Shigellosis

Shigellosis chirwere chehutachiona chemukati mematumbo. Inokonzerwa neboka rebhakitiriya rinonzi shigella.

Kune akatiwandei marudzi e shigella mabhakitiriya, anosanganisira:

• Shigella sonnei, inonziwo "boka D" shigella, inokonzeresa zviitiko zvakawanda zve shigellosis muUnited States.
• Shigella flexneri, kana "boka B" shigella, inokonzeresa angangoita ese mamwe makesi.
• Shigella dysenteriae, kana "boka A" shigella ishoma muUnited States. Zvisinei, zvinogona kutungamira mukuparara kunouraya munyika dzichiri kusimukira.

Vanhu vakatapukirwa nehutachiona vanoisunungura muchigaro chavo. Vanogona kuparadzira hutachiona kumvura kana chikafu, kana kunanga kune mumwe munhu. Kuwana zvishoma bhakitiriya reSigella mumuromo mako zvakakwana kukonzera utachiona.

Kuputika kweshigellosis kwakabatana nehutsanana husina kutsarukana, chikafu chakasviba nemvura, uye nemamiriro ezvinhu akazara ehupenyu.

Shigellosis yakajairika pakati pevashanyi vari kusimukira nyika uye vashandi kana vagari mumisasa yevapoteri.

MuUnited States, mamiriro acho anowanzoonekwa munzvimbo dzekuchengetedza masikati uye nzvimbo dzinogara mapoka evanhu, senge dzimba dzekuchengetedza.

Zviratidzo zvinowanzo kukura nezve 1 kusvika kumazuva manomwe (avhareji mazuva matatu) mushure mekusangana nehutachiona.

Zviratidzo zvinosanganisira:

• Acute (kamwe-kamwe) kurwadziwa mumimba kana kupwanya
• Fivha yakasimba
• Ropa, mamasi, kana pus muchigaro
• Crampy rectal kurwadziwa
• Kusvotwa uye kurutsa
• Manyoka emvura uye ane ropa

Kana iwe uine zviratidzo zve shigellosis, wako wekuchengeta hutano anotarisa:

• Kupererwa nemvura mumuviri (mvura isina kukwana yakakwana mumuviri wako) nekutsanya kwemwoyo uye kukwira kweropa
• Nyoro yemukati
• Yakakwidziridzwa mwero wemasero machena eropa muropa
• Stool tsika yekutarisa machena masero eropa

Chinangwa chekurapa ndechekutsiva zvinwiwa nemagetsi (munyu nemaminerari) akarasika mumanyoka.

Mishonga inomisa manyoka haigone kupihwa nekuti inogona kukonzera kuti hutachiona hutore nguva kuti huende.

Matanho ekuzvichengetedza ekudzivirira kupera simba kwemvura anosanganisira kunwa maelectrolyte solution kutsiva zvinwiwa zvinoraswa nemanyoka. Mhando dzinoverengeka dzemagetsi eelectrolyte anowanikwa pamusoro pe-iyo-counter (pasina mushonga).

Mishonga inorwisa mabhakitiriya inogona kubatsira kupfupisa hurefu hwechirwere. Iyi mishonga inobatsirawo kudzivirira kuti chirwere chisapararire kune vamwe vari mumapoka ekugara kana ekuchengetedza masikati. Izvo zvinogona zvakare kupihwa kune vanhu vane zvakakomba zviratidzo.

Kana iwe uine manyoka uye usingakwanise kunwa zvinwiwa nemuromo nekuda kwekusvotwa kwakanyanya, ungangoda kurapwa uye inishuwa (IV) zvinwiwa. Izvi zvinowanzoitika kuvana vadiki vane shigellosis.

Vanhu vanotora diuretics ("mapiritsi emvura") vangangoda kurega kunwa mishonga iyi kana vaine chirwere chinonzi shigella enteritis. Usamborega kutora chero mushonga usati watanga kutaura kune wako mupi.

Hutachiona hunogona kuve hunyoro uye hunoenda hwega. Vanhu vazhinji, kunze kwevana vasina kudya zvinovaka muviri uye avo vane masimba ekudzivirira muviri, vanowanzo pora zvizere.

Zvinetso zvinogona kusanganisira:

• Kupera mvura mumuviri, kwakakomba
• Hemolytic-uremic syndrome (HUS), chimiro cheitsvo kutadza neanemia uye matambudziko ekugwamba
• Reactive arthritis

Vanenge mumwe chete pagumi evana (pasi pemakore gumi neshanu) ane chirwere chakaoma shigella enteritis anovandudza hurongwa hwemitsipa. Izvi zvinogona kusanganisira kubatwa febrile (inonziwo "fever fit") kana tembiricha yemuviri ichikwira nekukasira uye mwana achinge akabatwa Hosha yehuropi (encephalopathy) ine musoro, kuneta, kuvhiringidzika, uye nemitsipa yakaoma inogona zvakare kukura.

Fonera mupiki wako kana manyoka asingasimukire, kana paine ropa muzvituru, kana kana paine zviratidzo zvekushaya mvura mumuviri.

Enda kuimba yekukurumidzira kana zviratidzo izvi zvikaitika mumunhu ane shigellosis:

• Kuvhiringidzika
• Musoro nemitsipa yakaoma
• Lethargy
• Kufenda

Zviratidzo izvi zvinowanzoitika muvana.

Kudzivirira kunosanganisira kubata nemazvo, kuchengetedza, uye kugadzira chikafu, uye hutsanana hwemunhu. Kushambidza maoko ndiyo nzira inoshanda kwazvo yekudzivirira shigellosis. Dzivisa chikafu nemvura inogona kunge yakasvibiswa.

Shigella gastroenteritis; Shigella enteritis; Enteritis - shigella; Gastroenteritis - shigella; Manyoka emufambi - shigellosis

• Kugaya chirongwa
• Digestive system nhengo
• Hutachiona

Melia JMP, Sears CL. Infectious enteritis uye proctocolitis. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chits. 110.

Keusch GT, Uyezve AKM. Shigellosis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 293.

Kotloff KL. Acute gastroenteritis muvana. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsama 366.

Kotloff KL, Riddle MS, Platts-Mills JA, Pavlinac P, Pamusoro AKM. Shigellosis. Lancet. 2018; 391 (10122): 801-812. PMID: 29254859 pubmed.ncbi.nlm.nih.gov/29254859/.