Chilichonse Chimene Muyenera Kudziwa Zokhudza Matenda a Listeria (Listeriosis)

Zamkati

• Zizindikiro
• Zoyambitsa
• Zowopsa
• Kuonana ndi dokotala
• Chithandizo
• Zithandizo zapakhomo
• Chithandizo chamankhwala
• Chithandizo cha mimba
• Kupewa

Chidule

Matenda a Listeria, omwe amadziwikanso kuti listeriosis, amayamba chifukwa cha bakiteriya Listeria monocytogenes. Mabakiteriyawa amapezeka kwambiri pazakudya zomwe zimaphatikizapo:

• mkaka wosasamalidwa
• nyama zina zopatsa chakudya
• mavwende
• ndiwo zamasamba zosaphika

Listeriosis siyowopsa mwa anthu ambiri. Anthu ena sangakhale ndi zizindikilo za matendawa, ndipo zovuta ndizochepa. Kwa anthu ena, matendawa amatha kupha moyo.

Chithandizo chimadalira kukula kwa matendawa komanso thanzi lanu lonse. Chitetezo choyenera cha chakudya chitha kuthandiza kupewa ndikuchepetsa chiopsezo chanu chokhala ndi listeriosis.

Zizindikiro

Zizindikiro zofala kwambiri za listeriosis ndi izi:

• malungo
• nseru
• kutsegula m'mimba
• kupweteka kwa minofu

Kwa anthu ambiri, zizindikirazo zimakhala zofatsa kwambiri kotero kuti matendawa amakhala osadziwika.

Zizindikiro zimatha kuyamba patatha masiku atatu kapena atatu mutadya chakudya choyipa. Chizindikiro chofatsa kwambiri ndimatenda onga chimfine otsekula m'mimba ndi malungo. Anthu ena samakumana ndi zizindikiro zoyambirira mpaka masiku kapena milungu ingapo atawonekera.

Zizindikiro zimatha mpaka matenda atha. Kwa anthu ena omwe amapezeka ndi listeria, chithandizo chamankhwala opha tizilombo nthawi zambiri amalimbikitsidwa. Pakhoza kukhala chiopsezo chachikulu cha zovuta, makamaka mkati mwa dongosolo lamanjenje, mtima, ndi magazi. Matendawa ndi owopsa makamaka, anthu azaka 65 kapena kupitilira apo, komanso anthu omwe ali ndi chitetezo chamthupi chofooka.

Nthawi zina, listeriosis imatha kufalikira kunja kwa matumbo. Matenda opita patsogolo kwambiriwa, omwe amadziwika kuti invasive listeriosis, amayambitsa zizindikilo zowopsa. Izi zikuphatikiza:

• mutu
• chisokonezo
• khosi lolimba
• kusintha kwa kukhala tcheru
• kulephera kuyenda kapena kuyenda movutikira
• kupweteka kapena kugwidwa

Zovuta zimaphatikizapo bakiteriya meningitis, matenda am'mimba (endocarditis), ndi sepsis.

Muyenera kukhala mchipatala kuti mupeze matenda owopsa chifukwa angawopseze moyo.

Ngati muli ndi pakati, mwina simungakhale ndi zizindikiro zambiri, kapena zizindikilozo zimakhala zofatsa kwambiri simudziwa kuti muli ndi matendawa. Listeriosis mwa amayi apakati amatha kubweretsa padera kapena kubereka mwana. Nthawi yomwe mwana amakhala wamoyo, amatha kudwala matenda aubongo kapena magazi omwe amafunikira kuchipatala ndi chithandizo chamankhwala opha tizilombo atangobadwa kumene.

Zoyambitsa

Listeriosis imayamba mukakumana ndi mabakiteriya Listeria monocytogenes. Nthawi zambiri, munthu amatenga listeria atadya chakudya choyipa. Mwana wakhanda amathanso kulandira kuchokera kwa amayi ake.

