Tose takambonzwa nezvekudya zvine chepfu, handiti? Dzimwe nguva tinorwara nekudya chikafu chemumagaba kana chikafu chisina kubikwa zvakanaka. Asi waizviziva here kuti zvinhu izvi zvinogona kukonzera chirwere chine njodzi, chinotouraya? Nhasi tiri kutaura nezvechimwe chirwere chisingawanzoitiki, asi chakakosha chekuziva. Ndiyo botulism.
Zvichitaurwa zviri nyore, chii chinonzi botulism?
Botulism chirwere chakakomba zvikuru, asi chisingawanzoitiki. Chinokonzerwa nebhakitiriya rinonzi `Clostridium botulinum` . Bacterium iyi inoburitsa chepfu ine simba guru, kureva chepfu . Chepfu iyi inorwisa sisitimu yetsinga yemuviri wedu. Chepfu iyi inoshanda sekunge 'inopfupisa' 'system yekubatanidza waya' mumuviri wedu. Nekuda kweizvozvo, tsandanyama dzedu dzinotanga kurasikirwa nesimba, kureva kuti, kuoma mitezo. Kana dzikasarapwa nenguva, izvi zvinogona kuuraya.
Kazhinji tinotaura nezvemhando nhatu huru dzebotulism:
1. Botulism yekudya: Iyi ndiyo mhando inonyanya kuitika. Dambudziko iri rinowanzoitika kana ukadya chikafu chakasvibiswa nebhakitiriya rinonzi `Clostridium botulinum`. Njodzi iyi inonyanya kukwira kana chikafu chiri mumagaba chiri mudzimba chisina kucheneswa nemazvo.
2. Botulism yemaronda: Rudzi urwu runoitika kana utachiona uhwu hukapinda muronda mumuviri wako hwotanga kuburitsa chepfu mukati meronda.
3. Botulism yevana vacheche: Iyi imhando yebotulism inobata vacheche vari pasi pegore rimwe. Kana mwana akadya chimwe chinhu chine spores dzebhakitiriya iyi, senge huchi, spores dzinogona kukura kuita bacteria muura hwemwana uye dzinogadzira chepfu.
Kunze kweizvi, kune mamwe marudzi akati wandei, asi haawanzoitiki.
Ndezvipi zviratidzo zvechirwere ichi chine njodzi?
Zviratidzo zvebotulism zvinogona kusiyana zvishoma zvichienderana nekuti chepfu yakapinda sei mumuviri. Zvisinei, kazhinji, izvi zviratidzo zvine chekuita netsinga, saka unofanira kuzvichenjerera.
Zviratidzo zve botulism inowanikwa muchikafu
Zviratidzo zvinogona kutanga maawa mashoma mushure mekudya chikafu chine utachiona, kana dzimwe nguva kusvika mavhiki maviri.
Chinhu chinonyanya kukosha ndechekuti zviratidzo izvi zvipararire kubva kumusoro kusvika pasi pemuviri. Uye zvinobata mativi ese emuviri zvakaenzana. Asi hapana chiveve, kungova kushaya simba kwetsandanyama chete.
Ngatinzwisisei zviratidzo izvi zvakajeka kubva patafura iri pazasi.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Zviratidzo zvepakutanga | Zvinhu zvakaita sekurwadziwa nemudumbu, kuda kurutsa kana kurutsa, uye kuzvimba. |
| Kuona zvisina kujeka/kuona kaviri | Kushaya simba kwetsandanyama dzeziso kunogona kukonzera kuti ziso rione zvinhu zviviri zvakafanana. |
| Maziso akarembera (Ptosis) | Tsandanyama dzinodzora maziso emaziso hadzina simba, uye maziso anoedza kuvhara, sekunge ari kurara. |
| Kuoma kutaura (Dysarthria) | Nekuda kwekuti tsandanyama dzerurimi nemuromo hazvina simba, mashoko anova asina kunyatsojeka uye hazvigoneke kutaura zvakanaka. |
| Kuoma kumedza (Dysphagia) | Tsandanyama dzepahuro dzisina simba dzinoita kuti zviome kumedza kunyange mate mashoma. |
| Kushaya simba kwetsandanyama dzechiso | Chiso hachigone kuratidza manzwiro, chinoramba chakafanana. |
| Kana chirwere chikawedzera | |
| Kutadza kufema zvakanaka (Dyspnea) | Ichi ndicho chiratidzo chine njodzi zvikuru. Tsandanyama dziri muchipfuva nemudumbu dzinokubatsira kufema dzinorasikirwa nebasa radzo. |
| Kuzvimba | Basa remudumbu rinomira uye tsvina haigone kuburitswa. |
| Kushaya simba kwakanyanya mumakumbo | Tsandanyama dziri mumaoko nemakumbo dzinopera simba, zvichiita kuti zvisakwanise kufamba kana kusimudza ruoko. |
Kusiyana kwe botulism inotakurwa nemaronda
Izvi zvinosanganisirawo zviratidzo zvetsinga zvataurwa pamusoro apa, asi pane misiyano midiki.
