I-Brucellosis

I-Brucellosis yisifo segciwane esivela ekuthintaneni nezilwane ezithwele amabhaktheriya e-brucella.

IBrucella ingathelela izinkomo, izimbuzi, amakamela, izinja nezingulube. Amagciwane angadlulela kubantu uma uhlangana nenyama enegciwane noma i-placenta yezilwane ezinegciwane, noma uma udla noma uphuza ubisi noma ushizi ongasetshenziswanga.

I-Brucellosis ayivamile e-United States. Cishe amacala ayikhulu kuya kwangama-200 ayenzeka unyaka nonyaka. Amacala amaningi abangelwa yi I-Brucellosis melitensis amagciwane.

Abantu abasebenza emisebenzini lapho behlangana khona nezilwane noma inyama - njengezisebenzi zokuxhela, abalimi kanye nodokotela bezilwane - basengozini enkulu.

I-brucellosis enamandla ingaqala ngezimpawu ezinjengomkhuhlane, noma izimpawu ezinjenge:

• Ubuhlungu besisu
• Ukuhlungu obusemhlane
• Umkhuhlane namakhaza
• Ukujuluka okweqile
• Ukukhathala
• Ubuhlungu bekhanda
• Ubuhlungu obuhlangene nobomzimba
• Ukuphelelwa isifiso sokudla
• Izindlala ezivuvukile
• Ubuthakathaka
• Ukwehla kwesisindo

Ama-high fever spikes avame ukwenzeka njalo ntambama. Igama elithi undulant fever livame ukusetshenziselwa ukuchaza lesi sifo ngoba umkhuhlane uyakhuphuka futhi uwa namagagasi.

Ukugula kungahle kube okungapheli futhi kuthathe iminyaka.

Umhlinzeki wezokunakekelwa kwempilo uzokuhlola abuze ngezimpawu zakho. Uzobuzwa futhi ukuthi ngabe uke waxhumana nezilwane noma mhlawumbe udle imikhiqizo yobisi ebingananyiswanga.

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlolwa kwegazi kwe-brucellosis
• Isiko legazi
• Isiko lomnkantsha wethambo
• Isiko lomchamo
• Isiko le-CSF (umgogodla womgogodla)
• I-biopsy namasiko esampuli yesitho esithintekile

Ama-antibiotic, njenge-doxycycline, i-streptomycin, i-gentamicin, ne-rifampin, asetshenziselwa ukwelapha ukutheleleka nokukuvimbela ukuthi kungabuyi. Imvamisa, udinga ukuthatha le mithi amasonto ayisithupha. Uma kunezinkinga ezivela ku-brucellosis, kuzodingeka ukuthi uthathe le mithi isikhathi eside.

Izimpawu zingahle zidlule iminyaka. Futhi, ukugula kungabuya ngemuva kwesikhathi eside sokungabi nazimpawu.

Izinkinga zempilo ezingabangelwa i-brucellosis zifaka:

• Izilonda zamathambo namalunga (izilonda)
• I-Encephalitis (ukuvuvukala, noma ukuvuvukala, kobuchopho)
• I-endocarditis enesifo (ukuvuvukala kwengaphakathi langaphakathi lamagumbi enhliziyo nama-valve wenhliziyo)
• I-Meningitis (ukutheleleka kolwelwesi olumboze ubuchopho nomgogodla)

Shayela i-aphoyintimenti nomhlinzeki wakho uma:

• Uba nezimpawu ze-brucellosis
• Izimpawu zakho ziba zimbi kakhulu noma azithuthuki ngokwelashwa
• Uba nezimpawu ezintsha

Ukuphuza nokudla kuphela imikhiqizo yobisi enamathiseliwe, njengobisi noshizi, kuyindlela ebaluleke kakhulu yokwehlisa ubungozi be-brucellosis. Abantu abaphatha inyama kufanele bagqoke okokuvikela iso kanye nezembatho, futhi bavikele amakhefu esikhumba ekutheleleni.

Ukuthola izilwane ezinegciwane kulawula ukutheleleka emthonjeni wayo. Ukugoma kuyatholakala ezinkomeni, kodwa hhayi kubantu.

Umkhuhlane waseCyprus; Umkhuhlane ongatholakali; Umkhuhlane weGibraltar; Umkhuhlane weMalta; Umkhuhlane waseMedithera

• I-Brucellosis
• Amasosha omzimba

UGotuzzo E, uRyan ET. I-Brucellosis. Ku: Ryan ET, Hill DR, Solomon T, Aronson NE, Endy TP, eds. IHunter’s Tropical Medicine Nezifo Ezithathelwanayo Eziqhamukayo. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2020: isahluko 75.

UGul HC, u-Erdem H. Brucellosis (UBrucella izinhlobo). 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 226.