Zamkatimu
Kufotokozera kwathunthu kwa matendawa
Ndi matenda achilengedwe achilengedwe opatsirana omwe amakhudza khungu, ma lymph node, maso, mapapo ndi pharynx. Pa nthawi imodzimodziyo, odwala ali ndi kuledzera kwakukulu kwa thupi.
Wothandizira ndi gwero la tularemia
Tularemia imayambitsidwa ndi bakiteriya wopanda gramu wa mtundu wa Francisella. Linatchedwa E. Francis, wasayansi yemwe anaphunzira mwatsatanetsatane ntchito yofunika ya bakiteriya iyi. Francisella amalimbana kwambiri ndi zinthu zakunja. Mwachitsanzo, kutentha kwa madzi kwa 4 digiri Celsius, imatha kukhalabe ndi mphamvu kwa masiku pafupifupi 30, mu udzu kapena tirigu, ntchito imapitilira miyezi isanu ndi umodzi (kutentha kozungulira ndi pansi pa 0), komanso kwa masiku 20 (pa t = + 25), pakhungu nyama zakufa zochokera ku tularemia zimapitilira pafupifupi pafupifupi mwezi umodzi. Mabakiteriya amatha kuphedwa ndi kupha tizilombo toyambitsa matenda komanso kutentha kwa kutentha.
Magwero a mabakiteriya ndi mitundu yonse ya makoswe (makoswe am'madzi, muskrats, mbewa), hares, mbalame, amphaka amtchire ndi agalu, komanso nyama zoweta zokhala ndi ziboda.
Njira zotumizira tularemia
Matendawa amafalitsidwa ndi tizilombo tomwe tili m'gulu la tizilombo toyamwa magazi. Matendawa amatha kupezeka chifukwa chakupuma fumbi kuchokera ku udzu, hemp, tirigu, kudya zakudya zakumwa, ndi kumwa madzi owonongeka. Pali milandu yambiri yodziwika bwino yokhudzana ndi matenda a anthu omwe adalumikizana ndi nyama zodwala pakamawunika, kusonkhanitsa makoswe omwe adwala kapena agwa. Komanso, milandu yakudwala kwa ogwira ntchito mowa, shuga, wowuma, treacle, mafakitole a hemp, zikepe, m'makampani opanga nyama m'malo ophera nyama adalembetsedwa. Munthu amene ali ndi kachiromboka saopseza anthu ena.
Zizindikiro ndi mitundu ya tularemia
Nthawi yokwanira ya tularemia imachokera masiku 1 mpaka 30. Nthawi yosakaniza nthawi zambiri imatenga masiku 3 mpaka 7.
Tularemia imayamba kuwonekera bwino. Kutentha kwa wodwalayo kumakwera kwambiri mpaka pamlingo wa madigiri 39-40, amakhala ndi kuzizira, mutu waukulu umachitika, kunyansidwa ndi kusanza kumawonekera. Pachifukwa ichi, nkhope ndi khosi zimakhala zofiira, conjunctiva imasanduka yofiira pamitsuko yothira. Ziphuphu zimapezeka pakhungu, lomwe pakadutsa masiku 8-10 limayamba kuwuma ndikutuluka mwamphamvu. Ziphuphu zitatha, khungu limatha kukhalabe ndi khungu.
Kuwonekeranso kwa zizindikiro kumatengera mtundu wa tularemia. Mitunduyi imasiyanitsidwa kutengera njira zolowera mabakiteriya m'thupi la munthu.
Tizilombo toyambitsa matenda timalowa pakhungu, bubula tularemia… Zikatero, khungu siliwonongeka. Wodwalayo amapanga ma buboes (ma lymph node omwe ali pafupi ndikuwonjezeka kukula). Ndikukula kwa matendawa, ma lymph node akutali amathanso kujowina njirayi. Mfundozi zimatha kukula kukula ngati dzira la nkhuku kapena mtedza. Popita nthawi, ma buboes amasungunuka, amakula, kenako fistula ndikupanga mafinya ngati mafuta zonona.
Mabakiteriya akamalowa kudzera mwa kulumidwa ndi tizilombo, nthawi zambiri, amatuluka Zilonda zam'mimba tularemia… Pamalo pomwe analumapo, pamatuluka bubo ndipo chilonda chimatseguka ndi m'mbali komanso kukhumudwa pang'ono. Pansi, imakutidwa ndi kutumphuka kwakuda.
