Kuvinjelwe Ngokuhlanzeka Okuhle
Sonke sibonile izibonakaliso ezigumbini zokugezela zokudlela ezithi: "Abasebenzi kumele bageze izandla ngaphambi kokuba babuyele emsebenzini." I-Shigellosis, isifo sohudo esibangelwa amabhaktheriya, esinye sezifo eziningana ezingavinjelwa kalula ngokuhlanzeka nokuhlanza izandla njalo .
Amagama ezinhlobo
Shigella sonnei, Shigella flexneri, Shigella boydii, Shigella dysenteriae
Uhlobo lwe-Microbe
Ama-bacteria a-Gram-negative
Indlela Esakaba ngayo
I-Shigellosis isakazwa umuntu ngomuntu ngomzila we-fecal-oral (noma ukungenisa kwezinto ezingcolisiwe ngemva kokunyakaza kwesisu). Kuye kwahileleka ekuqhumeni okuningi kokudla. Abanikazi bokudla abanokuhlanzeka okuhlanzekile, njengalabo abangazange bahlanze ngokuphelele amabhaktheriya emva kokuphumula kwendlu yangasese, bangasakaza lesi sifo. Kungabuye isakaze ngezimpukane, izibhuku zokubhukuda, nokuxhumana kwangasese phakathi kocansi.
Ubani Osesengozini?
Bonke abantu basengozini. Amacala amaningi asezintwaneni ezincane ezincane zasenkulisa, ikakhulukazi labo abaya ezikhungweni zokunakekela izingane. Kuvame kakhulu ehlobo nasezinkathini zokuwa. Ngokusho kwamaCentral for Disease Control and Prevention, amacala angu-14 000 eShigellosis abikwa minyaka yonke e-United States. Kungenzeka ukuthi amacala amaningi angakhulumi. Kufaka amacala angabonakali, cishe amacala angu-300 000 unyaka ngamunye. Emazweni asathuthuka, izinga lezifo lingase liphakeme futhi lesi sifo singabulala.
Ubani Osesengozini Esengeziwe?
Kukhona futhi amacala e- Drug-Resistant Shigella abangela ukukhathazeka. Lezi zinhlobo zivame ukumelana ne-Cipro (Ciprofloxacin) i-antibiotic evamile. Kukhona futhi uShigella omelana no-Azithro. Lezi zinkinga zingatholakala kulabo ababuyela e-US kusukela ekuhambeni kwamanye amazwe. Cishe isigamu sezifo ezingamelana nezidakamizwa zitholakala phakathi kokubuya kwabahambi.
Iningi lokuhamba liya eNingizimu-mpumalanga ye-Asia. Ukuthatha ama-antibiotics ukuvimbela isifo sohudo kungase kwandise amathuba okuletha amabhaktheriya angenakudliwa yikhaya (nakuba hhayi iShigella). Kukhona namacala asakaze phakathi kwabantu abesilisa nabesifazane / abesilisa abenza ucansi namadoda (MSM).
Izimpawu
Izimpawu ezinzima zihlanganisa umkhuhlane, ubuhlungu obukhulu besisu, nesifo sohudo esinomzimba nge-mucus.
Ukuxilongwa
I-Gram-stain kanye namasiko we-stool.
Isibikezelo
Kuvame ukuhamba phakathi kwezinsuku eziyisihlanu kuya kwezingu-7; ukuhlala esibhedlela akuvamile.
Ukwelapha
Ngokuvamile akudingekile, kodwa ama-antibiotics anganciphisa lesi sifo. Izidakamizwa zokulwa nesifo sohudo kufanele zigwenywe ngoba zivimbela i-microbe ukuthi ingashiyi emzimbeni futhi ingenza abantu bagule. Sicela uzigcine u-hydrated. Uma wena, ingane, noma omunye umuntu ekhulelwa amandla, ungabiza ochwepheshe bezempilo. Kungase kudingeke ukuthi uphuze amanzi asemanzi angakhipha kabusha ushukela noshukela oluthile.
Ukuvimbela
Ukugeza izandla nokuhlanzeka phakathi kwabantu abadala kanye nezingane kubaluleke kakhulu. Kubalulekile ukuthi izandla nokudla zigezwe ngamanzi ahlanzekile. Lokhu kuxhomeke ekusebenzeni kwezinhlelo zokuhlanza amanzi. Akukho mgomo okhona. Kubalulekile ukulandela amasu okuhlanzeka ngemuva kokushintsha izindiza zezingane futhi emva kokusebenzisa indlu yokugezela.
Indlela Ebangelwa Izifo
Ukungena kwe-shigella kuphumela ekuhlaseleni amabhaktheriya emgodini wezinambuzane ezincane, lapho kukhula khona. Izimpawu ngokuvamile aziqali amahora angu-12-96 ngemva kokuvezwa kubhaktheriya. Emva kwezinsuku ezimbili kuya kwezingu-7, amabhaktheriya ahlaselwa emathunjini amakhulu. Ezinye izinhlobo ziveza "i-Shiga toxin" ebangela ukuvuvukala nokufihla kwamanzi emathumbu. I-toxin nayo ilimaza ubhedu obunamathumbu emathumbu amakhulu nezinso.
Ukungakhulelwe
Uma usulelekile, kungenzeka ukuthi ungenwe yi-Shigella uhlobo olufanayo, ngenxa yokuphendula komzimba wamagciwane. Noma kunjalo, ukutheleleka kwezinye izinhlobo kusekhona.
Izinkinga
Ukutheleleka kungabangela ukungcola. Uma i-toxin ilimaza izinso, ingaholela e-hemolytic uremic syndrome. Amaphesenti angama-2 abantu abaneShigella flexneri bathuthukisa "i-arthritis emva kokutheleleka", enezimpawu ezihlanganisa ubuhlungu obuhlangene, ukucasuka kweso, nokuvuthwa okubuhlungu. Kufanele ukhulume nodokotela wakho noma umhlengikazi ngokugwema noma iyiphi yalezi zinkinga ezinkulu. Ukugula okushiya ugula okwesikhashana kungaholela kwezinye izinkinga zempilo, ngakho-ke kubalulekile ukukhuluma nochwepheshe wezezempilo nganoma yimiphi imibuzo.
Ngamanye amazwi, ukugeza izandla (nokudla) emanzini ahlanzekile kubaluleke kakhulu. Awudingi noma yini okufanele ibe ngaphansi kwendlu yangasese engcolisa lokho okudlayo.
> Imithombo:
> Shigella spp. I-FDA Book Bug Bad. I-Handborne Pathogenic Microorganisms ne-Natural Toxins Handbook.
> Shigellosis Imininingwane Yonke. I-CDC DFBMD.