Brucellosis mmadụ: Mgbaàmà na Ọgwụgwọ

Brucellosis ọrịa bụ ọsọ na ọtụtụ mba na mepụtara anụmanụ. Causative mmadụ nke na-efe efe na-adịghị anabata ọrịa bụ brucella bacteria. Naa na e nwere 4 bacteria nke umu-eme brucellosis na ụmụ mmadụ - br. Melitensis, ndị nwe na-ewu na atụrụ, br. Abortus, ebute site ná si ehi, br. Suis, nke a na-ebute site ná si nnụnụ, ezì na mgbada, nakwa dị ka br. Canis, nke na-rụrụ site na nkịta, ma nke a ụdị bacteria bụ nnọọ obere mmadụ.

N'ọnọdụ ka ukwuu isi iyi nke ọrịa n'ihi na ụmụ mmadụ na-aghọ nnukwu na obere ehi. Ndị na-nje mgbe ewe mmiri ara ehi ma ọ bụ anụ nke a na-arịa ọrịa ụmụ anụmanụ. Ọzọkwa alimentary, pin adabere na-aga nke ọrịa, karịsịa mgbe ilekọta ewu na umu ezi na site na mmeru aka, ajị anụ, anụmanụ oke. Ọ bụghị ekwe ka aerogenic ọrịa usoro, nke microorganisms na ájá anụmanụ-awụba n'oké osimiri, nsị na ajị anụ ọdịda ke n'elu karị. Brucellosis na ụmụ mmadụ bụ a ọkachamara agwa, ọgụgụ ka ukwuu nke ọrịa - ọrụ nke ụlọ ọrụ maka nhazi nke mmiri ara ehi na anụ, anụmanụ na, ọrụ nke anụ ụlọ ugbo.

Olee otú ọrịa?

The incubation oge na-abụkarị site na otu izu iji izu isii. Clinical ngosipụta dị iche polymorphism. Ụdị nke ọrịa na-nnukwu, subacute, na-adịghị ala ala na mmapụta. Ọtụtụ mgbe e nwere a latent ụdị ọrịa, n'ihi na nke na e nwere ihe immuno-anabata mgbanwe nke ihe organism. N'ihi na nnukwu na subacute ụdị e ji a prodromal oge, na-egosi adịghị ike, isi ọwụwa, ike ọgwụgwụ, mgbe nke na-eto eto ihe ịrịba ama nke igbu egbu. Na ọrịa na Omume fever esonyere mewo ka mmiri dee ọsụsọ na fever, ịmụba ọnụ ọgụgụ nke splin na imeju na, na Lymph, karịsịa cervical. Ọtụtụ mgbe, na subcutaneous anụ ahụ na-guzobere na-egbu mgbu nodules - cellulites na fibrositis.

Njirimara ala ọbara mgbali, muffled obi ụda, mgbe ụfọdụ, ịzụlite pericarditis, myocarditis, endocarditis. Mgbe na-egbu egbu-septic usoro nke na-emepe emepe ka oyi baa, bronchitis. Mgbe ọrịa imeju nwere ike a nta jaundice. Ụjọ usoro ọnya na-emekarị pụta ìhè adịghị ike, isi ọwụwa, ehighị ụra nke ọma, na mgbe ụfọdụ ọrịa uche na meningism phenomena. Brucellosis na ụmụ mmadụ na-aghọ ala ala ma ọ bụ subacute ụdị. Nke a bụ n'ihi na eziokwu na Brucella metụtara nanị akụkụ ụfọdụ intracellularly ike nọgidere nọgidere na-enwe n'elu ikpughe ọjọọ ihe (nchegbu, hypothermia, bufee)-edu ndú ka re-ọrịa nke generalization.

The-adịghị ala ala ụdị e ji ntighari ngosipụta na lability. Igbunye ụjọ, osteo-articular, uro-Genital, visceral na jikọtara iche nke-adịghị ala ala ọrịa. Ji polyarthritis, perihondrity, bursitis. Ọ bụ ihe nkịtị lesion nke nnukwu nkwonkwo na nācha ọbara-ọbara na mmachi nke mmegharị. Nwayọọ nwayọọ malite ankylosis spondylarthritis esonyere nkọ mgbu. E ji mara ọnya na elu ụjọ usoro - neuralgia, plexites, radiculitis, paresis. Ọrịa na-mkpesa nke ogwe, ụra nsogbu, ike ọgwụgwụ. Mgbe ụfọdụ ịzụlite hypochondria, oké neurosis, reactive ekwu.

Brucellosis na ụmụ mmadụ na ọtụtụ mgbe, e ji na-adịgide adịgide mmetụta, nke na-owụt ke mgbanwe nke neuro-psychiatric, nweekwa usoro. Mmapụta udi ruru ọtọ impairment nke autonomic ụjọ usoro na dịghịzi-anabata mgbanwe nke ihe organism.

Na ịgwọ

Olee otú nwere ike gosi na nchoputa nke brucellosis? Diagnosis dabeere na mgbaàmà nke ọrịa, epidemiological akụkọ ihe mere eme na laabu data. Ọ bụ ugbu a na-eji serological ụzọ. Wright na mmeghachi omume Heddelsona mma na n'oge ogbo nke ọrịa. Na ụdị nile nke iji na TPHA RNC na ike ịchọpụta-alụso ọrịa ọgụ ruo L-iche-iche nke bacteria. Ọ na-atụle ihe ndị kasị enwe mmetụta ọsọ ọsọ enzyme immunoassay, na-eji Burne sample, nke na-anọgide na mma maka afọ mgbe mgbake.

Ọ bụrụ na onye ọrịa mepụtara nnukwu brucellosis, ọgwụgwọ kwesịrị ịbụ na a ọgwụ. Tee ọgwụ nje atụmatụ, irè fluoroquinolones, rifampicin, tetracyclines. Na-adịghị ala ala ụdị akpọ mmetụta pụrụ enweta mgbe Inye gburu ọgwụgwọ ogwu. Iji gbochie nlọghachi azụ ojiji antibrucellar immunoglobulin. Ọrịa na-egosi physiotherapy, egosipụta ọgwụ, ịhịa aka n'ahụ, spa ọgwụgwọ.