Ngatidzidzei zvakawanda nezvehutachiona hweE. coli. Musatya kuverenga izvi!

Wakamborwadziwa nemudumbu, manyoka kwemazuva, uye ukanzwa sekunge wava kupenga here? Dzimwe nguva tinofunga kuti chimwe chinhu chatakadya muchitoro chakaipa. Zvisinei, chikonzero chezvirwere zvakadaro dzimwe nguva chingave rudzi rudiki rwebhakitiriya rwatisingakwanise kuona nemaziso edu. Rimwe rebhakitiriya rakadaro iE . coli . Zita racho rinonzwika richityisa, handiti? Asi musazvidya mwoyo. Nhasi, ngatitaurei nezve 'E. coli' chii, nei dzimwe nguva ichigona kuva nengozi, uye kuti tingazvidzivirira sei kubva pairi.

Chii chinonzi E. coli iyi?

Zvichitaurwa zviri nyore, E. coli (Escherichia coli) rudzi rwebhakitiriya. Inowanzogara muura, kana mudumbu (GI), hwevanhu nemhuka dzine hutano. Usashamisika, E. coli iri mudumbu mako kazhinji haikunetse. Kutaura zvazviri, inokubatsira kugaya chikafu chaunodya.

Asi, mune dzimwe nguva, mamwe marudzi eE. coli bacteria (ngatitii marudzi akaipa) ndiwo chete anogona kukonzera chirwere kana akapinda mumiviri yedu. Marudzi aya akaipa anogona kunamira pamasero edu oburitsa chepfu . Ndipo panotanga matambudziko.

Saka chii chinonzi E. coli hutachiona?

Utachiona hweE. coli chirwere chipi zvacho chaunowana kubva kuhutachiona hweE. coli hwakaipa hwambotaurwa. Semuenzaniso, kana ukadya mabhakitiriya aya akaipa usingazive, unogona kutanga manyoka ane mvura, kurwadziwa mudumbu, nezvimwe zviratidzo zvekugaya (gastroenteritis). Ndosaka dzimwe nguva ichinzi diarrheagenic E. coli. Izvi ndizvo zvinorehwa nevanhu vazhinji pavanotaura nezvehutachiona hweE. coli.

Kwete izvozvo chete, asi kunyange mabhakitiriya eE. coli, anowanzo kuwanikwa muura hwako, anogona kukonzera hutachiona kana akaenda kunzvimbo dzaasingafaniri kuenda, dzakadai senzira yako yekuzvitakura .

Mabhakitiriya mazhinji eE. coli anokonzera hutachiona hudiki. Asi mamwe mabhakitiriya, kunyanya ayo anogadzira chepfu inonzi Shiga toxin , anogona kukonzera chirwere chakakomba chinogona kukuvadza itsvo.

Ndeapi marudzi ehutachiona hweE. coli?

Utachiona hweE. coli hunonyanya kuwanikwa ndehwekugaya chikafu uye hweweti (UTIs). Pamusoro pezvo, hutachiona uhu hunogonawo kuitika:

• Utachiona hweropa
• Utachiona hweprostate (Prostatitis)
• Chirwere chekuzvimba kwechiuno (PID)
• Utachiona hwenyongo (`Cholecystitis`)
• Utachiona hwemaronda
• Pneumonia (izvi hazviwanzoitiki)
• Meningitis (izvi hazviwanzoitiki)

Utachiona hweE. coli hwakajairika zvakadii?

Munyika yakaita seUnited States, zvirwere zvinodarika 250,000 zveE. coli (STEC) zvinogadzira chepfu yeShiga zvinoshumwa gore rega rega. Rudzi urwu rweSTEC ndirwo runonyanya kukonzera kurwara kwakapararira uye kwakanyanya kunokonzerwa neE. coli.

Ndezvipi zviratidzo zvehutachiona hweE. coli?

Utachiona hweE. coli mudumbu (gastroenteritis) hunogona kukonzera zviratidzo zvakaita se:

• Manyoka: Kazhinji kacho anenge aine mvura, dzimwe nguva anogona kunge aine ropa.
• Kurwadziwa kwedumbu uye kuzvimba: Zvinogona kuita sekuti dumbu rako riri kutenderera.
• Kushaya chido chekudya: Kurasikirwa nechido chekudya.
• Fivha: Kunzwa kupisa.

Kazhinji zvinotanga nemanyoka ane mvura. Zvakare, zviratidzo zvinogona kusiyana zvichienderana nekuti hutachiona huri mumuviri wako kupi.

