LISTERIOZ

LISTERIOZ (Listeriosis), listerellyoz, yak nav bemorii siroyati, ki asosan bo osebi silsilai asabi markazi, guddahoi limfavi va tagyiroti khun padid meoyad. Angezandai L. Listeria monocytogenes ast; on qalamchamikrob buda, spora hosil namekunad. Dar khok, ob, jasadi hayvonot afzoish meyobad. Dar natijai jushondan badi 3 daq., hamchunin zeri tasiri moddahoi gandzudo mahv meshavad.
Manbai angezandai L. jonvaroni vahshi (parrandaho, gurgu ruboh, hayvonoti sumdor) va khonagi (khuk, moli kalon, buzu gusfand), sagu gurbaho va g. meboshand. L. dar hayvonot sabuk jarayon meyobad, vale onho angezandahoi bemoriro muddati ziyod khorij mekunand (bo shir, peshob, akhlot, luobi bini, obi bachadon).
Odam hangomi istemoli obu gizoi oluda bo angezandaho yo nafas giriftani change, ki dar on mikrobho mavjudand, siroyat meyobad. Holathoi ba L. giriftor shudani korgaroni korkhonahoi sanoati gusht va shir niz ba mushohida merasand. Listeriyaho ba organizmi odam az joyhoi osebyoftayu kharoshkhurdai pust vorid meshavand. L. khususan okhiri bahor va tobiston avj megirad.
Davrai nihonii bemori 3 – 45 (aksar 18 – 20) ruz ast. L. shaklhoi gunogun dorad (angiozoseptiki, gadudi, asabi, tifi, omekhta). L. ba tavri shadid ogoz yofta, haror. baland (39 – 40°) meshavad, sar dard mekunad, bemor sustu beholat gashta, mushakho va bandu bugum mesuzad, dilbehuzuri va qay rukh menamoyad. Mumkin ast chashm va ruy surkh shavad. Badi 5 – 7 ruz dar badan hasba medamad. Dar mavridi L.-i asab, ki bo alomathoi sarsom padid meoyad, guddahoi limfavii mavzei kalon meshavand. Davrai tabu tasfi L.-i tifi duru daroz buda, dar tan hasba medamad, jigar va sipurz kalon meshavad. L. imkon dorad, ki orizahoi gunogun – pnevmoniya, endokardit, uretrit va g. boqi guzorad.
L. dar kudakoni navzod niz ba mushohida merasad. Onho asosan hangomi dar batni modar budanashon siroyat meyoband. Dar natija kudak pesh az muhlat ba dunyo omada, bisyor vaqt mefavtad.
L.-ro bo antibiotikho va sulfanilamidho tabobat mekunand, dar mavridi zarurat doruhoi kortikosteroidi tain menamoyad.
Bo maqsadi peshgirii L. hayvonoti kasalro barmahal oshkor va tabobat kardan lozim ast; manbai bemoriro dezinfeksiya mekunand. Ba qoidahoi behdoshti shakhsi rioya kardan lozim. SHiri hayvoni kasalro boyad jushond.