Iyini iShigella? Izimpawu, Izimbangela, & Ukwelashwa

I-Shigella uhlobo lwebhaktheriya ebangela ukutheleleka kwamathumbu okuthiwa yi-shigellosis. Lokhu kutheleleka kubangela ukweluka, ukubamba esiswini, nomkhuhlane njengoba umzimba wakho ulwa nebhaktheriya elilimaza esiswini sakho.

Izindaba ezinhle ukuthi abantu abaningi bayaphila ngokutheleleka kwe-shigella ngaphakathi kweviki ngaphandle kokudinga ukwelashwa okukhethekile. Nakuba kungazizwa kungalungile kakhulu uma uqhubeka nakho, ukuqonda ukuthi kwenzekani nokwazi ukuthi ungazinakekela kanjani kungakusiza uzizwe ulawula kakhulu ngesikhathi sokuphulukana.

Iyini iShigella?

I-Shigella yiqembu lebhaktheriya eliqondene ngqo namathumbu akho futhi libangela ukutheleleka. Kunezinhlobo ezine eziyinhloko zebhaktheriya ye-shigella, kodwa zonke zisebenza ngezindlela ezifanayo uma zingena esiswini sakho.

Uma ibhaktheriya ye-shigella ingena emzimbeni wakho, inamathela ekugqokeni kwamathumbu akho amakhulu bese iqala ukwanda. Lokhu kubangela ukuvuvukala nokuvutha, okubangela izimpawu ezingathandeki ongazibona. Isistimu yakho yokukhulula isiqaphela ngokushesha lezi bhaktheriya njengabaphangi bese iqala ukusebenza ukuze izisuse.

Okwenza i-shigella ikhathazeke ngokukhethekile ukuthi isabalala kanjani kalula kusuka kumuntu kuya komunye. Ngisho neqanda elincane lebhaktheriya lingabangela ukutheleleka, kungakho izifo ezithathelwanayo ngezinye izikhathi zenzeka ezindaweni lapho abantu bexhumekile khona.

Ziyini izimpawu zeShigella?

Izimpawu zeShigella ziqala ngokuvamile ezinsukwini eziyi-1 kuya kwezi-3 ngemuva kokuba ukhombiswe ibhaktheriya. Ukutheleleka kuzibonakalisa ngezimpawu eziningi zesisu nezimpawu ezijwayelekile ezingaba zibulali noma ezinamandla kakhulu.

Izimpawu ezivamile ongazibona zihlanganisa:

• Ukweluka okungaba nokugqwala noma ukhulu
• Ukubamba esiswini nobuhlungu besisu
• Umkhuhlane ongafinyelela ku-101°F noma ngaphezulu
• Ukuphefumula nokuhlanza okungathí sina
• Ukuzizwa ungalungile futhi ukhathele
• Ukucindezeleka kokwenza izinto zesisu

Ukuhlanza igazi kungase kubonakale kuyesabekayo, kodwa empeleni yindlela yomzimba wakho yokususa amabhaktheriya nezinto eziyingozi azikhiqizayo. Lesi simo sisiza odokotela ukuthi bahlukanise i-shigella kwamanye ama-bug esisu.

Kwezinye izimo, ikakhulukazi kubantwana abancane, ungase futhi ubone ezinye izimpawu ezifana nokuhlunguluka kwekhanda, ukuncipha kwesifiso sokudla, noma izimpawu zokuphelelwa amanzi kancane njengokuomelela okukhulu noma ukuya emathisini kancane.

Imikhakha yeShigella yini?

Kunezinhlobo ezine eziyinhloko zamabhaktheriya e-shigella, ngayinye inezingqikithi ezihlukile. Ukuqonda lezi zinhlobo kungasiza ekuchazeni ukuthi kungani ezinye izifo zingase zibe nokuhlukahlukana kwezinye.

I-Shigella sonnei yilona uhlobo oluvamile emazweni athuthukile njenge-United States. Ngokuvamile ibangela izimpawu ezincane futhi ivame ukubangela ukubhebhetheka ezikhungweni zokunakekela abantwana nasezikoleni. Lo mkhuba ngokuvamile uziphilisa ngaphandle kwezinkinga.

