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Tai infekcija, <span class=ev>sspan>ukelianti <span class=ev>sspan>unkiu<span class=ev>sspan> <span class=ev>sspan>u<span class=ev>sspan>irgimu<span class=ev>sspan>, pareikalaujanti didelių nuolatinių gydymo ir priežiūro<span class=ev>sspan> išlaidų, <span class=ev>sspan>ukelianti daug mirčių ir <span class=ev>sspan>utrumpinanti gyvenimo trukmę.It i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> an infection a<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ociated with <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>eriou<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> di<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e, per<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tently high co<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> of treatment and care, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ignificant number of death<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> and <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>hortened life expectancy.
ŽIV yra viru<span class=ev>sspan>a<span class=ev>sspan>, pažeidžianti<span class=ev>sspan> organizmo imuninę <span class=ev>sspan>i<span class=ev>sspan>temą ir <span class=ev>sspan>ukelianti<span class=ev>sspan> nepagydomą <span class=ev>sspan>unkią ligą, turinčią ilgą inkubacinį laikotarpį.HIV i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> a viru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, which attack<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> the immune <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>y<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tem and cau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> a lifelong <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>evere illne<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> with a long incubation period.
ŽIV plinta per lytiniu<span class=ev>sspan> <span class=ev>sspan>antykiu<span class=ev>sspan> <span class=ev>sspan>u infekuotu a<span class=ev>sspan>meniu, dalijanti<span class=ev>sspan> adatomi<span class=ev>sspan> ir švirkštai<span class=ev>sspan> (vi<span class=ev>sspan>ų pirma narkotikų injekcijom<span class=ev>sspan>) <span class=ev>sspan>u infekuotu a<span class=ev>sspan>meniu, rečiau (šiuo metu labai retai to<span class=ev>sspan>e šaly<span class=ev>sspan>e, kurio<span class=ev>sspan>e krauja<span class=ev>sspan> tikrinama<span class=ev>sspan> dėl ŽIV antikūnų) per kraują ir jo preparatu<span class=ev>sspan> perpilant kraują.HIV i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pread by <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>exual contact with an infected per<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>on, by <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>haring needle<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> or <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>yringe<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> (primarily for drug injection) with <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>omeone who i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> infected, or, le<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> commonly (and now very rarely in countrie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> where blood i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>creened for HIV antibodie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>), through tran<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>fu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ion<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> of infected blood or blood clotting factor<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>.
ŽIV infekcija <span class=ev>sspan>ugriauna imuninę <span class=ev>sspan>i<span class=ev>sspan>temą, o šio<span class=ev>sspan> infekcijo<span class=ev>sspan> pa<span class=ev>sspan>kutinė <span class=ev>sspan>tadija – įgyta<span class=ev>sspan> imuniteto nepakankamumo <span class=ev>sspan>indroma<span class=ev>sspan> (AID<span class=ev><span class=ev>Sspan>span>).The end-<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tage of the infection, acquired immunodeficiency <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>yndrome (AID<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>), re<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ult<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> from the de<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>truction of the immune <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>y<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tem.
AID<span class=ev><span class=ev>Sspan>span> pa<span class=ev>sspan>ireiškia viena ar keliomi<span class=ev>sspan> oportuni<span class=ev>sspan>tinėmi<span class=ev>sspan> infekcijomi<span class=ev>sspan> (<span class=ev>sspan>u<span class=ev>sspan>irgimai, iš<span class=ev>sspan>ivy<span class=ev>sspan>tanty<span class=ev>sspan> dėl <span class=ev>sspan>umažėju<span class=ev>sspan>io imuniteto).AID<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan> i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> defined by the pre<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ence of one or more “opportuni<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tic” illne<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> (other illne<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> due to decrea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ed immunity).
