Tick-hanau rickettsial maʻi: lapaʻau, 'ehaʻeha ka, Symptoms

Infectious maʻi - he pūʻulu o pathological olelo i mea i aloha lele. Mau maʻi i kekahi koʻohune a me nā mea hoʻomaʻi. A pau nā mea palahēhē i, he pono ole ano. Mau nā: epidemiology, 'ole o ka EYI a me ka lapaʻau hoike ana. Kekahi o ka infectious maʻi ua tick typhus. Aia i kekahi mauʻano likeʻole o kēia maʻi. Hui pu iho la a pau rickettsioses na symptoms me ke kuni, intoxication maʻi pale, iniiaiie cutaneous vascular lesion, a aloha ia. I ka papa kuhikuhiE ala hele o ka EYI o kēia mau maʻi - transmissible. Ia mea, ma naʻaki o nā mea kolo a pau i loko o kekahi climatic ana.

Description hanau ricketsiosis

Tick-hanau rickettsial maʻi - he infectious pathology, wehewehe aku ma ka ili hoike ana, he pono ole vasculitis maʻi pale a me ka intoxication. I ka maʻi ua wehewehe aku ma transmissible ma ka EYI. E lawe aku i ka maʻiʻaʻai na lepeta a me na uku hoi kekahi. Aia i kekahi mau koho rickettsial pele. Ka papa likeʻole ma waena o kēia mau pathologies o keʻano o ka pathogen. Kekahi rickettsioses a pau i loko o ka hehi a me ka waonahele mau mea, oiai kekahi poe - i loko o ka Tropical aniau. Aka hoi, i kēia mau pathologies i ka like lapaʻau kiʻi. Manaʻo pü 'maʻi hiki e ke ano symptoms, e like me ka manawa a hiki i ka epidemiological ano. O ka papa kuhikuhi hana o kaʻike, o ka serological hoao ana, a leie aku i ka pololei hooholo i ke 'ano o ka pathogen.

He aha nā rickettsioses?

E like me ua ikeia, rickettsioses - he nui pūʻulu o nā maʻi. Ka mea, i hohola aku nā mea a pau ma luna o ka honua. Ka loa, he pono ole i na kēia mau 'ano:

1. Rickettsia prowazekii - keia Agena ke kumu typhus. Kēia maʻi ua pū i hiki ka maʻi lele-hanau (ma kaʻaki o na uku hoi kekahi).
2. Rickettsia typhi - ka causative Agena o murine typhus. He pū i hiki maʻaki o rodents a meʻuku lele.
3. Rickettsia sibirica. Kēia pathogen ke kumu no maʻi i loko o 'Ākau hawaiian tick-hanau rickettsial maʻi.
4. Rickettsia burneti. Me ka anal o ka pathogen i loko o ke kino ulu Q kuni. Ho'īli maʻi transmissible ma - ma kaʻaki o ticks.
5. Rickettsia orientalis. Like mua Lolina rickettsial maʻi, i kēia pathology ua pū i hiki ma ke tick nahu.

Ma waho aʻeo ia mau maʻi, he nui nā mea palahēhē, kena ae la ia e okoa ke kanana nei o ka pathogen.

Epidemiological ano o rickettsial mai

Rickettsioses OAOOUIEeE ole wale ma ke 'ano o ka agena, akā, epidemiological ano. I loko nō he ākea ma ke ao nei, kēlā maʻi Ua laha ma kekahi mau wahi. No ka laʻana,'ōkuʻu typhus, i kapa kuni o ka hale paʻahao paha moku, e like me keia pathology ua pū i hiki maʻaki na uku hoi kekahi mea i hoʻomano haawi iwaena o ka poe pio, a hoʻokele. A like maʻi, akā, ma muli o ka pathogen Rickettsia typhi, pinepine kakau ia ma wahi me ka pumehana aniau. Loa pinepine ka mea, ua loaʻa i loko o ka kua'āina wahi i ke kau wela.

