Shingairira rickettsiosis: kurapa, zvinokonzera, zviratidzo

Zvirwere zvinotapukira - boka rezvirwere, izvo zvinopararira zvikuru. Zvirwere zvakadaro zvinokonzera mamwe mabhakitiriya uye mavairasi. Zvose zvirwere zvinowanzoonekwa. Zvinosanganisira: epidemiology, nzira dzekutumira uye zviratidzo zvekurapa. Imwe yezvirwere zvinotapukira ndeyekuberekerwa mucheche rickettsiosis. Kune marudzi akasiyana-siyana ehutachiona. Gadzirai rose ricketsiosis zviratidzo zvakadai sefivha, inxication syndrome, ganda rinotanga kuchinja uye zvipembenene zvevascular. Nzira huru yekuendesa kwezvirwere izvi inotapurika. Izvi zvinoreva, kuburikidza nekurumwa kwezvipembenene, zvakagoverwa mune imwe nzvimbo yemamiriro ekunze.

Tsanangudzo yeBhuku rickettsiosis

Shingairira rickettsiosis chirwere chinotapukira chinoratidzirwa nezviratidzo zvishoma, zvakapararira vasculitis uye inodication syndrome. Chirwere ichi chinopesana nekutapurika kwekutenderera. Utachiona hunoparadzirwa nemasite uye nhengo. Kune kusiyana kwakasiyana-siyana kwekuyerera kwe rickettsiosis. Kusiyana kukuru pakati pematambudziko aya ndiwo rudzi rwepathogen. Mimwe rickettsiosis inowanzoonekwa munzvimbo dzemahombe uye murenje, dzimwe dziri munzvimbo dzinotonhora. Kunyange zvakadaro, izvi zvose zvinoratidzira zvine chimiro chakafanana chechipatara. Zvinokwanisika kufungidzira chirwere ichi nezviratidzo zviratidzo, pamwe nekuda kwezvirwere zvepidemiological. Nzira yakakosha yekuongororwa ndeyekuongorora zvidzidzo, izvo zvinokubvumira kunyatsoziva mhando yepathogen.

Chii chinonzi rickettsiosis?

Sezvazvinozivikanwa, rickettsiosis iboka guru rezvirwere. Iyo inoparidzirwa pasi rose. Zvose zvinowanzo:

1. Rickettsia prowazekii - izvi zvinokonzera kukanganisa zvinokonzera typhus. Ichi chirwere chinoparadzirwa nemugwagwa unopfurikidza (kuburikidza nekuchekwa kwemarara).
2. Rickettsia typhi ndiro causative agent wekupedzisira typhus. Inoparidzirwa nekurumwa kwemakwenzi uye fleas.
3. Rickettsia sibirica. Izvi zvinokonzera kuti chirwere cheNorth Asia chinokonzerwa nekwerekiti rickettsiosis.
4. Rickettsia burneti. Nekupinda kweiyi pathogen mumuviri womunhu kunotanga ku Ku fever. Chirwere ichi chinoparadzirwa nekufamba-kupfurikidza-kuburikidza nekurohwa kweixodid ticks.
5. Rickettsia orientalis. Kufanana nemhando dzakapfuura dze ricketsiosis, hutachiona hunoendeswa nehupenzi hunoruma.

Mukuwedzera kune zvirwere izvi, kune zvimwe zvakawanda zvirwere zvinokonzerwa nemhando dzakasiyana dzeiyi pathogen.

Epidemiological maitiro e rickettsiosis

Rickettsiosis yakasiyana pakati pavo kwete chete nehutachiona hwehutachiona, asiwo nehutachiona hwehutachiona. Pasinei nokupararira kwakawanda munyika, zvirwere zvose zvinowanikwa kune imwe nzvimbo. Somuenzaniso, chirwere che typhus chinoshevedzawo jeri kana fever fever, sezvo chirwere ichi chinoparidzirwa kuburikidza nekurumwa kwemarara, ayo akapararira pakati pevasungwa nevagungwa. Chirwere chakafanana, asi chinokonzerwa ne causative agent Rickettsia typhi, inowanzotonyorwa munzvimbo dzakatsva. Kunyanya kazhinji inowanikwa mumaruwa muzhizha.

