Choi can be controlled and controlled, no need to panic

Recently, a cholera case in Wuhan University has attracted widespread attention. It is reported that patients have been controlled after effective diagnosis and treatment, and new cases have been found. What is cholera? How to prevent it? The reporter interviewed the relevant experts of the Disease Department of the First Hospital of Peking University.

Choib is acute intestinal infectious disease caused by cholera infection. It is understood that since 1817, 7 worldwide cholera has occurred, leading to tens of millions of people's death, which has caused serious blows to the health, economic development, and social stability in some people in the infected areas. Yu Yanyan, director of the Department of Infectious Diseases of Peking University First Hospital, introduced that cholera belongs to intensive infectious diseases and is one of the Class A infectious diseases stipulated in the "Prevention and Control Law of the People's Republic of China". Control department and isolate treatment. According to data from the National Health and Health Commission, from May to October each year, it is a high -turn season for my country's choice and no choice death cases in recent years.

"Typical cholera manifests violent diarrhea and vomiting, causing a large amount of water and electrolyte loss." Yu Yanyan pointed out that if the liquid cannot be replenished in time, the low -blood volume shock will occur (usually occur within 24 hours after the beginning of vomiting and diarrhea)) And death. "Proper replenishment treatment can reduce the mortality of patients with severe cholera from more than 10%to 0.5%."

"Although the disease is sudden and severe, there is no need to be too panic, because most infected people have no symptoms or only mild symptoms, orally can be cured. In addition, cholera patients rarely appear fever." Peking University No. 1 Xu Jinghang, deputy chief physician of the Department of Infectious Diseases, said.

What are the characteristics of cholera? "Chilen is mainly transmitted through water and food (especially aquatic products)." Yu Yanyan told reporters that there are multiple serum groups in cholera, but only the O1 and O139 groups can cause the epidemic. "Vibrio Vibrius survives according to floating biology in natural water, and the feces of cholera patients often pollute the crowds. The lively water bodies carried by water bodies and their aquatic products play a role in the occurrence and spread of crowd's cholera."

"There is a clear history of contact (such as meals, living, or caregivers, etc.) during the cholera and vomiting symptoms. Those who have no other reasons to consider whether it is caused by cholera." Xu Jinghang introduced that when it occurs, it is as if it is as if it is as if it is as if it is as if it is as if it is as if it is as if it is as if it is as if it is as if it is as if it of it. Strict diarrhea, water -like (yellow water, water -like, rice -like or blood -like), accompanied by vomiting, rapid dehydration, circulating failure, and muscle spasm (especially gastrocnemi muscle) such as clinical symptoms. Essence

How to diagnose? "If the cholera characteristic toxin gene is positive, it is considered a suspected case." Yu Yanyan introduced that the dynamic test and braking test of the feces, if they are positive, consider observing cases for medical observation, but further improvement of feces or vomit cultivation, feces, feces Or vomit PCR testing cholera characteristic toxin genes and other inspection items.

How long is the incubation period of cholera? How long does it take after contact? "The typical incubation period of cholera is 1-2 days, but because the host is susceptible and the amount of infectious bacteria is different, the short is several hours, and the length is 3-5." Yu Yanyan said.

"Under modern medical conditions, cholera is a cured disease." Xu Jinghang told reporters that the most important thing in cholera treatment measures is timely replenishment treatment, including supplementary moisture and electrolytes. You can drink oral replenishment salt with boiled water according to the instructions.

"If the vomiting is very serious, it can not be taken oral supplement, and the venous infusion should be used. It is not recommended to use antibiotics on a large scale. The excretion and excretion time in the middle. "

"The key to preventing cholera is to prevent 'disease from the mouth', pay attention to diet and water hygiene." Yu Yanyan reminded that you must do not drink raw water and eat unscayed foods (especially aquatic products). The cooked chopping board is separated, and you should wash your hands before meals. When vomiting or diarrhea occurs, go to the hospital's intestinal clinic as soon as possible.

(Guangming Daily All Media Reporter Tian Yating Cui Xingyi)

Source: Guangming Daily All Media Reporter Tian Yating Cui Xingyi

Responsible editor: Wang Zimo

Edit: Chang Ying Wang Yuanfang Wu Yaqi

- END -