Tick-hanau rickettsial maʻi prevalent i loko o ka kaianoho koholā o kēia nā mea kolo. Kēia pūʻulu o infectious pathologies i loaʻa i loko o'ākau Asia, Japan, Australia, mauna pāhili. Most rickettsial maʻi i zoonotic maʻi. Waena? Aieeeua o ka maʻiʻaʻai i manaoia e e ulu wale a me ka holoholona, rodents. Ricketsiosis nā moku halihali mokulele iʻano o na lepeta. No kēia mau nā mea kolo Kamakawiwo Ole ma ke kauwela (Mei-September), ka mea hiki wale mai e pii ai ia i loko o kēia wā. Loa pinepine, i ka maʻiʻaʻai e loli ai i kanaka i hana ke ao o waho (kihapai, nō hoʻi nā mahinaʻai, kula mai) a ma ka hui 'ana me nā holoholona.

Ke kumu o ka ricketsiosis

Etiological Agena o ka maʻi o ka microorganism - rickettsia. Kēia pathogen hiki ke wahi i koʻohune a me nā mea hoʻomaʻi. O kŰia ua wehewehe ia e ka mea e, i ka naʻe o ka 'ole o ka microorganism (ua mau laau la a me cocci), Rickettsia i ka hiki i ka intracellular parasitism. Ke causative Agena o ka poe ma ke kaiapuni. Rickettsia e pepehi ma ka waiū i kiʻekiʻe ana wela a me disinfectants. Aka hoi, ka mea hiki ke ola no ka lōʻihi ma ke anu a me ka maloo aniau. Eia hou transmissible EYI alanui, Rickettsia ke komo i ke kino ma ke koko transfusions, mai ka makuwahine i hānau. No ka maʻi kekahi, keia pae ua wehewehe aku a me nāʻaoʻao o ka maʻiʻaʻai. Iwaena o lakou - alimentary a me ka airborne maʻiʻaʻai. Makaʻu e hoʻonāukiuki tick-hānau rickettsial maʻi, loaʻa:

1. Hoʻokaʻaʻike me ka kua'āina Style, ilio.
2. Ole e malama ka kou niho.
3. Hoʻokaʻaʻike me ka iho mailoko o kanaka a me nā moku halihali mokulele o ka maʻi.

maomeka o ka maʻi ulu

I ka maʻi e hoʻomōhala ana i loko o kekahi mau lā ma hope o ka hoʻokomo 'ia' ana o ka tick i loko o kaʻili. Ka lōʻihi like 'ole o ka incubation wā hilinaʻi nui ma luna o ke' ano o ka hope, a me ka'ōnaehana paleʻea pane. I ka wā o ka tick nahu he kūloko naoh. Ka ili i edematous, hyperemic, ia no ka palupalu. Infiltration ia lŘlŘ manawa e hoʻomāhuahua o ka'ōnaehana paleʻea keena ma ke kahua o ka hoʻokomo 'ia' ana o ka insect. Mai laila, i ka causative Agena - Rickettsia - komo i loko o lymphatic ipu a me nā aka wahi. Aia ka mea, hulina i ka hoopau i a me ka ole. Ua haawiia i ke lymph aka wahi i na nā loko o ka'ōnaehana paleʻea'ōnaehana, e mahuahua markedly. Aia ka he ho'ā hope a me ka hoʻonuiʻana o ka keena, e kaua aku mea koʻohune konohiki. Hope Rickettsia hāʻule i loko o na moku ke koko. Bacteremia ia lŘlŘ a me ka toksinemiya. Kuhikuhi e loli ai na aa koko a me arteries o ka ili. Nā paia o nā moku koko e hoʻomōhala ana i ka hoʻoʻino naoh e alakai i ka luku loli ma endothelium. Eia hou kekahi, Rickettsia pinepine komo i loko o ka arteries a me aa koko o ka lolo. E like me ka hopena, e hoʻomōhala na hoailona o CNS, meningitis, a me ka encephalitis paha huʻi circulatory ole. Keʻano papa hana o ka maʻiʻaʻai kumu no ka lapaʻau kiʻi o ka tick-hānau rickettsial maʻi pathology. ICD-10 - he lahui Mea Maluna, i nā mea a pau mai. Mea i koe a me keia maʻiʻaʻai. Eia hou kekahi, complications na pathologies e like me meningitis, encephalitis, vascular lesion, encoded ma ka ICD-10 kaawale. I ka papa kuhikuhiE maʻi o ke kuhi A77.

