Kodi Sticonella Septicemia N'chiyani?

Matenda a Bakiteriya Amodzi Mwachidziwitso Akupha Anthu omwe ali ndi HIV

Salmonella septicemia ndi chikhalidwe chomwe kukhalapo kwa mabakiteriya a Salmonella m'magazi kumayambitsa kuika moyo pachiswe, kupweteka thupi lonse. Salmonella septicemia yatsopano imatchulidwa ngati matenda a Edzi ndi US Centers for Disease Control and Prevention (CDC).

Pakufika kwa mankhwala opatsirana pogonana (ART) , Salmonella septicemia imaonedwa kuti ndi yosawerengeka pakati pa anthu omwe ali ndi kachilombo ka HIV m'mayiko otukuka, ndipo kafukufuku wina akuwonetsa milandu 22 yokha pa odwala 9,000 omwe akuyang'aniridwa pazaka zisanu ndi zinayi.

Mosiyana ndi zimenezi, Salmonella yosaoneka ngati ya typhoidal yakhala ngati vuto lalikulu la thanzi la anthu m'mayiko omwe akutukuka, makamaka m'madera akumwera kwa Sahara.

Mwachidule

Salmonella imakhala ndi banja lalikulu la bakiteriya limene limachitika kawirikawiri kapena pathogenji m'matumbo a anthu ndi nyama zina. Matenda oposa 2,500 a Salmonella apezeka.

Chimene chimasiyanitsa salmonellosis (wotchuka kwambiri chotchedwa poizoni ya Salmonella ) kuchokera ku Salmonella septicemia ndi chakuti salmonellosis imachokera kumatenda a m'mimba . Pamene mankhwala otchedwa Salmonella endalaxins akufalikira m'matumbo ndikulowa m'magazi ena, mabakiteriya angayambitse chitetezo chachikulu cha mthupi, chomwe chingachitidwe, chikhoza kupha.

Njira Zotumizira

Mauthenga otchedwa Salmonella amapezeka kudzera mu njira yachinsinsi . Nyama zikhoza kutenga kachilombo ka chakudya, madzi, kapena kuyandikana kwapafupi ndi wokhala ndi kachilombo.

Mabakiteriya amatha kupitsidwira kwa anthu kudzera mu nyama zonyansa kapena zinyama zomwe sichinaphike (145 ° -160 ° F).

Salmonella ingathenso kupatsirana kudzera mu zipatso zosalala ndi masamba, kuchokera ku zinyama / ziweto kwa anthu, ndi kuchokera kwa anthu kupita kwa anthu.

Ngakhale atatha kuchipatala, anthu akhoza kukhalabe odwala kwa miyezi ingapo atachira.

Ukhondo woyenera (kuphatikizapo ukhondo wa chakudya) ukulimbikitsidwa, makamaka kwa omwe ali ndi ma CD4 pansi pa 200 maselo / μL.

Zizindikiro

Kuwonjezera pa kutsegula m'mimba, kusanza ndi kupweteka m'mimba nthawi zambiri zimagwirizanitsidwa ndi salmonellosis, zizindikiro zikhoza kuphatikizapo kutentha kwambiri, chifuwa, kutupa, khungu lamoto, kuchuluka kwa mtima, chisokonezo, hyperventilation, ndi kuthamanga kwa magazi.

Kudziwa

Salmonella septicemia imatsimikiziridwa ndi kuyesedwa kwa magazi, kuphatikizapo chikhalidwe chachitetezo.

Chithandizo

Kwa odwala kachilombo ka HIV omwe ali ndi matenda aakulu a Salmonella septicemia, ma antibayotiki ochuluka angapangidwe mwachangu, mwamsanga atagwiritsidwa ntchito. Cipro (ciprofloxacin) , ndi fluoroquinolone-class class-antibiotic, kawirikawiri amalangizidwa. Ngati matenda a fluoroquinolone akutsutsidwa, cephalosporins amadziwikanso kuti ndi othandiza.

Kuchiza kwa nthawi kumatha masiku asanu ndi awiri kapena khumi, malingana ndi kuuma. Mankhwala osakaniza amatha kuperekedwa kuti athetse vuto lililonse la kuchepa kwa madzi.

Thandizo la kusamalira liyenera kupitirira miyezi isanu ndi umodzi kapena eyitatu chitatha chithandizo. Ndi kukhazikitsa kwa ART, chiopsezo cha kubwereza chimachepetsedwa kwambiri.

Kutchulidwa: sal-muh-NEL-uh sep-tuh-ONANI-mee-uh

Komanso:

Maselo ena: Salmonella septicemia

Zotsatira:

Zachigawo za US za Kuletsa ndi Kupewa Matenda (CDC). "Zowonjezera A - AIDS Kufotokozera Malamulo." Atlanta, Georgia; yomaliza ndemanga November 20,2008.

Burckhardt, B ;; Sendi, P .; Phulusa, D .; et al. "Kawirikawiri Edzi-Kufotokozera Matenda ku Phunziro la HIV Cohort Swiss." European Journal of Clinical Microbiology ndi Matenda Opatsirana. July 1999, 18 (6): 399-402.

Morpeth, S .; Ramadhani, H ;; ndi Crump, J. "Matenda a Non-Typhi Salmonella Osavuta ku Africa." Matenda opatsirana pogonana. August 15, 2009, 49 (4): 606-611.

Dhanoa, A. ndi Fatt, Q. "Matenda osagwiritsidwa ntchito ndi typhoidal Salmonella: Epidemiology, zizindikiro zachipatala komanso 'kugwirizana ndi matenda aakulu.' Annals of Clinical Microbiology ndi Antimicrobial. March 18, 2009; 8 (15): e1-15.

Celum, C ;; Chaisson, R .; ndi Rutherford, G. "Kuwonongeka kwa salmonellosis ndi odwala omwe ali ndi Edzi." Journal of Infectious Diseases. December 1987; 156 (6); 998-1002.

Hung, C .; Hung, M ;; ndi Hseuh, P. "Ngozi ya Nontyphoid Salmonella Bacteremia Yomwe Akudwala Pachilombo cha Edzi Chakudya Chamatenda Opatsirana Mwachangu ndi Matenda Owonjezeka a Fluoroquinolone Resistance". Matenda opatsirana pogonana. July 19, 2007, 45 (5): e60-e67.