Wakamborwadziwa nemudumbu here mushure mekudya? Zvingangodaro zvichikonzerwa neBacillus cereus!

Wakambova nedambudziko remudumbu, kuda kurutsa, kana manyoka nguva pfupi yadarika mushure mekudya here? Dzimwe nguva tinofunga kuti chikafu chacho chaive chakanyanya kupisa kana kuti chisina kubikwa zvakanaka. Zvisinei, muvengi mudiki, asingaoneki anogona kunge ari seri kwezvinhu izvi ibhakitiriya inonzi Bacillus cereus . Nhasi, tichataura nezvazvo zvakadzama uye zviri nyore.

Chii chinonzi 'Bacillus cereus' iyi?

Zvichitaurwa zviri nyore, 'Bacillus cereus' rudzi rwebhakitiriya diki kwazvo, rinongoonekwa chete nemaikorosikopu. Rinowanzo kuwanikwa munharaunda. Zvisinei, bhakitiriya iri rinogona kugadzira chepfu inotirwarisa. Ndizvo zvinotikonzera matambudziko.

Mhando mbiri idzi dze'Bacillus cereus' dzinogona kutikanganisa zvakanyanya:

1. Rudzi runokanganisa kugaya kwako (tinorudaidza kuti `ura`).

2. Rudzi runobata dzimwe nhengo dzemuviri wako (izvi zvinonzi `zvisiri zvemudumbu`).

Kukuvadzwa nechikafu kunokonzerwa nebhakitiriya rinonzi Bacillus cereus, iro rinokanganisa kugaya chikafu. Kazhinji, rinopora roga mukati mezuva rimwe chete kana maviri. Zvisinei, kana uine immune system isina simba, zvinogona kunge zvakanyanya kuipa.

Utachiona hunokonzerwa neBacillus cereus isiri mudumbu, iyo isingabatanidzwe nekukuvadzwa nechikafu, dzimwe nguva hunogona kunge hwakanyanya kuipa. Unonyanya kukuvadzwa kana uine zvirwere zvinotevera:

• Kuva nedziviriro yemuviri isina simba.
• Kuva nekukuvara nekuda kwekuvhiyiwa kana dzimwe tsaona.

Ndeapi marudzi eBacillus cereus anokonzera chepfu yechikafu?

Sezvatakambotaura, chepfu yechikafu inokonzerwa neBacillus cereus, iyo inokanganisa kugaya chikafu. Kune mhando mbiri huru dzeizvi.

1. Rudzi rwemanyoka (`Enterotoxins` kana `diarrheal syndrome`)

Chinoitika ndechekuti mushure mekudya chikafu chine mabhakitiriya kana spores dzacho, chepfu inogadzirwa muura hwako hudiki . Rudzi urwu rwehutachiona, rwunokonzerwa neBacillus cereus, rwakanyanya kuwanikwa munyika dzakadai seAmerica neEurope.

Zviratidzo zvinowanzoonekwa pakati pemaawa matanhatu kusvika gumi nemashanu mushure mekudya chikafu chine utachiona. Zvekudya zvinogona kukonzera chirwere ichi zvinosanganisira:

• Hove
• Zvigadzirwa zvemukaka
• Nyama
• Masosi
• Soups nema gravies
• Muriwo

2. Chirwere chekusanzwa kana kurutsa

Chinoitika ndechekuti chepfu yacho inenge yatove muchikafu usati wadya. Unogona kurwara kazhinji pakati peawa imwe kusvika matanhatu mushure mekudya chikafu chine tsvina.

Fungidzira kuti chii chingaitika kana tikasiya mupunga watakabika masikati kusvika husiku, kana kuti tikasiya mupunga watakatora kubva kumafaro tisina kuuisa mufiriji. Ndipo panotanga kushanda utachiona uhwu.Kana mupunga wakabikwa usina kuiswa mufiriji zvakanaka, uye ukasiyiwa patembiricha yemumba kwenguva yakareba, bhakitiriya iyi inogona kukura nekuburitsa chepfu. Mupunga ndiwo unonyanya kusanganiswa nerudzi urwu rwe'Bacillus cereus'. Kwete izvozvo chete, asi chizi, pamwe nezvikafu zvine starch zvakaita se:

• Pasta
• Mhando dzemakeke
• Mbatatisi
• Sushi

Chepfu iyi inogonawo kuitika kubva kune zvinhu zvakaita se:

Zvakakosha: Vamwe vanhu vanofunga kuti kudziyisa chikafu kuchauraya mabhakitiriya aya. Ichokwadi kuti mabhakitiriya anogona kufa. Zvisinei, chepfu yaanogadzira haiparadzwe nekudziyisa. Ndiyo dambudziko!

