Salmonellosis: makulitsidwe nthawi osiyanasiyana, zizindikiro ndi mankhwala

Ambiri a ife aona mu moyo wanga zoterozo matenda matumbo ngati nsomba. Malungo, kupweteka m'mimba, kusanza, maulendo kawirikawiri ku bafa - chimene chimachitika pamene nsomba ndi ingested. Tiyeni tione mwatsatanetsatane zimene mtundu wa milandu kudwala imene n'lakuti, zomwe zimatengera mtundu wa salmonellosis. Nthawi makulitsidwe a kupewa matenda adzamva anaphimba zipangizo nkhani.

salmonellosis ndi chiyani?

Salmonellosis - matumbo nthenda yodziwika ndi amawasonyeza mosiyanasiyana kuledzera wa chamoyo ndi chotupa cha intestine lapansi. Kudwala zikhoza mtundu wa mabakiteriya nsomba kuti alowe thupi m'njira zosiyanasiyana:

• ndi chakudya,
• kuchokera nyama odwala,
• kwa munthu amene ali (chimene mwa icho chokha kudwala, kapena chonyamulira cha bakiteriya a).

Nthawi makulitsidwe kwa salmonellosis ndi zaka usiku. matenda matumbo ndi sioneka ndithu, chifukwa poyamba sakhudzidwa okha mokwanira, ndi munthu, kuyembekezera ayambe othamanga, si kulabadira chithandizo.

Wofatsa mawonekedwe salmonellosis limapezeka sadzachitanso noticeable malaise, pang'ono matenda a mpando. Komabe, pali Zikavuta kwambiri za matendawa ngakhale kuwonetseredwa malungo, lotayirira chopondapo mobwerezabwereza kusanza, kupweteka m'mimba, mutu.

Zimachitika kuti ntchito anthu nsomba zingachititse chilichonse, kupweteka, malungo yaitali, kutsogolera kwa ponso ziwalo - ndulu, chiwindi - ndi kupanga m'menemo septic foci.

Tizilombo mtundu nsomba

Nsomba - mtundu mabakiteriya ndi mawonekedwe a ndodo ndi 7 mm yaitali, 0,7 mamilimita lonse. The tizilombo ndi tizilombo anthu ndi nyama moyo, monga ulamuliro, m'matumbo. Iwo ali wodzichepetsa kwambiri, kukhala ndi kukula mu TV pulayimale zatu.

Akulowa mu thupi, mabakiteriya kuyamba kugwira ntchito, koma osati panopa. Nthawi makulitsidwe kwa salmonellosis akuluakulu ranges ku maola 6 kwa masiku atatu.

Mabakiteriya akusungidwa bwinobwino m'malo kunja:

• m'nthaka - zaka imodzi ndi theka,
• madzi - kwa miyezi 5.

Chabwino kumva okha ndi nsomba chakudya. iwo kusunga umoyo wawo:

• mu tchizi - mpaka 1 chaka,
• achisanu nyama - 6 miyezi,
• batala - kwa miyezi 4,
• nyama mankhwala - kwa miyezi 2 kapena 4
• yogurt ndi mowa - kwa miyezi 2
• mkaka - masiku 20.

Nsomba akuwononga kuwala ultraviolet ndi kutentha: pamene mkangano ndi kutentha kwa 55 ° C mabakiteriya akuphedwa ndi maola 1.5 kuti kutentha 60 ° C - mphindi 12. Komabe, nsomba si kwathunthu anaphedwa ndi kuzizira.

Mu mankhwala ena, monga mkaka kapena nyama, nsomba sikuti apulumuka, komanso kuchulukitsa.

Chifukwa pali salmonellosis?

Ambiri njira za matenda omwe ndi nsomba - matenda mankhwala. N'zochititsa chidwi kuti nsomba zamoyo chakudya zakhudzana sasintha chikuoneka ndi kukoma. Infection wa nyama (mazira, nyama) limapezeka pa zifukwa zosiyanasiyana:

• ngati yosayenera kapena analimbikitsa nyama kukaphedwa;
• kuphwanya malamulo a malonda yosungirako ndi kukonzekera chakudya (mwachitsanzo, pa mgwirizano wa mankhwala atha ndipo nyama yaiwisi);
• ndi ofooka kutentha ankachitira mankhwala (nyama ndi magazi ndi zina zotero.);
• kudzera mazira a mbalame odwala makamaka mazira bakha.

