Cov kab mob hauv plab nrog kev puas tsuaj rau cov mucous ntawm txoj hnyuv, cov kab mob ua rau cov kab mob ntawm shigella, hu ua dysentery, lossis shigellosis. Cov kab mob yog qwj-zoo li tus, lawv lub npe yog dysentery bacillus. Kev loj hlob ntawm tus kab mob tshwm sim raws li nram no. Thaum pib, cov kab mob loj hlob nyob rau hauv cov hnyuv me thiab tom qab ntawd nkag mus rau hauv cov ntaub so ntswg epithelial ntawm txoj hnyuv loj, qhov chaw uas lawv nquag sib xyaw, ntes tag nrho cov hnyuv. Raws li qhov tshwm sim, cov hlwb epithelial tuag, thiab cov kab mob tsim nyob rau hauv lawv qhov chaw. Tsis tas li ntawd, cov kab mob zais cov tshuaj lom, uas tseem ua rau lub cell tuag thiab provokes ib qho ntxiv ntawm cov dej thiab electrolytes los ntawm txoj hnyuv. Cov tshuaj lom muaj qhov tsis zoo rau cov qog adrenal thiab lub paj hlwb, ua rau lub cev lom lom heev.
Daim duab kho mob ntawm ib hom kab mob dysentery (colitis variant)
pib ntseCov tsos mob ntawm intoxication yog tshwm sim los ntawm kub taub hau, mob taub hau, tsis qab los noj mov, txo cov ntshav siab. Los ntawm txoj hnyuv, cov tsos mob hauv qab no ntawm cov kab mob dysentery pom:
- Tseeb mob plab tag nrho.
- Tom qab ntawd nws yuav mob thiab mob hnyav dua. Qhov chaw - hauv qab plab.
- Ua ntej lub plab zom mov, qhov mob hnyav zuj zus.
- Nyob hauv thaj tsam ntawm lub qhov quav kuj tseem muaj qhov mob ntawm qhov rub hom nrog recoil rau lub sacrum. Lawv tau tsim thaum lub plab zom mov thiab txuas ntxiv rau ob peb feeb tom qab nws.
- Kev yuam kev thiab kev xav ntawm lub plab zom mov tsis tiav tom qab defecation.
- quav quav ntau tshaj 10 zaug hauv ib hnub.
- Muaj ntshav thiab hnoos qeev hauv cov quav.
Forms of dysentery:
- Yog tias mob me - kub taub hau ploj tom qab ob peb teev lossis tuaj yeem kav ntev txog ob hnub. quav mus txog kaum zaug ib hnub twg, tej zaum yuav tsis muaj impurities ntawm cov hnoos qeev thiab ntshav. Mob plab yog me me, tsis tshua muaj siab.
- Nrog nruab nrab - tag nrho cov cim tau hais ntau dua. Qhov kub nce mus txog 39 degrees thiab kav ntev txog plaub hnub, lub siab txo qis. Defection mus txog 20 zaug hauv ib hnub, quav nrog hnoos qeev thiab ntshav.
- Nyob rau hauv mob plab hnyav, cov tsos mob yog: hyperthermia lossis hypothermia. Tus neeg mob yog lethargic, tsis muaj zog. Lub dermis ua daj ntseg, lub plawv dhia nce. Muaj mob raws plab. Cov quav hauv daim ntawv ntawm cov hnoos qeev ntshav.
- Nrog mob hnyav heevKev loj hlob ntawm toxic shock lossis toxic encephalopathy.
Daim duab kho mob hauv gastroenterocolitis variant ntawm dysentery
Hauv qhov no, cov tsos mob ntawm tus mob plab tshwm sim: ntuav, xeev siab, mob epigastric. Thawj hnub, cov tsos mob ntawm colitis me me los yog tsis tuaj. Kev dag ntxias kom defecate, nrog rau cov hnoos qeev thiab ntshav hauv cov quav. Cov tsos mob no tshwm sim ib hnub lossis ob hnub tom qab kis kab mob. Qhov hnyav ntawm tus mob nyob ntawm qhov ntsuas ntawm lub cev qhuav dej. Yog tias qhov tam sim no raug tshem tawm, tag nrho cov cim qhia tsawg tsawg.
