Yersiniosis. Calaamadaha, Cilad-iyo Daaweynta

cudurada faafa hanti si dadka iyo xayawaanka, inta badan saameeya mareenka caloosha iyo mindhicirka oo uu leeyahay u janjeera in ay lesions guud ee hababka kala duwan iyo xubnaha, u yeedhay yersiniosis. Astaamaha cudurka waxa lagu muujiyey sida qarqaryo, madax-xanuun, tabar-dari, qidmeyntiibulshada, xanuun ku jira laabatooyinka iyo muruqyada. Waxaa laga yaabaa in khasaaraha ka mid ah rabitaanka cuntada, dhuun xanuun, hurdo la'aan.

Farsamo ee ilaalinta iyo gudbinta cudurka aad uula mid tahay pathogenesis ee pseudotuberculosis yihiin. la mid ah ayaa lagu sharaxay by ay ka tirsan panulirus la mid ah jirooyinka Yersinia. Pathogene iersinioza - bakteeriyada garaam-negative Yersinia Enterocolitica, ka tirsan qoyska Enterobacteriaceae. Bilowga hore ee cudurka lagu gartaa muuqaalka kore ee unugyada gaarka ah ee dhiigga fasalka IgM, IGA iyo IgG. Doorka xoolaha sida il caabuq aan qummanaynu. Wakiilka sababaya ugu weyn ee dabiiciga ah waxaa loo arkaa in ay bahalaha yaryar. halka uu cudurka laga yaabaa in nuujiya dheeraad ah oo waaweyn, xanuunsato ama sii daayo pathogene ah.

Ugu weyn ee hab la isugu gudbiyo waa nafaqada. Tani waxay badanaa ka dhacdaa iyada oo cunto ku wasakheysan bakteeriya ah. Inta badan waa hilibka, caanaha iyo khudradda alaabta. Inta badan, waxaa la soo jeediyay in cudurka bakteeriyada qaar ka mid ah panulirus ku-noole protozoan ah.

Inta badan intaba goosgoos (marmar) oo laysku cudurka. Cudurka saameeyaa kooxaha da'da oo dhan, laakiin dalalkaasi ugu weyn waxaa loo arkay in carruurta jirta ilaa 3 sano jir, dadka qaba dhiman difaaca, daciifiyey difaac. Dabcan dhireedku la exacerbations soo noqnoqda iyo soo noqoshada - mid ka mid ah sifooyinka gaarka ah sifeeyay yersiniosis. Calaamadaha waxaa ka mid ah ka muujiyay sarkhaan guud, qandho caadiga ah, lesions maqaarka, mareenka caloosha iyo mindhicirka, kala-goysyada. noocyada ugu weyn ee cudurka yihiin enterocolitis, enteritis, adenitis mesenteric, sepsis yar iyo angina, iyo sidoo kale goobaha sare ee caabuqa. Dhibaatooyinka ugu badan ee cudurka - nodosum erythema, peritonitis iyo Waxyeelo arthritis.

yersiniosis darnaanta dhaadheer iftiin, dhexdhexaad ah oo culus, foomka septicemic. Sida laga soo xigtay koorsada cudurka la muujiyey ee ba'an, chronic, la soo noqoshada soo noqnoqda.

Caloosha iyo - cudurada ugu badan ee ka bilaabma yersiniosis. Calaamadaha waxaa ka mid ah wax yar ka mid ah cudurka xiidmaha ba'an dhaca kala duwan. faafinta dheeraad ah (guud) waxa ay jidhka oo dhan sharaxayaa kala duwanaanta aad u qani ah oo daliilka kiliinikada. Waxay inta badan ku xiran tahay noocyada cudurka, ka mid ah oo kala ah:

• foomka caloosha iyo mindhicirka la lesions caan ku colon, caloosha, qabsinka,
• foomka isku dhafan, taas oo labada lagu daboolay by lesions ama in ka badan,
• foomka guud, oo la xidhiidha horumarinta sepsis, dhaawac sambabada, kelyaha, beerka, xuubka maskaxda;
• foomka sare-focal, horumarinta ku saabsan asalka ah ee hore u awdeen caabuq ku faafa. Her lug ku waani ee geedi socodka bahal xiidmaha, kala-goysyada, wadnaha, muruqyada, maqaarka.

Tan iyo pathogene in ay jirka ka mid ah bukaanka Galina inta daliilka marka hore caafimaad oo caadi ahaan u kordhiyay wax ka badan toddobaadkii. Waxay lagu sheegi karaa in qaab dhowr syndromes lagu gartaa noocyada kala duwan ee yersiniosis. calaamadaha syndrome guud sun ah in lesions dheefshiidka cad sida qandho, shuban, lallabo, madax-xanuun, matag, xanuun ku jira laabatooyinka iyo muruqyada, cudurada of habka dareemayaasha jirka. Foomka A fudud ee cudurka sida caadiga ah waxay qaadataa qiyaastii 3 maalmood, daran awood u raagay ilaa 2 todobaad. Muddada Dheer keenaysaa in fuuq-bax.

Yersiniosis marmar dhif ah, u muuqataa ku saabsan waxyaabaha finanka maqaarka ee foomka of dhibco, dhibco yar yar, waxay u muuqataa dheeraad ah oo inta badan on cagaha iyo gacmaha. Sida caadiga ah, sida dabeecad hadal cudurka ah waxa loo yaqaan cudurka "of sharaabaad iyo gacmo gashi." Firiirica ayaa waxaa la socon kara by hoolmay, gubashadii maqaarka.

In noocyada halista ah ee cudurka waxaa lagu calaamadeeyay muujinta systemic syndrome sumoobo, finan, dhuun xanuun, xanuunada dheefshiidka, beerka balaartay, beeryarada, iyo qanjirada. Inta badan calaamadaha eg qabsinka ba'an. Haddii ay saamayn ku jira laabatooyinka ee ay barar, xanuun, dhaqdhaqaaqa xaddidan calaamadeeyay.

foomka Secondary-focal yersiniosis waxaa loo cayimay sababta oo ah waa natiijo ka mid ah noocyada kale. Muuqaaladan ugu weyn ee foomkan lagu sheegi karaa in qaab enterocolitis, polyarthritis, monoarthritis, Garaaci mid ka mid ah xubnaha ugu waaweyn, Reiter ee syndrome, nodosum erythema, myocarditis. Enough lagu sheegi karaa xanuunada maratay autonomic (dhidid xad-dhaaf ah, marbling maqaarka, isbedbedelka cadaadis).

imtixaanada Laboratory waa habka aasaasiga ah ee lagu hirgalinaayo yersiniosis. Cilad ku salaysan ogaanshaha isticmaalaya jab PCR ee hiddawadayaasha of pathogene koowaad ee saxarada ama dhiigga. isku dayo Immunosorbent caawisaa aqoonsadaan jiritaanka unugyada in yersiniosis. Waayo, wax daraasad baaritaan bakteeriyadda noqon kartaa saxarada, kaadida, candhuufta, bile, cerebrospinal, dhiig. Hababka of diagnosis xarkaha cudurka waxa ka mid ah endoscopy, waxbarasho X-ray ah axalaha ah, jidaynayey si loo ogaado ileitis dalool.

Daaweynta hadda iersinioza pulmonary iyo tirtirayaa maqan yahay cudurka saameen dhici kartaa guriga, waa in kaliya la kaxaystay oo dhammu u talooyinka ah dhakhtar cudurada faafa oo la raaco cunto. Marka dhexdhexaad qaab daran ee bukaanka waa in la daaweeyaa kaliya ee isbitaalka.