I-bacterial gastroenteritis

IBacteria gastroenteritis yenzeka xa kukho isifo esiswini kunye namathumbu. Oku kungenxa yeentsholongwane.

I-bacterial gastroenteritis inokuchaphazela umntu omnye okanye iqela labantu abathe batya ukutya okufanayo. Ngokuqhelekileyo ibizwa ngokuba yityhefu yokutya. Oku kuhlala kwenzeka emva kokutya kwiipikniks, kwiivenkile zokutyela zesikolo, kwiindibano ezinkulu zoluntu, okanye kwiivenkile zokutyela.

Ukutya kwakho kungosuleleka ngeendlela ezininzi:

• Inyama okanye iinkukhu zinokudibana neebhaktheriya xa isilwanyana silungiswa.
• Amanzi asetyenziswa ngexesha lokukhula okanye lokuhambisa anokuqulatha inkunkuma yezilwanyana okanye yomntu.
• Ukuphathwa ngokungalunganga kokutya okanye ukulungiswa kungenzeka kwivenkile zokutya, iivenkile zokutyela okanye amakhaya.

Ukutya ityhefu kuhlala kwenzeka ekutyeni nasekuseleni:

• Ukutya okulungiselelwe ngumntu ongazihlambanga izandla zakhe ngokufanelekileyo
• Ukutya okulungiselelwe kusetyenziswa izixhobo zokupheka ezingahlambulukanga, iibhodi zokusika, okanye ezinye izixhobo
• Iimveliso zobisi okanye ukutya okuqukethe i-mayonnaise (njenge-coleslaw okanye i-potato isaladi) esele ikude kakhulu kwifriji
• Ukutya okubandayo okanye okukhenkcezisiweyo okungagcinwanga kubushushu obufanelekileyo okanye akufudunyezwa ngokufanelekileyo
• I-shellfish eluhlaza njengama-oysters okanye i-clams
• Iziqhamo ezingavuthwanga okanye imifuno engakhange ihlanjwe kakuhle
• Imifuno eluhlaza okanye incindi yeziqhamo kunye neemveliso zobisi (jonga igama elithi "pasteurized" ukuqinisekisa ukuba ukutya kukhuselekile ukuba kungatyiwa okanye kuselwe)
• Inyama okanye amaqanda angaphucukanga
• Amanzi avela equleni okanye emlanjeni, okanye esixekweni okanye edolophini amanzi angakhange anyangwe

Iindidi ezininzi zebacteria zinokubangela ibacteria gastroenteritis, kubandakanya:

• I-Campylobacter jejuni
• E coli
• Salmonella
• Shigella
• Istaphylococcus
• Yersinia

Iimpawu zixhomekeke kuhlobo lwebhaktiriya ebangele ukugula. Zonke iintlobo zetyhefu yokutya zibangela urhudo. Ezinye iimpawu zibandakanya:

• Iintlanzi zesisu
• Intlungu zesisu
• Izitulo zegazi
• Ukuphelelwa ngumdla wokutya
• Isicaphucaphu nokugabha
• Ifiva

Umboneleli wakho wokhathalelo lwempilo uya kukuvavanya ukuba uneempawu zetyhefu yokutya. Oku kunokubandakanya iintlungu esiswini kwaye zibonakalise ukuba umzimba wakho awunawo amanzi kunye neencindi njengoko kufanele (ukuphelelwa ngamanzi emzimbeni).

Uvavanyo lweLebhu lunokwenziwa ekutyeni okanye kwisampulu yesitulo ukufumana ukuba yeyiphi intsholongwane ebangela iimpawu zakho. Nangona kunjalo, olu vavanyo alusoloko lubonisa unobangela wohudo.

Uvavanyo lunokwenziwa kwakhona ukujonga iiseli ezimhlophe zegazi esitulweni. Olu luphawu losulelo.

Ngokuqinisekileyo uya kuphila kwiindidi eziqhelekileyo zesifo se-gastroenteritis kwiintsuku ezimbalwa. Injongo kukwenza uzive ungcono kwaye uphephe ukomisa.

