Chigwadara mushonga: chikumbiro features, murayiridzo

In nhoroondo chirwere inozivikanwa se "moto chitsvene", "Persian Fire" uye dzimwe shamwari zvakafanana. zita rayo ano nechigwadara kwakakonzerwa ravo munzvimbo nokuparadzirwa. Nhasi, zviitiko chirwere kwevanhu vari casuistic. Hosha rinowanikwa chete mombe. The causative mumiririri inotsanangurwa pakupera rechigumi nemapfumbamwe remakore naRobert Koch.

exciter

Utachiona Bacillus anthracis chinokonzera nechigwadara. Zviri rutanda guru, giremu yakasvibiswa pepuru. Rinosanganisira somatic antigen uye chinosiyanisa toxin, izvo chinokonzera kuzvimba, interacts pamwe membranes masero mumuviri uye chinokonzera rufu. Uyezve, Kamudzira rinoratidza antifagotsitarnye ehupfumi.

Hondo Muviri ndiwo bacteria anoumba spores husingakwanisi yakakwirira tembiricha kuomesa uye disinfection. In chimiro ichi nechigwadara inogona kuchengetwa kwemakore uye kushandiswa senzvimbo kwemabhakitiriya nezvombo. Vegetative siyana zvigare zviri vakaurayiwa yokuwana mvura inopisa mumaminitsi mana ari mhepo inopisa muovheni - pashure pemaawa 2-3.

epidemiology

Mutakuri chirwere muri herbivores. Kazhinji, iri mhou, bhiza, ngamera kana nguruve. Zvirwere vanhu ainawo mombe chirwere, sezvo allocates nayo utachiona kupinda zvakatipoteredza. A mhuka akafa vanoramba chirwere kwevhiki. Uyezve, utachiona hwakakura yedzimudzangara chaitwa kuburikidza neropa-yakayamwa nezvipembenene. Zvikurukuru zvigadzirwa ngozi vakawana kubva mhuka chirwere (ganda, bvudzi). Vanogona kuramba infectivity kwemakore akawanda, kunyange pashure makemikari uye chafariz kugadzira.

Nepariri, chigwadara inowanikwa inopisa nyorovera okunze, munzvimbo paaivatambudza mombe maberekero. The chirwere kakawanda akanyorwa muzhizha-matsutso nguva. The kukonzera chirwere kwevanhu - vachifungawo utsanana-epidemiological dzemunharaunda, uyewo nokushayiwa kubudiswa zvinhu risati kugadzira.

Pathogenesis uye zviratidzo

Utachiona kupinda munhu kana mhuka muviri kuburikidza ganda, mucous membranes kana nemudumbu. "Masuwo chirwere" yakatanga serous-Hemorrhagic kuzvimba, uko kunoratidzwa edema, kubuda ropa uye yakaoma necrosis. Iyi nzvimbo sokunge kumazimbe - black nharaunda bordered anogumbura nomubato pakati ndiro ronda rakashama. Macrophages utachiona hwakakura rakapararira nhengo dzinobudisa hurongwa, kusanganisira mune remunharaunda node nodes. Tapinda utachiona muropa sepsis hakukoshi kuti kungotaurawo chirwere munyika muviri: iri node nodes, nemudumbu, mapapu. The chipfuro nhengo kuoneka akawanda hemorrhages uye ropa.

Chirwere incubation nguva anogona kugara kubva maawa mashomanana vhiki mbiri, zvichienderana chimiro. Most aiwanzowanika ganda zvinoratidza chirwere. On nzvimbo hwomukova nayo utachiona kuonekwa tsvuku papules, kuvaviwa nokupisa kunzwa. Pashure rimwe zuva Daddy yakavepo vesicle akazadzwa serous mvura. Pashure pfupi zvirimo anova rwehute kana rima dzepepuru Hue. Nokuda simba murume kuvaviwa vesicles kukuvadza rising uye pane urikanwi ane rima pasi uye chakajeka pepa. At yayo micheto vakaumba kwemabhakitiriya screenings ( "chiratidzo sechishongo chomuhuro") kuti achindireverera chete chokutambudzika.

Vanechitsama Mavhiki pasi urikanwi anovhara vatema panofunuka, uye nokuda nguva yose chirwere pane munharaunda rufimbi maitiro. Uyu ndiwo mumwe chirwere zviratidzo nechigwadara. Kubva mukuru zviratidzo dzoga refu fivha, achiperekedzwa nemusoro, simba uye kurwadziwa netsandanyama. Mushure mbiri kana nhatu, kuratidzwa veko vanouya maturo, uye pamwe navo uye obscheintoksikatsionny chiratidzo.

Diagnostics

Vakawanda cutaneous chimiro maperembudzi kusiyaniswa nevamwe kwemabhakitiriya mamota uye carbuncles. The chikuru runoratidza ndiyo pakuonekwa "semanekiresi", iro maitire chete nechigwadara. Generalized chimiro kunoratidzwa nokukurumidza Pazvinotanga, zvikuru kudhaka, pulmonary edema, uye oligo-anuria. Dzimwe kuvapo tsime chirwere chiremba anofanira kusiyaniswa kubva hwechigwadara uye tularemia denda.

Of sokuongorora kwomurabhoritari kuti chirwere chirwere ingashandiswa bacterioscopy ropa kana weti, uyewo chirimwa zvinoerera kubva ronda riri inotonhorera nevezvenhau. Uyezve, kushandisa kuti Murabhoritari mhuka chaiwo diagnoses. Serological miedzo kubatsira kuona chokutambudzika chirwere uye unoda zvirwere. Chimwe nzira iri kuitisa chisimbwa nemiedzo pamwe antraksinom.