I-Shigella flexneri ivame kakhulu emazweni asathuthuka futhi ingabangela izimpawu ezinzima. Ngokuvamile isabalala ngamanzi noma ukudla okungcolile futhi kungathatha isikhathi eside ukuthi iphele kunamanye ama-type.

I-Shigella dysenteriae yiyona ndlela enzima kakhulu futhi ingakhiqiza i-toxin eyenza ukutheleleka kube nzima. Lo mkhuba awuvamile emazweni athuthukile kodwa ungabangela izinkinga ezinkulu uma ungaphathwa kahle.

I-Shigella boydii yilona uhlobo oluvamile kakhulu futhi ngokuvamile ibangela izimpawu ezifana nezinye izinhlobo. Itholakala kakhulu ezingxenyeni ezithile zase-Asia nase-Afrika.

Yini ebangela iShigella?

Ukutheleleka kweShigella kwenzeka lapho la mabhaktheriya engeza emlonyeni wakho bese eya esibindini sakho. Amabhaktheriya anamandla kakhulu, okusho ukuthi ngisho nezingxenye ezincane zingakwenza ube sisiguli.

Izindlela ezivamile abantu abathinteka ngazo zihlanganisa:

• Ukuthintana ngokuqondile nomuntu onaleyo ntshwa
• Ukuthinta izinto ezingcolile bese uthinta umlomo wakho
• Ukudla ukudla okulungiswe ngumuntu onezandla ezingageziwe
• Ukuphuza amanzi noma izithelo ezingcolile
• Ukubhukuda emachibini, ezihlahleni, noma kwamanye amanzi angcolile
• Ukuya ocansini nomuntu onaleyo ntshwa

Okwenza i-shigella ibe nzima ngokukhethekile yikuthi abantu bangasakaza ibhaktheriya ngisho nangaphambi kokuba bazwe begula futhi amasonto amaningana ngemva kokuba izimpawu zabo ziphele. Yingakho ukuhlanzeka okuhle kubaluleke kakhulu ekunqobeni ukusabalala.

Isimo sokungcola esibi kakhulu sanda kakhulu ingozi yokuphahlazeka kwe-shigella. Izindawo ezingenazo izinhlelo zokugeza ezifanele noma ukunikezwa kwamanzi acocekile zenza izindawo lapho ibhaktheriya ingasabalala kalula khona kusuka kumuntu kuya komunye.

Nini okufanele ubona udokotela ngeShigella?

Ukutheleleka okuningi kwe-shigella kuqeda ngokwalo, kodwa kunezimo ezithile lapho ukunakekelwa kwezokwelapha kubaluleke khona. Ukubona ukuthi nini kufanele ufuna usizo kungavimbela izinkinga futhi kusheshisise ukuphulukiswa kwakho.

Kufanele uxhumane nodokotela wakho uma uhlangabezana nezimpawu ezinzima njengomkhuhlane ophezulu ngaphezu kuka-101.3°F, igazi emathunjini akho, izimpawu zokulahlekelwa amanzi emzimbeni njengokukhungatheka noma ukunciphisa ukungcola, noma ubuhlungu obukhulu besisu obungaphuli ngokuphumula.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uthuthukisa izimpawu zokulahlekelwa amanzi emzimbeni okukhulu, kufaka phakathi ukoma okukhulu, umlomo owomile, ukungcola okuncane noma akukho, ukukhungatheka uma umi, noma ukudideka. Lezi zimpawu zibonisa ukuthi umzimba wakho ulahlekelwa yizinto eziningi kakhulu futhi udinga ukunakekelwa kwezobuchwepheshe.

Amaqembu athile abantu kufanele abone udokotela ngokushesha uma becabanga ukuthi banokutheleleka kwe-shigella. Izingane ezincane ezingaphansi kweminyaka emi-5, abadala abangaphezu kweminyaka engama-65, abesifazane abakhulelwe, nabantu abanesistimu yokukhulula ebuthakathaka babhekene nezingozi eziphezulu zezinkinga futhi bazuza ekuhlanganyeleni kwezokwelapha kwangaphambi kwesikhathi.

