Maererano naDr. Sumeth Onwandee, mukuru weMunicipal Institute for Disease Prevention muChiang Mai, mushanyi wekuEurope akarwara neutachiona hweLegionella hwakabatwa muhotera iri kuchamhembe kweguta. Kunobva utachiona igadziriro yemvura inopisa muhotera. Iyo system inosanganisira matangi emvura inopisa, matepi uye misoro yekugeza ichatariswa.
Dr. Sumeth anoti vazhinji veThais vanodzivirirwa neLegionella bhakitiriya, nepo vekunze vanotapukirwa. Utachiona hunopararira pakupisa kwe25 kusvika ku45 degrees. Unogona kurwara nekufema utachiona. Iwe haungarwari nekunwa mvura neLegionella.
Veterans chirwere
Vanhu vazhinji havarware mushure mekusangana neLegionella bacteria. Dzimwe nguva vanhu vanoona zviratidzo zvakapfava, sefuruwenza (legionella flu kana pontiac fever). Izvi zvichaenda zvega mushure memazuva mashoma. Muzviitiko zvakawanda, mabhakitiriya eLegionella anokonzera mabayo akakomba: chirwere cheLegionnaires kana Legionella pneumonia. Chirwere chinowanzotanga nefivha, kupindwa nechando, kutemwa nemusoro uye kurwadza kwetsandanyama, kuchiteverwa nechikosoro chakaoma. Kana pneumonia ikazokura, panogona kuve nezviratidzo senge:
- high fever
- kutadza kufema, kutsimbirira kana kurwadziwa pakufema
- kubvunda kunotonhora
- dzimwe nguva kuvhiringidzika kana delirium
- dzimwe nguva vanotambura nemusoro, kurutsa uye manyoka
Chero ani zvake anogona kubata legionellosis, kashoma kuti vanhu vari pasi pemakore makumi mana vaite pneumonia nekuda kwe legionella. Ngozi yepneumonia nekuda kwe legionella yakaderera, asi njodzi inowedzera nezera. Chirwere ichi chinowanzoitika muvarume kupfuura vakadzi. Vamwe vanhu vane njodzi yakanyanya yepneumonia nekuda kwe legionella:
- vanhu vanopfuura makore 60
- vanoputa
- mumwe munhu ane utano husina kunaka
- vanhu vanoshandisa mishonga inoderedza immune system yavo
Iwe unogona kurwara zvakanyanya nepneumonia inokonzerwa ne legionella. Kazhinji kupinda muchipatara uye kurapwa nemishonga inorwisa mabhakitiriya inodiwa. Mushure mekurwara, zvinogona kutora nguva yakareba munhu asati anyatsonzwa zvakanaka zvakare. MuNetherlands, vangangoita 2 - 10% yevarwere vane legionella pneumonia vanofa. Ngozi yerufu yakakura, kunyanya muvanhu vakura.
Legionella inomuka sei?
Mvura kazhinji ine mabhakitiriya mashoma elegionella. Asi dzimwe nguva legionella inogona kukura nekukurumidza mumvura, kunyanya kana mvura yakamira uye ichidziya pakati pe25 ne45 degrees. Kana mvura ine Legionella yakawanda ikapfapfaidzwa, mumwe munhu anogona kufema madonhwe madiki emvura (aerosols). Aya ndiwo maitiro anoita munhu kutapukirwa. Izvi zvinogona kuitwa, semuenzaniso, paunenge uchigeza kana kushandisa high-pressure sprayer. Whirlpools zvakare inoburitsa madonhwe madiki emvura anogona kufemerwa.
Hapana jekiseni rekudzivirira chirwere. Nokurega kusvuta unoderedza njodzi yepneumonia inokonzerwa ne legionella. Zvipatara, dzimba dzevakwegura uye mahotera muNetherlands, pakati pevamwe, vanosungirwa kuita matanho ekudzivirira kudzivirira kukura kwelegionella bacteria. Vapepeti havazive kuti izvi zvinoshanda sei muThailand.
Kunobva: Der Farang uye RIVM
zvakanaka,
Mazhinji madiki edzimba dzevaenzi / mahotera ane hita yakarembera pedyo nemusoro weshawa uye inopa mvura inopisa zvakananga kumusoro weshawa. Kumahotera makuru izvi zvinoitwa kuburikidza nepakati system, iyo yandinoona senjodzi, nekuti munhu wese anoziva kuti kuchengetedza muThailand hakutorerwe zvakanyanya.
