E coli enteritis

E coli i-enteritis ukuvuvukala (ukuvuvukala) kwamathumbu amancane kusuka Escherichia coli (E coli) amabhaktheriya. Kuyimbangela ejwayelekile kakhulu yohudo lwabahambi.

E coli uhlobo lwama-bacteria ahlala emathunjini abantu nezilwane. Isikhathi esiningi, akubangeli zinkinga. Kodwa-ke, izinhlobo ezithile (noma izingqinamba) ze- E coli kungadala ubuthi ekudleni. Uhlobo olulodwa (E coli I-O157: H7) ingadala icala elinzima lokudla ubuthi.

Amagciwane angangena ekudleni kwakho ngezindlela ezahlukene:

• Inyama noma inkukhu ingahlangana namagciwane ajwayelekile avela emathunjini esilwane ngenkathi kusacutshungulwa.
• Amanzi asetshenziswa ngesikhathi sokukhula noma ukuthunyelwa angaqukatha indle yezilwane noma yomuntu.
• Ukudla kungaphathwa ngendlela engaphephile ngesikhathi sokuhamba noma sokugcinwa.
• Ukuphathwa noma ukupheka okungaphephile kungenzeka ezitolo ezidayisa ukudla, ezindaweni zokudlela noma emakhaya.

Ubuthi bokudla bungavela ngemuva kokudla noma ukuphuza:

• Ukudla okulungiselelwe ngumuntu ongazigezanga kahle izandla
• Ukudla okulungiselelwe kusetshenziswa izinto zokupheka ezingcolile, amabhodi okusika, noma amanye amathuluzi
• Imikhiqizo yobisi noma ukudla okuqukethe imayonnaise (njenge-coleslaw noma isaladi lamazambane) okuphume esiqandisini isikhathi eside kakhulu
• Ukudla okufriziwe noma okufrijiwe okungagcinwanga ezingeni lokushisa elifanele noma okungafudunyezwa kahle
• Izinhlanzi noma ama-oysters
• Izithelo noma imifino eluhlaza engagezwanga kahle
• Imifino eluhlaza noma ujusi wezithelo nemikhiqizo yobisi
• Inyama noma amaqanda angaphekiwe
• Amanzi avela emthonjeni noma emfudlaneni, noma edolobheni noma edolobheni amanzi angakaze elashwe

Noma kungajwayelekile, E coli kungasakazeka kusuka komunye umuntu kuye komunye. Lokhu kungenzeka lapho othile engahlambi izandla ngemuva kokunyakaza kwamathumbu bese ethinta ezinye izinto noma izandla zomunye umuntu.

Izimpawu zenzeka lapho E coli amagciwane angena emathunjini. Izikhathi eziningi izimpawu zikhula amahora angama-24 kuye kwangama-72 ngemuva kokutheleleka. Uphawu oluvame kakhulu uhudo oluzumayo, olunamandla oluvame ukuba negazi.

Ezinye izimpawu zingafaka:

• Imfiva
• Igesi
• Ukuphelelwa isifiso sokudla
• Ukuqunjelwa yisisu
• Ukuhlanza (kuyaqabukela)

Izimpawu zokungajwayelekile kepha ezinzima E coli ukutheleleka kufaka:

• Imivimbo eyenzeka kalula
• Isikhumba esiphaphathekile
• Umchamo obomvu noma onegazi
• Inani elinciphile lomchamo
  

Umhlinzeki wakho wokunakekelwa kwezempilo uzokwenza ukuhlolwa komzimba. Isiko lesitulo lingenziwa ukubheka ukubangelwa izifo E coli.

Isikhathi esiningi, uzolulama ezinhlotsheni ezivame kakhulu ze- E coli ukutheleleka ezinsukwini ezimbalwa. Inhloso yokwelashwa ukukwenza uzizwe ungcono futhi ugweme ukoma. Ukuthola uketshezi olwanele nokufunda ukuthi uzodlani kuzokusiza uhlale ukhululekile wena noma ingane yakho.

