Umkhuhlane weTyphoid

Umkhuhlane weTyphoid sisifo esibangela urhudo kunye nerhashalala. Ngokuqhelekileyo kubangelwa yintsholongwane ebizwa Salmonella typhi (S typhi).

S typhi isasazeka ngokutya okungaselwanga, isiselo, okanye amanzi. Ukuba utya okanye usele into engcoliswe yintsholongwane, intsholongwane ingena emzimbeni wakho. Bahamba baya emathunjini akho, emva koko bangena egazini lakho. Egazini, baya kwii-lymph nodes, i-gallbladder, isibindi, i-spleen kunye namanye amalungu omzimba.

Abanye abantu baba ziziphathi ze S typhi kwaye uqhubeke nokukhupha iibacteria kwizitulo zabo iminyaka, sisasaza isifo.

ITyphoid fever ixhaphakile kumazwe asakhasayo. Uninzi lweziganeko eUnited States zingeniswa zisuka kwamanye amazwe apho kuxhaphakileyo khona ukuba nomkhuhlane wetyhefu.

Iimpawu zokuqala zibandakanya umkhuhlane, ukungaziva kakuhle, kunye nentlungu esiswini. Umkhuhlane ophezulu (103 ° F, okanye 39.5 ° C) okanye urhudo oluphezulu nolomeleleyo lwenzeka njengokuba esi sifo siba mandundu.

Abanye abantu bakhula irhashalala ebizwa ngokuba "ngamabala e-rose", amachaphaza amancinci abomvu esiswini nasesifubeni.

Ezinye iimpawu ezenzekayo zibandakanya:

• Izitulo zegazi
• Ukugodola
• Ukuphazamiseka, ukudideka, ukuphambana, ukubona okanye ukuva izinto ezingekhoyo (ukubona izinto ezingekhoyo)
• Kunzima ukuhlawula ingqalelo (ukusilela ingqalelo)
• Iimpumlo
• Ukudinwa kakhulu
• Ukucotha, ukonqena, ukuziva ubuthathaka

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu.

Inani elipheleleyo legazi (CBC) liya kubonisa inani eliphezulu leeseli ezimhlophe zegazi.

Inkcubeko yegazi kwiveki yokuqala yomkhuhlane inokubonisa S typhi iintsholongwane.

Olunye uvavanyo olunokunceda ukufumanisa le meko lubandakanya:

• Uvavanyo lwegazi lwe-ELISA ukujonga ii-antibodies kwi S typhi iintsholongwane
• Isifundo se-fluorescent antibody yokufunda ukukhangela izinto ezithileS typhi iintsholongwane
• Ukubala kweplatelet (ukubala kweplatelet kunokuba sezantsi)
• Isitulo senkcubeko

Izinto ezilulwelo kunye nee-electrolyte zinokunikwa nge-IV (emthanjeni) okanye unokucelwa ukuba usele amanzi ngeepakethi ze-electrolyte.

Amayeza okubulala iintsholongwane anikezelwa ukubulala iintsholongwane. Kukho ukunyuka kwamazinga okuchasana ne-antibiotic kwihlabathi lonke, ngoko umboneleli wakho uya kujonga iingcebiso zangoku ngaphambi kokukhetha i-antibiotic.

Iimpawu zihlala ziphucula kwiiveki ezi-2 ukuya kwezi-4 ngonyango. Isiphumo sinokulunga ngonyango lwakwangoko, kodwa lube lubi xa kuvela iingxaki.

Iimpawu zingabuya ukuba unyango alukaphilisanga ngokupheleleyo usulelo.

Iingxaki zempilo ezinokuphuhlisa zibandakanya:

• Ukopha emathunjini (ukopha kakhulu kwe-GI)
• Ukugqobhoza emathunjini
• Ukungaphumeleli kwezintso
• I-Peritonitis

Nxibelelana nomboneleli wakho ukuba unazo ezi zinto zilandelayo:

• Uyazi ukuba uchanekile emntwini onesifo sefiva
• Ubukhe kwindawo apho kukho abantu abane-typhoid fever kwaye ukhula ube neempawu ze-typhoid fever
• Unomkhuhlane we-typhoid kunye neempawu ezibuyayo
• Uba neentlungu esiswini, unciphise ukuphuma komchamo, okanye ezinye iimpawu

Isitofu sokugonya sicetyiswa ukuba sihambe ngaphandle kwe-United States siye kwiindawo apho kukho umkhuhlane we-typhoid fever. Amaziko oLawulo lweNtsholongwane kunye noThintelo lweZibalo anolwazi malunga nokuba ixhaphake phi ifiva - www.cdc.gov/typhoid-fever/index.html. Buza umboneleli wakho ukuba kufuneka uze neepakethe ze-electrolyte xa uthe wagula.

Xa useluhambeni, sela kuphela amanzi abilisiweyo okanye asebhotileni kwaye utye ukutya okuphekwe kakuhle. Hlamba izandla zakho kakuhle phambi kokuba utye.

Unyango lwamanzi, ukulahlwa kwenkunkuma, kunye nokukhusela ukubonelelwa kokutya kungcoliseko kubalulekile kumanyathelo ezempilo oluntu. Abaphathi be typhoid akufuneki bavunyelwe ukuba basebenze njengabaphathi bokutya.

Umkhuhlane ongenayo

• Isalmonella typhi ephilayo
• Inkqubo yokugaya ukutya

IHaines CF, iiSears CL. I-enteritis esulelayo kunye neproctocolitis. 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 110.

UHarris JB, uRyan ET. Umkhuhlane we-enteric kunye nezinye izinto ezibangela umkhuhlane kunye neempawu zesisu. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. UMandell, uDouglas, kunye neMigaqo yeBennett kunye nokuSebenza kwezifo ezosulelayo, uHlelo oluHlaziyiweyo. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahl. 102.