Okuqukethwe
Incazelo jikelele yalesi sifo
Kuyisifo semvelo esigxile esimeni esithathelwanayo esithinta isikhumba, ama-lymph node, amehlo, amaphaphu kanye nepharynx. Ngesikhathi esifanayo, iziguli zinokudakwa okukhulu komzimba.
Umenzeli we-causative nomthombo we-tularemia
I-Tularemia idalwa yigciwane eline-gram-negative lohlobo loFrancisella. Yaqanjwa ngo-E. Francis, usosayensi owafunda ngokuningiliziwe ngokusebenza okubalulekile kwaleli gciwane. UFrancisella umelene kakhulu nezinto zangaphandle. Isibonelo, ekushiseni kwamanzi okungu-4 degrees Celsius, igcina amandla ayo cishe izinsuku ezingama-30, ngotshani noma okusanhlamvu, umsebenzi uyaqhubeka izinyanga eziyisithupha (emazingeni okushisa azungeze nangaphansi kuka-0), futhi izinsuku ezingaba ngu-20 (at t = + 25), esikhunjeni izilwane ezifile ezivela e-tularemia ziphikelela ngokwesilinganiso cishe inyanga. Amagciwane angabulawa ngama-disinfection kanye nokuchayeka emazingeni okushisa aphezulu.
Imithombo yamagciwane yizo zonke izinhlobo zamagundane (amagundane asemanzini, ama-muskrats, amagundane e-vole), izingulube, izinyoni, amakati nezinja zasendle, kanye nezilwane zasekhaya ezinezinselo.
Izindlela zokudlulisa i-tularemia
Ukutheleleka kudluliswa yizinambuzane ezingaphansi komkhakha wezinambuzane ezimunca igazi. Ukutheleleka kungenzeka ngokuhogela uthuli oluvela otshanini, i-hemp, okusanhlamvu, ukudla ukudla okungcolile, nokuphuza amanzi angcolile. Kunezimo eziningi ezaziwayo zokutheleleka kwabantu abebelokhu bexhumana ngqo nezilwane ezigulayo lapho bekhumba, beqoqa amagundane agulayo noma awe. Futhi, kubhaliswe amacala okugula kwabasebenzi ngotshwala, ushukela, isitashi, treacle, izimboni ze-hemp, amakheshi, embonini yenyama emadeleni. Umuntu onegciwane akayona ingozi kwabanye abantu.
Izimpawu nezinhlobo ze-tularemia
Isikhathi sokufukamela se-tularemia sisuka ezinsukwini ezi-1 kuye kwezingu-30. Isikhathi sokufukamela ngokuvamile sithatha izinsuku ezi-3 kuye kwezi-7.
I-Tularemia iqala ukubonakaliswa kwayo kahle. Izinga lokushisa lesiguli likhuphuka kakhulu lize lifike ezingeni lama-39-40 degrees, liba nokugodola, kuvele ikhanda elibuhlungu, kuvela isicanucanu nokuhlanza. Kulokhu, ubuso nentamo ziba bomvu, i-conjunctiva iba bomvu kusuka ezitsheni ezithululiwe. Ukuqhuma kuvela esikhunjeni, okuqala ngezinsuku eziyi-8-10 ukuqala ukoma futhi kukhululeke kakhulu. Ngemuva kokuthi ukuqhuma kuphulukise, i-pigmentation ingahlala esikhunjeni.
Ukuvela okuqhubekayo kwezimpawu kuncike ohlotsheni lwe-tularemia. Lezi zinhlobo ziyabonakala ngokuya ngemizila yokungena kwamagciwane emzimbeni womuntu.
Lapho igciwane lingena ngesikhumba, i-bubonic tularemia… Kulokhu, isikhumba singase singalimali. Isiguli sakha ama-buboes (ama-lymph node atholakala ngokwanda ngosayizi oseduze). Ngokuthuthuka okuqhubekayo kwalesi sifo, ama-lymph nodes akude nawo angajoyina le nqubo. Ama-node angakhula afane nosayizi weqanda lenkukhu noma i-walnut. Ngokuhamba kwesikhathi, lezi zingubo ziyancibilika, ziqhume, bese kuba yifistula lapho kukhishwa ubomvu njengokhilimu ononile.
Lapho amabhaktheriya engena ngokulunywa yizinambuzane, ezimweni eziningi, ayakhula i-ulonicative bubonic tularemia… Endaweni lapho kwakulume khona, kuvela i-bubo bese kuvuleka isilonda ngemiphetho ephakanyisiwe kanye nokudangala okuncane. Ngezansi, imbozwa ngoqweqwe olumnyama.
