Tus kab mob typhoid yog ib yam kab mob loj heev uas cuam tshuam rau lub plab, plab hnyuv, spleen, siab, thiab cov hlab ntsha. Nws pib nrog cov cim qhia ntawm intoxication. Tus neeg sawv cev ua rau yog cov kab mob S.typhi, uas yog resistant rau ib puag ncig. Nkag mus rau hauv tib neeg lub cev, nws pib tsim cov tshuaj lom neeg muaj zog heev, uas txiav txim siab qhov tshwm sim ntawm cov tsos mob thiab qhov hnyav ntawm tus kab mob.
Koj tsuas kis tau tus mob los ntawm tus neeg mob lossis tus neeg noj qab haus huv ntawm cov kab mob.
Typhoid
hom plab yog ib yam kab mob sib kis uas cuam tshuam rau cov hnyuv thiab cov qog ntshav. Nws yog nrog los ntawm kev nce hauv tus po thiab daim siab, ua npaws, qaug dab peg, thiab clouding ntawm kev nco qab. Txawm tias muaj tseeb hais tias nyob rau hauv xyoo tas los no qhov tshwm sim ntawm tus kab mob tau txo qis heev, txawm li cas los xij, qhov teeb meem tseem cuam tshuam.
Tus kab mob ua npaws ntawm tus kab mob typhoid yog Salmonella, uas belongs rau tsev neeg Enterobacteriaceae. Nyob rau hauv tsos, nws zoo li ib tug luv luv stick nrog me ntsissib npaug kawg. Nws lub plhaub yog ntom ntom nrog flagella, uas tiv thaiv kev txav ntawm cov kab mob.
Ib yam tseem ceeb ntawm tus kab mob ua rau tus kab mob typhoid fever yog lub peev xwm tsim endotoxin. Qhov tseeb, nws yog ib qho tshuaj lom uas nyob hauv salmonella. Txawm li cas los xij, yog tias nws tuag tshwm sim, cov tshuaj lom neeg nkag mus rau hauv cov ntshav, ua rau mob hnyav heev los yog lom hauv lub cev. Nws yog nrog qhov no uas qhov tshwm sim tseem ceeb ntawm tus kab mob cuam tshuam.
Salmonella typhoid yog tus cwj pwm los ntawm qhov tseeb tias nws tsis tsim tshuaj ntsiav thiab spores txhua, tab sis tib lub sijhawm nws tuaj yeem nyob hauv ib puag ncig ntev. Tshwj xeeb tshaj yog feem ntau koj tuaj yeem pom cov kab mob zoo li no hauv cov khoom noj siv mis, zaub xam lav nrog mayonnaise, nrog rau cov nqaij minced. Nyob rau hauv lawv, nws tsis tsuas yog nyob mus ib txhis, tab sis kuj nquag reproduces.
Yog tias tus kab mob typhoid nkag mus rau hauv lub cev muaj zog tiv thaiv, ces nws hloov pauv. Vim yog cov cuab yeej no, cov kab mob tsis tuag. Thaum nws tawm los ntawm txoj hnyuv thiab nkag mus rau hauv lub cev rhiab, nws rov kis tau nws cov kab mob ua rau zoo. Tsuas yog cov tshuaj tua kab mob lossis cua sov tuaj yeem rhuav tshem nws tag nrho.
Ntxhais kab mob
Tus kab mob typhoid yog ib yam kab mob anthroponotic, uas tshwm sim nws tus kheej hauv kev loj hlob sai ntawm kub taub hau, qaug dej qaug cawv, kev hloov hauv cov hnyuv, thiab ntau yam pob khaus. Nyob rau hauv cov nqe lus ntawm nws cov yam ntxwv epidemiological, kev loj hlob thiab cov tsos mob, tus kab mob no kuj zoo ib yam li paratyphoid pawg. Typhoid fever thiab paratyphoid hom A, B thiab C tsim ib chav kawm ntawm pathologies. Nyob ntawmtau ntev lawm, lawv raug suav hais tias yog ib hom mob typhus nrog cov tsos mob tshem tawm.
