Brucellosis

I-Brucellosis yintsholongwane ebangelwa kukudibana nezilwanyana ezithwele ibacteria ye-brucella.

I-Brucella inokosulela iinkomo, iibhokhwe, iinkamela, izinja kunye neehagu. Iibhaktheriya zinokusasazeka ziye ebantwini ukuba uthe wadibana nenyama eyosulelekileyo okanye iplascenta yezilwanyana ezosulelekileyo, okanye ukuba utya okanye usele ubisi okanye itshizi engaxutywanga.

I-Brucellosis inqabile eMelika. Malunga ne-100 ukuya kuma-200 yamatyala ayenzeka rhoqo ngonyaka. Uninzi lweziganeko zibangelwa yi Brucellosis melitensis iintsholongwane.

Abantu abasebenza kwimisebenzi apho bahlala badibana nezilwanyana okanye inyama-njengabasebenzi besilarha, amafama, kunye noogqirha bezilwanyana- basemngciphekweni omkhulu.

I-brucellosis ebukhali ingaqala ngeempawu ezinje ngomkhuhlane, okanye iimpawu ezinje:

• Intlungu zesisu
• Umqolo obuhlungu
• Umkhuhlane kunye nokubanda
• Ukubila okugqithisileyo
• Ukudinwa
• Intloko ebuhlungu
• Intlungu edibeneyo neyomzimba
• Ukuphelelwa ngumdla wokutya
• Amadlala adumbileyo
• Ubuthathaka
• Ukuhla ukusinda

Umkhuhlane ophakamileyo uvame ukwenzeka rhoqo emva kwemini. Igama elithi undulant fever lihlala lisetyenziselwa ukuchaza esi sifo kuba ifiva iyenyuka kwaye iwele kumaza.

Isigulo sinokuba sesingapheliyo kwaye sihlale iminyaka.

Umboneleli wezempilo uyakukuvavanya akubuze malunga neempawu zakho. Uyakucelwa kwakhona ukuba ukhe wanxibelelana nezilwanyana okanye mhlawumbi utye iimveliso zobisi ezingafakwanga pasteurized.

Uvavanyo olunokwenziwa lunokubandakanya:

• Uvavanyo lwegazi lwe-brucellosis
• Inkcubeko yegazi
• Inkcubeko yomongo wethambo
• Inkcubeko umchamo
• Inkcubeko ye-CSF (spinal fluid)
• I-Biopsy kunye nenkcubeko yesampuli evela kwilungu elichaphazelekayo

Amayeza okubulala iintsholongwane, anjenge-doxycycline, streptomycin, gentamicin, kunye ne-rifampin, asetyenziselwa ukunyanga usulelo kunye nokuthintela ukuba lungabuyi. Rhoqo kufuneka uthathe la machiza kangangeeveki ezi-6. Ukuba kukho iingxaki ezivela kwi-brucellosis, kuya kufuneka uthathe la machiza ixesha elide.

Iimpawu zinokuza zihambe iminyaka. Kwakhona, isigulo sinokubuya emva kwexesha elide lokungabi nazimpawu.

Iingxaki zempilo ezinokubangelwa yi-brucellosis zibandakanya:

• Amathambo kunye nezilonda ezidibeneyo (izilonda)
• I-Encephalitis (ukudumba, okanye ukudumba, kwengqondo)
• Isifo esosulelayo se-endocarditis (ukudumba komphakathi ngaphakathi kwamagumbi entliziyo kunye nezivalo zentliziyo)
• I-Meningitis (usulelo lweembrane ezigubungele ubuchopho kunye nentambo yomqolo)

Biza ixesha lokubonana nomboneleli wakho ukuba:

• Uphuhlisa iimpawu zebrucellosis
• Iimpawu zakho ziya zisiba mbi okanye aziphucuki kunyango
• Uba neempawu ezintsha

Ukusela nokutya kuphela iimveliso zobisi ezingagalelwanga, ezinje ngobisi neentshizi, yeyona ndlela ibaluleke kakhulu yokunciphisa umngcipheko we-brucellosis. Abantu abaphethe inyama kufuneka banxibe izambatho zokhuselo kunye neempahla, kwaye bakhusele ulusu ekuqhekekeni kusulelo.

Ukufumanisa izilwanyana ezosulelekileyo kulawula usulelo kumthombo wazo. Ugonyo luyafumaneka kwiinkomo, kodwa hayi ebantwini.

Umkhuhlane waseCyprus; Umkhuhlane ongapheliyo; Umkhuhlane waseGibraltar; Umkhuhlane weMalta; Umkhuhlane weMeditera

• Brucellosis
• Iintsholongwane

IGotuzzo E, uRyan ET. Brucellosis. Ku: Ryan ET, Hill DR, Solomon T, Aronson NE, Endy TP, ii-eds. Unyango lweTropical Medicine kunye nezifo eziSulelayo eziSasazekayo. Ngomhla we-10. IPhiladelphia, PA: Elsevier; 2020: isahluko 75.

UGul HC, uErdem H.Brucellosis (UBrucella iintlobo). 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: isahluko 226.