Yersiniosis. Cov tsos mob, kuaj thiab kho mob

Kis kab mob peculiar rau tib neeg thiab tsiaj txhu, mas rau tus mob huam thiab muaj ib tug ib txwm mus generalized txhab ntawm ntau yam systems thiab kabmob, hu ua yersiniosis. Cov tsos mob ntawm kab mob no tau raug ua raws li ua daus no, mob taub hau, tsis muaj zog, malaise, mob nyob rau hauv cov pob qij txha thiab cov nqaij. Tej zaum yuav muaj ib tug tsis qab los noj mov, mob caj pas, insomnia.

Mechanisms ntawm preservation thiab kis tau tus mob uas yuav mob heev zoo xws li cov pathogenesis ntawm pseudotuberculosis. Cov kev zoo sib thooj yog piav los ntawm lawv teej tug mus rau tib lub genus ntawm pathogens Yersinia. Pathogen iersinioza - gram-tsis zoo kab mob Yersinia Enterocolitica, teej tug mus rau lub tsev neeg Enterobacteriaceae. Thaum thawj zaug rau theem ntawm kab mob tsiag ntawv los ntawm cov tsos ntawm cov kev tshuaj nyob rau hauv cov ntshav ntawm cov chav kawm ntawv IgM, IgA thiab IgG. Lub luag hauj lwm ntawm cov tsiaj raws li ib tug qhov chaw ntawm kab mob zoo tib. Lub ntsiab causative tus neeg saib xyuas nyob rau hauv cov xwm pom tau hais tias yuav me me nas. Yog qhov uas cov kab mob tej zaum yuav ntau loj tsiaj, acutely mob los yog tso cov pathogen.

Lub ntsiab hom ntawm kis tau tus mob yog noj haus. Qhov no feem ntau yog tshwm sim los ntawm cov zaub mov uas paug los ntawm tus kab mob. Feem ntau cov feem ntau nws yog nqaij, khoom noj siv mis thiab zaub cov khoom. Feem ntau, nws twb tau pom kab mob uas muaj tej yam kab mob ntawm lub genus ntawm cov protozoan cab.

Feem ntau cov feem ntau predominate thawm (nyob) precedents kab mob. Kab Mob muaj feem xyuam rau tag nrho cov muaj hnub nyoog pawg, tab sis qhov loj tshaj propensity rau nws yog pom nyob rau hauv cov me nyuam mus txog 3 xyoos, cov neeg uas tiv thaiv kab mob raug, tsis muaj zog txaus tiv thaiv. Undulating chav kawm nrog heev exacerbations thiab rov - ib tug ntawm cov kev nta characterizing yersiniosis. Cov tsos mob ntawm nws expressed kev intoxication, ib tug raug kub taub hau, daim tawv nqaij qhov chaw mob, mob huam, pob qij txha. Lub ntsiab ntaub ntawv ntawm tus kab mob yog enterocolitis, enteritis, mesenteric adenitis, tsis tshua muaj heev sepsis thiab angina, raws li zoo raws li theem nrab qhov chaw ntawm kab mob. Qhov feem ntau heev teeb meem ntawm tus kab mob - erythema nodosum, peritonitis thiab reactive kev mob caj dab.

Heev yersiniosis emit teeb, medium thiab hnyav, septicemic daim ntawv. Raws li hauv cov chav kawm ntawm tus kab mob yog manifested nyob rau hauv lub mob, mob, nrog heev rov.

Gastroenteritis - lub feem ntau tus kab mob uas pib yersiniosis. Cov tsos mob ntawm nws ib tug me ntsis txawv ntawm tej mob hnyuv kab mob tshwm sim. Ntxiv kis (generalization) nws thoob plaws lub cev piav txog cov tshua muaj nplua nuj muaj ntau haiv neeg ntawm kev soj ntsuam ces. Lawv lom zem ntau yog nyob ntawm seb cov ntaub ntawv ntawm tus kab mob, cov uas yog:

• hnyuv daim ntawv nrog cov yam ntxwv txhab ntawm cov nyuv, lub plab, appendix;
• mixed daim ntawv nyob rau hauv uas lub ob lub cev yog them los ntawm qhov txhab los yog ntau tshaj;
• generalized daim ntawv no, uas txuam nrog txoj kev loj hlob ntawm sepsis, mob ntsws puas tsuaj, raum, siab, lub hlwb week;
• theem nrab-focal daim ntawv no, tsim nyob rau hauv lub keeb kwm yav dhau ntawm lub yav tas los ntws kab mob. Nws peculiar kev koom tes nyob rau hauv lub pathological txheej txheem ntawm txoj hnyuv, pob qij txha, lub plawv, cov leeg, daim tawv nqaij.