Nws tau pom tias tus kab mob typhoid fever thiab paratyphoid fever yog tshwm sim los ntawm ntau hom Salmonella, uas ua rau muaj cov kab mob plab hnyuv loj heev. Cov kab mob xws li cov kab mob no tiv taus qhov kub thiab txias, tab sis muaj cov yam ntxwv ntawm kev kub siab kub. Ntawm qhov kub ntawm 60 degrees, salmonella tuag nyob rau hauv 30 feeb, thiab thaum boiled, cov txheej txheem no yuav siv sij hawm ob peb feeb.
Khoom noj khoom haus suav tias yog qhov chaw yug me nyuam zoo tshaj plaws. Typhoid fever yog ib qho kab mob uas cuam tshuam rau cov hnyuv. Tus kab mob no yog tus yam ntxwv los ntawm lub caij ntuj sov-Autumn seasonality. Feem ntau, mob typhoid kub taub hau yog kuaj tau rau cov neeg muaj hnub nyoog 15-45.
Qhov phom sij loj tshaj plaws ntawm kev kis kab mob yog cov kab mob zais cia, uas yog, cov neeg uas muaj tus kab mob hauv daim ntawv tshem tawm. Lawv tsis paub tias lawv mob thiab tej zaum yuav yog qhov ua rau muaj kab mob typhoid, tshwj xeeb tshaj yog tias lawv ua haujlwm nrog zaub mov.
Tom qab tus kab mob no, kev tiv thaiv ruaj khov raug tsim. Qee qhov xwm txheej, tuaj yeem rov ua dua tshiab.
Kev faib tawm
Raws li qhov xwm txheej ntawm daim duab kho mob, tus kab mob typhoid kub taub hau tau muab faib ua cov ntaub ntawv xws li raug thiab atypical. Cov kab mob pathological tuaj yeem ua rau mob hnyav thiab txuas ntxiv mus rau lub sijhawm rov qab los thiab tshem tawm. Qhov hnyav ntawm tus kab mob tuaj yeem yog:
- easy;
- moderate;
- hnyav.
Nyob ntawm qhov hnyav, typhus tuaj yeem nyuaj thiabtsis nyuaj. Nws yog ib qho tseem ceeb heev kom paub txog cov tsos mob ntawm tus kab mob raws sij hawm, nrog rau kev kuaj mob thiab kev kho mob zoo.
Kev tshwm sim
Qhov ua rau mob plab hnyuv loj yog kab mob Salmonella. Kev kis tus kab mob typhoid fever tshwm sim los ntawm tus neeg mob. Nkag mus rau hauv lub cev, salmonella mus dhau ntau theem uas nyuaj heev los tiv thaiv. Qhov siab ntawm cov kab mob ua rau cov kab mob nkag mus rau qee qhov ntawm cov hnyuv.
Kev tsim tawm ntawm Salmonella hauv plab hnyuv mucosa provokes tus txheej txheem inflammatory, ua rau enteritis. Txij li thaum lub lymphatic system tsis tuaj yeem khaws cov kab mob, qhov no dhau los ua qhov laj thawj tseem ceeb uas tus kab mob nkag mus rau hauv lub cev. Cov kab mob hauv nruab nrog cev puas lawm.
Vim cov kab mob kis thoob plaws hauv lub cev, nws ua rau muaj tshuaj lom rau tag nrho lub cev. Yog tias txoj kev kho nyuaj tsis tau ua tiav raws sijhawm, ces qhov muaj cov kab mob hauv lub cev yuav ua rau lub cev tsis zoo, ua rau cov poov xab, daim siab, thiab cov qog nqaij hlav hauv txoj kev.
