Ka nānā ʻana a me ka maʻi o salmonellosis - nā ala no nā keiki a me nā pākeke

No ka hoʻopau ʻana i kahi maʻi ʻōpū, pono ʻoe e ʻike i ke kumu o ka maʻi. No ka hana ʻana i kēia, hoʻoholo ʻia ke ʻano o ka pathogen a me kona naʻau i nā lāʻau antibacterial. ʻO ka hoʻāʻo ʻana no ka salmonellosis e kōkua i ka ʻike ʻana i nā mea lawe i ka maʻi a pale i ka laha ʻana o ka maʻi.

Nā hiʻohiʻona diagnostics

ʻO ka Salmonellosis kahi maʻi lele i hui pū ʻia me ka pōʻino o ka ʻōpū a me ka ʻōpū. ʻO ke kumu kumu he proteobacterium mai ka genus Salmonella. Loaʻa ka maʻi ma hope o ka ʻai ʻana i ka meaʻai haumia.

ʻO ka maʻi o salmonellosis e pili ana i nā ʻano bacteriological, serological a me ka molecular genetic. Inā pili ka ʻōnaehana digestive, nānā ʻia ka feces, ka luaʻi a me ka ʻōpū. Ma hope o 7 mau lā o ka maʻi, hiki ke ʻike ʻia ka salmonella i ka mimi. Nā mea no ka nānā ʻana i ke ʻano septic o ka maʻi: koko, bile, wai cerebrospinal.

Nā ʻano hana diagnostic Laboratory:

• nā ho'āʻo koko a me ka mimi (nānā nui);
• ka ʻike ʻana o nā antibodies i salmonella (ELISA, RNGA);
• bacterioscopy o nā mea olaola;
• inoculation ma luna o nā meaʻai meaʻai e ʻike ai i ka pathogen;
• ʻike i nā antigens a i ʻole nā ​​​​mea genetic o ka pathogen (PCR, RIF, RLA).

Ua like nā hōʻailona o salmonellosis me nā maʻi ʻē aʻe o ka ʻōpū. Hana ʻia ka ʻike ʻokoʻa me nā maʻi e like me ka dysentery, typhoid fever, cholera. Pono kēia i nā hoʻokolohua kikoʻī.

Moʻomeheu bacteriological

ʻO ke ʻano nui o ka hōʻoia ʻana o ka lab no salmonellosis ka hoʻokaʻawale ʻana o kahi moʻomeheu maʻemaʻe o ka bacteria. Pono e hana ʻia ke aʻo ʻana i ka hoʻomaka ʻana o ka maʻi, ma mua o ka mālama ʻana me nā lāʻau antibiotic. Hiki ke hana ʻia ka ʻikepili no ka salmonellosis ma kekahi keʻena hana.

No ka diagnostics, ua hoʻohana ʻia kēia:

1. Moʻomeheu stool. Hana ʻia ia i loko o kahi keʻena hana kūikawā. Pono kahi ʻāpana hou (kakahiaka) o ka waihona no ke aʻo ʻana.
2. Moʻomeheu bacterial mai ka auwai anal. Hoʻokomo pono ʻia kahi ʻimi hoʻokuʻu ʻia i loko o ka rectum me ka hoʻohana ʻana i nā neʻe hoʻololi mālie. Ma hope o ka hōʻiliʻili ʻana i ka mea, hāʻawi ʻia ka ʻimi noiʻi i ka hale hana i loko o kahi paipu sterile.
3. Moʻomeheu o ke koko, bile, wai holoi a me nā mea ola ʻē aʻe.

Hoʻohui ʻia ka mea i hōʻiliʻili ʻia i kahi medium me kahi admixture o selenite a i ʻole makanekiuma, aia nā mea waiwai no nā ʻano salmonella āpau.

