Pseudotuberculosis hauv menyuam yaus: cov tsos mob thiab kev kho mob

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Pseudotuberculosis hauv menyuam yaus: cov tsos mob thiab kev kho mob
Pseudotuberculosis hauv menyuam yaus: cov tsos mob thiab kev kho mob

Video: Pseudotuberculosis hauv menyuam yaus: cov tsos mob thiab kev kho mob

Video: Pseudotuberculosis hauv menyuam yaus: cov tsos mob thiab kev kho mob
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Pseudotuberculosis hauv cov menyuam yaus lossis Far East scarlet fever yog kab mob sib kis thiab loj hlob thaum kis tus kab mob gram-negative bacillus.

Tus kab mob no nyuaj heev, tus menyuam lub cev qaug cawv, cov pob qij txha thiab cov kabmob hauv plab, nrog rau cov tawv nqaij raug cuam tshuam. Cov kab mob musculoskeletal tsis muaj tsawg tawm tsam los ntawm tus kab mob.

Nws tsim nyog sau cia tias txawm tias lub npe no, kab mob tsis muaj dab tsi cuam tshuam nrog Koch's bacillus, uas ua rau mob ntsws. Qhov no nug cov lus nug: yog vim li cas nws thiaj tau txais lub npe zoo li no? Qhov tseeb yog tias tus kab mob hauv nqe lus nug ua rau muaj kev hloov pauv morphological hauv cov kabmob uas zoo ib yam li tuberculosis. Yog tias qhov pathology tsis kho raws sijhawm, cov teeb meem loj tuaj yeem tshwm sim.

Nyob hauv tsab xov xwm no peb yuav saib cov tsos mob, kev kho mob thiab kev tiv thaiv kab mob pseudotuberculosis hauv cov menyuam yaus, nrog rau tham txog txoj hauv kev kis tus kab mob thiab yuav tshwm sim.

keeb kwm me ntsis

Far Eastern scarlet kub taub hau, raws li koj twb to taub lawm, yog synonymous nrog lub ntsiab ntawm peb cov khoom. Qee zaum hu ua pseudotuberculosismesenteric lymphadenitis, tab sis cov ntsiab lus tseem zoo li qub tom qab hloov cov npe.

Cov kws kho mob tshwj xeeb hauv kev kho mob tau pom tias lub npe tseeb tshaj plaws rau cov kab mob yog yersiniosis. Qhov no yog vim qhov tseeb tias tus neeg sawv cev ntawm tus kab mob yog Escherichia coli los ntawm genus Yersinia. Ntawm cov tsos mob ntawm pseudotuberculosis nyob rau hauv cov me nyuam yog ua daus no, ua pob, intoxication thiab kub taub hau. Peb yuav tham txog cov cim qhia ntxiv hauv qab no.

Thawj zaug lawv pib tham txog tus kab mob no xyoo 1883, thaum pom tus kab mob tseem ceeb. Tab sis tsuas yog xya caum xyoo tom qab ntawd, uas yog xyoo 1953, lawv tau pom thawj tus neeg mob uas tau kuaj mob Yersinia. Lub sijhawm ntawd, cov kws kho mob twb paub tias muaj cov kab mob gram-negative, uas yog cov kab mob ua rau mob pseudotuberculosis.

pseudotuberculosis nyob rau hauv cov me nyuam
pseudotuberculosis nyob rau hauv cov me nyuam

Ntau yam twb tau paub txog cov anaerobes, piv txwv li, tias lawv tsis tsim cov spores thiab txawv ntawm lawv qhov tsis zoo rau ib puag ncig. Cov kab mob sib xyaw ua ke ntawm qhov kub ntawm nees nkaum degrees, tab sis muaj ntau tus neeg uas tau sau cov txheej txheem no ntawm qhov kub thiab txias. Lawv tuaj yeem nyob hauv dej lossis av tau ntev, muaj sia nyob tom qab khov. Los ntawm qhov no peb tuaj yeem xaus tias gram-negative rods yog cov kab mob resistant heev, thiab tshem tawm ntawm lub cev tsis yooj yim li nws zoo li.