Ndezvipi zviratidzo zvehutachiona hweE. coli munzira yeweti?

Kana utachiona hweE. coli huchibata zvikamu zvenzira yako yeweti, unogona kuona zviratidzo zvakaita se:

• Kurwadziwa mudumbu repazasi kana muhudyu.
• Kupisa kana kurwadziwa pakuita weti.
• Kunzwa kuda kuita weti nguva nenguva.
• Kubuda kweweti inonhuwa.

Zviratidzo zvehutachiona hweE. coli zvinotanga nekukurumidza sei?

Zviratidzo zvinowanzotanga mukati memazuva matatu kusvika mashanu mushure mekudya chikafu kana kunwa mvura yakasvibiswa nebhakitiriya rinonzi "STEC". Mamwe marudzi anogona kukonzera chirwere mukati memaawa mashoma. Dzimwe nguva, zviratidzo zvinogona kusaonekwa kwemazuva anosvika gumi mushure mekunge bhakitiriya yapinda mumuviri.

Chii chinokonzera hutachiona hweE. coli?

Marudzi akasiyana emabhakitiriya eE. coli anogona kukonzera hutachiona hwemanyoka mudumbu. Kazhinji, zviratidzo zvakafanana, semanyoka ane mvura. Asi mamwe marudzi akaoma kupfuura mamwe. Masayendisiti anoaisa mumapoka zvichienderana nekuti anonamira sei kumasero uye chepfu yaanoburitsa.

Mhando dzakasiyana dzeE. coli dzinokonzera manyoka:

• E. coli (STEC) inogadzira chepfu yeShiga
• E. coli inokuvadza utachiona (`E. coli inokuvadza utachiona/ETEC`)
• E. coli inokonzera chirwere cheEnteropathic (`E. coli inokonzera chirwere cheEnteropathic/EPEC`)
• Enteroaggregative E. coli (`Enteroaggregative E. coli/EAEC`)
• E. coli inopararira mumuviri (`E. coli inopararira mumuviri/EIEC`)
• E. coli (DAEC) inonamatira zvakanyanya

Mamwe marudzi akakosha eE. coli iUropathogen E. coli (UPEC), iyo inokonzera hutachiona hwemunzira yemuweti (UTIs), uye E. coli K1, iyo inogona kukonzera meningitis muvana vacheche.

Chii chinonzi Shiga toxin E. coli (STEC)?

`STEC` imhando yakasarudzika yebhakitiriya re`E. coli`. Inoburitsa chepfu inonzi `Shiga toxin` , iyo inokuvadza masero edu. Yakafanana nehupfu hunoburitswa nebhakitiriya re`Shigella`. `STEC` inozivikanwa nekukonzera zvirwere zvakakomba zve`E. coli`. Izvi zvinowanzokonzerwa nechikafu chakasvibiswa.

STEC inonziwo enterohemorrhagic E. coli (EHEC) , nekuti inogona kukonzera kubuda ropa muura uye manyoka ane ropa (hemorrhagic colitis). Vanhu vanosvika 5% kusvika 10% vane STEC vanowana chirwere chinonzi Hemolytic Uremic Syndrome (HUS) , chinokonzera kuvharika kweropa uye kukuvara kweitsvo. E. coli O157:H7 subtype ndiyo inonyanya kukonzera chirwere chakanyanya.

Rudzii rweE. coli runokonzera Traveler's Diarrhea?

E. coli inouraya utachiona (`Enterotoxigenic E. coli/ETEC`) ndiyo mhando inokonzera hutachiona hwe "Traveler's diarrhea" . Zviratidzo zveizvi zvinotanga nekukurumidza - dzimwe nguva mukati memaawa mashoma. Rudzi rwe "ETEC" runonyanya kuwanikwa munyika dzine mamiriro ekunze anodziya. MuSri Lanka zvakare, kana tikasangwarira patinenge tichifamba, izvi zvinogona kuitika.

Tinowana sei E. coli?

Mhando dzakawanda dzeE. coli dzinokonzera manyoka dzinopararira kuburikidza nemaitiro anonzi fecal-oral transmission . Zvichitaurwa zviri nyore, izvi zvinoitika kana zvidimbu zvidiki zvetsvina, zvidiki zvekuti hazvionekwe, zvichipinda mudumbu medu nemuromo. Dzimwe mhando, dzakadai seSTEC, dzinogonawo kupararira kuburikidza nenyama isina kubikwa zvakanaka uye zvinwiwa zvisina kupiswa.