Veik<span class=ev>sspan>minga kombinuota terapija, įdiegta X dešimtmečio viduryje ir plačiai taikoma iš<span class=ev>sspan>ivy<span class=ev>sspan>čiu<span class=ev>sspan>io<span class=ev>sspan>e šaly<span class=ev>sspan>e, leido veik<span class=ev>sspan>mingai <span class=ev>sspan>tabdyti ŽIV infekcijo<span class=ev>sspan> plitimą pagerindama gyvenimo kokybę ir pailgindama laikotarpį, kol iš<span class=ev>sspan>ivy<span class=ev>sspan>to AID<span class=ev><span class=ev>Sspan>span>, ir ŽIV infekuotų a<span class=ev>sspan>menų gyvenimo trukmę.Effective combination therapie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, introduced in the mid-1990<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> and widely u<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ed in indu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>triali<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ed countrie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, have had a profound effect on the cour<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e of HIV infection, improving the quality of life and delaying the on<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>et of AID<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan> and death in HIV-infected individual<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>.
Vi<span class=ev>sspan> dėlto <span class=ev>sspan>u<span class=ev>sspan>irūpinimą tebekelia <span class=ev>sspan>unkū<span class=ev>sspan> šalutiniai reiškiniai ir at<span class=ev>sspan>parių padermių at<span class=ev>sspan>iradima<span class=ev>sspan>.However, intolerance to <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ide effect<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> and appearance of re<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tant <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>train<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> remain cau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> for concern.
At<span class=ev>sspan>iradę antibiotikai iš pagrindų pakeitė pacientų, <span class=ev>sspan>ergančių mikrobinėmi<span class=ev>sspan> infekcijomi<span class=ev>sspan>, gydymo būdu<span class=ev>sspan>, <span class=ev>sspan>umažino mirštamumą nuo bakterijų <span class=ev>sspan>ukeltų ligų ir <span class=ev>sspan>ergamumą jomi<span class=ev>sspan>.<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>ince their di<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>covery, antibiotic<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> have revolutioni<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ed the way we treat patient<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> with bacterial infection<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> and have contributed to reducing the mortality and morbidity from bacterial di<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>.
Taip pat jie yra <span class=ev>sspan>varbi šiuolaikinė<span class=ev>sspan> medicino<span class=ev>sspan> priemonė, o dažnai atliekamo<span class=ev>sspan> procedūro<span class=ev>sspan>, pvz., tran<span class=ev>sspan>plantacija, vėžio cheminė terapija ir netgi ortopedinė chirurgija, nebūtų galimo<span class=ev>sspan> be veik<span class=ev>sspan>mingų antibiotikų.They are al<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>o an e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ential tool for modern medicine and common procedure<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uch a<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> tran<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>plant<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, chemotherapy for cancer and even orthopaedic <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>urgery could not be performed without the availability of potent antibiotic<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>.
Antibiotikai dažnai be reikalo <span class=ev>sspan>kiriami gydyti viru<span class=ev>sspan>inėm<span class=ev>sspan> infekcijom<span class=ev>sspan>, prieš kuria<span class=ev>sspan> jie neveik<span class=ev>sspan>mingi.Antibiotic<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> are often unnece<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>arily pre<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>cribed for viral infection<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, again<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t which they have no effect.
Taip pat netik<span class=ev>sspan>liai nu<span class=ev>sspan>tačiu<span class=ev>sspan> diagnozę, kai nežinoma, dėl kokio mikroorganizmo kilo infekcija, labai dažnai <span class=ev>sspan>kiriami platau<span class=ev>sspan> <span class=ev>sspan>pektro antibiotikai, pvz., antibiotikai, kurie naikina daugumą įvairių bakterijų, o ne tik ligą <span class=ev>sspan>ukėlu<span class=ev>sspan>ią bakteriją.<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>imilarly when diagno<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> are not accurately made, more often than not, broad-<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pectrum antibiotic<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, i.e. antibiotic<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> that kill a large proportion of variou<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> bacteria and not only the bacteria re<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pon<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ible for the di<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e, are pre<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>cribed becau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e the micro-organi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>m re<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pon<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ible for the infection i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> not known.
Tok<span class=ev>sspan> piktnaudžiavima<span class=ev>sspan> <span class=ev>sspan>katina vai<span class=ev>sspan>tam<span class=ev>sspan> at<span class=ev>sspan>parių bakterijų at<span class=ev>sspan>iradimą ir natūralią atranką.The<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e example<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> of mi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>u<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e promote the emergence and the <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>election of re<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tant bacteria.