ua rau ntawm pathology

Tam sim no, nws tau tsim tias cov neeg muaj tus kab mob no yog tsiaj. Tshwj xeeb tshaj yog txaus ntshai nyob rau hauv qhov kev nkag siab no yog me me nas, loj hornedtsiaj txhu, nqaij qaib, nees, dev thiab miv. Npua kuj koom nrog pawg no, tab sis tus neeg muaj tus kab mob no tsis ua rau muaj kev hem thawj. Nws yog ib nqi sau cia hais tias pseudotuberculosis nyob rau hauv cov me nyuam thiab cov neeg laus yog kis los ntawm lub fecal-qhov ncauj txoj kev, uas yog, los ntawm cov zaub mov uas nyob rau hauv lub chaw nyob ntawm cov kab mob.

Nws yooj yim heev kom kis tau tus kab mob los ntawm kev noj txiv hmab txiv ntoo thiab zaub tsis huv, khoom noj siv mis thiab nqaij uas tsis tau kho cua sov, kua txiv hmab txiv ntoo, compotes, txiv hmab txiv ntoo qhuav. Pathology tuaj yeem tshwm sim txhua lub sijhawm ntawm lub xyoo. Muaj kev pheej hmoo yog cov menyuam yaus thiab cov tub ntxhais hluas hnub nyoog qis dua kaum xya xyoo uas noj zaub mov ntau ntau. Qee zaum cov kws kho mob kuaj pom tus kab mob hauv cov neeg noj zaub mov hauv tsev noj mov. Pathology raug kuaj raws li qhov tshwm sim ntawm cov tsos mob thiab cov tsos mob. Kev kho tus kab mob pseudotuberculosis hauv cov menyuam yaus yuav tsum tau raws sijhawm thiab ua tau zoo, tom qab ntawd qhov kev tshwm sim tau zoo heev.

txoj kev tseem ceeb ntawm kev kis kab mob

Nyob rau hauv rooj plaub no, tus kab mob nkag mus rau hauv lub cev los ntawm lub qhov ncauj kab noj hniav nrog rau cov dej qab zib thiab zaub mov. Tom qab ntawd, tus kab mob mus rau txoj hnyuv, clings mus rau lymphoid formations. Tom qab ntawd cov kev tsim tawm nquag pib, thiab cov kab mob nkag mus rau hauv mesenteric nodes los ntawm txoj kev lymphatic, qhov twg nws pib ua haujlwm.

Pseudotuberculosis puas kis tau rau menyuam yaus? Raws li twb tau sau tseg lawm, kev sib cuag nrog tus neeg mob tsis muaj kev phom sij, tus kab mob kis tau los ntawm cov tsiaj.

Txoj kev kis kab mob saum toj no tsis pom muaj nyob hauv kev xyaum. Qee lub sij hawm tus kab mob tam sim ntawd nkag mus rau hauv cov ntaub so ntswg ua kua, qhov twg nws pib intensive reproduction. Hauv qhov noCov kab mob bacteriosis tau kuaj pom, uas ua rau lub cev tag nrho ntawm cov kab mob pathology. Los ntawm cov ntshav, cov kab mob nkag mus rau txhua yam hauv nruab nrog cev, cuam tshuam rau tus po, ob lub raum, ntsws, thiab lwm yam.

ua npaws hauv pseudotuberculosis
ua npaws hauv pseudotuberculosis

Nws yuav tsum tau hais tias ib feem ntawm cov kab mob, thaum nws nkag mus rau hauv lub cev, tam sim ntawd tuag, tso endotoxin. Hloov chaw uas xav tau kev pab, tus neeg mob yuav tau txais intoxication. Yog li ntawd, cov kab mob hauv qab no thiab cov tshuaj tiv thaiv feem ntau tshwm sim: mob caj dab, myocarditis, Quincke's edema, urticaria, thiab lwm yam.

