Pseudotuberculosis yog ib yam kab mob uas cuam tshuam rau tag nrho cov plab hnyuv siab raum. Nov yog tus kab mob kis tau zoo los ntawm cov kab mob hauv plab.
Kev kis tus kab mob pseudotuberculosis
Zaub thiab ntau cov khoom noj siv mis uas tau noj yam tsis muaj kev kho cua sov ua ntej tuaj yeem dhau los ua qhov kis mob. Txoj kev tseem ceeb ntawm kev kis kab mob yog zaub mov. Pseudotuberculosis sticks muaj nyob rau hauv av thiab dej. Tus kab mob no kis tau los ntawm dev, nyuj, thiab npua. Tab sis tus kis tus kab mob tseem ceeb yog nas.
Cov kab mob tuaj yeem nyob hauv ib puag ncig thiab khaws lub peev xwm rov tsim tau ntev. Lawv nyob hauv av tau ib xyoos, hauv dej txog li 8 lub hlis, hauv mis nyuj rau 30 hnub, hauv khob cij rau 150 hnub, hauv qab zib rau 20 hnub, hauv roj li 5 lub hlis.
Cov kab mob zoo li qub ntawm qhov kub ntawm +2 … +12 0 С, yog li pseudotuberculosis feem ntau pom nyob rau lub caij nplooj ntoo hlav. Cov tsos mob feem ntau zoo ib yam li lwm yam kab mob, yog li tsuas yog tus kws kho mob tshwj xeeb yuav tsum koom nrog hauv kev kuaj mob.
Txoj kev kis kab mob
Tau pseudotuberculosisKoj tuaj yeem noj zaub zaub xam lav (piv txwv li, los ntawm zaub qhwv, carrots, beets). Qhov tshwm sim siab tshaj plaws feem ntau yog nyob rau lub caij nplooj ntoo hlav. Qhov no yog vim qhov tseeb tias cov kab mob ntawm pseudotuberculosis tau coj mus rau hauv khw muag zaub. Cov sticks mus rau ntawd nrog rau excrement ntawm noog thiab nas. Thiab yog tias peb xav txog tias cov kab mob tuaj yeem sib koom ua ke ntawm qhov kub siab tshaj +2 0 С, ces nws yuav tsis xav tsis thoob tias qhov no yog hu ua thawj qhov ua rau muaj kab mob ntawm cov zaub thiab txiv hmab txiv ntoo.
Ntau zaus tsawg, kis tau los ntawm dej - txhawm rau txhawm rau kis kab mob, koj yuav tsum haus dej los ntawm cov dej qhib, thiab tus neeg hauv lawv lub siab yuav tsis ua qhov no. Cov khoom siv mis nyuj kuj tuaj yeem kis tau. Yog li ntawd, ua ntej siv, tag nrho cov ntawm lawv yuav tsum tau sov-kho. Yog tias koj tsis xav paub tias cov tsos mob ntawm tus kab mob pseudotuberculosis yog dab tsi, ces koj yuav tsum nco ntsoov tias tus neeg sawv cev ntawm tus kab mob no tuag thaum boiled rau 10 vib nas this lossis ib feeb tom qab tshuaj tua kab mob nrog 2% chloramine.
Kev mob nkeeg
Nws tsim nyog sau cia tias nws tsis tuaj yeem kuaj pom tus kab mob pseudotuberculosis tam sim ntawd. Cov tsos mob ntawm cov menyuam yaus feem ntau zoo li cov kab mob liab liab. Cov kws kho mob tshwj xeeb txheeb xyuas ntau theem ntawm tus kab mob.
thawj tus yog tus txheej txheem kis kab mob. Tus kab mob ua rau tus kab mob, nkag mus rau hauv txoj hnyuv, pib noj hauv paus hauv nws cov phab ntsa. Yog li ntawd, muaj cov tsos mob ntawm o - enteritis. Los ntawm cov phab ntsa ntawm txoj hnyuv, cov pas nrig tuaj yeem nkag mus rau cov qog nqaij hlav mesenteric thiab ua rau muaj kev loj hlob ntawm lymphadenitis. Nws tshwm sim ntawm qhov thib obtheem ntawm kev txhim kho kab mob.