Ndezvipi zvirwere zve'Bacillus cereus' zvisingabatanidzwe nekukuvadzwa nechikafu? (`Non-intestinal Bacillus cereus`)

Rudzi urwu rwehutachiona hweBacillus cereus runokanganisa dzimwe nhengo dzemuviri dziri kunze kwegadziriro yako yekugaya chikafu. Hunonyanya kuonekwa mu:

• Mumaziso
• Sisitimu yekufema
• Mumaronda

Utachiona uhwu hunogona kugara munzvimbo dzakadai seguruva, zvirimwa, ivhu, nemvura.

Ndiani ane mukana mukuru wekuwana iyi 'Bacillus cereus'?

Kutaura zvazviri, chero munhu, pasinei nezera kana rudzi, anogona kurwara nechirwere cheBacillus cereus kana zvimwe zvirwere zvinokonzerwa nechirwere ichi.

Zvisinei, njodzi yekubatwa nehutachiona hweBacillus cereus husiri mudumbu inowedzera kana:

• Kana ari mwana achangoberekwa.
• Kana ukaramba uchishandisa catheter inogara mukati.
• Kana uine immune system isina simba.
• Kana uine maronda asina kupora nekuda kwekuvhiyiwa kana imwe tsaona.
• Kana uri kushandisa mishonga inopinzwa mutsinga (IV).

Utachiona hwe'Bacillus cereus' hwakajairika zvakadii?

Kurwara nechikafu kunokonzerwa nebhakitiriya rinonzi Bacillus cereus kwakajairika . MuUnited States chete, kune vanhu vanosvika 63,400 vanobatwa nechirwere ichi gore rega rega. Fungidzira kuti vanhu vangani vanobatwa nechirwere ichi munyika medu, kunyanya nekudya kwatinoita panze.

Asi utachiona hweBacillus cereus husiri hwemudumbu (husina chekuita nekugaya chikafu) hahuwanzoitiki.

Iyi 'Bacillus cereus' inokonzera sei chepfu muchikafu?

Kazhinji, zvinoitika kana ukadya chikafu chakasiyiwa patembiricha yemumba. Kunyangwe ukachidziisazve, chinogona kukonzera chepfu muchikafu.

Mabhakitiriya anonzi `Bacillus cereus' anoburitsa zvipembenene, uye zvipembenene izvi zvinoburitsa chepfu. Zvipembenene izvi zvinowanda nekukurumidza patembiricha yemumba. Paunodya chikafu chine zvipembenene izvi, chepfu yacho inokonzera kurutsa kana manyoka. Fungidzira, kana ndiro yesobho renyemba yakabikwa mangwanani ikasiyiwa kunze kusvika manheru, kana kuti hove stew ikasiyiwa kunze kwefiriji kwemazuva maviri, saka bhakitiriya iyi ine mukana wakanaka wekuita basa rayo.

Ndezvipi zviratidzo zve chepfu yechikafu inokonzerwa ne `Bacillus cereus`?

Zviratidzo zvemarudzi iwayo anokonzera manyoka (`Enterotoxins`) ndeizvi:

• Kurwadziwa kwemudumbu, kurwadziwa kwemudumbu
• Kurwadziwa kwedumbu
• Manyoka ane mvura

Zviratidzo zve `emetic syndrome` zvinosanganisira:

• Kusvotwa (kunzwa kuda kurutsa)
• Kurutsa

Bacillus cereus inokonzera sei zvirwere zvinokonzerwa nechikafu?

