Shigellosis

Tus mob Shigellosis yog tus kab mob kis los ntawm txoj hnyuv hauv cov hnyuv. Nws tshwm sim los ntawm pawg kab mob hu ua shigella.

Muaj ob peb hom kab mob shigella, suav nrog:

• Shigella sonnei, tseem hu ua "pab pawg D" shigella, yog lub luag haujlwm rau feem ntau tus mob shigellosis hauv Tebchaws Meskas.
• Shigella flexneri, lossis "pawg B" shigella, ua rau yuav luag txhua lwm yam mob.
• Shigella dysenteriae, lossis "pawg A" shigella muaj tsawg heev hauv Tebchaws Meskas. Txawm li cas los xij, nws tuaj yeem ua rau muaj kev sib kis tuag nyob hauv cov tebchaws vam meej.

Cov tib neeg muaj tus kab mob tso rau hauv lawv cov quav. Lawv tuaj yeem kis tus kab mob mus rau dej lossis khoom noj, lossis ncaj qha rau lwm tus neeg. Tau txais me ntsis ntawm cov kab mob shigella rau hauv koj lub qhov ncauj txaus kom ua rau mob.

Kev muaj mob shigellosis tau cuam tshuam nrog kev tu cev tsis huv, khoom noj tsis huv thiab dej, thiab lub neej muaj neeg nyob coob.

Shigellosis muaj ntau rau cov neeg taug kev hauv cov tebchaws thiab cov neeg ua haujlwm lossis cov neeg nyob hauv cov neeg tawg rog.

Hauv Tebchaws Meskas, tus mob feem ntau pom nyob hauv cov tsev zov menyuam thiab cov chaw uas muaj cov tib neeg nyob, xws li tsev laus.

Cov tsos mob feem ntau yuav tshwm sim li 1 txog 7 hnub (thaj tsam li 3 hnub) tom qab kov tau cov kab mob.

Cov tsos mob muaj xws li:

• Mob (duav) mob plab lossis cramping
• Mob taub hau
• Ntshav, hnoos qeev, lossis kua paug hauv cov quav
• Crampy qhov quav
• Xeev siab thiab ntuav
• Quav ntshav thiab ntshav ntswg

Yog tias koj muaj cov tsos mob ntawm tus mob shigellosis, koj tus kws kho mob yuav kuaj xyuas:

• Lub cev qhuav dej (tsis muaj dej txaus hauv koj lub cev) nrog lub plawv dhia ceev thiab ntshav siab
• Lub plab zom zaws
• Qib kom txo cov qe ntshav dawb hauv cov ntshav
• Tso quav txhawm rau kuaj cov qe ntshav dawb

Lub hom phiaj ntawm kev kho mob yog txhawm rau hloov dej thiab electrolytes (ntsev thiab lwm yam zaub mov) uas ploj lawm thaum raws plab.

Cov tshuaj uas tiv thaiv qhov mob raws plab tsis yog muab rau vim lawv tuaj yeem ua rau kis mob mus ntev dua kom ploj mus.

Kev saib xyuas tus kheej kom tsis txhob muaj lub cev qhuav dej muaj xws li haus cov tshuaj electrolyte los hloov cov kua uas ua kom raws plab. Ntau hom khoom siv roj ntsha muaj nyob rau hauv cov khw muag khoom (tsis tas yuav tshuaj).

Cov tshuaj tua kab mob tuaj yeem pab txo qhov mob ntev npaum li cas. Cov tshuaj no tseem yuav pab tiv thaiv kom tus mob tsis txhob kis mus rau lwm tus hauv pawg pab pawg nyob lossis chaw zov menyuam. Lawv kuj tseem raug kho rau cov neeg muaj mob hnyav.

Yog tias koj mob raws plab thiab haus tsis tau dej haus ntawm qhov ncauj vim yog xeev siab, koj yuav tsum tau saib xyuas mob thiab tso dej raws leeg (IV). Qhov no feem ntau raug rau cov menyuam yaus uas muaj tus mob shigellosis.

Cov neeg uas siv cov tshuaj diuretics ("tshuaj dej") yuav tsum tau tsum tsis txhob noj cov tshuaj no yog tias lawv muaj tus mob shigella enteritis. Tsis txhob tsum tsis noj cov tshuaj yam tsis tau tham ua ntej nrog koj tus kws kho mob.

Tus kab mob yuav ua tau mob sib khuav thiab mus ntawm nws tus kheej. Cov neeg feem coob, tshwj tsis yog cov me nyuam noj zaub mov tsis zoo thiab cov tsis muaj zog tiv thaiv kab mob, feem ntau rov qab muaj qhov zoo dua.

Teeb meem yuav suav nrog:

• Lub cev qhuav dej, muaj mob hnyav
• Hemolytic-uremic syndrome (HUS), yog ib hom mob raum tsis ua haujlwm nrog ntshav tsis lo thiab teeb meem txhaws
• Kev mob caj dab

Li ntawm 1 ntawm 10 tus menyuam (hnub nyoog qis dua 15 xyoos) uas muaj tus mob shigella enteritis muaj teeb meem loj rau cov hlab hlwb. Cov no suav nrog kev ua kom qaug dab peg (tseem hu ua "ua npaws haum") thaum lub cev kub nce sai thiab tus menyuam muaj mob chua leeg. Ib qho kab mob hauv lub hlwb (mob hlwb) nrog mob taub hau, qaug zog, tsis meej pem, thiab txhav txhav txhaus kuj tseem tuaj yeem txhim kho.

Hu rau koj tus kws kho mob yog tias mob raws plab tsis txhim kho, yog tias muaj ntshav hauv nws cov quav, lossis muaj cov cim ua kom lub cev qhuav dej.

Mus rau chav kho mob ceev yog tias cov tsos mob no tshwm sim hauv tus neeg uas mob shigellosis:

• Tsis meej pem
• Mob taub hau nrog caj dab txhav
• Qaug zog
• Qaug dab peg

Cov tsos mob no feem ntau tshwm sim rau menyuam yaus.

Kev tiv thaiv suav nrog kev ua kom zoo, khaws cia, thiab npaj zaub mov, thiab kev nyiam huv. Kev ntxuav tes yog qhov zoo tshaj plaws los tiv thaiv tus mob shigellosis. Zam kev ua zaub mov thiab dej haus uas tuaj yeem paug.

Shigella mob ncauj plab; Shigella enteritis; Enteritis - shigella; Gastroenteritis - shigella; Neeg mob raws plab - shigellosis

• Lub plab zom mov
• Digestive system plab hnyuv siab raum
• Cov kab mob

Melia JMP, Suab quaj CL. Kab mob enteritis thiab proctocolitis. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob SiabCov. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 110.

Keusch GT, Zaidi AKM. Shigellosis. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 293.

Kotloff KL. Mob caj dab mob hauv cov menyuam yaus. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: cha 366.

Kotloff KL, Riddle MS, Platts-Mills JA, Pavlinac P, Zaidi AKM. Shigellosis. Kev Looj MemCov. 2018; 391 (10122): 801-812. PMID: 29254859 pubmed.ncbi.nlm.nih.gov/29254859/.