Legionnaire chirwere

Chirwere cheLegionnaire chirwere chemapapu nemumhepo. Inokonzerwa ne Legionella mabhakitiriya.

Iwo mabhakitiriya anokonzera chirwere cheLegionnaire akawanikwa muhurongwa hwekuendesa mvura. Ivo vanogona kurarama mune inodziya, ine hunyoro hwemhepo inodzora masisitimu ezvivakwa zvikuru, kusanganisira zvipatara.

Kazhinji kesi dzinokonzerwa nehutachiona Legionella pneumophila. Dzimwe dzese kesi dzinokonzerwa neimwe Legionella mhando.

Kupararira kwebhakitiriya kubva kumunhu kuenda kumunhu hakuna kuratidzwa.

Zvizhinji zvehutachiona zvinoitika pakati pevanhu vane makore ari pakati nepakati kana vakuru Muzviitiko zvisingawanzoitika, vana vanogona kuwana hutachiona. Pavanodaro, chirwere chacho hachina kunyanya kuoma.

Njodzi zvinhu zvinosanganisira:

• Doro shandisa
• Kusvuta fodya
• Zvirwere zvisingaperi, zvakadai seitsvo kutadza kana chirwere cheshuga
• Yenguva refu (isingaperi) chirwere chemapapu, senge COPD
• Kushandiswa kwenguva refu kwemuchina wekufema (ventilator)
• Mishonga inodzvinyirira immune system, inosanganisira chemotherapy uye steroid zvinodhaka
• Kukwegura

Zviratidzo zvinowanzoitika zvakanyanya mukati memazuva mana kusvika kumatanhatu ekutanga. Ivo vanowanzo kusimudzira mune mamwe mazuva mana kusvika mashanu.

Zviratidzo zvinogona kusanganisira:

• Kazhinji kusagadzikana, kurasikirwa kwesimba, kana kurwadziwa (malaise)
• Kutemwa nemusoro
• Fivha, kuzunza chills
• Joint kurwadziwa, mhasuru aches uye kuomarara
• Kurwadziwa pachifuva, kufema kwekufema
• Kukosora kusingaburitse sputum kana mamasi akawanda (yakaoma chikosoro)
• Kukosora ropa (zvisingawanzoitika)
• Dhairrhea, kuda kurutsa, kurutsa, uye kurwadziwa mudumbu

Anopa hutano anoita bvunzo dzepanyama. Ruzha rwusina kujairika, rwunonzi kutsemuka, runogona kunzwika kana uchiteerera chipfuva ne stethoscope.

Miedzo inogona kuitwa inosanganisira:

• Arterial eropa magasi
• Tsika dzeropa kuziva mabhakitiriya
• Bronchoscopy yekutarisa nzira dzekufema uye kuongorora chirwere chemapapu
• Chest x-ray kana CT scan
• Yakazara huwandu hweropa (CBC), kusanganisira chena yeropa masero kuverenga
• ESR (sed rate) kutarisa kuti kuzvimba kuri mumuviri kwakadii
• Chiropa cheropa bvunzo
• Kuyedza netsika pane sputum yekuona iyo legionella bacteria
• Weti miedzo yekutarisa Legionella pneumophila mabhakitiriya
• Molecular bvunzo ne polymerase cheni reaction (PCR)

Mishonga inorwisa mabhakitiriya inoshandiswa kurwisa hutachiona. Kurapa kunotangwa nekukurumidza kana chirwere cheLegionnaire chikafungidzirwa, pasina kumirira mhedzisiro yechero bvunzo yebazi.

Mimwe mishonga inogona kusanganisira kugamuchira:

• Mvura kuburikidza nemutsinga (IV)
• Oxygen, iyo inopihwa kuburikidza nemask kana muchina wekufema
• Mishonga inofemerwa mukati yekurerutsa kufema
  
  

Chirwere cheLegionnaire chinogona kutyisidzira hupenyu. Njodzi yekufa yakakwira muvanhu vano:

• Iva nezvirwere zvenguva refu (zvisingaperi)
• Utapukirwe uri muchipatara
• Vakwegura here

Bata mupi wako ipapo ipapo kana iwe uine chero rudzi rwechinetso chekufema uye uchifunga kuti une zviratidzo zveLegionnaire chirwere.

Legionella mabayo; Pontiac fever; Legionellosis; Legionella pneumophila

• Pneumonia muvakuru - kubuda

• Chirwere cheLegionnaire - muviri legionella

Edelstein PH, Roy CR. Chirwere cheLegionnaires uye Pontiac fever. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Principles uye Practice yeInfectious Diseases, Yakagadziridzwa Edhisheni. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 234.

Marrie TJ. Legionella zvirwere. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 314.