- Pakutanga, hapana kurwadziwa kwemudumbu nekuti chepfu inogadzirwa mukati meronda, kwete mudumbu.
- Fivha inogona kuitika. Fivha inogona kuitika nekuda kwehutachiona huri muronda.
- Zviratidzo zvinotora nguva yakareba kuti zvionekwe, kazhinji vhiki imwe kusvika nhatu.
Zvakakosha: Botulism chirwere chisingawanzoitiki. Asi kana iwe kana mwana wauri kutarisira aine chimwe chezviratidzo izvi, chitore sedambudziko rehutano. Enda kuchipatara chiri pedyo nekukasika . Usanonoka.
Utachiona uhwu hunopinda sei mumiviri yedu?
Ma spores ebhakitiriya rinonzi Clostridium botulinum anowanikwa muvhu pasi rese. Ma spores aya anotsungirira zvakanyanya. Asi kana akawana nzvimbo yakanaka, anoti:
- Nzvimbo ine oxygen shoma kana kuti isina oxygen yakakwana (senge iri mugaba, mukati mebhodhoro)
- Nzvimbo ine acidity shoma
- Nzvimbo ine shuga shoma kana munyu
- Kana yakachengetwa ichipisa kupfuura tembiricha yakatarwa
...Maspores aya anoshanduka kuita mabhakitiriya zvakare, anokura, uye otanga kuburitsa chepfu iyoyo ine njodzi.
Zvine Chekudya: Njodzi iyi inoitika kana magakanje, majamu, uye muto zvakagadzirwa kumba zvisina kucheneswa zvakanaka uye zvikabikwa nemhepo patembiricha yakakodzera. Izvi zvinogona kuitika dzimwe nguva nezvikafu zvinotengwa muzvitoro. Kana gaba racho richiratidzika serakazvimba kana kuti rakazvimba, rinogona kunge riri chiratidzo chekushanda kwebhakitiriya.
Maronda: Chero ronda rinogona kukonzera mabhakitiriya aya, anowanikwa muvhu. Njodzi iyi yakanyanya kukwira pakati pevanhu vanobaya mishonga. Inogonawo kuitika kuburikidza nekukuvara kunokonzerwa netsaona dzakakomba, dzakadai semaronda ekupfurwa.
Vacheche: Sezvo masoja emuviri ari muura hwevana vari pasi pegore rimwe chete asati anyatsokura, kana spores dziri muchinhu chakaita seuchi dzikapinda mumuviri, dzinotanga kuburitsa chepfu muura. Ndosaka zvichinzi vana vari pasi pegore rimwe chete havafanirwe kupihwa huchi.
Chirwere ichi chinoonekwa sei uye chinorapwa sei?
Paunoenda kuchipatara, chiremba achanyatsoteerera zviratidzo zvako. Achakubvunza mibvunzo nezvezvawadya nguva pfupi yadarika, zvakaita sekuti wakadya chero chinhu chakabikwa mugaba here. Achabva aongorora muviri wako uye oita bvunzo yetsinga.
Kuongororwa kwemurabhoritari kwakakosha kuti chirwere chisimbiswe. Tsvina yako, ropa, kana kurutsa zvichaongororwa kuti zvionekwe kana paine chepfu.
Chiremba wako anogonawo kuraira bvunzo dzakadai seCT scan kana MRI scan kuti aone kana paine zvimwe zvirwere zvine zviratidzo zvakafanana nebotulism, zvakaita sestroke, meningitis, uye Guillain-Barré syndrome.
Nzira dzekurapa
Chinangwa chikuru chekurapa botulism ndechekubvisa chepfu mumuviri nekukurumidza uye kumisa migumisiro yayo inotyisidzira hupenyu.