Uma izimpawu zakho ziqhubeka ngaphezu kweviki noma kubonakala sengathi ziyaqina kunokuba zibe ngcono, kubalulekile ukuba ubone udokotela ukuze ahlole isimo sakho ukuze kuvinjwe izinhlanganisela noma ezinye izimbangela.

Iyini izingozi ze-Shigella?

Izinto eziningi zingandisa amathuba akho okuthola ukutheleleka kwe-shigella. Ukuqonda lezi zingozi kungakusiza ukuthi uthathe izinyathelo ezifanele ezimweni ezahlukene.

Izingozi ezinkulu kakhulu zihlanganisa:

• Ukuba eduze nabantu abane-infection
• Ukusebenza noma ukuhlala ezindaweni ezikhukhumele njengezikhungo zokunakekela izingane, izikole, noma amakhaya asebekhulile
• Ukuya ezindaweni ezingenayo inhlanzeko
• Ukuba nesistimu yokukhulula ebuthakathaka
• Ukuba ingane encane, ikakhulukazi engaphansi kweminyaka emi-5
• Amadoda alala namadoda abhekene nengozi enkulu ngenxa yendlela ethile yokudlulisela

Izingane ezisezikhungweni zokunakekela izingane zibhekene nengozi enkulu ngoba zisafunda izindlela ezifanele zokuhlanza izandla futhi zivame ukwabelana ngamathuluzi nezinye izinto. Ibhaktheriya isakazeka kalula kulezi zindawo ngokusebenzisana kwabantwana okuvamile.

Abantu abaya emazweni asathuthuka angenayo ukwelashwa kwamanzi noma izinhlelo zokuthutha amanzi amnyama kufanele baqaphe kakhulu. Ngisho nezindawo zokudlela noma amahotele ahlanzekile kulezi zindawo zingaba namanzi angcolile noma izinkinga zokulungiselela ukudla.

Abantu abanesimo esenza sistimu yabo yokukhulula ibe buthakathaka, njenge-HIV, isifo sikashukela, noma labo abasebenzisa imithi ethile, bangase babe nezimpawu ezinzima futhi kuthathe isikhathi eside ukuphulukana nokutheleleka kwe-shigella.

Ziyini izinhlanganisela ezingaba khona ze-Shigella?

Nakuba abantu abaningi baphulukana ne-shigella ngaphandle kwezinkinga ezihlala njalo, ezinye izinhlanganisela zingase zenzeke, ikakhulu kubantu abasengozini. Ukwazi lezi zinto kungakusiza ukwazi ukuthi yiziphi izimpawu ozibona.

Izinhlanganisela ezivamile zihlanganisa:

• Ukuphelelwa amanzi okukhulu ngenxa yokulahlekelwa yi-fluid
• Ukuhlushwa yi-seizures kubantwana abancane ngenxa yokushisa okukhulu
• Ukutheleleka kwegazi uma ibhaktheriya isakazeka ngaphandle kwamathumbu
• I-arthritis esabela ebonakala emavikini ambalwa ngemuva kokutheleleka
• I-Hemolytic uremic syndrome, isifo esingavamile kodwa esinobukhulu esithinta izingqinamba

Ukuphelelwa amanzi kuyinkinga evame kakhulu, ikakhulu kubantwana abancane nabantu abadala. Imizimba yabo inamanzi ambalwa agcinwe, okubenza babe sengozini kakhulu yimiphumela yokukhuluphala nokugabha.

I-arthritis esabela ingase ibonakale emavikini angu-2 kuya kwangu-5 ngemuva kokutheleleka kokuqala, ibangela ubuhlungu nokuvuvukala kwamajozi okuhlala izinyanga. Lokhu kwenzeka uma i-immune system yakho iqhubeka isabela ngisho noma ibhaktheriya isiphelile.

Ezimweni ezingavamile, ikakhulukazi ngezifo ze-Shigella dysenteriae, i-hemolytic uremic syndrome ingase ibonakale. Lesi simo esibukhulu sithinta izingqinamba namaseli egazi, sidinga ukunakekelwa kwezokwelapha ngokushesha futhi mhlawumbe ukungena esibhedlela.