Cov ntaub ntawv subclinical ntawm tus kab mob tsuas yog kuaj tau los ntawm kev kuaj kab mob bacteriological xwb. Lub tsev kho mob tau qhia tsis zoo. Cov neeg mob tsis pom kev tsis txaus siab, xav tias lawv tus kheej noj qab nyob zoo.
Cim kab mob dysentery hauv cov neeg laus
Lub sijhawm incubation kav los ntawm ob peb teev mus rau tsib hnub. Hnub thib ob lossis thib peb tom qab tus kab mob nkag mus rau hauv lub cev ntawm tus neeg, thawj cov cim tshwm sim. Tus kab mob pib mob heev, cov tsos mob ntawm dysentery nyob rau hauv cov neeg laus yog raws li nram no:
- Qhov kub nce mus txog 40 degrees.
- siab poob qis.
- Tsis qab los.
- Nausea tshwm.
- Zoo.
- Vim.
- Camps thiab mob plab.
- Kev xav rov qab los. Cov quav ntawm cov kua sib xws hloov mus rau mucous, sib xyaw nrog cov ntshav. Nyob rau hauv daim ntawv mob ntawm tus kab mob, urges muaj peev xwm mus txog 50 lub sij hawm nyob rau hauv ib hnub. Txawm li cas los xij, tsis yog txhua tus ntawm lawv xaus rau hauv qhov khoob, uas yog, muaj kev xav tsis tseeb. Tus neeg mob nkees nkees, nkees nkees,muaj nqhis dej thiab tsis qab los noj mov. Tus mob no deteriorate sai.
Gastroenteric variant ntawm tus kab mob kuj paub, uas yog tsawg. Nws yog tus cwj pwm los ntawm ib txhij pib ntawm cov tsos mob tseem ceeb ntawm dysentery nyob rau hauv cov neeg laus: kub taub hau, intoxication, raws plab. Tus kab mob pib nrog ntuav thiab ua kua dej. Tom qab ob hnub, colitis tuaj yeem tshwm sim. Tom qab ntawd lub cev qhuav dej tshwm sim, lethargy, ntshav siab txo, cov zis sib cais txo qis.
Kabmob rau cov poj niam cev xeeb tub
Cov kab mob no txaus ntshai rau tus menyuam mos thiab tus poj niam. Kev yug ntxov ntxov tshwm sim hauv 40% ntawm cov neeg mob dysentery. Cov kab mob tsis zoo ntawm lub tsev menyuam provokes contractions, ua rau kom ntxov ntxov los yog nchuav menyuam. Txoj kev pheej hmoo ntawm los ntshav nce. Thaum yug me nyuam, tus me nyuam kis tau los ntawm leej niam. Ib qho uas yuav tshwm sim loj thiab txaus ntshai yog yug tus menyuam tuag lossis tus poj niam tuag.
Kev kho mob
Kev kho mob ntawm cov tsos mob ntawm tus kab mob plab hauv cov neeg laus thiab menyuam yaus nyob ntawm nws lub sijhawm. Tus kab mob uas tsis kho tau dhau los ua mob ntev, uas tuaj yeem kho tau tsuas yog hauv tsev kho mob ib puag ncig. Ntawm cov tshuaj, cov tshuaj hauv qab no tau sau tseg:
- tshuaj tua kab mob;
- sorbents;
- rehydration thiab detoxification;
- anti-inflammatory;
- antipyretic;
- immunomodulators;
- probiotics;
- enzymatic;
Vitamins Vitamin
Kev nyuaj siab thiabkev tiv thaiv
Kev tsis muaj txiaj ntsig ntawm kev kho, nrog rau qhov tsis muaj kev kho mob ntawm cov tsos mob ntawm tus kab mob plab hauv cov neeg laus thiab menyuam yaus ua rau muaj kev phom sij txaus ntshai:
- colon dilatation ua rau tuag;
- sepsis;
- mob plab hnyuv mucosa uas provoke los ntshav;
- hemolytic-uremic syndrome.
