Unodawo kuziva nezvechirwere chetyphoid here? (Typhoid Fever) Ngatikurukurei nezvazvo!

Kune mamwe mazuva aunonzwa kusagadzikana zvakanyanya, muviri wako uchirwadza kwemazuva, une fivha yakanyanya, uye pane chisina kumira zvakanaka mudumbu mako. Dzimwe nguva zviratidzo izvi zvinogona kukonzerwa nefivha yetyphoid. Ichi chirwere chinowanzoitika pakati pevanhu vedu. Saka nhasi, ngatitaurei nezvechinonzi fivha yetyphoid, chikonzero chinoita kuti iitike, uye kuti tingaigadzirisa sei.

Chii chinonzi Typhoid Fever? Zvichitaurwa zviri nyore...

Zvichitaurwa zviri nyore, typhoid fever chirwere chinotapukira chinokonzerwa nebhakitiriya. Mabhakitiriya anokonzera izvi ndi "Salmonella Typhi" (kana kuti "S. Typhi"). Chirwere ichi chinotanga nekupinda muura hwedu hudiki (kana kuti "mudumbu") . Zvadaro, zvinhu zvakaita sefivha yakanyanya uye kurwadziwa kwemudumbu zvinotanga kuitika. Typhoid fever inonziwo "enteric fever".

Ungave wakambonzwa nezve "Paratyphoid fever". Yakafananawo netyphoid, asi zviratidzo zvayo hazvina kunyanya kuipa. Inokonzerwa nebhakitiriya rinonzi "Salmonella Paratyphi" (kana kuti "S. Paratyphi").

Chinokosha ndechekuti, mabhakitiriya aya e'S. Typhi' ne'S. Paratyphi' akasiyana nebhakitiriya re'Salmonella' rinokonzera 'salmonellosis', chirwere chinowanikwa muchikafu chatinowanzo kunzwa nezvacho. Saka, musavavhiringe, zvakanaka here?

Ndiani ane mukana mukuru wekubata typhoid fiver?

Typhoid fever chirwere chinowanikwa munyika dzichiri kusimukira, kunyanya munzvimbo dzekumaruwa dzisina hutsanana hwakakwana . Chinonyanya kuwanikwa munyika dziri kuSouth neSoutheast Asia, Central neSouth America, Africa, neCaribbean. Vafambi vanoenda kunyika dzakadai sePakistan, India, neBangladesh ndivo vari panjodzi huru.

Munyika medu, kunyanya vana vadiki, vane mukana wekubata typhoid kupfuura vakuru. Nokudaro, vabereki vane vana vadiki vanofanira kunyanya kunetseka nezveizvi.

Fivha yetyphoid yakajairika zvakadii?

Pasi rose, zvinofungidzirwa kuti vanhu vari pakati pemamiriyoni gumi nerimwe kusvika makumi maviri nerimwe vanobatwa netyphoid gore rega rega. Zvisinei, munyika dzakadai seUnited States, Canada, Japan, Western Europe, neAustralia, izvi zvakaderera zvikuru. Izvi zvinokonzerwa nehuwandu hwakawanda hwehutsanana munyika idzodzo.

Unogona here kuparadzira typhoid fivha kunyangwe wapora? (Chirwere chinotapurira chirwere kwenguva refu)

Izvi zvinofanira kucherechedzwa. Vamwe vanhu vanogona kuparadzira chirwere ichi kwegore kana kupfuura mushure mekunge vapora kubva kufivha yetyphoid vasina kuratidza zviratidzo. Vanonzi "vanotakura chirwere kwenguva refu". Izvi zvinoreva kuti vanogona kuparadzira chirwere ichi kune vamwe kunyangwe vachifunga kuti havasi kurwara. Saka, zvakakosha kuti uongororwe mabhakitiriya e'S. Typhi` mushure mekunge wapora kubva kufivha yetyphoid kuti uve nechokwadi chekuti hausi kuparadzira chirwere ichi kune vamwe.

Typhoid neTyphus zvakafanana here?

Kunyange zvazvo mazita acho achinzwika zvakafanana, typhoid netyphus zvakasiyana.Zvirwere zviviri zvakasiyana zvachose zvinokonzerwa nemarudzi maviri akasiyana emabhakitiriya. Kare, vanachiremba vaifunga kuti chirwere chimwe chete, nekuti zviratidzo zvacho zvainge zvakafanana. Iye zvino tava kuziva kuti izvi zvirwere zvakasiyana, asi zita rinovhiringidza richiripo.