Ukutheleleka kwegazi kwenzeka uma ibhaktheriya ye-shigella iphuma kwamathumbu ingene egazini. Le nkinga ivame kakhulu kubantu abane-immune system ebuthakathaka futhi idinga ukwelashwa ngama-antibiotic.

Kungenzeka kanjani ukuvimbela i-Shigella?

Ukuvimbela ukutheleleka kwe-shigella kugxile ekuqedeni isakhiwo sokusakazeka ngezindlela ezinhle zokuhlambulula kanye nemikhuba ephephile yokudla namanzi. Lezi zinyathelo ezilula zinganciphisa kakhulu ingozi yakho yokutheleleka.

Izindlela ezisebenza kakhulu zokuvimbela zihlanganisa:

• Ukugeza izandla zakho kahle ngesepu okungenani imizuzwana engu-20
• Ukugwema ukudla namanzi angase abe ne-contamination
• Ukungalungiseleli ukudla kwabanye uma ugula
• Ukugwema ukuqubha emanzini angase abe ne-contamination
• Ukuba oqaphile ngokuhlambulula uma uhamba
• Ukulahla kahle ama-diaper nokuhlanza izindawo

Ukugeza izandla kuyindlela yakho eqinile kakhulu yokulwa ne-shigella. Geza izandla zakho ngemva kokusebenzisa igumbi lokugezela, ukushintsha i-diapers, ngaphambi kokudla, nangemva kokuthinta izinto ezingase zibe ne-bacteria. Isibhamu nesobho oluqhelekile kusebenza kangcono kune-hand sanitizer ekulweni ne-bacteria ye-shigella.

Uma uhamba, sebenzisa amanzi abotshwe noma aphathwe kahle ukuze uphuze futhi ugeze amazinyo. Gwema ama-ice cubes, imifino eluhlaza, nezithelo ongenakukwazi ukuzihlutha. Khetha ukudla okushisayo, okuphekwe kusanda kuphekwa ezikhungweni ezidumile.

Uma othile endlini yakho eneshigella, izinyathelo ezengeziwe ziyabalulekile. Hlambulula izinto ezithintwayo njalo njenge-doorknobs nezinto zokuhlanza. Gcina izitawula zomuntu olapheke nezinto zokudla zihlukile kuze kube yilapho ephulukile.

Abazali nabantu abanakho ukunakekela kufanele banakekele kakhulu ukuhlanzeka kokushintsha i-diapers. Lahla i-diapers ngendlela efanele, hlambulula izindawo zokushintsha nge-disinfectant, bese ugeza izandla kahle ngemva kwalokho.

I-Shigella ihlonishwa kanjani?

Ukuhlonishwa kwe-shigella kudinga ukuhlolwa kwelebhu ngoba izimpawu zayo zifanana nezinye izifo eziningi zesisu. Umhlinzeki wakho wezempilo uzoqala ngezimpawu zakho nembali yakho yezokwelapha ngaphambi kokubiza ukuhlolwa okuqondile.

Indlela eyinhloko yokuhlola ihilela ukuhlola isampula yesisu ukuze kubonwe i-bacteria ye-shigella. Lo mkhuba ngokuvamile ungakwazi ukubona uhlobo oluthile lwe-shigella ebangela ukutheleleka kwakho, lokhu kusiza ekuqondiseni izinqumo zokwelapha uma kudingeka.

Udokotela wakho uzokubuza ngezinto zakho zakamuva, imbali yokuhamba kwakho, nemithombo yokubandakanyeka. Lolu lwazi lubasiza ukuthi baqonde ukuthi i-shigella inokwenzeka yini nokuthi ukuhlolwa okwengeziwe kungadingeka yini ukuze kuvinjwe ezinye izimo.

Ezimweni ezithile, ikakhulukazi uma kukhona ukungabaza, umhlinzeki wakho wezempilo angase abeke ukuhlolwa okwengeziwe njengokuhlolwa kwegazi ukuze ahlole izimpawu zokulahlekelwa amanzi emzimbeni, ukutheleleka okusakazekayo kwezinye izingxenye zomzimba wakho, noma ezinye izinkinga.

