Imfuyo

Iyini i-listeriosis nendlela yokuphatha ngayo onogwaja

Uma uthenga onogwaja, umuntu kufanele alungiselele ezinye izinkinga, kuhlanganise nokugula okungenzeka. Enye yezinto eziyingozi kunazo zonke i-listeriosis, echazwe okokuqala ngo-1892 futhi ichazwe emazweni angu-56 omhlaba. Njengoba ukwelashwa okuphumelelayo kwalesi sifo kungakakhiwa, ukunakwa okukhethekile kufanele kukhokhwe ekuvimbeleni kwayo.

Iyini i-listeriosis futhi iyingozi kanjani onogwaja?

I-Listeriosis yisifo esithathelwanayo sogwaja esihlala emahoreni amaningana kuya emavikini amaningana futhi sithinta izinhlelo ezihlukahlukene kanye nezitho zezilwane.

Kunezinhlobo eziningana zezifo:

  • ukwesaba - isimiso sezinzwa esiyinhloko sibhekene nokudumala, ukuthuthumela nokukhubazeka;
  • septic - ukutheleleka kwegazi kwenzeka nge-fever, ukuvuvukala kwama-lymph nodes kanye nezinqubo ezilahlayo ezithombeni zangaphakathi;
  • kuxutshwe - ngesikhathi esifanayo, zombili umsebenzi wezitho zangaphakathi nesistimu yezinzwa zihlupheka;
  • atypical - izimpawu ezinzima azikho, kodwa abantu abagulayo bayithwala i-listeriosis.
Kunezinhlobo ezihlukahlukene zesifo. Lapho isilo somlilo sifa amahora ambalwa emva kokuqala kwesifo. Ifomu eliyingozi liholela emlandweni ofanayo emva kwezinsuku ezingu-2-4 kusukela ekuqaleni kwezimpawu. Ngesikhathi esifanayo, enogwaja osondayo, inzalo ebelethweni iyafa kuqala, bese yona yona.

Kubalulekile! Ukwelashwa kwamangqamuzana noma ukusungula izixazululo ze-disinfectant, isibonelo, i-formalin noma i-caustic soda, okuholela ekufeni kwe-listeria bacilli engakapheli isigamu sehora.

Endabeni ye-subacute listeriosis, ukuzivikela komlenze kuzama ukumelana nokutheleleka, kepha isilwane ngokuvamile sisaphinda kungakapheli amasonto amabili. Uma lesi sifo singelapheki, unogwaja usaphila, kodwa owesifazane uhlala engenasifo.

Agent Causative kanye nemizila yokutheleleka

Lesi sifo sibangelwa i-gram-positive polymorphic listeria listeria (Listeria monocytogenes). Ihlala isaphila isikhathi eside futhi iyakwazi ukukhiqiza izicubu eziphilayo futhi idle ngisho nasemakhazeni: ku-hay kanye netshani - cishe izinyanga eziyisikhombisa, ekudleni okuxubile - ezinyangeni eziyisishiyagalolunye, emcinini - kuze kube unyaka, enhlabathini nasemanzini - kuze kube kabili iminyaka Kulesi simo, Ukushisa ekushiseni kwe-+100 ° C kubulala ukutheleleka ngemizuzu emihlanu.

Kunezindlela eziningana zokutheleleka:

  • i-intrauterine - owesifazane othelelekile uyathinta inzalo yakhe nge-placenta;
  • izinti ze-feedary - pathogenic zihambisana nokudla bese ziphuma emathunjini nokugeleza kwegazi kwezinye izitho;
  • Ukuphefumula - lesi sifo sisakazeka ngamaconsi;
  • iqonde - i-wand ingena emzimbeni ngokusebenzisa izilonda, izikhwama esikhunjeni noma ezindaweni eziyinkimbinkimbi zesilwane.
Izindlela ezimbili zokuqala ziyizici eziningi kakhulu. Ngokuvamile onogwaja bathola i-listeriosis emhlabathini lapho utshani bukhula khona ekudleni. Futhi lapho uxhumana nomuntu ogulayo, izihlobo zayo zitheleleke ngamaconsi. Izidakamizwa, izinambuzane ezondla igazi kanye noonogwaja abaye bahlushwa i-listeriosis nazo ziyithwala lesi sifo. Ngemuva kokuphola, bangakwazi ukuhlala bengumthombo wesifo kuze kube yizinyanga eziyi-1.5.