At<span class=ev>sspan>ižvelgiant į antimikrobinio at<span class=ev>sspan>parumo at<span class=ev>sspan>iradimo mechanizmu<span class=ev>sspan>, kovo<span class=ev>sspan> <span class=ev>sspan>u juo <span class=ev>sspan>trategija yra gana papra<span class=ev>sspan>ta:Con<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>idering the mechani<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>m<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> behind the emergence of AMR, the <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>trategy to fight it i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> rather <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>traightforward:
- vartoti mažiau antibiotikų, t. y. <span class=ev>sspan>kirti juo<span class=ev>sspan> tik tada, kai jie tikrai reikalingi pacientam<span class=ev>sspan> gydyti;- u<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e le<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> antibiotic<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, i.e. only when they are needed to treat patient<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>;
- užkir<span class=ev>sspan>ti kelią pli<span class=ev>sspan>ti at<span class=ev>sspan>pariom<span class=ev>sspan> atmainom<span class=ev>sspan> tarp žmonių.- prevent the <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pread of re<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tant <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>train<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> between per<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>on<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>.
Juodligė yra zoonozė (gyvūnų žmogui perduodama liga), kurią <span class=ev>sspan>ukelia <span class=ev>sspan>pora<span class=ev>sspan> gaminanti bakterija Bacillu<span class=ev>sspan> anthraci<span class=ev>sspan> .Anthrax i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> a zoonotic di<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e (could be tran<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ferred from animal<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> to human<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>) cau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ed by the <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pore-producing bacterium Bacillu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> anthraci<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>.
Šaltini<span class=ev>sspan> – žolėdžiai gyvūnai; <span class=ev>sspan>poro<span class=ev>sspan> aplinkoje gali išlikti gyvybingo<span class=ev>sspan> dešimtmečiai<span class=ev>sspan>.Re<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ervoir<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> are gra<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>-eating animal<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, and the <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pore<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> can <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>urvive in the environment for decade<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>.
Liga paplitu<span class=ev>sspan>i keliuo<span class=ev>sspan>e pa<span class=ev>sspan>aulio regionuo<span class=ev>sspan>e, į<span class=ev>sspan>kaitant Pietų ir Rytų Europą.The di<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> endemic in <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>everal region<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> of the world, including <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>outhern and ea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tern Europe.
Žmonė<span class=ev>sspan> gali už<span class=ev>sspan>ikrė<span class=ev>sspan>ti infekcija per <span class=ev>sspan>pora<span class=ev>sspan>; <span class=ev>sspan>imptomai pa<span class=ev>sspan>ireiškia po vieno<span class=ev>sspan> – <span class=ev>sspan>eptynių dienų (ne vėliau kaip po 60 dienų).Human<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> may acquire the infection after expo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ure to <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pore<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, and <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ymptom<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> appear one to <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>even day<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> (up to 60 day<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>) later.
Galimi klinikinė<span class=ev>sspan> raiško<span class=ev>sspan> būdai – odo<span class=ev>sspan>, plaučių (mirštamuma<span class=ev>sspan> nuo šio<span class=ev>sspan> formo<span class=ev>sspan> yra 75 proc.), žarnų (gali peraugti į kraujo užkrėtimą ir <span class=ev>sspan>ukelti mirtį) juodligė.Clinical pre<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>entation<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> include <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>kin anthrax, lung anthrax, (with 75% death rate) and ga<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>trointe<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tinal form<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> (that may progre<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> to blood infection and death).
Gydyma<span class=ev>sspan> antibiotikai<span class=ev>sspan> yra veik<span class=ev>sspan>minga<span class=ev>sspan> tik ank<span class=ev>sspan>tyvojoje <span class=ev>sspan>tadijoje.Antibiotic treatment i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> effective if given at an early <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tage.
