Ukuhlaziywa nokuxilongwa kwe-salmonellosis - izindlela zezingane kanye nabantu abadala

Ukuze uqede ukutheleleka kwamathumbu emathunjini, udinga ukwazi imbangela yalesi sifo. Ukwenza lokhu, uhlobo lwe-pathogen kanye nokuzwela kwayo emithini elwa namagciwane kunqunywa. Ukuhlolwa kwe-salmonellosis kusiza ukukhomba abathwali besifo futhi kuvimbele ukusakazeka kwalesi sifo.

Izici zokuxilonga

I-Salmonellosis yisifo esithathelwanayo esihambisana nokulimala kwesisu namathumbu. I-ejenti eyimbangela yi-proteobacterium evela kuhlobo lwe-Salmonella. Ukutheleleka kwenzeka ngemva kokudla ukudla okungcolile.

Ukuxilongwa kwe-salmonellosis kuhlanganisa izindlela zofuzo ze-bacteriological, serological kanye ne-molecular. Uma uhlelo lokugaya ukudla luthintekile, kuhlolwa indle, ukuhlanza kanye nesisu. Ngemuva kwezinsuku eziyi-7 zokugula, i-salmonella ingatholwa emchameni. Izinto zokuhlaziywa ngendlela ye-septic yesifo: igazi, i-bile, i-cerebrospinal fluid.

Izindlela zokuxilonga zaselabhorethri:

• ukuhlolwa kwegazi nomchamo (ukuhlaziywa okujwayelekile);
• ukutholakala kwama-antibodies ku-salmonella (ELISA, RNGA);
• i-bacterioscopy yezinto eziphilayo;
• ukujova emithonjeni yezakhi zomzimba ukuze kutholakale i-pathogen;
• ukutholwa kwama-antigens noma izakhi zofuzo ze-pathogen (PCR, RIF, RLA).

Izimpawu ze-salmonellosis ziyefana nezinye izifo zamathumbu. Ukuxilongwa okuhlukile kwenziwa ngezifo ezinjengohudo, i-typhoid fever, ikholera. Lokhu kudinga ukuhlolwa okuqondile.

Isiko le-bacteriological

Indlela eyinhloko yokuxilongwa kwelabhorethri ye-salmonellosis ukuhlukaniswa kwesiko elihlanzekile le-bacterium. Ucwaningo kufanele lwenziwe ekuqaleni kwesifo, ngaphambi kokwelashwa ngama-antibiotics. Ukuhlaziywa kwe-salmonellosis kungenziwa kunoma iyiphi ilabhorethri.

Ukuze uthole ukuxilongwa, okulandelayo kusetshenziswa:

1. Isiko lendle. Kwenziwa elabhorethri ekhethekile. Ingxenye entsha (yasekuseni) yendle iyadingeka ocwaningweni.
2. Isiko lebhaktheriya eliphuma ku-anal canal. Uphenyo olulahlwayo lufakwa ngokucophelela ku-rectum kusetshenziswa ukunyakaza okujikelezayo okuthambile. Ngemva kokuqoqa impahla, i-probe ihanjiswa elabhorethri ngeshubhu oyinyumba.
3. Isiko legazi, i-bile, amanzi okugeza kanye nezinye izinto eziphilayo.

Izinto eziqoqiwe zengezwa ku-medium nge-admixture ye-selenite noma i-magnesium, equkethe izinto eziwusizo kuzo zonke izinhlobo ze-salmonella.

Izinga lokushisa elifanele lamagciwane akhulayo aweqi ku-37 ◦C. Kuthatha isikhathi esingakanani ukuhlaziya? Umphumela wokuhlwanyela ungahlolwa ngemva kwezinsuku ezingu-5-6. Phakathi nocwaningo, uhlobo lwe-pathogen, izinga lomsebenzi walo kanye nezici eziyinhloko kunqunywa.

Ukuhlaziywa kwezinsana

Ukuhlola izifo zamathumbu enganeni encane kunzima kakhulu kunomuntu omdala. Ukuxilonga i-salmonellosis, indle entsha iyadingeka (kuze kufike emahoreni amathathu ngemuva kokuzikhulula).

Kunconywa ukuthatha amasampula kusuka kumaphuzu amathathu ebusweni be-diaper elahlayo. Awukwazi ukwenza i-enema ukuze uthole indle. Kuyadingeka ukuqinisekisa ukuthi akukho ngxube yomchamo engena kusampula.

Indle kufanele ifakwe esitsheni esingenalutho. Isilinganiso esincane sesampula sebhayoloji socwaningo singama-5-10 amagremu. Iziqukathi zidayiswa ekhemisi. Isitsha esilahlwayo sifika nesipuni esikhethekile sokuqoqa indle.

I-Coprogram

Lokhu ukuhlolwa kwaselabhorethri kwendle. Isetshenziselwa ukunquma izinga lomonakalo ku-epithelium yamathumbu. Inqubo yokuvuvukala ngesikhathi se-salmonellosis iyimbangela evamile yokuphazamiseka kokugaya ukudla.

Izinguquko ze-Pathological:

• ama-leukocyte ngamanani amakhulu;
• Ingxube ye-fiber engagayeki;
• I-Slime;
• Iminonjana yegazi;
• Okuqukethwe isitashi engeziwe.

