Cholera
Izvo zvirimo muchinyorwa
  1. tsananguro
    1. Zvinokonzera
    2. zviratidzo
    3. Matambudziko
    4. dziviriro
    5. Kurapa mune zvakanyanya mushonga
  2. Zvokudya zvinobatsira zvekorera
    1. ethnoscience
  3. Zvigadzirwa zvine ngozi uye zvinokuvadza
  4. Zvinyorwa zvemashoko

General tsananguro yechirwere

 

Ichi chakakomba ura chirwere, icho chinofambidzana nekukuvara kwe dumbu diki, kusaenzana kwe electrolyte, kupera simba kwemuviri uye, semhedzisiro, kudhakwa kwemuviri. Iyi hutachiona hwekuparadzanisa hutachiona hunogona kuuraya kana ikasarapwa nekukurumidza.

Korera inowanzopararira sedenda[4]… Hutachiona hune njodzi hunogona kuonekwa sechombo chemuzvarirwo. Gore rega rega, zvinosvika mamirioni mana ezviitiko zvehutachiona nechirwere ichi zvinonyorwa pasi. Vanonyanya kushupika mune izvi vanoonekwa sehunhu hwevanhu vanogara munzvimbo dzisina hutsanana. Naizvozvo, main endemic foci anowanikwa munzvimbo dzeLatin America, kumaodzanyemba kwakadziva kumabvazuva kweAsia neSouth Africa. Iyo yepamusoro yezvinoitika inoitika muzhizha-matsutso nguva.

Pakutanga, India yaive nzvimbo yekutapukira, asi muzana ramakore rechi19, nekusimudzira kwekutengeserana, cholera yakapararira pasirese. Uye kubvira ipapo, vanhu vakazununguswa nguva nenguva nekubuda kwekorera. Mukutanga kwezana ramakore rechi19, mukati medenda rekutanga, huwandu hwevakafa hwecholera hwaive mumamirioni. Denda rechipiri rakatora makore angangoita makumi maviri ndokutsvaira Japan, United States neEurope. Denda rechitatu rinoonekwa serinonyanya kuuraya. Masayendisiti eBritish akatanga kuongorora zvikonzero zvekupararira kwekorera uye nekutsvaga nzira dzekurapa. Kunyangwe izvi, kusvika pakati pezana ramakore rechi20, hutachiona hune njodzi hwakatora mamiriyoni ehupenyu.[3]… Iye zvino chirwere hachina kupararira, asi kuputika kwekorera kunonyorwa nguva nenguva munyika dzichiri kusimukira.

Zvinokonzera cholera

Chinokonzera kukura kwekorera ndiko cholera vibrio, iyo irimo mune maruva emitumbi mizhinji yemvura. Asi pano huwandu hwehutachiona pauniti vhoriyamu yemvura inoita basa rakakosha. Kune hutachiona, angangosvika miriyoni vibrios inofanira kumedzwa.

 

Vibrio cholerae haigadzikane nehydrochloric acid, saka kana huwandu hushoma hwehutachiona hukapinda mudumbu, vanofa. Nechepasi acidity, huwandu hwehutachiona hwakakwanira hutachiona nekorera hwaderedzwa kakawanda. Iyo gastrointestinal turakiti inoshanda sesuwo rehutachiona, cholera vibrios inogona kusvika ipapo nenzira dzinotevera:

  • kubata-imba;
  • kuburikidza nemaoko akasviba;
  • kana uchimedza mvura uchishambira mumidziva ine mvura yakasviba;
  • kana uchidya michero isina kushambidzwa nemiriwo;
  • paunosangana nemunhu ane hutachiona;
  • kana uchidya hove dzegungwa (mussels, shrimps) uye hove dzakaomeswa dzisina kurapwa kwakakodzera kupisa

Hutachiona hune njodzi hunokanganisa vakuru nevadiki, kazhinji mumwedzi inodziya. Zvinogona kutora kubva kumaawa gumi kusvika kumazuva mashanu pakati pekumwa kweVibrio cholera uye zviratidzo zvekutanga zvisati zvaonekwa, asi kazhinji nguva yekukwirisa inotora mazuva 10-5.