Kontrolė<span class=ev>sspan> priemonė<span class=ev>sspan> – tinkama<span class=ev>sspan> nugaišu<span class=ev>sspan>ių gyvulių <span class=ev>sspan>unaikinima<span class=ev>sspan>:Control mea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ure<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> include the correct di<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>po<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>al of dead animal:
dezinfekavima<span class=ev>sspan>, <span class=ev>sspan>anitarini<span class=ev>sspan> švarinima<span class=ev>sspan>, užkrė<span class=ev>sspan>tų medžiagų <span class=ev>sspan>unaikinima<span class=ev>sspan> ir aplinko<span class=ev>sspan> išvalyma<span class=ev>sspan>.di<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>infection, decontamination and di<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>po<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>al of contaminated material<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> and decontamination of the environment.
Buvo tiriama <span class=ev>sspan>u juodlige <span class=ev>sspan>u<span class=ev>sspan>iju<span class=ev>sspan>i biologinio terorizmo grė<span class=ev>sspan>mė Europoje.Anthrax-related bioterrori<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t threat<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> have been inve<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tigated in Europe.
Kad yra šio biologinio agento, nebuvo patvirtinta, tačiau Europo<span class=ev>sspan> Komi<span class=ev>sspan>ija 2002 m. <span class=ev>sspan>ukūrė parengtie<span class=ev>sspan> ir reagavimo į pavojų <span class=ev>sspan>i<span class=ev>sspan>temą BICHAT (biologiniam<span class=ev>sspan> ir cheminiam<span class=ev>sspan> išpuoliam<span class=ev>sspan> ir grė<span class=ev>sspan>mėm<span class=ev>sspan>).The agent wa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> not confirmed, but a preparedne<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> and re<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pon<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e programme for attack<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> by biological and chemical agent<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> (BICHAT) wa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> developed in 2002 by the European Commi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ion.
Jie <span class=ev>sspan>kir<span class=ev>sspan>tomi į didelio ir nedidelio patogeniškumo viru<span class=ev>sspan>u<span class=ev>sspan> at<span class=ev>sspan>ižvelgiant į infekcijo<span class=ev>sspan>, kuria už<span class=ev>sspan>ikrečia paukščiai, <span class=ev>sspan>unkumą.The<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e are divided into tho<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e of high and low pathogenicity according to the <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>everity of infection in bird<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>.
Nuo 1997 m. buvo nu<span class=ev>sspan>tatyta nauja mirtina labai patogeniško paukščių gripo viru<span class=ev>sspan>o padermė (A/H5N1), kuriuo už<span class=ev>sspan>ikrėtė naminiai paukščiai ir žmonė<span class=ev>sspan>, o Pietų Kinijoje jį pirmą kartą perdavė žmogu<span class=ev>sspan> žmogui.<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>ince 1997 a new and more deadly <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>train of highly pathogenic avian influenza viru<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> (A/H5N1) ha<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> appeared in dome<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tic poultry and human<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, initially in <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>outhern China where the fir<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t human-to-human tran<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>mi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ion took place.
Po 2003 m. gripa<span class=ev>sspan> A/H5N1 buvo nu<span class=ev>sspan>tatyta<span class=ev>sspan> įvairio<span class=ev>sspan>e Azijo<span class=ev>sspan> šaly<span class=ev>sspan>e: užfik<span class=ev>sspan>uota didelių viru<span class=ev>sspan>o protrūkių tarp paukščių, taip pat keleta<span class=ev>sspan> <span class=ev>sspan>unkių žmonių infekcinių <span class=ev>sspan>u<span class=ev>sspan>irgimų, daugiau<span class=ev>sspan>ia a<span class=ev>sspan>menų, turėju<span class=ev>sspan>ių glaudų kontaktą <span class=ev>sspan>u naminiai<span class=ev>sspan> paukščiai<span class=ev>sspan>.After 2003, influenza A/H5N1 appeared in many A<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ian countrie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> cau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ing huge outbreak<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> in bird<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> and a <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>mall number of <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>evere human infection<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, almo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t entirely among people with clo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e contact<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> with dome<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tic poultry.
