Uhlobo olumnene lwesifo somhlaza lubangelwa ibhetri ye-Shigella sonnei uhlobo. Ifom ephezulu kakhulu yesifo ibangelwa nguShigella dysenteriae. Ukunyanga kokutyhelwa kokutya, isifo segazi - isihloko sesicatshulwa.
Ixesha lokuxubusha
Xa usulelekile kwi-agent causative of dysentery, i-incubation period ngaphambi kokuqala kwesifo sohudo kuvela kwiintsuku ezi-1 ukuya kwezi-5. Nangona kunjalo, urhudo luqala ngokukhawuleza emva kokusuleleka. Kwezinye izigulane, lesi sifo sithe sagcina sinobuchule obunzima kakhulu ngokuqala ngokulula. Isifo sesifo sihamba kunye neempawu ezilandelayo:
• isisityambo samanzi kunye nokudibanisa kwegazi kunye ne-mucus;
• ukuya kwi-20 izenzo zokuchasana emini, ukutyumza iintlungu zesisu, ukunyanzela ukukhuphaza;
• ukuhlanza, ukunyanzelisa, ukunyamezela nokubetha;
• abantwana - umkhuhlane ophezulu, ukukhubeka, ukulahleka kwesidlo.
Kwezinye iimeko, isifo esinesifo sesifo sesifo sihamba kunye ne-meningism (iintloko, ukunyaniseka kwemisipha ye-occipital), ngakumbi kubantwana abancinci. Ezinye izixazululo zesifo segazi zibandakanya umbane, umonakalo we-myocardial (isisu senhliziyo), iliso, ukunyuka kwamanzi kunye neuropathy. Kucingelwa ukuba ukubonakaliswa kwenkqubo yesifo kufakwe kunye nokuphendulelwa kwe-hypersensitive toxin eyenziwa yi-bacteria eyenza isifo segazi. Iimpawu ezifanayo ziyakubonwa kwakhona kwi-salmonellosis, i-agent causative yebhakteria yeSalmonella; I-typhus yamathumbu, ebangelwa usuleleko ngentonga ye-typhoid okanye intonga ye-paratytic. Ixesha lokuxubusha kwezi zifo lisuka kwiintsuku ezi-1 ukuya kwezi-5. Isigulana siphinde siphucule isifo sohudo kunye nebala. Kwezinye iimeko, isifo sohudo sinamanzi, kwabanye, i-typhoid fever syndrome iqala. Xa unyangwa yi-Campylobacter incubation period ivela kwiintsuku ezi-3 ukuya kwezi-5. Ngaphambi kokubonakala kwesifo sohudo, kukho iimpawu zenkqubo (ubushushu, iintloko, iintlungu zomzimba). Usihlalo wokuqala unomlinganiselo wokunwa kwamanzi, ngoko kungcola kwegazi kubonakala kuyo. Ngokuqhelekileyo esi sifo sihamba kunye nentlungu esiswini, ukuze abantwana bafumane ukuphazamiseka ngephutha nge-appendicitis.
Isifo segazi siphumela ngenxa yokusuleleka kwesinye sezifo ezininzi zeebhaktheriya. I-agent causative yesimo esifana nesifo esifanelekileyo nguShigella sonnei, ifom ye-Shigella flexneri. Ifom ephezulu kakhulu yesifo sesifo segazi senziwa nguShigella dysenteriae. Ukusuleleka kwe-Campylobacterial kuvela ngenxa yokusuleleka kwintsholongwane ye-spirilla-like microorganms. Ukukhulelwa kwenzeka xa uxhulumana okanye usebenzisa ukutya okungahlambulukanga. Yersinia (Yersinia enterocolitica) ii-microorganisms ezidluliselwa zizilwanyana; Ezinye ukutya zingahlambulukiswa nazo. I-agents e causative ye-salmonellosis yi-Salmonella typhimurium, i-Salmonella enteridus kunye ne-Salmonella heidelberg. Iimpawu ezixhasayo ze-typhoid fever ziyi-Salmonella typhi kunye ne-Salmonella paratyphi A kunye ne-Salmonella paratyphi B. I-Amo Amoic isifo segazi senziwa ngumzimba we-Entamoeba histolytica (isifo se-amoeba) - isifo se-intestinal esenza ama-cysts. Ziyakwazi ukutya, imifuno kunye nemithombo yamanzi. Naliphi na lezinto eziphilayo zingadluliselwa kubantu ngokutya ukutya okusulelekileyo okanye iziphuzo. Kwiimeko ezinzima zesifo segazi, ukulungiswa kwesigulane kuyimfuneko. Ngombulelo wokungena emzimbeni, kwakunokwenzeka ukunciphisa ngokufayo ukufa kwesi sifo, ngokukodwa kumazwe asakhulayo.
