Leptospirosis anthu: Zizindikiro ndi Chithandizo

Leptospirosis - zoonotic kudwala amene atuluka malungo ndi matenda haemorrhagic, chiwindi ndi impso, mantha dongosolo.

Zimayambitsa ndi zinthu zosayembekezereka matenda

Matendawa amayamba ndi Leptospira. Izi tizilombo mwauzimu kuti musati kupanga spores, kapena makapisozi, ndipo anafooka. Iwo ali minofu ndi majeremusi akhoza kuukira misempha, minofu ndi magazi, komanso chiwindi ndi impso. Komanso, iwo ali endotoxin, amene wapangidwa ndi lipids, polysaccharides ndi polypeptides. mankhwala awa kuonetsa katundu pyrogenic ndi necrotic. Pamene pali leptospirosis anthu, ndi zizindikiro za matenda anatsimikiza ndi zochitika zimenezi.

Gwero la matenda - nyama (makoswe, agalu, zokwawa komanso mbalame). Munthu kachilombo pa kukhudzana ndi madzi, amene zakhudzana ndi Leptospira. Komanso, pini angakhale chakudya kapena njira ya HIV. Munthu wodwala ena osati oopsa.

Tikumbukenso kuti kudziwa leptospirosis ndi mkulu mokwanira. Matendawa nthawi zambiri pakati pa anthu. Pambuyo akuvutika leptospirosis anapanga chitetezo chokwanira mpaka kalekale.

Leptospirosis anthu: zizindikiro

Nthawi yoyamba ya matenda amatenga masiku asanu ndi awiri. Yambani lakuthwa. Hyperthermia amapezeka 40 ° C, kuzizira, mutu, ndi kunyansidwa ndi palpitation. Mu otaya aakulu khalidwe malungo otsika kalasi. Pamene pali leptospirosis anthu zizindikiro monga kupweteka kwambiri minofu. Necrosis ulusi minofu zikubweretsa vuto la impso, amene worsens kuti madokotala ananena zawo za matendawa.

Mu masiteji koyamba leptospirosis wapezeka ankatenthetsa wa nkhope ndi maso, ndi zizindikiro zikusonyeza kuledzera. M'tsogolo, kukhala ndi zizindikiro za impso kuwonongeka, chiwindi, mtima ndi mapapo. Chidwi matenda a chikasu ndiyo ndipo syndrome hemorrhagic, amene amadera hemoptysis, atachita hematuria, magazi ziwalo zosiyanasiyana kapena totupa yeniyeni.

Pamene anapezeka ndi leptospirosis anthu, mupitirizabe kusonyeza zizindikiro masabata 4-6. Pambuyo pake, pali yaitali asthenovegetative syndrome ndi kufooka chizindikiro. Mu 20-60% ya milandu muyambirenso wa leptospirosis, amene umatha ndi kugonjetsedwa kwa maso ndi mantha dongosolo.

Matendawa ndi mankhwala

Mu masiteji koyamba pali leukocytosis, aneozinofiliya, lymphopenia ndi kuchuluka ESR. M'njira kwambiri, yafupika hemoglobin kuchuluka kwa maselo ofiira a magazi ndi maselo othandiza magazi kuundana. The mkodzo anapanga zinthu zikuoneka kuti anaona pafupifupi onse odwala. Matenda phindu ali mlingo waukulu wa CPK mu seramu magazi, zimene zikusonyeza minofu kuwonongeka.

N'chiyani chingathandize mayeso enieni leptospirosis? Munthu amene akudwala kudwala imeneyi ikusonyeza anasonyeza microagglutination anachita ndi zikhalidwe moyo wa Leptospira. Tikumbukenso kuti anachita zoipa sikuti akatsimikizire matenda, kuyambira otaya waukulu wa chitetezo opangidwa ku Kuyamikira yaing'ono.

Pamene anapezeka ndi leptospirosis, chithandizo anthu a zakhudzana Leptospira, kwenikweni kumaphatikizapo kutenga mankhwala. The penicillin yabwino kwambiri. Ngati gulu la mankhwala ziwengo zikachitika, ndiye kutumikiridwa tetracyclines. chithandizocho amagwiritsidwanso ntchito mwiniwake immunoglobulin, ndi mavitamini. Pamaso pa kulephera chiwindi ntchito mankhwala "Lasix" kapena "Mannitol". Ngati ndi kotheka, ndi hemodialysis.