Kev tiv thaiv yog kev tu tus kheej. Ntxuav tes tom qab mus xyuas chav dej, qhov chaw pej xeem, taug kev, ua ntej noj mov. Ua tib zoo ua cov khoom ua ntej lawv siv. Yog hais tias ib tug neeg hauv tsev neeg mob dysentery, ces yuav tsum tau tshuaj tua kab mob ntawm qhov chaw.
Kabmob rau menyuam yaus
Hauv lwm txoj kev, nws yog hu ua kab mob ntawm tes tsis ntxuav lossis qias neeg. Tus kab mob ua rau tus kab mob no yog Shigella, cov kab mob lom uas nkag mus rau hauv plab hnyuv los ntawm ib puag ncig sab nraud. Cov hnyuv yog raug rau lub ntsiab striking tshuab. Dysentery ranked thawj nyob rau hauv cov nqe lus ntawm kev faib ntawm lwm yam hnyuv kab mob. Cov hnub nyoog li ntawm ob mus rau xya xyoo yog qhov raug tus kab mob no tshaj plaws.
Yog vim li cas rau qhov tshwm sim no yog lub cev tsis muaj zog tiv thaiv kab mob thiab tsis ua raws li cov cai niaj hnub ntawm kev nyiam huv ntawm tus kheej. Kev tiv thaiv kab mob tom qab tus kab mob tsis ruaj khov, tus me nyuam tuaj yeem kis tau ntau zaus. Hauv cov menyuam yaus hnub nyoog qis dua ib xyoos, nws nyuaj heev vim yog qaug dej qaug cawv thiab lub cev qhuav dej. Muaj ntau hom kab mob:
- Easy. Cov tsos mob ntawm dysentery hauv cov menyuam yaus hnub nyoog qis dua ib xyoos yog raws li hauv qab no: raws plab, nce ntxivkub. Intoxication kav li peb hnub. Hauv ob lub lis piam muaj qhov rov ua tiav tiav.
- Nruab nrab hnyav. Daim ntawv no hauv cov me nyuam mos pib sai. Nws yog manifested los ntawm txias txias, kub taub hau, lom ntawm lub cev. Hnub thib tsib, intoxication txo. Kev rov qab los tshwm sim hauv ib hlis.
- Hav. Tawm tsam keeb kwm yav dhau los ntawm kev qaug zog tshaj plaws ntawm lub cev, kev ua txhaum ntawm kev ua haujlwm ntawm cov hlab plawv system tau pom. Kev kho mob ntev, mus txog peb lub hlis.
Ua rau dysentery
Cov tsos mob ntawm tus kab mob provoke pathogenic enterobacteria. Nyob rau hauv cov duab, cov no yog cov me me, qhov loj ntawm 1 mus rau 3 microns, nrog rau kev txav mus los. Lawv secrete endo- thiab exotoxins hauv lawv lub neej. Lawv ntshai qhov kub thiab txias thiab ultraviolet hluav taws xob. Ib puag ncig huab cua thiab kub tsis tshua muaj txiaj ntsig zoo rau lawv txoj kev loj hlob. Qhov nce hauv qhov xwm txheej feem ntau yog pom thaum lub caij ntuj sov. Kev kis kab mob tshwm sim los ntawm qhov ncauj-fecal lossis kev sib cuag hauv tsev.
Tus me nyuam tus cwj pwm phem ntawm rub tes qias neeg thiab khoom rau hauv lub qhov ncauj ua rau muaj kev sib kis sai. Nws kuj yog nqa los ntawm kab. Muaj cov xwm txheej thaum tus kab mob tsis tshwm sim, tsis muaj chaw kho mob, thiab cov kab mob pathogenic, ib zaug hauv lub cev, tuag lossis raug tso tawm nrog quav. Cov qauv no tau pom nyob rau hauv cov menyuam mos uas muaj lub cev tsis muaj zog.