Uhlolwa kanjani? Kunconywa ukuthi ungafaki amaswidi nemikhiqizo eyenziwe kufulawa wekolweni we-premium kusuka kumenyu yesiguli. Ukulungiswa kokudla kwenziwa ezinsukwini ezimbalwa ngaphambi kokuhlolwa.

Ucwaningo lwe-serological

Ukuxilongwa kwesimanje kwe-salmonellosis kusiza ukuthola amasosha omzimba kakade ezinsukwini ezingu-5-7 ngemva kokutheleleka. Indlela isetshenziselwa ukunquma isigaba sokuthuthukiswa kwesifo kanye nempumelelo yokwelashwa. Ucwaningo ludinga ukusampula kwegazi emthanjeni.

Ungathatha kanjani ukuhlolwa kwegazi nge-salmonellosis? Ucwaningo lwenziwa ekuseni, esiswini esingenalutho. Ngobusuku bangaphambi kokuhlolwa, kuyadingeka ukuthi ungafaki umsebenzi onzima womzimba kanye nokushaqeka ngokomzwelo.

Ama-antibodies kuya ku-salmonellosis ahlala egazini impilo yonke. Usebenzisa izindlela zocwaningo lwe-serological, ungathola ukuthi umuntu unalo yini leli gciwane emathunjini. Ukuhlaziywa kusetshenziselwa ukukhomba imbangela ye-malabsorption syndrome kubantu abadala nasezinganeni.

I-Polymerase chain reaction

I-PCR isifundo sofuzo esikuvumela ukuthi ubone izingcezu ze-DNA ze-Salmonella. Isetshenziselwa ukuxilongwa okucacile, njengoba umphumela waziwa phakathi nosuku.

Ukulungiselela:

• Ukuhlolwa kwenziwa ngaphambi kokunikeza izidakamizwa ze-antibacterial;
• Ezinsukwini ezi-3 ngaphambi kokuhlolwa, ungafaki imithi esekelwe ku-belladonna (atropine);
• Amahora angu-73, yeka imithi eshintsha umbala wendle (izidakamizwa ezisekelwe ku-bismuth ne-iron).

Ukuhlolwa kusetshenziselwa ukuxilongwa okuhlukile kwe-salmonellosis kanye nokuhlolwa okuvamile kokuvimbela. Ukutholwa kwe-asymptomatic bacterial carriage kubaluleke kakhulu ekuvimbeleni ukusabalala kokutheleleka.

I-PCR isiza ukuthola i-salmonellosis ekuqaleni kokukhula. Ukwenza lokhu, i-cascade ephindwe kabili ye-genome yenziwa kusetshenziswa ama-enzymes akhethekile we-activator.

Ucwaningo Olwengeziwe

Ukuxilongwa kokutheleleka kwamathumbu kubaluleke kakhulu ekunqumeni amaqhinga okwelapha. Ngemva kokuba isiguli singeniswe esibhedlela, ukuhlolwa okuphelele kuyenziwa. Ukuhlolwa okwengeziwe kwenziwa ukuhlola isimo sesiguli.

Lokhu kufaka:

1. Ukuhlaziywa kwegazi okujwayelekile. Isiza ukukhomba ubukhona bokutheleleka kanye ne-anemia. Izinguquko zesici: i-leukocytosis, ukwanda kwe-ESR. Ukunquma i-hematocrit kusiza ukuhlola izinga lokuphelelwa amanzi emzimbeni (inani eliphakeme liwuphawu lokujiya kwegazi).
2. Ukuhlaziywa komchamo okuvamile. Ukuhlolwa kusetshenziselwa ukuxilonga izimo zezinso. Kuyadingeka ukuqapha i-diuretic. Enye yezinkinga ezimbi kakhulu ze-salmonellosis ukwehluleka kwezinso.
3. Ukuhlolwa kwegazi kwe-biochemical kukuvumela ukuthi uhlole ibhalansi ye-electrolyte. Izinkomba ezingathandeki ukwanda kwe-urea ne-creatinine.

Ezimweni eziningi ze-salmonellosis, ukuhlolwa kwe-bacteriological kokudla kwenziwa. I-Salmonella iphindaphindeka emikhiqizweni yezilwane. Lezi zihlanganisa: inyama, amaqanda, imikhiqizo yobisi.

Ukuhlaziya umama okhulelwe

Kunconywa ukuthi uhlolwe i-salmonellosis esigabeni sokuhlela. I-Salmonellosis iyingozi kakhulu kumama nengane. Ukuxilongwa kusenesikhathi kwenqola yebhaktheriya kuzosiza ukuqeda ukutheleleka ngaphambi kokukhulelwa.

Uhlelo lokuhlola:

• Igazi lama-antibodies ku-salmonella;
• Udaka lwe-PCR;
• Ukujova amagciwane ku-anus.

Izimpawu zokutheleleka kwamathumbu emathunjini zifana nezimpawu ze-toxicosis, ngakho-ke isikhathi sokuqala sesifo ngokuvamile singabonakali. Ngokuvamile owesifazane ungeniswa esibhedlela esesimweni esibucayi. Ukunciphisa ukuzivikela ngesikhathi sokukhulelwa kungaholela ekwakhiweni kokutheleleka kanye nokuthuthukiswa kwe-Salmonella sepsis.

Izindlela zesimanje zokuxilonga zizosiza ukubona ukutheleleka kusenesikhathi futhi kuvimbele ukusakazeka kwaso.

Ividiyo: isifundo nge-salmonellosis