E coli enteritis

E coli enteritis ndikutupa (kutupa) kwamatumbo ang'ono kuchokera Escherichia coli (E coli) mabakiteriya. Ndicho chifukwa chodziwika kwambiri cha kutsegula m'mimba kwa apaulendo.

E coli ndi mtundu wa mabakiteriya omwe amakhala m'matumbo mwa anthu ndi nyama. Nthawi zambiri, sizimabweretsa mavuto. Komabe, mitundu ina (kapena mitundu) ya E coli zingayambitse chakudya poyizoni. Mtundu umodzi (E coli O157: H7) itha kuyambitsa vuto lalikulu la poyizoni wazakudya.

Mabakiteriya amatha kulowa mchakudya chanu m'njira zosiyanasiyana:

• Nyama kapena nkhuku zimatha kukhudzana ndi mabakiteriya abwinobwino ochokera m'matumbo a nyama pamene ikukonzedwa.
• Madzi omwe amagwiritsidwa ntchito pakukula kapena kutumizira atha kukhala ndi zinyama kapena nyama.
• Zakudya zitha kugwiridwa mosatetezeka poyendetsa kapena posungira.
• Kusamalira kapena kukonza zakudya zosatetezeka kumatha kuchitika kugolosale, m'malesitilanti, kapena m'nyumba.

Kupha poyizoni kumatha kuchitika mutatha kudya kapena kumwa:

• Chakudya chokonzedwa ndi munthu yemwe samasamba mmanja bwino
• Chakudya chokonzedwa pogwiritsa ntchito ziwiya zophikira zodetsedwa, matabwa odulira, kapena zida zina
• Zakudya za mkaka kapena chakudya chokhala ndi mayonesi (monga coleslaw kapena saladi wa mbatata) omwe achoka mufiriji motalika kwambiri
• Zakudya zozizira kapena zosazizira zomwe sizisungidwe kutentha koyenera kapena sizikutenthetsedwa bwino
• Nsomba kapena oyisitara
• Zipatso kapena ndiwo zamasamba zosasamba bwino
• Msuzi wobiriwira wa masamba kapena zipatso ndi zopangira mkaka
• Zakudya zosaphika kapena mazira
• Madzi ochokera pachitsime kapena mtsinje, kapena mzinda kapena tawuni madzi omwe sanalandiridwe

Ngakhale sizofala, E coli akhoza kufalikira kuchokera kwa munthu wina kupita kwa wina. Izi zitha kuchitika ngati wina sasamba m'manja atatuluka m'mimba kenako ndikukhudza zinthu zina kapena manja a wina.

Zizindikiro zimachitika pomwe E coli mabakiteriya amalowa m'matumbo. Nthawi zambiri zizindikilo zimayamba pakadutsa maola 24 mpaka 72 mutadwala. Chizindikiro chofala kwambiri ndikutsekula m'mimba mwadzidzidzi komwe kumakhala kwamagazi.

Zizindikiro zina zitha kuphatikiza:

• Malungo
• Gasi
• Kutaya njala
• Kupunduka m'mimba
• Kusanza (kawirikawiri)

Zizindikiro zachilendo koma zovuta E coli Matendawa ndi awa:

• Ziphuphu zomwe zimachitika mosavuta
• Khungu lotumbululuka
• Mkodzo wofiira kapena wamagazi
• Kuchepetsa mkodzo
  

Wothandizira zaumoyo wanu adzakuyesani. Chikhalidwe chopondapo chingapangidwe kuti muwone ngati chikuyambitsa matenda E coli.

Nthawi zambiri, mudzachira pamitundu yofala kwambiri ya E coli Matendawa patatha masiku angapo. Cholinga cha mankhwala ndikupangitsani kuti mukhale bwino ndikupewa kutaya madzi m'thupi. Kupeza madzi okwanira ndikuphunzira kudya kumathandiza kuti inuyo kapena mwana wanu mukhale omasuka.