Listeria mabakiteriya amakhala mu nthaka, madzi, ndi ndowe za nyama. Amathanso kukhala ndi chakudya, zida zopangira chakudya, komanso posungira chakudya kozizira. Listeriosis imafalikira kwambiri motere:

• nyama zosinthidwa, kuphatikiza nyama yamphongo, agalu otentha, kufalikira kwa nyama, ndi nsomba zam'nyanja zosuta
• mkaka wosasamalidwa, kuphatikiza tchizi wofewa ndi mkaka
• zina zopangira mkaka, kuphatikizapo ayisikilimu
• ndiwo zamasamba ndi zipatso

Listeria mabakiteriya samaphedwa m'malo ozizira a mafiriji ndi mafiriji. Samakula msanga m’malo ozizira, koma amatha kupulumuka kutentha kozizira kwambiri. Mabakiteriyawa amatha kuwonongeka ndi kutentha. Zakudya zotentha, monga agalu otentha, mpaka 165 ° F (73.8 ° C) zitha kupha mabakiteriya.

Zowopsa

Anthu athanzi samadwala kawirikawiri chifukwa cha Listeria. Anthu omwe ali ndi chitetezo chokwanira cha mthupi amatha kukhala ndi zizindikilo zowopsa. Mutha kukhala ndi matenda opatsirana kapena zovuta kuchokera ku listeriosis ngati:

• ali ndi pakati
• Oposa 65
• akumwa mankhwala opondereza chitetezo cha mthupi, monga prednisone kapena mankhwala ena omwe amaperekedwa kuti athetse matenda amthupi monga nyamakazi
• ali ndi mankhwala oteteza kukanidwa kwa ziwalo
• ali ndi HIV kapena Edzi
• kukhala ndi matenda ashuga
• ali ndi khansa kapena akuchiritsidwa ndi chemotherapy
• ali ndi matenda a impso kapena ali ndi dialysis
• kukhala ndi uchidakwa kapena matenda a chiwindi

Kuonana ndi dokotala

Ngati mwadya chakudya chomwe chakumbukiridwa, musaganize kuti muyenera kukaonana ndi dokotala wanu. M'malo mwake, dziyang'anireni nokha ndikuyang'anitsitsa zizindikiro za matenda, monga malungo opitilira 100.6 ° F (38 ° C) kapena zizindikiro ngati chimfine.

Mukayamba kudwala kapena mukukumana ndi matenda a listeriosis, pitani kuonana ndi dokotala wanu. Ngati muli ndi chitetezo chamthupi chofunikira, ndikofunikira kuti mukayang'ane ndi dokotala wanu. Adziwitseni kuti mumakhulupirira kuti mudadya chakudya chomwe chidali ndi listeria. Ngati ndi kotheka, perekani zambiri zakukumbukiraku chakudyacho ndikufotokozerani zisonyezo zanu.

Dokotala wanu angagwiritse ntchito kuyesa magazi kuti adziwe listeriosis. Mayeso am'magazi am'mimba amagwiritsidwanso ntchito nthawi zina. Kuchiza mwachangu ndi maantibayotiki kumatha kuchepetsa zizindikilo zake ndikupewa zovuta.

Chithandizo

Chithandizo cha listeriosis chimatengera kukula kwa zizindikiritso zanu komanso thanzi lanu lonse.

Ngati zizindikiro zanu ndizofatsa ndipo mulibe thanzi labwino, chithandizo sichingakhale chofunikira. M'malo mwake, dokotala wanu akhoza kukuphunzitsani kuti mukhale kunyumba ndikudzisamalira ndikutsatira. Kuchiza kunyumba kwa listeriosis ndikofanana ndi kuchiza matenda aliwonse obwera chifukwa cha chakudya.

