Katemera tizilombo ta matenda: mbali ntchito, malangizo

Mu mbiri ya matenda lotchedwa "moto wopatulika", "Persian Moto" ndi mayanjano zina zofanana. Dzinali wamakono wa tizilombo ta matenda chifukwa malo awo a anthu. Lero, milandu matenda omwe ali casuistic. Matendawa amapezeka kokha ng'ombe. Nthumwi causative akufotokozedwa kumapeto kwa zaka za m'ma chakhumi ndi chisanu ndi chinayi ndi Robert Koch.

exciter

Bakiteriya Bacillus anthracis chifukwa cha tizilombo ta matenda. Ndi ndodo lalikulu, galamu papezeka wofiirira. Pamafunikanso somatic Antigen ndi chimasiyanitsa poizoni, zomwe zimabweretsa kutupa, interacts ndi nembanemba maselo mthupi ndi imfa. Komanso, kapisozi akusonyeza katundu antifagotsitarnye.

Khamu lake ndi mabakiteriya kupanga spores kuti ndi kugonjetsedwa ndi kuyanika mkulu kutentha ndi disinfection. Mu akadza motere akhoza kusungidwa kwa zaka ndi ntchito ngati zida ndi bakiteriya. mitundu Vegetative tizilombo akuphedwa ndi kukhudzana ndi madzi otentha mu maminiti forte- mu uvuni mpweya wotentha - pambuyo maola 2-3.

EPIDEMIOLOGY

Chonyamulira cha matenda ndi herbivores. Monga ulamuliro, ndi ng'ombe, kavalo, ngamila kapena nkhumba. Matenda kwa munthu kuchita zimenezi pa matenda ng'ombe, chifukwa allocates tizilomboto mu chilengedwe. nyama A akufa kukhala opatsirana kwa masabata. Komanso, tizilomboto kufala kuzindikira kudzera tizilombo m'magazi woyamwa. Makamaka mankhwala owopsa kuwapeza nyama matenda (khungu, tsitsi). Iwo akhoza kusunga infectivity kwa zaka zambiri, ngakhale pambuyo processing mankhwala ndi matenthedwe.

Mwachirengedwe, tizilombo ta matenda amapezeka m'madera otentha chinyezi, m'madera zikugwira kuswana ng'ombe. Matendawa zambiri analembedwa nthawi yotentha-m'dzinja. Chifukwa chachikulu cha matenda omwe - kunyalanyaza ukhondo-AIDS malamulo, komanso kusowa kwa zipangizo processing isanafike processing.

Pathogenesis ndi zizindikiro

Mabakiteriya kulowa m'thupi la munthu kapena nyama kudzera pakhungu, zikopa mucous kapena kapepala m'mimba. "Makomo a matenda" anayamba kutupa serous-hemorrhagic, amene anaonetsa edema, magazi ndi necrosis youma. Malowa zikuwoneka ngati makala - wakuda m'dera m'mphepete yotupa kutsinde mu malo amene ali pachilonda. Macrophages tizilomboto inafikira dongosolo lymphatic, kuphatikizapo mu mfundo dera lymph. Utatha bakiteriya mu magazi a sepsis ndi sekondale ku generalization matenda thupi lonse: mu mwanabele thirakiti m'mimba, mapapo. Ziwalo chandamale kuoneka kukha magazi angapo ndipo magazi.

Infection makulitsidwe nthawi ukhoza kwa maola angapo kwa masabata awiri, malingana ndi mawonekedwe a. Nthawi zambiri anapezeka mawonetseredwe khungu la matenda. Pa malo a kulowa kwa tizilomboto kuoneka papules wofiira, kuyabwa ndi kumverera moto. Pambuyo tsiku lina Adadi evolves vesicle wodzazidwa madzimadzi serous. Patapita kanthawi pang'ono zili amakhala wofiirira kapena mdima wofiirira hue. Chifukwa champhamvu vesicles munthu kuyabwa kuwononga mzikiti ndipo pali chilonda ndi pansi mdima ndi ndondomeko yowala. Pa m'mbali ake anapanga screenings bakiteriya ( "chizindikiro mkanda") kuti alandire gawo lomwelo.

A masabata pansi pa chilonda yatsekedwa wakuda nkhanambo, ndipo pa nthawi yonse ya matenda pali m'dera mankhwala ochititsa anachita. Ichi ndi chimodzi cha zizindikiro matenda a tizilombo ta matenda. Ndi zizindikiro ambiri olekanitsidwa malungo yaitali pamodzi ndi mutu, kufooka ndi ululu minofu. Patapita masabata awiri kapena atatu, mawonetseredwe amabwera kanthu, ndipo pamodzi ndi obscheintoksikatsionny chizindikiro.

diagnostics

Ambiri cutaneous mawonekedwe nthendayo kusiyanitsidwa ndi bakiteriya ena zithupsa ndiponso carbuncles. Waukulu zimasiyanitsa Mbali Maonekedwe a "Mikanda" imene ili khalidwe chabe kwa tizilombo ta matenda. mawonekedwe zowombetsa mkota amakhala ndi isanayambike mofulumira, kuledzera kwambiri, edema m'mapapo mwanga, ndi oligo-anuria. Nthawi zina pamaso pa gwero la matenda dokotala ayenera siyanitsa anthrax ndi tularemia mliri.