The malo abwino kwambiri ntchito mabakiteriya ndi chakudya ndi madzi ndi gel osakaniza-ngati kugwirizana - aspic, creams, saladi. Zimakhala ntchito oopsa kwambiri, makamaka pa miyezi otentha mankhwala awa: malingana ndi kuwerengera, m'chilimwe, mu kutentha, mkhalidwe wa salmonellosis kumawonjezera zobwezedwa.

Pali njira zosiyanasiyana za kudwala:

• m'mimba (m'mimba)
• tifopodobnaya,
• septic,
• asymptomatic,
• bacteriocarrier.

m'mimba

Izi mawonekedwe a matenda ndi ambiri. Nthawi makulitsidwe kwa salmonellosis, zizindikiro zimachitika mofulumira ndi yowala kwambiri - nthawi pamene anthu kale kudwala, koma zizindikiro za matenda panobe. Choyamba, pali kufooka ndi mutu, chizungulire, malungo, kuzizira.

Kenako, pali zizindikiro loyamba la kapepala m'mimba limba kuwononga - kupweteka m'mimba mwa m'michombo ya; Kusanza ndi zotsala kuonekera chakudya, ndipo kenako - ndi ya ndulu; Kutsekula m'mimba ndi ndowe Kamaoneka ndi ntchofu. Palinso zizindikiro ndi mawonetseredwe zithunzi salmonellosis: chinenero cha wodwalayo ❖ kuyanika woyera, pali dryness mkamwa, bloating, palpation amene ululu amapezeka.

Kutsekula m'mimba ndi m'mimba salmonellosis mawonekedwe kumatenga masiku angapo ndipo kawirikawiri amakhala zotsatira zoipa: madzi m'thupi kumachitika ndi imfa ya salt mchere, wodwalayo mwina kuchepa magazi, ndi khunyu kuoneka, nthawi zina zokhudza wamanjenje dongosolo - pali syncope ndi chizungulire. Ndi mankhwala yake wodwalayo kuti n'kosavuta pa tsiku lachisanu, koma kuchira bwino zambiri amapezeka kutha kwa sabata chachiwiri.

Tifopodobnaya ndi mitundu septic

More aakulu matenda chithunzi ali tifopodobnaya ndi mitundu septic wa salmonellosis.

zofanana kwambiri ndi zizindikiro za m'mimba-mtundu kudwala matenda tifopodobnaya. Chotero salmonellosis (makulitsidwe nyengo munthu ali amatchedwanso zobisika kapena chobisika) poyamba amagwiritsidwa yodziwika ndi kufooka ndi kutentha thupi. Komanso chikhalidwe cha matenda zimakhala zofanana typhoid, munthu ali patali (mkati mwa sabata), malungo, chizungulire komanso kuyerekezera zinthu m'maganizo zotheka. Pa wodwala pamimba zotupa chinenero amakhala imvi bulauni mtundu, khungu amakhala wotumbululuka kwambiri, distension m'mimba kwambiri. Complete ayambe wodwala mu mawonekedwe a nsomba amapezeka osati kale kuposa pambuyo miyezi 1-1.5 woyenera mankhwala.

Septic mawonekedwe a matenda kumaonekera kwambiri kawirikawiri. Kwenikweni zizindikiro za matenda angayambe anthu ndi kachitidwe wofooka m'thupi, ana ndi okalamba. Matendawa limodzi ndi malungo yaitali, profuse thukuta, matenda a chikasu ndiyo, njira yotupa mu mapangidwe ziwalo. imeneyo ya matenda zambiri kumathera imfa.

Asymptomatic mawonekedwe ndi bacteriocarrier

Asymptomatic ankaona mawonekedwe salmonellosis, imene thupi zikuchoka pang'ono mabakiteriya ndi chitetezo cha m'thupi kulimbana paokha ndi tizilombo yachilendo.

Bacteriocarrier wotchedwa boma limene munthuyo si odwala, koma nsomba mu ndowe ena nthawi (zambiri zosaposa miyezi itatu).

Kodi chimachitika m'thupi?

Salmonellosis chimakula mwa masiku atatu kuchokera pamene malowedwe a mabakiteriya m'thupi la munthu. Woyamba maola 6-8 matenda alibe kuonekera.

