Izifo zesimiso sokuphefumula, ezigeleza njenge-pneumonia, kuthiwa yisifo sezinhlangano ezingenayo i-sprosta. Lezi zifo azihlangene namasosha aseRoma lasendulo kanye neFrance Foreign Foreign Legion, kodwa umlando wayo uyathandeka kakhulu. Kodwa-ke, akubalulekile kakhulu ukwazi imininingwane yokutadisha lokhu, ukukwazi ukulwa nayo. Ake sizame ukuhlanganisa la maphuzu amabili.
Iyini i-syndrome yamaLegionaries?
Ubani ozovela nesizathu sokubiza ukugula kukaLegionna ukuthi i-air conditioner? Phakathi naleso sikhathi, lokhu ukutheleleka, okuhlobene namagciwane okugaya-negciwane, kusakazeka ngokusebenzisa izinhlelo zokuphuza umoya nezindlela zokuhlanza umoya.
Ngokokuqala ngqa, iLegionella yatholwa futhi ichazwa e-US ngo-1977, lapho inhlangano yenhlangano ihlanganisa wonke umuntu wangaphambili wezempi wase-US, i-American Legion, ukuqubuka kwezifo ezithathelwanayo ezifana ne-pneumonia. Kulaba bantu abangu-4 000 ababebe khona kulo mcimbi, abangu-220 babegula. Ngesikhathi abadokotela bebona imbangela yalesi sifo futhi baqala ukuthatha izinyathelo zokuvimbela, izikhulu ezingama-18 zadlulile. Kuphelele, ama-veteran angu-34 empi afela enhlanganweni yaseFiladelphia abulawa yilesi sifo.
Abacwaningi basheshe bathola i-pathogen - beyi-bacterium Legionella pneumonium, eyasakazwa ohlelweni lokumoya emoyeni.
Kuze kube manje, le-agent ye-causative ye-legionellosis ihlolwe kahle futhi cishe ayikho amacala abulalayo. Njengoba i-microbe isakazeka emvelweni wamanzi ngokushisa okwanele, akukaze kwenzeke ema-air conditioners asekhaya nasehhovisi. Kodwa izikhungo ezinkulu, kuhlanganise nezikole nezibhedlela, zingaba indawo yokusabalalisa amabhaktheriya. Ukutheleleka kubangelwa amaconsi amanzi amancane aphethwe umoya, isimo sifana nesifo se-pneumonia. Nazi izimpawu ezisemqoka zesifo seLegionnaires:
- ukushisa okuphezulu;
- i-malaise jikelele;
- ama-aches emajoyini;
- ukuphefumula;
- ubukhulu esifubeni;
- ukukhwehlela, ngezinye izikhathi ngokuhoxiswa kwe-phlegm;
- ikhanda elibi;
- isimo somkhuhlane kufaka phakathi ukujuluka, isizungu kanye nezinye izibonakaliso zezici.
Ngemuva kokuba umuntu ephilisa izinambuzane ezincane ezithathelwanayo, kancane kancane zisakazeka ezithombeni zokuphefumula, ikakhulukazi-emaphashini. Isikhathi sokukhushulwa siyizinsuku ezingu-5-7, kodwa kunezimo lapho isifo se-legionnaires senziwa ngokushesha. Ukuxilongwa kwe-legionellosis kwenziwa ngokuhlaziywa kwe-bacteriological of sputum, lokhu kukuvumela ukuba ukhethe imithi yokwelapha efanele yokwelashwa.
Ukuvimbela nokwelashwa kwe-legionellosis
Umzimba onempilo kahle ukulwa nokutheleleka, ngakho-ke ngisho nangenkathi igciwane ngamagciwane, ayithinti izitho zangaphakathi futhi afe ezinsukwini ezimbalwa. Kodwa abantu abanempilo embi bahamba kalula kangaka ngeke basebenze. Ukwelashwa okungaphelele kanye nokuguga kube yizinto ezivusa ukuba iLegionella isakazeke emaphashini. Ngakho-ke, ukuvimbela i-legionellosis kubandakanya ukuqiniswa okujwayelekile komzimba kanye nokuphila okunempilo. Ukuyeka ukubhema nakho kwandisa amathuba okuthola ngokushesha.
Muva nje, ukutheleleka kwezifo zeLegionnaires ngokusebenzisa ama-air conditioners kuye kwaba okungajwayelekile, abakhiqizi baye bacabanga ngalesi sikhathi futhi benza amadivaysi anzima kakhulu ukuthola ama-bacterium. Kodwa i-legionellosis isaba khona ohlwini lwezifo ezidumile
Ukwelashwa kwe-legionellosis kuya ngokwesiko elijwayelekile - isiguli sishiwo ama-antibiotic afanelekayo nezinqubo ezihloswe ekuqedeni amaphaphu we-sputum. Futhi kuboniswa ukuphumula kombhede kanye nezindlela zokubuyisela. Njengomthetho, ukuphuluka kuza ngokushesha futhi akubanga imbangela. Yiqiniso, esimweni lapho isiguli ngokuhamba kwesikhathi saphendukela kudokotela futhi asinaki izincomo.