Legionellosis (Legionnaires 'chirwere, Pittsburgh pneumonia, Pontiac fever) inonyanya kuvharidzira utachiona hunokonzerwa neLegionella mabhakitiriya. Chirwere chacho chinowanzoperekedzwa nefivha, kunyanya kudhakwa kwemuviri, kukanganisa kwenheyo, mapapu, chirwere chekudya. Legionella inogona kukonzera uye zvipembenene zvakasiyana-siyana zvehutano hwemapfupa - kubva pakukanganiswa kwakanyanyisa kusvika kune pineumonia yakaoma.
Zvitubu zvehutachiona
Legionella inonzi microorganism inowanzoparadzirwa mune zvakasikwa. Kazhinji kacho legioella inowanikwa mumvura yakachena uye inowedzera yakawanda pane kutonhora kwe20 kusvika kune 45 degrees. Kuvharirwa kwevanhu kunowanikwa neaerosol, nekuputira madonhwe maduku emvura ane legionella bhakteriya, asi zvakananga kubva kune mumwe munhu kune mumwe, chirwere hachina kuparadzirwa.
Mukuwedzera kune chitubu chemvura (matongo), munyika yanhasi kune niche yakaumbwa, iyo ine mamiriro ezvinhu akanaka kune iyi microorganism. Iyi inzira yemvura ine hutano hwakakodzera hwekubereka mabhakitiriya, mafungiro emhepo uye humidification mifumo, yakavharwa mune imwe chete, dziva dzokushambira, mavhiripuru, nezvimwewo.
Chaizvoizvo, zita rechirwere - legionellosis kana "Legionnaires chirwere" -inobva kune yakatanga kunyorwa kuwanda kwevanhu, izvo zvakaitika muna 1976 pamusangano we "American Legion." Mhedzisiro yehutachiona yaiva air conditioning system muhotera, apo musangano wakabatwa.
Mumuviri air conditioner, mhepo inenge isina nguva yakakwana yekuunganidza kuti ive iyo inokonzera kusvibiswa, saka kutyisidzira hakusi kuderera kune rumwe rutivi. Njodzi dzinogona kuenzanisirwa nevadzidzisi vemhepo, kana vasingashanduki nguva dzose mvura.
Legionella - zviratidzo
Nguva yekudzivirira kwechirwere ichi, zvichienderana nechimiro, inobva maawa akawanda kusvika kumazuva gumi, pavhareji 2-4 mazuva. Chiratidzo chechirwere ichi neLegionella hutachiona hachisi chakasiyana nezviratidzo zvekukuvara kwepneumonia kunokonzerwa nezvimwe zvinhu. Muzvinyorwa zviitiko zvechirwere pakutanga zvakatarira:
- general weak;
- mising musungo;
- state weakness.
Zvino kukurumidza kukurumidza kutonhora kunotanga, kusvika kune 40 degrees, iyo isina simba kana kwete zvachose kusagadzikana ne antipyretics, chills, misoro inobvira. Chokutanga pane kushaya simba kwakasviba , iyo inowedzera nokukurumidza, pakupedzisira ikava yakanyorova, zvichida kukura kwehemoptysis. Zvisiri zvishoma zvinowanzoonekwa zviratidzo, zvakadai se:
- kudzvinyirira uye kurwadziwa kwepfungwa;
- nausea;
- diarrhea;
- kurwadziwa mumimba.
Dambudziko guru rechirwere ichi rinosanganisira kukura kwekupera simba, izvo zvinowanikwa munenge 25 muzana yevarwere vanoda kuchipatara.
Legionella - kuongororwa uye kurapwa
Kuona ruzivo rwegionallosis, kufanana nedzipi zvimwe zvepineumonia, hazvisi nyore. Kuongorora kwacho kwakarongeka zvakananga pakutsanangura bhenji reLegionella yakanyanya kuoma, yakareba uye yakarongerwa chete mune ma laboratori chaiwo. Zvirwere zvinowanzoshandisa nzira dzehurogi
Pasinei nezvinetso zvekuongororwa, chirwere ichi chinogona kurapwa nemishonga inorwisa mabhakitiriya . Legionella inonzwisisika neyerythromycin, levomycetin, ampicillin, haina hanya ne tetracycline uye hainyatsofungi penicillin. Kuti kuwedzere migumisiro yenguva yemishonga inorwisa mabhakitiriya inowanzobatana nekushandiswa kwe rifampicin.
Kurapa kweLegionellosis kunongoitwa chete mumamiriro ezvinhu akachengetwa, zvichifunga kubata kwechirwere chechirwere uye zvinogona kuitika. Kusaporesa kutarisirwa kwemurwere kunogona kutungamirira pakuguma kwekufa.