Signs of disease
Tus kab mob no tshwm sim thawj teev tom qab kis kab mob, tab sis lub sijhawm incubation tuaj yeem kav ntev txog xya hnub. Qhov hnyav ntawm toxicity nyob ntawmtus naj npawb ntawm cov kab mob hauv cov hnyuv loj. Cov tsos mob ntawm dysentery nyob rau hauv cov me nyuam yog raws li nram no:
- hyperthermia;
- ntuav ntau zaus hauv ib hnub;
- zawv plab 20 lossis ntau zaus hauv ib hnub, tawm xim ntsuab uas muaj cov ntshav sib xyaw;
- dehydration;
- yuam kev kom tso quav tso rau hnub plaub ntawm kev mob;
- mob sab laug ntawm plab;
- tsis nco qab;
- ntshav qab zib;
- qaug dab peg (tsis tshua muaj).
Zoo kab mob dysentery hauv me nyuam
Hauv 90% ntawm cov neeg mob, cov menyuam yaus hnub nyoog qis dua ib xyoos tsim cov kab mob sib txawv ntawm qhov hnyav, uas tshwm sim nrog rau qhov tsis zoo ntawm lub plab zom mov. Cov quav quav yuav tsis tuaj, txawm li cas los xij, hauv qhov tso tawm muaj cov khoom noj uas tsis tau ua tiav, cov zaub ntsuab thiab ntshav suav nrog, thiab hnoos qeev. Nyob rau hauv sib piv rau cov tsos mob ntawm dysentery nyob rau hauv cov me nyuam hnub nyoog 2 xyoos thiab laus dua, lub plab o nyob rau hauv cov me nyuam mos, tsis xis nyob tshwm thaum lub sij hawm ua defecation. Ib tug feature ntawm tus kab mob nyob rau hauv lub hnub nyoog no yog lub undulating chav kawm ntawm dysentery, i.e. nrog relapses thiab exacerbations. Cov kab mob rov ua rau mob hnyav dua li kev kho mob. Kev tiv thaiv tsis zoo yog suav tias yog qhov yuav tsum tau ua ua ntej rau kev txhim kho ntawm lwm cov kab mob hauv plab los ntawm rotovirus, staphylococcus, amoebas. Pathology provokes mob ntsws ntev.
Cov tsos mob dysentery hauv cov menyuam yaus hnub nyoog qis dua 2 xyoos ua rau lub cev qhuav dej sai, ua rau:
- lub plawv dhia tsis sib haum;
- lub siab;
- raum tsis ua haujlwm;
- poobluj;
- faus.
Nws yog ib qho tseem ceeb kom nrhiav kev pab kho mob uas tsim nyog ntawm thawj cov tsos mob ntawm tus kab mob.
Kev kho mob
Kev kho cov tsos mob ntawm tus kab mob dysentery hauv cov menyuam yaus yuav nyob ntawm seb tus kab mob, nrog rau hnub nyoog. Kev kho mob tuaj yeem ua tau ob qho tib si ntawm tus neeg mob sab nraud thiab hauv tsev kho mob. Hauv tsev, cov menyuam yaus hnub nyoog qis dua ob xyoos thiab muaj tus kab mob me me tau txais kev kho mob. Cov menyuam mos txog ib xyoos tau txais kev kho mob hauv tsev kho mob. Kev kho mob yog mus txog peb lub lis piam thiab suav nrog:
- puag so;
- khoom noj khoom haus;
- kev kho infusion, tshuaj tua kab mob, tshuaj antispasmodic, nrog rau probiotics thiab vitamin complexes.
Pub mis rau me nyuam dysentery
Kev noj zaub mov tseem ceeb heev hauv tus kab mob no. Nyob rau theem mob, kev tshaib kev nqhis tau pom zoo. Thawj hnub ntawm kev kis tus kab mob, tus menyuam raug tso cai haus tshuaj yej lossis dej rau 12 teev. Yog tias tus menyuam muaj qhov hnyav li qub, ces kev yoo mov yog ncua mus rau ib hnub. Tom qab ntawd lawv maj mam pib muab zaub mov tso cai:
- nqaij ntses thiab nqaij;
- zaub thiab txiv hmab txiv ntoo puree;
- cereals siav tsis ntxiv mis;
- zaub kua zaub;
- qhia cov khoom fermented mis nyuj ua tib zoo saib xyuas tus menyuam tus mob.
