ʻO Shigellosis

ʻO Shigellosis kahi maʻi bacteria o ka pale o nā ʻōpū. Hoʻokumu ʻia ia e kahi hui bacteria i kapa ʻia ʻo shigella.

Nui a hewahewa nā ʻano bacteria shigella, e like me:

• Shigella sonnei, i kapa ʻia ʻo "group D" shigella, ke kuleana no ka nui o nā hihia shigellosis i United States.
• ʻO Shigella flexneri, a i ʻole "hui B" shigella, ke kumu o nā hihia ʻē aʻe āpau.
• ʻO Shigella disenteriae, a i ʻole "hui A" shigella he laha ʻole i ʻAmelika Hui Pū ʻIa. Eia nō naʻe, hiki ke alakaʻi i nā maʻi make i nā ʻāina kūkulu.

Hoʻokuʻu ka poʻe i loaʻa i ka bacteria i loko o kā lākou pahu. Hiki iā lākou ke pālahalaha i ka bacteria i ka wai a i ʻole ka meaʻai, a i ʻole pololei i kekahi kanaka ʻē aʻe. ʻO ka loaʻa ʻana o kahi koʻohune shigella i loko o kou waha ua lawa ia e hoʻopilikia ai i ka maʻi.

Hoʻopili nā laha o shigellosis me ka hoʻomaʻemaʻe maikaʻi ʻole, nā meaʻai a me nā wai i hoʻohaumia ʻia, a me nā kūlana nohona lehulehu.

Kūleʻa ʻo Shigellosis i waena o nā huakaʻi i nā ʻāina kūkulu a me nā limahana a i ʻole nā ​​kamaʻāina i nā wahi hoʻomoana.

Ma ʻAmelika Hui Pū ʻIa, ʻike pinepine ʻia ke ʻano i nā kikowaena mālama pēpē a me nā wahi e noho ai nā pūʻulu o ka poʻe, e like me nā hale hānai.

Hoʻoulu pinepine nā ʻōuli ma kahi o 1 a 7 mau lā (awelika 3 mau lā) ma hope o ka pili ʻana me nā bacteria.

ʻO nā hōʻailona me:

• Huʻi (hōʻeha) ʻeha o ka ʻōpū a cramping paha
• Fiva wela
• Koko, ʻū, a i ʻole nū i loko o ka pahu
• ʻEha ʻeha Crampy
• ʻO Nusea a me ka luaʻi
• ʻO ka diarrhea wai a koko

Inā loaʻa iā ʻoe nā ʻōuli o shigellosis, e nānā kāu kauka olakino no:

• Dehydration (ʻaʻole lawa nā wai i kou kino) me ka wikiwiki o ka puʻuwai a me ke kaomi haʻahaʻa
• Palupalu ʻōpū
• Kiʻekiʻena kiʻekiʻe o nā hunaola keokeo i loko o ke koko
• ʻO ka moʻomeheu Stool e nānā no nā hunaola keokeo

ʻO ka pahuhopu o ka mālama ʻana e hoʻololi i nā wai a me nā electrolytes (paʻakai a me nā minelala) i nalowale i ka palahī.

ʻAʻole hāʻawi ʻia nā lāʻau e hōʻoki i ka palahī no ka mea hiki iā lākou ke hoʻolōʻihi i ka maʻi.

Nā hana mālama ponoʻī e hōʻalo ai i ka make wai me ka inu ʻana i nā hopena electrolyte e pani ai i nā wai i nalowale e ka palahī. Loaʻa kekahi mau ʻano o nā hopena electrolyte ma kahi kūʻai (me ka ʻole o ka palapala kuhikuhi).

Hiki i nā Antibiotics ke kōkua e hoʻopōkole i ka lōʻihi o ka maʻi. Kōkua kēia mau lāʻau i ka pale ʻana i ka maʻi mai ka laha ʻana i nā poʻe ʻē aʻe i ka noho ʻana o nā hui a i ʻole nā ​​hoʻonohonoho mālama keiki. Kau ʻia lākou no ka poʻe me nā ʻōuli koʻikoʻi.

Inā loaʻa ʻoe i ka palahī a ʻaʻole hiki ke inu i nā wai ma ka waha no ka nui o ka nausea, pono paha ʻoe i ka mālama olakino a me nā wai hoʻoipoipo (IV). ʻOi aku kēia ma nā keiki liʻiliʻi i loaʻa ka shigellosis.

Pono paha ka poʻe e lawe i nā diuretics ("pills wai") e hōʻoki i ka lawe ʻana i kēia mau lāʻau inā loaʻa iā lākou ka enterig shigella nui. Mai hōʻoki i ka lawe ʻana i ka lāʻau me ka kamaʻilio mua ʻole ʻana i kāu mea hāʻawi.

Hiki ke maʻalahi ka maʻi a hele aku iā ia iho. ʻO ka hapa nui o ka poʻe, koe wale nā ​​keiki momona a me nā mea me nā ʻōnaehana pale nawaliwali, e hoʻi hou me ka piha.

Komo pū nā pilikia:

• Maloʻo loa, koʻikoʻi
• Hemolytic-uremic syndrome (HUS), kahi ʻano o ke kōpaʻa ʻole me ka anemia a me nā pilikia kāwili
• Pākuʻi reactive

Ma kahi o 1 i nā keiki 10 (ma lalo o ka makahiki 15) me ka enteritis shigella koʻikoʻi e hoʻomohala i nā pilikia ʻōnaehana. Pākuʻi ʻia paha kēia mau mea me ka hopu ʻana i nā febrile (i kapa ʻia hoʻi he "fever fever") ke piʻi koke ka mahana o ke kino a loaʻa i ke keiki ka hopu ʻana. ʻO kahi maʻi lolo (encephalopathy) me ka maʻi ʻeha, lethargy, huikau, a me ka ʻāʻī ʻoʻoleʻa hiki ke ulu pū kekahi.

Kāhea i kāu mea hāʻawi inā ʻaʻole hoʻomaikaʻi ka diarrhea, inā he koko i loko o ka pahu, a inā he mau hōʻailona o ka make wai.

E hele i ka lumi pilikia inā kū kēia mau ʻōuli i ke kanaka me shigellosis:

• Huikau
• ʻEha poʻo me ka ʻāʻī ʻoʻoleʻa
• Lethargy
• Ka hopu ʻana i nā maʻi

Kūleʻa pinepine kēia mau ʻōuli i nā keiki.

Pākuʻi pū ka mālama ʻana i ka lawelawe pono ʻana, mālama ʻana, a hoʻomākaukau ʻana i ka meaʻai, a me ka hoʻomaʻemaʻe pilikino pilikino. ʻO ka holoi lima ka ala kūpono e pale aku ai i ka shigellosis. Hōʻalo i ka meaʻai a me ka wai i haumia.

ʻO Shigella gastroenteritis; ʻO Shigella enteritis; Enteritis - shigella; Gastroenteritis - shigella; ʻO ka maʻi diarrhea o ka mea huakaʻi - shigellosis

• ʻŌnaehana Digestive
• Nā ʻōnaehana ʻōnaehana Digestive
• ʻO bacteria

Melia JMP, Sears CL. ʻO ka enteritis infectious a me ka proctocolitis. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 110.

Keusch GT, Zaidi AKM. ʻO Shigellosis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 293.

ʻO Kotloff KL. ʻIke gastroenteritis i nā keiki. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 366.

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