Tick-hanau rickettsial maʻi: maʻi symptoms

I loko nō o ka mea i ka Chuck rickettsioses OAOOUIEeE, ka mea a pau kaʻana like, he pono ole lapaʻau hoike ana. Ka lōʻihi like 'ole o ka incubation au, he awelika o ka mai 3 a hiki i 7 lā. Pinepine anal o lepeta i loko o ka ili koe unnoticed i loko o ka hoʻomaka o ka maʻi. I kekahi manawa, aia no he hiohiona infiltration a me ka 'āina' lymphadenitis. Ke iniiaiie lakou aloha ia ua wehewehe aku ma ka hōʻailona, i loko o ka piko o ka i ua hoailono aku la ili necrosis (ʻeleʻele), a ma luna o ka periphery - hyperemia (ula corolla). 2-3 lā pili intoxication maʻi pale a me ka wela o ka paʻa 'ano. Ke hoomanawanui complains o ke kino aches, kuni mai i ka 39 degere, Muscle aches, mau nawaliwali. Febrile wā mea e pili ana 1-2 pule. Ma waho aʻeo ia na symptoms o intoxication, i loko o ka hoʻomaka o ka maʻi ikea poʻe noʻonoʻoʻole. Ka mea, i roseolous-papular külana. Ma mua, i ka poʻe noʻonoʻoʻole ia lŘlŘ ma nāʻaoʻao, a me ka hope palahalaha ae i ke kumu. Ka Ike Skin ua ole hoʻololi. Mau kailaʻae ua wehewehe aku ma ka tick-hanau rickettsial maʻi. Photos o cutaneous hoike ana i ke loaʻa i loko o ka moʻokalaleo. Rashes maopopo ma waena o ia mea nui loa no kaʻike, o infectious pathologies.

Nä tick ricketsiosis

Ua hiki ole ke ma muli wale ma luna o ka lapaʻau kiʻi, e hōʻike i ka tick-hanau rickettsial maʻi. ʻike, o ka mea maʻi, a e hoʻohui i keʻena hoʻokolohua ho'āʻo ma. Ma hope o pathology symptoms e hoohalike ai na mea he nui 'ē nā mea palahēhē. E hana i ka pololeiʻike, e hoike ana i ke 'ano o ka pathogen, alakai aku ia serological haʻawina. Iwaena o lakou - .. ua hoʻopili immunosorbent mea o loko, hoʻokō fixation, hemagglutination, etc. i lawelawe 'ia ke koko microscopy, CSF, mimi a kaawale infiltrate.

Tick-hanau rickettsial maʻi: lapaau o nā mea palahēhē

Mai ka maʻi o ka mea koʻohune maʻiʻaʻai, i ka lapaau pono ai i ka pono o antibiotics. No keia mea i hoomakaukau "Tetracycline" a me ka "Chloramphenicol", like hoʻi me kā lākou mau analogs. I loa papa o ka maʻi e e hospitalized hoomanawanui ma ka haukapila maʻiʻaʻai. I mea e detoxify intravenous pāʻoihana o 5% monakō koko i ka ascorbicʻakika. Inā bradycardia E e hoʻohana vasopressor ai '. Mau nā lapaau "Atropine", "Caffeine". No hoi, i symptomatic Inc - antipyretics, antihistamines. Ticks i wehe i tweezers. kekahi lapaʻau ua lawe mai i loko o ka ulu ana o complications.

Hopena hanau ricketsiosis

He nui ke hoʻomaka me ka hikiwawe e loaa ana i ka iapaau ana o ka tick-hanau rickettsial maʻi. Ka hopena o ka maʻiʻaʻai hiki e loa. Ka hanana o ka hoʻokō 'ole' e hoʻomōhala 'inikua complications o ka ko mākou hopohopo, naehana hanu a me ka mea'ōnaehana mānowai koko nenoai. Iwaena o lakou - .. Pneumonia, bronchitis, meningitis a me ka encephalitis, myocarditis, etc. I loa hoopii, hoʻomōhalaʻawahia kŰia.

Kāohiʻana o ka tick-hānau ricketsiosis

Ole-ilepili Kāohi nā ke kaua e kū'ē i nā mea kolo, a rodents, e like me pilikino kou niho. Ku typhus a Q kuni vaccination. Ma nä ka maʻi ia mea e pono ke sanitize i ke keʻena, e like me ke ana manaʻo i nā mea a pau ma ka hui 'ana me ka hoʻomanawanui. Inā he tick ua mua komo iloko o kaʻili, akā, na symptoms o ka maʻiʻaʻai i ole Hawaiʻi e e pilikia 'inikua prophylaxis. Pili antibiotic "Doxycycline" a me ka "Azithromycin".