Ndezvipi zviratidzo zvefivha yetyphoid?

Fivha yetyphoid yakawana zita rayo kubva pafivha yakanyanya inogona kugara kwemavhiki kana ikasarapwa zvakanaka. Fivha iyi inowanzowedzera zvishoma nezvishoma zuva nezuva.

Zvimwe zviratidzo ndeizvi:

• Musoro.
• Kunzwa sekunge uri kutonhorwa (kutonhora).
• Chikafu hachina kunaka.
• Kurwadziwa kwemudumbu.
• "Mavara eruva" madiki, matema epingi anowanzoonekwa pamusoro peganda, kazhinji pachipfuva kana mudumbu. Izvi hazviwanikwe kune wese munhu.
• Kukosora.
• Kurwadziwa kwetsandanyama.
• Kusvotwa, kurutsa.
• Kuzvimba (manyoka) kana kuvimbiwa.

Zviratidzo izvi zvinogona kuitika chimwe pashure pechimwe, kana kuti zvimwe zvacho zvinogona kuitika chete.

Chii chinokonzera typhoid fivha?

Sezvatakambotaura, typhoid fever inokonzerwa nebhakitiriya rinonzi `S. Typhi`. Bakiteri iyi inogara muura hwevanhu vane chirwere ichi. Kubva ipapo, chikafu nemvura zvinosvibiswa.

Fivha yetyphoid inotapuriranwa sei?

Chirwere chetyphoid chinowanzo pararira kuburikidza nechikafu kana mvura yakasvibiswa nebhakitiriya rinonzi `S. Typhi`. Semuenzaniso, kana munhu ane typhoid akabata chimwe chinhu chaunodya kana kunwa mushure mekuenda kuchimbuzi asina kugeza maoko ake zvakanaka, kana mvura yakasviba (mvura yakasanganiswa neweti yakafa) ikapinda mumvura kana muchikafu chaunonwa, unogona kuwana chirwere ichi.

Zvichitaurwa zviri nyore, kusachena kwemuviri ndicho chikonzero chikuru. Kana munhu asingageze maoko ake mushure mekuenda kuchimbuzi, anogona kutapurira utachiona kumunhu waanoda kubata, kunyangwe kuburikidza nezvinhu zvakaita semagumbeze emusuwo nemafoni.

"Saka, unogona kubatwa netyphoid nekutsvodana here?" Ungabvunza. Kwete, typhoid haiparadzirwi nekutsvodana. Kazhinji kashoma kuti iparadzirwe zvakananga kubva kumunhu kuenda kumunhu. Asi sezvataurwa, inogona kupararira kuburikidza nezvinhu zvakabatwa nemaoko akasviba.

Matanho echirwere chetyphoid ndeapi?

Zviratidzo zvechirwere chetyphoid zvinogona kufambira mberi nematanho mana, asi matanho ese aya anogona kudzivirirwa kana kurapwa nemishonga inorwisa mabhakitiriya kukatanga kare .

• Danho rekutanga: Zviratidzo zvinogona kutanga mazuva mashanu kusvika gumi nemana mushure mekunge bhakitiriya reS. Typhi rapinda mumuviri wako. Chiratidzo chekutanga ifivha inokwira zvishoma nezvishoma zuva nezuva. Izvi zvinonziwo fivha "inokwira zvishoma nezvishoma", nekuti fivha inokwira sekukwira masitepisi. Munguva iyi, bhakitiriya inopinda muropa rako.
• Danho rechipiri:Vhiki rechipiri refuruu, mabhakitiriya anotanga kuwanda mu "Peyer's patches" yako (izvi zvikamu zvemuviri wedu wekudzivirira muviri zvinoona zvinhu zvinokuvadza). Unotanga kuva nematambudziko emudumbu akadai sekurwadziwa mudumbu, manyoka, kana kuvimbiwa. Vamwe vanhu vanogona kuwana "rose spots" idzodzo.
• Danho rechitatu: Kana hutachiona hukasarapwa nemishonga inorwisa mabhakitiriya, hunogona kukonzera kukuvara kukuru panosvika vhiki yechitatu mushure mekunge zviratidzo zvatanga. Vamwe vanhu vanogona kuva nematambudziko akakomba akadai sekubuda ropa mukati memuviri uye kuzvimba kweuropi (encephalitis).
• Danho rechina: Apa ndipo panotanga vanhu vazhinji kupora. Fivha yako yepamusoro inotanga kuderera. Zvisinei, bhakitiriya reS. Typhi rinogona kugara munduru yako pasina zviratidzo. Izvi zvinoreva kuti unogona kuparadzira chirwere ichi kune vamwe mushure mekunge wapora.