Ukuhlolwa kwezihlalo kuvame ukuthatha izinsuku eziyi-1 kuya kwezi-2 ukuthola imiphumela, nakuba ukuhlolwa okusheshayo kutholakala ngezinye izikhathi. Phakathi nalesi sikhathi sokulinda, udokotela wakho cishe uzokuncoma izindlela zokunakekelwa okusekela ukuze ukhululeke kakhulu.

Iyini impilo yeShigella?

Ukutheleleka okuningi kwe-shigella kuphulukana ngokwalo ngaphandle kokwelashwa okukhethekile kwezokwelapha. Ukugxila okukhulu kukuhlala ukhululekile nokuvimbela ukuphelelwa amanzi ngenkathi isimo sakho sokuvikela simisa ibhaktheriya.

Ukukhathalela okusekela kuyisisekelo sokwelapha futhi kuhlanganisa ukuhlala unamanzi ngokwanele ngokuphuza amanzi amaningi, ukuphumula ngokwanele, nokudla ukudla okulula, okulula ukulihlanza uma uzizwa ulungile.

Ama-antibayothi awasetshenziswa njalo ngokutheleleka kwe-shigella ngoba awawaphoqeleli kakhulu ukugula futhi ngezinye izikhathi angawandisa ukukhishwa kwebhaktheriya. Noma kunjalo, udokotela wakho angase abhale ama-antibayothi ezimweni ezithile, njengokugula okukhulu, isimo sokuvikela esibuthakathaka, noma ingozi enkulu yokusabalalisa ukutheleleka kwabanye.

Imithi yokulwa nokuphethukela njenge-loperamide ngokuvamile ayinconywa ngokutheleleka kwe-shigella. Le mithi ingase iyeke inqubo yemvelo yomzimba yokususa ibhaktheriya futhi ingase ikhulise ingozi yezinkinga.

Uma uthola ukuphelelwa amanzi okukhulu, umhlinzeki wakho wezinsizakalo zezempilo angase akuncome izixazululo zokubuyisela amanzi emlonyeni noma, ezimweni ezinzima, amanzi e-intravenous ukubuyisela ibhalansi yamanzi nama-electrolyte omzimba wakho.

Imithi yokunciphisa ubuhlungu njenge-acetaminophen ingasiza ekulawuleni ubushushu bomzimba nokungakhululeki esiswini. Gwema i-aspirin, ikakhulukazi kubantwana, ngenxa yengozi yesimo esingavamile kodwa esibi esibizwa nge-Reye's syndrome.

Indlela yokwelapha ekhaya ngesikhathi seShigella?

Ukukhathalela wena ekhaya ngesikhathi sokutheleleka kwe-shigella kugxila ekuhlaleni unamanzi, ukuphumula ngokwanele, nokubuyela kancane kancane ekudleni okuvamile njengoba uzizwa ulungile.

Ukugcwala ngamanzi kuyinto ebaluleke kakhulu ngoba ukweluka nokushisa umkhuhlane kungabangela ukuba ulahlekelwe amanzi ngokushesha. Phuza amanzi kancane kancane, noma ama-broth acacile, noma izixazululo zokugcwala ngamanzi emlonyeni usuku lonke, ngisho noma ungazizwa uthanda ukuphaphaza.

Ukuphumula kuvumela isimo sakho sokuvikela ukuba sigxile kwamandla okulwa nokutheleleka. Ungazizwa unecala ngokuphumula emsebenzini noma esikoleni. Umzimba wakho udinga leli thuba ukuze uphulukiswe, futhi ukuhlala ekhaya kuvimba ukusabalalisa ukutheleleka kwabanye.

Uma kukhulunywa ngokudla, qala ngokudla okulula, okungenamvuthu njengoba isisindo sakho sibuya. Ukudla kwe-BRAT okuqukethe amabhanana, irayisi, i-applesauce, ne-toast kungaba lula esiswini sakho. Kancane kancane engeza ezinye izibiliboco ezimnene njenge-crackers, usoso lwengqolo, noma i-pasta elula.