Zithandizo zapakhomo

Kuchiza matenda pang'ono kunyumba:

• Khalani hydrated. Imwani madzi ndi zakumwa zoonekeratu ngati mukusanza kapena kutsegula m'mimba.
• Sinthani pakati pa acetaminophen (Tylenol) ndi ma nonsteroidal anti-inflammatory drugs (NSAIDs) kuti muchepetse kutentha thupi kapena kupweteka kwa minofu.
• Yesani zakudya za BRAT. Ngakhale matumbo anu amabwerera mwakale, kudya zakudya zosavuta kukonza kumatha kuthandizira. Izi zimaphatikizapo nthochi, mpunga, maapulosi, ndi toast. Pewani zakudya zokometsera, mkaka, mowa, kapena zakudya zamafuta ngati nyama.

Chithandizo chamankhwala

Ngati zizindikiro zanu ndizowopsa, mukumva kuwawa, kapena mukuwonetsa zizindikiro za matenda opatsirana, dokotala wanu nthawi zambiri amakupatsani maantibayotiki. Muyenera kuti mukhale mchipatala ndikupatsidwa mankhwala a IV. Maantibayotiki kudzera mu IV amatha kuthana ndi matendawa, ndipo ogwira ntchito kuchipatala amatha kuwona zovuta.

Chithandizo cha mimba

Ngati muli ndi pakati ndipo muli ndi listeriosis, dokotala wanu akufuna kuyamba kulandira mankhwala ndi maantibayotiki. Awonanso mwana wanu ngati ali ndi mavuto. Ana obadwa kumene omwe ali ndi kachilombo adzalandira maantibayotiki akangobadwa.

Maonekedwe | Chiwonetsero

Kuchira kuchokera ku matenda ofatsa kumatha kufulumira. Muyenera kumva kuti ndinu abwinobwino masiku atatu kapena asanu.

Ngati muli ndi kachilombo koyambitsa matendawa, kuchira kumadalira kuopsa kwa matendawa. Ngati matenda anu ayamba kuwonongeka, kuchira kumatha kutenga milungu isanu ndi umodzi. Mwinanso mungafunike kukhala m'chipatala panthawi yomwe mukuchira kuti mukhale ndi maantibayotiki a IV ndi madzi.

Mwana wakhanda wobadwa ndi kachilomboka amatha kukhala ndi maantibayotiki kwa milungu ingapo pamene thupi lawo limalimbana ndi matendawa. Izi zitha kufuna kuti mwana wakhanda akhale mchipatala.

Kupewa

Njira zachitetezo cha chakudya ndi njira yabwino kwambiri yopewera listeria:

• Sambani m'manja, matebulo, ndi zida zanu. Chepetsani kuthekera kwa kuipitsidwa ndi mtanda mwa kusamba m'manja musanaphike komanso mukatha kuphika, kuyeretsa zokolola, kapena kutsitsa katundu.
• Ndikolope zokolola bwinobwino. Pansi pamadzi, sungani zipatso zonse ndi ndiwo zamasamba ndi burashi yotulutsa. Chitani izi ngakhale mutakonza zipatso kapena ndiwo zamasamba.
• Kuphika zakudya bwino. Iphani mabakiteriya mwa kuphika kwathunthu nyama. Gwiritsani ntchito thermometer ya nyama kuti muwonetsetse kuti mwafika kutentha kovomerezeka.
• Pewani zomwe zingayambitse matenda ngati muli ndi pakati. Pa nthawi yomwe mukuyembekezera, tulukani zakudya zomwe zingatenge kachilomboka, monga tchizi zosasamalidwa, kuperekera nyama ndi nyama, kapena nsomba zosuta.
• Sambani firiji yanu pafupipafupi. Sambani mashelufu, madalasi, ndi zigwiriro ndi madzi ofunda ndi sopo pafupipafupi kuti muphe mabakiteriya.
• Sungani kutentha kozizira mokwanira. Mabakiteriya a Listeria samamwalira nthawi yozizira, koma firiji yozizira bwino imatha kuchepetsa kukula kwa mabakiteriya. Gwiritsani ntchito thermometer yamagetsi ndikusunga kutentha kwa firiji kapena pansi pa 40 ° F (4.4 ° C). Firiji iyenera kukhala pansi kapena pansi pa 0 ° F (-17.8 ° C).