I-Dysentery: kuyini, izimpawu, izimbangela kanye nokwelashwa

-Delile

• Izimpawu zesifo sikadizili
• Umehluko phakathi kohudo kanye nohudo
• Izimbangela eziyinhloko
• Ukuxilongwa kwenziwa kanjani
• Ukwelashwa kwesifo sohudo

I-Dysentery yisifo samathumbu lapho kukhona khona ukwanda kwenani nobuningi bokuhamba kwamathumbu, lapho isitokisi sinokuvumelana okuthe xaxa futhi kukhona nokuba khona komcinana negazi esitulweni, ngaphezu kokubonakala kobuhlungu besisu futhi amajaqamba, okuvame ukukhombisa ukulimala kumucosa wamathumbu.

I-Dysentery ezimweni eziningi ihlotshaniswa nokutheleleka kwamagciwane, ikakhulukazi Shigella spp. futhi Escherichia coli, kodwa futhi kungabangelwa ama-parasites, kufaka phakathi i-protozoan I-Entamoeba histolytica. Kungakhathalekile ukuthi iyini imbangela, kubalulekile ukuthi umuntu abone udokotela ojwayelekile ngokushesha nje lapho kuvela izimpawu zesifo sohudo, ngoba ngale ndlela kungenzeka ukuthi aqale ukwelashwa futhi avimbele izinkinga, ikakhulukazi ukuphelelwa amandla kwamanzi.

Izimpawu zesifo sikadizili

Uphawu oluyinhloko lwe-dysentery ukutholakala kwegazi nama-mucus esitokisini, kepha ezinye izimpawu nezimpawu zivame ukubonwa, njenge:

• Imvamisa ekhuphukile yokuphuma;
• Izitulo ezithambile;
• Ukucanuzela kwenhliziyo nokuhlanza, okungaqukatha igazi;
• Ukukhathala;
• Ukwehla kwamanzi emzimbeni;
• Ukungabi nesifiso sokudla.

E-dysentery, njengoba imvamisa yokuhamba kwamathumbu inkulu, kunengozi enkulu yokuphela kwamanzi, okungaba kubi kakhulu. Ngakho-ke, lapho nje izimpawu nezimpawu ezibonisa ukuthi kukhona isifo sohudo ziqashelwa, kubalulekile ukuthi kuboniswane nodokotela, futhi kubalulekile futhi ukuphuza okungenani amalitha amabili amanzi bese usebenzisa i-oral rehydration serum.

Ngaphezu kwalokho, uma kutholakala izimpawu zesifo sohudo, kubalulekile ukuthi ukwelashwa kuqalwe ngokushesha ngemuva kwalokho ukuvimbela ezinye izinkinga ukuthi zingaveli ngaphezu kokuphela kwamanzi emzimbeni, njengokuphuma kwamathumbu emathunjini nokungondleki.

Umehluko phakathi kohudo kanye nohudo

Yize kuzona zombili lezi zimo kungenzeka ukubona ukwanda kwenani lokuhamba kwamathumbu ngosuku kanye noshintsho ekuguquguqukeni kwesitulo, kuhudo kungenzeka ukubona ubukhona be-mucus negazi esitokisini, okungenzeki esimweni sohudo.

Izimbangela eziyinhloko

I-Dysentery ibangelwa yizinto ezithathelwanayo ezingafinyelela ohlelweni lwesisu futhi zibangele ukucasuka kwi-mucosa futhi ezingangena emzimbeni ngokusebenzisa amanzi angcolile nokudla.

Izimo eziningi zohudo zivela kubhaktheriya, ezibangelwa ikakhulu ngamagciwane Shigella spp., Salmonella sp.,I-Campylobacter spp., Futhi Escherichia coli. Ukwengeza kuhudo lwamagciwane, kukhona ne-amoebic dysentery, ebangelwa i-Entamoeba histolytica enamagciwane, nayo engangcolisa amanzi nokudla futhi ibangele isifo sohudo lapho umthwalo we-parasitic uphezulu kakhulu.

Yize imbangela evame kakhulu yesifo sohudo ukutheleleka, kungenzeka futhi ngenxa yokusetshenziswa isikhathi eside kweminye imithi engalimaza i-mucosa yamathumbu, lapho-ke kunconywa ukuthi kuboniswane nodokotela ukuze umuthi umiswe noma ushintshwe.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kwesifo sohudo kwenziwa ngudokotela ojwayelekile, udokotela wezingane noma i-gastroenterologist ngokuhlola izimpawu ezichazwe ngumuntu nangokuhlolwa kwendle ukuze kutholakale umenzeli obangela uhudo.

Ngakho-ke, kunconywa ukuthi kwenziwe uhlolo lwezindle, oluhlose ukukhomba amaqanda noma ama-cysts ama-parasites, noma ukuhlolwa kokubambisana kwamasiko okulandelwa yi-antibiotic lapho kunokusola kwesifo segazi okubangelwa amagciwane.

Ngakho-ke, ekuhlolweni kokuhlangana kwamasiko, indle iyacutshungulwa elabhorethri ukuze kubonakale igciwane bese kuhlolwa ukuze kuhlolwe ukumelana nokuzwela kwephrofayli laleli gciwane kuma-antibiotic. Funda kabanzi mayelana nokuhlolwa kwesiko.

Bona ividiyo elandelayo ukuthola eminye imininingwane ngokuhlolwa kwesitulo:

Ukwelashwa kwesifo sohudo

Kubalulekile ukuthi ukwelashwa kwesifo sohudo kuqalwe ngokushesha nje lapho kutholakala ukuxilongwa, ikakhulukazi lapho nje kuvela izimpawu zokuqala, ukugwema izinkinga ezinjengokuphelelwa amanzi emzimbeni, ukungondleki kahle, ithumba lesibindi noma i-megacolon enobuthi, ngokwesibonelo.

Ukwelashwa kwesifo sohudo kufaka ukufaka wonke amanzi alahlekile ngenxa yendle nokuhlanza, kufakwe iziphuzo ezinjengamanzi, amajusi, itiye namanzi kakhukhunathi, ngokwesibonelo, ngaphezu kwe-serum yomlomo yomlomo. Ngaphezu kwalokho, ukudla kufanele kube lula, kugayeke kalula futhi kube noketshezi oluningi, njengemifino ephekiwe, isobho lemifino, i-gelatin nezithelo, isibonelo.

Ngokuya ngembangela yesifo sohudo, udokotela futhi angancoma ukusetshenziswa kwama-antimicrobial anjenge-Ciprofloxacin, Sulfametoxazol-Trimetoprim noma iMetronidazole, ukwenza isibonelo, ukukhuthaza ukuqedwa kwe-ejenti ebanga uhudo.