Uhlalutyo kunye nokuxilongwa kwe-salmonellosis - iindlela zabantwana kunye nabantu abadala

Ukulahla ukusuleleka kwamathumbu emathunjini, kufuneka ukwazi isizathu sesifo. Ukwenza oku, uhlobo lwe-pathogen kunye novelwano lwalo kumachiza e-antibacterial lunqunywe. Uvavanyo lwe-salmonellosis lunceda ukuchonga abathwali bosulelo kunye nokuthintela ukusasazeka kwesi sifo.

Iimpawu zokuxilonga

I-Salmonellosis sisifo esosulelayo esihamba kunye nomonakalo kwisisu kunye namathumbu. I-agent causative yi-proteobacterium evela kwi-genus Salmonella. Usulelo lwenzeka emva kokutya ukutya okungcolileyo.

Ukuxilongwa kwe-salmonellosis kubandakanya iindlela ze-bacteriological, serological and molecular genetic. Ukuba inkqubo yokwetyisa ichaphazelekile, ilindle, ukuhlanza kunye neziqulatho zesisu ziyahlolwa. Emva kweentsuku ezi-7 zokugula, i-salmonella ingabonwa kumchamo. Izinto eziphathekayo zokuhlalutya kwifom ye-septic yesifo: igazi, i-bile, i-cerebrospinal fluid.

Iindlela zokuxilonga kwilebhu:

• iimvavanyo zegazi kunye nomchamo (uhlalutyo ngokubanzi);
• ukufumanisa i-antibodies kwi-salmonella (ELISA, RNA);
• i-bacterioscopy yezinto eziphilayo;
• i-inoculation kwimidiya yezondlo ukuchonga i-pathogen;
• ukufumanisa i-antigens okanye i-genetic material ye-pathogen (i-PCR, i-RIF, i-RLA).

Iimpawu ze-salmonellosis zifana nezo zezinye izifo zamathumbu. Ukuxilongwa okungafaniyo kuqhutyelwa ngezifo ezifana ne-dysentery, i-typhoid fever, ikholera. Oku kufuna iimvavanyo ezithile.

Inkcubeko ye-bacteria

Indlela ephambili yokuxilongwa kwebhubhoratri ye-salmonellosis kukuhlukaniswa kwenkcubeko ecocekileyo yebhaktheriya. Uphononongo kufuneka luqhutywe ekuqaleni kwesi sifo, ngaphambi kokuba unyango lwe-antibiotics. Uhlalutyo lwe-salmonellosis lunokwenziwa kuyo nayiphi na ibhubhoratri.

Xa kusenziwa uxilongo kusetyenziswa oku kulandelayo:

1. Inkcubeko yesitulo. Iqhutyelwa kwibhubhoratri ekhethekileyo. Inxalenye entsha (yakusasa) yesitulo iyafuneka kuphononongo.
2. Inkcubeko yebhaktheriya evela kumjelo wangaphambili. Iprobe elahlayo ifakwe ngononophelo kwi-rectum usebenzisa iintshukumo ezijikelezayo ezithambileyo. Emva kokuqokelela izinto eziphathekayo, i-probe ihanjiswa kwibhubhoratri kwi-tube eyinyumba.
3. Inkcubeko yegazi, inyongo, amanzi okuhlamba kunye nezinye izinto eziphilayo.

Izinto eziqokelelweyo zongezwa kwi-medium kunye ne-admixture ye-selenite okanye i-magnesium, equlethe izinto ezincedo kuzo zonke iintlobo ze-salmonella.

Ubushushu obufanelekileyo bokukhula kwebhaktheriya alidluli kwi-37 ◦C. Uhlalutyo luthatha ixesha elingakanani? Isiphumo sokuhlwayela sinokuvavanywa emva kweentsuku ezi-5-6. Ngethuba lokufunda, uhlobo lwe-pathogen, iqondo lomsebenzi walo kunye neempawu eziphambili zichongwa.

Uhlalutyo lweentsana

Ukuvavanyelwa ukusuleleka kwamathumbu kumntwana omncinci kunzima kakhulu kunomntu omdala. Ukuxilonga i-salmonellosis, i-stool entsha iyadingeka (ukuya kwiiyure ezintathu emva kokuhlambalaza).

Kucetyiswa ukuba uthathe iisampuli ukusuka kumanqaku amathathu kumphezulu we-diaper elahlayo. Awukwazi ukwenza i-enema ukuze ufumane isitulo. Kuyimfuneko ukuqinisekisa ukuba akukho mxube womchamo ungena kwisampulu.

Ilindle kufuneka lifakwe kwisingxobo esingenazintsholongwane. Ubuncinci besampulu yebhayoloji yophando yi-5-10 grams. Izikhongozeli zithengiswa ekhemesti. Isitya esilahlwayo siza necephe elikhethekileyo lokuqokelela ilindle.

Coprogram

Olu luvavanyo lwebhubhoratri yesitulo. Isetyenziselwa ukumisela iqondo lomonakalo kwi-epithelium yamathumbu. Inkqubo yokuvuvukala ngexesha le-salmonellosis yimbangela eqhelekileyo yokuphazamiseka kokutya.

Utshintsho lwePathological:

• i-leukocyte ngamanani amaninzi;
• Umxube wefayibha engagatywanga;
• I-Slime;
• Umkhondo wegazi;
• Ukonyuka komxholo wesitatshi.