Chirwere chetyphoid chinoonekwa sei ?

Chiremba wako achashandisa zviratidzo zvako, nhoroondo yako yekufamba munguva pfupi yapfuura, uye bvunzo dzemurabhoritari kuti aongorore fivha yetyphoid. Achakuongorora uye kuteerera mwoyo wako nemapapu.

Kana uchangobva kuenda kunzvimbo ine typhoid yakawanda, kana kuti uchifunga kuti wakambova netyphoid, zvakakosha kuudza chiremba wako. Kana zvisina kudaro, vanogona kusakuyedza kuti une typhoid here. Ruzivo irworwo ruchavabatsira kusarudza kuti vangakupa mushonga upi.

Ndezvipi zviedzo zvinoshandiswa kuongorora fivha yetyphoid?

Chiremba achaedza sampuro dzemvura yemuviri wako kana nyama kuti aone zviratidzo zvebhakitiriya reS. Typhi. Heano mamwe emasampuli amungatora:

• Ropa: Ropa diki rinotorwa kubva paruoko rwako uchishandisa tsono.
• Tsvina/tsvina: Chiremba achakupa mudziyo usina utachiona uye mirairo yekuti ungatora sei sampuro.
• Weti/weti: Chiremba achakukumbira kuti uise weti mukapu.
• Kuongororwa kweganda: Dzimwe nguva, ganda diki rinogona kutorwa kubva panzvimbo ine mavara matsvuku. Zvisinei, izvi hazviwanzoitwa.
• Muromo wemapfupa: Iyi iongororo isingawanzoitiki. Ganda rinoshaya simba uye sampuli inotorwa kubva mukati memapfupa netsono yakakosha.

Pamusoro pezvo, unogona zvakare kutorwa X-ray kuti uone kana paine shanduko mumapapu ako.

Chii chinorapwa chirwere chetyphoid?

Typhoid inorapwa ne "antibiotics" . Zvisinei, mamwe marudzi matsva emabhakitiriya haadi "antibiotics" aya. Nokudaro, mhando ye "antibiotics" inopihwa inogona kusiyana zvichienderana nerudzi rwetyphoid yaunayo uye kwawakabatira chirwere ichi. "Paratyphoid fever" inorapwawo ne "antibiotics".

Kana uchirwara zvakanyanya kana kuti uine matambudziko, ungangoda kurapwa kwakawedzerwa. Muzviitiko zvakadaro, unogona kuendeswa kuchipatara.

Ndeipi mishonga inopihwa yetyphoid?

Chiremba anogona kunyora mishonga inorwisa mabhakitiriya yakaita seyiyi:

• `Ciprofloxacin`, `levofloxacin` kana `ofloxacin`.
• `Ceftriaxone`, `cefotaxime` kana `cefixime`.
• "Azithromycin".
• `Carbapenems`.

Kana chirwere chako chakanyanya kuipa, unogona kupiwawo mishonga yakaita sedexamethasone.

Kusagona kurwisa typhoid nemishonga inorwisa mabhakitiriya

Mabhakitiriya akaita seS. Typhi dzimwe nguva anoramba kushandiswa nemishonga inorwisa mabhakitiriya, zvichireva kuti mishonga inorwisa mabhakitiriya yaimboshanda haichakwanisi kuuraya mabhakitiriya.

Mishonga inorwisa mabhakitiriya yakashandiswa kurapa varwere vazhinji vetyphoid haichashandi. Asi mimwe mishonga ichiri kushanda. Mimwe mhando yetyphoid hairapiki nemishonga zvakanyanya (XDR typhoid). Mishomanana chete ndiyo inoshanda pakurwisa chirwere ichi. Ndosaka zvichikosha kuwana mushonga wekudzivirira kubva kutyphoid.

