Yersiniosis. Mgbaàmà, Diagnosis na Ọgwụgwọ

Infectious ọrịa peculiar ka ụmụ mmadụ na anụmanụ, tumadi na-emetụta ndị eriri afọ tract na nwere a ọchịchọ generalized ọnya dị iche iche na usoro na akụkụ, na-akpọ yersiniosis. Mgbaàmà nke ọrịa na-egosipụta dị ka akpata oyi, isi ọwụwa, ike ọgwụgwụ, malaise, ihe mgbu na nkwonkwo na akwara. E nwere ike ịbụ a na ọnwụ nke agụụ, akpịrị akpịrị, ehighị ụra nke ọma.

Usoro nke ichebe na nnyefe nke ibute ọrịa na-yiri nnọọ ka pathogenesis nke pseudotuberculosis. The myirịta na-kọwara ha nke otu genus nke pathogens Yersinia. Nje iersinioza - gram-adịghị mma na nje bacteria Yersinia Enterocolitica, bụ ndị si n'ezinụlọ Enterobacteriaceae. Mgbe mbụ ogbo nke ọrịa ji ọdịdị kpọmkwem-alụso ọrịa ọgụ na ọbara nke na klas IgM, IgA na IgG. Ọrụ nke ụmụ anụmanụ dị ka a isi iyi nke ọrịa ahaghị. Isi causative gị n'ụlọnga na ọdịdị na-ahụta ka obere òké. The isi iyi nke ọrịa nwere ike ịbụ ihe ọzọ nnukwu mammals, acutely ọrịa ma ọ bụ atọhapụ ndị nje.

The isi mode nke nnyefe bụ ekwukwa n'akwụkwọ. Nke a na-emekarị emee site na nri mmeru site na nje bacteria. Ọtụtụ mgbe, ọ bụ anụ, mmiri ara ehi na akwukwo nri ngwaahịa. Ọtụtụ mgbe, ọ na-e-atụ aro ọrịa na ụfọdụ bacteria nke genus site protozoan nje.

Ọtụtụ mgbe ebukarịghị sporadik (mgbe ụfọdụ) precedents ọrịa. Ọrịa na-emetụta niile afọ iche iche, ma nke kasị propensity ka ọ hụrụ na ụmụ ruo 3 afọ, ndị mmadụ na-alụso ọrịa ọgụ erughị eru, ebelatawo ọgụ. Undulating N'ezie na Ugboro exacerbations na nlọghachi - onye nke kpọmkwem ihe e ji mara yersiniosis. Mgbaàmà nke ya kwuru general igbu egbu, a typical fever, anụ ọnya, eriri afọ tract, nkwonkwo. Isi forms nke ọrịa na-enterocolitis, enteritis, mesenteric adenitis, obere nkịtị sepsis na rịaworo, nakwa dị ka nke abụọ na saịtị nke ibute ọrịa. Ndị kasị Ugboro nsogbu nke ọrịa - erythema nodosum, peritonitis na reactive ogbu na nkwonkwo.

Ogo yersiniosis emit ìhè, ọkara na arọ, na septicemic ụdị. Dị ka N'ezie nke ọrịa na-egosipụta na nnukwu, adịghị ala ala, na Ugboro nlọghachi.

Gastroenteritis - kasị nkịtị ọrịa nke na-amalite yersiniosis. Mgbaàmà nke ya a obere dị iche iche ọ bụla na nnukwu nsia ọrịa na-ewere ọnọdụ. Ọzọkwa mgbasa (generalization) ya ofụri idem akọwa oké ọgaranya di iche iche nke na-adakarị n'obiọma. Ha n'ụzọ dị ukwuu-adabere na iche nke ọrịa, otu nke bụ:

• eriri afọ n'ụdị na e ji mara ọnya nke colon, afo, odide ntụkwasị;
• mbuaha ụdị ke nke abụọ ozu na-kpuchie site ọnya ma ọ bụ karịa;
• generalized ụdị, metụtara na mmepe nke sepsis, akpa ume mmebi, akụrụ, imeju, na ụbụrụ membranes;
• sekọndrị-Baịbụl hiwere isi n'ebe ụdị, na-emepe emepe na ndabere nke mbụ asọpụta na-efe efe mbufụt. Ya peculiar itinye aka na-enweghị nchịkwa na usoro nke eriri afọ, na nkwonkwo, obi, mọzụlụ, na anụ.

