Botulism ea masea

Botulism ea masea ke lefu le ka 'nang la beha bophelo kotsing le bakoang ke baktheria e bitsoang Clostridium botulinum. E hola kahare ho lesela la lesea la ngoana.

Clostridium botulinum ke sephedi se bopang spore se tloaelehileng tlhahong. Li-spores li ka fumanoa mobung le lijong tse itseng (joalo ka mahe a linotši le li-syrups tse ling tsa poone).

Botulism ea masea e hlaha haholo ho masea a manyane a pakeng tsa libeke tse 6 le likhoeli tse 6. E kanna ea hlaha hanghang matsatsing a 6 le ho fihla selemo se le seng.

Lisosa tsa kotsi li kenyelletsa ho koenya mahe a linotši joaloka lesea, ho ba haufi le mobu o silafetseng, le ho ba le setulo se ka tlase ho a le mong ka letsatsi nako e fetang likhoeli tse 2.

Matšoao a ka kenyelletsa:

• Ho hema ho emisang kapa ho lieha
• Ho sokela
• Mahlo a sefahleho kapa a koalehang hanyane
• "Floppy"
• Ho ba sieo hoa molomo
• Ho lahleheloa ke taolo ea hlooho
• Ho shoa litho tse namelang tlase
• Ho fepa hampe le ho anyesa ka monyebe
• Ho hloleha ho phefumoloha
• Mokhathala o feteletseng (ho tepella)
• Ho lla ho fokolang

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. Sena se ka bonts'a molumo oa mesifa o fokotsehileng, gag reflex e lahlehileng kapa e fokotsehileng, e lahlehileng kapa e fokotsehile maikutlo a tebileng a tendon, le ho thella ha leihlo.

Mohlala oa setuloana o tsoang ho lesea o kanna oa hlahlojoa chefo ea botulinum kapa libaktheria.

Electromyography (EMG) e ka etsoa ho thusa ho tseba phapang lipakeng tsa mathata a mesifa le methapo.

Botulism immune globulin ke eona kalafo e ka sehloohong ea boemo bona. Masea a fumanang kalafo ena a lula nako e khuts'oane sepetlele ebile a kula hampe.

Lesea lefe kapa lefe le nang le botulism le tlameha ho fumana tlhokomelo e tšehetsang nakong ea ha le fola. Sena se kenyelletsa:

• Ho netefatsa phepo e nepahetseng
• Ho boloka tsela ea moea e hlakile
• Ho shebella mathata a ho hema

Haeba mathata a ho hema a hlaha, ts'ehetso ea ho hema, ho kenyeletsoa ts'ebeliso ea mochini o phefumolohang, e kanna ea hlokahala.

Lithibela-mafu ha li bonahale li thusa lesea ho ntlafatsa kapele. Ka hona, ha li hlokehe ntle le haeba tšoaetso e 'ngoe ea baktheria e kang pneumonia e hlaha.

Ts'ebeliso ea botulinum antitoxin e tsoang bathong le eona e ka thusa.

Ha boemo bo fumanoa 'me bo phekoloa kapele, hangata ngoana o fola ka botlalo. Lefu kapa bokooa bo sa feleng bo ka baka linyeoe tse thata.

Ho haella ha phefumoloho ho ka ba teng. Sena se tla hloka thuso ka ho phefumoloha (mechini e kenang moeeng).

Botulism ea masea e ka beha bophelo kotsing. E-ea kamoreng ea maemo a tšohanyetso kapa u letsetse nomoro ea ts'ohanyetso ea lehae (joalo ka 911) hang-hang haeba lesea la hao le na le matšoao a botulism.

Ka khopolo, lefu lena le ka qojoa ka ho thibela ho pepesehela likokoana-hloko. Likokoana-hloko tsa Clostridium li fumanoa mahe a linotši le sirapo ea poone. Lijo tsena ha lia lokela ho fepeloa masea a ka tlase ho selemo se le seng.

Birch lefuba, Bleck TP. Botulism (Clostridium botulinum). Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 245.

Khouri JM, Arnon SS. Botulism ea masea. Ka: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, bahlophisi. Buka ea Feigin le Cherry ea Pediatric Infectious Diseases. La 8th. Philadelphia, PA: Elsevier; 2019: khaolo ea 147.

Norton LE, Schleiss MR. Botulism (Clostridium botulinum). Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 237.