Chii sefivha iyo nezvimiro dziripo, uye zvaari ngozi?

With kufambira mberi musayenzi yezvokurapa nhasi, kuchine vamwe chirwere (fivha embolism, marariya, fivha, tiibhii), izvo zvinoda mumwe rakakura kudzidza nzira kurapwa kana nzira kuti yokupedza kwavo.

Vakawanda vavo vaiva uye zvinoumbwa endemies uye pandemics pematanho siyana evanhu dzoga (hondo, nzara). Zvinotevera ndizvo kutaura rimwe zvirwere ngozi idzi.

Kunyange kare kuti mubvunzo "chii fivha" rakapiwa mhinduro yakajeka Hippocrates. izwi ichi, akataura ose fivha zvinoitika pamwe dimming kuti pfungwa kana ayo kurasikirwa.

Chii typhus kuzivikanwa nhasi?

Zita seboka vane fivha zvinoreva vatatu vakaparadzana nosological siyana. Nhasi inozivikanwa kuvapo:

• typhus;
• kudzokera;
• abdominal typhus.

Vose vane modes siyana Kupfuudzwa uye dzakasiyana zvakaita vatakuri chirwere.

Vhuṱanzi

Vazhinji anozivikanwa chokwadi marudzi ose typhus uye paratyphoid kunogona kuratidzwa zvakajeka muna tafura.

Next funga chii nefivha, uye sezvahunooneka, mumwe nomumwe kunyanya chimiro.

About sefivha yakawanda

Chirwere kunoitika apo achitora utachiona mukaka, mvura, michero, miriwo, chingwa nezvimwewo zvokudya, uyewo kana netsaona ingestion kuna Salmonella utachiona mvura apo kushambira ari Akanyatsovharwa mumvura.

Muzana remakore rechi19 paiva Kurondedzera yakarurama sei runoyerera fivha. It is zvirwere ane rikwanise kosi. Kunoratidza pacharo muchimiro fivha, kudhaka, roseolous ganda nekumhanyirira. Akaratidza kukundwa nhengo dzinobudisa ezvinhu ari ura duku, wakawedzera chiropa uye chirwatata.

The Isimba rakadini rinogona kubudiswa kumwedzi chinogara avhareji kwevhiki mbiri. Tanga zvishoma nezvishoma chete fivha zvakajairika kuti zvirwere zvakawanda varwere zvichemo: simba, kurukutika, utera, nomusoro, hope zvirwere, neanorexia (kushaya kudya), fivha, flatulence (bloating), kupatira.

Objective kuratidzwa kwokutanga nguva dzinoratidzwa: mufurati, bradycardia, dicrotism kupomba (kupomba mahwanda Pin), mwoyo sezvine muffled, chakaoma rales mumapapu.

On ongororo, vanachiremba vanoti thickened, takapoteredzwa Kumubata rurimi pakati vachena mashava, uye pamwe micheto uye muromo yakachena, catarrhal zviratidzo angina, kuwedzere chiropa uye chirwatata.

Papera vhiki rinouya kufadza kukura zviratidzo: vasingadzoreki kuziva, vachirwara fivha delirium, panguva pamusoro paganda mudumbu uye kuoneka mune yepazasi mubhokisi roseolous-papular mapundu. Vakaita akaderedza BP. Kunoonekwa gastrointestinal zviratidzo:

• mutauro kuoma, zviri akafuka gobvu shava kana tsvina mashava maruva;
• Kurwadziwa iliac fossa kurudyi uye "kutinhira" mudumbu;
• Kupatirwa uye flatulence simba.

The ropa miedzo - rutapudzo kuti leukocytes mu weti akatsunga mapuroteni. Kana murwere asina kurapwa, akafa yematambudziko: intestinal ropa, perforation (perforation) ari ura.