Ngokungena kukaFrancisella ngokuhlangana kweso kuqala i-ocular bubonic tularemia… Kulokhu, i-conjunctiva iyavuvuka, kuvela kuyo izilonda nokuguguleka, lapho kukhishwa khona ubomvu ophuzi, kuvela ama-buboes, ama-lymph node aseduze. Kuleli fomu lesifo, i-cornea ayithinteki kakhulu. Ngaphezu kwezimpawu ezingenhla, ukuvuvukala kwamajwabu amehlo kuvela, futhi i-lymphadenitis kungenzeka.
Uma umthombo wesifo ungeniswa ngokusebenzisa amanzi noma ukudla okungcolile, ifomu le-angina-bubonic… Okokuqala, kukhona umphimbo obuhlungu, isiguli sinenkinga yokugwinya ukudla. Ukuhlolwa okubonakalayo kwesikhala somlomo kubonisa amathoni adematous, akhulisiwe, abomvu, okungathi, "ashiselwe" nge-fiber etholakala nxazonke. Amathoni ohlangothini olulodwa kuphela ambozwe ukumbozwa kwe-necrotic ye-grey-white hue, okunzima ukuyisusa. Bese kuvela kubo izilonda ezijulile, eziphola isikhathi eside futhi, ngemuva kokuphulukiswa, zishiya izibazi. Ngaphezu kwalokho, ukuvuvukala kubonakala kwi-palatine arch nokuvula. AmaBuboes avela entanyeni, endlebeni nangaphansi komhlathi (futhi avela ohlangothini lapho kuthinteke khona amalaka).
Ngokunqotshwa kwama-lymph node, mesentery iyaqala uhlobo lwesisu se-tularemia, okukhonjiswa ngokuqina, ukusika ubuhlungu besisu, isicanucanu, uhudo, ukuhlanza. Kwesinye isikhathi i-anorexia ivela ngalesi sizinda. Ngokucindezelwa, ubuhlungu benzeka enkabeni, ukwanda kwama-lymph node we-mesenteric akutholakali ngokuthinta (lokhu kungenziwa kuphela nge-ultrasound).
Ukuphefumula uthuli oluvela emifino engcolile, utshani, okusanhlamvu kwenzeka ifomu le-pulmonary… Iqhubeka ngokuhlukahluka okungu-2: i-bronchitic (i-bronchial, i-paratracheal, i-lymph node yangaphakathi iyathinteka, kubonakala ukudakwa komzimba okujwayelekile, ukukhwehlela okwomile, ukushaya ngemuva kwesifuba sesifuba) ne-pneumonic (iqala kahle, futhi inkambo yesifo idlula ngokuvilapha , izibonakalisa njenge-pneumonia egxilile, izinkinga zivame ukubonwa ngesimo samathumba, ukulimala kwamaphaphu, i-pleurisy, i-bronchiectasis).
Umfula wokugcina nonzima kakhulu ubhekwa ifomu elejwayelekile… Ngokwezibonakaliso zayo zomtholampilo, kuyefana nokutheleleka nge-typhoid: imfiva engapheli kanye nezimo ezikhohlisayo, ukugodola, ubuthakathaka, ikhanda elibuhlungu, ukwazi kungafiphazwa, ukubona izinto ezingekho kanye nokuhlushwa i-delirium. Imvamisa, kuvela ukuqubuka okuphikelelayo kukho konke ukungqubuzana kwesikhumba, ama-buboes osayizi nezindawo ezahlukahlukene. Futhi, izinkinga zingavela ngesimo se-pneumonia, ukushaqeka okunobuthi okuthathelwanayo, i-polyarthritis, i-meningitis kanye ne-myocarditis.
Ukudla okunempilo kwe-tularemia
Izimiso zokudla okunomsoco we-tularemia zixhomeke ngqo kufomu lazo nokubonakaliswa kwesifo. Isibonelo, ngefomu le-angina-bubonic, kufanele udle, njenge-angina, nangefomu le-pulmonary, gxila kokudla kwenyumoniya.