Cov tsos mob tseem ceeb
Cov kab mob latent ntawm tus kab mob typhoid nyob rau theem pib ua rau muaj kev nyuaj siab rau lub ntsiab lus ntawm kev kis kab mob thaum pib ntawm nws txoj kev loj hlob. Qee zaum, cov tsos mob hnyav tau pom txij li thawj hnub. Cov tsos mob ntawm tus mob typhoid fever feem ntau tshwm sim thiab tshwm sim li:
- maj mam nce kub;
- kev qaug zog ntawm lub cev;
- mob taub hau;
- xeev siab thiab ntuav;
- cim qhia kev qaug cawv;
- poob qab los;
- pw tsis tsaug zog.
Ua npaws tuaj yeem kav ntev li 2-3 lub lis piam. Hauv dynamics, qhov kev hloov pauv tas li ntawm lub cev kub yog pom. Tsis tas li ntawd, tej zaum yuav muaj cov tsos mob ntawm tus mob typhoid fever, xws li tawv nqaij qhuav thiab pallor heev.
Kwv yees li 8-10 hnub, daim tawv nqaij ua npaws ntxiv ua npaws, mus thoob lub cev. Cov pob tuaj yeem ncav cuag qhov ntau thiab tsawg, txog 3 mm inch. Yog tias koj maj mam nias qhov chaw no nrog koj tus ntiv tes, ces xim daj yuav tshwm rau ntawm nws. Cov pob khaus tuaj yeem nyob ntawm daim tawv nqaij ntev txog 5 hnub, thiab yog tias tus kab mob hnyav heev, cov pob khaus yuav siv rau hauv daim ntawv tshwj xeeb nrog qhov tawv nqaij.
Qhov tshwm sim ntawm pob liab liab tuaj yeem pom tau thoob plaws hauv cov kab mob, tab sis nrog tsawg dua ntawm kev siv. Thaum lub sij hawm kev ntsuam xyuas dav dav, koj tuaj yeem pom qhov tuab ntawm phab ntsa ntawm tus nplaig, thiab thaum koj nyem rau ntawm nws, cov cim cim tseem nyob. Tsis tas li ntawd, muaj cov txheej dawb hauv thaj tsam basal ntawm tus nplaig.
Ntawm cov tsos mob tseem ceeb ntawm typhus yog flatulence, tsis muaj zog ntawm cov hnyuv, thiab rumbling hauv plab. Tus neeg mob feem ntau yws yws ntawm qhov defecation.
Thaum thawj theem ntawm tus kab mob, hnoos tau pom, thiab thaum mloog lub ntsws, hnov mob qhuav lossis ntub dej. Nrog rau qhov exacerbation ntawm typhoid fever, tej zaum yuav muaj me ntsis bradycardia uas tshwm sim tawm tsam keeb kwm yav dhau los ntawm qhov kub thiab txias. Tawm tsam keeb kwm yav dhau los ntawm kev qaug zog, muaj qhov txo qissiab thiab muffled lub plawv dhia. Hauv chav kawm hnyav tshaj plaws, qhov kev loj hlob ntawm cov tsos mob tshwm sim, qhia hauv:
- mob hnyav;
- kev nco qab;
- hlub.
Tom qab qhov kub thiab txias tuaj yeem txo qis, tus neeg mob txoj kev noj qab haus huv tam sim ntawd pib txhim kho. Tom qab exacerbation muaj cov tsos mob tsawg dua. Nyob rau tib lub sijhawm, qhov kub tsis siab, tab sis cov pob liab liab tuaj yeem tshwm thoob plaws lub cev.
Erased daim ntawv ntawm tus kab mob yog tus yam ntxwv ntawm lub ceev ceev thiab luv luv lub sij hawm ntawm tag nrho cov muaj qhia. Cov tsos mob zoo ib yam tshwm sim thaum muaj tus kab mob rov qab los, uas tuaj yeem tshwm sim yog tias tus neeg cuam tshuam kev kho mob ntawm nws tus kheej, ua txhaum txoj kev noj haus, thiab ntau yam kev puas siab puas ntsws cuam tshuam rau nws lub cev.