Nsomba, kulowa m'mimba ndi chakudya, wakumana panjira woyamba chopinga zachilengedwe - malo acidic, chifukwa chimene mabakiteriya zovuta kusuntha. Komabe, ngati thupi m'thupi osakwanira nsomba akulowa intestine yaing'ono. Part mabakiteriya akuphedwa, mmene endotoxin limasuka. Pa mfundo imeneyi, munthu ali ndi zizindikiro oyambirira a matenda.

mabakiteriya amenewa sanaphedwe, kukhazikika mu intestine ang'ono ndi kuukira mpanda wake, motero kusakonda ndi poizoni. imfa madzi kumachitika mwa intestine, chikhudzanso wamanjenje dongosolo, mkhutu mtima kamvekedwe. Nsomba pang'onopang'ono anamasulidwa mu m'magazi njira imene kufalitsa thupi lonse ndi kudutsa mu impso, m'mapapo, lymph mfundo, ndulu, kumene waikamo.

Ngati kumene chitetezo chokwanira ndi wamphamvu sitepe yotsatira waphedwa nsomba, mwinamwake pali mapangidwe zotupa atsopano yotupa - akugwirizira chitukuko typhoid kapena septic mawonekedwe kudwala.

Amadziwika kuti ndi woopsa kwambiri kwa ana salmonellosis. Nthawi makulitsidwe ana n'chimodzimodzi ndi akuluakulu, koma nthawi zambiri matenda n'kovuta kwambiri ndi zovuta chithandizo. Monga ana akamakula zifika dongosolo mphamvu m'thupi ndi chiwopsezo kwa nsomba ndi ndinasintha yafupika.

diagnostics

Matenda a nsomba akuyamba ndi kuunikidwa kunja wodwalayo. Doctor atakhazikitsa zizindikiro zimene zingasonyeze pamaso pa matenda mwa anthu, amasonyeza boma ambiri thanzi amaika nkhani bacteriological ndi serology. Monga chuma ntchito osati magazi ndi mkodzo, komanso vomitus, ndowe, ya ndulu, chapamimba madzi akamagwira ndondomeko kusamba.

Yoyenera matenda a salmonellosis ndi amazipanga zofunika, monga mochedwa mwambo wa mankhwala sapereka anthu ayambe zonse, ndi chikhalidwe pathological pamafunika mawonekedwe kwambiri ndi kungathandize kuti apange kutupa pamimba (peritonitis), mafupa (polyarthritis) kapena mantha poizoni.

Mankhwala ayenera kugwiritsidwa ntchito yomweyo mwamsanga pamene anayamba kukayikira salmonellosis (nthawi makulitsidwe). Chithandizo cha matenda zambiri zikuchitika monga outpatients. M'chipatala mu salmonellosis nkhani. Komabe, chipatala lomwe kuti ana, achikulire, ogwira ntchito ku makampani chakudya, komanso mawonekedwe choopsa cha matenda.

chithandizo

salmonellosis chithandizo ndi ndondomeko zovuta kuti Chili mbali zingapo:

• mankhwala antibacterial kwa nsomba ulamuliro;
• njira zakumwa zobwezeretsa ndi apadera kubwezeretsa buku la madzimadzi yotayika kutsekula ndi kusanza;
• Kukonzekera mankhwala kwa thandizo la ndondomeko kuledzera;
• Kubwezeredwa kwa microflora mu matumbo;
• kutsatira kudya zakudya zapadera mu chakudya;
• zobwezeretsa miyeso.

Polimbana ndi mabakiteriya ntchito mankhwala opangidwa kuchokera ku penicillin ndi fluoroquinolones. Chifukwa nsomba adzalandira mphamvu mwamsanga azolowere mankhwala ntchito mankhwala ena monga tetracyclines ndi aminoglycosides zambiri okha. Pali lamulo monga zomwe maantibayotiki osati kutumikiridwa pa mawonekedwe wofatsa matendawa, komanso ngati palibe magazi m'manyi.

Kuthetsa mavuto obwera chifukwa cha kuledzera ntchito chelators monga mpweya adamulowetsa, "Enterosgel," "Polisorb". MANKHWALA OLETSA VUTOLI kuthandiza kuchotsa ululu syndrome ( "No-Spa").

Ngati m'badwo wa pafupi mtima achikulire, komanso ngati mbiri ya matenda aakulu kupereka m'mimba kapena m'matumbo, tikulimbikitsidwa kudya za kukonzekera enzyme monga "Pancreatin" kapena "zikondwerero".

Chofunika kwambiri n'chakuti tabwezeretsa buku anataya madzimadzi thupi. Kuwonjezera madzi zothandiza ntchito zakumwa zipatso, zakumwa zipatso, tiyi ofooka.

