Brucellosis - yintoni na le nto?

Umntu ngamnye utya ubisi, itshizi kunye nenyama. Ezinye inxalenye yabantu egcina izilwanyana: njengoko abahlobo okanye isidlo elizayo. Enoba ubume izilwanyana ezinjalo abathwali izifo eziyingozi ezosulelayo enokusasazwa abantu.

Noko ke, kunokubangela ezininzi iingxaki ukuba ekugqibeleni kukhokelela imiphumo kunokuba buhlungu. Brucellosis - le yenye yezo ukoyiswa.

Inkcazelo sifo

Brucellosis - sisifo esosulelayo ethunyelwayo ukusukela izilwanyana abantu. It luphawulwa izilonda luvo inkqubo, izixhobo Isifo-articular, kwakunye iziphumo zomonakalo ezityeni intliziyo negazi.

Eli zezifo Brucella - microorganisms ilifa ukumelana elibalulekileyo kwiimpembelelo ezithile zokusingqongileyo: ukufuma phezulu okanye kubushushu obuphantsi.

Ukungena kwabo umzimba womntu kwenzeka ngokusebenzisa inwebu okanye isikhumba yangaphakathi. Okulandelayo, ukuba uxhumane iiseli kunye nokuphuhlisa ngamandla kubo, sabe kwiindawo nkovu kunye imithambo yegazi wonke umzimba.

Xa lesitofu umongo, udakada, isibindi okanye amanye amalungu igalelo ukuvela losulelo Brucella, nto leyo ekhokelela ukuyilwa utshintsho izidubuli-komzimba. Phezu usulelo ezinye iintsholongwane nexesha elongezelelweyo kwisithuba esi sifo amathuba aphezulu yenkqubo acute kunye ezigulo ezondeleyo.

Brucellosis: Iintlobo kwamagciwane

Okwangoku, unako ukwahlula iiarhente ezintandathu eziphambili sifo umbuzo:

1. IBrucellosis MPC (yinyongo ezincinane) zibangelwa yi-arhente Br. Melitensis ne Br. Ovis - izimvu ngamnye.
2. Br. abortus cometh ezendeleyo ezihagwini.
3. Ngokuba iinkomo na iintlobo igciwane yingozi Br. abortus bovis.
4. Br. neotomae - kuba iyintlango iimpuku etyholweni. Olu hlobo of non-yayintsholongwane eyosulela abantu.
5. Br. canis - inja.

Kubume bayo morphological ezi bacterium azahlukanga kakhulu enye kwenye. Ngokuqhelekileyo ezi eziphilayo luphawulwa:

• imilo setyhula okanye elimbhoxo kunye ubungakanani kumqolo ukusuka 0.3 ukuya 0.6 microns;
• gramootritsatelny kwaye bayakwazi ukukhula kwimidiya eziqhelekileyo sakhi;
• i kwamagciwane yokuqala sub-culturing ivela emzimbeni akhiwa kancinci ngaphezu okwalandela;
• waveza Brucella zintsholongwane unako kuguqulwa L-imilo;
• lwegciwane ezinjalo ongowona ikwazi ukufota eli iseli kwaye parasitize khona;
• ngokukodwa xa zitshatyalalisiwe, kukho ulwabiwo endotoxin.

Usulelo itshitshayo ngokugcina yona ukuba imizuzu engama-30 degrees 60. Xa kuphekwa, bangafi ngoko nangoko. Kwakhona Brucella konakalisa kwelanga kunye nezinto ezisetyenziselwa kweentsholongwane. Kodwa obushushu aphantsi zinqongophele khona ixesha elide.

imizila exposure kunokwenzeka

Brucella ziziinkalo ezincinane neempawu gaze womelele, ebavumela ukuba angene ngesikhumba, engaquki nokuba abe iziphene. Ukungenwa ephilayo lwenziwa ngezi ndlela zilandelayo:

• kukudibana ngqo ezigulayo;
• ngelixa nokudla ukudla kunye neemveliso zobisi engekalungiswa, leyo eziqulathe igciwane;
• ekwenzeni izinto uboya nesikhumba kwezilwanyana;
• yi amachaphaza;
• Ngaphezu koko, izinto eziphilayo kunye ngendle zingcolise umphezulu, ngoko esinxibelelana abantu, ngaleyo ndlela kwande amathuba okuba nezifo.