Yog tus menyuam pub niam mis, tus niam yuav tsum ua raws li kev noj haus. Lub ntim ntawm cov kua uas siv rau tag nrho lub sij hawm ntawm kev kho yog yuav luag ob npaug. Nws raug pom zoo kom tso tseg legumes, zaub nyoos thiab txiv hmab txiv ntoo, mis nyuj tshiab,nplej thiab rye qhob cij.
Cov teeb meem thiab kev tiv thaiv
Qhov tshwm sim ntawm tus kab mob no tshwm sim hauv kev kho tsis raws sijhawm thiab tsis raug. Feem ntau yog:
- pneumonia;
- ntshav qab zib;
- peritonitis;
- qhov quav prolapse;
- plab hnyuv;
- hypotrophy.
pericolitis;
Txoj kev tiv thaiv zoo tshaj plaws yog qhia tus menyuam:
- ua raws li cov cai ntawm kev tu tus kheej;
- tsis txhob nqa koj txhais tes rau koj lub qhov ncauj;
- tsis txhob nqus koj ntiv tes;
- ntxuav tes ua ntej noj mov.
cov cai yooj yim no yuav tiv thaiv koj tus menyuam kom tsis txhob kis kab mob dysentery.
mob plab thiab mob ntev
Txoj kev loj hlob ntawm tus kab mob nyob rau theem mob hnyav mus txog theem hauv qab no:
- plab hnyuv me. Thaum lub sij hawm no, kub taub hau, mob plab plab, quav quav.
- Colonic stage of dysentery. Cov tsos mob: nyob rau hauv cov quav muaj mucus, ntshav, kua paug. Qhov sib xws ntawm cov quav yog kua. Muaj peev xwm dag ntxias kom defecate. Lub rooj zaum nce mus txog tsib caug zaug hauv ib hnub. Qhov mob ua cramping thiab txav mus rau hauv lub plab mog. Tus neeg mob poob ceeb thawj sai heev, lub dermis ua thinner, cov ceg tawv yuav txias rau qhov kov, lub ntsej muag ntawm lub ntsej muag ua kom ntse, thiab nqhis dej heev.
Kev pib kho raws sij hawm tso cai rau koj tso tseg tus kab mob thawj theem. Cov tsos mob ntawm dysentery nyob ntawm tus neeg lub hnub nyoog thiab kev noj qab haus huv. Nyob rau hauv ib rooj plaub, tus kab mob tej zaum yuav mob me me thiab txwv rau raws plab. Nyob rau hauv lwm yam, nws yog pomchav kawm hnyav, lub cev qhuav dej hnyav thiab txawm tias dystrophy. Qhov thib ob variant tshwm sim nyob rau hauv cov me nyuam, cov neeg laus thiab cov neeg tsis muaj zog.
Daim ntawv mob tau kuaj pom thaum lub sijhawm tus kab mob ntau dua peb lub hlis. Nws ntws nyob rau hauv daim ntawv ntawm ib tug recurrent los yog tas mus li kev kawm.
Kev qaug rau qhov no tsis tuaj, tab sis cov tsos mob hauv qab no ntawm tus kab mob dysentery tshwm sim:
- txhua hnub ntsuab kua quav quav nrog hnoos qeev, ntshav;
- mob plab;
- dag ntxias kom defecate;
- poob phaus.
Cov tsos mob no tshwm sim ob peb hlis tom qab rov zoo. Nws provokes txoj kev loj hlob ntawm ib tug ntev daim ntawv ntawm tus kab mob, qaug zog, beriberi, overwork, kev qaug zog. Exacerbations yog tshwm sim los ntawm kev ua txhaum ntawm kev noj haus, kev ntxhov siab. Cov neeg mob plab dysentery yog qhov kis tau tus mob.
Kho cov tsos mob ntawm tus kab mob zawv plab ntawm txhua theem yog kev ntxiv cov kua dej, ntsev thiab cov vitamins hauv lub cev, nrog rau kev noj zaub mov zoo. Ntawm cov tshuaj, cov tshuaj muaj tshuaj tua kab mob, tshuaj tua kab mob, tshuaj astringent, antispasmodic teebmeem, probiotics thiab enzymes tau qhia.
