Ukwelashwa Okuvamile Kwama-bacterial Potentially Deadly In People With HIV
I-Salmonella septicemia yisimo lapho ukutholakala kwama-bacterium e- Salmonella egazini kubangela ukusongela ukuphila, umzimba wonke wokuvuvukala. I- Salmonella septicemia ephindaphindiwe ihlukaniswa njengesimo esichazayo se- AIDS yi-US Centers for Disease Control and Prevention (CDC).
Njengoba kutholakala ukwelashwa kwama-antiretroviral (ART) , i- Salmonella septicemia ibhekwa engavamile phakathi kwabantu abaphila negciwane lesandulela ngculaza ezweni elithuthukile, ngokuhlola okukodwa okubonisa amacala angu-22 kuphela kweziguli ezingu-9,000 eziqashwe eminyakeni engaba yisishiyagalolunye.
Ngokuphambene nalokho, i- Salmonella engavamile ye-typhoidal ivele ibe yinkinga enkulu yezempilo emphakathini emazweni asathuthuka, ikakhulukazi e-Afrika engaphansi kweSahara.
Sibutsetelo
I-Salmonella iqukethe umndeni omkhulu webteri owenzeka ngokuvamile noma ngokwemvelo emathunjini abantu nezinye izilwane. Kuye kwabonakala izinambuzane ezingaphezu kuka-2 500 ze- Salmonella .
Yini ehlukanisa i- salmonellosis (eyaziwa ngokuthi i- Salmonella poisoning) evela ku- Salmonella septicemia yilokho i-salmonellosis iseceleni kwamathumbu emathunjini . Lapho i- salmonella endotoxins isakazwa emathunjini eya egazini futhi kwezinye izingosi zomzimba, amabhaktheriya angabangela ukuphendula okukhulu kwegciwane lesigciwane, okushiwo uma kungashiywa ngaphandle kokulashwa, kungabulala.
Amamodeli wokuThunyelwa
Ukudluliswa kwe- Salmonella kuvame ukuvela ngomzila we- fecal-oral . Izilwane zingenwa yi-feed, amanzi, noma ukuxhumana okungasondelene nomuntu othelelekile.
Ama-bacteria angadluliselwa kubantu ngokusebenzisa inyama ehlambulukile noma imikhiqizo yezilwane engazange iphekwe ngokuphelele (145 ° -160 ° F).
I-Salmonella nayo ingadluliselwa ngezithelo nemifino engcolile, ezivela ezilwaneni / ezifuywayo kubantu, nasezimpilweni zabantu.
Ngisho nangemva kokulashwa, abantu bangakwazi ukuhlala besandulela izinyanga ngemva kokululama.
Kunconywa ukuhlanzeka okuhlanzekile (kuhlanganise nokuhlanzeka kokudla), ikakhulukazi kulabo abanezibalo ze- CD4 ngaphansi kwamangqamuzana angu-200 / μL.
Izimpawu
Ngaphezu kwesifo sohudo, ukuhlanza nesisu esiswini ngokuvamile esihlotshaniswa ne-salmonellosis, izimpawu zingabandakanya amafiva aphezulu, ukukhukhumeza, ukuvuvukala, isikhumba esikhuphukile, izinga lokushaya kwenhliziyo, ukudideka, ukucindezelwa kwegazi kanye nokucindezelwa kwegazi eliphezulu.
Ukuxilongwa
I-Salmonella septicemia iqinisekiswa ngokuhlolwa kwegazi, ehlanganiswa nesiko lesitokisi.
Ukwelapha
Kulezi ziguli ezinegciwane lesandulela-ngculazi ezine- sépticemia ezinzima, i-anti-spectrum antibiotic izophathwa ngendlela yangaphakathi, ngokushesha lapho ixilongwa. I-Cipro (ciprofloxacin) , i-antibiotic ye-fluoroquinolone-class, ngokuvamile iphakanyiswa. Uma kwenzeka ukumelana ne-fluoroquinolone, i-cephalosporins nayo iyaziwa ukuthi iyasebenza.
Isikhathi sokwelapha singadlulela noma kuphi kusukela ezinsukwini eziyisikhombisa kuya kwezingu-10, kuye ngokuthi kunzima kangakanani. Ama-fluid angenayo ayengaphathwa ukuze akwazi ukubhekana nanoma yikuphi ukulahlekelwa okuketshezi.
Ukwelashwa kwesondlo kufanele kuqhubeke izinyanga eziyisithupha kuya kweziyisishiyagalombili ngemuva kokuphola ukwelashwa. Ngokuqaliswa kwe-ART, ingozi yokuphindaphinda iyancishiswa kakhulu.
Ukubizwa ngokuthi: sal-muh-NEL-uh sep-tuh-BHE-mee-uh
Obeye aziwe njengo:
- I-Salmonella sepsis
- I-non-typhoidal Salmonella septicemia
- I-non-typhoid Salmonella septicemia
- I-non-Typhi Salmonella septicemia
- I-NTS Salmonella septicemia
- I- Salmonella septicemia engavamile
- I-invalid non-typhoid Salmonella septicemia
- I-invasive non-Typhi Salmonella septicemia
- iNTS Salmonella septicemia
Ezinye izipelingi: i- Salmonella septicemia
Imithombo:
Amasevisi aseMelika okuLawula nokuvimbela izifo (CDC). "Isithasiselo A - I-AIDS Echaza Izimo." I-Atlanta, Georgia; iphelile ukubuyekezwa ngoNovemba 20,2008.
I-Burckhardt, B .; Sendi, P .; Xhuma, D .; et al. "I-AIDS ejwayelekile-Ukuchaza Izifo eSifundweni SeSandulela Ngculazi seSwitzerland." I-European Journal ye-Clinical Microbiology kanye Nezifo Eziphefumulayo. NgoJulayi 1999, 18 (6): 399-402.
I-Morpeth, iS .; Ramadhani, H .; kanye ne-Crump, J. "Izifo ezingenayo iTy-Siphion Salmonella e-Afrika." Izifo ezithathelwanayo emitholampilo. Agasti 15, 2009, 49 (4): 606-611.
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I-Celum, iC .; I-Chaisson, R .; noRutherford, G. "Isibalo salmonellosis yiziguli ezine-AIDS." Journal of Infectious Diseases. December 1987; 156 (6); 998-1002.
Hung, C .; Hung, M .; kanye noHseuh, P. "Ingozi ye-Bonteremia ye-Nontyphoid Salmonella ejwayelekile yabegciwane lesandulela ngculaza eNgculaza esikhathini esibizwa ngokuthi i-Highly Active Antiretroviral Therapy kanye ne-Trend Increasing Resistance Fluoroquinolone." Izifo ezithathelwanayo emitholampilo. NgoJulayi 19, 2007, 45 (5): e60-e67.