kab mob daim ntawv

Pseudotuberculosis tshwm sim li cas hauv cov menyuam yaus? Nws nyob ntawm cov tsos mob tseem ceeb thiab thaj chaw ntawm tus kab mob. Hauv qhov no, hauv tshuaj muaj ntau hom kab mob. Xav txog lawv kom ntxaws ntxiv:

  1. plab hnyuv. Ntawm no, pathology yog yooj yim heev rau confuse nrog kev lom lom, vim hais tias cov tsos mob zoo sib xws. Ua npaws, mob lub cev thiab apathy. Tom qab qee lub sijhawm, lawv tau ntxiv los ntawm hnoos, mob thiab kub hnyiab hauv caj pas, insomnia, ua pob liab liab nrog pseudotuberculosis hauv cov menyuam yaus. Tsis tas li ntawd, cov zis daj thiab cov zis tsaus nti feem ntau pom, yog tias kev kho mob tsis pib raws sijhawm, qhov xwm txheej yuav xaus rau ntawm tus mob meningitis.
  2. Tshuaj. Nws tsis yog qhov nyuaj rau kwv yees tias qhov no peb yuav tham txog kev puas tsuaj rau cov pob qij txha. Outwardly, qhov no yog manifested los ntawm liab, qhov tsos ntawm puffiness. Tseem muaj qhov mob tsis zoo.
  3. Septic. Ib hom kab mob uas tsis tshua muaj tshwm sim, tsis muaj dab tsi tshwj xeeb tshaj tawm, tsuas yog tus kws kho mob tsim nyog tuaj yeem kuaj tau. Cov tsos mob muaj xws li ua daus no, tawm hws,ua npaws.
  4. sib tov. Daim foos no raug kuaj pom yog tias kuaj pom ntau hom kab mob hauv tus menyuam tib lub sijhawm, uas tshwm sim tsis tshua muaj.

Cov tsos mob ntawm pseudotuberculosis hauv menyuam yaus

feem ntau tshwm sim yog raws li hauv qab no: cov tsos mob tshwm sim hauv cov menyuam mos uas muaj kev tiv thaiv kab mob, thaum cov uas muaj lub cev tiv thaiv kab mob tsis tshua pom cov cim. Txhawm rau zam qhov xwm txheej uas tau kuaj pom kab mob lig dhau lawm, cov niam txiv yuav tsum coj lawv tus menyuam mus kuaj mob tsis tu ncua tsawg kawg ib zaug txhua rau lub hlis.

ua npaws
ua npaws

Yog li, cov cim tseem ceeb ntawm pseudotuberculosis hauv menyuam yaus:

  • Mob plab nrog cov quav dej ntau, mob hauv plab, cuam tshuam nrog kev ua kom pom tseeb ntawm qhov mob ntawm txoj hnyuv. Qhov zoo tshaj plaws, lawv yuav dhau los ua mob los ntshav, thiab qhov phem tshaj, lawv yuav ua rau cov nqaij mos necrosis.
  • liab thiab o ntawm qhov chaw kis kab mob, myalgia thiab arthralgia.
  • Tshav pob liab liab zoo ib yam li tus npaws liab. Cov chaw tuaj yeem yog qhov loj me, tsis muaj ib thaj tsam uas tau hais tseg.
  • Kev tshem tawm ntawm lub ntsej muag, sab sauv thiab sab qis, tes thiab taw.
  • xeev siab thiab ntuav, muaj jaundice, tshuaj tsis haum, ua tau angioedema.

Nws yog ib qho tseem ceeb kom nkag siab tias muaj teeb meem xws li mob plab lossis enterocolitis tuaj yeem tshwm sim vim qhov no pathology. Cov txheej txheem autoimmune provoke cov tsos ntawm lwm yam kab mob: mob caj dab thiab myocarditis.