Zvikuru sei, E. coli inogona kutapuriranwa nenzira dzinotevera:

• Nekudya chikafu chine tsvina: zvinhu zvakaita senyama isina kubikwa zvakanaka, miriwo isina kubikwa uye michero isina kugezwa zvakanaka. Tinofanirawo kungwarira nezvezvinhu zvakaita semasaladhi nemasambol zvatinotenga muzvitoro.
• Nekunwa zvinwiwa zvisina kupiswa: mukaka, muto wemichero (nezvinhu zvakagadzirwa nazvo, zvakaita sechizi neaizi kirimu).
• Kunwa (kana kumedza) mvura yakasvibiswa: Tsvina yemhuka neyavanhu inogona kusvibisa mvura yechisikigo (madziva, nzizi, nzizi), madziva ekushambira, nemvura yekunwa isina mushonga.
• Nekubata tsvina kana nzvimbo dzakasvibiswa: Pakuchinja manapukeni, kupukuta mushure mekushandisa chimbuzi, kubata zvipfuyo zvepapurazi, kana kubata zvinhu kana nzvimbo dzakabatwa nemunhu ane chirwere cheE. coli, maoko ako anogona kuabata tsvina. Kana ukaisa maoko iwayo mumuromo mako, unogona kubata E. coli.
• Kusapukuta zvakanaka mushure mekushandisa chimbuzi: Izvi zvinogona kubvumira E. coli iri mutsvina yako kupinda mutsvina yako uye kukonzera hutachiona hwemutsvina (UTI).

Dzimwe nguva vacheche vanogona kubatwa nehutachiona hweE. coli pakuzvarwa.

E. coli chirwere chinotapukira here?

Ehe, E. coli inogona kupararira kubva kumunhu kuenda kune mumwe. Kunyangwe isingaparadzirwe nekusangana zvakananga, inogona kupararira nekutarisira munhu ane hutachiona hweE. coli, kunyanya kana ukasangana netsvina yake. Inogonawo kupararira nekubata zvinhu, pamusoro, kana chikafu chakabatwa nemunhu ane hutachiona hweE. coli asina kugeza maoko ake zvakanaka.

Ndiani ari panjodzi huru yekubatwa neE. coli?

Munhu wese anosangana nehutachiona hweE. coli hunokonzera chirwere ichi anogona kutapukirwa. Zvisinei, vanhu vanotevera ndivo vari panjodzi huru:

• Vacheche vachangoberekwa nevana vadiki
• Vanhu vane makore anopfuura 65 ekuberekwa
• Vanhu vane masoja emuviri asina simba (semuenzaniso, avo vane HIV kana kenza, kana avo vanotora mishonga inodzvinyirira masoja emuviri)
• Vanhu vane chirwere cheshuga ('Diabetes Mellitus')
• Vanhu vane zvirwere zvemudumbu zvakaita se ulcerative colitis

Ndezvipi zvinetso zvinogona kuitika nekuda kwehutachiona hweE. coli?

E. coli dzimwe nguva inogona kukonzera matambudziko anotyisidzira hupenyu, anosanganisira:

• Hemolytic Uremic Syndrome (HUS) : Izvi zvinogona kukonzera kukuvara kwakanyanya kweitsvo.
• Sepsis : Kuitika kwakanyanya kwemuviri kana paine utachiona muropa.
• Kusadya zvakanaka kana kusakura zvakanaka : Vana vadiki vane manyoka anoramba achikura vangasakwanisa kunwa zvinovaka muviri zvinodiwa nemiviri yavo uye vanogona kusakura zvakanaka.

Unoona sei hutachiona hweE. coli?

Chiremba wako achaongorora hutachiona hweE. coli zvichienderana nezviratidzo zvako. Kana uine manyoka kana zvimwe zviratidzo zvekugaya, chiremba wako achaongorora tsvina kuti aone kana E. coli iripo. Kana uine zvimwe zviratidzo, anogona kuongorora weti yako, ropa, kana cerebrospinal fluid (CSF) .

Ndezvipi zviedzo zvinoshandiswa kuona E. coli?

Miedzo chaiyo yeE. coli ndeiyi:

• Kuongororwa kwechitsiko
• Kuongororwa kweweti kana tsika yeweti
• Tsika yeropa
• Kuboorwa kwemusana/kupomba lumbar

Utachiona hweE. coli hunorapwa sei?