The mushonga pamusoro nechigwadara

Nokuti kudzivirira nechigwadara yakatanga mhenyu yakaoma mushonga kuti zvakakodzera subcutaneous kana cutaneous kushanda. kusunungurwa Its muna 1 Rine mamiririta ampoules (dzaona musi 200 mishonga subcutaneous Kutarisirwa) pamwe 1.5 ml ari solvent (glycerol).

A mushonga pamusoro nechigwadara kuti munhu musanganiswa mupenyu spores ose nayo utachiona uye Yakanatswa maantigen vasiyana aruminiyamu hydroxide. Chiremba anowedzera chinu isotonic sesaline, unoponesa upfu mugomba homogeneous musanganiswa. Pasherufu upenyu yakaoma mushonga uri 3 years, uye mvura - 2.

For vakuru nevana ose nechigwadara mushonga anogona kushandiswa kubva 1 gore. The Mirayiro yakatora kwairi, anoramba kuti munhu ave zvikuru kutapata.

Contraindications kuti kubaya

Nokuti kutanga pamusoro mushonga kune mitemo mukuru:

• murwere unofanira kuva noutano;
• muviri tembiricha iri sezvinongoita siyana;
• SARS pashure wokupedzisira inopfuura mwedzi;
• neutachiona kuti asati yaitonga yokudzivirira vakanga kuchengetwa.

Mirayiridzo dzokushandisa pamusoro nechigwadara mushonga zvinoratidza contraindications shoma. Saka, munhu anofanira kuva nhoroondo systemic zvirwere connective rinenge idzokororo dermatological pathologies, uyewo kwemakemikari anobudiswa hurongwa matambudziko. Uyezve, tinofanira kuomerera panguva zvikamu. Between okupedzisira kubaya uye majekiseni anodzivirira pamusoro nechigwadara inofanira mukaha mazuva anenge matatu.

Bacterinia

Kushandiswa Anti-nechigwadara mushonga kunokonzera omunharaunda uye zvayo siyana. Percutaneous Kutarisirwa kuburikidza ganda pazuva panguva jekiseni paIndaneti rinowanika hyperaemia uye zvishomanana mumatenhere munyama. Gare gare vakaumba munhu goko, iyo pakupedzisira nokupera. Subcutaneous kwokubatsira mushonga ari pamwe infiltration anosvika 0.5 cm.

Zvakawanda zvive zvikuru isingawanzowanikwi hworatidza pacharo mu musoro, kuwedzera tembiricha muviri kuti subfebrile, uye rakawedzerwa node nodes. Dzimwe nguva svoto uye kurutsa. Vanhu vane yakakwirira zvirwere mhinduro nechigwadara mushonga kunogona kukonzera neutachiona kusvikira anaphylactic kuvhunduka.

Chipimo chemushonga uye Administration

Chokutanga majekiseni anodzivirira rinoitwa yakaoma uye mvura mushonga, uye zvadaro kushandisa yakaoma chete musiyano. Kuronga rokutanga kota muvamwe contingent anogamuchira dose mishonga iri vhoriyamu 0.5 Rine mamiririta subcutaneously.

Pane nzira mbiri kuti aiyanika jekiseni nechigwadara mushonga vanhu. Instruction rinoti vana vanamakore 14 vanofanira kubata chikuru majekiseni anodzivirira subcutaneously pamwe mishonga maviri penguva mwedzi. Nevakuru rokunze rechitatu ruoko paavhareji akashandisa 2 madonhwe rakasanganiswa mushonga uye ipapo muvare ganda uye akazora kwehafu kweminiti Urume.

Kana kuonana non-nhomba munhu mhuka kurwara achisimudzira Kudzivirira kwechimbichimbi muchimiro kosi inorwisa mabhakitiriya:

• nokuti vakuru kuti "Ciprofloxacin" kana "Doxycycline";
• vana - "Amoxicillin".

Chigwadara mushonga mhuka

Chigwadara mushonga chiri mhuka kugadzirwa antibodies kuna nayo utachiona mushure memazuva 10 kubvira panguva yaitonga uye inopa simba kutapata kuti gore rimwe. It rakagadzirirwa yokungoitawo majekiseni anodzivirira rokumanikidzirwa mune imhuka zvose.

Kokutanga yokudzivirira anopiwa muzera mwedzi mumwe uye zvakare pashure pemwedzi mitanhatu. Vakuru vanofanira nhomba ose gore. Kana nhamba chemombe yakawanikwa mhuka umo mune zviratidzo hwechigwadara, rose boka nhomba zvakare.

Contraindications kuti kubaya mhuka:

• fivhiri;
• zvichangobva pamuviri kana castration;
• kuvhiya;
• nemadhongwana kusvika 9 months.

The nechigwadara mushonga hauna kwakamboitwa inopisa kana kuchitonhora, uyewo akabatana nevamwe zvinodhaka. With mishonga, anthelmintics uye zvinodhaka insektoakaritsidnymi anofanira kumirira mazuva anenge 10 pashure kubaya. Mukaka nhomba Mhou vanobvumirwa kunwa pazuva rakatevera kubaya, asi kunokunda mombe isingadyiwi zvichabviswa kumbosiyiwa kwevhiki mbiri.