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Letlhatso le Letshololo

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Cholera
Maina a mangweAsiatic cholera, epidemic cholera[1]
A person with severe dehydration due to cholera causing sunken eyes and wrinkled hands and skin.
SpecialtyInfectious disease
DikaiLarge amounts of watery diarrhea, vomiting, muscle cramps[2]
DitamoragoDehydration, electrolyte imbalance[3]
Ditshimologo tse ditwaelesegileng2 hours to 5 days after exposure[4]
DurationA few days[3]
CausesVibrio cholerae spread by fecal-oral route[3]
Risk factorsPoor sanitation, not enough clean drinking water, poverty[3]
Diagnostic methodStool test[3]
PreventionImproved sanitation, clean water, hand washing, cholera vaccines[5][6]
TreatmentOral rehydration therapy, zinc supplementation, intravenous fluids, antibiotics[3][7]
Frequency1.3–4 million people a year[3]
Deaths28,800 (2015)[8]

Letlhatso le Letshololo ke tshwaetsego ya mala a mannye ka mefuta mengwe ya baketeria ya Vibrio cholerae.[2][4] Dikai e ka nna tse di ko tase, tse di fa gare ya ko go tse di masisi.[4] Sekai sa bogologolo ke letshololo le lentsi le le metsi le le tsayang malatsi a le mmalwa.[3] Go kgwa le go tshwarwa ke dikerempe le gone go ka diragala.[4] Letshololo le ka nna maswe thata mo diureng di se kae fela mo le felelang ka go felelwa ke metsi mo mmeleng le go tlhoka tekatekano ga eleketerolaete.[3] Seno se ka felela ka gore matlho a wele, letlalo le nne tsididi, letlalo le se ka la tlhola le ela le go tsutsubana ga diatla le maoto.[6] Go felelwa ke metsi mo mmeleng go ka dira gore letlalo le fetoge go nna botala jwa llewapi.[9] Dikai di ka simolola diura di le pedi go ya go malatsi a matlhano morago ga go iponatsa.[4]

Letlhatso le Letshololo le bakwa ke mefuta e le mmalwa ya Vibrio cholerae, mme mefuta mengwe e ntsha bolwetse jo bo maswe thata go feta e mengwe.[3] E anamisiwa thata ke metsi a a sa babalesegang le dijo tse di sa babalesegang tse di kgotletsweng ke mantle a batho a a nang le baketeria eno.[3] Dijo tsa lewatle tse di sa apewang sentle ke motswedi o o tlwaelegileng.[10] Batho ke bone fela diphologolo tse di amegang.[3] Dintlha tse di kotsi tsa bolwetse jo di akaretsa kgeleloleswe e e bokoa, go tlhoka metsi a a lekaneng a a phepa a a nowang, le lehuma.[3] Go na le matshwenyego a gore go tlhatloga ga lemogiwa ka go dira diteko tsa mantle.[3] Teko ya dipstick e e bonako e teng mme ga e a nepagala jalo.[11]

Mekgwa ya thibelo kgatlhanong le Letlhatso le Letshololo e akaretsa go tokafatsa kgeleloleswe le phitlhelelo ya metsi a a phepa.[6] Mekento ya Letlhatso le Letshololo tse e e nowang ka molomo e fa tshireletso e e utlwalang mo e ka nnang dikgwedi di le thataro.[3] Di na le molemo o o oketsegileng wa go sireletsa kgatlhanong le mofuta o mongwe wa letshololo o o bakiwang ke E.<span typeof="mw:Entity" id="mwbA">&nbsp;</span>coli.[3] Kalafi ya konokono ke go tsenya metsi mo mmeleng ka molomo —go emisetsa diedi ka metswako e e botshe le e e letswai go sekae.[3] Ditharabololo tse di theilweng mo raese di a ratwa.[5] Zinc tlatsetso e na le thuso ka bana.[7] Mo maemong a a maswe thata, go ka tlhokega gore go tsenngwe diedi mo ditshikaneng, tse di jaaka Ringer’s lactate, mme dibolayamegare tse di jaaka doxycycline di ka nna molemo.[3][12] Go dira diteko go bona gore ke sebolayamegare sefe se Letlhatso le Letshololo le ka se tlhaselang bonolo go ka thusa go kaela go tlhopha.[4]