Mungafunike:

• Sinthani kutsekula m'mimba
• Chepetsani kunyansidwa ndi kusanza
• Muzipuma mokwanira

Mutha kumwa zosakaniza zakumwa zobwezeretsanso m'kamwa m'malo mwa madzi ndi mchere womwe watayika chifukwa cha kusanza ndi kutsegula m'mimba. Phulusa lakumwa pakamwa likhoza kugulidwa ku pharmacy. Onetsetsani kusakaniza ufa m'madzi abwino.

Mutha kudzipangira nokha madzi osakaniza ndi madzi osungunuka mwa kusungunula theka la supuni (3 magalamu) amchere, theka la supuni (2.5 magalamu) a soda ndi supuni 4 (50 magalamu) a shuga mu makapu 4¼ (1 litre) la madzi.

Mungafunike kupeza madzi kudzera mumtsempha (IV) ngati muli ndi kutsekula m'mimba kapena kusanza ndipo simungamwe kapena kusunga madzi okwanira mthupi lanu. Muyenera kupita kuofesi ya omwe amakuthandizani kapena kuchipinda chadzidzidzi.

Ngati mutenga ma diuretics (mapiritsi amadzi), lankhulani ndi omwe amakupatsani. Mungafunike kusiya kumwa diuretic mukamatsegula m'mimba. Osayimitsa kapena kusintha mankhwala musanalankhule ndi omwe akukuthandizani. Mutha kugula mankhwala kusitolo komwe kumatha kuyimitsa kapena kuchepetsa kutsegula m'mimba. Musagwiritse ntchito mankhwalawa osalankhula ndi omwe amakupatsani ngati muli ndi matenda otsekula magazi kapena malungo. Osapereka mankhwalawa kwa ana.

Anthu ambiri adzachira m'masiku ochepa, popanda chithandizo. Mitundu ina yachilendo ya E coli zingayambitse kuchepa kwa magazi m'thupi kapena impso.

Itanani kuti mudzakumane ndi wokuthandizani ngati:

• Simungathe kusunga madzi.
• Kutsekula kwanu sikumakhala bwino m'masiku asanu (masiku awiri kwa khanda kapena mwana), kapena kumakulirakulira.
• Mwana wanu wakhala akusanza kwa maola opitilira 12 (mwa mwana wakhanda osakwana miyezi itatu, itanani nthawi yomweyo kusanza kapena kutsegula m'mimba).
• Muli ndi zowawa m'mimba zomwe sizimatha pambuyo poyenda matumbo.
• Muli ndi malungo opitilira 101 ° F (38.3 ° C), kapena mwana wanu ali ndi malungo opitilira 100.4 ° F (38 ° C) ndi kutsekula m'mimba.
• Posachedwapa mwapita kudziko lina ndikupeza matenda otsekula m'mimba.
• Mukuwona magazi kapena mafinya mu mpando wanu.
• Mumakhala ndi zizindikilo za kuchepa kwa madzi m'thupi, monga kusatuluka (kapena matewera owuma mwa mwana), ludzu, chizungulire, kapena mutu wopepuka.
• Mumakhala ndi zizindikilo zatsopano.

Kutsekula m'mimba kwa apaulendo - E. coli; Chakudya chakupha - E. coli; E. coli kutsegula m'mimba; Matenda a Hamburger

• Kutsekula m'mimba - zomwe mungafunse dokotala - mwana
• Kutsekula m'mimba - zomwe mungafunse wothandizira zaumoyo wanu - wamkulu

• Dongosolo m'mimba
• Zakudya zam'mimba ziwalo
• Kusamba m'manja

Nguyen T, Akhtar S. Gastroenteritis. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 84.

(Adasankhidwa) Schiller LR, Sellin JH. Kutsekula m'mimba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 16.

Wong KK, Griffin PM. Matenda obwera chifukwa cha zakudya. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 101.