Uyazi? Ezinsukwini zakudala, onogwaja babethelwe ngokukhethekile eziqhingini eziqashiwe, ukuze abayosinda ekukhunjweni kwemikhumbi babe nomthombo wokudla futhi balinde ngokuphepha insindiso.

Iqembu eliyingozi

Ngokuvamile, i-listeriosis ibonakala kubantu abanjalo:

  • ongenamabele onogwaja;
  • izilwane ezincane;
  • abesifazane abanconyayo.
Lokhu kungenxa yezinga elincishisiwe lokuzivikela komzimba lala maqembu ezilwane kanye nokwehluleka okukhulu kunoma yiziphi izifo. Ngesizathu esifanayo, ngokuvamile izifo ze-listeriosis zenzeka ngesikhathi sehlobo-ehlobo, lapho unogwaja ekhukhumeza kakhulu.

Isikhathi sokuvuselela kanye nezimpawu

Isikhathi sokukhushulwa kwalesi sifo siyizinsuku ezingu-7-30, kuxhomeke ekuzikhunjweni kwesilwane kanye ne-virulence ye-bacterial strain. Izimpawu ziyahlukahluka ngokwefomu kanye nohlobo lwesifo. Uma kwenzeka umbane ukhona manje, abanaso isikhathi sokubonakalisa ngenkuthalo, ngoba isilwane sifa ngokushesha.

Amafomu acacile futhi ahlukumezayo afaka izimpawu ezilandelayo:

  • ukwehlisa, ubuthakathaka, ukunganaki;
  • ukungabi nesifiso, ukulahlekelwa isisindo;
  • ukugxekwa, isifo sohudo;
  • izinga lokushisa lomzimba eliphezulu - kuze kufike ku +40 ° C;
  • ehla emuva ekhanda;
  • ukuthuthumela, ukuxubana nokukhubazeka kwamalungu;
  • ukukhipha isisu ngokuzenzakalelayo kwabesifazane.

Ukuguqulwa nokuguqulwa kwamathambo

Ukuxilongwa kusungulwa ngokusekelwe ezimpawu ezijwayelekile, idatha ye-pathological kanye nemiphumela yokuhlolwa. Igazi noma i-serum yalo ithunyelwa esifundweni, futhi ngemva kokufa kwezilwane, amasampula esibindi, amaphaphu, izinso, isiphelo, inhliziyo noma ubuchopho ziyathunyelwa. Kusuka kumlenze ovuthiwe ngokocansi ngempela uthatha ingxenye yesibeletho nokuqukethwe kwayo. Esikhathini sokuhlaziywa kwe-bacteriological material etholakala futhi i-causative agent ye-listeriosis iyodwa.

Uma ungabaza, i-bioprobes yenziwa ngamagundane amhlophe, izingulube zezinyane noma onogwaja onempilo. Uma kunesidingo, qinisekisa ukuxilongwa usebenzisa indlela yama-antibodies okukhanyisa. Ukuhlolwa kwegazi kwe-serological kwenziwa ukuze kutholakale isifo esiyisisekelo.

Uyazi? Uhlobo oluncane kunazo zonke onogwaja lubizwa ngokuthi unogwaja we-pygmy noma i-Little Idaho. Umuntu omdala walesi sizukulwane asila ngaphezu kuka-450 g, futhi ubude bomzimba buwu-22-25 cm kuphela.

Ukuhlolwa kwezilwane ezifayo ngesimo sezinzwa zesifo kubonisa ukuvuvukala nokuzibulala emqondweni nasezintweni ezithile. Nge-septic ifomu, kukhona i-hyperemia kanye ne-edema yamathishu emaphaphu, ukuvuvukala kwebhubhisi elimangcwaba le-esophagus, ukushaya kwenhliziyo, ukukhuliswa kwe-spleen kanye ne-lymph nodes, izinqubo ze-pathological esibindi, isilwane, izinso kanye ne-myocardium. Izinguquko ezinkulu kakhulu zitholakala ezithombeni zofuzo. Izinambuzane zinomthambo we-endometritis noma i-metritis, ukuqina nokuvuvukala kobuso obunamanzi. Izithelo ezinomsoco ezingcolile nezingcolile zitholakala esibelethweni sabesifazane abanconyayo.