Vakuru vezvehutano vari kunetseka kuti typhoid haizorapiki kana mishonga iripo ikasashanda. Zvichibva pane zvabuda muongororo yako, uchapihwa mushonga unorwisa mabhakitiriya unoenderana nerudzi rwetyphoid yaunayo.

Ndingazvitarisira sei kana ndine typhoid fiver?

Chinhu chinonyanya kukosha ndechekutora mishonga yako yese sezvakarairwa nachiremba wako, kwenguva yese yemushonga wako. Kunyangwe uchinzwa zviri nani, unofanira kupedza mushonga wese. Bvunza chiremba wako kana zvakanaka kutora NSAID yefivha nekurwadziwa, senge ibuprofen (Advil® kana Motrin®), naproxen sodium (Aleve®), kana acetaminophen (Tylenol®).

Ndichakurumidza sei kupora mushure mekurapwa typhoid?

Kana ukatanga kurapwa nemishonga inorwisa mabhakitiriya nekukurumidza, unotanga kunzwa zviri nani mumazuva mashoma. Zvinogona kutora vhiki imwe kusvika mavhiki gumi kuti unyatsopora.

Ungaderedza sei njodzi yekubatwa nefivha yetyphoid?

Nzira yakanakisisa yekuderedza njodzi yako yekubatwa nefivha yetyphoid ndeyekuwana mushonga wekudzivirira, kungave uchigara munzvimbo inowanzo batwa nefivha yetyphoid kana kuti uri kuenda kune imwe. Kune mushonga wekudzivirira nejekiseni rekudzivirira. Zvichienderana nerudzi rwechirwere chaunowana, unofanira kuwana mushonga uyu mavhiki maviri usati waenda.

Unofanirawo kutora matanho ekudzivirira kudya kana kunwa chikafu chingave chakasvibiswa ne `S. Typhi` kana mamwe mabhakitiriya. Izvi zvinoshanda kumba uye paunenge uchifamba. Maitiro ekugadzirira chikafu chakachengeteka anosanganisira:

• Kana uchirwara, usabikira vamwe.
• Geza maoko ako nesipo zvakanaka usati wagadzira chikafu, usati wadya, uye wapedza kushandisa chimbuzi.
• Geza midziyo nemidziyo inoshandiswa pakugadzirira nekudya chikafu zvakanaka usati washandisa uye wapedza kushandisa.
• Kana usina chokwadi chekuti chikafu chauri kudya chakachengeteka here, idya chikafu chakabikwa zvakanaka kana chakaputirwa mumapuranga pese pazvinogoneka.
• Usanwe mvura isina mushonga kana kudya chikafu chakagadzirwa nemvura isina mushonga. Kana usina chokwadi, zvakachengeteka kushandisa mvura yemubhodhoro pakunwa nekubika.

Fungidzira, uri kuenda parwendo rupfupi neshamwari. Uri munzira, uchadya chimwe chinhu kuchitoro. Panguva iyoyo, tora nguva yekutarisa kana nzvimbo inogadzirirwa chikafu yakachena uye kana vanhu vari kupa chikafu vachinetseka nezvehutsanana. Kunyangwe chiri chinhu chidiki, zvichakubatsira kudzivirira dambudziko guru.

Chii chaungatarisira kana ukabatwa nefivha yetyphoid?

Zvichienderana nekuti unokurumidza sei kutanga kurapwa kwetyphoid, unogona kunzwa zviri nani mukati memazuva mashoma mushure mekutanga mishonga inorwisa mabhakitiriya. Chinhu chakakosha ndechekupedza mishonga yese sezvawakarairwa, kunyangwe ukatanga kunzwa zviri nani. Kunyangwe zviratidzo zvako zvapera, unogona kuparadzira chirwere ichi kune vamwe.

Typhoid fivha chirwere chinogona kunge chakakomba. Kana ukawana rubatsiro nekukurumidza, mikana yematambudziko akakomba inodzikira.

Kudzokera shure kwechirwere chetyphoid

Vamwe vanhu vane typhoid fiver vanogona kurwara zvakare mushure mekunge vaita sekuti vapora. Izvi zvinonzi "relapse." Izvi zvinowanzoitika vhiki imwe chete mushure mekunge wapedza kutora "antibiotics." Asi dzimwe nguva zvinogona kuitika mavhiki kana mwedzi gare gare. Zviratidzo zvako zvinogona kunge zviri zvishoma pane pawakatanga kubata typhoid.