Cov kws tshaj lij hais tias lub sijhawm incubation txuas ntxiv ib txwmkaum yim hnub. Nyob ib ncig ntawm lub thib tsib los yog rau hnub, thawj cov tsos mob ntawm tus kab mob yog pom, tus me nyuam kub nce sharply mus rau peb caug-yim los yog plaub caug degrees, kub taub hau pib. Yog tias pseudotuberculosis khiav, ces hyperthermia tuaj yeem nyob ntawm kaum mus rau peb caug hnub.

Kawm kab mob

Raws li koj paub, cov laj thawj tseem ceeb ntawm tus kab mob hauv cov menyuam yaus yog ua si hauv sandbox thiab tsis tau ntxuav tes, nrog rau zaub mov. Nyob rau hauv cov ntaub ntawv no, tus kab mob nkag mus rau hauv lub cev los ntawm lub qhov ncauj kab noj hniav, thiab ces intensively multiplies nyob rau hauv lymph nodes. Qhov txaus ntshai yog cov menyuam mos hnub nyoog qis dua ib xyoos. Txog thaum ntawd, cov menyuam mos muaj kev nyab xeeb los ntawm kev pub niam mis.

Cov kws kho mob hauv kev kuaj mob yuav tsum tau saib xyuas qhov tshwm sim ntawm tus kab mob. Yog tias pom pom cov tawv nqaij ntawm lub ntsej muag thiab caj dab, cov quav xoob, jaundice thiab lub siab loj, qhov no yog pseudotuberculosis hauv cov menyuam yaus (cov duab ntawm cov menyuam yaus uas tau ntsib tus kab mob no tau nthuav tawm hauv tsab xov xwm).

Sab nraud manifestations ntawm pseudotuberculosis
Sab nraud manifestations ntawm pseudotuberculosis

Thaum nws los txog rau cov menyuam mos, cov kws kho mob feem ntau txheeb xyuas cov qauv thiab cov kab mob atypical, uas suav nrog cov duab tsis meej. Cov kws tshaj lij kuj tham txog qhov hnyav thiab lub sijhawm ntawm tus kab mob, uas cuam tshuam. Piv txwv li, daim ntawv mob hnyav ua rau tus menyuam mos tau peb caug hnub, ib qho kev tawm tsam ntev li peb lub hlis, thiab ib tus mob ntev li plaub lub hlis lossis ntau dua.

Nws tsim nyog sau cia tias cov tsos mob yuav txawv, vim hais tias txhua lub cev ua rau nws tus kheej ua rau muaj kev cuam tshuam ntawm kev kis kab mob. Tsis txhob xav tsis thoob yog tiasNrog pseudotuberculosis, cov menyuam yaus yuav muaj qhov ntswg qhov ntswg, hnoos, liab ntawm caj pas, herpes ntawm daim di ncauj, conjunctivitis. Daim duab no tag nrho yog ua tiav los ntawm kev poob qab los noj mov, tsis muaj zog, kub taub hau thiab mob taub hau. Nyob rau hauv txhua rooj plaub, cov pob khaus tshwm sim tom qab ob peb hnub, uas kav ntev li ib lub lim tiam, thiab tom qab ntawd hloov los ntawm tev. Yog tias kev ntsuas tsis tau ua raws sijhawm, cov pob khaus yuav tshwm sim hauv thaj tsam hauv pliaj, quav ntawm cov ceg thiab sab. Qee cov menyuam yaus muaj xeev siab, ntuav, thiab tsam plab. Raws li koj nkag siab, muaj ntau cov tsos mob ntawm pseudotuberculosis, yog li nws yog qhov zoo dua rau hu rau tus kws kho mob kom nws nkag siab txhua yam thiab muab kev kho mob zoo.

Diagnosis

Tus kws kho mob ib txwm pib thawj zaug nrog anamnesis (sau cov ntaub ntawv) thiab kev kuaj xyuas sab nraud. Thawj qhov kev xav tau tshwm sim nyob rau theem no, vim tias nrog lub qhov muag liab qab koj tuaj yeem pom reddening ntawm daim tawv nqaij, nws tev, thiab lwm yam. Feem ntau cov ntaub ntawv no tsis txaus los kuaj xyuas tag nrho.