Kungenzeka yini ukwelapha

Ngeshwa, namuhla azikho izindlela eziphumelelayo zokwelapha lesi sifo, ngakho-ke, izilwane ezinesifo esithintekayo zibhujiswa ngokushesha futhi zishiswe ukuze zivimbele ukusakazeka kwesifo. Ngaphezu kwalokho, onogwaja abanalo isandulela-ngculazi esinamandla kakhulu, futhi i-listeriosis yabo iqhubekela phambili ngokushesha.

Abantu abagulayo noma mhlawumbe abathintekile kufanele basuswe masinyane, futhi amaseli aphathwe ngesisombululo se-formalin, i-caustic soda noma umlilo avela ku-blowtorch, futhi abantu abasele bahlale beqapha.

Funda indlela yokwelapha izifo zogwaja nokuthi ngabe zisongela impilo yabantu.

Kungenzeka yini ukuba udle inyama yomuthi onogciwane

Esinye sezizathu zokunakekelwa okungalungile kogwaja abanesifo se-listeriosis ukuthi umuntu onjalo uhlala ethwala isifo futhi wenza isongo sokutheleleka kubantu, ngakho-ke akuvunyelwe ukuba adle inyama yezilwane ezigulayo nabathwali bokutheleleka.

Kubalulekile! Ingozi enkulu yesifo ukuthi ingabangela imiphumela emibi kubantu - encephalitis kanye ne-meningoencephalitis. Ngenxa yalesi sizathu, izinyathelo zokuvimbela kufanele zinikezwe ukunakwa okukhulu.

Izinyathelo zokuvimbela

Njengesilinganiso sokuvimbela, onogwaja bagonywa ngomuthi ophilile ophilile listeriosis. Isivikelo sokuzivikela siqala ukusebenza ngemuva kwamasonto ama-1.5-2 emva kokugoma futhi sihlala izinyanga eziyisithupha. Yize noma ukugoma kungenasidingo, noma kunjalo, uma ukuqubuka kwalesi sifo kwenzekile emapulazini aseduze, kungcono ukugoma izilwane.

Izindlela zokuzivikela ngokumelene ne-listeriosis:

  • kunqunyelwe ukuhlukaniswa kwezinsuku ezingu-30 zezilwane ezintsha;
  • ukuhlola nsuku zonke izilwane;
  • ukulawulwa kwekhwalithi okuqhubekayo kokuphakelayo;
  • ukuhlanza njalo kanye nokungasebenzi ngamaseli, imishini kanye negumbi lonke;
  • ukubhujiswa kwamagundane, imikhaza kanye nezinye izinambuzane ezondla igazi;
  • izivivinyo ze-laboratory ngezikhathi ezithile zezintambo ezithathwe i-listeriosis;
  • ukucubungula ngokucophelela ukukhipha isisu kanye nokubeletha;
  • ukuhlola onogwaja ngaphambi kokuwadlulisela kwamanye amapulazi;
  • ukusetshenziswa kwemishini yokuvikelwa ngabasebenzi - imaski, amagilavu, kanye nezingubo zokugqoka.

Funda futhi mayelana nokuthi unakekela kanjani onogwaja nokuthi ungabondla kanjani.

Ngakho-ke, manje uyazi ukuthi i-listeriosis eyingozi kangakanani. Uma kwenzeka ukusola ukutheleleka, isilwane kufanele sisheshe sodwa futhi zonke izinyathelo ezidingekayo kufanele zithathwe ukuze zingalahlekelwa yonke imfuyo. Ukugcinwa njalo kwezinyathelo zokuvimbela kuphela kuzosiza ukuvikela onogwaja ngangokunokwenzeka mayelana nokutheleleka okungenzeka.