Diagnostics
Tus kab mob typhoid yog suav tias yog ib yam kab mob txaus ntshai, txoj kev kis tau los ntawm tus neeg mob. Txawm tias muaj tseeb tias tus kab mob txaus ntshai yog qhov tsawg heev, nws tuaj yeem ua rau nws nyuaj rau kev kuaj mob txawm tias tus kws kho mob tsim nyog. Nws yog ib qho tseem ceeb kom paub qhov txawv ntawm nws los ntawm lwm yam pathologies uas tau nrog los ntawm kev mob hnyav ntawm lub cev, nrog rau kub taub hau.
Cov cim zoo sib xws ua rau muaj kab mob xws li mob plab, mob plab, mob plab, mob cholera, mob ntsws, mob npaws. Typhus tuaj yeem txawv ntawm lwm yam pathologies tsuas yog los ntawm cov tsos mob ntawm tus yam ntxwv. Yog tias nws kav ntev dua 5 hnub, ces tus kws kho mob tuaj yeem sau ntau qhov kev kuaj sim uas yuav pab txiav txim siabcausative tus neeg sawv cev ntawm pathology. Kev kuaj mob typhoid fever muaj xws li:
- suav ntshav tag;
- urinalysis;
- Ybiochemical tsom xam.
Kev kuaj ntshav txiav txim seb tus nqi ntawm tag nrho cov khoom muaj. Nyob rau tib lub sijhawm, muaj qhov nce hauv leukocytes, lymphocytes, nrog rau ESR. Thaum kuaj mob typhoid fever, casts, erythrocytes, thiab protein nyob rau hauv cov zis.
Dhau li ntawm qhov no, yuav tsum muaj kev kawm bacteriological. Rau kev kuaj mob ntawm tus kab mob typhoid fever, zis, ntshav, quav thiab kua tsib raug coj mus. Lawv sown nyob rau hauv ib tug nruab nrab as-ham thiab muab tso rau hauv ib lub thermostat, qhov twg qhov kub yog khaws cia ntawm 37 degrees txhua lub sijhawm. Yog hais tias salmonellae muaj nyob rau hauv qhov kev ntsuam xyuas, lawv tsim cov cheeb tsam, uas tuaj yeem kuaj xyuas hauv lub tshuab ntsuas. Yuav kom kuaj tau cov kab mob, koj yuav tsum tau kuaj ntshav rau tus mob typhoid fever. Nws yuav tsum raug sau tseg tias cov kab mob tuaj yeem nyob hauv tus neeg mob, nrog rau cov kab mob bacillicarrier.
Txoj kev kuaj mob ntxov tshaj plaws thiab raug tshaj plaws yog ntshav kab lis kev cai. Cov kab mob tshwm sim hauv cov ntshav thaum lub sij hawm incubation thiab nyob twj ywm kom txog thaum kawg ntawm cov kab mob. Rau txoj kev tshawb no, cov ntshav yog muab los ntawm ib txoj hlab ntsha, thiab ces nws yog sown nyob rau hauv ib tug nutrient kua nruab nrab. Koj tuaj yeem tau txais qhov tshwm sim ua ntej hauv 2 hnub.
Tsis tas li ntawd, cov kab mob tuaj yeem raug cais tawm ntawm cov quav, txij li cov kab mob salmonella nyob rau hauv cov hnyuv muaj nyob ntawm 8-10 hnub ntawm kev kis tus kab mob. Pib txij li 2 lub lis piam, cov antigens tshwj xeeb raug kuaj pom hauv cov ntshav. Cov no yog cov khoom ntawm lub plhaub thiab flagella ntawm Salmonella. Lawv tuaj yeem txiav txim siab sivkev tshawb fawb raws li cov lus teb ntawm kev tiv thaiv kab mob. Kev tshuaj xyuas yog ua los ntawm kev noj cov ntshav los ntawm tus ntiv tes, los ntawm cov ntshav qab zib yog cais tawm.
