Feberu ea typhoid

Feberu ea typhoid ke tšoaetso e bakang lets'ollo le lekhopho. Hangata e bakoa ke baktheria e bitsoang Typalm ea Salmonella (S typhi).

S typhi e jaleha ka lijo, lino kapa metsi a silafetseng. Haeba u ja kapa u noa ntho e silafalitsoeng ke baktheria, baktheria e kena 'meleng oa hau. Li kena ka maleng a hao, ebe li kena maling a hao. Maling, li ea li-lymph node, gallbladder, sebete, spleen le likarolo tse ling tsa 'mele.

Batho ba bang ba fetoha bajari ba S typhi 'me ba tsoele pele ho lokolla libaktheria ka litulo tsa bona ka lilemo, ba jala lefu lena.

Lefu la seoa le atile linaheng tse tsoelang pele moruong. Maemong a mangata United States a tlisoa a tsoa linaheng tse ling moo feberu ea typhoid e atileng.

Matšoao a pele a kenyelletsa feberu, ho se utloe ka kakaretso le bohloko ba mpeng. Feberu e phahameng (103 ° F, kapa 39.5 ° C) kapa letšollo le phahameng le le matla le etsahala ha lefu lena le ntse le mpefala.

Batho ba bang ba ba le lekhopho le bitsoang "matheba a rose", e leng matheba a manyane a mafubelu mpeng le sefubeng.

Matšoao a mang a hlahang a kenyelletsa:

• Litulo tse nang le mali
• Ho bata
• Ho ferekana, pherekano, bohlanya, ho bona kapa ho utloa lintho tse sieo (lipono)
• Ho thata ho ela hloko (khaello ea tlhokomelo)
• Ho tsoa mali
• Mokhathala o matla
• Boikutlo bo liehang, bo botsoa, ​​bo fokolang

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele mme a botse ka matšoao.

Palo e felletseng ea mali (CBC) e tla bonts'a palo e phahameng ea lisele tse tšoeu tsa mali.

Tloaelo ea mali bekeng ea pele ea feberu e ka bonts'a S typhi baktheria.

Liteko tse ling tse ka thusang ho fumana boemo bona li kenyelletsa:

• Teko ea mali ea ELISA ho batla lithibela-mafu ho S typhi libaktheria
• Fluorescent antibody Study ho sheba lintho tse ikhethileng hoS typhi libaktheria
• Palo ea platelet (palo ea platelet e ka ba tlase)
• Setso setuloana

Maro le li-electrolyte li ka fanoa ke IV (ka mothapong) kapa u ka kopuoa ho noa metsi ka lipakete tsa elektrolyte.

Lithibela-mafu li fanoa ho bolaea baktheria. Ho na le sekhahla se ntseng se eketseha sa lithibela-mafu lefatšeng ka bophara, ka hona mofani oa hau o tla hlahloba litlhahiso tsa hajoale pele a khetha lithibela-mafu.

Hangata matšoao a ntlafala libekeng tse 2 ho isa ho tse 4 ka kalafo. Sephetho se kanna sa ba hantle ka kalafo ea pele, empa e ba mpe ha mathata a hlaha.

Matšoao a ka khutla haeba kalafo e sa folise tšoaetso ka botlalo.

Mathata a bophelo bo botle a ka bang teng a kenyelletsa:

• Ho tsoa mali ka mpeng (ho tsoa mali a matla a GI)
• Ho senyeha ha mala
• Ho hloleha ha liphio
• Peritonitis

Ikopanye le mofani oa hau haeba u na le tse ling tsa tse latelang:

• Ua tseba hore u pepeselitsoe motho ea nang le feberu ea typhoid
• U bile sebakeng seo ho nang le batho ba nang le feberu ea mala 'me u ba le matšoao a feberu ea mala
• U bile le feberu ea typhoid mme matšoao a khutla
• U ba le bohloko bo boholo ba mpeng, ho fokotsa ho tsoa ha moroto, kapa matšoao a mang a macha

Ente e khothaletsoa bakeng sa ho etela kantle ho United States ho ea libakeng tseo ho nang le feberu ea typhoid. Setsi sa sebaka sa Setsi sa Taolo le Thibelo ea Mafu se na le leseli mabapi le hore na feberu ea typhoid e tloaelehile hakae - www.cdc.gov/typhoid-fever/index.html. Botsa mofani oa hau haeba u lokela ho tlisa lipakete tsa electrolyte haeba u ka kula.

Ha u le leetong, noa feela metsi a belisitsoeng kapa a libotlolo ebe u ja lijo tse phehiloeng hantle. Hlatsoa matsoho hantle pele u ja.

Kalafo ea metsi, ho lahla litšila le ho sireletsa phepelo ea lijo ho tsoa ts'ilafatsong ke lintlha tsa bohlokoa tsa bophelo bo botle ba sechaba. Bajari ba typhoid ha baa lokela ho lumelloa ho sebetsa e le barekisi ba lijo.

Lefu la enteric

• Salmonella typhi e phelang
• Lisebelisoa tsa tsamaiso ea lijo

Haines CF, Sears CL. Enteritis e tšoaetsanoang le proctocolitis. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mafu a ka Mpeng le a Sebete: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 110.

Harris JB, Ryan ET. Feberu ea enteric le lisosa tse ling tsa feberu le matšoao a mpeng. Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases, Khatiso e Ntjhafalitsoeng. La 8th. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 102.