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。。
但什么是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
Saturday, June 28, 2008
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8 comments:
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?
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.
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