Yersiniosis. Zizindikiro, Kudziwa Matendawa ndi Chithandizo

Nthenda yachilendo kwa anthu ndi nyama, makamaka zokhudza thirakiti m'mimba ndipo ali ndi vuto zotupa zowombetsa mkota wa machitidwe osiyanasiyana ndi ziwalo, wotchedwa yersiniosis. Zizindikiro za matenda ali kuwonetseredwa monga kuzizira, mutu, kufooka, malaise, kupweteka m'malo olumikizirana mafupa ndi minofu. Pakhoza kukhala kusafuna kudya, zilonda zapakhosi, kusowa tulo.

Njira ya kusunga ndi kufala kwa matenda ofanana kwambiri kwa pathogenesis wa pseudotuberculosis. Kufanana anafotokoza chifukwa chokhala anthu awo kwa mtundu womwewo wa tizilombo toyambitsa matenda Yersinia. Tizilomboto iersinioza - galamu alibe bakiteriya Yersinia Enterocolitica, a m'banja Enterobacteriaceae. Pa siteji koyamba kachilombo yodziwika ndi maonekedwe a chitetezo achindunji magazi a kalasi IgM, IgA ndi IgG. Udindo wa nyama monga gwero la matenda wosiyana. Waukulu causative wothandizila mu chikhalidwe amaonedwa kukhala makoswe ang'ono. Gwero la matenda mwina nyama zambiri zikuluzikulu, bwinobwino kudwala kapena kumasuka tizilomboto.

Waukulu akafuna HIV ndi zakudya. Nthawi zambiri kumachitika mwa chakudya zakhudzana ndi bakiteriya a. Nthawi zambiri ndi nyama, mkaka ndi masamba mankhwala. Nthawi zambiri ena amanena matenda ndi mabakiteriya ena a mtundu ndi protozoan tiziromboti.

Nthawi zambiri amachuluka ayi (nthawi zina) precedents matenda. Matenda amakhudza anthu amisinkhu yonse, koma propensity kwambiri kuoneka ana asanakwanitse zaka 3, anthu ndi kuperewera kwa m'thupi, wofooka chitetezo chokwanira. Undulating Inde ndi exacerbations pafupipafupi ndiponso musabise - chimodzi mwa zinthu zenizeni amakhala yersiniosis. Zizindikiro za izo zinawonetsera kuledzera ambiri, malungo lililonse, zotupa, kapepala m'mimba, mfundo. Mitundu chachikulu cha matenda ndi enterocolitis, enteritis, mesenteric adenitis, wofala sepsis ndi angina, komanso malo sekondale matenda. Mavuto zambiri za matenda - erythema nodosum, peritonitis ndi zotakasika nyamakazi.

Kusalekerera yersiniosis zimatulutsa kuwala, sing'anga ndi katundu, septicemic mawonekedwe. Monga mwa mayendedwe a matenda akuwonetseredwa mu pachimake, aakulu, musabise pafupipafupi.

Gastroenteritis - matenda ambiri amene ayamba yersiniosis. Zizindikiro za icho pang'ono losiyana ndi matumbo kachilombo pachimake zikuchitika. kufala Komanso (generalization) kuti thupi lonse limafotokoza zosiyanasiyana wolemera kwambiri chamtundu matenda. Iwo kwakukulukulu kudalira pa mitundu ya matenda, lomwe ndi:

• mawonekedwe m'mimba ndi zotupa khalidwe la m'matumbo, m'mimba, zakumapeto;
• mawonekedwe wosanganiza amene matupi awiri anaphimba ndi zotupa kapena zambiri;
• zowombetsa mkota mawonekedwe, kugwirizana ndi kukula sepsis, kuwonongeka m'mapapo, impso, chiwindi, ubongo nembanemba;
• sekondale-focal mawonekedwe, kukhala pa maziko a kale unaturuka opatsirana kutupa. ubwenzi wake achilendo mu ndondomeko pathological za m'mimba, mfundo mtima minofu, khungu.

Popeza tizilomboto kulowa m'thupi la wodwalayo mpaka mawonetseredwe woyamba matenda ambiri chimafikira osaposa sabata. Iwo akhoza kuonetsedwa mu mawonekedwe a syndromes angapo yodziwika ndi zosiyanasiyana za yersiniosis. zizindikiro ambiri poizoni syndrome mu zotupa m'mimba kudzaonekera pamene malungo, kutsekula m'mimba, kunyansidwa, mutu, kusanza, zopweteka mu mafupa ndi minofu, matenda ya ubongo. A mtundu wofatsa matendawa zambiri kumatenga za 3 masiku, aakulu angathe anachedwa mpaka masabata 2. Long nthawi kumabweretsa vuto losowa madzi m'thupi.

Yersiniosis mu nthawi zina, akuonekera zinthu totupa mu mawonekedwe a mawanga, madontho ang'onoang'ono, iwo amaoneka zambiri pa mapazi ndi manja. Childs, mawu amenewa khalidwe la nthendayo imatchedwa chizindikiro "masokosi ndi magolovesi." totupa The akhozanso kukopeka ndi ukuchoka, khungu moto.

M'njira choopsa cha matenda amalembedwa kuwonetseredwa zokhudza zonse kawopsedwe syndrome, zidzolo, zilonda zapakhosi, matenda m'mimba, anaonjezera chiwindi, ndulu, ndi lymph mfundo. Kawirikawiri zizindikiro amafanana pachimake appendicitis. Ngati zingamvekere zimfundo amalembedwa ndi kutupa awo, ululu, kayendedwe zochepa.

Secondary-focal mawonekedwe yersiniosis ndi mwachindunji chifukwa zotsatira za mitundu ina. Zinthu zofunika kwambiri pa fomu iyi tingasonyezere mawonekedwe a enterocolitis, polyarthritis, monoarthritis Akumenya wina zimfundo zikulu, syndrome Reiter a, erythema nodosum, myocarditis. Zokwanira tingasonyezere matenda zikuchepa autonomic (thukuta kwambiri, khungu marbling, kusinthasintha kuthamanga).

mayesero Laboratory ndi njira yaikulu kukhazikitsa yersiniosis. Matendawa zochokera kudziwika ntchito PCR mpukutu wa matupi a tizilomboto yaikulu mu ndowe kapena magazi. Immunosorbent zofufuza amathandiza kuzindikira kukhalapo kwa chitetezo ku yersiniosis. Pakuti bacteriological zinthu kuphunzira Kupenda akhoza kukhala ndowe, mkodzo, sputum, ya ndulu, madzimadzi cerebrospinal, magazi. Njira malangizo matenda a matenda monga endoscopy, X-ray phunziro la ileum ndi kulola kuti azindikire follicular ileitis.

Mankhwala a m'mapapo mwanga ndi achotsa mafunde iersinioza pakalibe matenda concomitant zichitike kunyumba, ayenera kokha ananyamula malangizo onse a dokotala matenda opatsirana ndi kutsatira zakudya. Pamene zolimbitsa kwa mtundu choopsa cha wodwala apatsidwe thandizo yekha m'chipatala.