Yersiniosis. Zviratidzo, kuongorora chirwere neMarapirwo

Zvirwere yaingowanikwa vanhu nemhuka, kunyanya kukanganisa nemudumbu uye iine katsika generalized maronda-siyana hurongwa uye nhengo, inonzi yersiniosis. Zviratidzo chirwere zvinozarurwa sezvo chills, nomusoro, utera, zvakawanda zvive, marwadzo ari mapfundo tsandanyama. Panogona kuva kurasikirwa kudya, kwazvo nepahuro, kushaya hope.

Zvigadziriswe pakati Kuchengetedzwa uye kupararira chirwere akanyatsojeka rakafanana pathogenesis kuti pseudotuberculosis. Kufanana chinotsanangurwa avo kuva yakafanana genus kuti utachiona Yersinia. Utachiona hwakakura iersinioza - giremu negative utachiona Yersinia Enterocolitica, kuva nemhuri Enterobacteriaceae. Panguva kutanga kwekupwanyiwa chirwere inozivikanwa chitarisiko dzakananga antibodies muropa boka IgM, IgA uye IgG. Basa mhuka somunhu rine chirwere dzisakarurama. Huru causative mumiririri zvakasikwa vanoonekwa kuti zviduku nemakonzo. Panobva chirwere kungava mhuka zvikuru guru, acutely kurwara kana anosunungura nayo utachiona.

The chikuru kwadzinoita kutapurirwa iri muviri. Izvi kazhinji kunoitika kuburikidza chikafu utachiona ne utachiona. Kakawanda iri nyama, dheri uye muriwo zvigadzirwa. Kazhinji, zvave chirwere navamwe mabhakitiriya ari genus pedyo protozoan chisvetasimba.

Kakawanda vakawanda apo neapo (neapo) neizvi chirwere. Chirwere chinobata vemazera ose, asi chikuru propensity nayo kunoonekwa vana kusvikira 3 makore, vanhu vane zvirwere kwokusakwana, simba kutapata. Undulating nzira chete kakawanda exacerbations uye zvazvo - mumwe chaizvo zvinhu zvinoratidza yersiniosis. Zviratidzo nayo vakaratidza vakawanda kudhaka, nezvaiitwa fivha, ganda maronda, nemudumbu, majoini. The chikuru siyana chirwere vari enterocolitis, enteritis, mesenteric adenitis, ishoma sepsis uye angina, uyewo yechipiri nzvimbo chirwere. The kupfuura kakawanda yematambudziko chirwere - erythema nodosum, peritonitis uye reactive chearthritis.

Nekuomarara yersiniosis emit chiedza, svikiro uye rinorema, septicemic chimiro. Maererano nzira maperembudzi wakaratidzwa chakasimba, chirwere, pamwe kakawanda zvazvo.

Gastroenteritis - vakawanda chirwere kuti kunotanga yersiniosis. Zviratidzo zvishoma zvakasiyana chero chakasimba intestinal chirwere kuitika. Uyezve kupararira (zvavo) nayo yose muviri anotsanangura akapfuma zvikuru kusiyana kunotoda kurapwa kuratidzwa. Vakanga zvikuru kuvimba nezvimiro chirwere, pakati zviri:

• gastrointestinal fomu maitiro maronda ari muura, dumbu, okuwedzera;
• yakavhenganiswa chimiro umo mitumbi miviri vari inotaurwa maronda kana kupfuura;
• generalized chimiro, chokuita pave sepsis, kukuvara yemapapu, itsvo, chitaka, pfungwa membranes;
• yechipiri-muzinda chimiro, kukura pamusoro pakanyorwa kare yakafukidza rwarisa kuzvimba. kubatanidzwa yake chaiyo iri pathological kwacho ari ura, mapfundo, mwoyo, tsandanyama, ganda.

Sezvo nayo utachiona kupinda muviri murwere kusvikira pakutanga kuratidzwa zvekuchipatara yemanyorero rinokoka haana kupfuura pavhiki. Ivo kungaratidzwa muchimiro syndromes akawanda inozivikanwa zvakasiyana siyana yersiniosis. zviratidzo mukuru hunokachidza chirwere muna zvomudumbu maronda pachena sezvo fivha, manyoka, kuda kurutsa, nomusoro, kurutsa, wapedzwa mu majoini uye tsandanyama, kusagadzikana tsinga. A nyoro chimiro chirwere kazhinji runogara anenge 3 mazuva, zvikuru vanokwanisa kunonoka kusvikira 2 weeks. Refu kunotungamirira kupera mvura mumuviri.

Yersiniosis muna zvisingawanzoitiki zviitiko, anooneka pasi ganda rashes zvinhu muchimiro mavara, Dots duku, vanoonekwa kakawanda pamakumbo uye maoko. Kazhinji, akadaro mashoko cho hosha inonzi chiratidzo "pakati masokisi uye magiravhusi." The mapundu angaperekedzwa peeling, ganda unopfuta.

In chakakomba marudzi chirwere anozivikanwa kuoneka systemic toxicity chirwere, mapundu, kwazvo huro, nomudumbu, kuwedzere chiropa, chirwatata, uye node nodes. Kazhinji zviratidzo patakafanana rikwanise appendicitis. Kana zvinokanganisawo majoini segwapa pamwe kuzvimba dzavo, marwadzo, dzisina kufamba.

Secondary-muzinda chimiro yersiniosis raanotaura nokuti mhedzisiro vezvimwe. The chikuru zviri chimiro ichi kungaratidzwa muchimiro enterocolitis, polyarthritis, monoarthritis, achirova mumwe zvikuru mapfundo, Reiter kuti urwere, erythema nodosum, myocarditis. Enough kungaratidzwa zvikuru autonomic zvirwere (kunyanya vangadikitira, ganda marbling, kumanikidza nokufamba).

Laboratory miedzo nzira huru nokuvumba yersiniosis. Chirwere inobva vasabatwa uchishandisa PCR zveMagwaro genome chezvinhu utachiona hwakakura mu mutsvina yadzo kana ropa. Immunosorbent munhu akaidza kunobatsira kuziva kuvapo antibodies kuti yersiniosis. For bacteriological kuongororwa kufundwa kunogona kuva mutsvina yadzo, weti, sputum, bile, cerebrospinal fluid ropa. Nzira paku nechirwere chirwere chacho zvinosanganisira endoscopy, X-ray kudzidza pamusoro ileum, vachibvumira kuziva follicular ileitis.

Mabatirwo pulmonary uye vakadzima iersinioza dzenzvimbo pasina concomitant chirwere anogona kutora nzvimbo pamba, vanofanira chete kutakurwa zvose kunenge ane chiremba chirwere rwarisa uye kutevera zvokudya. Kana mwero kuti zvikuru chimiro murwere anofanira kubatwa chete muchipatara.