Mukati
General tsananguro yechirwere
Icho chakasarudzika chinotarisa chirwere chinotapukira chinotapukira chimiro chinokanganisa ganda, lymph node, maziso, mapapu uye pharynx. Panguva imwecheteyo, varwere vane kudhakwa kwakanyanya kwemuviri.
Iyo causative mumiriri uye sosi ye tularemia
Tularemia inokonzerwa negirama-isina bhakitiriya yeiyo genera Francisella. Yakatumidzwa zita raE.Francis, musayendisiti akadzidza zvakadzama nezvekukosha kwebhakitiriya. Francisella inopesana zvakanyanya nezvinhu zvekunze. Semuenzaniso, pane tembiricha yemvura ye4 degrees Celsius, inochengetedza kugona kwayo kwemazuva angangoita makumi matatu, muhuswa kana zviyo, chiitiko chinoenderera kwemwedzi mitanhatu (pane tembiricha dzakatenderedza uye pazasi pe30), uye kwemazuva angangoita makumi maviri (pa t = + 0), muganda mhuka dzakafa kubva ku tularemia dzinopfuurira paavhareji kwerinenge mwedzi. Hutachiona hunogona kuurayiwa nehusina hutachiona uye nekuratidzwa kune kwakanyanya kupisa.
Kunobva mabhakitiriya marudzi ese emakonzo (emumvura makonzo, muskrats, mbeva mbeva), hares, shiri, katsi dzemusango nembwa, pamwe chete nemhuka dzakapatsanurwa-pfuka.
Nzira dzekufambisa tularemia
Hutachiona hunotapuriranwa nezvipembenene zveboka rezvipembenene zvinoyamwa ropa. Utachiona hunogona kuitika kubva mukufema guruva kubva kumashanga, hemp, zviyo, kudya chikafu chakasviba, uye kunwa mvura yakasviba. Kune akawanda anozivikanwa zviitiko zvehutachiona hwevanhu vanga vachinyatso kuonana nemhuka dzinorwara kana vachikwenya, kuunganidza anorwara kana akadonha makonzo. Zvakare, zviitiko zvehurwere hwevashandi mune doro, shuga, starch, treacle, hemp mafekitori, maelevheta, muiyo nyama indasitiri munzvimbo dzekuuraira zvakanyoreswa. Munhu ane hutachiona haaise njodzi kune vamwe vanhu.
Zviratidzo uye mhando tularemia
Iyo incubation nguva ye tularemia inobva pamazuva 1 kusvika makumi matatu. Iyo incubation nguva inowanzo kutora kubva pamazuva matatu kusvika manomwe.
Tularemia inotanga kuratidzwa kwayo zvakanyanya. Tembiricha yemurwere inokwira zvakanyanya kusvika padanho re 39-40 degrees, ane kutonhora, kutemwa nemusoro kwakanyanya, kuda kurutsa uye kurutsa mafungiro. Muchiitiko ichi, kumeso nemutsipa zvinotsvuka, iyo conjunctiva inotsvuka kubva pamidziyo yakadirwa. Mapundu anoonekwa paganda, ayo nemazuva 8-10 anotanga kuoma uye kubvarura zvine simba. Mushure mokunge mapundu apora, pigmentation inogona kuramba iri paganda.
Kuwedzera kuoneka kwezviratidzo kunoenderana nerudzi rwe tularemia. Aya marudzi anosiyaniswa zvichienderana nenzira dzekupinda kwebhakitiriya mumuviri wemunhu.
Kana iyo pathogen ichipinda kuburikidza neganda, bubonic tularemia... Muchiitiko ichi, ganda rinogona kusakuvadzwa. Murwere anogadzira buboes (iyo lymph nodes iri pedyo inowedzera muhukuru). Nekuwedzera kukura kwechirwere, lymph nodes dziri kure dzinogonawo kujoina iyi nzira. Manodhi anogona kukura kusvika pakukura sezai rehuku kana walnut. Nokufamba kwenguva, mabhubhu aya anonyungudika, fester, ipapo fistulas inoumba nekuburitswa kwepus kunge mafuta cream.