Zvirwere izvi zvinokonzerwa neBacillus cereus spores inopinda mumuviri neimwe nzira yoburitsa chepfu. Spores idzi dzinogona kupinda mumuviri ne:

• Midziyo ine utachiona inoshandiswa muzvipatara, senge macatheter.
• Kubva pamaronda ane utachiona.
• Nekufema guruva rakasviba.
• Kubva pazvirwere zvinotapukira muchipatara.

Zvirwere zvisiri zvemudumbu zvinogona kukonzerwa neB. cereus ndeizvi:

• Mabhakitiriya anopinda muropa (bacteremia)
• Utachiona hwemabhakitiriya kana hwefungus muziso (endophthalmitis) - Izvi zvine njodzi huru.
• Dumbu rehuropi
• Cellulitis (hutachiona hweganda)
• Kutapukira kwemukati memwoyo (endocarditis)
• Meningitis - inonziwo fivha yeuropi.
• Utachiona hwemapfupa (Osteomyelitis)
• Chirwere chemabayo

Ndezvipi zviratidzo zvehutachiona hweBacillus cereus kunze kwenzira yekudya?

Zviratidzo zvinosiyana zvichienderana nerudzi rwechirwere. Chinonyanya kuipa chirwere chinonzi endophthalmitis. Zviratidzo zvechirwere ichi chinouraya maziso zvinogona kusanganisira:

• Kurwadziwa kweziso
• Basa rakaoma
• Kupindwa nechando
• Kuwedzera kwehuwandu hwemasero machena eropa (leukocytosis)
• Kurasikirwa nekuona
• Kutsvuka kwemaziso
• Chironda chemukona chakaita sedenderedzwa

Vamwe varwere vane endophthalmitis vanogona kutorasikirwa neziso. Saka, kana ukaona chimwe chinhu chisina kujairika mumaziso ako, unofanira kuona chiremba nekukasika.

Vanachiremba vanoongorora sei chepfu yechikafu inokonzerwa ne'Bacillus cereus'? ('Kuongororwa')

Chiremba anowanzo fungidzira kuti une chepfu yechikafu zvichibva pazviratidzo zvako (kurutsa, manyoka, kurwadziwa mudumbu) uye kudya kwekupedzisira kwawadya. Zvadaro vanozoongorora muviri. Kuti vaone kuti B. cereus ndiyo yakakonzera, sampuli yechikafu chawakadya uye sampuli yetsvina yako kana kurutsa kwako zvinoda kuongororwa. Kunyanya, chepfu yechikafu inosimbiswa kana paine 100,000 kana kupfuura zvisikwa zveB. cereus pagiramu yechikafu. Kana paine manyoka, kuongororwa kweropa kunogona kuitwawo kuti vaone chepfu yacho.

Ungaziva sei chirwere cheBacillus cereus chiri kunze kwenzira yekudya?

Kana uchifungidzira kuti une hutachiona hwakadai, bvunzo yeropa ('blood cultures') ichaitwa kuti ione kana muropa muine mabhakitiriya.Iyi ndiyo inonyanya kuwanikwa. Uyewo, mienzaniso yemvura yemuviri (semuenzaniso, vitreous fluid kana paine endophthalmitis) inotorwa uye inoongororwa mabhakitiriya uchishandisa standard cultures uye Gram stain. Gram stain inosanganisira kuisa dhayi pagirazi regirazi nedhayi chaiyo woitarisa pasi pemaikorosikopu.

Ndeapi marapirwo emuchetura wechikafu unokonzerwa ne'Bacillus cereus'?

Zvizhinji zvezvirwere zvinokonzerwa neBacillus cereus zvinopera zvega mukati memaawa makumi maviri nemana. Chiremba anogona kukuudza kuti uite zvinotevera:

• Zorora zvakanaka.
• Inwa mvura yakawanda kudzivirira kupera mvura mumuviri. Izvi zvakakosha zvikuru. Kana uine manyoka kana kurutsa, muviri wako unorasikirwa nemvura yakawanda, saka unofanira kuitsiva. Kunwa chinwiwa chakaita seJeevani kwakanakawo.

Kana uine manyoka akanyanya kana kurutsa, chiremba anogona kukukurudzira kuti upiwe mushonga we "IV fluids" mutsinga .

Ndeapi marapirwo ehutachiona hweBacillus cereus kunze kwenzira yekudya?

