo. Kumeneko mongoyembekezera kuthetsa ndi mtundu. Popeza kuti lymph mfundo ndi ziwalo chitetezo cha m'thupi, iwo kuonjezera kwambiri. Pali kutsegula ndi kuchuluka kwa maselo kulimbana ndi wothandizila bakiteriya. Kenako Rickettsia kugwa mu mitsempha ya magazi. Bacteremia amapezeka ndi toksinemiya. Kwenikweni zimakhudza mitsempha ndi mitsempha ya pakhungu. The Mitsempha akufotokozera ndi yotupa anachita zikubweretsa kusintha zowononga endothelium. Komanso, Rickettsia zambiri kudutsa mu mitsempha ndi mitsempha ya ubongo. Chifukwa, iwo kukhala zizindikiro za CNS, kakhosi, ndi encephalitis mwina pachimake magazi kulephera. Limagwirira matenda amachititsa chithunzi matenda a Mafunso Chongani ofalitsidwa rickettsial kudwala matenda. ICD-10 - ndi gulu lonse, womwenso matenda onse. Yotero ndi matenda izi. Komanso, zosokonezeka pathologies amenewa monga malungo, encephalitis, mtima chotupa, ndiyotengera mu ICD-10 payokha. The matenda chachikulu ndi malamulo A77.

Chongani ofalitsidwa matenda rickettsial: zizindikiro matenda

Ngakhale kuti Chuck rickettsioses amasiyana, iwo onse ali ofanana mawonetseredwe matenda. Kutalika kwa nthawi makulitsidwe, avareji masiku 3 mpaka 7. Nthawi zambiri malowedwe a nthata pakhungu amakhalabe amaona mu chiyambi cha matenda. Nthawi zina pali Amowabu kusalola ndi lymphadenitis dera. Chachikulu bwanji amakhala ndi chisindikizo mu malo amene ikusonyezedwa khungu necrosis (bulauni), ndipo pa periphery - hyperemia (wofiira corolla). masiku 2-3 Ufumuyo kuledzera syndrome ndi malungo a chilengedwe mpaka kalekale. Wodwala anadandaula wa zopweteka thupi, malungo mpaka madigiri 39, zopweteka minofu, kufooka ambiri. Febrile nthawi ndi za 1-2 masabata. Kuwonjezera zizindikiro za kuledzera, mu chiyambi cha matenda kuoneka totupa. Iwo ali ndi makhalidwe roseolous-papular. Poyamba, zidzolo limapezeka pa malekezero, ndipo kenaka linafalikira thunthu. Background khungu sanasinthe. Malingaliro awa amakhala ndi matenda Mafunso Chongani ofalitsidwa rickettsial. Photos maonekedwe cutaneous zingapezeke mabuku. Totupa kusiyanitsa pakati pa iwo ndi ofunika kwambiri kwa matenda a pathologies opatsirana.

Tingamudziwe mudzichonga ricketsiosis

Izo sizingakhoze zochokera yekha pa chithunzi matenda, kudziwa Mafunso Chongani ofalitsidwa rickettsial matenda. Matenda a matenda ndi pazikhalanso mayesero zasayansi. Pambuyo kudwala zizindikiro amakhala ngati matenda ena ambiri. Kuti apange matenda zolondola, kusonyeza mtundu wa tizilomboto, anachititsa maphunziro serological. Pakati pawo - .. Wolumikizidwa immunosorbent zofufuza, amathandizana fixation, hemagglutination, etc. ankachititsanso magazi wamamamayikirosikopu, CSF, mkodzo ndi kulekanitsidwa adzalowerera.

Chongani ofalitsidwa matenda rickettsial: mankhwala a matenda

Popeza matenda ndi tizilombo toyambitsa matenda, mankhwala amafuna kugwiritsa ntchito mankhwala. Chifukwa chaichi kukonzekera ntchito "Tetracycline" ndi "Chloramphenicol", komanso analogs awo. Patapita choopsa cha matenda ayenera m'chipatala moleza matenda kuchipatala. Pofuna kusukulutsa mphamvu yakupha njira mtsempha wa 5% shuga kwa ascorbic asidi. Ngati bradycardia ayenera kugwiritsidwa ntchito mankhwala vasopressor. Zikuphatikizapo mankhwala "atropine", "Kafeini". Komanso, kukhala mankhwala symptomatic - antipyretics, mankhwala. Nkhupakupa achotsedwa ndi tweezers. mankhwala enieni ikuchitika pa chitukuko cha matendawo.

Zotsatira ofalitsidwa ricketsiosis

Nkofunika kuyamba posachedwapa kuti mankhwala a matenda Mafunso Chongani ofalitsidwa rickettsial. Zotsatira za matenda angakhale aakulu. Mwambo kulephera kukhala mavuto a zaumoyo wa mantha, kupuma ndipo mtima kachitidwe. Pakati pawo - .. Chibayo, matenda, matenda oumitsa khosi ndi encephalitis, myocarditis, etc. Zikavuta, kukhala mantha poizoni.

Kupewa Mafunso Chongani ofalitsidwa ricketsiosis

kupewa Non-zenizeni zikuphatikizapo polimbana tizilombo ndi makoswe, komanso ukhondo. Against Nthenda yofanana ndi tayifodi ndipo Q malungo katemera. Kudziwa matenda m'pofunika sanitize chipinda, komanso kuti kafukufuku anthu onse amene anali kukumana ndi wodwalayo. Ngati Mafunso Chongani kale atagonjetsa khungu, koma zizindikiro za matendawo ali osati kusanduka kuti mwadzidzidzi prophylaxis zachipatala. Ikani mankhwala "Doxycycline" ndi "Azithromycin".