Mogwirizana ndi mankhwala amene amagwiritsidwa ntchito maphikidwe kwa mankhwala. Mu masiku oyambirira a nthumwi matenda ntchito munali tannins, - garnet bulauni, zipatso m'tchire chitumbuwa, thundu khungwa. Pambuyo pake zida pamwambapa, inu mukhoza kuwonjezera kulandira odana ndi yotupa zitsamba - calendula, chamomile, strawberries zakutchire, tchire.

Kudya salmonellosis

Chofunika kwambiri pa matenda a salmonellosis ndi zakudya. Mu masiku oyambirira a nthendayo amachotsedwa zakudya mkaka ndi mkaka.

The wodwala contraindicated chakudya kuti ali zimakhudzanso akutivutitsa pa mundawo m'mimba: zakudya zokhala coarse ulusi, CHIKWANGWANI; zakudya zam'chitini; Nkhaka; zokometsera ndi yokazinga zakudya. Izi muyeso ayenera ikuchitika osati pa chithandizo, koma patangotha mwezi umodzi kuchira.

mankhwala lilibe zolimbikitsa ndondomeko ya nayonso mphamvu ndipo inali kuwola mu intestine lapansi. Zikuphatikizapo masamba, zipatso, carbs kudya - muffins, katundu yakeyi.

Kapenanso, mtima wa akulimbikitsidwa kugwiritsa ntchito soups defatted (mwachitsanzo, pureed masamba), steamed nyama kapena nsomba chochepa; mazira zofewa-yophika kapena omelet; yophika ndi madzi, osati monga chimanga mkaka, curd, metered - mafuta; crackers; odzola; compote zipatso zouma tiyi.

Pankhani ya kuyamwitsa ali osavomerezeka kuletsa matenda khanda.

zodzitetezera

Kupewa salmonellosis akubwera kusunga malamulo osavuta kudziwika kwa aliyense:

1. Simungathe kudya nyama alibe zapita ulamuliro wa ntchito yoyenera thanzi.
2. Nyama ayenera pansi kutenthetsa mankhwala maola osachepera awiri pamene akukonzekera lina lalikulu chidutswa.
3. Kodi kudyedwa yaiwisi bakha mazira - ayenera yophika kwa osachepera kotala la ola.
4. Musanayambe kupanga omelet, mazira tiyenera kutsukidwa. Pambuyo mpheto ya manja dzira chipolopolo ayenera bwinobwino kutsukidwa.
5. Khitchini ayenera kukhala osachepera awiri matabwa kudula - wina nyama, wachiwiri - enawo.
6. Musati kusunga mu firiji, nyama yaiwisi pafupi ndi mankhwala ena.
7. Pakuti kumwa ndi kusamba zipatso ndikupeza yekha (kapena yophika) madzi angagwiritsidwe ntchito.
8. Kusambira mu nyengo yofunda okha ndiwo ayenera kuloledwa m'mundawu, chifukwa n'zotheka kukhala ndi kachilombo ndi nsomba, ndimweko madzi posungira pamene kusambira.
9. Ana ali pangozi, chifukwa zimatha kuteteza thupi la mwanayo ndi yochepa kwambiri poyerekezera ndi munthu wamkulu. Ntchito makolo - kuphunzitsa mwana wanu chithandizo olondola a nyama ndi mbalame.

Choncho, n'zotheka kuti adzimvera zonsezi pamwambapa. M'nkhani ino takambirana mfundo zikuluzikulu zokhudza nsomba - matumbo matenda chifukwa cha bakiteriya, nsomba.

Popeza wothandizila causative matenda ndi ingested ndi chakudya, ndi kwa munthu amene ali kapena nyama, ayenera kusamala kwambiri kuonetsetsa kuti ife kudya ndi momwe ife zinthu anthu ndi ziweto.

Zida zaoneka kuti mankhwala amadziwa njira zosiyanasiyana anatengedwa ndi nsomba. Nthawi makulitsidwe, zimapangitsa matenda a ana ndi akulu omwe, koma amalephera ana akuvutika salmonellosis. Izi ndi chifukwa peculiarities wa chitetezo ana.

Ndi mankhwala a matenda ayenera ntchito yomweyo. Therapy salmonellosis - multicomponent umalimbana atagwira ntchito monga mabakiteriya m'thupi, ndi kubwezeretsa thanzi pambuyo madzi m'thupi ndi matenda a microflora ndi matumbo chifukwa m'mimba, kusanza, malungo.