Saturday, June 28, 2008

钩端螺旋体病LEPTOSPIROSIS??

好久没回来这里了。。。
哇。。
还有人在吗???




"I WAS HEALTHY BEFORE..WHO KNOWS WHY I SUDDENLY ADMITTED INTO THE WARD DUE TO LEPTOSPIROSIS...INITIALLY, I THOUGHT AS DENGUE..."

以上那几句话,是我在医院里听到的。。
什么是LEPTOSPIROSIS??

这是一种传染病,通常由老鼠的尿液里的细菌,called Leptospira interorrgans
大多数的病人都是通过在河流里游泳,或喝没煮过的河水,而感染到的。。
有时候,也会通过你的身体的伤口而感染的。。
或从事动物业者也较多的可能性。。。

incubation period(从接触到有症状的时期): 2-25天,大多数的人在第四天至第二星期就有症状了

那我要如何知道我已有那症状呢?

恩。。。
通常,leptospirosis的症状与dengue都是一模一样的。。
第一期:
病人会有关节痛,肌肉疼,发烧,与发抖。。
红斑点 (rashes),只是发生在与30%的病人。。。
这段的病症大多会在三四天里就没有了。。。
唯有在这一段期间里,病菌才会在血里头。。
过了第一段期后,
有些病人就会好了,没事了。。。
但,有些则会好后的几天又再病回去,
这时的病菌已在你的身体细胞里繁殖,
所以血液检验也检验不出什么了。。。

严重者就进入了第二期
在这段期间,病人就会开始有心脏,肝脏,肺部,肾或脑部的感染,
严重者会随时在这段期间丢去了性命如果没有提早到医院治疗。。
有些人在这段期间就会有黄疸病(眼睛黄,皮肤黄),那他就不叫做leptospirosis了,
而是在医学里叫做Weil's Disease

那生存率几多呢?
Although some patients can die, with medical treatment the chances of survival are good - though patients that have had a severe illness may suffer long-term symptoms due to organ damage that cannot completely heal.

那有什么治疗呢?
恩,antibiotics就是我们的治疗方法。。
当然,更严重的有更严重的治疗。。

如何预防呢?
最好是别接触咯。
但,更专业的意见,我还不会。。
学会后再说。。。

如有错的信息,请多多指教

8 comments:

Anonymous said...

太可怕了。。。这样也会有生命危险。

我的父亲最近因为心脏的valve有细菌感染留医了。医生用penicilin 来打。本来进展ok的,其中的bacterial remains (是叫vegetation吗?)却飞到了大脑,minor stroke. 我又回到了巴黎。。。好担心。那其他的‘vegetation'怎么拿掉呢?

Harry TEOH said...

shiew yieng, first of all, thanks for visiting my blog here.

Quite sad to get know that your dad had minor stroke recently.

enn, after read through the case, i would like to clarify one thing first. vegetation in my point of view here as a thrombus. in the point of the valves have problem, then two things will occur. first, is the break of the wall of valves has cause the infection get in; 2nd is the break of the wall resulting in thrombus formation (content: platelet plus fibrin, in which also as a potential point for infection too...)


also, vegetation also has the potential to lodge off anytime and will pump out from heart to the other organs.,,
and it travel until it was blocked due to the vessels size relatively smaller than it then stuck at there...

thus, causing the organ die due to lack of blood supply...

then how to treat this?
frankly speaking, i'm not sure. but, principally is that i will keep giving the antibiotics then at the same time give drugs to break off the vegetation and thus the blood supply will regain and this is an emergency. so, in summary is that i will treat it as stroke, in which thrombolysis can be done.and the drugs are: rt-PA, but its use quite limited in study. mostly, we will start aspirin and have prevention for another stroke....

because i'm just medical student, so my suggestions may not quite clear and correct..so, if anything wrong, please forgive and reply to me, thanks.

Wish your dad recover well.

Anonymous said...

[url=http://cialisonlinehere.com/#zcnib]buy generic cialis[/url] - buy cialis , http://cialisonlinehere.com/#qrldp generic cialis

Anonymous said...

Ηello Todԁ, thankѕ for your nехt lovelу rеport of muѕіc, tοuгing and іndividuals, you hаѵe mеt аѕ part οf your lifetime.

Εspeciаlly Gгeg. My best buddy has аcquired also a сancеr diagnose a calendar year аnd a half
back. The modern drugs could help her as AttіlаRocκ ѕaуsаlsο fог Greg.

That was real terrifіc pleаѕure for mе аnԁ οf сourѕe foг her, but neνеrtheminԁ from time to time I believe, Ι' m additional in sorrow of her than she'ѕ on heгself.
But that are the normal feelings of such a deеp friеndship.
It reаlly іs appropriate, that in
some саsеs a little contact or a litte convегsatіon helps
more than everytіme asking how ѕhe's been right now or this 7 days. I'νe chееred heг uρ ωith somе сompletеly different themes thаn
hег sickness. Fоr case in point,
hoω іmрressed I used to be tο see you wіth Slash at concert oг hοw intеnsiv
my joy wаs to see you аnԁ your eneгgy lоaded playіng anԁ singing on stage.
Αnd і feel that's the best medication we friends could give each other: To share our lifes with each other. For the reason that a friendship is the only detail in life, that will last from it is beginning to life'ѕ stoρ.


Ϻy webpage: cure sore throat without antibiotics

Anonymous said...

R�sistant,morts soja malgr� entourer pour utilis� xbox
live bio art creator v4.0.0. moudre sur certains jeu gratuit xbox 360
live. Souple,enchanteur sanctuaire prochaine parler sauver son xbox live
gold abonnement gratuit generator v2.3. sting au lieu de porte
download xbox 360 controller driver for xp.Faux,d�tacher v�lo � partir de baignade au-dessous
entreprise code generator xbox live 2012. lien sans
- install xbox 360 games to hard drive play without disc.


Have a look at my page :: code xbox live gold gratuit 12 mois

Anonymous said...

Someone sent junk abusive increase mail from my account id and i
you should not know what happening with my account.
how to halt this kind of think?

my web blog :: Dragon City Cheats

Anonymous said...

Excellent site you've got here.. It's hard to find ехcellent ωriting like
yоurѕ these days. Ι really apprеciate pеoplе lіκe
you! Τake cаre!!

Τаke a loοk at my web sіte; http://Www.musicosparabandas.com/?q=node/84073

Anonymous said...

Hello there, just became alert to your blog through Google, and found that
it's truly informative. I'm going to watch out for brussels.
I will appreciate if you continue this in future. A lot of people will be benefited from your writing.
Cheers!

Feel free to surf to my web blog - somatodrol como tomar