Amebiasis yog kab mob plab hnyuv uas tshwm sim los ntawm kev nkag mus ntawm cov kab mob yooj yim tshaj plaws ntawm ib leeg (amoeba) mus rau hauv lub plab zom mov. Cov kab mob no ua rau muaj kev puas tsuaj rau cov phab ntsa ntawm txoj hnyuv loj thiab ua rau lub npe hu ua amoebic dysentery, uas tau nthuav dav heev nyob rau thaj tsam yav qab teb.
Symptomsamoebic dysentery Yaj
Lub sijhawm ntawm lub sijhawm incubation yog los ntawm xya hnub mus rau peb lub hlis. Tus kab mob pib mob heev. Cov tsos mob yam ntxwv:
- mob siab kom tso quav;
- mob plab;
- quav kuas tov nrog cov ntshav thiab hnoos qeev, thawj yog ntau, cov xim ntawm cov quav yog crimson;
- hnyav poob sai, plab poob;
- haggard saib;
- tsis qab los;
- mob taub hau;
- mob sab laug ntawm plab;
- dry dermis;
- Npaj los ntshav tshwm sim thaum lub plab hnyuv puas siab.
Tus mob no txaus ntshai heev thiab tuaj yeem ua rau tuag taus.
Lub sijhawm mob hnyav yuav kav ntev txog ib hlis thiab ib nrab, thiab tom qab ntawd nws dhau mus rau theem ntev. Lub sij hawm ntawm exacerbation yog hloov los ntawm kev zam mus ntev. Cov tsos mob ntawm dysentery nyob rau hauv cov ntaub ntawv no yog raws li nram no: cem quav thiab raws plab hloov, tej zaum cov ntshav tshwm nyob rau hauv cov quav. Tus kab mob ua rau tus me nyuam tawm, kev noj zaub mov tsis txaus, kev mob ntshav qab zib tshwm sim tawm tsam keeb kwm ntawm kev poob dej ntau thiab ntshav.
Teeb meem thiab kev kho mob
Qhov tshwm sim ntawm amoebic dysentery:
- nqaim ntawm txoj hnyuv lumen vim qhov caws pliav ntawm qhov txhab;
- ib leeg lossis ntau qhov abscesses ntawm cov kabmob sab hauv;
- mob plab;
- paraproctitis;
- peritonitis;
- qog nqaij hlav hauv plab hnyuv lumen.
Kev kho mob tau ua nyob rau hauv cov xwm txheej ntawm lub chaw saib xyuas kab mob sib kis hauv tsev kho mob ib puag ncig. Cov chav kawm Antiprotozoal tau sau tseg,Cov tshuaj tua kab mob, nrog rau cov ntshav hloov pauv thiab npaj muaj hlau. Kev kho infusion yog nqa tawm. Khoom noj khoom haus muaj zog nrog cov protein thiab cov vitamins. Kev kho phais yog qhia rau daim siab abscess. Tom qab muaj mob lawm, cov menyuam yaus raug saib xyuas los ntawm tus kws kho mob kis kab mob hauv tsev kho mob ntawm qhov chaw nyob tau ib xyoos.
ntsuas kev tiv thaiv
Tiv thaiv cov tsos mob ntawm tus kab mob plab yog ua raws li cov cai ntawm kev huv thiab huv. Hauv thaj chaw muaj kab mob, tsuas yog cov dej boiled lossis lim dej tau pom zoo, suav nrog kev ntxuav tais diav, txhuam hniav, thiab ntxuav koj lub ntsej muag. Tiv thaiv cov khoom los ntawm yoov. Ntxuav txiv hmab txiv ntoo thiab zaub kom huv si.
Ua raws li cov cai ntawm kev tu tus kheej. Dysentery yog ib yam kab mob txaus ntshai. Koj tuaj yeem tiv thaiv kab mob los ntawm kev ua raws li cov cai yooj yim.