Ungadinga uku:

• Phatha isifo sohudo
• Lawula isicanucanu nokuhlanza
• Thola ukuphumula okuningi

Ungaphuza izingxube zomlomo zokubuyisa amanzi ukuze ungene esikhundleni samanzi namaminerali alahlekile ngokuhlanza nokuhuda. I-Oral rehydration powder ingathengwa ekhemisi. Qinisekisa ukuxuba impuphu emanzini aphephile.

Ungazenzela ingxube yakho yokubuyisa amanzi emzimbeni ngokuqhafaza isipuni esisodwa (3 amagremu) kasawoti, isipuni esisodwa (2.5 amagremu) wesoda okubhaka kanye no-4 wezipuni (50 amagremu) kashukela ezinkomishini ezi-4¼ (ilitha elilodwa) lamanzi.

Ungadinga ukuthola uketshezi ngomthambo (IV) uma uhanjiswa yisisu noma uhlanza futhi ungakwazi ukuphuza noma ukugcina uketshezi olwanele emzimbeni wakho. Uzodinga ukuya ehhovisi lomhlinzeki wakho noma egumbini lezimo eziphuthumayo.

Uma uthatha isisu (amaphilisi amanzi), khuluma nomhlinzeki wakho. Ungadinga ukuyeka ukuthatha isisu ngenkathi unesifo sohudo. Ungalokothi ume noma ushintshe imithi ngaphandle kokuqala ukhulume nomhlinzeki wakho. Ungathenga imithi esitolo sezidakamizwa engasiza ukumisa noma ukubambezela isifo sohudo. Ungayisebenzisi le mithi ngaphandle kokukhuluma nomhlinzeki wakho uma unesifo sohudo esinegazi noma umkhuhlane. Ungayiniki le mithi ezinganeni.

Iningi labantu lizoba ngcono ezinsukwini ezimbalwa, ngaphandle kokwelashwa. Ezinye izinhlobo ezingajwayelekile ze- E coli kungadala i-anemia enamandla noma ukwehluleka kwezinso.

Shayela i-aphoyintimenti nomhlinzeki wakho uma:

• Awukwazi ukugcina uketshezi phansi.
• Uhudo lwakho alubi ngcono ezinsukwini ezi-5 (izinsuku ezimbili enganeni noma enganeni), noma luba lubi kakhulu.
• Ingane yakho ibihlanza isikhathi esingaphezu kwamahora ayi-12 (enganeni esanda kuzalwa engaphansi kwezinyanga ezintathu, shayela ucingo ngokushesha nje lapho ukuhlanza noma isifo sohudo siqala).
• Unobuhlungu besisu obungapheli emva kokunyakaza kwamathumbu.
• Unomkhuhlane ongaphezu kuka-101 ° F (38.3 ° C), noma ingane yakho inomkhuhlane ongaphezu kuka-100.4 ° F (38 ° C) onesifo sohudo.
• Usanda kuhambela kwelinye izwe futhi uthuthukise isifo sohudo.
• Ubona igazi noma ubomvu esitulweni sakho.
• Uba nezimpawu zokuphelelwa ngamanzi emzimbeni, njengokungachami (noma amanabukeni omile enganeni), ukoma, isiyezi, noma ikhanda elikhanyayo.
• Uba nezimpawu ezintsha.

Uhudo lwabahambi - E. coli; Ubuthi bokudla - E. coli; E. coli isifo sohudo; Isifo seHamburger

• Uhudo - yini ongayibuza udokotela - ingane yakho
• Uhudo - yini ongayibuza umhlinzeki wakho wezokunakekelwa kwempilo - umuntu omdala

• Uhlelo lokugaya ukudla
• Izitho zohlelo lokugaya ukudla
• Ukugeza izandla

Nguyen T, Akhtar S. Gastroenteritis. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 84.

USchiller LR, uSellin JH. Uhudo. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 16.

U-Wong KK, u-Griffin PM. Isifo esibangelwa ukudla. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 101.