Kana zviratidzo zvako zvikadzoka, enda kuna chiremba wako nekukasika. Ungangoda kutora imwe mishonga inorwisa mabhakitiriya.

Matambudziko anokonzerwa netyphoid

Kana typhoid ikasarapwa zvakanaka, uri panjodzi yekuva nematambudziko akakomba. Izvi zvinosanganisira:

• Kubuda ropa mukati.
• Kuboorwa kwedumbu (buri riri muura hwako).
• Kuzvimba kana kuputika kwenyongo.
• Zviratidzo zvepfungwa - kuvhiringidzika, kuvhiringidzika kwepfungwa, pfari.
• Kuzvimba kwakatenderedza uropi (meningitis).
• Bronchitis, pneumonia, kana mamwe matambudziko ekufema.
• Kutapukirwa nemapfupa (osteomyelitis).
• Kuzvimba kwetsandanyama yemwoyo.
• Kukundikana kweitsvo.
• Kubvisa pamuviri.

Izvi zvinganzwika sekutyisa, asi yeuka kuti zvakawanda zvezvinhu izvi zvinogona kudzivirirwa nekurapwa nekukurumidza.

Chirwere chetyphoid chinotora nguva yakareba sei?

Fivha yetyphoid, kana ikarapwa zviratidzo zvangotanga, inotora mazuva manomwe kusvika gumi . Kana ikasarapwa, kana kuti ikatorwa kurapwa kunonoka, inogona kutora mavhiki matatu kana kupfuura. Kana uine matambudziko kana kuti ukadzokera kuchirwere, zvinogona kutora nguva yakareba kuti unyatsopora.

Ko typhoid fever inouraya here?

Typhoid inogona kuuraya kana ikasarapwa nekukurumidza. Asi nemishonga yemazuva ano, vanhu vazhinji vanopona uye vanopora zvizere. Pamamiriyoni evanhu vanobatwa netyphoid gore rega rega, 1% kusvika 2% chete ndivo vanofa.

Ndingadzokera kubasa kana kuchikoro riini mushure mekupora kubva kutyphoid?

Zvichienderana nekwaunoshanda, ungasakwanisa kudzokera kubasa kusvika waongororwa kuti une bacteria yeS. Typhi. Kunyangwe uchinzwa zvakanaka, unogona kutapurira mumwe munhu typhoid. Bvunza kubasa kwako kana kuchikoro zvaunofanira kuita usati wadzokera.

Unogona here kuparadzira typhoid kunyangwe wapora?

Ehe, kusiyana nezvimwe zvirwere zvakawanda, unogona kuparadzira typhoid mushure mekunge zviratidzo zvako zvapera. Vanhu vanosvika 5% vanopora kubva kutyphoid vanoramba vachiparadzira chirwere ichi kwegore, kana kutopfuura. Vanhu ava vanonzi "vanotakura kwenguva refu." Mushure mekupora, zvakakosha kuti uongororwe kuti uve nechokwadi chekuti hausi kuparadzira typhoid kune mumwe munhu.

Ndinozvitarisira sei (mushure mekupora)?

Kana wapora kubva kufivha yetyphoid, zvakakosha kuti uone chiremba wako kuti akuongorore. Uchafanirwa kuongororwa kuti uve nechokwadi chekuti hauchatapurirani. Zvakare, tarisa kana paine zviratidzo zvechirwere ichi zvichidzoka.

Kana ukadzokera kuchirwere, kana kuti uchiri kutakura chirwere ichi, ungangoda kurapwa nemishonga inorwisa mabhakitiriya.

Ndinofanira kuona chiremba wangu rini nezvechirwere chetyphoid?

Kana uchigara munzvimbo ine typhoid yakawanda, kana kuti wakamboenda kune imwe, uye uine zviratidzo zvetyphoid, enda kuna chiremba nekukasika. Kana ukakurumidza kuwana kurapwa, mikana yako yekupora nekukurumidza inowedzera.

Ndinofanira kuenda kuDhipatimendi reEmergency (ETU) riini?