Kev kuaj mob ntawm pseudotuberculosis
Kev kuaj mob ntawm pseudotuberculosis

Tom qab ntawd tus kws kho mob hais kom tus menyuam kawm ntawv ntxiv kom nkag siab zoo dua. Feem ntau, tus kws kho mob pom zoo:

  1. ntsuas kab mob. Cov pab pawg no suav nrog kev tshuaj xyuas cov quav, ntshav, hnoos qeev thiab cov kua cerebrospinal. Cov qoob loo tau ua tiav peb zaug hauv thawj lub lim tiam, thiab cov txiaj ntsig tau npaj nyob rau hauv li kaum tsib hnub.
  2. Immunological method. Lawv lub hom phiaj yog txhawm rau txheeb xyuas cov tshuaj tiv thaiv kab mob rau cov kab mob, pom hauv cov quav lossis lwm yam khoom siv lom neeg.
  3. PCR kev kuaj mob. NrogNws tuaj yeem siv los nrhiav DNA ntawm cov kab mob hauv cov quav.

Txoj Kev Kho Mob

Kev kho tus mob pseudotuberculosis hauv cov menyuam yaus yuav tsum tau ua hauv tsev kho mob. Yog tias pom muaj mob hnyav heev, ces yuav tsum tau so pw kom txog thaum kub taub hau ploj. Nws yuav tsum tau muab sau tseg tam sim ntawd hais tias txoj kev kho yuav tsum complex. Tom qab tag nrho, siv txhua txoj hauv kev ua ke muab qhov txiaj ntsig zoo.

Cia peb xav txog txoj hauv kev tseem ceeb hauv kev kho mob pathology:

  1. Noj tshuaj tua kab mob. Ntawm lawv yog Netilmicin, Cefotaxime thiab Gentamicin.
  2. Kev siv cov tshuaj detoxification (plasma-substituting tshuaj, qabzib- ntsev tov). Ntawm no koj tuaj yeem ntxiv cov tshuaj plawv thiab cov vitamin complexes. Cov tshuaj no yog tsom rau kev tshem tawm cov tsos mob, uas yog ib feem tseem ceeb ntawm kev kho mob.
  3. Noj cov tshuaj tsis-steroidal anti-inflammatory ("Naklofen", "Diclofenac sodium"). Hauv kev sib ntaus tawm tsam daim ntawv icteric, xws li tshuaj xws li "Karsil", "Hepatosan", "Essentiale Forte N" tau pom lawv tus kheej zoo tshaj plaws. Yog li ntawd, yog tus neeg mob muaj teeb meem zoo li no, tus kws kho mob yuav muab cov tshuaj no.
  4. Kev noj haus tshwj xeeb. Koj yuav tsum tau kho cov zaub mov thiab ua raws li cov khoom noj kom zoo rau peb lossis plaub lub hlis, txawm tias tom qab cov tsos mob ploj lawm. Nws yog ib qho tsim nyog kom tsis suav cov khoom noj ntsim, kib thiab rog, txawm tias cov kua txiv hmab txiv ntoo tseem tsis tau tso cai.

Txhais tau

Txawm li cas los xijtag nrho cov kev phom sij ntawm tus kab mob, cov kws kho mob muab cov kev kwv yees zoo. Qhov no tsuas yog ua tau yog tias koj hu rau tus kws kho mob raws sijhawm thiab tau txais kev kho mob zoo. Koj yuav tsum nkag siab tias yog tias koj tsis tau mus ntsib tus kws kho mob tshwj xeeb hauv lub sijhawm luv luv, yuav muaj qhov tshwm sim loj ntawm pseudotuberculosis hauv cov menyuam yaus. Nws yog nruj me ntsis txwv tsis pub koom nrog kev noj tshuaj rau tus kheej, vim tias nyob rau hauv cov xwm txheej zoo li no nws yooj yim heev ua rau tus neeg mob hnyav dua thiab ua rau cov kws kho mob ua haujlwm nyuaj. Raws li lub sijhawm, cov kws tshaj lij hais tias nyob rau hauv peb lub lis piam tus menyuam tuaj yeem rov zoo tag nrho.