Apo bhakitiriya inopinda kuburikidza nekurumwa kwezvipembenene, kazhinji, inokura ulcerative bubonic tularemia… Panzvimbo pakarumwa, panowonekwa bhubu uye chironda chinovhurika nemakona akasimudzwa uye kushushikana kudiki. Pazasi, inovharwa nechitema.
Nekupinda kwaFrancisella kuburikidza nemubatanidzwa weziso unotanga ocular bubonic tularemia… Panyaya iyi, conjunctiva inova nekutsva, maronda nekukura kunoonekwa pairi, kubva panoburitswa puru yeruvara, mabhubu anoonekwa, ma lymph node ari padyo. Mune fomu yechirwere ichi, iyo cornea haiwanzo kukanganiswa. Mukuwedzera kune izvo zviri pamusoro zviratidzo, kuzvimba kwemaziso kunowoneka, uye lymphadenitis inogona kuitika.
Kana sosi yechirwere ikamedzwa kuburikidza nekushandisa mvura yakasviba kana chikafu, angina-bubonic fomu… Kutanga, pane pahuro panorwadza, murwere anonetseka nekumedza chikafu. Kuongororwa kunoonekwa kwemukanwa kunoratidza kuputika, kuwedzererwa, matoni matsvuku, ayo ari, sezvazviri, "akasungwa" nefayibha iri kutenderedza. Toni padivi rimwe chete rakafukidzwa necrotic kupfeka yechena-chena hue, izvo zvakaoma kubvisa. Ipapo maronda akadzika anoonekwa pavari, ayo anoporesa kwenguva yakareba uye, mushure mekupora, anosiya mavanga. Uye zvakare, kuzvimba kunoonekwa pane palatine arch uye kuvhura. Buboes anoonekwa mumutsipa, nzeve uye pasi peshaya (uye iwo anoonekwa kudivi uko matoni anokanganiswa).
Nekukundwa kwema lymph node, mesentery inokura dumbu fomu yetularemia, iyo inoratidzirwa neakakomba, kucheka kurwadziwa mudumbu, kuda kurutsa, manyoka, kurutsa. Dzimwe nguva anorexia inoitika ichipesana neiyi kumashure. Pa palpation, kurwadziwa kunoitika muguvhu, kuwedzera kwemesenteric lymph node hakugone kuwanikwa nekubata (izvi zvinogona kuitwa chete ne ultrasound).
Kufema kweguruva kubva kune yakasviba miriwo, mashanga, zviyo zvinoitika pulmonary fomu… Inoenderera nemisiyano miviri: bronchitic (bronchial, paratracheal, mediastinal lymph node zvinokanganiswa, kudhakwa kwakawanda kwemuviri kunoonekwa, kuoma kukosora kunoitika, kufembera kuseri kwechifuva) uye pneumonic (inotanga zvakanaka, uye chirwere chechirwere chinopfuura zvakapusa , inozviratidza seyakanyanya pneumonia, matambudziko anowanzoonekwa muchimiro chemapundu, maronda emapapu, pleurisy, bronchiectasis).
Rwizi rwekupedzisira uye rwakaomesesa rwunofungidzirwa generalized fomu… Zvinoenderana nezviratidzo zvekiriniki, zvakafanana nehutachiona hwetyphoid: kugara uchirwara nefivha, kutonhora, kushaya simba, kutemwa nemusoro, kuziva kunogona kunge kwakazara makore, kuona zvisizvo nekurwadziswa. Kazhinji, zvinoramba zvichingoputika zvinoonekwa pane ese ganda mapepa, mabhubu ehukuru hwakasiyana uye nzvimbo. Zvakare, matambudziko anogona kuitika muchimiro chemabayo, chirwere chinotapukira chinotyisa, polyarthritis, meningitis uye myocarditis.
Zvikafu zvine hutano zve tularemia
Nheyo dzekudya zvinovaka muviri zvetularemia zvinoenderana zvakananga nechimiro chayo uye kuratidzwa kwechirwere. Semuenzaniso, ine angina-bubonic fomu, iwe unofanirwa kudya, senge angina, uye nefomu remapapu, tarisa pane chikafu chebayo.