Letlhatso le Letshololo le ama batho ba ba ka nnang 1.3 go ya go 4 batho ba le dimilione lefatshe ka bophara mme e baka batho ba le 21 000–143 000 dintsho ka ngwaga.[3][8] Le fa e tsewa e le leroborobo Tempolete:As of , ga se bonwe thata mo mafatsheng a tlhabologileng.[3] Bana ke bone ba ba amegang thata.[3][13] Letlhatso le Letshololo le tlhagelela ka go runya le ka nako e telele mo mafelong a a rileng.[3] Dikgaolo tse di nang le kotsi e e tswelelang ya malwetse di akaretsa Aforika le Borwabotlhaba jwa Asia.[3] Kotsi ya loso mo go ba ba amegang gantsi e kwa tlase ga 1% mme e ka nna kwa godimo go fitlha go 5%.[3] Go tlhoka go bona kalafi go felela ka gore go nne le dintsho tse di kwa godimo.[3] Ditlhaloso tsa kholera di fitlhetswe go tloga ka ngwagakgolo wa bo 5 BC ka Sesanskrit.[6] Thutopatlisiso ya kholera kwa Engelane e e dirilweng ke John Snow fa gare ga ngwaga wa 1849 le wa 1854 e ne ya dira gore go nne le kgatelopele e e bonalang mo thutong ya malwetse a a tshelanwang.[6][14] Go nnile le ditiragalo tse ditona di le supa mo dingwageng di le makgolo a maeditse di fetileng mme tsa bolaya dimilionemilione tsa batho.[3]

Ditshupiso

[fetola | Fetola Motswedi]
  1. Cite error: Invalid <ref> tag; no text was provided for refs named "textbook".
  2. 1 2 Weil, Ana A.; Ryan, Edward T. (2022). "66. Cholera". In Jong, Elaine C.; Stevens, Dennis L. (eds.). Netter's Infectious Diseases (in Sekgoa) (2nd ed.). Philadelphia: Elsevier. pp. 384–389. ISBN 978-0-323-71159-3. Archived from the original on 2023-06-30. Retrieved 2023-05-08.
  3. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 "Cholera vaccines: WHO position paper – August 2017". Releve epidemiologique hebdomadaire. 92 (34): 477–98. 25 August 2017. PMID 28845659. Retrieved 30 July 2025.
  4. 1 2 3 4 5 6 "Cholera – Vibrio cholerae infection Information for Public Health & Medical Professionals". Centers for Disease Control and Prevention. January 6, 2015. Archived from the original on 20 March 2015. Retrieved 17 March 2015.
  5. 1 2 "Cholera vaccines: WHO position paper" (PDF). Wkly. Epidemiol. Rec. 85 (13): 117–128. March 26, 2010. PMID 20349546. Archived (PDF) from the original on April 13, 2015.
  6. 1 2 3 4 5 Harris, JB; LaRocque, RC; Qadri, F; Ryan, ET; Calderwood, SB (30 June 2012). "Cholera". Lancet. 379 (9835): 2466–76. doi:10.1016/s0140-6736(12)60436-x. PMC 3761070. PMID 22748592.
  7. 1 2 "Cholera – Vibrio cholerae infection Treatment". Centers for Disease Control and Prevention. November 7, 2014. Archived from the original on 11 March 2015. Retrieved 17 March 2015.
  8. 1 2 GBD 2015 Mortality and Causes of Death, Collaborators. (8 October 2016). "Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015". Lancet. 388 (10053): 1459–1544. doi:10.1016/s0140-6736(16)31012-1. PMC 5388903. PMID 27733281. {{cite journal}}: |first= has generic name (help)
  9. Bailey, Diane (2011). Cholera (1st ed.). New York: Rosen Pub. p. 7. ISBN 978-1-4358-9437-2. Archived from the original on 2016-12-03.
  10. "Sources of Infection & Risk Factors". Centers for Disease Control and Prevention. November 7, 2014. Archived from the original on 12 March 2015. Retrieved 17 March 2015.
  11. "Diagnosis and Detection". Centers for Disease Control and Prevention. February 10, 2015. Archived from the original on 15 March 2015. Retrieved 17 March 2015.
  12. "Changing the game for Acute Infectious Diarrhea — IDP for the win! | This Changed My Practice". thischangedmypractice.com. Archived from the original on 19 October 2023. Retrieved 29 September 2023.
  13. "Cholera – Vibrio cholerae infection". Centers for Disease Control and Prevention. October 27, 2014. Archived from the original on 17 March 2015. Retrieved 17 March 2015.
  14. Timmreck, Thomas C. (2002). An introduction to epidemiology (3. ed.). Sudbury, MA: Jones and Bartlett Publishers. p. 77. ISBN 978-0-7637-0060-7. Archived from the original on 2016-12-03.