Humwe hunyoro hwehutu hunokonzerwa nebhakitiriya reShigella sonnei rudzi. Chimiro chakaipisisa chechirwere chinokonzerwa neShigella dysenteriae. Kuchengetedzwa kwezvokudya zvekudya, maronda - nyaya yenyaya yacho.
The incubation period
Kana uine utachiona hunokonzera dysentery, nguva yekudzivirira kusati yatanga kubuda kwehurwere inobva 1 kusvika kumazuva mashanu. Zvisinei, chirwere chinotanga kubuda chinogona kutanga kamwe kamwe mushure mekunge utachiona. Mune vamwe varwere, chirwere ichi chinowedzera zvishoma nezvishoma unhu hwakakomba nekutanga nyore nyore. Dhimenti inowirirana nezviratidzo zvinotevera:
• chigadziko chemvura ine kusanganiswa kweropa uye mukoko;
• kusvika kumakumi maviri emabasa ekuzvidzivirira mukati mezuva, kubvambura kurwadziwa kwepamuviri, kukurudzira zvakanyanya kuderedza;
• kurutsa, kunyarara, unyoro uye kubvisa;
• vana - high fever, kutsamwa, kurasikirwa nechido.
Mune zvimwe zviitiko, chirwere chine chirwere chinosangana ne meningism (misoro, kusagadzikana kwemitsipa ye occipital), kunyanya muvana vaduku. Zvimwe zvinetso zvemaronda zvinosanganisira pneumonia, myocardial kukuvara (mushupa wemwoyo), ziso, arthropathy uye neuropathy. Zvinofungidzirwa kuti urongwa hwezvirwere zvechirwere hunobatanidza ne hypersensitivity reaction kune tsvina inokonzerwa nemaabhakitiriya anokonzera maronda. Zviratidzo zvakafanana zvinogona kuonekwawo mune salmonellosis, iyo causative agent iyo ibhakitiriya yeSalmonella; Chirwere chepamuviri, chinokonzerwa nehutachiona netsvimbo ye typhoid kana paratytic rod. Nguva yekudzivirira nguva dzezvirwere izvi inobvawo 1 kusvika kumazuva mashanu. Murwere anowedzerawo chirwere nekuona. Mune zvimwe zviitiko, chirwere chemvura chinowedzera, mune vamwe, typhoid fever syndrome inokura. Kana utachiwana neCampylobacter incubation period inobva pamashure matatu kusvika ku5. Pamberi pekuonekwa kwezuva, zvinogona kuva zviratidzo zvehutachiona (kutonhora, misoro, misuru painwa). Chigaro chekutanga chinoshandiswa nemvura, saka kusvibiswa kweropa kunowanikwa mairi. Kazhinji chirwere chacho chinosangana nemarwadzo mudumbu, kuitira kuti vana vangave vakakanganisa kuongororwa vane appendicitis.
Dhimenti inowedzera nekuda kwehutachiona nehumwe hwemhando dzakasiyana siyana dzebhakitiriya. Izvozvo zvinokonzera chirwere cheSalgine sonnei, chiremera chakanyanya cheShigella flexneri. Nzira yakaipisisa yeropa inokonzerwa neShigella dysenteriae. Chirwere chepilylobacterial chinokura semugumisiro wehutachiona ne spirilla-soro microorganisms. Utachiona hunoitika pahukama kana kushandiswa kwezvokudya zvakasvibiswa. Yersinia (Yersinia enterocolitica) microorganisms dzinoparadzirwa nemhuka; Zvimwe zvokudya zvinogona kusvibiswa nazvo. Izvozvo zvinokonzera salmonella typhimurium, Salmonella enteridus uye Salmonella heidelberg. Zvinokonzera causative maitiro e typhoid fever ndeye Salmonella typhi uye Salmonella paratyphi A uye Salmonella paratyphi B. Amoebic dhimentery inokonzerwa nehupenyu Inamoeba histolytica (dysentery amoeba) - chirwere chemukati chinoumba makrisiti. Vanogona kuva mune zvokudya, miriwo uye mvura. Zvose zvezvipenyu izvi zvinogona kuendeswa kune vanhu nekudya zvokudya zvine utachiona kana zvinwiwa. Mumatambudziko makuru ehutupa, kudzorerazve murwere kunokosha. Kutenda kudzokazvezve, zvaive zvichikwanisa kuderedza zvakanyanya kufa kwechirwere, kunyanya munyika dziri kusimukira.
Zvimwe zviyero zvakatorwa kuti zvirape maronda:
• Tora antipyretics uye bvisa murwere ane chipanje chakakanyiwa mumvura inotonhorera; yakakurudzirwa pakushambidzika kwakakwirira.
• Kuchenesa marwadzo mudumbu, antispasmodics inorayirwa.
• Mumamiriro ekurwara anokonzerwa neShigella, mumatambudziko akaoma, zvikurukuru muvana vaduku nevakwegura, maantibiotics anoshandiswa.
• Kurapa kweropa kunokonzerwa neShigella, maantibioti e penicillin uye tetracycline series anoshanda.
• Mune maitiro akaoma salmonellosis, chloramphenicol, amoxicillin, trimethoprim, sulfamethoxazole inoshandiswa. Neutachiona hwemajybbabacterial muzviitiko zvakakomba, erythromycin inoshandiswa.
• Kana pakaitika ropa re amoebic, kuwedzerwa ropa kunoitwa kana murwere ane ropa rakawanda kurasikirwa.
Kudzivirira
Kuti udzivise dysentery, zvakakosha kutevera mitemo yehutsanana. Mvura, iyo yakanga ichibatana neane utachiwana, inofanira kubikwa isati yashandiswa. Mutemo iwoyo unofanirwa kuonekwa munyika dzine uwandu hwakachena. Mumakamuri evaruzhinji zvinokurudzirwa kuti zvirambe zvichisvibisa mashizha embudzi uye kushandiswa kwemasuo matsvene anoshandiswa. Varwere vane dysentery avo vanobatana nechingwa panguva yebasa vanofanira kusimbiswa kubva kubasa kusvikira vagamuchira zvitatu zvinotevera zvakashata zvemigumisiro yekugadzirisa. Chinhu chinokosha chekudzivirira chiyeuchidzowo zvakare kushandiswa kwezvirwere zvakapiwa mumuromo kana muchimiro chejojo.
Forecast
Muzviitiko zvakawanda, varwere vane bhakitiriya chirwere vanopindura zvakanaka kuchirapa chinoshandiswa. Zvakanyanya kuoma kuti uwane kuzadza kwakakwana ne amoebic dysentery. Dambudziko racho rinogadzirwa nevanhu vane zvigaro zvisingagumi zve-cysts. Diloxanide furoate inogona kushandiswa pakurapa kwavo. Zvirwere zvinotapukira zvemahuro zvakanga zvakakurumbira muCentral America, Mexico, Asia neIndia. Epidemikisi yaiwanzofambidzana nekufa kwepamusoro. Zvirwere zvinokonzera zvirwere zvishoma nezvishoma zvinokura mumamiriro ezvinhu ehuwandu uye hurombo, uko pasina urongwa hwekurasa marara emvura uye mvura yakasviba. Dhizinesi yakapararira, chaizvoizvo, munyika dzose dzenyika. Zvisinei, kana zvikonzero zvakakosha zvichitorwa, kupararira kwechirwere kunogona kukwana, izvo zvinoderedza nhamba yematambudziko.