La legionellosis, kana chirwere cheLegionnaires, chirwere chinotapukira chebhakitiriya, chinoramba chisingawanzoitiki asi chinowanzoitika nenzira yehosha.

Paavhareji, munyika dzokuMadokero, chiitiko chacho chinofungidzirwa kuti chinosiyana kubva pachiitiko chimwe kusvika ku1 pamiriyoni yevanhu pagore. Nokudaro, muFrance, muna 30, zvishoma kudarika 2012 zviitiko zve legionellosis zvakaziviswa (kuzivisa kwavo kunosungirwa).

Chirwere ichi chinoparadzirwa nekufema maaerosol ane bhakitiriya rejeniyoni reLegionella (dzinosvika makumi mashanu marudzi anozivikanwa) uye ichibvamvura yakasviba, kunyanya munharaunda (mvura inopisa, matangi emvura inopisa, shongwe dzekutonhora, spas, nezvimwewo). Haisi chirwere chinotapukira.

Chirwere ichi chinogona kuzviratidza nenzira mbiri:

• flu-like syndrome, iyo inowanzoenda isingaoneki (iyi inonzi Pontiac fever)
• inogona kunge yakakomba mabayo, kunyanya kana ikabata vanhu vane immune system isina kusimba, kusanganisira vanhu vari muchipatara.

Miedzo yeLabhoritari inofanirwa kusimbisa kuongororwa kweLegionellosis, kana paine zviratidzo zvemabayo.

Miedzo yakati wandei inogona kushandiswa, kusanganisira:

• hutachiona tsika
• la weti soluble antigen bvunzo
• serological analysis (kunonoka kuongororwa)
• yakananga immunofluorescence ongororo pane yekufema sampuli
• kutsvaga kwemajini ebacteria (nePCR)

Iyi bvunzo imwe neimwe ine yavo chaiyo uye zvakanakira.

Bhakitiriya tsika (kubva kumuenzaniso wekufema) inoramba iri nzira yereferensi, sezvo ichiita kuti zvikwanise kunyatsoziva rudzi rwe legionella inobatanidzwa.

Nekudaro, weti yakanyungudika yeantigen kuyedza inoshandiswa zvakanyanya nekuti inokurumidza kupfuura kurima uye nyore kuita. Nekudaro, iyi bvunzo inogona kungoongorora imwe chete mhando yeLegionella, L. pneumophila serogroup 1, Inotarisira 90% yeLegionellosis.

Chiyero chinoitwa pane weti sampuro uye inosanganisira kutsvaga "zvisaririra" (maantigen) eiyo bacterium. Aya matanho aripo mumurini wehuwandu hwevarwere mazuva maviri kusvika matatu mushure mekutanga kwezviratidzo zvekutanga. Iyo bvunzo inonzwisisika (2% pane yakakwenenzverwa weti) uye yakanyanya kutaurwa (3%).

Inoitwa zvakarongeka kana chiitiko chekufema zviratidzo zvichiitika mumurwere wechipatara, nokuti legionellosis inotya chirwere chenosocomial.

Mhedzisiro yacho inogona kudzoserwa mumaminetsi gumi nemashanu (nekutenda kumatengesi ekuongorora ekutengesa).

Kana bvunzo iri yakanaka, kuongororwa kweLegionellosis kuchasimbiswa. Tsika zvicharamba zvakadaro zvichikosha pakuongorora kwenyuchi.

Chiremba anosungirwa kumhan'ara nyaya iyi kuvakuru vezvehutano. Kuziva kunokonzera kusvibiswa kwakakosha kuitira kudzikamisa kupararira kwedenda. Dzimwe nyaya dzinogona kuitika dzinogona kuonekwa nekukurumidza.

Kana ari murwere, kurapwa kwemaantibiotic kunozoitwa nekukurumidza, kazhinji kunoenderana nemushonga unorwisa mabhakitiriya kubva kumhuri yemacrolide.