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Dysentery is a contagious illness attributable to micro organism of Shigella group. The supply of an infection is diseased particular person and micro organism service. An infection happens through contaminated meals, water, objects. Dysenteric microbes are settled in giant bowel inflicting its irritation, superficial erosion and sores.
Signs and course
Incubation interval lasts from 1 to 7 days (typically 2 -Three days). The illness begins acutely with temperature improve, chills, fever, weak point, lack of urge for food. Then do seem pains in stomach – at first they’re boring and are unfold all through the stomach, additional they grow to be extra acute.
Pains could happen in decrease a part of the stomach, typically on the left facet, not often on the suitable facet of the physique. Pains normally do improve earlier than an infection. Do seem drawing pains in rectum space throughout dejection and in 5 – 15 after it. Throughout stomach palpation are seen spasms and soreness of the colon, principally frank in sigmoid colon space which is palpated within the type of thick binder.
Bowel motion happens extra typically, dejections initially have fecal character, then they’ve combination of mucus and blood., then is effused somewhat quantity of mucus with threads of blood. Period of the illness is from 1 to 9 days.
Recognition
For the popularity is used information of epidemiological anamnesis. scientific manifestations similar to widespread intoxication, frequent dejection with mucus or blood, cramp-like pains in stomach in left facet. Vital position performs rectosigmoidoscopy which helps to detect indicators of mucus irritation in distal areas of rectum. Launch of dysenteric microbes throughout bacteriological examination of excrement proves the prognosis.
Therapy
Dysenteric sufferers could also be handled in a contagious hospital and at residence as effectively. It’s essential to take antibiotics similar to tetracycline ((0,2-0,3g 4 occasions each day), laevomycetin (0,5g 4 occasions each day throughout 6 days).
Nonetheless, microbes resistance to antibiotics was elevated significantly and their effectiveness has diminished. Are also used furasolidone, nitrofurantoin 0.1g 4 occasions a day throughout 5 – 7 days. Nutritional vitamins are advisable. In extreme instances is made detoxing remedy.
Preventive Measures
– early detection and remedy
– water-supply supply management
– struggle with flies
– private hygiene
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Source by Connie M. Black