Naphezu kohlobo lwe-tularemia, umzimba kufanele uqiniswe. Amavithamini azosiza ukunqoba ukutheleleka, ukwandisa imisebenzi yokuzivikela yomzimba futhi asuse ukubonakaliswa kokudakwa. Kuyadingeka ukuthi udle ngendlela yokuthi umzimba uthole amavithamini amaningi wamaqembu C, B (ikakhulukazi B1, 6 no-12), K. Ukusiza isiguli ekululameni, kubalulekile ukuthi udle zonke izinhlobo zamantongomane, imidumba , okusanhlamvu (ukolweni, amabele, i-oatmeal, ibhali, i-buckwheat), ipasta eyenziwe ngofulawa ophelele wezinhlamvu, ihlumela ukolweni, isibindi senkomo, igalikhi, i-horseradish, isinamoni, izinhlanzi zasolwandle, inkukhu, amapomegranati, i-sea buckthorn, isiBulgaria nopelepele oshisayo, ushizi onzima, inyama kanogwaja, amaqanda, ukhilimu omuncu onganamafutha, noma iyiphi iklabishi, u-anyanisi, ukhukhamba, ulamula, ubhanana, amapheya, ama-apula, izaqathe, isipinashi, ulethisi (kungcono ukuthatha izinhlobo "ezibomvu-eziphakeme"), amajikijolo e-viburnum, ama-raspberries , ama-strawberry, ama-rose hips, ama-currants, ama-cherry, i-honeysuckle, amawolintshi, i-kiwi, uwoyela wemifino.
Ngaphezu kwalokho, udinga ukudla izingxenyana nezinxenye ezincane. Konke ukudla akufanele kube okunamafutha, kungcono ukukupheke ngendlela ebilisiwe noma ngepheki elincane.
Imithi yendabuko ye-tularemia
I-Tularemia kufanele yelashwe endaweni yesibhedlela kuphela nasemnyangweni wezifo ezithathelwanayo. Ingxenye eyinhloko yokwelashwa ukuthatha ama-antibiotic. Ngaphezu kwalokho, kubalulekile ukubulala amagciwane lapho kuhlala khona isiguli (ngqo lezo zinto azisebenzisile). Uma kwenzeka imibhoshongo emikhulu enamathumba, ama-lymph node ayavulwa bese kufakwa idreyini.
Imithi yendabuko inendawo okufanele ibe kuyo, kepha njengezindlela ezisizayo kuphela futhi iqukethe ikakhulukazi isicelo sendawo. Ukucindezelwa nokugqokwa kwamafutha kungenziwa. Kunconywa ukufaka izaqathe ezisikiwe, ama-beet nejusi leklabishi kuma-buboes kanye nezilonda (ungawasika kahle amaqabunga bese uwafaka efomeni). Badonsa ubomvu badambise izinhlungu.
Kuvunyelwe ukugcoba ama-buboes namanxeba nge-tincture yezimpande ze-gentian. Kwakunaye lapho iNkosi uGentius wase-Illyria iqeda khona ubhadane lwesifo ngo-167 BC. Le ndlela ibuye yamukeleke ku-tularemia ngokufana kwayo kwezimpawu zenye yezinhlobo zesifo - i-bubonic (isiguli sinokudakwa komzimba, ukuvuvukala kwama-lymph node nokwakheka kwezilonda).
Yidla amagremu angu-100 kalamula nsuku zonke (uma kungekho ukungezwani komzimba nezinye izinto eziphikisanayo, isibonelo, ukuba khona kwe-acidity ephezulu).
Njenge-antiseptic, kuhle ukusebenzisa i-decoction ye-pharmacy chamomile (ungaphuza futhi ugcobe amanxeba).
Kubalulekile ukwazi! I-bubo engagxiliwe ngokuphelele ayiphazamisi ukuphuma esibhedlela, kanti isiguli siqala ukuzivikela impilo yonke.
Ukudla okuyingozi nokulimazayo kwe-tularemia
- okunamafutha, ukubhema, izitsha ezinosawoti;
- amakhowe;
- i-pearl ibhali kanye nephalishi lommbila;
- ukudla okusemathinini, amasoseji, usoso wesitolo, ketchups, imayonnaise;
- utshwala, isoda emnandi;
- ukudla okuvela ezindaweni zokudlela ezisheshayo, ama-crackers, ama-chips, ama-popcorn;
- inombolo enkulu yemikhiqizo emnandi nofulawa, eyenziwe futhi equkethe amafutha e-trans, imajarini, isakaza, ukhilimu we-pastry, rippers.
Le mikhiqizo izoba nzima umsebenzi wesisu futhi izovimbela ukungena kwamavithamini adingekayo, yandise ukudakwa komzimba, futhi i-slag umzimba.
Qaphela!
Abaphathi abanacala nganoma yimuphi umzamo wokusebenzisa imininingwane oyinikiwe, futhi akuqinisekisi ukuthi ngeke ikulimaze wena uqobo. Izinto zokwakha azinakusetshenziselwa ukunquma ukwelashwa nokwenza ukuxilongwa. Njalo thintana nodokotela wakho onguchwepheshe!