Leptospirosis

Leptospirosis bu oria ojoo nke oria leptospira.

Enwere ike ịchọta nje ndị a na mmiri dị mma nke mmamịrị anụmanụ metụrụ. Nwere ike ibute ọrịa ma ọ bụrụ na ị rie ma ọ bụ metụta mmiri rụrụ arụ ma ọ bụ ala rụrụ arụ. Ọrịa ahụ na-eme na ọnọdụ okpomọkụ. Leptospirosis anaghị agbasa site na mmadụ gaa na onye ọzọ, belụsọ na obere okwu.

Ihe egwu nwere:

• Ngosiputa oru ndi oru ugbo - ndi oru ugbo, ndi oru ugbo, ndi oru ulo anumanu, ndi ozo, ndi ogwu, ndi na egbu osisi, ndi oru ugbo mmiri, ndi oru osikapa na ndi agha.
• Ihe ntụrụndụ - igwu mmiri ọhụrụ, ịkwọ ụgbọ mmiri, kayak, na ịnyagharị n'okporo ụzọ na-ekpo ọkụ
• Ngosipụta nke anụ ụlọ - nkịta na-azụ anụ ụlọ, anụ ụlọ anụ ụlọ, usoro mmiri ozuzo mmiri ozuzo, na òké ndị butere ọrịa

Ọrịa Weil, ụdị leptospirosis siri ike, dị obere na kọntinent United States. Hawaii nwere ọrịa kachasị elu na United States.

Mgbaàmà nwere ike were 2 gaa ụbọchị 30 (nkezi ụbọchị 10), ma nwee ike ịgụnye:

• Akọrọ ụkwara
• Ahụ ọkụ
• Isi ọwụwa
• Mgbu mgbu
• Ọrịa, ọgbụgbọ, na afọ ọsịsa
• Na-ama jijiji

Mgbaàmà ndị na-adịkarịkarị gụnyere:

• Ime mgbu
• Ndiiche akpa ume na-ada
• Ọkpụkpụ mgbu
• Conjunctival uhie uhie na-enweghị mmiri mmiri
• Enweela nnukwu lymph glands
• Mmụba ma ọ bụ imeju abawanye
• Mgbu mgbu
• Nkwesi olu ike
• Mkpụrụ obi
• Akpụkpọ anụ
• Akpịrị mgbu

A na-anwale ọbara maka ọgwụ nje na nje. N'oge ụfọdụ ọrịa, enwere ike ịchọpụta nje bacteria n'onwe ha site na iji nyocha polymerase chain PC (PCR).

Nyocha ndị ọzọ enwere ike ịme:

• Ọnụọgụ ọbara zuru ezu (CBC)
• Creatine kinase
• Imeju enzymes
• Urinalysis
• Omenala ọbara

Ọgwụ ịgwọ leptospirosis gụnyere:

• Ampicillin
• Azithromycin
• Ceftriaxone
• Doxycycline
• Penisilini

Ihe mgbagwoju anya ma obu ikpe di nkpa nwere ike choro nkwado nkwado. Nwere ike ịchọ ọgwụgwọ na ụlọ ọgwụ kpụ ọkụ n'ọnụ (ICU).

Echiche dị mma n'ozuzu. Otú ọ dị, ikpe dị mgbagwoju anya nwere ike ịnwụ ma ọ bụrụ na anaghị agwọ ya ngwa ngwa.

Nsogbu nwere ike ịgụnye:

• Nchịkọta Jarisch-Herxheimer mgbe enyere penisilini
• Meningitis
• Ọbara siri ike

Kpọtụrụ onye na-ahụ maka ahụike gị ma ọ bụrụ na ị nwere mgbaàmà ọ bụla nke, ma ọ bụ ihe kpatara nsogbu, leptospirosis.

Zere ebe mmiri na-adịghị ma ọ bụ mmiri idei mmiri na-asọkarị, karịchaa, n’ebe ndị dị n’ebe okpomọkụ. Ọ bụrụ na ekpughere gị na mpaghara dị egwu, kpachara anya iji zere ibute ọrịa. Yiri uwe, akpụkpọ ụkwụ, ma ọ bụ akpụkpọ ụkwụ na-echebe gị mgbe ị nọ n’akụkụ mmiri ma ọ bụ ala mmamịrị anụmanụ. Can nwere ike were doxycycline iji belata ihe egwu ahụ.

Weil ọrịa; Ọrịa Icterohemorrhagic; Ọrịa Swineherd; Osikapa-ubi fever; Ahụ ọkụ-ọnya; Ahụ ọkụ Ọgba mmiri; Ahụ ọkụ apịtị; Ọbara ọgbụgba ọbara ọgbụgba; Ọrịa Stuttgart; Ọrịa Canicola

• Ihe mgbochi

Galloway RL, Stoddard RA, Schafer IJ. Leptospirosis. CDC Yellow Book 2020: Ozi Ahụike maka Onye Njem Mba Nile. Lọ Ọrụ Maka Nchịkwa na Mgbochi Ọrịa. wwwnc.cdc.gov/travel/page/yellowbook-home. Emelitere July 18, 2019. Nabata October 7, 2020.

Haake DA, Levett PN. Speciesdị Leptospira (leptospirosis). Na: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, na Bennett Prinkpụrụ na Omume nke Ọrịa Na-efe Ọrịa. Agba nke 9. Philadelphia, PA: Elsevier; 2020: isi 239.

Zaki S, Shieh WJ. Leptospirosis. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 307.