【CHIDULE】

Legionellosis ndi chibayo chachikulu chomwe chimayambitsidwa ndi mabakiteriya amtundu wa Legionella omwe amaperekedwa kubanja la Legionellaceae. Banja ili tsopano lili ndi mitundu 48 ndi magulu opitilira 60. Pafupifupi mitundu 20 imakhudzidwa ndi matenda a anthu. Matenda ambiri a Legionella amayamba ndi Legionella pneumophila. Matenda a Legionnaires ndi chiwonetsero chachikulu cha matenda a Legionella ngakhale matenda opitilira muyeso komanso matenda osakhala a chibayo monga Pontiac fever amapezeka. Dzina lakuti Legionella pneumophila linachokera ku mliri wochititsa mantha womwe unachitikira pamsonkhano wa asilikali wa ku America wa 1976 ku Philadelphia. Legionella pneumophila imayambitsa pafupifupi 90% ya matenda, ndipo mwa awa, oposa 80% amayamba chifukwa cha serogroup imodzi, serogroup 1. 2 Mabakiteriya a Legionella ndi ang'onoang'ono opaka Gram-negative ndodo ndi polar flagella. Mabakiteriya a Legionella amafalitsidwa kwambiri m'malo achilengedwe komanso okhala m'madzi opangidwa ndi anthu. Amapezeka mosavuta m'madzi abwino, nsanja zoziziritsira komanso m'madzi amchere. Zamoyozi zimatha kukhala ndi moyo m'mikhalidwe yosiyanasiyana, ndipo kutentha ndikofunikira kwambiri pakuchulukitsa kwa Legionella. Matenda a Nosocomial makamaka amagwirizanitsidwa ndi kukhazikitsidwa kwa dongosolo la madzi otentha m'chipatala ndi Legionella. Nthawi yokulitsa matenda a Legionnaires atakumana ndi mabakiteriya ndi kuyambira masiku awiri mpaka khumi. Odwala ambiri amene agonekedwa m’chipatala amatentha thupi kwambiri nthaŵi zambiri kuposa 39.5°C (103°F). Chifuwa chingakhale chizindikiro choyamba cha matenda a m'mapapo. Zizindikiro zina zofala ndi mutu, kupweteka kwa minofu, kupweteka pachifuwa, ndi kupuma movutikira. Zizindikiro za m'mimba ndizofala. Matenda a Legionnaires (LD) samapatsirana. Matendawa amafalitsidwa ndi aerosol, ndipo palibe umboni wosonyeza kuti munthu amapatsirana mwachindunji kwa munthu. Anthu amene ali pachiopsezo ndi anthu amene chitetezo chawo cham'thupi chawonongeka, kuphatikizapo olandira transplant, okalamba, osuta ndudu, kapena amene ali ndi matenda aakulu a m'mapapo kapena aimpso. Kuzindikira legionellosis kungakhale kovuta chifukwa zizindikiro ndi zizindikiro sizidziwika ndipo sizisiyanitsa matenda a L. pneumophila ndi zomwe zimayambitsa chibayo. Matenda a L. pneumophila amaonedwa kuti ndi ofala kwambiri koma mwina samazindikiridwa mocheperako ndipo amanenedwa mochepera. The underdiagnosis ya legionellosis mwina mwina chifukwa cha kufunikira kwa njira zoyezera mwachangu, zenizeni komanso zozindikira. Legionella pneumophila Rapid Test Cassette (Mkodzo) imapeza antigen yosungunuka kuchokera ku L .pneumophila serogroup 1 mu mkodzo.

【MALANGIZO OGWIRITSA NTCHITO】

Lolani kuti kuyesa, zitsanzo, ndi/kapena zowongolera zifikire kutentha (15-30°C) musanayesedwe. 1. Tsegulani thumba ndikuchotsa chipangizocho. Mukatsegulidwa, yesani kuyesa nthawi yomweyo. 2. Sakanizani mkodzo mofatsa kuti muwusakaniza musanayese. 3. Onjezani madontho 4 a mkodzo wozungulira (pafupifupi 100 μL) ku chitsime cha chitsanzo. 4. Dikirani kuti mzere wamtundu uwoneke. Werengani zotsatira pa mphindi 15, osamasulira zotsatira pambuyo pa mphindi 20.