I-coli enteritis

E coli i-enteritis kukudumba (ukudumba) kwamathumbu amancinci ukusuka Escherichia coli (E coli) iibhaktheriya. Ngoyena nobangela uqhelekileyo wotyatyazo lwabahambi.

E coli luhlobo lweebhaktiriya ezihlala emathunjini abantu kunye nezilwanyana. Amaxesha amaninzi, ayibangeli ngxaki. Nangona kunjalo, iintlobo ezithile (okanye iintlobo) ze E coli kunokubangela ityhefu ekutyeni. Uhlobo olunye (E coli I-O157: H7) inokubangela imeko enesihlungu yokutya okunetyhefu.

Intsholongwane inokungena kukutya kwakho ngeendlela ezahlukeneyo:

• Inyama okanye iinkukhu zinokudibana neebhaktheriya eziqhelekileyo ezisuka emathunjini esilwanyana ngelixa kusenziwa oko.
• Amanzi asetyenziswe ngexesha lokukhula okanye lokuhambisa anokuqulatha inkunkuma yezilwanyana okanye yomntu.
• Ukutya kungaphathwa ngendlela engakhuselekanga ngexesha lokuhambisa okanye lokugcina.
• Ukuphathwa okanye ukutya okungakhuselekanga kungenzeka kwiivenkile zokutya, iivenkile zokutyela okanye amakhaya.

Ityhefu yokutya inokwenzeka emva kokutya okanye ukusela:

• Ukutya okulungiselelwe ngumntu ongahlambanga kakuhle izandla
• 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 kungafudunyezwa ngokufanelekileyo
• Iintlanzi okanye iimbatyisi
• Iziqhamo ezingavuthwanga okanye imifuno engakhange ihlanjwe kakuhle
• Imifuno eluhlaza okanye incindi yeziqhamo kunye neemveliso zobisi
• Inyama okanye amaqanda angaphucukanga
• Amanzi avela equleni okanye emlanjeni, okanye esixekweni okanye edolophini amanzi angakhange anyangwe

Nangona ingaqhelekanga, E coli inokusasazeka isuke komnye umntu iye komnye. Oku kunokwenzeka xa umntu engazihlambi izandla zakhe emva kokuhamba kwamathumbu emva koko achukumise ezinye izinto okanye izandla zomnye umntu.

Iimpawu zenzeka xa E coli iintsholongwane zingena emathunjini. Uninzi lweempawu zexesha zikhula kwiiyure ezingama-24 ukuya kwezingama-72 emva kokuba wosulelekile. Olona phawu luxhaphakileyo ngesiquphe, sisifo sorhudo esisoloko sinegazi.

Ezinye iimpawu zingabandakanya:

• Ifiva
• Irhasi
• Ukuphelelwa ngumdla wokutya
• Ukuqunjelwa sisisu
• Ukuhlanza (kunqabile)

Iimpawu ezinqabileyo kodwa ezinzima E coli usulelo lubandakanya:

• Imivumbo eyenzeka ngokulula
• Ulusu oluthuthu
• Umchamo obomvu okanye onegazi
• Ukunciphisa umchamo
  

Umboneleli wakho wezempilo uya kwenza uvavanyo lomzimba. Inkcubeko yendlu ingenziwa ukujonga ukubangela izifo E coli.

Uninzi lwexesha, uya kuchacha kweyona ntlobo zixhaphakileyo ze E coli usulelo kwiintsuku nje ezimbalwa. Injongo yonyango kukwenza uzive ungcono kwaye uphephe ukomisa. Ukufumana ulwelo olwaneleyo kunye nokufunda ukuba ungatya ntoni kuya kukugcina wena okanye umntwana wakho wonwabe.

Ungadinga uku:

• Ukulawula urhudo
• Lawula isicaphucaphu nokugabha
• Phumla ngokwaneleyo

Ungasela imixube yokubuyisela amanzi emzimbeni ukubuyisela ulwelo kunye neemaminerali ezilahlekileyo ngokugabha kunye norhudo. Umgubo wokubuyisela amanzi ngomlomo ungathengwa kwikhemesti. Qiniseka ukuba uxuba umgubo emanzini akhuselekileyo.

Unokwenza owakho umxube wokubuyisela amanzi emzimbeni ngokunyibilikisa isiqingatha setispuni (3 gram) yetyuwa, icephe elinesiqingatha (2.5 g) lesoda yokubhaka kunye neetispuni ezi-4 (50 iigrem) zeswekile kwiikomityi ezi-4¼ (ilitha enye) yamanzi.

Kuya kufuneka ufumane ulwelo ngomthambo (IV) ukuba unorhudo okanye uyagabha kwaye awukwazi ukusela okanye ugcine ulwelo olwaneleyo emzimbeni wakho. Uya kudinga ukuya kwiofisi yomboneleli wakho okanye kwigumbi likaxakeka.

Ukuba uthatha i-diuretics (iipilisi zamanzi), thetha nomboneleli wakho. Kuya kufuneka uyeke ukuthatha umchamo ngelixa urhudo. Ungaze uyeke okanye utshintshe amayeza ngaphandle kokuqala uthethe nomboneleli wakho. Ungawathenga amayeza kwindawo ekuthengiswa kuyo amayeza anokunceda uyeke okanye urhudo lucothe. Sukusebenzisa la mayeza ungakhange uthethe nomboneleli wakho ukuba unorhudo olunegazi okanye umkhuhlane. Musa ukunika la mayeza kubantwana.

Uninzi lwabantu luya kuba ngcono kwiintsuku ezimbalwa, ngaphandle konyango. Ezinye iintlobo ezingaqhelekanga ze E coli kunokubangela i-anemia kakhulu okanye ukusilela kwezintso.

Biza ixesha lokubonana nomboneleli wakho ukuba:

• Awunakho ukugcina ulwelo phantsi.
• Urhudo lwakho alubi bhetele kwiintsuku ezi-5 (iintsuku ezi-2 kusana okanye emntwaneni), okanye luba mbi.
• Umntwana wakho ebegabha ngaphezulu kweeyure ezili-12 (kwimveku esandula kuzalwa engaphantsi kweenyanga ezintathu, tsalela umnxeba nje xa ugabha okanye urhudo luqala).
• Unentlungu esiswini engahambi emva kokuhamba kwamathumbu.
• Unomkhuhlane ongaphezulu kwe-101 ° F (38.3 ° C), okanye umntwana wakho unefiva engaphezu kwe-100.4 ° F (38 ° C) ngesifo sorhudo.
• Kutshanje uye kwilizwe langaphandle kwaye uphuhlise urhudo.
• Ubona igazi okanye ubofu esitulweni sakho.
• Uba neempawu zokuphelelwa ngamanzi emzimbeni, ezinjengokungabi peeing (okanye amanabukeni omileyo elusaneni), ukunxanwa, isiyezi, okanye iintloko.
• Uba neempawu ezintsha.

Urhudo lomhambi - E. coli; Ityhefu yokutya - E. coli; E. coli urhudo; Isifo seHamburger

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

• Inkqubo yokwetyisa
• Inkqubo yokugaya ukutya
• Ukuhlamba izandla

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.