Nyob rau theem kawg, cov kab mob pseudotuberculosis thiab cov co toxins uas lawv tsim nkag mus rau hauv cov hlab ntsha. Qhov no yog qhov ua rau kev loj hlob ntawm bacteremia thiab toxemia. Nyob rau theem no, lub xub ntiag ntawm microbes nyob rau hauv cov ntaub so ntswg ntawm tus po thiab daim siab raug kaw. Nws tseem muaj peev xwm ua kom puas lub thermal ib feem ntawm cov hnyuv me thiab kev loj hlob ntawm erosive-ulcerative colitis. Nyob rau tib lub sijhawm, pom daim duab ntawm tus mob appendicitis.
Nws tseem ceeb heev kom paub tias lub sijhawm incubation tuaj yeem nyob qhov twg los ntawm 3 mus rau 18 hnub. Yog li ntawd, nws yuav nyuaj rau txheeb xyuas qhov chaw ntawm tus kab mob.
daim duab kho mob
Feem ntau, pseudotuberculosis pib ib yam nkaus. Ntau tus neeg muaj cov tsos mob zoo ib yam. Cov neeg mob muaj qhov txias txias, thiab qhov kub nce mus txog 38 0 C thiab ntau dua. Tsis tas li ntawd, cov neeg mob yws yws ntawm qhov mob hauv pob qij txha, cov leeg, lub taub hau. Kev qaug zog kuj tau sau tseg.
Ib txhij nrog cov cim qhia, qhov kev xav ntawm xeev siab tshwm. Qee tus yuav ntuav. Lwm tus neeg yws txog qhov mob plab, uas tej zaum yuav tas li los yog cramping. Lawv nyob rau sab xis nyob rau hauv lub plab mog, nyob ib ncig ntawm lub plab, nyob rau hauv lub epigastric cheeb tsam los yog txoj cai hypochondrium.
Ib yam cim qhia ntawm pathology yog kua, quav quav nrog cov ntxhiab tsw thiab txawv teb chaws. Nws tuaj yeem ua tau los ntawm 2 mus rau 15 zaug hauv ib hnub. Nws tshwm sim tias pseudotuberculosis kuj cuam tshuam rau txoj hnyuv loj. Cov tsos mob ntawm cov neeg laus thiab cov me nyuam nyob rau hauv cov ntaub ntawv no yog ntxiv los ntawm lub xub ntiag ntawm hnoos qeev los yog txawm cov ntshav nyob rau hauv cov quav.
Cov paib sab nraud
Peb teevcov tsos mob ntawm tus kab mob. Tab sis dhau ntawm lawv, kuj muaj cov tsos mob tshwj xeeb uas yog tus yam ntxwv tsuas yog rau tus kab mob pseudotuberculosis. Hauv cov menyuam yaus (daim duab ntawm cov menyuam mos uas muaj tus kabmob no tuaj yeem pab koj kuaj koj tus kheej, tab sis nws zoo dua mus ntsib kws kho mob), xws li, qhov tseeb, hauv cov neeg laus, ib qho ntawm cov cim pom tseeb yog qhov pom ntawm qhov hu ua "hood", "gloves", "socks." Cov tawv nqaij ntawm lub ntsej muag, caj dab, tes thiab ko taw hloov liab. Cov kev hloov pauv tau pom zoo rau hnub 2-4 ntawm tus kab mob. Hauv 70-80% ntawm cov neeg mob, cov pob liab liab zoo li liab liab tshwm rau ntawm lub cev.
Cov neeg mob daim tawv nqaij qhuav thiab kub. Lub ntsej muag yuav puffy. Feem ntau koj tuaj yeem pom reddened conjunctiva hauv cov neeg mob. Hauv cov menyuam yaus, blanching ntawm daim duab peb sab nasolabial feem ntau tau sau tseg.
Muaj lwm cov tsos mob ntawm tus kab mob pseudotuberculosis. Cov duab ntawm cov neeg mob uas tau mob rau lub lim tiam thib ob yog qhov zoo sib xws. Lawv pib tev tawm ntawm daim tawv nqaij thoob plaws lub cev. Thiab ntawm caj dab, ntsej muag, taw thiab xib teg muaj lamellar (los yog, raws li nws kuj hu ua, nplooj-zoo li tus) tev.
Tus kab mob tuaj yeem nyob ntawm 2 mus rau 15 hnub. Ua ntej, cov neeg mob tus nplaig yog npog nrog ib txheej dawb, nws yog cleared rau 5-7 hnub, tom qab uas nws kis tau ib tug crimson hue.