Txoj kev kho mob
Yog tias muaj qhov tsis txaus ntseeg me ntsis ntawm kev mob khaub thuas typhoid, yuav tsum tau mus pw hauv tsev kho mob ceev ntawm tus neeg mob hauv chav saib xyuas kab mob sib kis. Nws yog ib qho tseem ceeb heev uas yuav tau kho tus neeg mob txoj kev niaj hnub ua kom zoo. Txhawm rau tiv thaiv kev txhim kho ntawm cov teeb meem, kev pw tsaug zog yog teem rau 7 hnub ntawm normalization ntawm qhov kub thiab txias. Tus neeg mob raug tso cai taug kev tsuas yog tom qab 10-12 hnub ntawm qhov kub thiab txias.
Nws yog ib qho tseem ceeb kom ua raws li kev noj zaub mov nruj. Nyob rau tib lub sijhawm, cov zaub mov yuav tsum yog kua, mashed, yooj yim digestible thiab muaj tag nrho cov vitamins yuav tsum tau. Feem ntau, tus neeg mob tau muab cov khoom noj mis nyuj fermented, broths, kua cereals, minced nqaij, kua txiv hmab txiv ntoo.
Tus kab mob Typhoid tsis tuaj yeem kho yam tsis muaj tshuaj tua kab mob. Tus kab mob typhoid bacillus yog rhiab heev rau ampicillin, nrog rau nws cov derivatives, tshwj xeeb, Biseptol lossis Levomycetin. Tsis tas li ntawd, muaj cov tshuaj tiv thaiv tshwj xeeb. Qhov hnyav ntawm cov kab mob yog vim endotoxin, uas yog vim li cas kev kho infusion yog nqa tawm. Yog tias qhia tau, cov tshuaj mob plawv, cov vitamins thiab tshuaj tsaug zog tuaj yeem raug sau.
Cov tshuaj ib txwm muab cov txiaj ntsig zoo, tab sis lawv yuav tsum tau siv ua ke nrog cov tshuaj. Koj kuj yuav tsum tau nrog kws kho mob ua ntej.
kev kho mob
Tus kab mob cholera thiab typhoid fever muaj cov tsos mob zoo sib xws, yog vim li cas nws tseem ceeb heev raukuaj mob thiaj li yuav sau cov kev kho mob kom raug. Tus neeg mob tau mus pw hauv tsev kho mob hauv chav saib xyuas kab mob sib kis, qhov twg tus neeg mob yuav tsum siv sijhawm tsawg kawg ib hlis. Thaum lub sij hawm kho, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam nruj txaj so. Qhov no yuav tiv thaiv rupture ntawm txoj hnyuv thiab qhov tshwm sim ntawm los ntshav sab hauv. Nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob nqa cov khoom hnyav lossis hnyav thaum mus rau chav dej.
Kev kho mob yog ua nyob rau hauv ntau cov lus qhia ib zaug. Thaum xub thawj, salmonella yuav tsum tau muab tshem tawm, rau cov tshuaj tua kab mob tau sau tseg. Yeej, "Ampicillin" lossis "Levomycetin" yog siv rau hauv daim ntawv ntsiav tshuaj lossis intramuscularly 4 zaug hauv ib hnub rau ib hlis. Hauv kev puas tsuaj loj heev, kev sib xyaw ua ke ntawm cov tshuaj tua kab mob "Gentamicin" thiab "Ampicillin" raug tshuaj. Tsis tas li ntawd, tus kws kho mob tuaj yeem sau npe rau tiam tshiab ntawm cov nyiaj, uas yog Ciprofloxacin, Azithromycin.
Yog tias cov tshuaj tua kab mob tsis muaj qhov xav tau lossis ua rau lub cev tsis zoo, ces tus kws kho mob yuav sau tshuaj tua kab mob, piv txwv li, Bactrim, Cotrimoxazole, Biseptol, Septrim. Kev siv cov tshuaj no yog qhia 2 ntsiav tshuaj 2 zaug hauv ib hnub. Lub sijhawm kho yog kwv yees li 3-4 lub lis piam.