Ndikulowera kwa Francisella kudzera m'chiyanjanitso cha diso kumayamba oular bubonic tularemia… Pachifukwa ichi, conjunctiva imayamba kutupa, zilonda ndi kukokoloka zimawonekera, komwe kumatuluka mafinya achikaso, ma buboes amawoneka, ma lymph nodes apafupi. Mwa mawonekedwe amtunduwu, diso silimakhudzidwa kawirikawiri. Kuphatikiza pa zizindikiro zapamwambazi, kutupa kwa zikope kumawonekera, ndipo lymphadenitis imatha kuchitika.
Ngati gwero la matendawa lagwiritsidwa ntchito pomwa madzi kapena chakudya, mawonekedwe angina-bubonic… Choyamba, pali zilonda zapakhosi, wodwala amavutika kumeza chakudya. Kupenda kowoneka bwino kwa malo am'kamwa kumawonetsa matani ofiira, okulitsidwa, ofiira, omwe ali ngati "otsekemera" ndi ulusi womwe uli mozungulira. Tonsils mbali imodzi yokha yokutidwa ndi zokutira necrotic wa hue loyera, lomwe ndi lovuta kuchotsa. Kenako zilonda zakuya zimawonekera, zomwe zimachiritsa kwa nthawi yayitali ndipo, zitachira, zimasiya zipsera. Kuphatikiza apo, kutupa kumawonedwa pamatope ndi palipine. Mabotolo amawoneka m'khosi, khutu komanso pansi pa nsagwada (ndipo amawonekera mbali yomwe matani amakhudzidwa).
Ndi kugonjetsedwa kwa mwanabele, mesentery ikukula mawonekedwe am'mimba a tularemia, yomwe imawonetseredwa ndi kupweteka kwambiri m'mimba, nseru, kutsegula m'mimba, kusanza. Nthawi zina matenda a anorexia amapezeka motsutsana ndi maziko awa. Palpation, kupweteka kumachitika mchombo, kuwonjezeka kwa ma mesenteric lymph node sikungapezeke mwa kukhudza (izi zitha kuchitika ndi ultrasound).
Kutulutsa mpweya wa fumbi kuchokera kumasamba akuda, udzu, tirigu kumachitika mawonekedwe am'mapapo… Zimasiyanasiyana mosiyanasiyana 2: bronchitic (bronchial, paratracheal, mediastinal lymph node zimakhudzidwa, kuledzera kwathunthu kwa thupi kumawonedwa, chifuwa chouma chimachitika, kupuma kuseri kwa chifuwa) ndi chibayo (chimayamba bwino, ndipo matendawa amadutsa mopepuka , kumaonekera monga focal chibayo, mavuto nthawi zambiri zimawonedwa mu mawonekedwe a abscesses, chilonda cha m'mapapo, pleurisy, bronchiectasis.
Mtsinje wotsiriza komanso wovuta kwambiri umaganiziridwa mawonekedwe aponseponse… Malinga ndi zisonyezo zake zamankhwala, ndizofanana ndi matenda amtundu wa typhoid: malungo nthawi zonse ndi madera osokonekera, kuzizira, kufooka, kupweteka mutu, chikumbumtima chimakhala ndi mitambo, kuyerekezera zinthu m'maganizo ndi kuzunzika kwa delirium. Nthawi zambiri, zotupa zolimbikira zimawonekera pamatenda onse akhungu, mabulu amitundu yosiyanasiyana ndi malo. Komanso, zovuta zimatha kupezeka ngati chibayo, kuwopsa koopsa, polyarthritis, meningitis ndi myocarditis.
Zakudya zopatsa thanzi za tularemia
Mfundo za zakudya za tularemia zimadalira mawonekedwe ake ndikuwonekera kwa matendawa. Mwachitsanzo, ndi mawonekedwe a angina-bubonic, muyenera kudya, monga angina, komanso mawonekedwe am'mapapo mwanga, muziyang'ana kwambiri chakudya cha chibayo.