MuChiang Mai, ndinogara ndichisarudza "Dutch Guesthouse", iyo ine heaters uye kune nguva dzose maDutch neBelgians kuti vataure navo.
Verenga mhinduro yaDick pazasi. MuThailand, mvura inotonhora inowanzodziya, kusiyana neNetherlands, mvura "inotonhora" muThailand ine ngozi. Legionella mabhakitiriya anonzwa akasununguka zvakanyanya pakupisa pakati pe25 ne45 madhigirii (ona chikamu chiri pamusoro), muThailand mvura inotonhora inowanzodziya kupfuura 25 degrees, saka ine njodzi kupfuura muNetherlands.
Mumakore angu 40 + mukurapa kwemvura muEurope, Africa uye Middle East uye ikozvino muASEAN, ndave ndine zvakawanda zvokuita neLegionella kudzivirira. MuNetherlands, pashure penzufu dzinoverengeka uye hosha dzakawanda dzenguva refu pakati pevakashanyira shoo yehorticultural muBlokker, N-Holland, mukutanga kwema90, zvakawanda zvakaitwa kudzivirira kusvibiswa. Kare raive dambudziko risingazivikanwe.
Mukutanga kwe2000s, mahotera mazhinji eTurkey akaiswa mazita nekuti aive akasvibiswa uye aisawanzoita chinhu.
Ini pachangu ndakapa kuisirwa kwakakura kwazvo pagwenya remagetsi enyukireya muFrance nekuti mvura yerwizi yekutonhodza yakanga yakasvibiswa zvakanyanya uye shongwe dzekutonhodza dzakafuridzira hutsi hune Legionella mumupata uri pedyo nePoitiers. Misasa yepazasi yakavharwawo. Mushure mekutanga kuiswa dambudziko rakapera.
Utachiona hunowanikwa kwese kwese mumvura yakasikwa yakadai semadhamu nenzizi uye rakazara nemamiriro ekunze muThailand. Hazvina musoro kuti vaThai havanetseki nazvo; mabayo nerufu hazvina kubatanidzwa nechiitiko ichi. Ini ndinogara muChiang Mai pachangu uye ndinove nechokwadi chekuti mvura yemuguta kubva mumadhamu inocheneswa mabhakitiriya ese, mavhairasi uye zvimwe zvipenyu, pamwe netsvina inoyangarara uye oxidized iron uye manganese, isati yapinda mutangi rangu repasi.
Pandinogezesa sefa yangu, dope rakasvibira rinobuda!
Ini handichina madhipoziti matema uye akaonda mumatangi echimbuzi, pombi nemisoro yeshawa, chiratidzo chebiofilm (zvakafa uye zvipenyu zvipenyu, kusanganisira Legionella).
Iyo isina kurongeka chlorination yemvura yemuguta haipe dziviriro yakakwana. Chiang Mai hazvina mutsauko uye zvakangoitika kuti zvave kuwanikwa nemushanyi pano uye chiremba akateerera akaongorora Legionella. Paracetamol inowanzorongedzerwa kana munhu ane zvichemo uye chirwere chacho chinongozviratidza muhutano hwakakwana mushure mekudzoka kubva kuzororo uye marudzi ose ezvikonzero zvakabatanidzwa nazvo, asi kusvibiswa muhotera (kana ndege) haisati iri nguva dzose.
Kutaura kweRIVM kuti kazhinji kunobvumirwa chete nevakwegura kune chokuita neDutch mamiriro ezvinhu apo mvura yemuguta inowanzotonhorera, uye inowanzoitika mupombi dzemvura inopisa uye ma air conditioners, ndosaka iye zvino akanyatsodzorwa uye akaiswa disinfected. Munyika dzinopisa, mvura inotonhora inodziyawo pakudziya, saka zvisikwa zvinonzwa zvakanaka. Vechidiki vanogonawo kubata chirwere ichi.
Thanks Dick,
Unopa tsananguro yakajeka. Zvichiri kuitwa nevanhu vasati vageza kuvhura pombi kweminiti (uye kumirira kunze kweimba yekugezera) vasati vatsika pasi payo. Utachiona hunokonzera mabayo ayo anokonzerwa nekufema mhute.