About typhus zvizere

Pane mhando mbiri typhus: Epidemic uye endemic. Epidemic typhus, anozivikanwawo sokuti European zimbabwe kana vshiny typhus. Other mazita nokuti: mujeri chikepe kana fivhiri. Kupfuudzwa nzira kubva pamunhu nomunhu. More chinowanzoitwa vanhu panguva chando mwaka.

Places kuruma inda murume mizinga uye zvipembenene tsvina pamwe rickettsial kupinda ropa. Utachiona sei endothelium (yomukati) rukoko zviduku midziyo ropa uye munhu anova chinotapukira!

Asymptomatic nguva kunotora mazuva 10 kusvika vhiki mbiri. Zvino nokuti mashoko kuti typhus nefivha uye sei chinoratidza pacharo akaora.

The chirwere kunotanga acutely. Zviratidzo Its chikuru - chills, fivha (tembiricha kusvika 40 madhigirii vhiki mbiri anozorora), kuramba nomusoro, kuramba marwadzo kumashure. Pashure pemazuva mashoma paganda mudumbu rinowanika blotchy mapundu vaaleanpunainen ruvara.

Murwere pakarepo braked, kuvhiringika munguva uye nzvimbo, anoti akakurumidza, incoherently uye anogona kuwira asina chaanoziva. Kana zviri nguva kutanga antibitikoterapiyu ari zvaida chipimo chemushonga, munhu anogona kuponeswa!

The pamusoro akarondedzera zviratidzo typhus dambudziko typhus. Zvino mashoko mashoma pane endemic typhus fivha. Anonziwo gonzo, nhata, kana American. Ini akaitumidza, zvakare, rickettsial, asi mhando mooseri. Iri fomu anonyanya muUnited States. Hapana gore negore vakanyorwa anenge 40 zviitiko chirwere.

Endemic typhus anoda noushamwari ezvinhu mune zvose hemispheres. Vanotambura kubva zvikurukuru mumaruwa vagari, uye kunyanya yezhizha. The chirwere nyore pane dambudziko typhus.

Chii idzokororo fivha

Kana chirwere kunoitika kubva ikaruma vanayo inda spirochetes, ipapo kutaura pamusoro denda (European) muchimiro relapsing fivhiri. Kana apo munhu anova kurwara mushure varumwa nenyoka ane utachiona chishambwe, zviri endemic relapsing fivha.

Kubva nguva chirwere kusvikira kurwisa chirwere wokutanga anogona kutora 5 mazuva masvondo maviri. The chirwere kunotanga pakarepo pamwe pakurwisa, kana kupisa kuchatsiviwa fivha pfupi, tembiricha muviri kunosvika madhigirii 39, akaratidza zviratidzo kudhaka (nemusoro, vadyi, tsandanyama kurwadziwa, kuda kurutsa, kurutsa chingava).

Skin muviri nebvudzi pabutiro roseolous, petechial, kana kore- scarlatiniform nekumhanyirira. Face tsvuku. Pamwe jekiseni sclera midziyo. Pulse kakawanda, pasi BP. Chiropa uye chirwatata awanda. Muropa - yakaderera platelet count.

Nguva iyi dzingasiyana abutment epistaxis, ropa paganda uye mucous membranes, hemoptysis, panowanikwa erythrocyte mu weti. Kukwirira kurwisa kunoratidzwa chitarisiko meningeal zviratidzo. Ya kurwiswa kubva 2 kusvika 6 mazuva.

kuguma kurwisa kunoratidzwa kuwa kupisa muviri pamwe kunonyengedza ziya. Dzimwe nguva dzinonetsa tembiricha kuderera pamwe pokuwa (BP nehasha akaderedzwa, ganda rakachenuruka, muzvidimbu murwere chando, anorasikirwa kuziva).

Apo tembiricha muviri normalized, uye murwere ezvinhu akavandudzika. The Kurwisa inogona kudzokororwa pashure pavhiki. European relapsing Fivha kunoratidzwa tichibatwa 2-5 (kana kubatwa inorwisa mabhakitiriya).