Gwema imikhiqizo yobisi, ukudla okunoshukela, ukudla okunemafutha amaningi, nanoma yini enezinsizi ezakhiwe ngenkathi uphulukiswa. Lezi zingakucasula isisu sakho esivele sibuhlungu futhi zenze ukweluka kube kubi nakakhulu.

Qaphela izimpawu zokuthi ungase udinga ukunakekelwa kwezokwelapha, njengokuba izimpawu ziya kubi, izimpawu zokulahlekelwa amanzi okukhulu, noma ukushisa umkhuhlane okungaphenduli emithi yokuthengwa ngaphandle kwesikripthi. Themba izinzwa zakho mayelana nokuthi uzizwa kanjani.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela ukuvakashela kwakho udokotela kusiza uqinisekise ukuthi uthola ukunakekelwa okuwusizo kakhulu nolwazi ngesikhathi senkathi yenu ndawonye. Ukuba nemininingwane ethile ekulungele kungasiza umhlinzeki wakho wezempilo ukuba enze izinqumo ezichwepheshile mayelana nokwelashwa kwakho.

Ngaphambi kwe-aphoyintimenti yakho, bhala phansi ukuthi izimpawu zakho zaqala nini, zazinjani, nanoma yiziphi izinguquko ozibonile. Faka imininingwane mayelana nezindlela zokushisa umkhuhlane, ukukhuluphala kokweluka, nokuthi ubone igazi noma ukhulu emfutheni yakho yomzimba.

Buka imininingwane mayelana nemithombo yokutheleleka okungenzeka njengokuhamba okwenziwe muva nje, ukudla ezindaweni zokudlela ezithile, ukuxhumana nabantu abagulayo, noma imisebenzi efana nokugeza. Lo msebenzi wokucwaninga ungasiza udokotela wakho ukuthi aqonde ukuthi ungase utholakale kanjani.

Bhala uhlu lwamathuluzi owathathayo njengamanje, kuhlanganise nezinye izidakamizwa nezithasiselo. Amanye amaphilisi angathinta izimpawu zakho noma asebenzisane nezinye izindlela zokwelapha udokotela angase azicabangele.

Lungisa imibuzo ofuna ukuyibuza, njengokuthi ungalindela isikhathi esingakanani izimpawu zihlale, nini ungabuyela emsebenzini noma esikoleni, nokuthi yiziphi izimpawu ezixwayisayo okufanele zikukhuthaze ukuba ubone udokotela ngokushesha.

Uma kungenzeka, lungela ukunikeza isampula yesisu uma udokotela ekucela. Bangakunika isixazululo nemiyalo, noma bakukhombe elabhorathorini ukuze uthathe isampula.

Iyini into ebaluleke kakhulu ngoShigella?

Ukutheleleka yiShigella kuyinto evamile, kudukanyisayo kakhulu, kodwa ngokuvamile kuyizifo eziyaphela ngokwazo ezichitha ngaphakathi kweviki ngokunakekela okuhle. Nakuba izimpawu zingase zibe nzima, abantu abaningi bayaphila ngokuphelele ngaphandle kwemiphumela ehlala njalo.

Izinto ezibaluleke kakhulu okumele uzikhumbule ukugcina umzimba uthambile, ukuphumula ngokwanele, nokwenza ukuhlanzeka okuhle ukuvimbela ukusabalalisa ukutheleleka kwabanye. Ukugeza izandla kuhlala kuyindlela yakho engcono kakhulu yokuvimbela nokukhuthaza amalungu omndeni ngesikhathi sokuphulukana.

Unganqikazi ukuxhumana nodokotela wakho uma ukhathazekile ngezimpawu zakho, ikakhulukazi uma ubona izimpawu zokulahlekelwa amanzi okukhulu, ubushushu obuphezulu kakhulu, noma izimpawu ezibukeka sengathi ziyaqhubeka zibe zimbi kunokuba zibe ngcono.

Khumbula ukuthi ukuba neShigella kanye akuhlinzeki ukuvikelwa okuhlala njalo, ngakhoqhubeka nokwenza imikhuba emihle yokuhlanzeka ngisho nalapho usuphile. Ngokunakekela okuhle nokunakekela, ungalindela ukuzwa ubuye ezingeni elijwayelekile phakathi neviki noma ezimbili.