Xa kuqwalaselwa ezibangela ukuba usulelo kunokwenziwa isigqibo sokuba sokuphunza sisifo nomsebenzi abantu abasebenza kunye abalusi nemfuyo, imfuyo, iingcali zonyango lwezilwanyana. Amathuba eliphezulu losulelo waphawula ukuncedisa isilwanyana ngexesha lenkqubo yokunikezelwa.

Okumangalisayo kukuba, iinkomo iBrucellosis zinokusasazwa kwezinye izilwanyana okanye abantu. Kodwa sifo na zesini phakathi kwabantu.

Isifo

Ubukhulu bexesha lale bafukanywe phantsi kweemeko eziqhelekileyo akuthethi ingadluli kwiintsuku ezingama-30, kunye nokusekwa ushicilelo abagxothwa isifo - iintsuku 90.

Sinako ukwahlula iintlobo 4 lweBrucellosis:

1. Olunamandla. Luphawulwa yintloko, nobuhlungu bomzimba, iingxaki ukutya nokulala, amaqondo obushushu aphezulu, leyo iyahluka kakhulu ngexeshana elifutshane. iBrucellosis Acute kakhulu ngokukhawuleza kwi besebancinane ngakumbi abadala.
2. Subacute. Ukongeza kwiimpawu ngasentla, kukho iingxaki kunye namalungu kunye nezihlunu, kunye isitulo, kwakunye angawokubhuda kunokwenzeka komzimba. Le fomu luphawulwa States yomhla nezolo febrile. Isigulane kusenokubakho utshintsho rhoqo mood, iintlungu ekuhlanganeni kwengubo izihlunu zomzimba.
3. Ezondeleyo. Inyanzelisa impembelelo zizifo e-nervous system. Ngenxa yoko, oko ukuphazamisa umsebenzi eqhelekileyo ukuva, umbono, ubuntununtunu komzimba. Ukongeza, inkqubo ukubandezeleka musculoskeletal kunye nenkqubo enzala.
4. Intsalela. Luphawulwa umlinganiswa esebenza kakuhle. Ngokukodwa, kuchaphazela kakubi iimpahla intliziyo negazi, ibangela iingxaki ezahlukeneyo kwixesha elide lexesha.

Phase isifo flow

Iintsholongwane emva kokuba ukubetha emzimbeni azifakwa macrophage, abaya ukuphuhlisa baye kwiindawo nkovu, ziye zasasazwa apho wonke umzimba.

Ngokuphathelele izinto ezinjalo ziyakwazi ukuchongeka Brucella usulelo flow kwizigaba 5:

1. Nkovu node. Siyafana ukuya okuthatha. Iintsholongwane zinokuba ixesha elide emzimbeni womntu, ngaphandle ukubonisa ngokwabo.
2. Hematogenous. Emva lokwandisa inani eliphezulu losulelo Brucella kwi nkovu iindawo ziqala ukubonakala bonke phezu komzimba.
3. kwiindawo poliochagovyh Phase. iiseli pathogen azifakwa ziiphagocytes amalungu ngamnye, nto leyo uluhlu lwe nakujoliso olutsha usulelo.
4. Isigaba ekzoochagovyh kokungcola. Eyalo nokusasazwa Brucella ngebhegi ukuba ukuyilwa utshintsho yovukelo lwendalo komzimba.
5. Isigaba milo. Kweli nqanaba, kukho isindululo olupheleleyo osulelo okanye uphuhliso -ukwenzakala loloyiko gqolo amalungu ezibuhlungu.

Brucellosis: iimpawu ebantwini, ukoyiswa photo

usulelo ngalinye iimpawu. Ukuba uyazi ukuba size siqonde iimpawu eziyimfuneko, kunokwenzeka ukuba siphephe iingxaki ezahlukeneyo.