Ebe ọ bụ na nje ahụ ịbanye n'ahụ nke ndidi ruo mgbe mbụ adakarị ngosipụta a gbatịrị ọ dịghị ihe karịrị otu izu. Ha nwere ike owụt ke ụdị ọtụtụ ọrịamkpokọta ji ụdị dị iche iche nke yersiniosis. mgbaàmà general-egbu egbu syndrome na digestive ọnya pụta ìhè dị ka ọkụ, afọ ọsịsa, ọgbụgbọ, isi ọwụwa, vomiting, aches na nkwonkwo na akwara, ọrịa nke ụjọ usoro. A nwayọọ ụdị ọrịa na-emekarị ekwupụtakwa banyere 3 ụbọchị, oké ike nọọ ọdụ ruo mgbe izu 2. Long oge na-eduga ná akpịrị ịkpọ nkụ.

Yersiniosis na obere okwu, na-egosi na akpụkpọ rashes ọcha n'ụdị tụrụ, obere ntụpọ, ha na-egosi ndị ọzọ mgbe na ụkwụ na aka. A, ndị dị otú ahụ na-egosi ihe e ji mara nke ọrịa a na-akpọ mgbaàmà "sọks na uwe." The ọkụ ọkụ nwere ike so ekpepụsị, anụ ọkụ.

Na oké forms nke ọrịa na-akara ngosipụta nke systemic toxicity syndrome, ọkụ ọkụ, akpịrị akpịrị, digestive ọrịa, ikpọ imeju, splin, na Lymph. Ọtụtụ mgbe, ndị mgbaàmà yiri nnukwu appendicitis. Ọ bụrụ na ọ na-emetụta nkwonkwo-akara na ha ọzịza, ihe mgbu, mmachi ije.

Secondary-Baịbụl hiwere isi n'ebe ụdị yersiniosis kpọmkwem n'ihi na ọ bụ n'ihi ihe ndị ọzọ iche-iche. Isi atụmatụ a ụdị nwere ike owụt ke ụdị enterocolitis, polyarthritis, monoarthritis, egbu otu n'ime isi nkwonkwo, Reiter si syndrome, erythema nodosum, myocarditis. Enough nwere ike owụt sharply autonomic ọrịa (oké sweating, anụ marbling, nrụgide fluctuations).

Laboratory ule bụ isi usoro guzosie ike yersiniosis. Diagnosis dabeere na nchọpụta iji PCR ibe akwụkwọ nke genome nke isi nje na na nsị ma ọ bụ ọbara. Immunosorbent nnwale enyere mata ọnụnọ nke-alụso ọrịa ọgụ na yersiniosis. N'ihi na bacteriological nnyocha ọmụmụ ihe onwunwe pụrụ feces, mmamịrị, sputum, bile, cerebrospinal ọmụmụ, ọbara. The ụzọ nke instrumental nchoputa nke ọrịa na-agụnye endoscopy, X-ray ọmụmụ nke ileum, ikwe ịchọpụta follicular ileitis.

Ọgwụgwọ nke akpa ume na-ehichapu iersinioza okwukwo na-anọghị nke concomitant ọrịa nwere ike na-ebe n'ụlọ, ga na-ebu niile na-atụ aro nke ọrịa na-efe ọrịa dibịa na-eso a na nri. Mgbe agafeghị oke ka oké ụdị ọrịa a ga-emeso naanị na a ọgwụ.