Ukutshintshwa kwiiNkonzo zokuLawula nokuLawula izifo
IShigellosis isifo esithathelwanayo esibangelwa liqela leebhaktheriya elibizwa ngokuba nguShigella. Unyaka ngamnye, malunga ne-18,000 imeko ye-shigellosis ichazwa e-United States. Ekubeni amaxesha amaninzi amancinci akafumaneki okanye axelelwe, inani langempela lezonyango liba likhulu ngamashumi amabini. I-Shigellosis ixhaphake ngokukodwa kwizicwangciso apho ucoceko lubi kwaye ngamanye amaxesha ludla ngokubanzi kuluntu.
Usulelo lweShigella luqhelekileyo ehlobo kunobusika. Abantwana, ingakumbi abaselula abaneminyaka emi-2 ukuya kwe-4, banako ukusuleleka nguShigella. Amaninzi amaninzi ahlobene nokusabalala kokugula kwizicwangciso zokunyamekela abantwana, kwaye ezinye ezininzi ziphumo zokusasazeka kwezifo kwiintsapho ezinabantwana abancinci.
Kwilizwe eliphuhlisayo, iShigella ininzi kakhulu kwaye ikhona kwiindawo ezininzi kwiindawo ezininzi kwixesha.
Xa umntu sele ephethe i-shigellosis, abanako ukusuleleka kuhlobo oluthile lweShigella kwakhona ubuncinane iminyaka emininzi. Nangona kunjalo, banokusuleleka kunye nezinye iintlobo zeShigella.
Iimpawu zeShigella Infection
Iimpawu ziqala usuku okanye ezimbini emva kokuba amaxhoba ahlulwe kwi-british yaseShigella kwaye ihlala isombulula kwiintsuku ezi-5 ukuya kwezi-7. Abanye abantu abanesifo abanokusuleleka bangenayo impawu, kodwa basenokudlula i-Shigella ibhaktheriya kwabanye. Iimpawu zingabandakanya:
- isifo sohudo (esoloko sigxina igazi)
- umkhuhlane
- isisu
- ukukhulelwa kwamanzi (kunokuhlakulela emva kokuhubaza)
Kwabanye abantu, ingakumbi abantwana abaselula kunye nabalupheleyo, urhudo lunokuba lukhulu kangangokuba ixhoba lifuna ukufakwa esibhedlele.
Ukusuleleka kwintsholongwane enomkhuhlane ophezulu kunokunxulumene nokuxhwala kwabantwana abangaphantsi kweminyaka emi-2 ubudala.
Phantse ama-3% abantu abasuleleke kuhlobo olulodwa lweShigella, iShigella flexneri, baya kuhlaziya i-Reiter's syndrome .
Iimpawu ze-Reiter's syndrome zi:
- intlungu kumalungu
- ukucaphuka kwamehlo
- ukuhluma ubuhlungu
I-Reiter's syndrome kubangelwa ukusabela kwintsholongwane kaShigella eyenzeka kuphela kubantu abafakwe kwizityalo zabo. Inokuhlala iinyanga okanye iminyaka, kwaye inokukhokelela kwisifo samathambo esingapheliyo kunzima ukunyanga.
Unyango lwe-Shigella Infection
Uhudo olubangelwa yi-shigellosis lungakhokelela ekudambiseni amanzi , okuyimfuneko yokuphathwa nge-IV fluids. Xa abantu abaninzi belichaphazelekayo, amayeza athile asetyenziswa ngokukhethekileyo ukunyanga kuphela iimeko ezinzima. Ama-antidiarrheal agents angenza ukuba izifo zibi ngakumbi kwaye zifanele zigwenywe.
Ukusasaza iShigella
I-Shigella ikhona kwiindawo zokuhamba zesifo zabantu abasulelekileyo xa begula kwaye beveki okanye ezimbini emva koko. Uninzi lwe-Shigella ukusuleleka oludlulayo luvela kwisitulo okanye iminwe eminwe yomntu omnye emlonyeni womnye umntu, ngokuqhelekileyo ukususela ekuhlambulukeni kococeko kunye neendlela zokuhlamba izandla, ngokukodwa phakathi kwabantwana abasakhulayo abangaqeqeshelwanga ngasese. Amalungu entsapho kunye nabalingani abadlala kubantwana abanjalo basengozini enkulu yokusuleleka.
Isifo seShigella sinokufunyanwa ekudleni ukutya okungcolileyo. Isifo se-Shigella sinokufumaneka ngokusela okanye ukugebha ngamanzi angcolileyo.
Amanzi anokungcoliswa ukuba amanzi okuthuthwa kwamanzi afakwe kuwo, okanye ukuba umntu ophethe i-shigellosis uyabhukuda kuwo.
Ukukhusela iSigella Infection
- Akukho sitofu sokukhusela i-shigellosis.
- Abantu abane-shigellosis akufanele balungiselele ukutya okanye bathululele amanzi kwabanye baze baboniswe ukuba bangasayi kuthwala ibhaktheriya yaseShigella.
- Izikhuselo zokutya eziphambili kunye nokunyanga kwamanzi okusela rhoqo kuvimbela i-shigellosis. Kwiibhendi zokubhukuda, ukuba neendawo zokuhlambela ezaneleyo kwindawo yokubhada kunceda ukugcina amanzi angcoliswe.
- Izilumkiso ezilula ezithathwayo xa zihamba kwilizwe elikhulayo zingakwazi ukukhusela ukufumana i-shigellosis. Phuza kuphela ukuphathwa okanye amanzi abilisiwe, kwaye udle ukutya okuphekiweyo kuphela okanye iziqhamo ozibhekayo. Amanyathelo okuthintela okufanayo avimbela ukuhamba kwindwendwe ngokubanzi. "Yilise, yipheke, yiphule, okanye uyibale!"
- Geza izandla kunye nesepha ngokucophelela kwaye rhoqo, ngakumbi emva kokuya kuhlambe, emva kokutshintsha i-diapers, nangaphambi kokulungiselela ukutya okanye iziyobisi
- Ukulahla ngokufanelekileyo i-diapers esonakele
- Disinfect diaper ukutshintsha iindawo emva kokuzisebenzisa
- Gcina abantwana benesifo sohudo ekusetyenzisweni kwenkxaso yabantwana
- Ukujongana nokukwazisa izandla nabantwana abancinci emva kokusebenzisa indlu yangasese
- Gwema amanzi okusela amanzi.
> Utshintshwe kumaziko okuLawula nokuLawulwa kwezifo (CDC) Ulwazi olubanzi kwiShigellosis