1. Ngelo kusekwangoko isifo kunzima kakhulu ukufumanisa, ekubeni indlela converges zokugula iBrucellosis kunye influenza okanye ezinye izifo wentsholongwane egazini: lobushushu eliphezulu leyo degrees 40, intloko ebuhlungu, ukungabi namdla nangobunzima, kwaza buthathaka.
2. Ngokuxhomekeka kuhlobo pathogen ngazo ezinye iimpawu: ukugabha, urhudo, amathumba ukuphuhlisa kwiindawo ezininzi.
3. Ebudeni ngakumbi esi sifo ivela namdla rhoqo, ubuthathaka okwandayo, iintlungu kwamalunga. Konke oku kuhambisana ukuhla e lobushushu emzimbeni, okwenza ukuba urhulumente bomkhuhlane, kunye Ukugodola.
4. Kule fomu etsolo zingavela fibrositis nemikhinkqi kunye cellulite, negazi, irhashalala, dermatitis, ukuphazamiseka kule olujikeleza. Esi sigaba iyingozi kakhulu ukuba abasetyhini abakhulelweyo, kuba isifo iquka esini, nto leyo enokukhokelela ekubeni unikezelo phambi kwexesha okanye kwezisu.
5. Le fom ezingapheliyo luphawulwa utshintsho eliyingozi emzimbeni womntu, ibangela iingxaki ezinkulu kunye amalunga, inkqubo genitourinary, okukwazi yomzimba.

Ngoko ke, lo sisifo nzima kakhulu - sokuphunza. Iimpawu ebantwini, ifoto kunye inkcazo ngokubanzi ephilayo karhulumente, ngoko nangoko ukuvumela ukuba ukubala usulelo ukuthintela okubi okanye ukutshintshela stage ezigulo ezondeleyo.

ekuxilongweni

Kuba efumanise kusekwangoko isifo alandelayo isifo kusetyenziswa iindlela lweBrucellosis:

1. Uhlalutyo lwamanani kwamatyala kummandla, amanani ekufuneka kuqinisekiswe ngokuthi yinyaniso lokutya inyama kunye neemveliso zobisi kwizilwanyana ezisulelweyo.
2. Ndiqhuba imbali izikhalazo, ekufuneka ziboniswe iimpawu zosulelo.
3. Uhlalutyo igazi, umchamo, ulwelo fluid kunye articular zibe eyahlukileyo sakhi eliphakathi. Ukuba zakha iintsholongwane ezithile, ukuba isiqinisekiso se zokosuleleka.
4. Khangela ukuba ubuntununtunu iindidi ezithile antibiotics.
5. Reaction Wright. Le ndlela iluncedo kuba kunokwenzeka ukufumanisa ubukho sifo kwiintsuku zokuqala. Technology yile ilandelayo: kwityhubhu kwavavanywa kongezelelwa igazi serum abantu abosulelekileyo kunye neeseli abafileyo Brucella. Ukuba ishq akhiwa, ngoko ke uphethwe positive.
6. Isampula Brunet. Phantsi ulusu protini pathogen yaziswa kwaye zivavanywe ngesidanga ububomvu nesabelo.
7. Indlela ye-Polymerase Chain Reaction. Uchaza Brucella DNA kwiincindi zomzimba.
8. Coombs. Isetyenziswa ukuba amisele uhlobo ezigulo ezondeleyo. Wenziwe uvavanyo lwegazi zokubhaqa omzimba athile ezosulelekileyo ezihambelana esi sifo.

Indlela yokuphatha lweBrucellosis?

Eyona njongo iphambili kweli unyango lwe-Brucellosisi - kukuqinisekisa ekuthinteleni kwangethuba ukusasazeka kwesi sifo kunye nokuncitshiswa iimpawu okanye nya.

Xa iimpawu zokuqala osulelo kufuna esibhedlele ngokukhawuleza esibhedlele. Unyango kufuneka abe phantsi kweliso elibukhali likagqirha abasenyongweni.

Ekuqaleni ikhondo antibiotics ababelwe: Kuya kufuneka ukuba uthathe "rifampicin" yaye "Doxycycline". Kwezinye iimeko kuyimfuneko ukusebenzisa amachiza anti-ukudumba.

Ukuxhasa amajoni omzimba kumgangatho elithethwe ngexesha sifo, amisele amayeza ukuphucula zokuzikhusela zomzimba.