Nco ntsoov ua qee yam kev ntsuas kom tshem tawm kev qaug cawv, thiab tseem sim tiv thaiv lub cev qhuav dej - haus dej kom ntau li ntau tau kom tshem tawm cov tshuaj lom. Cov dej haus cawv yuav tsum yog tsawg kawg 2.5-3.0 litres ib hnub twg. Yog tias qhov nyiaj no yogtsis txaus, enterosorbents kuj tau sau tseg. Cov tshuaj no pab nqus cov tshuaj lom hauv cov hnyuv. Txhawm rau ua qhov no, xaiv "Polifelan", "Smecta", "Enterodez".
Nyob rau hauv tus neeg mob nruab nrab, nws yuav tsum tau ntxuav cov hnyuv thiab cov ntshav. Rau qhov no, intravenous tswj ntawm qabzib- ntsev tov yog qhia kom co toxins tawm los ntawm lub raum sai npaum li cas. Cov kev npaj xws li Quartasol, Laktasol, Acesol yog siv. Yog tias intoxication intensifies, ces Prednisolone yog tshuaj nyob rau hauv daim ntawv ntsiav tshuaj. Cov chav kawm ntawm kev kho mob yog nqa tawm rau 5 hnub. Zoo heev pab tiv nrog intoxication oxygen kho. Txhawm rau ua qhov no, cov pa oxygen tau qhia siv catheters, lossis tus neeg mob tau muab tso rau hauv chav tshwj xeeb siab. Yog tias cov tshuaj tsis pab thiab lub xeev kev noj qab haus huv tseem tsis zoo, ces tus neeg mob tau muab ntshav.
Thaum lub sijhawm muaj tus kabmob, cov pob txha pob txha tsis tsim cov leukocytes uas yuav tsum tau ua kom muaj kev tiv thaiv ib puag ncig. Txhawm rau txhim kho lawv cov kev tsim khoom thiab ua kom cov txheej txheem ntawm txoj hnyuv rov qab, cov tshuaj xws li Pentoxyl thiab Methyluracil tau sau tseg. Lawv tau noj hauv cov ntsiav tshuaj tom qab noj mov. Ascorutin yuav pab txhim kho kev ua haujlwm ntawm capillaries, normalize metabolism thiab ntshav ncig.
Yog tias muaj kev xav tias plab hnyuv perforation, tus kws phais qhov kev soj ntsuam tau qhia. Kev tso tawm hauv tsev kho mob tuaj yeem ua tau rau hnub 21 ntawm qhov ua kom kub thiab txias.
kev kho neeg zoo
Qee cov nroj tsuag muaj cov kab mob muaj zog heev, uas yog vim li cas lawv tau siv yav tas los hauv pej xeem tshuaj hauvraws li ib tug prophylactic tiv thaiv kab mob typhoid fever. Calamus thiab qej tau ua pov thawj lawv tus kheej zoo heev. Cov tom kawg tau noj ua zaub mov thiab pheej nqa nrog lawv. Calamus rhizomes tau ntxuav, ntxuav, thiab tom qab ntawd zom tshiab.
Kev kho mob thaum muaj kev sib kis, decoctions ntawm qus sawv thiab blackcurrant, nrog rau kas fes nrog txiv qaub, tau siv ntau zaus. Infusions ntawm cov tshuaj ntsuab pab txhawb kev kho mob ntawm cov kab mob hauv cov hnyuv, nrog rau kev ntxuav cov ntshav ntawm cov tshuaj lom. Qhov no yuav tsum tau 1 tbsp. l. burnet keeb kwm ncuav 1 tbsp. dej kub thiab boil rau 30 feeb. Noj cov tshuaj npaj rau 1 tbsp. l. txhua 2-3 teev.
St. John's wort pab tau zoo, uas yuav tsum tau noj ua decoction lossis infusion thoob plaws hnub. Koj tuaj yeem npaj cov tshuaj kho mob raws li sage, centaury thiab chamomile. Cov khoom npaj yuav tsum tau nchuav nrog dej kub, insisted rau 30 feeb, thiab ces noj 1 tsp.