Zviratidzo zvecholera

Zvichienderana nezviratidzo zvekiriniki, cholera inorongedzwa kuva:

  1. 1 fomu rakadzimwa - inoratidzirwa nehumwe bundu kufamba neyakajairika hutano. Ipapo zviratidzo zvinonyanya kuzivikanwa - kune shungu yekuzvitorera, varwere vanogunun'una pamusoro penzvimbo dzemvura dzakasununguka uye kusagadzikana mudumbu;
  2. 2 fomu iri nyore - dzakasununguka zvituru zvinozivikanwa kusvika kanomwe pazuva, chirwere chinogara kwemazuva asingasviki mazuva maviri, nepo kugadzikana kwemurwere kuchigutsa, anonetseka zvishoma nezve kuneta uye nyota;
  3. 3 cholera kuoma zvakasimba, mune zvimwe zvinyorwa zvinonziwo kupera simba kwemuviri wechipiri degree. Nemhando yechirwere ichi, korera inofambira mberi nekukasira, mukuwedzera kune ura hwakawanda, murwere anonetsekana nekurutsa, izvo zvisingaenderane neshungu. Pane zviratidzo zviri pachena zvekushayikwa kwemvura mumuviri, senge shuwa isingatsungiririki, turgor reganda rinodzikira, mucous membranes inochenuruka, huwandu hweweti hunodzikira zvakanyanya. Panyaya iyi, kuyerera ura kunoonekwa kanokwana kagumi pazuva, kurwadza kwemaoko nemakumbo, zvine mwero tachycardia uye hoarseness yezwi zvinogoneka. Korera iri muchimiro inoita mazuva mashanu;
  4. 4 fomu yakaoma kana iyo 3 degree yekushomeka kwemvura inoratidzirwa nezvakakomba zviratidzo zvakakomba: kudzokororwa zvakasununguka zvituru uye kurutsa Kugwinha mudumbu nemakumbo, izwi rinopera simba, risinganzwiki. Ganda retsoka nemichindwe rinotora kuoneka kwakakwinyika, maficha echiso anorodza kumeso: mboni dzemaziso dzinowira mukati, cyanosis yemakutu nemiromo zvinoonekwa. Tachycardia inosvika makumi maviri neshanu paminiti. Pulse yakafanana neshinda, BP inoderera;
  5. 5 fomu yakaoma kwazvo inoratidzira kukurumidza kukura kwekorera, iyo inotanga nekukurumidza nekurutsa nekusingaperi. Chaizvoizvo mumaawa mashoma, tembiricha yemuviri wemurwere inodonha kusvika pamadhigirii makumi matatu nemashanu. Iko kune kushaya simba kwakanyanya, kupfupika kwemweya wekufema uye anuria, kukotsira kunogona kukura kuve coma. Ganda rinova dota, muviri unogara uchipwanya, mudumbu unodhonzwa mukati, kutaridzika kunosununguka.

Matambudziko echolera

Muzviitiko zvakakomba, kukura kwezvimwe zvinetso zvinogona kuitika:

  • cholera typhoid inozviratidza muchimiro che diphtheria colitis, nepo mapundu achigona paganda, sekumagwirikwiti;
  • chlorohydropenic uremia, iyo inowanzo kuperekedzwa neiyo renal kutadza.

Nonspecific matambudziko mukorera anomuka kana hutachiona hwechipiri hwabatanidzwa. Kazhinji kazhinji, korera yakaoma nekukanganisa mabayo. Kana huwandu hwakawanda hwemvura hwakarasika, hypovolemic kuvhunduka kunogona kuitika.

Nemishonga isingatarisirwi, cholera ine huwandu hwakawanda hwevakafa

Korera Kudzivirira

Korera yakaendeswa haisiye hutachiona, nekudaro, kutapukazve kunogoneka. Matanho makuru ekudzivirira anosanganisira:

  • kunwa chete yakanatswa kana yakabikwa mvura;
  • usashambira mumvura yakasviba kana isingazivikanwe;
  • geza maoko ako mushure mekushandisa chimbuzi uye usati wagadzira chikafu;
  • kubaya vanhu kuputika kwekorera;
  • kufambisa ruzivo pakati pevagari pamusoro penzvimbo yenzvimbo dzekurumidziro dzekurapwa munzvimbo dzekumuka kwechirwere.
  • kuita zviitiko zvine chinangwa chekuparadzira zvinhu zvekudzivirira cholera;
  • apo homwe dzecholera dzinoonekwa, nekukurumidza uye nekukurumidza pindura nemhinduro dzakasiyana-siyana.

Kurapa kwecholera mumushonga wepamutemo

Korera inogona kukurumidza kurapwa nekushanya panguva yakakodzera kuna chiremba. Pazuva rekutanga, kuripa kurasikirwa kukuru kwemvura, varwere vanonyorerwa kusvika pamarita matanhatu emumukanwa ekudzorera mvura munyu. Kune varwere vakaomarara, kuitira kuti vadzivise kupera simba kwekushaya mvura mumuviri, infusions inopinza inorayirwa pachiyero che6 litre pa1 kg yehuremu hwemurwere. Mishonga inorwisa mabhakitiriya dzimwe nguva inoshandiswa kurwisa manyoka. Uyewo enterosorbents anoshandiswa zvinobudirira kurapwa.