Uvavanywa njani? Kunconywa ukuba ungabandakanyi iilekese kunye neemveliso ezenziwe kwi-premium yomgubo wengqolowa kwimenyu yesigulane. Ulungelelwaniso lokutya lwenziwa iintsuku ezininzi phambi koviwo.

Uphononongo lwe-serological

Ukuxilongwa kwanamhlanje kwe-salmonellosis kunceda ukufumanisa ama-antibodies sele sele iintsuku ezi-5-7 emva kokusuleleka. Indlela isetyenziselwa ukumisela isigaba sokuphuhliswa kwesifo kunye nokusebenza kakuhle kwonyango. Uphononongo lufuna isampulu yegazi kumthambo.

Indlela yokuthatha uvavanyo lwegazi lwe-salmonellosis? Uphononongo luqhutywa kusasa, kwisisu esingenanto. Ngobusuku bangaphambi kovavanyo, kuyimfuneko ukuba ungabandakanyi umsebenzi onzima womzimba kunye nokothuka ngokweemvakalelo.

Ama-antibodies kwi-salmonellosis ahlala egazini ubomi bonke. Ukusebenzisa iindlela zophando lwe-serological, unokufumanisa ukuba umntu unalo usulelo lwamathumbu. Uhlalutyo lusetyenziselwa ukuchonga imbangela ye-malabsorption syndrome kubantu abadala kunye nabantwana.

Polymerase chain reaction

I-PCR sisifundo sofuzo esikuvumela ukuba uchonge amaqhekeza e-DNA ye-Salmonella. Isetyenziselwa uxilongo olucacileyo, kuba isiphumo siye saziwa kwisithuba sosuku.

Ukulungiselela:

• Uviwo lwenziwa ngaphambi kokumisela izidakamizwa ze-antibacterial;
• Kwiintsuku ezi-3 ngaphambi kovavanyo, ungafaki amayeza asekelwe kwi-belladonna (atropine);
• Kwiiyure ezingama-73, yeka amayeza atshintsha umbala wesitulo (iziyobisi ezisekelwe kwi-bismuth kunye nentsimbi).

Uviwo lusetyenziselwa ukuxilongwa ngokuhlukileyo kwe-salmonellosis kunye nokuthintela iimviwo rhoqo. Ukufunyaniswa kwe-asymptomatic bacterial carriage kubaluleke kakhulu ekuthinteleni ukusasazeka kosulelo.

I-PCR inceda ukufumanisa i-salmonellosis kwinqanaba lokuqala lophuhliso. Ukwenza oku, i-cascade ephindwe kabini ye-genome yenziwa kusetyenziswa ii-enzymes ezikhethekileyo ze-activator.

Uphando olongezelelweyo

Ukuxilongwa kosulelo lwamathumbu kubaluleke kakhulu ekumiseleni amaqhinga onyango. Emva kokuba isigulane singeniswe esibhedlele, uviwo olupheleleyo lwenziwa. Uvavanyo olongezelelweyo lwenziwa ukuvavanya imeko yesigulane.

Ezi ziquka:

1. Uhlalutyo lwegazi ngokubanzi. Inceda ukuchonga ubukho bosulelo kunye ne-anemia. Utshintsho lweempawu: i-leukocytosis, ukunyuka kwe-ESR. Ukumisela i-hematocrit kunceda ukuvavanya iqondo lokuchithwa kwamanzi (ixabiso eliphezulu liphawu lokunyuka kwegazi).
2. Uhlalutyo lomchamo jikelele. Uvavanyo lusetyenziselwa ukuxilonga iimeko zezintso. Kuyimfuneko ukubeka iliso kwi-diuresis. Enye yezona ngxaki zinzima kakhulu ze-salmonellosis kukungaphumeleli kwezintso.
3. Uvavanyo lwegazi lwe-biochemical lukuvumela ukuba uhlole ibhalansi ye-electrolyte. Izalathi ezingathandekiyo kukunyuka kwe-urea kunye ne-creatinine.

Kwimeko yeemeko ezininzi ze-salmonellosis, uvavanyo lwe-bacteriological yokutya luyenziwa. I-Salmonella iphindaphindeka ngokusebenzayo kwiimveliso zezilwanyana. Ezi ziquka: inyama, amaqanda, iimveliso zobisi.

Uhlalutyo kumama okhulelweyo

Kucetyiswa ukuba kuhlolwe i-salmonellosis kwinqanaba lokucwangcisa. I-Salmonellosis iyingozi kakhulu kumama nomntwana. Ukuxilongwa kwangaphambili kokuthwala ibhaktheriya kuya kunceda ukulahla usulelo ngaphambi kokukhulelwa.

Isicwangciso soviwo:

• Igazi le-antibodies kwi-salmonella;
• Udaka lwePCR;
• Ukugonywa kwebhaktheriya kwi-anus.

Iimpawu zokusuleleka kwamathumbu emathunjini zifana neempawu ze-toxicosis, ngoko ke ixesha lokuqala lesi sifo lihlala lingabonakali. Amaxesha amaninzi ibhinqa lilaliswa esibhedlele likwimeko emaxongo. Ukunciphisa ukukhuseleka ngexesha lokukhulelwa kunokukhokelela ekubeni usulelo ngokubanzi kunye nokuphuhliswa kweSalmonella sepsis.

Iindlela zanamhlanje zokuxilonga ziya kunceda ukubona usulelo kwangethuba kwaye luthintele ukusasazeka kwalo.

Ividiyo: intetho malunga ne-salmonellosis