Lwm cov tsos mob
Tab sis kev qaug cawv thiab kev tshwm sim sab nraud tsis yog txhua yam cim ntawm tus kab mob xws li pseudotuberculosis. Cov tsos mob (kev kho mob raws sij hawm yuav pab tshem tawm cov tsos mob tsis zoo ntawm tus kab mob) muaj ntau haiv neeg. Yog li, cov neeg mob yws ntawm qhov mob (mob caj dab) hauvdab teg, pob taws, hauv caug thiab interphalangeal pob qij txha.
Ntau zaus, cov kws kho mob pom tias cov neeg mob ua rau lub siab thiab tus po. Qee zaum qhov no ua rau yellowness ntawm sclera thiab tawv nqaij. Tsis tas li ntawd, kev hloov pauv tau pom hauv cov hlab plawv. Lawv raug kuaj pom nyob rau hauv daim ntawv ntawm systolic yws, muffled lub plawv suab. Hauv qhov xwm txheej hnyav, qhov arrhythmia tshwm sim.
Thaum lub siab kawg ntawm kev qaug cawv, qee zaum muaj qhov txo qis ntawm cov zis tso tawm. Qhov no yog nrog los ntawm qhov mob hauv cheeb tsam lumbar. Nws yog tsis yooj yim sua kom tshem tawm txoj kev loj hlob ntawm cov kab mob xws li diffuse glomerulonephritis. Muaj tseeb, nrog pseudotuberculosis nws tshwm sim tsis tshua muaj.
Lwm cov duab
Nws yuav tsum tau muab sau tseg tias nws tsis yog ib qho yooj yim los kuaj xyuas tus kab mob no hauv cov neeg mob. Tom qab tag nrho, nws yuav tsis mus nyob rau hauv daim ntawv classical. Nws tshwm sim tias cov tsos mob tshwm sim hauv tus kab mob pseudotuberculosis yog lubricated. Hauv cov menyuam yaus (kev kho mob, los ntawm txoj kev, nyob rau hauv cov ntaub ntawv no tej zaum yuav raug sau tsis raug, yog li nws yog qhov zoo dua kom dhau tag nrho cov kev ntsuam xyuas), daim ntawv catarrhal ntawm tus kab mob zoo li cov kab mob ua pa nyuaj. Thiab cov tsos mob uas raug tshem tawm tuaj yeem zoo li kev lom cov zaub mov zoo tib yam.
Raws li txoj cai, kev noj qab haus huv ntawm cov neeg mob tau zoo dua qub rau hnub 5-7th. Tab sis tag nrho cov tshwm sim ntawm tus kab mob ploj tsuas yog tom qab 1.5 lub hlis. Thoob plaws lub sijhawm no, daim tawv nqaij tseem tev tawm. Ntxiv rau, kev rov tshwm sim tshwm sim hauv 20% ntawm cov neeg mob, yog li hauv qee tus neeg mob tus kab mob tuaj yeem rub rau 3 lub hlis.
Imminent txaus ntshai
Pseudotuberculosis feem ntau kuaj pom hauv cov menyuam yaus. Cov tsos mob thiab kev kho mob (cov duab ntawm cov neeg mob me muab lub tswv yim ntawm sab nraudmanifestations ntawm tus kab mob) yog txiav txim nyob rau hauv lub tsev kho mob. Tom qab tag nrho, kev ntsuam xyuas sab nraud tsis txaus los tsim kev kuaj mob.
Qhov xwm txheej nyuaj los ntawm qhov tseeb tias nws tsis tuaj yeem kuaj pom tus kabmob thaum ntxov. Nws raug kuaj pom, raws li txoj cai, twb yog thaum cov kab mob pib tuag hauv lub cev thiab cov co toxins raug tsim tawm.
Nws yog ib qho tseem ceeb kom paub tias pseudotuberculosis (cov tsos mob) tuaj yeem tshwm sim nws tus kheej hauv cov menyuam yaus li cas. Kev tshuaj xyuas qhia tau hais tias kev kuaj mob tsis raws sijhawm thiab kev kho mob tsis tau sau tseg raws sijhawm ua rau muaj kev puas tsuaj rau txhua lub cev thiab lub cev. Cov kws kho mob hais tias kev hloov pauv dystrophic pib hauv cov ntaub so ntswg, granulomas thiab microabscesses tshwm sim.
Nyob rau hauv cov mucous daim nyias nyias (nyob rau hauv lub qhov ncauj, pharynx, txoj hnyuv) ulcers yog tsim los ntshav. Sab laug tsis kho, lawv tuaj yeem ua rau muaj kev hloov pauv hauv cov ntaub so ntswg.