Kana uine chimwe chezviratidzo izvi, enda kuchipatara nekukurumidza:

• Fivha yakanyanya.
• Chituru chitema chine ropa kana kuti chisingaperi.
• Kurwadziwa kwakanyanya mudumbu.
• Kana ukakosora kana kurutsa wobva wabuda ropa.
• Zviratidzo zvine chekuita netsinga, zvakaita sekuvhiringidzika kana pfari.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

• Ndingatora sei mushonga wandakanyorerwa?
• Ndingaitei kuti ndigadzirise zviratidzo zvangu kumba?
• Ndinofanira kukuonai zvakare rini?
• Ndingadzivirira sei typhoid kuti isapararire kune vamwe?
• Ndezvipi zviratidzo zvandinofanira kutarisa kana chirwere chikadzoka?
• Ndinofanira kuongororwazve sei uye riini mushure mekupora?
• Vanhu vandinosangana navo padyo vanofanira kubaiwa majekiseni ekudzivirira typhoid here?

Ndiani uyu "Typhoid Mary"?

Iyi inhoroondo diki. Mary Mallon aive mubiki muNew York kuma1880 ekupedzisira. Aisava nefivha yetyphoid, asi aive asina zviratidzo zvekurwara. Izvi zvinoreva kuti aigona kuparadzira chirwere ichi kune vamwe. Nekuti aive nengozi kuhutano hwevanhu, New York State yakaisa Mary muchivande. Akarambidzwa kushanda semubiki.

Asi Mary aisanzwisisa kuti angaparadzira sei chirwere asingarware. Akaramba achishanda semubiki mushure mekuvharirwa kekutanga. Akatapurira vanhu vanopfuura zana chirwere chetyphoid, zvikauraya vanhu vashanu. Zvinofungidzirwawo kuti ndiye akakonzera denda muNew York City rakatapurira vanhu zviuru zvitatu. Akavharirwa kechipiri, kweupenyu hwake hwese. Kubva ipapo, akatanga kuzivikanwa sa "Typhoid Mary."

Nyika dzakadzora sei chirwere chetyphoid?

Chirwere cheTyphoid, icho chaimbokonzera denda rinouraya, ikozvino hachiwanzoonekwa munzvimbo dzakawanda, kusanganisira United States, Canada, Australia, neWestern Europe. Izvi zvinokonzerwa nehutsanana hwemazuva ano. Kunyangwe kumaruwa, kune mvura yakawanda yakachena yekunwa nekubika.

Fivha yetyphoid ingaita seyagara iripo, asi ichiri kuita kuti vanhu varware zvakanyanya pasi rese. Kunyangwe uchigara munzvimbo ine typhoid yakawanda kana kuti uri kuenda kune imwe, kubaiwa majekiseni ndiyo nzira yakanakisisa yekuzvidzivirira kubva pakubata chirwere ichi uye kuchiparadzira.

Kana uchifunga kuti ungangove uine typhoid, enda kuna chiremba nekukasika. Kana wapora kubva kutyphoid, ongororwa kuti uve nechokwadi chekuti hauparadzire chirwere ichi kune vamwe usingazivi, senge "Typhoid Mary."

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, saka tataura zvakawanda nezve typhoid fever. Chekupedzisira, hezvino zvimwe zvinhu zvekurangarira:

• Typhoid chirwere chinokonzerwa nemabhakitiriya uye chinopararira kuburikidza nechikafu nemvura zvakasvibiswa.
• Kana ukaona zviratidzo zvakaita sefivha yakanyanya, kurwadziwa mudumbu, kana musoro , kunyanya kana wakambova munzvimbo ine njodzi huru, enda kuna chiremba nekukasika.
• Zvakakosha kutora mishonga inorwisa mabhakitiriya panguva chaiyo uye nemazvo .
• Chirwere chinogona kudzivirirwa nekuchengetedza hutsanana hwemunhu (kunyanya kugeza maoko) uye kuchengetedza kuchena kwechikafu nezvinwiwa .
• Kuchenjera kubaiwa majekiseni kana uri kuenda kunzvimbo dzine typhoid yakawanda.
• Kunyangwe mushure mekunge wapora, ongororwa kuti uve nechokwadi chekuti hauna kuparadzira chirwere ichi kune mumwe munhu .

Kana ukanyatsochengeta zvinhu izvi, unogona kudzivirirwa kubva kufivha yetyphoid uye kudzivirira vamwe. Munhu wese anofanira kugara aine hutano hwakanaka!

Typhoid , fivha, zvirwere zvinotapukira, Salmonella typhi, hutsanana, mishonga inorwisa mabhakitiriya, kubaiwa nhomba