ʻAʻole ʻoi aku ka mahana o ka mahana kūpono no ka ulu ʻana i ka bacteria ma mua o 37 ◦C. Pehea ka lōʻihi o ka nānā ʻana? Hiki ke nānā ʻia ka hopena o ka lūlū ma hope o 5-6 mau lā. I ka wā o ke aʻo ʻana, hoʻoholo ʻia ke ʻano o ka pathogen, ke ʻano o kāna hana a me nā ʻano nui.

Nānā no nā kamaliʻi

ʻOi aku ka paʻakikī o ka hoʻāʻo ʻana no nā maʻi ʻōpū i kahi keiki liʻiliʻi ma mua o kahi kanaka makua. No ka hoʻomaʻamaʻa ʻana i ka salmonellosis, koi ʻia ka stool hou (a hiki i ʻekolu mau hola ma hope o ka defecation).

Manaʻo ʻia e lawe i nā laʻana mai ʻekolu mau kiko ma ka ʻili o ka diaper disposable. ʻAʻole hiki iā ʻoe ke hana i kahi enema no ka loaʻa ʻana o ka stool. Pono e hōʻoia ʻaʻole i komo i loko o ka hāpana.

Pono e waiho ʻia nā feces i loko o kahi pahu sterile. ʻO ka liʻiliʻi loa o ka laʻana olaola no ka noiʻi he 5-10 grams. Kūʻai ʻia nā pahu ma ka hale kūʻai. Hele mai ka pahu hoʻolele me kahi puna kūikawā no ka ʻohi ʻana i nā feces.

Coprogram

He ho'āʻo keʻena hoʻokolohua kēia o ka stool. Hoʻohana ʻia e hoʻoholo i ke kiʻekiʻe o ka pōʻino i ka epithelium intestinal. ʻO ke kaʻina hana inflammatory i ka wā salmonellosis kahi kumu maʻamau o nā maʻi digestive.

Nā hoʻololi pathological:

• Leukocytes i ka nui;
• ʻO kahi hui pū o ka fiber undigested;
• Slime;
• ʻO ke koko;
• Hoʻonui ʻia ka maʻiʻo starch.

Pehea e ho'āʻo ai? Manaʻo ʻia e haʻalele i nā mea ʻono a me nā huahana i hana ʻia mai ka palaoa palaoa premium mai ka papa kuhikuhi o ka mea maʻi. Hana ʻia nā hoʻoponopono ʻai i kekahi mau lā ma mua o ka hoʻokolokolo.

Haʻawina serological

ʻO nā diagnostics hou o salmonellosis e kōkua i ka ʻike ʻana i nā antibodies i 5-7 mau lā ma hope o ka maʻi. Hoʻohana ʻia ke ala e hoʻoholo ai i ka pae o ka ulu ʻana o ka maʻi a me ka maikaʻi o ka mālama ʻana. Pono ke noiʻi ʻana i ke koko mai kahi vein.

Pehea e lawe ai i kahi ho'āʻo koko no ka salmonellosis? Hana ʻia ke aʻo ʻana i ke kakahiaka, ma ka ʻōpū ʻole. Ma ka pō o ka ho'āʻo, pono e haʻalele i ka hana kino kaumaha a me nā haʻalulu o ka naʻau.

Aia nā antibody i salmonellosis i ke koko no ke ola. Ke hoʻohana nei i nā ʻano noiʻi serological, hiki iā ʻoe ke ʻike inā ua loaʻa i ke kanaka kēia maʻi ʻōpū. Hoʻohana ʻia ka loiloi e ʻike i ke kumu o ka malabsorption syndrome i nā pākeke a me nā keiki.

Ka hopena o ke kaulahao polymerase

ʻO ka PCR kahi haʻawina genetic e hiki ai iā ʻoe ke ʻike i nā ʻāpana DNA o Salmonella. Hoʻohana ʻia ia no nā diagnostics express, no ka mea e ʻike ʻia ka hopena i loko o hoʻokahi lā.

Hoʻomākaukau:

• Hana ʻia ka hoʻokolokolo ma mua o ke kau ʻana i nā lāʻau antibacterial;
• 3 mau lā ma mua o ka hoʻāʻo ʻana, haʻalele i nā lāʻau lapaʻau e pili ana i ka belladonna (atropine);
• No 73 mau hola, e ho'ōki i nā lāʻau e hoʻololi i ke kala o ka stool (nā lāʻau lapaʻau e pili ana i ka bismuth a me ka hao).