Kev kho neeg pej xeem tuaj yeem yog qhov zoo ntxiv rau cov tshuaj kho mob yooj yim uas kws kho mob kis tau. Nws tsim nyog nco ntsoov tias nws yog txwv tsis pub ua kev kho mob ntawm koj tus kheej, vim qhov no tsuas yog ua rau muaj kev noj qab haus huv thiab ua rau muaj kev phom sij txaus ntshai.
Dieting
Thaum ua npaws typhoid tshwm sim, yuav tsum noj zaub mov kom tsawg. Khoom noj khoom haus yuav tsum tsis txhob nyob twj ywm nyob rau hauv txoj hnyuv mus ntev, irritate nws thiab provoke ib copious secretion ntawm cov kua tsib. Cov kws kho mob pom zoonoj cov zaub mov steamed thiab ces rubbed los ntawm ib tug sieve los yog tws nyob rau hauv ib tug blender. Cov zaub mov yuav tsum sov, ntxuav nrog dej me me.
cov ncuav qab zib tshiab, dej qab zib, khoom noj kib thiab rog, dej haus carbonated, zaub tshiab thiab txiv hmab txiv ntoo, khoom qab zib, pickles thiab confectionery raug txwv nruj heev. Koj yuav tsum noj zaub mov 5-6 zaug hauv qhov me me. Yuav tsum tsis txhob noj ntau dhau, nrog rau kev tshaib plab ntev.
Tom qab tawm hauv tsev kho mob, koj tuaj yeem pib maj mam nthuav cov ntawv qhia zaub mov. Tsis txhob noj cov khoom noj rog thiab haus luam yeeb tam sim ntawd. Tshaj li ntawm 7-10 hnub, cov zaub mov tshiab yuav tsum tau maj mam nkag rau hauv kev noj haus.
Hygiene
Nws yog qhov yuav tsum tau txiav txim siab raws sijhawm kom pom muaj tus kab mob salmonella hauv lub cev, nrog rau kev kho kom zoo. Tsis tas li ntawd, nws yuav tsum tau cais tawm txoj hauv kev ntawm kev kis tus kab mob. Txhawm rau ua qhov no, chaw ua haujlwm huv thiab kis kab mob ua kom zoo saib xyuas lub xeev cov dej haus thiab dej phwj tuaj. Cov neeg ua haujlwm uas koom ncaj qha rau hauv cov txheej txheem npaj zaub mov yuav tsum tau kuaj xyuas cov kab mob.
Txhua tus yuav tsum saib xyuas lawv tus kheej kev noj qab haus huv, tshwj xeeb tshaj yog nyob rau hauv cov tebchaws uas muaj kab mob typhus. Nws yog ib qho tseem ceeb kom ua raws li cov cai yooj yim tshaj plaws, uas yog:
- tsuas yog yuav dej;
- muas npaj zaub mov uas tau siav zoo los yogkib;
- tsis txhob yuav zaub mov ntawm txoj kev;
- ntxuav tes kom huv si tom qab siv chav dej thiab ua ntej noj mov;
- tsis txhob ua luam dej hauv dej qhib qhov dej phwj tuaj yeem nkag mus.
Ua raws li cov cai yooj yim ntawm kev nyiam huv tuaj yeem tiv thaiv tus kab mob loj thiab txaus ntshai no. Tsis tas li ntawd, nws yog ib qho tseem ceeb uas yuav tau ua raws li cov kev ntsuas tseem ceeb rau kev tiv thaiv tus kab mob typhoid kub taub hau raws li SP tsim los ntawm qhov chaw huv huv thiab kis kab mob ntawm txhua cheeb tsam.
Muaj Teeb Meem
Yog tias kev kho mob uas tus kws kho mob tsis ua raws sijhawm, ntau yam teeb meem ntawm tus mob typhoid fever tuaj yeem tshwm sim. Qhov tshwm sim tsis zoo tshaj plaws yog kev tuag. Nws yog pom nyob rau hauv cov neeg mob debilitated lossis cov menyuam yaus.