Diagnosis
Tom qab soj ntsuam cov kev kuaj pom dav dav, tus kws kho mob yuav tsum sau cov ntawv xeem. Rau kev kuaj mob ntawm "pseudotuberculosis" bacteriological thiab serological kuaj yog tsim nyog. Txhawm rau kom tau txais daim duab tiav ntawm tus kab mob, ntshav, quav, thiab zis raug coj los ntawm cov neeg mob. Nws kuj tseem yuav tsum tau kuaj xyuas cov kua cerebrospinal thiab lymphatic kua.
txhawm rau txheeb xyuas cov kab mob ntawm cov kab mob pseudotuberculosis hauv cov khoom siv kuaj, ELISA txoj kev (enzymatic immunoassay) yog siv. Lawv kuj siv rau kev pab ntawm kev kuaj mob. Ua li no, ua ib txoj kev tshawb fawb hu ua cov tshuaj tiv thaiv ntawm indirect hemagglutination nrog immunoglobulin diagnostics. Tsuas yog tom qab kuaj tag nrho peb tuaj yeem hais tias tus neeg muajpseudotuberculosis. Cov tsos mob ntawm cov menyuam yaus feem ntau zoo ib yam li lwm yam kab mob. Yog li ntawd, kev kuaj mob sib txawv yog nqa tawm hauv cov kev sib tw ua kom kub taub hau, cov tshuaj txhuam hniav, mob ntshav plab, paxeeb lossis polyarritis lossis polyarritis.
Kev kho mob tactics
Yog xav tias tus kab mob pseudotuberculosis, tus neeg mob mus pw hauv tsev kho mob. Lawv ua qhov kev ntsuam xyuas tag nrho thiab tsim kom muaj kev kuaj mob kom raug. Cov tshuaj tua kab mob, tshuaj tua kab mob thiab sulfonamides yog siv rau hauv kev kho mob. Lub sijhawm yuav tsum tau kho yog txiav txim los ntawm tus kws kho mob. Nws nyob ntawm tus kab mob. Nrog rau daim ntawv dav dav, 12-14 hnub ntawm kev kho yog xav tau, nrog rau daim ntawv hauv zos, 10 hnub txaus.
Kev kho mob, cov tshuaj tua kab mob Levomycetin feem ntau yog siv. Txhawm rau tshem tawm cov tsos mob ntawm kev qaug dab peg, kev tswj hwm cov piam thaj hauv cov hlab ntsha nrog ascorbic acid tau sau tseg. Cov tshuaj Ringer-Locke kuj tseem tuaj yeem siv tau. Rau qhov mob hnyav, siv corticosteroids.
Cov tshuaj tau sau tseg nyob ntawm seb cov tsos mob zoo li cas pseudotuberculosis muab rau cov menyuam yaus. Cov duab ntawm cov menyuam yaus ntawm ntau theem ntawm tus kab mob tso cai rau koj nkag siab tias nws yuav tsum ua li cas. Nws yog ib qho tsim nyog yuav tsum tau sau cov vitamins C thiab B los txhawb kev tiv thaiv kab mob.
Ntxiv rau, cov tshuaj desensitizing tau sau tseg. Lawv tuaj yeem siv tshuaj xws li Diazolin, Suprastin thiab lwm yam analogues.
tiv thaiv kab mob
Hmoov tsis zoo, tam sim no tsis muaj tshuaj tiv thaiv kab mob pseudotuberculosis. Cov tsos mobTus kab mob no yuav tsum paub txhua leej txhua tus kom xav tias nws nyob rau lub sijhawm thiab mus ntsib kws kho mob.
Tshuaj tseem tsis tuaj yeem tiv thaiv cov neeg mob los ntawm kev kis tus kab mob pseudotuberculosis. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tau xyuam xim rau kev tiv thaiv kev ntsuas. Lawv yuav tsum tau ua nyob rau hauv lub xeev. Nws yog ib qho tsim nyog yuav tsum tau saib xyuas cov khw muag zaub, ua raws li kev tiv thaiv nas, thiab ua raws li tag nrho cov cai khaws cia thiab thauj zaub. Tsis tas li ntawd, kev saib xyuas tas li ntawm qhov zoo ntawm cov dej muab los yuav tsum tau ua.
Txhawm rau tiv thaiv kab mob, nws raug nquahu kom noj cov zaub mov uas ua kom sov thiab haus cov dej hau.