Hoʻohana ʻia ka hoʻokolohua no ka hōʻoia ʻokoʻa o ka salmonellosis a me nā hoʻokolohua maʻamau pale. He mea nui ka ʻike ʻana i ke kaʻa bacteria asymptomatic no ka pale ʻana i ka laha ʻana o ka maʻi.

Kōkua ka PCR i ka ʻike ʻana i ka salmonellosis i ka wā mua o ka ulu ʻana. No ka hana ʻana i kēia, hana ʻia kahi pālua cascade o ka genome me ka hoʻohana ʻana i nā enzyme activator kūikawā.

Noi hou

He mea koʻikoʻi ka ʻike ʻana i ka maʻi ʻōpū no ka hoʻoholo ʻana i nā ʻano hana lapaʻau. Ma hope o ka hoʻokomo ʻia ʻana o ka mea maʻi i ka haukapila, hana ʻia kahi hoʻokolokolo piha. Hana ʻia nā hoʻokolohua hou e loiloi i ke kūlana o ka mea maʻi.

Eia kēia mau mea:

1. Ka nānā ʻana i ke koko maʻamau. Kōkua i ka ʻike ʻana i ke ʻano o ka maʻi a me ka anemia. Nā hoʻololi ʻano: leukocytosis, hoʻonui ESR. ʻO ka hoʻoholo ʻana i ka hematocrit e kōkua i ka loiloi i ke kiʻekiʻe o ka dehydration (ʻo ka waiwai nui he hōʻailona o ka mānoanoa koko).
2. Nānā mimi maʻamau. Hoʻohana ʻia ka hoʻāʻo no ka ʻike ʻana i nā maʻi maʻi. Pono e nānā i ka diuresis. ʻO kekahi o nā hoʻopiʻi koʻikoʻi loa o ka salmonellosis ʻo ka hāʻule ʻana o ka kidney.
3. ʻO ka hoʻāʻo koko biochemical hiki iā ʻoe ke loiloi i ke kaulike electrolyte. ʻO nā hōʻailona maikaʻi ʻole ka piʻi ʻana o ka urea a me ka creatinine.

I ka hihia o nā maʻi he nui o salmonellosis, hana ʻia kahi hoʻokolokolo bacteriological o ka meaʻai. Hoʻonui ikaika ʻo Salmonella i nā huahana holoholona. ʻO kēia mau mea: kaʻiʻo, nā hua, nā huahana waiu.

Ka nānā 'ana no ka makuahine hāpai

Manaʻo ʻia e hoʻopaʻa ʻia no ka salmonellosis i ka wā hoʻolālā. He pilikia loa ka Salmonellosis no ka makuahine a me ke keiki. ʻO ka ʻike mua ʻana o ke kaʻa bacteria e kōkua i ka hoʻopau ʻana i ka maʻi ma mua o ka hāpai ʻana.

Hoʻolālā hoʻokolokolo:

• ʻO ke koko no nā antibodies i salmonella;
• Ka lepo o ka PCR;
• ʻO ka inoculation bacteria mai ka anus.

ʻO nā hōʻailona o ka maʻi ʻōpū e like me nā hōʻailona o ka toxicosis, no laila ʻaʻole ʻike pinepine ʻia ka manawa mua o ka maʻi. Hoʻokomo pinepine ʻia kahi wahine i ka haukapila ma ke ʻano koʻikoʻi. ʻO ka emi ʻana o ka pale ʻana i ka wā hāpai hiki ke alakaʻi i ka maʻi maʻi a me ka ulu ʻana o Salmonella sepsis.

E kōkua nā ʻano diagnostic hou i ka ʻike ʻana i ka maʻi i ka manawa a pale i kona laha.

Video: haʻiʻōlelo e pili ana i ka salmonellosis