Yersiniosis. Iimpawu, diagnosis and Treatment

nezifo ezosulelayo eziziimpawu abantu kunye nezilwanyana, ubukhulu becala achaphazela iphecana zesisu kwaye umkhwa ukuya emathunjini ngokubanzi kweenkqubo ezahlukeneyo kunye namasebe, ebizwa yersiniosis. Iimpawu zokugula zibonakale njengoko Ukugodola, intloko ebuhlungu, ubuthathaka, umkhuhlane, iintlungu kumalungu kunye nezihlunu. Kusenokubakho ilahleko wokutya, umqala obuhlungu, ugwayi.

Ezisebenza ulondolozo kunye nokusasazwa losulelo ziyafana kakhulu ukuya Pathogenesis of pseudotuberculosis. Ukufana luchazwa obuphezu kwabo sodidi efanayo kwamagciwane Yersinia. Lwegciwane iersinioza - gram-HIV bacterium Yersinia Enterocolitica, ubandakanyeka Enterobacteriaceae. Ngelo isanda losulelo luphawulwa yimbonakalo omzimba athile egazini bodidi IgM, IgA kunye IgG. Indima kwezilwanyana njengendlela njengomthombo usulelo ukungalingani. Iarhente causative iphambili yendalo zithathwa namabuzi amancinci. Umthombo usulelo kuba ezincancisayo enkulu ngakumbi, babazi ukugula okanye ukhulula gciwane.

Eyona indlela yokosulela yi zesondlo. Oku kwenzeka ngokusebenzisa ukutya ukonakaliswa igciwane. Amaninzi ke inyama, zobisi kunye nemifuno iimveliso. Amaxesha amaninzi, kuye kwacetyiswa bosulelwe iintsholongwane ezithile sodidi sisidleleli protozoan.

Amaninzi ngabona manqapha (ngamaxesha athile) izandulela sifo. Izifo luchaphazela onke amaqela ubudala, kodwa olungaka kakhulu kuyo ibonwa ebantwaneni kwiminyaka ukuya ku-3 ubudala, abantu kusekho omzimba, buthathaka nezifo. Ikhosi lihlangana kunye exacerbations rhoqo kunye likakade - enye iimpawu ezithile eziphawula yersiniosis. Iimpawu ichazwe ukunxila jikelele, ngumkhuhlane eqhelekileyo, kolusu, iphecana zesisu, amalungu. Tholo yayizezona zinto ze zesifo enterocolitis, enteritis, adenitis mesenteric, nokudumba ngaphantsi okuqhelekileyo angina, kwakunye neendawo aphakamileyo osulelo. Iingxaki ezininzi rhoqo isifo - erythema nodosum, peritonitis kunye samathambo lovukelo.

yersiniosis elihlabayo ihlaba ukukhanya, aphakathi kunye enzima ifom, septicemic. Ngokutsho lokuqhubeka sifo wabonakalaliswa ubungozi, esinganyangekiyo, likakade rhoqo.

Gastroenteritis - sifo ixhaphakileyo eqala yersiniosis. Iimpawu zingafani kancinane ukusuka naluphi na usuleleko oyingozi emathunjini yenzeke. ukusasazeka (gabalala) kuyo yonke umzimba ucacisa abazizityebi ukwahluka ukwenza izinto zonyango. Bona ubukhulu becala kuxhomekeka iintlobo zosulelo, phakathi eyile:

• ifomu zesisu kunye amanxeba uphawu ikholoni, isisu, isihlomelo;
• uhlobo mixed apho izidumbu ezimbini ezihlawulelwayo, ukwenzakala okanye ngaphezulu;
• ifomu ngokubanzi, ezinxulumene kunye nophuhliso nokudumba, umonakalo lung, zezintso, isibindi, ingaphandle ingqondo;
• ifomu aphakamileyo-focal, ukuphuhlisa phezu imvelaphi ngaphambili eEdeni ukudumba esosulelayo. Ukubandakanyeka kwakhe ngokukhethekileyo kwinkqubo zophendlo lwezifo yethumbu, amalunga, intliziyo, izihlunu, isikhumba.

Ekubeni pathogen ukuba bangene umzimba isigulana de wabonakala kuqala lwezonyango uqobo kudlulela akukho ngaphezu kweveki. Baya ingavezwa ngokohlobo syndromes eziliqela luphawulwa iintlobo ezahlukeneyo yersiniosis. iimpawu syndrome ityhefu jikelele izilonda yokusila ndiyibonakalalise, njengoko umkhuhlane, urhudo, isicaphucaphu, intloko ebuhlungu, ukugabha, lihlwili kwamalungu nemisipha, ukuphazamiseka kwenkqubo luvo. Ifomu mnene esi sifo ngokuqhelekileyo ithatha malunga 3 iintsuku, kakhulu ekwaziyo walibala de kwiiveki ezi-2. ixesha elide ikhokelela emzimbeni.

Yersiniosis kwiimeko ezinqabileyo, ivela kwi eluswini irhashalala izinto ngohlobo amabala, amachaphaza amancinane, ukuba kuvela kaninzi kakhulu iinyawo nezandla. Ngokuqhelekileyo, ezo uphawu ibinzana kwesi sifo kuthiwa uphawu 'zeekawusi neeglavu. " Yabangxamayo kufuneka ikhatshwe exwebula, isikhumba otshisayo.

Xa iintlobo kakhulu zesi sifo ziphawulwe ngokubonakala syndrome systemic zinetyhefu, irhashalala, umqala obuhlungu, esiswini, isibindi ezandisiweyo, udakada, neendawo nkovu. Ngokufuthi iimpawu zifana appendicitis oyingozi. Ukuba luchaphazela amalungu eziphawulwe ukudumba, iintlungu, intshukumo yabo umda.

ifomu Secondary-focal yersiniosis ucaciselwe ngenxa yokuba iziphumo kwezinye iintlobo. Ezona mpawu ziphambili zale fom iyakubonakaliswa ngokohlobo enterocolitis, zihlaselana, monoarthritis, ebetha omnye amalungu ezinkulu, Reiter engqondweni, erythema nodosum, myocarditis. Kwanele lungabonakaliswa ukuphazamiseka kabukhali yawo (ukubila ngokugqithiseleyo, isikhumba kwentlenga, ukuhla pressure).

Iimvavanyo Laboratory ezi ndlela iphambili yokuseka yersiniosis. Uxilongo ngokusekelwe ekufumanekeni usebenzisa PCR isiqwengana genome ka pathogen lokuqala endleni okanye egazini. kulingwa Immunosorbent kunceda ukuchonga ubukho antibodies yersiniosis. Ngokuba izinto bacteriological izifundo zeemviwo ingaba ilindle, umchamo, isikhohlela, inyongo, ulwelo lwe-cerebrospinal, igazi. Iindlela loxilongo isisixhobo kwesi sifo zibandakanya endoscopy, X-ray ukufunda le ileum, ukuvumela ukuba ukubona ileitis follicular.

Unyango imisinga iersinioza yemiphunga nezengekho zicinywe xa kungekho sifo ezihamba ingaqhuba ekhaya, kufuneka kwenziwe kuphela zonke kwiziphakamiso gqirha sisifo esosulelayo kwaye ulandele ukutya. Xa olungephi ukuya kakhulu lwe isigulane kufuneka ziphathwe kuphela esibhedlele.