Vibrio cholerae. The korera ngozi

Vibrio cholerae - utachiona kuti munhu mhaka zvikuru intestinal chirwere. Typical nokuti korera ndiko kukundwa ari ura duku, pamwe pave rikwanise kudhaka makiriniki, mvura manyoka, kunonyengedza kurutsa uye nokukurumidza chaizvo kurasikirwa dzomumuviri. korera anogona kurarama zvakatipoteredza kwenguva refu, asi zvirokwazvo zvinoda munhu (vibrionositel) kuti kukura kwavo uye kubereka. vanhu vakadaro vanogona kuva napaduku zviratidzo, ichi- kusunungura kupinda kwezvakatipoteredza dzakawanda korera.

Vibrio cholerae iri wakapiwa kubva munhu maererano fecal-nomumukanwa nzira. Kureva, mutsvina yadzo kwakasvibiswa utachiona akabudiswa mugomba kwezvakatipoteredza (ivhu, mvura), ayo netumbuyu, kazhinji rinobhururukira zvokudya uye zuva nezuva zvemumba.

A Zvinoitwa korera ndechokuti kazhinji chete chinoshanda muchimiro idenda. Huru endemic foci anoonekwa kuti Africa, Latin America, South-East Asia. Korera kuchitaurwa somunhu kupatsanura varwere zvirwere.

To musi, pane mapoka anopfuura zana nemakumi mana pakati Vibrio cholerae. Causative vaishandira korera ndivo vamiririri serogroup O1 - Vibrio cholerae O1. Maererano zvachiri Vibrio cholerae chinhu pfupi curved rutanda, pamwe flagellum. giremu negative ichi Kurovedza bacteria dzichikura alkaline inotonhorera vezvenhau pagungano ambient tembiricha kuti 10-40 Celsius. Mumwe korera - Vibrio cholerae El Tor anogona hemolyze makwai erythrocytes.

The kwaita korera

Chaizvoizvo zvose nzira idzo korera iri zvitange, anoreva fecal-waiita mashandiro ose hutachiwana. Munhu anorwara kana vibriocarrier zvabudiswa kupinda zvakatipoteredza korera. Kubva ipapo Vibrio kazhinji anopinda mvura iyo vamwe vanhu zvakare noutachiona korera. Uyezve, zvimwe vachidya zvokudya neutachiona panguva gadziriro, kuparadzirwa, kugeza kana okuchengetera.

A rinokosha mukupararira korera kutamba zvakaipa utsanana, mukuru hwevanhu arambe achirema, hombe aibuda vanotama kubva endemic munzvimbo. Mushure chirwere muna 4-5% nyaya vanhu kwaramba vatakuri vibrio, riri munzvimbo gallbladder. Kunyanya maitiro ndiye mutakuri vakwegura. Mune zvimwe zviitiko, akatakurwa chirwere unobereka simba kutapata kuti serotype kuti chirwere vanhu.

incubation nguva

Ya incubation pamusoro Vibrio cholerae zvichisiyana vaviri maawa kuti mashoma (kusvika mashanu), asi kazhinji ndiwo maawa anenge 24-48. Kwokuomerwa chirwere nomumwe nomumwe munhu. Zviratidzo zviri chirwere chinogona zvose kudzimwa uye kutaurwa (mu Pakadaro, rufu rikaitika rokutanga kana repiri ari unopinza kupera mvura mumuviri).

zviratidzo

Korera siyana Nhamba mamirire zviratidzo kusanganisira: rikwanise Pazvinotanga, kunonyengedza mvura manyoka kwemazuva anoverengeka, cheya ane pasty kana mvura kusachinja-chinja chiedza pfumbu ruvara, odorless. Kurutsa: kekutanga ichangobva kudya zvokudya, uye gare gare inova mvura, akafanana mvura mupunga. The tembiricha iri makawedzera, muna Muzviitiko zvakaipisisa, pane kuderera kusvikira 35-35.5 Celsius. Murwere ane zvose nezviratidzo kupera mvura mumuviri. Weti goho anodonhedza hasha, pashure yekupindurwa kusavapo weti zvakakwana.

mabatiro

Mabatirwo korera inoitwa nokuramba ari achiparadzira ropa vhoriyamu uye zvinyama kupora electrolyte sezvamunoita. Zvinangwa izvi, zvinoshanda invasive kurapa pamwe intravenous yesaline uye kugadzirisa mvura-eletrolitnogo Exchange.