Zvokudya zvinobatsira zvekorera

Murwere wekorera ane manyoka uye kurutsa anorasikirwa nemvura yakawanda, anoteedzera zvinhu, mavitamini uye mapuroteni, saka chikafu chinofanirwa kuitirwa:

  1. 1 kukurudzira kwekudzivirira kwemuviri;
  2. 2 kubviswa kwezviratidzo zvekudhakwa;
  3. 3 kuderedza mutoro padunduru;
  4. 4 mubhadharo wezvinetso zvemagetsi.

Mumazuva maviri ekutanga ehurwere, kutsanya uye kunwa mvura zhinji zvinoratidzwa. Yakakurudzirwa compotes kubva kumaapuro nemapere, muto currant muto, decoction yeakaomeswa akasimuka chiuno, ayo anosiyaniswa neanosemesa mhedzisiro.

Mushure mekugadzirisa chigaro, kudya kweapuro kunoratidzwa, iwe unofanirwa kudya 1-1,5 kg yemaapuro akachekwa asina peel mu5-6 doses mukati mezuva. Zuva rinotevera, iwe unogona kuwedzera zvikafu zvisingatsamwisi matumbo pakudya: semolina, mupunga kana oatmeal yakabikwa mumvura, grated cottage cheese, yakaderera-mafuta emukaka zvigadzirwa, ichangobva kusvinwa jisi, berry jellies.

Zvino, apo murwere paanopora, chikafu chemurwere chinowedzerwa nehove dzakabikwa, nyama dzekudya uye dzakatemwa cutlets, zviyo zvakachekwa, mafuta mashoma uye chizi dzakapfava. Chikafu chinofanira kuve chinodziya, chikafu chidimbu uye kazhinji.

Folk mishonga yekurapa korera

  • inwa mukaka unodziya wakasanganiswa nembeu yedhiri;
  • Dururira 300 g yemabhureki ane ½ l yevodka, tora 30 g imwe neimwe kusvikira kurutsa kwamira[1];
  • kunwa mukati mezuva senge infusion yetii yedhiri, mindi uye chamomil;
  • varapi vekare vaitenda kuti bhandi dzvuku rakasukwa padumbu raigona kudzivirira kubva kuchirwere chekorera;
  • zvinokwanisika kudzikamisa kushushikana nekushomeka kwakanyanya kwemvura pazuva rekutanga nekusvina makumbo emurwere necamphor doro;
  • kupora murwere anogona kupihwa tsvuku yakaoma waini muzvikamu zvidiki[2];
  • inwa magirazi akati wandei e decoction yeakaomeswa chicory miriwo masikati;
  • Dissolve birch marasha mumvura uye rega murwere anwe mune zvidiki sips.

Chikafu chine njodzi uye chinokuvadza chekorera

Izvo zvinodikanwa kusabvisa zvinokurudzira zvezvakavanzika zvemudumbu uye gastrointestinal turakiti rose kubva pakudya kwemurwere, pamwe nezvigadzirwa zvine cholesterol, saka, siya:

  • miriwo nemichero semanyuko e fiber;
  • gariki nehanyanisi;
  • nyemba, kunze kweasparagus bhinzi;
  • muchero ma berries nemichero;
  • nyama nehove muto;
  • kuderedza munyu kunwa;
  • kudzora kushandiswa kwemazai emazai;
  • mukaka wakachena;
  • zvomumagaba nezvakachekwa;
  • zvakapfuma zvekudya;
  • chikafu chakakangwa uye chakakora;
  • pasoda.
Zvinyorwa zvemashoko
  1. Herbalist: zvegoridhe mapepa ekurapa echinyakare / Comp. A. Markov. - M.: Eksmo; Foramu, 2007 .- 928 p.
  2. Popov AP Herbal bhuku. Kurapa nemishonga yemakwenzi. - LLC "U-Factoria". Yekaterinburg: 1999. - 560 p., Ill.
  3. Geographic Information Systems, mabviro
  4. Cholera, mabviro
Kudhindazve zvinhu

Kushandiswa kwechinhu chero chipi zvacho pasina mvumo yedu yakanyorwa kare kunorambidzwa

Mitemo yekuchengetedza

Iwo manejimendi haakonzere chero kuyedza kushandisa chero nzira yekubikisa, kuraira kana chikafu, uye zvakare haivimbise kuti iyo yakatarwa ruzivo ichakubatsira kana kukukuvadza iwe pachako. Iva akangwara uye gara uchitsvaga chiremba akakodzera!

Chenjerera!

Iwo manejimendi haatarisiri chero kuyedza kwekushandisa ruzivo rwunopihwa, uye haivimbise kuti harukuvadze iwe pachezvako. Izvo zvinhu hazvigone kushandiswa kupa mushonga uye kugadzirisa chirwere. Nguva dzose bvunza chiremba wako wezvechiremba!

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