Utachiona hweE. coli hunokonzera zviratidzo zvekugaya chikafu kazhinji hahudi kurapwa. Vanachiremba havawanzopa mishonga inorwisa mabhakitiriya kana mishonga yekurwisa manyoka yeSTEC, nekuti mishonga iyoyo inogona kuwedzera njodzi yekuti munhu ane STEC awane HUS. Pane kudaro, vanachiremba vachatarisa mamiriro ako uye vachakupa mvura, senge saline, kudzivirira kupera mvura mumuviri.

Zvakakosha:Kana uine hutachiona hweSTEC, usatore mishonga yekurwisa manyoka (semuenzaniso, Loperamide) usina kupiwa mazano nachiremba.

Zvisinei, kana uine rumwe rudzi rwehutachiona hweE. coli - hwakadai sehutachiona hwemunzira yeweti, meningitis kana sepsis - kana zviratidzo zvako zvakanyanya, chiremba wako achakurapa nemishonga inorwisa mabhakitiriya.

Ndeapi maantibiotic anopiwa pahutachiona hweE. coli?

Mamwe maantibiotic anoshandiswa navanachiremba pakurapa hutachiona hweE. coli ndeaya:

• `Trimethoprim/sulfamethoxazole/TMP/SMX`
• `Ciprofloxacin`
• 'Rifaximin'
• Nitrofurantoin (inowanzo shandiswa pakurapa hutachiona hwemudumbu)

Utachiona hweE. coli hunogona kudzivirirwa here?

Chinhu chakakosha chaunogona kuita kuti uzvidzivirire kubva kuhutachiona hweE. coli kugeza maoko ako . Zvakakosha zvikuru kugeza maoko ako nesipo nemvura inopisa munguva idzi:

• Usati wabika chikafu uye wapedza, uye wapedza kubata nyama nehove mbishi.
• Mushure mekuenda kuchimbuzi, mushure mekuchinja manapukeni, mushure mekubata mhuka.

Pamusoro pezvo, unogona kuderedza njodzi yekutapukirwa neE. coli nekutevera nzira dzakachengeteka dzekugadzirira chikafu:

• Usanwe mukaka usina kupiswa kana muto wemichero.
• Geza miriwo nemichero yose isina kubikwa zvakanaka pasi pemvura inoyerera usati wadya.
• Usangosiya nyama mufiriji pacounter woinyungudutsa. Inyungudise mupurasitiki.
• Usageze nyama usati waibika. Kugeza nyama kunogona kuparadzira mabhakitiriya kunzvimbo dzakapoteredza, midziyo, nezvimwe zvekudya.
• Shandisa bhodhi rekucheka repurasitiki, silicone, kana ceramic pakugadzira nyama isina kubikwa. Mabhodhi ekucheka emapuranga akaoma kuchenesa zvachose uye anogona kuva nemabhakitiriya.
• Shandisa nzvimbo dzakasiyana pakugadzirira marudzi akasiyana echikafu. Nzvimbo dzakadai semabhodhi ekucheka dzinogona kuparadzira mabhakitiriya. Kana usina mabhodhi ekucheka akasiyana, mushure mekushanda nenyama mbishi, geza nzvimbo yacho zvakanaka nesipo nemvura inopisa usati waisa imwe mhando yechikafu (senge miriwo mbishi) pairi.
• Bika nyama dzose kusvika pakupisa kwakachengeteka usati wadya.
• Usaise nyama yakabikwa mundiro ine nyama mbishi.
• Isa chikafu chasara mufiriji nekukasika.

Chii chinoitika kana E. coli ikatanga?

Utachiona hweE. coli hunogona kukonzera chero chinhu kubva pamanyoka asina kunyanya kuoma kusvika kuzvirwere zvinouraya. Vanhu vazhinji vanopora vega kana nemaantibiotics. Utachiona hweSTEC hahuwanzo rapa, asi ungangoda rubatsiro rwekutsigira, senge saline. Unogona kuendeswa kuchipatara uye kuparadzaniswa kuti umise kupararira kweSTEC.

E. coli yava nenguva yakareba sei iripo?

Zvichienderana nerudzi rwehutachiona hweE. coli hwaunahwo, zviratidzo zvako zvinogona kutora mazuva maviri kusvika kumavhiki maviri. Utachiona hweSTEC hunowanzogara kwemazuva mashanu kusvika manomwe.

Utachiona hweE. coli huchapora hwega here?

Kurwara kwemudumbu kudiki kweE. coli pamwe chete nezvimwe zvirwere zvemunzira yeweti zvinogona kudzikira zvega. Unogona kudzikira mukati mevhiki imwe chete usina kurapwa. Zvisinei, kana uine manyoka akanyanya anogara kwemazuva akati wandei, uchirwadziwa mudumbu, uchirwadziwa paunoita weti, kana kuti usingabudi weti yakawanda, unofanira kuona chiremba.