Shingairira rickettsiosis inowanzogara munzvimbo dzezvipembenene. Iri boka rezvirwere zvinotapukira rinowanika muNorth Asia, Japan, Australia, nzvimbo dzine makomo. Mazhinji rickettsiosis zvirwere zve zoonotic. Nharaunda yepakati pehutachiona inofungidzirwa semhuka dzomusango nemhuka, mapurisa. Vanotakura rickettsiosis vane marudzi akasiyana-siyana emakiti. Sezvo zvipembenene izvi zvichibereka muzhizha (May-Septemba), panguva ino nguva inowedzera zvakanyanya. Kazhinji kacho, hutachiona hunobata vanhu vanoshanda mumugwagwa (dzimba, minda, mafuro) uye mukubatana nemhuka.

Chikonzero che rickettsiosis

Etiologic chikonzero chekutanga kwechirwere ichi chirwere chemhepo-rickettsia. Uyu mutachiona anotapukira anogona kuonekwa kune mabhakitiriya kana mavairasi. Ichi chinotsanangurwa chinotsanangurwa nechokuti, pasinei nekuumbwa kwe microorganism (tsvimbo kana cocci), rickettsia inokwanisa kukwanisa kuparadzanisa parasitization. Iyo causative agent inogara isina kumira mumhepo. Rickettsia inoparara pasi pesimba rekushisa kana kuti nzira yekudzivirira mweya. Kunyange zvakadaro, vanogona kuramba vakashanda kwenguva yakareba mumamiriro ekutonhora uye akaoma. Mukuwedzera kune nzira yekufambisa, rickettsia inogona kupinda mumuviri kuburikidza nekuwedzerwa ropa, kubva kuna amai panguva yekuberekwa. Kune dzimwe zvirwere zveboka iri, pane dzimwe nzira dzehutachiona. Pakati pavo - alimentary uye airborne infection. Zvimwe zvinokonzera kukanganisa-rikedtsiosis zvinosanganisira:

1. Kutarisana nemapoka ezvekumaruwa, imbwa.
2. Kusapindirana kwehutano hwehupi.
3. Kutarisana nevanhu vanotapukirwa uye vatakuri vezvirwere.

Mechanism of development disease

Chirwere chacho chinokura mazuva mashomanana mushure mekuiswa kwekanda mukati meganda. Nguva yenguva yekuchengetedza nguva inobva kune rudzi rwepathogen uye maitiro ezvirwere zvemummviri wemuviri. Kana kanoti karova , nzvimbo inowanikwa munharaunda inobuda. Ganda rinova rinokanganisa, hutachiona, kuora kunoonekwa. Kupindira kunoitika nekuda kwekuunganidza masero emusikirwo emusikirwo epasi panzvimbo yezvipembenene. Kubva ipapo, zvirwere-raketi - zvinopinda mumidziyo ye lymphatic uye nodes. Ikoko vanogara uye vanowanda kwenguva pfupi. Tichifunga nezvekuti lymph nodes inhengo dzezvikamu zvemuviri wezvirwere zvezvirwere zvezvirwere, dzinowedzera zvakajeka. Kuita uye kupararira kwemasero kwekutonga kwebhakitiriya kunoitika. Gare rickettsii kupinda mumidziyo yeropa. Pane bacteremia uye toxemia. Chokutanga pane zvose, mitsetse uye mitsetse yeganda inoshandiswa. Mumadziro emidziyo inoputira zvinoputika zvinotanga, zvichiita kuti kuchinja kunoparadza mu endothelium. Mukuwedzera, rickettsia inowanzopinda mishonga uye mitsipa yeuropi. Somugumisiro, zviratidzo zvehutano hwemagetsi zvinokanganisa, meningitis uye encephalitis inobudirira, zvichida kukanganisika kwakanyanya kwekuzungunusa. Iyo nzira yekukura kwehutachiona inokonzera kliniki mifananidzo yehutachiona hwehutakiti hunoberekwa rickettsiosis. ICD-10 inhengo yepasi rose, inosanganisira zvirwere zvose. Hachisi chinhu chakasiyana uye utachiona uku. Uyezve, zvinetso zvehutachiona, zvakadai semadayiritis, encephalitis uye kuparadzwa kwevascular, zvakanyorwa muInd-10 zvakasiyana. Chirwere chikuru chinonzi code A77.