Txij li thaum lub pathogen mus rau hauv lub cev ntawm tus neeg mob kom txog thaum lub thawj soj ntsuam ces feem ntau extends tsis muaj ntau tshaj li ib lub lim tiam. Lawv yuav tsum tau qhia nyob rau hauv daim ntawv ntawm ob peb syndromes yus muaj los ntawm ntau yam ntaub ntawv ntawm yersiniosis. cov tsos mob general lom syndrome nyob rau hauv digestive txhab manifest li kub taub hau, raws plab, xeev siab, mob taub hau, ntuav, ib ce nyob rau hauv cov pob qij txha thiab cov nqaij, mob ntawm poob siab system. Ib tug me me daim ntawv ntawm tus kab mob no yuav mob ntev li 3 hnub, mob muaj peev xwm ncua kom txog thaum 2 lub lis piam. Ntev ntev ua rau yus lub cev qhuav dej.

Yersiniosis nyob rau hauv uas tsis tshua muaj mob, zoo nkaus li nyob rau hauv daim tawv nqaij ua pob ua xyua ntsiab nyob rau hauv daim ntawv ntawm cov me ntsis, me me tsuas me me, lawv tshwm sim ntau ntau zaus nyob rau hauv ko taw thiab ob txhais tes. Feem ntau, xws ib qho kev qhia cov yam ntxwv ntawm tus kab mob no yog hu ua cov tsos mob "thom khwm thiab hnab looj tes." Cov pob yuav tsum tau nrog los ntawm tshwv, daim tawv nqaij burning.

Rau hauv loj heev ntaub ntawv ntawm tus kab mob yog cim manifestation ntawm muaj quag toxicity syndrome, tawm pob, mob caj pas, digestive mob, mob siab, tus po, thiab cov qog ntshav. Feem ntau cov tsos mob zoo li mob hnyuv tws. Yog hais tias nws muaj feem xyuam rau cov pob qij txha cim nrog lawv o, mob, tsis pub lub zog.

Secondary-focal daim ntawv yersiniosis teev vim hais tias nws yog lub qhov tsim nyog ntawm lwm cov ntaub ntawv. Cov yam ntxwv tseem ceeb ntawm daim ntawv no yuav tsum qhia nyob rau hauv daim ntawv ntawm enterocolitis, polyarthritis, monoarthritis, ciav ib tug ntawm cov loj cov pob qij txha, Reiter lub syndrome, erythema nodosum, myocarditis. Txaus yuav qhia sharply autonomic mob (tawm fws, daim tawv nqaij marbling, siab hloov mus hloov los).

Kuaj kev ntsuam xyuas yog cov thawj txoj kev ntawm kev tsim kom muaj yersiniosis. Mob raws li nyob rau hauv lub nrhiav kom tau siv PCR fragment ntawm lub genome ntawm cov thawj yav nyob rau hauv cov quav los yog cov ntshav. Immunosorbent tshuaj ntsuam yuav pab txheeb xyuas cov xub ntiag ntawm cov tshuaj rau yersiniosis. Rau bacteriological xeem txoj kev tshawb no cov ntaub ntawv uas yuav ua tau quav, zis, hnoos qeev, kua tsib, hlwb txha nqaj qaum kua, cov ntshav. Cov kev ntawm instrumental mob ntawm tus kab mob no muaj xws li endoscopy, X-ray txoj kev tshawb no ntawm lub ileum, uas mus ntes follicular ileitis.

Kev kho mob ntawm pulmonary thiab ploj iersinioza ntxhee nyob rau hauv lub qhaj ntawv ntawm concomitant kab mob no yuav siv sij hawm qhov chaw nyob rau hauv tsev, yuav tsum tsuas yog nqa tag nrho cov tswv yim pom zoo ntawm ib tug kab mob kis tus kws kho mob thiab ua raws li ib tug khoom noj. Thaum hauj sim mus rau mob loj heev hauv daim ntawv ntawm tus neeg mob yuav tsum tau kho xwb nyob rau hauv lub tsev kho mob.