Unogona kufa neE. coli here?

Ehe, hutachiona hweE. coli hunogona kuuraya. Zvidzidzo zvinoratidza kuti huwandu hwerufu hunokonzerwa nehutachiona hweE. coli hunosvika 17%. Zvisinei, mhedzisiro yezvidzidzo izvi yakasiyana zvakanyanya (kubva pa8% kusvika 35%). Kazhinji, hutachiona hweE. coli hunokonzerwa neE. coli hahuna mukana wekuuraya kupfuura humwe hutachiona hweE. coli.

Sepsis ndiyo inonyanya kukonzera rufu kuvanhu vane hutachiona hweE. coli. Huwandu hwerufu hwakakwira kuvanhu vari pasi pegore rimwe chete, vanopfuura makore makumi mana nemana, avo vane hutachiona hwekufema, kana avo vane hutachiona husingapindure nemishonga inorwisa mabhakitiriya.

Ndinozvitarisira sei?

• Usadye kana kunwa chero chinhu chinowedzera manyoka (senge caffeine, doro).
• Inwa mvura yakawanda kuti usapere mvura mumuviri.
• Kana chiremba akuona kuti une STEC (kunyanya E. coli O157:H7), usatore mishonga yekurwisa manyoka (yakadai sebismuth subsalicylate - Pepto-Bismol®, Kaopectate®, kana loperamide - Imodium®). Mishonga iyi inogona kuwedzera njodzi yako yekubatwa neHUS.

Ndinofanira kuona chiremba rini?

Kana uine manyoka kwemazuva anopfuura matatu, uine zviratidzo zvehutachiona hwemunzira yeweti, kana kuti uine mamwe matambudziko ehutano, ona chiremba.

Ndinofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Kana uine chimwe chezviratidzo izvi, enda kuchipatara chiri pedyo kana kutsvaga rubatsiro rwechiremba nekukasika:

• Kana usingakwanise kuderedza mvura.
• Kana uine manyoka ane ropa.
• Kana uchirutsa kakawanda.
• Kana fivha iri pamusoro pe103 degrees Fahrenheit (40 degrees Celsius).
• Kana ukaita weti shoma.
• Kana uine kuvhiringidzika kana kuchinja kwepfungwa.
• Kana usina simba kana kuti une hope.

Mibvunzo ipi yandinofanira kubvunza chiremba?

Zvingabatsira kubvunza chiremba mibvunzo yakaita seiyi:

• Mishonga ipi yakachengeteka kuti nditore?
• Ndine rudzii rweE. coli?
• Nzira yekudzivirira kupararira kweE. coli?
• Chii chandinofanira kuita kudzivirira izvi kuti zvisaitike mune ramangwana?

E. coli rudzi rwebhakitiriya rinogona kugara mumiviri yedu risingakonzeri matambudziko. Asi mamwe marudzi ehutachiona anogona kutirwarisa, kunyanya kana akasvika panzvimbo dzaasingafaniri. Utachiona hwakawanda hweE. coli hunozopera hwega. Asi kana zviratidzo zvako zvikagara kwemazuva mashoma kana kuti zvakanyanya, unofanira kuona chiremba.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, kubva pane zvatakurukura, ndinovimba wanzwisisa zviri nani nezveE. coli. Ramba uchifunga nezvepfungwa idzi:

• E. coli haina kuipa kune wese munhu, asi mamwe marudzi ane njodzi.
• Kugeza maoko ndiyo nzira yakanakisisa yekudzivirira izvi. Iva nechokwadi chekugeza maoko ako usati wagadzira chikafu uye mushure mekushandisa chimbuzi.
• Chenjerera kuchena paunenge uchigadzira chikafu. Bika nyama isina kubikwa wobva wabata hove zvakanaka, uye geza michero nemiriwo zvakanaka.
• Kana uine manyoka kana kurwadziwa mudumbu kwemazuva akati wandei, kana manyoka acho achiperekedzwa neropa, kana uine fivha , iva nechokwadi chekuona chiremba.
• Usatore mushonga wemanyoka usina kurairwa nachiremba, kunyanya kana uri chirwere che'STEC'.

Tinovimba kuti ruzivo urwu ruchakubatsira. Ramba uine hutano hwakanaka!

E. coli, E. coli, utachiona, manyoka, kurwadziwa kwemudumbu, utachiona hwemunzira yeweti, chepfu yechikafu, mabhakitiriya