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24 June 2018

ع____ ___________

#ﺗﺸﺨﻴﺺ_ ﺍﻟﻤﺮﺽ :

ﻳﺘﻢ ﺗﺸﺨﻴﺺ ﺩﺍﺀ ﺍﻟﺒﺮﻭﺳﻴﻼﺕ ﺑﺸﻜﻞ ﺃﻛﻴﺪ ﺑﻌﺰﻝ ﺍﻟﺒﺮﻭﺳﻴﻠﺔ ﻣﻦ ﺩﻡ ﺍﻟﻤﺮﻳﺾ

ﺑﺰﺭﺍﻋﺔ ﺍﻟﺪﻡ Blood Culture , ﻭ ﺍﻟﺘﻲ ﺗﻜﻮﻥ ﻣﻮﺟﺒﺔ ﻓﻲ 70 - 80%

ﻣﻦ ﺍﻟﻤﺮﺿﻰ ﺍﻟﻤُﺼﺎﺑﻮﻥ ﺑﺎﻟﺒﺮﻭﺳﻴﻠﺔ ﺍﻟﻤﺎﻟﻄﻴﺔ Brucella Melitensis ﻭ

ﻓﻲ %50 ﻣﻦ ﺍﻟﻤﺮﺿﻰ ﺍﻟﻤُﺼﺎﺑﻮﻥ ﺑﺎﻟﺒﺮﻭﺳﻴﻠﺔ ﺍﻟﻤُﺠﻬﻀﺔ Brucella

.Abortus ﺃﻭ ﺯﺭﺍﻋﺔ ﺍﻟﺴﺎﺋﻞ ﺍﻟﺪﻣﺎﻏﻲ ﺍﻟﻨُﺨﺎﻋﻲ Cerebrospinal

Fluid ﻓﻲ ﺣﺎﻻﺕ ﺇﺻﺎﺑﺔ ﺍﻟﺠﻬﺎﺯ ﺍﻟﻌﺼﺒﻲ ﺍﻟﻤﺮﻛﺰﻱ ﻭ ﺍﻟﺘﻲ ﺗﻜﻮﻥ ﻣﻮﺟﺒﺔ

ﻓﻲ %30 ﻣﻦ ﺍﻟﺤﺎﻻﺕ .

ﺍﻹﺧﺘﺒﺎﺭ ﺍﻟﺸﺎﺋﻊ ﻟﺘﺸﺨﻴﺺ ﺩﺍﺀ ﺍﻟﺒﺮﻭﺳﻴﻼﺕ ﻫﻮ ﺇﺧﺘﺒﺎﺭ ﺍﻟﺘﺮﺍﺹ ﺍﻟﻤﺼﻠﻲ

Serum Agglutination Test ﻟﻠﻜﺸﻒ ﻋﻦ ﻭﺟﻮﺩ ﺃﺿﺪﺍﺩ ﻣﺼﻠﻴﺔ ﺿﺪ

ﺍﻟﺒﺮﻭﺳﻴﻠﺔ Brucella Antibodies Agglutination Test ﻭ ﺍﻟﺬﻱ

ﻳﻜﺸﻒ %95 ﻣﻦ ﺍﻟﻌﺪﻭﻯ ﺍﻟﺤﺎﺩﺓ .

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# ﺍﻟﻮﻗﺎﻳﺔ :

-1 ﻋﺪﻡ ﺇﺳﺘﻬﻼﻙ ﺍﻟﺤﻠﻴﺐ ﺍﻟﻐﻴﺮ ﻣُﺒﺴﺘﺮ ﺃﻭ ﻣُﻨﺘﺠﺎﺗﻪ .

-2 ﻟﺒﺲ ﺍﻟﻘﻔﺎﺯﺍﺕ ﻭ ﺍﻟﻜﻤﺎﻣﺎﺕ ﻭ ﺍﻟﻨﻈﺎﺭﺍﺕ ﺍﻟﻮﺍﻗﻴﺔ ﺑﺎﻟﻨﺴﺒﺔ ﻟﻠﻌﺎﻣﻠﻴﻦ ﻓﻲ

ﺍﻟﻤﺴﺎﻟﺦ ﻭ ﺍﻟﺒﻴﻄﺮﺓ ﻭ ﺍﻟﻤﺨﺘﺒﺮﺍﺕ ﻭ ﻛﺬﻟﻚ ﺍﻟﺼﻴﺎﺩﻳﻦ .

-3 ﺗﻘﺼﻲ ﺍﻟﺤﻴﻮﺍﻧﺎﺕ ﺍﻟﻤُﺼﺎﺑﺔ ﺑﺪﺍﺀ ﺍﻟﺒﺮﻭﺳﻴﻼﺕ ﻓﻲ ﺍﻟﻤﺴﺎﻟﺦ ﻭ ﺍﻟﻤﺰﺍﺭﻉ .

-4 ﺗﻠﻘﻴﺢ ﺍﻟﺤﻴﻮﺍﻧﺎﺕ ﺍﻷﻟﻴﻔﺔ ‏( ﻣﺼﺪﺭ ﻏﺬﺍﺀ ﻟﻺﻧﺴﺎﻥ ‏) ﺿﺪ ﺍﻟﺒﺮﻭﺳﻴﻠﺔ .

-5 ﻋﻼﺝ ﺍﻟﻜﻼﺏ ﺍﻟﻤُﺼﺎﺑﺔ ﺑﺎﻟﻤﺮﺽ, ﻭ ﻟﻠﻌﻠﻢ ﺑﺄﻥ ﺇﻧﺘﻘﺎﻝ ﺩﺍﺀ ﺍﻟﺒﺮﻭﺳﻴﻼﺕ ﻣﻦ

ﺍﻟﻜﻼﺏ ﻟﻺﻧﺴﺎﻥ ﻧﺎﺩﺭ ﻭ ﻟﻜﻨﻬﺎ ﺗُﺸﻜﻞ ﺧﻄﻮﺭﺓ ﻟﻸﺷﺨﺎﺹ ﺍﻟﺬﻳﻦ ﻟﺪﻳﻬﻢ ﺿﻌﻒ

ﻓﻲ ﺍﻟﻤﻨﺎﻋﺔ ﻣﺜﻞ ﻣﺮﺿﻰ ﺍﻷﻳﺪﺯ .

-6 ﻻ ﻳﻮﺟﺪ ﺗﻠﻘﻴﺢ ‏( ﺗﻄﻌﻴﻢ ‏) ﻟﻺﻧﺴﺎﻥ ﻟﺤﻤﺎﻳﺘﻪ ﻣﻦ ﺍﻟﻤﺮﺽ .

بحر

27 June 2018

ع

18:11