Listeriosis

Listeriosis chirwere chinogona kuitika kana munhu akadya chikafu chine hutachiona hunonzi Listeria monocytogenes (L monocytogenes).

Utachiona L monocytogenes inowanikwa mumhuka dzesango, mhuka dzinochengetwa, uye muvhu nemvura. Aya mabhakitiriya anorwadzisa mhuka dzakawanda, zvichitungamira mukusununguka uye kubereka vakafa muzvipfuwo.

Muriwo, nyama, uye zvimwe zvekudya zvinogona kutapukirwa nehutachiona kana zvikasangana nevhu rakasviba kana mupfudze. Mukaka mbishi kana zvigadzirwa zvakagadzirwa kubva pamukaka wakasvibirira zvinogona kutakura aya mabhakitiriya.

Kana iwe ukadya zvigadzirwa zvakasvibiswa, unogona kurwara. Vanhu vanotevera vari panjodzi yakawedzera:

• Vakuru vanopfuura makore makumi mashanu
• Vakuru vane immune system isina kusimba
• Kukura fetus
• Vachangozvarwa
• Kubata pamuviri

Mabhakitiriya anowanzo kukonzera chirwere chemudumbu. Mune zvimwe zviitiko, unogona kukura hutachiona hweropa (septicemia) kana kuzvimba kwekuvhara kwehuropi (meningitis). Vacheche nevana vanowanzo kuve nemeningitis.

Utachiona mukutanga kwepamuviri hunogona kukonzera kusununguka. Mabhakitiriya anogona kuyambuka rukuvhute otapurira mwana ari kukura. Zvirwere mukunonoka kubata nhumbu zvinogona kutungamira mukuzvara mwana kana kufa kwemucheche mumaawa mashoma ekuzvarwa. Inenge hafu yevana vacheche vanotapukirwa panguva yekuzvarwa kana pedyo vachazofa.

Muvanhu vakuru, chirwere ichi chinogona kutora mhando dzakawanda, zvichienderana nekuti nhengo dzipi kana nhengo dzipi dzinotapukirwa. Zvinogona kuitika se:

• Utachiona hwemwoyo (endocarditis)
• Ubongo kana hutachiona hutachiona (meningitis)
• Utachiona hwemapapu (pneumonia)
• Utachiona hweropa (septicemia)
• Utachiona hwepamuviri (gastroenteritis)

Kana kuti zvinogona kuitika nenzira yakaoma se:

• Kubviswa
• Kubatana
• Ganda lesion

Mune vacheche, zviratidzo zve listeriosis zvinogona kuonekwa mumazuva mashoma ekutanga ehupenyu uye zvinogona kusanganisira:

• Kupererwa nechido
• Lethargy
• Jaundice
• Kufuridzira kushungurudzika (kazhinji pneumonia)
• Shock
• Mapundu eganda
• Kusvipa

Kuongororwa kwerabhoritari kunogona kuitwa kuti utarise hutachiona muamniotic fluid, ropa, mutsvina, uye weti. Iyo spinal fluid (cerebrospnial fluid kana CSF) tsika ichaitwa kana pombi yemuzongoza ichiitwa.

Mishonga inorwisa mabhakitiriya (inosanganisira ampicillin kana trimethoprim-sulfamethoxazole) inorayirwa kuuraya hutachiona.

Listeriosis mumucheche kana mucheche inowanzo kuuraya. Vana vane hutano vakura uye vanhu vakuru vane mukana wekupona. Chirwere hachina kunyanya kukura kana chichigumha dumbu chete. Uropi kana hutachiona hutachiona zvine mhedzisiro yakaipa.

Vacheche vanopona listeriosis vanogona kunge vaine hurefu-huropi uye huta hurongwa (neurologic) kukuvara uye kunonoka kukura.

Fonera wako mupi wezvehutano kana iwe kana mwana wako akatanga zviratidzo zve listeriosis.

Zvigadzirwa zvekunze zvekune dzimwe nyika, zvakadai semukaka usina kunyatsogadziriswa, zvakatungamira mukumuka kwe listeriosis. Nguva dzose nyatsobika chikafu.

Shamba maoko ako kwazvo mushure mekubata mhuka dzinovaraidza, mhuka dzekurima, uye kubata tsvina yemhuka.

Vakadzi vane nhumbu vangangoda kushanyira iyo Centers for Disease Control and Prevention (CDC) webhusaiti kuti uwane ruzivo nezvekuchengetedza chikafu: www.cdc.gov/listeria/prevention.html.

Listerial chirwere; Granulomatosis infantisepticum; Fetal listeriosis

• Antibodies

Johnson JE, Mylonakis E. Listeria monocytogenes. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 206.

Kollman TR, Mutumi wenhau TL, Bortolussi R. Listeriosis. Mune: Wilson CB, Nizet V, Maldonado YA, Remington JS, Klein JO, eds. Remington and Klein's Infectious Diseases of the Fetus uye Achangozvarwa Mucheche. 8th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.