Fiva typhoid

ʻO ka fiva typhoid kahi maʻi e hiki ai i ka maʻi diarrhea a me ka hū. Hoʻokumu pinepine ʻia ia e kahi bacteria i kapa ʻia ʻO Salmonella typhi (S typhi).

S typhi ua pālahalaha ʻia ma o ka meaʻai, inu, a wai paha i hoʻohaumia ʻia. Inā ʻai ʻoe a inu paha i kahi mea i haumia i nā bacteria, komo ka bacteria i kou kino. Hele lākou i loko o kou ʻōpū, a laila i loko o kou koko. I ke koko, hele lākou i kou mau lymph node, gallbladder, ate, spleen, a me nā ʻāpana ʻē aʻe o ke kino.

Lawe kekahi poʻe i nā halihali o S typhi a hoʻomau i ka hoʻokuʻu ʻana i nā koʻohune i loko o kā lākou mau noho no nā makahiki, e hoʻolaha ana i ka maʻi.

Kūleʻa ka maʻi typhoid i nā ʻāina kūkulu. ʻO ka hapa nui o nā hihia ma ʻAmelika Hui Pū ʻIa i lawe ʻia mai mai nā ʻāina ʻē kahi e maʻa mau ai ka maʻi typhoid.

ʻO nā ʻōuli mua e pili ana i ke kuni, ka maʻi maʻamau, a me ka ʻeha o ka ʻōpū. ʻO ke kuni kiʻekiʻe (103 ° F, a i ʻole 39.5 ° C) a i ʻoi aku ke kiʻekiʻe a me ke kūpikipiki ʻoi loa ke piʻi ka maʻi.

Hoʻomohala kekahi poʻe i kahi ʻāʻī i kapa ʻia ʻo "rose rose," ʻo ia nā wahi ʻulaʻula liʻiliʻi ma ka ʻōpū a me ka umauma.

ʻO nā ʻōuli ʻē aʻe e pili pū me:

• Nā noho koko
• ʻO Chills
• Ka hoʻohaunaele, huikau, delirium, ka ʻike ʻana a i ʻole ka hoʻolohe ʻana i nā mea i ʻole ma laila (hallucination)
• Ka hoʻolohe ʻana i ka paʻakikī (deficit attention)
• Nā Nosebleeds
• Ka luhi nui loa
• Lohi, lohi, manaʻo nāwaliwali

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i nā ʻōuli.

ʻO kahi helu piha o ke koko (CBC) e hōʻike i kahi helu kiʻekiʻe o nā hunaola keʻokeʻo.

Hiki ke hōʻike i kahi moʻomeheu koko i ka pule mua o ke kuni S typhi koʻohune.

Nā hōʻike ʻē aʻe i hiki ke kōkua i ke kuhi ʻana i kēia ʻano me:

• Hōʻaʻo ke koko ELISA e nānā i nā mea ʻino i ka S typhi koʻohune
• ʻO ka hoʻopaʻa ʻana o ka antibody fluorescent e nānā no nā mea kikoʻī i kikoʻī ʻiaS typhi koʻohune
• Heluna pālau (helu haʻahaʻa paha ka platelet)
• Moʻomeheu Stool

Hiki ke hāʻawi ʻia nā wai a me nā electrolytes e IV (i loko o kahi aa) a i ʻole e noi ʻia ʻoe e inu i ka wai me nā ʻeke electrolyte.

Hāʻawi ʻia nā antibiotic e luku i ka bacteria. Ke piʻi nei nā helu o ke kūpaʻa antibiotic ma ka honua holoʻokoʻa, no laila e nānā pono kāu mea hāʻawi i kēia manawa ma mua o ke koho ʻana i kahi antibiotic.

Hoʻonui pinepine nā ʻōuli ma 2 a 4 mau pule me ka lapaʻau. Maikaʻi paha ka hopena me ka mālama mua ʻana, akā lilo i mea ʻilihune inā ulu nā pilikia.

E hoʻi paha nā ʻōuli inā ʻaʻole i hōʻola loa ka lāʻau i ka maʻi.

Nā pilikia olakino e hoʻomohala pū paha me:

• ʻO ka hemorrhage ʻōpū (kahe nui ʻana o GI)
• Perforation ʻōpū
• Hewa ʻole nā ​​hakuʻala
• Peritonitis

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi o kēia mau mea:

• ʻIke ʻoe ua ʻike ʻia ʻoe i kekahi i loaʻa i ka fiva typhoid
• Ua hele ʻoe ma kahi e loaʻa ai ka poʻe i loaʻa i ka typhoid fever a hoʻomohala ʻoe i nā ʻōuli o ka maʻi typhoid
• Ua loaʻa ʻoe i ka fiva typhoid a hoʻi hou nā ʻōuli
• Hoʻoulu ʻoe i ka ʻeha o ka ʻōpū koʻikoʻi, hoʻemi i ka puka mimi, a i ʻole nā ​​hōʻailona hou aʻe

Paipai ʻia kahi lāʻau lapaʻau no ka hele ʻana ma waho o ʻAmelika Hui Pū ʻIa i nā wahi kahi e loaʻa ai ka fiva typhoid. Loaʻa i ka Pūnaewele no ka Mākiō a me ka Kāohi pūnaewele ka ʻike e pili ana i kahi e maʻa mau ai ka maʻi typhoid - www.cdc.gov/typhoid-fever/index.html. E noi i kāu mea hāʻawi inā pono ʻoe e lawe mai i nā ʻeke electrolyte inā maʻi ʻoe.

Ke huakaʻi, inu wale i ka wai baila a hue paha a ʻai i nā meaʻai i hoʻomoʻa maikaʻi ʻia. E holoi pono i kou mau lima ma mua o ka ʻai ʻana.

ʻO ka mālama ʻana i ka wai, hoʻolei ʻōpala, a me ka pale ʻana i ka lako o ka meaʻai mai ka hoʻohaumia ʻana he mea nui i ke olakino lehulehu. ʻAʻole ʻae ʻia nā halihali typhoid e hana ma ke ʻano he mea mālama meaʻai.

Ke kuni komo

• ʻO organism salmonella typhi
• Nā ʻōnaehana ʻōnaehana Digestive

Haines CF, 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 Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 110.

ʻO Harris JB, ʻo Ryan ET. Enteric fever a me nā kumu ʻē aʻe o ke kuni a me nā ʻōpū o ka ʻōpū. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpikipiki, Hoʻopuka Hou. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 102.