Ngakhale mawonekedwe a tularemia, thupi liyenera kulimbikitsidwa. Mavitamini adzakuthandizani kuthana ndi matendawa, kukulitsa ntchito zoteteza thupi ndikuchotsa kuwonetsa kuledzera. Ndikofunika kudya m'njira yoti thupi lilandire mavitamini ambiri a magulu C, B (makamaka B1, 6 ndi 12), K. Kuthandiza wodwalayo kuti achire, ndikofunikira kudya mitundu yonse ya mtedza, nyemba , tirigu (tirigu, mapira, oatmeal, balere, buckwheat), pasitala wopangidwa ndi ufa wathunthu wa tirigu, utakula tirigu, chiwindi cha ng'ombe, adyo, horseradish, sinamoni, nsomba, nkhuku, makangaza, sea buckthorn, Bulgaria ndi tsabola wotentha, tchizi wolimba, nyama ya kalulu, mazira, kirimu wowawasa wopanda mafuta, kabichi iliyonse, anyezi, nkhaka, mandimu, nthochi, mapeyala, maapulo, kaloti, sipinachi, letesi (ndibwino kutenga mitundu ya "red-peak"), zipatso za viburnum, raspberries , strawberries, ananyamuka m'chiuno, currants, yamatcheri, honeysuckle, malalanje, kiwi, masamba mafuta.
Kuphatikiza apo, muyenera kudya pang'ono pang'ono komanso pang'ono. Zakudya zonse siziyenera kukhala zonona, ndi bwino kuphika m'njira yophika kapena yophika pang'onopang'ono.
Mankhwala achikhalidwe a tularemia
Tularemia ayenera kuthandizidwa kokha mchipatala komanso mu dipatimenti ya matenda opatsirana. Gawo lalikulu la mankhwala ndikumwa maantibayotiki. Kuphatikiza apo, ndikofunikira kuthira mankhwala komwe amakhala wodwalayo (ndendende zinthu zomwe adagwiritsa ntchito). Ngati ma buboe akuluakulu okhala ndi ma abscess amapezeka, ma lymph node amatsegulidwa ndikulowetsa kuda.
Mankhwala achikhalidwe ali ndi malo oti akhale, koma monga njira zothandizira ndipo amakhala makamaka pakugwiritsa ntchito kwanuko. Kuponderezana ndi mavalidwe amafuta amatha kupangidwa. Tikulimbikitsidwa kugwiritsa ntchito kaloti, beets ndi madzi a kabichi ku mababu ndi zilonda (mutha kudula masamba ndikugwiritsa ntchito mushy). Amatulutsa mafinya ndikuchepetsa ululu.
Amaloledwa kupaka mabala ndi zilonda ndi tincture wa mizu ya gentian. Anali naye pomwe Mfumu Gentius waku Illyria adathetsa mliriwu mu 167 BC. Njirayi imalandiridwanso ndi tularemia ndi kufanana kwake kwa mitundu yamatenda - bubonic (wodwalayo ali ndi vuto lakuledzera thupi, kutupa kwa ma lymph node ndi zilonda).
Idyani magalamu 100 a mandimu tsiku lililonse (ngati palibe chifuwa chilichonse ndi zina zotsutsana, mwachitsanzo, kupezeka kwa acidity).
Monga mankhwala opha tizilombo, ndibwino kugwiritsa ntchito mankhwala osokoneza bongo a chamomile (mutha kumwa ndikupaka zilonda).
Ndikofunika kudziwa! Bubo wosatengeka kwathunthu samasokoneza kutuluka kuchipatala, ndipo wodwalayo amakhala ndi chitetezo chamthupi chonse.
Zakudya zowopsa komanso zowopsa za tularemia
- mafuta, kusuta, mbale zamchere;
- bowa;
- ngale ndi phala la chimanga;
- zakudya zamzitini, masoseji, masupu a sitolo, ketchups, mayonesi;
- mowa, soda yotsekemera;
- chakudya chodyera m'malesitilanti ogulitsira, zophika mkate, tchipisi, popcorn;
- chiwerengero chachikulu cha mankhwala okoma ndi ufa, opangidwa ndi opangidwa ndi trans mafuta, margarine, kufalikira, makeke kirimu, rippers.
Izi zidzasokoneza ntchito ya m'mimba ndipo zidzalepheretsa kudya mavitamini ofunikira, kuonjezera kuledzera kwa thupi, ndi kusokoneza thupi.
Chenjerani!
Otsogolerawo sali ndi udindo uliwonse poyesa kugwiritsa ntchito zomwe zaperekedwa, ndipo sizikutsimikizira kuti sizikukuvulazani. Zipangizozo sizingagwiritsidwe ntchito kuperekera chithandizo chamankhwala ndikupanga matenda. Nthawi zonse muzifunsa dokotala wanu!