Amanye amanyathelo athatyathwe ukunyanga isifo somhlaza:
• Thatha i-antipyretics uze uyigubungele isigulane ngesiponji emanzini apholileyo; cetyiswa ekushiseni okuphakamileyo.
• Ukunciphisa intlungu kwisisu, i-antispasmodics imiselwe.
• Kwiimeko zeesifo segazi ezibangelwa yi-shigella, kwiimeko ezinzima, ingakumbi kubantwana abancinci kunye nabadala, i-antibiotics isetyenziswa.
• Ukunyanga kwesifo segazi esibangelwa yi-shigella, i-antibiotics ye-penicillin kunye ne-tetracycline chungechunge iyasebenza.
• Kwiindlela ezinzima ze-salmonellosis, i-chloramphenicol, i-amoxicillin, i-trimethoprim, i-sulfamethoxazole isetyenziswa. Ngokusuleleka kwi-cases ye-campylobacterial kwiimeko ezinzima, i-erythromycin isetyenziswe.
• Xa kwenzeka i-amoebic dysentery, ukunyelwa igazi kuyenziwa xa isigulane sinokulahleka kwegazi.
Thintelo
Ukuthintela isifo somzimba, kubalulekile ukulandela imithetho yococeko. Amanzi, adibana nomntu ogulayo, kufuneka abiliswe ngaphambi kokusetyenziswa. Umgaqo ofanayo kufuneka ugcinwe kumazwe anemigangatho ephantsi yokucoceka. Kwizindlu zangasese zikarhulumente zicetyiswa ukuba zihlaziye iiyolo zangasese zangasese kwaye zisebenzise ityhuse. Izigulane ezinesifo somhlaza eziqhagamshelana nokutya ngexesha lomsebenzi kufuneka zityeswe emsebenzini kuze kube yilapho zifumene iziphumo ezimbi ezilandelelanayo zeziphumo zeesitoli. Umlinganiselo obalulekileyo wokukhusela ukusetyenziswa kwezigonyo ezinikezwa ngomlomo okanye ngendlela yeenjini.
Forecast
Kwiimeko ezininzi, izigulane ezinesifo sesifo se-bacterial disys responds well to therapy. Kunzima kakhulu ukufumana ukubuyisela ngokupheleleyo kunye ne-amoebic isifo. Ingxaki yenziwe ngabantu abathwalayo abangapheliyo bama-cysts. I-Diloxanide furoate ingasetyenziselwa unyango lwabo. Izifo ezidlulileyo zangasese ziqhelekile kwi-Central America, eMexico, e-Asia naseIndiya. Izifo ezidlulayo zazihlala zihamba kunye nokufa okuphezulu. Izidalwa ezincinci zokudala izifo zikhula ngokukhawuleza kwiimeko zokugqithisa kunye nentlupheko, apho kungekho ndlela yokulahla inkunkuma yamakhaya kunye namanzi amdaka. Isifo segazi sisasazeka, eqinisweni, kuwo onke amazwe ehlabathi. Nangona kunjalo, apho kuyimfuneko ukukhusela, ukusasazeka kwesi sifo kungancinci, oku kunciphisa inani lamatyala.