Imibuzo evame ukubuzwa mayelana neShigella

Ngingaba yini isikhathi esingakanani nginawo ubuthi beShigella?

Ungasakaza i-shigella kusukela ekuqaleni kwezimpawu kuze kube amasonto angu-1 kuya kwangu-2 ngemva kokuba ukukhuluphala kuye kwama, ngisho noma uzizwa uphilile ngokuphelele. Abanye abantu bangase bakhiphe ibhaktheriya kuze kube amasonto angu-4 ngemva kokululama. Yingakho ukugcina ukuhlanzeka kwezandla kubalulekile ngisho nasemva kokuba izimpawu ziphelile, futhi kungani ezindawo zokusebenza eziningi nezikole zidinga ukuhlolwa kwezisu okungabi namfithi ngaphambi kokuvumela abantu ukuba babuyele emisebenzini yokuphatha ukudla noma ukunakekela izingane.

Ngingayithola yini i-shigella ngaphezu kwesikhathi esisodwa?

Yebo, ungathola ukutheleleka kwe-shigella izikhathi eziningi ekuphileni kwakho. Ukuba nohlobo olulodwa lwe-shigella akukuvimbeli ekutholeni ukutheleleka ngezinhlobo ezingezona, futhi ngisho nokuvikeleka ohlotsheni olufanayo akukuthathi isikhathi eside. Yingakho ukuvimbela ngezindlela ezinhle zokuhlanzeka kuhlala kubalulekile ngisho noma uke waba ne-shigella ngaphambili. Ukutheleleka ngakunye kufana ngokuvamile ngokwezimpawu nesikhathi sokululama.

Kuphephile yini ukuthatha ama-probiotics ngesikhathi sokutheleleka kwe-shigella?

Nakuba ama-probiotics avame ukuphepha kubantu abaphilile, kungcono ukuhlola nodokotela wakho ngaphambi kokuwathatha ngesikhathi sokutheleleka kwe-shigella. Amanye ama-study abonisa ukuthi ama-probiotics athile angasiza ekuvuseleleni amabhaktheriya aphilile esisu ngemva kokwelashwa ngama-antibiotic, kodwa ucwaningo alukapheli ngokuqondile nge-shigella. Qala ngokuhlala uthambile futhi uthole ukuphumula okwanele, bese uxoxa ngokusetshenziswa kwama-probiotics nodokotela wakho uma unesithakazelo.

Ngingabuya nini emsebenzini noma esikoleni ngemva kwe-shigella?

Abantu abaningi bangabuya emsebenzini noma esikoleni amahora angu-24 ngemva kokuba ubushushu bomzimba buye buhle futhi ukukhuluphala kuye kwaba ngcono kakhulu, uma nje bekwazi ukugcina ukuhlanzeka okuhle. Noma kunjalo, abantu abasebenza ezinsizakalweni zokudla, ezempilo, noma ezinakekelweni zezingane bangase badinge ukulinda isikhathi eside futhi bangase badinge ukuhlolwa kwezisu okungabi namfithi ngaphambi kokubuyela. Hlola nomqashi wakho noma esikoleni mayelana nezinqubomgomo zabo ezithile, njengoba izidingo zingase zihluke kuye ngezinkombandlela zezeMpilo zasekhaya.

Kufanele ngigweme imikhiqizo yonke yobisi ngesikhathi sokuphulukana?

Ngokuvamile kuqondakala ukugwema imikhiqizo yobisi ngesikhathi sesigaba esibuhlungu sokuqanduseka kwe-shigella, njengoba abantu abaningi bathuthukisa ukungatholi amandla okudla i-lactose okwesikhashana lapho amabele abo evuvukile. Lokhu kusho ukuthi imikhiqizo yobisi ingenza ukweluka nokuphazamiseka kwesisu kube kubi. Ungabuye uqale kancane kancane ukudla imikhiqizo yobisi njengoba uzizwa kangcono, uqale ngezinani ezincane zezinketho ezilula zokudla njengayoghurt. Uma obisi luqhubeka nokubangela izinkinga, nikeza isisu sakho isikhathi esengeziwe sokuphulukisa ngaphambi kokuzzama futhi.