Zoonotic chirwere "psittacosis" muvanhu

Psittacosis - a zoonotic zvirwere zvinotapukira. Panobva chirwere chirwere ichi ndiyo shiri. Psittacosis muvanhu unowanikwa rikwanise fomu kukundwa ari kufema ino mukuru kudhaka. Kubva munhu mumwe munhu haawanzopiwi zvitange hweHIV.

Etiology uye pathogenesis

Psittacosis muvanhu chinokonzera causative mumiririri Chlamydophila psittaci, ukama chlamydia, izvo nyanzvi dzakawanda funga munhu Transitional chimiro pakati utachiona uye mavhairasi (neoriketsii). Chirwere kunoitika kuburikidza nevanhu shiri varwere vatakuri zvirwere, uye chirwere zvinhu. Neoriketsii anogona kupinda muviri inhalation muguruva, mumate, kuonana (kuburikidza hunenge Epiderme e mucous membranes), uyewo kuburikidza alimentary (chirwere nezvokudya). Psittacosis muvanhu nokuti chirwere rirege chokuita achangopfuura kuonana shiri. Chokwadi kuti pomutumwa anogona kuchengetedzwa kunze kwomuviri mutakuri (mu zvakatipoteredza) kusvika 3 mavhiki.

chirwere

The incubation nguva rinovapo Paavhareji mazuva 7-16. Psittacosis muvanhu (mumufananidzo chimiro) kunotanga acutely. Tikafunga zvakanaka uye kunopindirana noutano vakaratidzawo fivha, tembiricha muviri rinobuda zvikuru kune 39-40 ^{° C,} uye dzimwe nguva inopfuura yechiitiko ichi. Kubva maawa hosha kuratidzwa muvanhu vokutanga ndivo akaona zvakakomba nemusoro, kurukutika, utera, kurwadziwa tsandanyama maoko nemakumbo uye shure.

Mushure memazuva 2-4 zviratidzo kuonekwa maronda ose broncho-pulmonary hurongwa: yakaoma chikosoro, uchiteverwa kusarudzwa shoma purulent sputum (dzimwe nguva neropa). Dzimwe nguva pane stitching kurwadziwa muchipfuva, ayo dzinowedzerwa kufema. Psittacosis muvanhu achabatsirwa zvavo kudhaka. tembiricha muviri kakawanda wakachengetwa kwokutanga vanochiva uye neapo rinobuda zvishoma.

Pakazopera vhiki yokutanga vakawanda varwere vane yakawedzerwa chirwatata uye chiropa tisina jaundice. Kudhaka kunotora mazuva 7-10, uye ipapo zvishoma nezvishoma anotanga kuserera.

Kunyange pashure kunyangarika fivha, murwere ezvinhu utano kwenguva refu nguva haridzoki kufirwa - ichi kunoratidzwa psittacosis muvanhu. Zviratidzo vakawanda simba uye nokukurumidza kuneta pamwe shoma mumuviri nesimba, kazhinji kuchengetwa kwenguva refu. vegetative-vascular Zvirwere vari kuchengetwa. At mwero uye kwazvo siyana chirwere murwere anonyatsokwanisa kuzovazve simba hapana yapfuura pane mavhiki 8-12. Mune dzimwe vanhu chirwere anogona kwaramba.

mabatiro

Varwere vanotumirwa nemishonga (tetracyclines, macrolides, fluoroquinolones). Symptomatic kurapa ndiyo kugadzwa antipyretics, mucolytics, cardiac glycosides uye antitussives. Sezvo psittacosis - chirwere kuti chaizvo havaratidzi akashivirira nomuviri, murwere ari kuda rokudzorera kugadzirira uye pathogenetic kurapa: antioxidants, multivitamin zvivako, immunomodulators, metabolites, chirimwa adaptogens, cytokine uye antihistamines, probiotics. Zvinobudirira mushonga pamusoro ornithosis nhasi hakuwaniki, uye anoregereiko chirwere haiiti kuti paumbwe anosimbirira kutapata kusvikira nayo utachiona.