Ukusela ulwelo olwaneleyo kunye nokufunda into yokutya kuya kunceda ukunciphisa iimpawu. Ungadinga uku:

• Ukulawula urhudo
• Lawula isicaphucaphu nokugabha
• Phumla ngokwaneleyo

Ukuba unorhudo kwaye awukwazi ukusela okanye ugcine ulwelo phantsi ngenxa yokuba ubucaphucaphu okanye ukugabha, unokufuna ulwelo ngomthambo (IV). Abantwana abancinci banokuba semngciphekweni owongezelelweyo wokufumana amanzi emzimbeni.

Ukuba uthatha i-diuretics ("iipilisi zamanzi"), okanye i-ACE inhibitors yoxinzelelo lwegazi oluphezulu, thetha nomboneleli wakho. Kuya kufuneka uyeke ukuthatha la mayeza ngelixa urhudo. Ungaze uyeke okanye utshintshe amayeza akho ngaphandle kokuqala uthethe nomboneleli wakho.

Iintsholongwane azinikwa rhoqo kwiindidi eziqhelekileyo zesifo se-gastroenteritis. Ukuba isifo sorhudo siqatha okanye amajoni omzimba abuthathaka, amayeza okubulala iintsholongwane anokufuneka.

Ungawathenga amayeza kwindawo ekuthengiswa kuyo amayeza anokunceda uyeke okanye urhudo lucothe. Sukusebenzisa la mayeza ngaphandle kokuthetha nomboneleli wakho ukuba:

• Urhudo olunegazi
• Urhudo oluqatha
• Ifiva

Musa ukunika la mayeza kubantwana.

Uninzi lwabantu lubangcono kwiintsuku ezimbalwa ngaphandle konyango.

Iindidi ezithile ezinqabileyo ze E coli ingabangela:

• Anemia kakhulu
• Ukopha emathunjini
• Ukungaphumeleli kwezintso

Fowunela umnikezeli wakho ukuba unayo:

• Igazi okanye ubofu kwizitulo zakho, okanye ilindle lakho limnyama
• Urhudo olunomkhuhlane ongaphezulu kwe-101 ° F (38.33 ° C) okanye i-100.4 ° F (38 ° C) ebantwaneni
• Kutshanje uye kwilizwe langaphandle kwaye uphuhlise urhudo
• Intlungu yesisu engahambi emva kokuhamba kwamathumbu
• Iimpawu zokuphelelwa ngamanzi emzimbeni (ukunxanwa, isiyezi, ukuba mhlophe)

Biza kwakhona ukuba:

• Urhudo luya lusiba mandundu okanye lungangcono kwiintsuku ezi-2 kusana okanye emntwaneni, okanye kwiintsuku ezi-5 zabantu abadala
• Umntwana ongaphezulu kweenyanga ezintathu ubudala ugabhe ngaphezulu kweeyure ezili-12; Kwiintsana ezincinci, tsalela umnxeba ngokukhawuleza xa ugabha okanye urhudo luqala

Thatha amanyathelo ukuthintela ukutya ityhefu.

Urhudo olusulelayo - igastroenteritis yebhaktiriya; Gastroenteritis olunamandla; Gastroenteritis - intsholongwane

• Urhudo-yintoni oza kuyibuza ugqirha-umntwana wakho
• Urhudo-yintoni oza kuyibuza umboneleli wakho wezempilo-umntu omdala
• Xa unesicaphucaphu nokugabha

• Inkqubo yokwetyisa
• Inkqubo yokugaya ukutya

IKotloff KL. Gastroenteritis Acute ebantwaneni. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 366.

Nguyen T, Akhtar S.I-Gastroenteritis. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; 2018: isahl. 84.

USchiller LR, uSellin JH. Urhudo. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 16.

UWong KK, iNkulumbuso yaseGriffin. Izifo ezibangelwa kukutya. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl. 101.