Zonke izenzo ingcali ukuya kuxhomekeka eqongeni losulelo kunye ukuvuza iimpawu ngamnye yomsebenzi yomzimba womntu.

Kule fomu ezingapheliyo kukho ukusetyenziswa kanye unyango omsindo-frequency neebhafu kweparafini. Loo ndlela kubandakanya ukufumana unyango Spa yesigulane.

ukuvimbela

Ukuthintela Brucellosis, okanye ubuncinane ukusa kumkhamo othile, ukunciphisa ingozi yokuba nesifo, kuyimfuneko ukulandela amanyathelo awodwa zifo.

Ezi ntshukumo zilandelayo zijolise kakhulu ekuthinteleni usulelo kwemfuyo:

• imfuyo iimeko survey rhoqo;
• bodwa kwangethuba abantu abosulelwe;
• ekuqhubeni nokugonywa nokwenza;
• magciwane ngamaxesha yezakhiwo.

Iqela ubungozi - abantu basoloko ukunxibelelana kwezilwanyana kunye nemveliso yazo. Basengozini enkulu kule abasebenzi basekliniki wempahla. Ukunciphisa ingozi yosulelo, kufuneka:

• ukulandela nemiqathango yococeko-epidemiological kwi kwishishini;
• elandela ngayo imigaqo yococeko: sebenzisa iiglavu, iimaski, izibulali, ukugcina ezithweni zokuhlala yezilwanyana;
• qho kwiminyaka emibini yi imigomo edingekayo;
• uzikhusele wena ekudleni iimveliso zobisi ekrwada, kwakunye nezo iimveliso zezilwanyana ukuba zithengwe nayo.

Imiphumela kanye nobunzima

Brucellosis - ibangele izitshanguba lo msebenzi yenzala, inkqubo luvo, isibindi kunye nezinye iindawo ezibalulekileyo omzimba womntu.

Phakathi iziphumo ezingalunganga ezinokwenzeka woyekelelo;

1. Endocarditis. Omnye wemiba ephambili ezikhokelela ekufeni kwizigulane kunye nesifo sokuphunza. nempembelelo embi kubume umsebenzi ivelufa kwentliziyo.
2. Samathambo. isifo Joint. Ukudumba evela usuleleko ubangela iintlungu, ukudumba kwaye kunciphise umsebenzi lo mbutho.
3. Usulelo ndachukumisa kunye epididymo wamatyhalarha ebangela mizwa ekhathazayo kwindawo nasemiphakathweni, kunye neengxaki ukuchama.
4. Xa izilonda usulelo wesibindi udakada wongeza yabo ubungakanani, nto leyo sikhatshwa ziintlungu.
5. Ukuba gciwane iye yachukumisa inkqubo luvo, kungabangela meningitis kwaye kobuchopho - ukudumba meninges. Ngenxa yoko - buso okanye epheleleyo ukulahleka umbono.
6. Ukuba umfazi omithiyo iyagula Brucellosis, yinto emngciphekweni omkhulu kwesisu, ukuzalwa ngaphambi kwexesha, uphuhliso okungaqhelekanga yosana olungekazalwa.

Abo ezigulayo kunye kusulelo, kungenzeka iimpawu eyintsalela: ukwanda ukubila, ukuba nochuku, iintlungu kunye deformation namalungu, ukulungisa apho kufuneka ungenelelo yotyando.

Fatal iBrucellosis ngqo akukho rhoqo kakhulu. Kwiimeko ezininzi, isiphumo ebuhlungu ufikela ukuphuhlisa iingxaki.

Brucellosis - sisifo esosulelayo ukuba ngokwaneleyo usongo kakhulu kwimpilo yoluntu kunye nobomi. Kuyingozi ngenxa yokuba akukho ndlela ephumelelayo ukujongana nayo - unako ukumbamba iimpawu kuphela.

Kumnyinyiva mkhulu ubethwa ukuba icandelo labantu, nto leyo ukunxibelelana nezilwanyana. amadoda kunye nabafazi ngabona phakathi usuleleko zizifo, kodwa abantwana ngamanye amaxesha abagulayo.