- Mushonga weBotulinum: Uyu ndiwo mushonga mukuru. Wakaita semushonga wechepfu. Unobata uye unodzima chepfu isina chinhu mumuviri.
- Rutsigiro rwekufema: Kana tsandanyama dzekufema dzikakundikana, murwere haakwanise kufema ega. Panguva iyoyo, anobatanidzwa nemuchina wekufema (ventilator) kuti aponese hupenyu hwake.
- Kurapa ronda: Kana dambudziko iri rakakonzerwa neronda, ronda racho richacheneswa zvakanaka nekuvhiyiwa, uye mishonga inorwisa mabhakitiriya ichapihwa kuti iuraye mabhakitiriya asara, ukuwo mishonga inorwisa mabhakitiriya ichipihwa.
- Kurapa kwakakosha kwevacheche: Kurapa kwakakosha kunonzi botulinum immune globulin (baby BIG) kunopiwa kuvacheche vadiki.
Kupora kunogona kutora mwedzi yakati wandei, uye munguva iyi, uchafanirwa kunge uri pasi pevanachiremba vane hunyanzvi nevashandi vekuchengeta varwere vari muchikamu chevarwere vanorwara zvakanyanya muchipatara.
Hatigoni kuzvidzivirira kubva pane izvi here?
Ehe zvinogoneka! Botulism chirwere chinogona kudzivirirwa zvakanyanya. Tinofanira kungwarira zvikuru, kunyanya kana zvasvika pakudya.
| Nzira yekudzivirira | Zvekuita |
|---|---|
| Kuchengetedzeka kwechikafu | |
| Kuchengetera chikafu | Isa chikafu chakabikwa mufiriji mukati memaawa maviri. Kuchisiya kunogona kukonzera kuti tupukanana tunopararira. |
| Kubika zvakanaka | Mabhakitiriya anogona kuurayiwa nekudziya patembiricha iri pamusoro pe100 degrees Celsius (100°C) kwemaminitsi gumi. |
| Chikafu chakabikwa mumagaba | Rasa magaba akazvimba kana kuti akazvimba mukati. Kana achinhuwa zvakaipa kana akavhurwa, usaadye. |
| Kuchengetedza chikafu kumba | Kana uchiisa chikafu mumabhokisi kana muchiisa mumabhodhoro kumba, tevera nzira dzakakodzera dzekubvisa utachiona. Uchishandisa pressure cooker, kufashaidza chikafu nemhepo inopisa pa121 degrees Celsius (250°F) kwemaminitsi makumi matatu kwakanakira. |
| Dziviriro kubva mukukuvara | |
| Kutarisirwa kwemaronda | Geza ronda rose nesipo worichengeta rakachena. Kana ronda rikasapora mukati memazuva mashoma rotanga kuora, tsvaga rubatsiro rwechiremba nekukasika. |
| Zvimwe | Dzivisa kushandisa zvinodhaka zvisiri pamutemo. Kana uri kuwana majekiseni eBotulinum toxin nekuda kwekunaka, apihwe nachiremba ane rezinesi uye ane hunyanzvi. |
Kunyange zvazvo botulism iri chinhu chatinofanira kutya, tinogona kuva vakachengeteka zvikuru kana tikazviziva uye tikangwarira. Zvakakosha kungwarira pakubika nekuchengeta chikafu. Kana uine kusava nechokwadi nezveizvi, usanonoka kuenda kuna chiremba. Nekuti kurapwa nekukurumidza kunogona kuponesa hupenyu.
Mharidzo Yekuenda Nayo Kumba
- Botulism chirwere chakakomba chinokanganisa tsinga dzemuviri chinokonzerwa nehupfu hunogadzirwa nebhakitiriya rinonzi Clostridium botulinum.
- Zviratidzo zvikuru kuona kaviri, kuoma kutaura nekumedza, maziso akarembera, uye kuoma kufema.
- Kana uine zviratidzo izvi, idambudziko rehutano. Enda kuchipatara cheEmergency Department (ETU) nekukasika.
- Dzivisa kudya chikafu chemumagaba kumba, magaba akatumbuka, uye chikafu chine hwema hwakaipa. Zvakakosha kubika chikafu zvakanaka.
- Usape huchi kuvana vari pasi pegore rimwe chete kana paine chikonzero chipi zvacho.
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