Kurapwa kweizvi kunosiyana zvichienderana nechirwere chaunacho. Kazhinji, chiremba anokutanga kushandisa mishonga inorwisa mabhakitiriya kurwisa mabhakitiriya. Zvisinei, B. cereus yakaonekwa kuti haipindi mishonga inorwisa mabhakitiriya. Saka, zvakakosha kutora mushonga wacho sezvawakarairwa nachiremba wako, kwenguva chaiyo.

Nzira yekuderedza sei njodzi yekukuvadzwa nechikafu chinokonzerwa ne'Bacillus cereus'?

Kuchengetedza chikafu chakachengeteka ndiyo nzira chete yekuderedza njodzi iyi. Heano zvimwe zvinhu zvaunogona kuita:

• Kana chikafu chakabikwa chikasadyiwa nekukasika, chitonhorese kusvika patembiricha iri pasi pe5 degrees Celsius (41 degrees Fahrenheit) mukati memaawa matanhatu . Semuenzaniso, usasiye mupunga kana curry zvakabikwa masikati kusvika manheru, asi zviise mufiriji kana zvangobikwa.
• Chengeta chikafu chinoda kuiswa mufiriji patembiricha iri pasi pe5 degrees Celsius (41 degrees Fahrenheit) .
• Chengeta chikafu chinoda kuchengetwa chichipisa patembiricha inopfuura 60 degrees Celsius (135 degrees Fahrenheit) . Dzimwe nguva tinoona chikafu chiri pamabuffet mudzimba uye mapati achichengetwa achidziya mundiro dzakakangwa. Ndizvo zvazviri.
• Iva nechokwadi chekuti chikafu chauri kudziyisazve chadziiswa kusvika pa74 degrees Celsius (165 degrees Fahrenheit) . Kungodziya chete hakuna kukwana. Chinofanira kunge chichipisa zvikuru.
• Rasa chero chikafu chaunofunga kuti chingave chine mabhakitiriya. Kana usina chokwadi, usachidye. Ndicho chinhu chakanakisa chekuita.

Ingofungai, kana tikadya mupunga wakakangwa kana kuti kottu watinotenga kuchitoro husiku tosiya zvasara panze, pane mukana wekuti 'Bacillus cereus' ichakura pairi mangwanani anotevera. Saka, zvakakosha kungwarira nezvekuchengeta chikafu.

Nzira yekuderedza sei njodzi yehutachiona hweBacillus cereus kunze kweketani yechikafu?

Unogona kuderedza njodzi iyi nekugeza maoko ako nguva nenguva uye nemazvo . Unogona zvakare:

• Kana uine chirwere chinopedza simba remuviri wako, tora mushonga wacho zvakanaka.
• Usashandise mishonga inopinzwa mutsinga.
• Kana muine kukuvara kana tsaona, tsvagai rubatsiro rwechiremba nekukasika.

Chii chinoitika kana `Bacillus cereus` ikabuda?

Kana masoja emuviri wako asina simba, matambudziko anokonzerwa nehuturu hwechikafu hunokonzerwa neBacillus cereus haawanzoitiki . Vanhu vazhinji vanobatwa nechirwere cherudzi urwu cheB. cereus vanopora nekukurumidza.

Zvisinei, hutachiona hweBacillus cereus husingasanganisirwe nedumbu dzimwe nguva hunogona kukonzera rufu kana mamwe matambudziko. Mienzaniso:

• Kufa kwenyama (`Gangrene`)
• Kurasikirwa nekuona zvachose
• Septicemia
• Meningitis inotapukira - Kunyangwe izvi zvichitanga nemabhakitiriya, mamwe matambudziko anogona kuitika.

Chii chingaitika kana ukawana `Bacillus cereus`?

Kana uine chepfu yechikafu inokonzerwa neBacillus cereus, tarisiro yekuti uchapora inowanzova yakanaka . Vanhu vazhinji vanopora zvizere.

Zvisinei, kana uine hutachiona hweBacillus cereus kunze kwenzira yekudya, tarisiro yekupora inoenderana ne:

• Zvinoenderana nekuti unokurumidza sei kurapwa.
• Zvichienderana nekuoma kwechirwere.
• Zvichienderana nedzimwe zvirwere zvauri kusangana nazvo.