Mayesero zasayansi kwa matenda a matenda ingagwiritsidwe bacterioscopy magazi kapena mkodzo, komanso kumaliseche mbewu ku bala pa TV michere. Komanso, ntchito ya nyama zasayansi kwa diagnoses kutchula. mayesero Serological kudziwa gawo la matenda ndi chivomerezocho wa chitetezo cha m'thupi. Njira ina ndi kuchita mayesero ziwengo ndi antraksinom.

Katemera ndi tizilombo ta matenda

Pakuti kupewa matenda a anthrax anayamba moyo katemera youma kuti ndi oyenera ntchito subcutaneous kapena cutaneous. zotsatira mu 1 ml ampoules (anawerengetsera pa mlingo 200 makonzedwe subcutaneous) pamodzi ndi 1.5 ml ya zosungunulira (glycerol).

A katemera ndi tizilombo ta matenda kwa munthu ndi osakaniza a spores moyo wa tizilomboto ndi antigens woyeretsedwa Ufumuyo hydroxide zitsulo zotayidwa. dokotala anati vial isotonic saline, akatembenuka ufa mu osakaniza homogeneous. Alumali moyo wa katemera youma ndi zaka 3 ndi madzi - 2.

Akuluakulu ndi ana iliyonse katemera tizilombo ta matenda angagwiritsidwe ntchito 1 chaka. The Malamulo linalanda kwa iwo, amanena kuti munthu ali ndi chitetezo chokwanira kwambiri.

Contraindications katemera

Pakuti oyamba a katemera pali malamulo ambiri;

• wodwala ayenera kukhala wathanzi;
• kutentha thupi mu uthunthu wabwinobwino;
• SARS pambuyo otsiriza kuposa mwezi;
• thupi lawo siligwirizana ndi makonzedwe chisanafike katemera anali anaona.

Malangizo ntchito ndi katemera tizilombo ta matenda zikutsindika contraindications ochepa. Motero, munthu ayenera alibe mbiri ya matenda zokhudza zonse minofu connective, kobwereza dermatological pathologies, komanso mavuto endocrine dongosolo. Komanso, amasala intervals nthawi. Pakati pa katemera otsiriza ndipo Katemera ndi tizilombo ta matenda ayenera kukhala kusiyana kwa masiku osachepera atatu.

Bacterinia

Kugwiritsa ntchito katemera odana ndi tizilombo ta matenda amachititsa zochita m'dera ndi ambiri. Dongosolo Percutaneous kudzera pakhungu patsiku pa malo jekeseni limapezeka hyperaemia ndi kutupa pang'ono zimakhala. Kenako anapanga kutumphuka, kenako kusiyiratu. Dongosolo Subcutaneous ya katemera limodzi ndi kusalola masentimita mpaka 0.5.

Malaise ali osowa kwambiri ndi kumaonekera mutu, kuwonjezeka thupi kutentha kwa subfebrile, ndi kukula lymph mfundo. Nthawi zina kunyansidwa ndi kusanza. Anthu ndi okwera mayankho m'thupi katemera tizilombo ta matenda angachititse thupi lawo siligwirizana mpaka mantha anaphylactic.

Mlingo ndi Administration

The Katemera woyamba ikuchitika katemera youma ndi madzi, ndipo kenako ntchito zosinthika yokha youma. Kufuna kotala woyamba atengeke chimadalira amalandira mlingo wa mankhwala mu buku 0.5 ml ya subcutaneously.

Pali njira ziwiri ziume katemera jekeseni tizilombo ta matenda kwa anthu. Malangizo limanena kuti ana kwa zaka 14 ayenera kutsatira chachikulu Katemera subcutaneously ndi Mlingo awiri ndi imeneyi ya mwezi umodzi. Akuluakulu pa akunja lachitatu pafupifupi dzanja ntchito 2 madontho katemera kuchepetsedwa kenako zikande khungu ndipombo acimbadzoza kwa theka la madzimadzi yokha.

Mu nkhani ya kukhudzana ndi nyama odwala sanali katemera munthu unachitikira kupewa mwadzidzidzi mu mawonekedwe a njira ya mankhwala:

• akuluakulu kuti "Ciprofloxacin" kapena "Doxycycline";
• ana - "Amoxicillin".

Katemera tizilombo ta matenda a ziweto

Katemera tizilombo ta matenda ndi nyama kupanga chitetezo kwa tizilomboto patapita masiku 10 kuchokera nthawi ya oyendetsa amapereka chitetezo chokwanira wamphamvu kwa chaka chimodzi. Bukuli lakonzedwa kuti chizolowezi Katemera mokakamizidwa mu ziŵeto zonse.

Kwa nthawi yoyamba katemera apatsidwa mu m'badwo wa mwezi umodzi kenako patadutsa miyezi isanu ndi umodzi. Akulu ayenera katemera chaka chilichonse. Ngati chiwerengero cha ng'ombe anapezeka nyama zimene pali zizindikiro za matenda a anthrax, gulu lonse katemera kachiwiri.

Contraindications katemera wa nyama:

• malungo;
• mimba posachedwapa kapena castration;
• opaleshoni;
• foals kwa miyezi 9.

Katemera tizilombo ta matenda si koyamba yotentha kapena kuzizira, komanso limodzi ndi mankhwala ena. Ndi chithandizo ndi mankhwala, anthelmintics ndi mankhwala insektoakaritsidnymi ayenera kudikira masiku osachepera 10 pambuyo katemera. Mkaka wa ng'ombe katemera saloledwa kumwa tsiku lotsatira pambuyo katemera, koma kupha ng'ombe nyama ziyenera kulephereka kwa masabata awiri.