Isa kuti rickettsiosis: zviratidzo zvehutano

Pasinei nokuti iyo iyo inokonzerwa nekar ticksiosis yakasiyana pakati pavo, ivo vose vane zviratidzo zvinowanzoitika mune zvekuchengetedza. Nguva yenguva yekudzivirirwa inenge inopera mazuva matatu kusvika ku7. Kazhinji kupindira kwetikiti mukati meganda kunoramba kusingaoneki pakutanga kwechirwere. Dzimwe nguva pane kuonekwa kwekupinda uye kweruzhinji lymphadenitis. Chinyorwa chinoshandiswa chinoratidzirwa nekuwedzerwa, mukati maro pane necrosis yeganda (maronda ruvara), uye pamusoro pekunze-hypermia (red corolla). Mushure memazuva maviri, kunwa doro uye fivhiri yekusingaperi inowanikwa. Murwere anonyunyuta nezvemuviri aches, fever kusvika 39 degrees, kurwadziwa kwemutsipa, kushaya simba. The febrile period inenge mavhiki maviri. Mukuwedzera kune zviratidzo zvekumwa doro, pakutanga kwechirwere ichi kuonekwa rashes. Ivo vane rose-leafy-papular character. Kutanga kukwikwidza kunomuka pamakumbo, gare gare kunopararira kune trunk. Ganda reganda harina kuchinja. Izvi zviratidzo zvinoratidzirwa ne-tick-borne rickettsiosis. Mifananidzo yeganda rinoratidzwa rinogona kuwanikwa mumabhuku anonyanya. Kusiyanisa hupakati pakati pemumwe kune zvakakosha pakuongororwa kwezvirwere zvinotapukira.

Kuzivikanwa kwetikiti rickettsiosis

Hazvigoneki kuti zvivepo chete pane kliniki yemufananidzo kuitira kuti uratidze kuratidza-kukwidzwa rickettsiosis. Kuongororwa kwechirwere kunofanira kusanganisira kutsvakurudza kwe laboratori. Pashure pezvose, zviratidzo zvehutano zvinogona kufanana nezvimwe zvirwere zvakawanda. Kuti uwane kuongororwa kwakarurama kunoratidzira rudzi rwepathogen, seroological test inoitwa . Pakati pavo - enzyme immunoassay, kubatanidza kugadziriswa, hemagglutination, nezvimwewo. Microscopy yeropa, doro, urini uye kuparadzaniswa kunopinda kunoitwawo.

Isa kuti rickettsiosis: kurapwa kwehutachiona

Sezvo chirwere ichi chinoreva kubatwa kwebhakitiriya, ma antibiotics anodiwa pakurapwa. Nokuda kweizvi, shandisa madhiragi "Tetracycline" uye "Levomycetin", pamwe chete nemafanana avo. Kana pane chirwere chakakomba, murwere anofanira kuiswa muchipatara mune chipatara chinotapukira. Nechinangwa chekuvhiringidzika, sarudzo ye 5% glucose ne ascorbic acid inorowa mukati. Ne bradycardia, zvakakosha kushandisa vasopressor madhiragi. Inosanganisira mishonga "Atropin", "Caffeine". Symptomatic therapy inoshandiswa zvakare - antipyretic, antihistamines. Mitikiti inobviswa kushandiswa. Nekuvandudzwa kwematambudziko, kurapa kwakananga kunoitwa.

Migumisiro yeikiti-yakabatwa rickettsiosis

Zvakakosha kutanga kurapwa kwechirwere-borne rickettsial chirwere nokukurumidza. Migumisiro yehutachiona inogona kuva yakaoma. Kana zvisingatauri kutumira kuna chiremba, zvinetso zvinokura kubva kune manyawi, kupumha uye yemwoyo. Pakati pavo - pneumonia, bronchitis, meningitis uye encephalitis, myocarditis, nezvimwewo. Muzviitiko zvakakomba, kushungurudzika kunotapukira kunotanga kuitika.

Kudzivirirwa kwetikiti-inotakura rickettsiosis

Kusachengetedzwa kwemazuva ose kunosanganisira kutonga kwezvipembenene nemakwenzi, uyewo nekuteerera hutsanana hwehumwe. Kurwisana ne typhus uye kuKuvheni kunopedzwa. Kana chirwere chikaonekwa, zvinokosha kuti sanitize nzvimbo yacho, uyewo kuongorora vanhu vose vaisangana nemurwere. Kana mite yakatopinda mukati meganda, asi zviratidzo zvehutachiona hazvina kutanga, mishonga yekukurumidzira iri kuitwa. Maantibayoti "Doxycycline" uye "Azithromycin" anoshandiswa.