Botulism-ka dhallaanka

Botulism-ka dhallaanka waa cudur halis gelin kara nolosha oo uu keeno jeermis la yiraahdo Clostridium botulinum. Wuxuu ku koraa gudaha caloosha mareenka caloosha.

Clostridium botulinum waa noolaha isboorti sameeya ee dabeecadda ku badan. Kudka waxaa laga heli karaa carrada iyo cuntooyinka qaarkood (sida malab iyo qaar ka mid ah sharoobada hadhuudhka).

Botulism-ka dhallaanka wuxuu badanaa ku dhacaa dhallaanka yaryar inta udhaxeysa 6 toddobaad ilaa 6 bilood. Waxay dhici kartaa ugu horreyn ugu horreyn 6 maalmood iyo ugu dambeyn 1 sano.

Cunsurrada halista waxaa ka mid ah liqitaanka malab sida ilmo ahaan, agagaarka carro wasakhaysan, iyo haysashada wax ka yar hal saxaro maalintii muddo ka badan 2 bilood.

Calaamadaha waxaa ka mid noqon kara:

• Neefsasho joogsata ama gaabisa
• Calool fadhiga
• Baarkoobaha indhaha oo hoos u dhaca ama qayb ahaan xirma
• "Floppy"
• Maqnaanshaha xanjo
• Lumidda xakamaynta madaxa
• Curyaannimo oo hoos ugu faafa
• Quudinta oo liidata iyo naas nuujinta daciifka ah
• Neefsashada oo xumaata
• Daal aad u daran (caajis)
• Oohin daciif ah

Bixiyaha xanaanada caafimaadka ayaa sameyn doona baaritaan jireed. Tani waxay soo bandhigi kartaa murqaha oo yaraaday, dareen-celin gaas ah oo maqan ama yaraatay, dib-u-dhac dareen-celin qoto dheer oo maqan ama hoos u dhacay, iyo hoos u dhaca indhaha.

Saxarada laga qaado ilmaha ayaa laga baari karaa sunta botulinum ama bakteeriyada.

Electromyography (EMG) ayaa la samayn karaa si looga caawiyo sheegista farqiga u dhexeeya dhibaatooyinka muruqyada iyo neerfaha.

Botulism difaaca jirka globulin waa daaweynta ugu weyn ee xaaladan. Dhallaanka hela daaweyntan waxay leeyihiin joogitaan cisbitaal oo ka gaaban iyo xanuun fudud.

Ilmo kasta oo botulism leh waa inuu helaa daryeel taageero inta ay bogsanayaan. Tan waxaa ka mid ah:

• Hubinta nafaqada habboon
• Nadaafada marinka hawada
• Daawashada dhibaatooyinka neefsashada

Haddii dhibaatooyinka neefsashada ay soo baxaan, taageerada neefsiga, oo ay ku jiraan isticmaalka mashiinka neefsashada, ayaa loo baahan karaa.

Antibiyootigyada uma muuqdaan inay caawinayaan ilmaha si dhakhso leh. Sidaa darteed, looma baahna haddii cudur kale oo bakteeriya ah sida oof wareenku ku soo baxo mooyee.

Isticmaalka botulinum antitoxin ee bini-aadamka ka timaadda sidoo kale way caawin kartaa.

Marka xaaladda la ogaado oo goor hore la daaweeyo, canugga inta badan wuxuu sameeyaa soo kabasho buuxda. Dhimasho ama naafo joogto ah waxay sababi kartaa kiisas murugsan.

Neefsasho la'aanta neefsashada ayaa horumarin karta. Tani waxay u baahan tahay in laga caawiyo neefsashada (hawo farsamo).

Botulism-ka dhallaanka wuxuu noqon karaa mid nafta halis geliya. Aad qolka gargaarka degdegga ah ama wac nambarka degdegga ee maxalliga ah (sida 911) isla markaaba haddii dhallaankaaga uu leeyahay astaamo botulism ah.

Aragti ahaan, cudurka waa laga hortagi karaa iyadoo laga hortago soo-gaadhista kudka. Dhiig-baxa Clostridium waxaa laga helaa malab iyo sharoobada galleyda. Cuntooyinkan waa in aan la siinin dhallaanka ka yar 1 sano jir.

Birch TB, Bleck TP. Botulism (Clostridium botulinum). Gudaha: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, iyo Bennett Mabaadi'da iyo Ku Dhaqanka Cudurada faafa. 9aad. Philadelphia, PA: Elsevier; 2020: cutubka 245.

Khouri JM, Arnon SS. Botulism-ka dhallaanka. Gudaha: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. Feigin iyo Cherry ee Buugga Cudurada faafa ee cudurada caruurta. 8aad ed. Philadelphia, PA: Elsevier; 2019: cutubka 147.

Norton LE, Schleiss MR. Botulism (Clostridium botulinum). Gudaha: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Buugga Buugga Caafimaadka Caruurta. 21aad ed. Philadelphia, PA: Elsevier; 2020: cutubka 237.