Malungo a typhoid

Matenda a typhoid ndi matenda omwe amayambitsa kutsegula m'mimba komanso zotupa. Amayamba chifukwa cha bakiteriya otchedwa Salmonella typhi (S typhi).

S typhi imafalikira kudzera mu chakudya, zakumwa, kapena madzi. Ngati mumadya kapena kumwa china chake chodetsedwa ndi mabakiteriya, mabakiteriya amalowa mthupi lanu. Amalowa m'matumbo mwanu, kenako mumwazi wanu. M'magazi, amapita kumalo anu am'mimba, ndulu, chiwindi, ndulu, ndi ziwalo zina za thupi.

Anthu ena amakhala onyamula S typhi ndikupitiliza kutulutsa mabakiteriya m'manyumba awo kwa zaka, kufalitsa matendawa.

Matenda a chimfine ndi ofala m’mayiko amene akutukuka kumene. Anthu ambiri ku United States amabwera kuchokera kumayiko ena kumene matenda a typhoid amapezeka.

Zizindikiro zoyambirira zimaphatikizapo kutentha thupi, kusamva bwino, komanso kupweteka m'mimba. Kutentha kwambiri (103 ° F, kapena 39.5 ° C) kapena kutsegula m'mimba kwambiri kapena kwamphamvu kumachitika matendawa akukulira.

Anthu ena amakhala ndi zotupa zotchedwa "mawanga a duwa," omwe ndi malo ang'onoang'ono ofiira pamimba ndi pachifuwa.

Zizindikiro zina zomwe zimachitika ndi izi:

• Zojambula zamagazi
• Kuzizira
• Kusokonezeka, chisokonezo, kusokonezeka, kuwona kapena kumva zinthu zomwe kulibe (kuyerekezera zinthu)
• Zovuta kumvetsera (kuchepa kwa chidwi)
• Kutulutsa magazi m'mphuno
• Kutopa kwambiri
• Pang'onopang'ono, ulesi, ndikumverera kofooka

Wothandizira zaumoyo adzayesa thupi ndikufunsa za zizindikiro.

Kuwerengera kwathunthu kwamagazi (CBC) kudzawonetsa kuchuluka kwa maselo oyera amwazi.

Chikhalidwe chamagazi sabata yoyamba ya malungo chitha kuwonetsa S typhi mabakiteriya.

Mayesero ena omwe angathandize kuzindikira vutoli ndi awa:

• ELISA kuyezetsa magazi kuti ayang'ane ma antibodies ku S typhi mabakiteriya
• Kafukufuku wama antibodies a fluorescent kuti ayang'ane zinthu zomwe zili zenizeniS typhi mabakiteriya
• Kuwerengera kwa ma Platelet (kuchuluka kwa ma platelet kumakhala kotsika)
• Chopondapo chikhalidwe

Madzi ndi ma electrolyte atha kuperekedwa ndi IV (mumitsempha) kapena mungapemphedwe kuti mumwe madzi ndi mapaketi a electrolyte.

Maantibayotiki amaperekedwa kuti aphe mabakiteriya. Pali kuchuluka kwa maantibayotiki padziko lonse lapansi, kotero omwe amakupatsani mwayi wowunika asanayankhe maantibayotiki amayang'ana zomwe akuvomereza pakadali pano.

Zizindikiro nthawi zambiri zimawonekera m'masabata awiri kapena anayi ndi chithandizo. Zotsatirazi zikuyenera kukhala zabwino ndikamalandira chithandizo choyambirira, koma chimakhala chovuta ngati zovuta zikuchitika.

Zizindikiro zimatha kubwerera ngati mankhwalawa sanachiritse matendawa.

Mavuto azaumoyo omwe angakhalepo ndi awa:

• Kutaya magazi m'mimba (kutuluka magazi kwambiri kwa GI)
• Kutsekemera kwam'mimba
• Impso kulephera
• Matenda a m'mimba

Lumikizanani ndi omwe amakupatsani ngati muli ndi izi:

• Mukudziwa kuti mwapezeka ndi munthu amene ali ndi matenda a typhoid fever
• Mwakhalapo kudera lomwe kuli anthu omwe ali ndi typhoid fever ndipo mumakhala ndi zizindikilo za typhoid fever
• Mwakhala mukudwala typhoid fever ndipo matenda amabwerera
• Mumakhala ndi ululu wam'mimba, kuchepa kwa mkodzo, kapena zizindikilo zina zatsopano

Katemera amalimbikitsidwa kuyenda kunja kwa United States kupita kumalo komwe kuli malungo a typhoid. Centers for Disease Control and Prevention webusayiti ili ndi chidziwitso chokhudza komwe typhoid fever imakonda - www.cdc.gov/typhoid-fever/index.html. Funsani omwe akukuthandizani ngati mungabweretse mapaketi a electrolyte mukadwala.

Mukamayenda, imwani madzi owiritsa okha kapena am'mabotolo ndikudya chakudya chophika bwino. Sambani m'manja musanadye.

Kusamalira madzi, kutaya zinyalala, ndi kuteteza chakudya kuchokera ku kuipitsidwa ndi njira zofunika kwambiri paumoyo wa anthu. Onyamula typhoid sayenera kuloledwa kugwira ntchito yonyamula chakudya.

Malungo a Enteric

• Salmonella typhi chamoyo
• Zakudya zam'mimba ziwalo

Haines CF, Sears CL. Opatsirana enteritis ndi proctocolitis. 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 110.

Harris JB, Ryan ET. Malungo a Enteric ndi zina zomwe zimayambitsa malungo ndi m'mimba zizindikiro. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Mfundo za Bennett ndi Kuchita kwa Matenda Opatsirana, Kusinthidwa. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 102.