Kev kho mob pseudotuberculosis
Kev kho mob pseudotuberculosis

Kev tsis quav ntsej cov tsos mob yuav ua rau muaj teeb meem ntau yam:

  • mob raum tsis ua haujlwm, mob ntsws;
  • meningitis, puas rau hauv ob sab ntawm lub hlwb;
  • Crohn tus kab mob, tus yam ntxwv los ntawm kev mob plab hnyuv;
  • Reiter's syndrome, nws tau nthuav tawm los ntawm kev sib kis, mob caj dab thiab urethritis;
  • daim ntawv mob plab hnyuv xav tau kev tshem tawm tam sim;
  • myocarditis, polyarthritis, mob toxic shock, plab hnyuv obstruction.

Nws tsim nyog sau cia tias qhov no yog daim ntawv teev npe tsis tiav. Cov teebmeem saum toj no yog feem ntau. Yog tias koj tseem tsis quav ntsej tag nrho cov cim qhia, yuav muaj kev rov qab los thiab tom qab tuag.

Vim tias tus menyuam lub cev tseem tsis tau tsim, nws muaj kev cuam tshuam ntau dua los ntawm cov kab mob thiab kis kab mob. Yuav kom tiv thaiv tus me nyuam li cas, cov niam txiv yuav tsum tau ntxiv dag zog rau nws txoj kev tiv thaiv thaum yau. Tom qab ntawd txoj kev kis tus kab mob yuav txo qis, thiab tus me nyuam yuav muaj peev xwmnqa ntau yam kab mob.

Kev Tiv Thaiv

Ob peb hnub tom qab kis tus kab mob, thawj cov tsos mob tshwm sim. Kev tiv thaiv kab mob pseudotuberculosis hauv menyuam yaus yog txhawm rau tiv thaiv tus kab mob. Tom qab tag nrho, nws yooj yim dua ua raws qee cov cai ua ntej tshaj li kev cuam tshuam nrog pathology tom qab.

Muaj qee yam kev tiv thaiv uas yuav tsum tau ua raws:

  • nas tswj, txwv kev sib cuag nrog tsiaj;
  • ua raws li cov cai ntawm kev nyiam huv ntawm tus kheej, yuav tsum tau saib xyuas tshwj xeeb rau kev ntxuav tes ua ntej thiab tom qab noj mov;
  • dej yuav tsum tau tswj kom tag nrho cov qauv huv huv, thiab tsis txhob noj zaub mov uas tsis tau txais kev kho cua sov. Ua ntej noj mov, yog tias koj tsis ntseeg txog cov khoom, nws yog qhov zoo dua rau ncuav dej npau npau rau nws. Yog li, txhua yam khoom tsis tsim nyog yuav ploj mus, thiab koj tuaj yeem pib noj yam tsis ntshai kis kab mob.
tus kheej tu cev
tus kheej tu cev

Tus kab mob hauv nqe lus nug yog suav tias yog qhov txaus ntshai heev thiab nyuaj rau kev kuaj mob vim muaj ntau cov tsos mob zoo ib yam li lwm cov kab mob. Hauv peb cov khoom siv, peb tau tham txog cov tsos mob thiab kev kho mob ntawm pseudotuberculosis hauv cov menyuam yaus, thiab tseem kawm txog cov cai tiv thaiv thiab muaj teeb meem tshwm sim. Tus kab mob uas tsis tshua muaj neeg tuag yog tias tsis kho sai thiab cov tsos mob tsis quav ntsej. Vim li no, koj yuav tsum hu rau tus kws kho mob tam sim ntawd thaum pom thawj cov tsos mob ntawm tus kab mob.

Pom zoo: