Chimwe chezvirwere zvinotapukira zvinotyisa zvikuru chirwere chetapiidhi, zviratidzo zvaro zvinowanzoonekwa nekuvhiringidzika uye kufungidzira, ndicho chikonzero chinopiwa nezita rakapiwa naHippocrates - izwi rechiGiriki rokuti "typhos" rinoreva "fog". Asati yatanga mishonga inorwisa mabhakitiriya, chirwere chacho chakakonzera zvirwere zvakakura, kunyange iye zvino kune ngozi yeutachiona.
Ko typhoid inoparadzirwa sei?
Iyi hutachiona ndeyekuti, iyo inobata munhu wacho chete. Iyo causative agent ye typhoid fever ndiyo bhakitiriya Salmonella typhi, iyo inonzi gram-negative rod.
Utachiona hunoparadzirwa nemuromo-fecal nzira, uye zvinokwanisika kubata typhus kuburikidza nemvura, zvinhu zveimba, zvokudya. Zvinotarisirwa kuti kupararira kwebhakitiriya ndiko kunwa kwemiriwo nemvura ine zvisina kuchena; mamiriro ekukurumidzira emasipirisi emvura uye magadzirirwo emvura. Dzimwe nguva zviratidzo zvefivhaidhi inonzwika mushure mekushambidza muviri wakasvibiswa wemvura kana kudya zvokudya zvakasvibiswa zvekaka, umo mabhakitiriya ese anowedzera zvakanaka, uye kunyange zvakadaro Salmonella typhi inoratidzika kusinganzwisisiki.
Munhu anorwara anenge asingatapuriki mumavhiki ekutanga (nguva yekudzivirira), uye kuwandisa kwepamusoro kunosvika pavhiki yechitatu.
Zvinofanira kuonekwa kuti bhakitiriya haityi kutonhora, asi inofa pamatambo makuru: 20 - 30 maminitsi ekubikira inobvumira kuti iparadzwe zvachose.
Dhigirii feveridhi inoratidzwa sei?
Penguva yekuputira, iyo inopedza mavhareji emavhiki maviri, mamwe mabhakitiriya anopinda mumuviri anofa, achibudisa iyo inonzi endotoxin. Inokonzera kudhakwa. Murwere anonyunyuta pamusoro pazvo:
- kurasikirwa nechido;
- headache;
- kushaya simba;
- chifuva;
- chills;
- kurwadziwa kwepamuviri;
- kuvimbiswa.
Pakutanga kwechirwere ichi, chinotevera nguva yekudzivirira uye chinopedza mazuva mana kusvika kune manomwe, zviratidzo izvi zvefivhaidhiyo inonyanya kutaurwa.
Chiratidzo chemuviri wehutachiona chikafu chena uye chine ruvara pamarimi nemashiripiti mazino.
Munguva yekukwirira kwechirwere ichi (chinosvika kusvika mazuva gumi), zvinotevera zvinorondedzerwa makiriniki zviratidzo zvinowedzera nekudzivirira, kuora muviri, kuwedzera mumimba (palpation yemurwere anorwadziwa). Inoratidzika kurwisana - nefivhaidhiyo iyo inowanikwa munzvimbo yechipfuva uye mudumbu, pamapanga emaoko. Iro rose rine ruvara rwakatsvuka rinopenya rinenge risingaoneki kana rakanyunyisa.
Paunoteerera mwoyo, bradycardia uye matsi yematehwe zvinoratidzwa; Izvozvo zvinodzvinyirirwa zvinoderedzwa, chirwere uye chiropa zvinowedzera mukukura. Pakukwirira kwechirwere pane izvo zvinonzi. chimiro chechifoidhi - munhu anonongedza, maitiro, pfungwa dzake dzakanganiswa.
Nguva yekudzorera
Panzvimbo yekugadziriswa kwechirwere, zviratidzo zvekudhakwa zvinonyangarika, kutonhora kunodzokera kune yakasununguka (pakarepo kana kuti zvishoma nezvishoma), murwere anotanga kuva nechido, kushaya simba kunoderedza, kurara kunowedzera.
Zvino inouya kuzora - chikamu che convalescence, panguva iyo mu3-10% yematambudziko chirwere chinogona kutanga kurwisa muviri zvakare. Izvozvo zviratidzo zvekudzoka zvakare zvinoshandiswa pakushisa, malaise, kushaya simba.
Zvakakosha kuziva kuti nekuda kwekushandiswa kwema antibiotic, chirwere ichi chinowedzera kuratidzwa mufomu rakacheneswa, umo zviratidzo zvakatsanangurwa hazvinyatsoratidzirwa.
Kuziva uye zvinetso
Chirwere chacho hachisi pasi pekurapwa kwemusha uye chinoda kurapwa. Zvinetso zvefivhaidhiyo zvinotevera:
- pneumonia;
- kubuda mumimba;
- peritonitis;
- cholecystitis ;
- typhoid psychosis;
- urinary tract infection.
Kana murwere akaregwa kurapwa, mukana wehupenyu hunoparadza huri pamusoro.
Kuongororwa kwefivhaidhiyo inonzi kuongorora mabhakitiriya emvura yose yemvura. Kazhinji kuongororwa ropa kweropaidhifivha, pamwe nemuyo, feces, bile, zvinoreva kudyara, izvo zvinoguma zvinozivikanwa mushure memazuva masere kusvika mana.