Pasinei nechimiro che tularemia, muviri unofanirwa kusimbiswa. Mavhithamini achabatsira kukunda hutachiona, kuwedzera mabasa ekudzivirira emuviri uye kubvisa zviratidzo zvekudhakwa. Zvakakosha kudya nenzira iyo muviri unogamuchira mavhitamini akawanda emapoka C, B (kunyanya B1, 6 uye 12), K. Kubatsira murwere pakupora, zvakakosha kudya marudzi ose emiti, legumes. , zviyo (gorosi, mapfunde, oatmeal, bhari, buckwheat), pasta yakagadzirwa neupfu hwezviyo, yakamera gorosi, chiropa chemombe, gariki, horseradish, sinamoni, hove, huku, mapomegranati, gungwa buckthorn, Bulgarian uye mhiripiri inopisa, chizi yakaoma, tsuro nyama, mazai, isina-fat sour cream, chero kabichi, hanyanisi, magaka, mandimu, mabhanana, mapeya, maapuro, makarotsi, sipinachi, lettuce (zviri nani kutora "red-peak" siyana), viburnum berries, raspberries. , mastrawberries, rose mahudyu, currants, cherries, honeysuckle, maranjisi, kiwi, mafuta emiriwo.
Uye zvakare, iwe unofanirwa kudya zvakapatsanurwa uye muzvikamu zvidiki. Chikafu chose hachifanirwe kuve chine mafuta, zvirinani kuzvibika nenzira yakabikwa-yakabikwa kana mune inononoka kubika.
Chinyakare mushonga we tularemia
Tularemia inofanirwa kurapwa chete muchipatara uye chete mubazi rezvirwere zvinotapukira. Chikamu chikuru chekurapa kutora mishonga inorwisa mabhakitiriya. Uye zvakare, zvinodikanwa kuti utachiona nzvimbo yekugara yemurwere (chaizvo izvo zvinhu zvaakashandisa). Kana mabhubu akakura ane mamota akaitika, ma lymph node anovhurwa uye dhayera inoiswa.
Mishonga yechinyakare ine nzvimbo yekuve, asi chete senge nzira dzekubatsira uye inowanzo kuve mukushandisa kwenzvimbo. Kumanikidza uye mafuta ekuzora anogona kugadzirwa. Inokurudzirwa kuisa akachekwa makarotsi, beet uye jecha rekabichi kune mabhubu uye maronda (unogona kucheka mashizha nekuzora mune fomu yehowa). Vanodhonza mafinya uye vanonyaradza marwadzo.
Inotenderwa kuzodza maruva uye maronda ne tincture yemidzi ye gentian. Yaiva naye kuti Mambo Gentius weIlinia akabvisa denda iri muna 167 BC. Iyi nzira inogamuchirwawo netularemia nekufanana kwayo kwezviratidzo zveimwe yemhando dzechirwere - bubonic (murwere ane kudhakwa kwemuviri, kuzvimba kwema lymph node uye kuumbwa kwemaronda).
Idya 100 magiramu lemon zuva nezuva (kana pasina allergies uye zvimwe contraindications, somuenzaniso, kuvapo high acidity).
Seye antiseptic, zvakanaka kushandisa decoction ye pharmacy chamomile (unogona kunwa uye kuzodza maronda).
Izvo zvakakosha kuti uzive! Zvakakwana kwete kunyura bubo hakukanganise kubuda kubva muchipatara, uye murwere anovandudza hutachiona hwehupenyu hwese.
Chikafu chine njodzi uye chinokuvadza chetularemia
- mafuta, kusvuta, madhishi ane munyu;
- howa;
- parera bhari uye porridge yechibage;
- chikafu chemumagaba, masoseji, masosi ezvitoro, ketchups, mayonnaise;
- doro, inotapira pasoda;
- chikafu chinobva kunzvimbo dzinotsanya dzekudyira, machipisi, machipisi, maputi;
- nhamba yakawanda yezvigadzirwa zvinotapira uye zveupfu, zvakagadzirwa uye zvine mafuta emafuta, margarine, anopararira, pastry cream, rippers.
Zvigadzirwa izvi zvinokanganisa basa remudumbu uye zvinodzivirira kutora mavhitamini anodiwa, kuwedzera kudhaka kwemuviri, uye slag muviri.
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!