Pane zvimwe zvirwere zviri panjodzi huru yematambudziko here?

Kazhinji, kana masoja emuviri wako asina simba , une mukana wekuwana matambudziko kubva kuhutachiona hweBacillus cereus. Zvakare, kana:

• Kana ari mwana achangoberekwa.
• Kana mumwe munhu atove muchipatara.
• Kana mishonga inorwisa mabhakitiriya ikasatanga kushandiswa nekukurumidza kuti ibatsire hutachiona huri kunze kwenzira yekudya.
• Kana uine kenza yenyama dzinogadzira ropa (hematologic malignancies) (semuenzaniso leukemia, lymphoma, multiple myeloma).
• Kana uine chirwere chechiropa.
• Kana uine neutropenia (huwandu hushoma hwemasero machena eropa).
• Kana uri kutora mishonga yakaita se corticosteroids.

Muzviitiko zvakaita seizvi, fungidziro inogona kuwedzera kuipa.

Ndingazvitarisira sei kana ndine Bacillus cereus?

Kana uine chepfu yechikafu inokonzerwa neBacillus cereus, unogona:

• Inwa mvura yakawanda.
• Zorora zvakanaka.

Kana uine chirwere cheBacillus cereus chiri kunze kwenzira yekudya:

• Rarama mararamiro ane hutano.
• Tora mishonga chaiyo yakanyorwa yezvirwere zviripo.

Ndinofanira kuona chiremba rini?

Kana muviri wako usina simba rekudzivirira chirwere uye ukatanga zviratidzo zvekuva nechirwere chepfu kana kuti Bacillus cereus, fonera 1990 nekukasika kana kuenda kuchipatara chiri pedyo newe.

Kubatwa neBacillus cereus kunogona kuva dambudziko guru. Kubatwa nechirwere cheBacillus cereus chinhu chisingafadzi uye chinogona kukukonzera kurwara zvakanyanya. Nerombo rakanaka, chirwere cheBacillus cereus chinowanzova nani mukati mezuva rimwe chete kana kupfuura, uye vanhu vazhinji vanopora zvachose. B. cereus inogonawo kukonzera zvirwere kunze kwenzira yekugaya, asi izvi hazviwanzoitiki. Kana uine immune system isina simba kana zvimwe zvirwere zvehutano, marudzi ese ehutachiona hweBacillus cereus anogona kuva akakomba. Kunwa mvura yakawanda uye kuzorora zvakakwana kunogona kukubatsira kupora kubva muchirwere cheBacillus cereus nekukurumidza. Mishonga inorwisa mabhakitiriya inogona kubatsira nehutachiona kunze kwenzira yekugaya. Kana ukakurumidza kuwana kurapwa, mikana yako yekupora inowedzera.

Mharidzo Yekupedzisira Yekuenda Kumba

• Bacillus cereus ibhakitiriya inogona kukonzera chepfu muchikafu nezvimwe zvirwere.
• Izvi zvinogona kuitika kunyanya kubva muzvikafu zvakabikwa, kunyanya mupunga, izvo zvagara kwenguva yakareba patembiricha yemumba .
• Zviratidzo zvikuru zvechepfu yechikafu kurutsa uye/kana manyoka.
• Kunyangwe izvi zvichiwanzopera mukati mezuva rimwe chete, zvinogona kuva nengozi kune avo vane masoja emuviri asina simba .
• Nzira yakanakisisa yekudzivirira izvi ndeyekutevera nzira dzekuchengetedza chikafu . Bika chikafu nemazvo, chichengete nemazvo, uye chengeta zvasara mufiriji nekukurumidza.
• Kana ukaona zviratidzo zvisingawanzoitika mumaziso, maronda, kana mutsinga dzekufema, ziva izvozvo zvakare.
• Kana usina chokwadi, enda kuna chiremba. Usazvidya moyo, kurapwa nekukasika kunogona kuita kuti upore zvakanaka.

Hutano hwako hunokoshawo kwatiri!

Bacillus cereus, chepfu yechikafu, mabhakitiriya, hutachiona, manyoka, kurutsa, kuchengetedzeka kwechikafu, spores