Lwm qhov tshwm sim yog rov kis kab mob lossis kab mob cab. Tus neeg sawv cev ntawm tus kab mob no ruaj khov heev thiab feem ntau, txawm tias nrog kev kho tshuaj tua kab mob, tseem nyob hauv daim siab thiab cov kua tsib. Nrog kev txo qis hauv kev tiv thaiv, daim duab kho mob yuav rov ua dua.
Nyob rau lub sijhawm mob hnyav ntawm cov kab mob, qhov teeb meem txaus ntshai tshaj plaws yuav yog cov hnyuv los ntshav lossis puas rau cov phab ntsa hauv plab, tom qab ntawd los ntawm kev txhim kho peritonitis. Los ntawm ib sab ntawm lub paj hlwb, meningoencephalitis tuaj yeem tsim. Tsis tas li ntawd, tej zaum yuav muaj kev puas tsuaj rau lwm yam kabmob thiab lub cev uas tshwm sim xws li otitis, myocarditis, osteomyelitis, mob ntsws, cholecystitis. Qhov tshwm sim tuaj yeem tshwm sim txawm ntau lub hlis tom qab kev kho mob rov qab. Yog li ntawd, cov neeg mob uas tau kis tus kab mob no ntevyuav tsum tau saib xyuas.
prophylaxis
Tiv thaiv tus kab mob typhoid fever thiab paratyphoid fever yog txoj hauv kev tseem ceeb los tiv thaiv tus kab mob no. Nws suav nrog ntau yam kev ua ub no, ntau yam uas tswj hwm los ntawm kev noj qab haus huv. Ntawm cov kev ntsuas tseem ceeb los qhia:
- ua raws li tus qauv huv;
- saib xyuas kev noj qab haus huv;
- tshuaj tiv thaiv.
Kev tiv thaiv tus kab mob typhoid ua npaws txhais tau hais tias ua raws li cov cai ntawm kev thauj khoom, saib xyuas lub xeev dej, nrog rau kev saib xyuas tus kheej. Nws yog ib qho tseem ceeb los saib xyuas tus mob ntawm cov neeg uas qhov kev kis tus kab mob loj nyob ntawm. Thaum ntsib tus neeg muaj tus kab mob no, yuav tsum tau saib xyuas kev kho mob rau 21 hnub. Nyob rau tib lub sijhawm, nws yog qhov yuav tsum tau ua kev tshawb fawb txog cov zis, ntshav thiab quav kom pom muaj tus kab mob salmonella hauv lub cev.
Kev txhaj tshuaj tiv thaiv kab mob typhoid yog ib qho kev tiv thaiv tseem ceeb, uas ua kom muaj kev tiv thaiv zoo rau lub sijhawm ntev. Kev txhaj tshuaj tiv thaiv yuav zam kev kis kab mob thaum salmonella nkag mus rau hauv lub cev. Yog hais tias ib tug neeg mob, ces tus kab mob yuav mus nyob rau hauv ib tug me me daim ntawv. Kev rov qab yuav tshwm sim li ntawm 7-14 hnub.
Vim tias menyuam yaus kis tau ntau dua, lawv xav tau tshuaj tiv thaiv kab mob typhoid ntau tshaj. Yog li ntawd, nyob rau hauv cov cheeb tsam uas muaj qhov xwm txheej tsis zoo, nws yog qhov yuav tsum tau txhaj tshuaj tiv thaiv rau cov neeg muaj hnub nyoog 5-19 xyoo. Qhov ua tau zoo ntawm kev txhaj tshuaj tiv thaiv los ntawm cov tuam txhab sib txawv tsis yog ib yamsib txawv heev.
Vim tias tus kab mob typhoid yog ib yam kab mob txaus ntshai heev, nws yuav tsum tau ua raws li nws qhov kev kuaj mob raws sijhawm thiab kev kho mob zoo.