Taip pat nu<span class=ev>sspan>tatyta keleta<span class=ev>sspan> atvejų, kai viru<span class=ev>sspan>u žmonė<span class=ev>sspan> už<span class=ev>sspan>ikrėtė nuo žmonių, bet toliau liga neplito.There have been a few example<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> of per<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>on-to-per<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>on tran<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>mi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ion<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> but no further <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pread.
Pa<span class=ev>sspan>irodė, kad A/H5N1 padermė yra nepapra<span class=ev>sspan>tai at<span class=ev>sspan>pari ir greitai dviem „bangom“ išplito tarp paukščių. <span class=ev><span class=ev>Sspan>span>u antrąja banga per migruojančiu<span class=ev>sspan> paukščiu<span class=ev>sspan> ir prekybą viru<span class=ev>sspan>a<span class=ev>sspan> išplito už Pietų ir Pietryčių Azijo<span class=ev>sspan> ribų ir pateko į Europą ir Afriką.Thi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> A/H5N1 group ha<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>hown it<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elf to be unu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ually <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>table for an avian influenza <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>train and ha<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pread among bird<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> in two wave<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, the <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>econd of which took it out of <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>outh and <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>outh-ea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t A<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ia to Europe and Africa through migratory bird<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> and trade.
Pavojų žmonėm<span class=ev>sspan> kelia tai, kad ši padermė pa<span class=ev>sspan>irodė e<span class=ev>sspan>anti labai patogeniška už<span class=ev>sspan>ikrėtu<span class=ev>sspan>ių žmonių organizme.The danger to human<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> lie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> in the fact that the <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>train i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> highly pathogenic in tho<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e few human<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> that do become infected.
Vi<span class=ev>sspan> dėlto papra<span class=ev>sspan>tai šiuo viru<span class=ev>sspan>u žmonė<span class=ev>sspan> nuo žmonių neuž<span class=ev>sspan>ikrečia.However, there i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> generally no tran<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>mi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ion from one human to another.
Botulizma<span class=ev>sspan> yra <span class=ev>sspan>unki liga, kuria <span class=ev>sspan>ergant gali iš<span class=ev>sspan>ivy<span class=ev>sspan>tyti paralyžiu<span class=ev>sspan>; ją <span class=ev>sspan>ukelia bakterija Clo<span class=ev>sspan>tridium botulinum .Botuli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>m i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> a <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>eriou<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> paralytic illne<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> cau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ed by a nerve toxin produced by the bacterium Clo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tridium botulinum.
Liga <span class=ev>sspan>u<span class=ev>sspan>ergama pavartoju<span class=ev>sspan> mai<span class=ev>sspan>to, kuriame yra tok<span class=ev>sspan>inių, arba vy<span class=ev>sspan>tanti<span class=ev>sspan> <span class=ev>sspan>porom<span class=ev>sspan> mažų vaikų žarnyne arba žaizdo<span class=ev>sspan>e.The di<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e may occur after eating food<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> containing the toxin or due to development of the <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pore<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> within the inte<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tine of young children or within wound<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>.
Vyraujanti ligo<span class=ev>sspan> forma – botulizma<span class=ev>sspan>, kuriuo už<span class=ev>sspan>ikrečiama per mai<span class=ev>sspan>tą; pavartoju<span class=ev>sspan> mai<span class=ev>sspan>to, kuriame yra tok<span class=ev>sspan>ino, po 12– 36 val. inkubacinio laikotarpio (vėliau<span class=ev>sspan>iai po keleto dienų) papra<span class=ev>sspan>tai pa<span class=ev>sspan>ireiškia paralyžiau<span class=ev>sspan> <span class=ev>sspan>imptomai.Food botuli<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>m i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> the dominating form of the di<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e, and paralytic <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ymptom<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> generally appear after an incubation period of 12–36 hour<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> (up to <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>everal day<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>) after con<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>umption of the toxin-containing food.
<span class=ev><span class=ev>Sspan>span>imptomai gali būti labai <span class=ev>sspan>unkū<span class=ev>sspan>; gali prireikti inten<span class=ev>sspan>yvau<span class=ev>sspan> gydymo <span class=ev>sspan>kiriant antitok<span class=ev>sspan>inu<span class=ev>sspan>.The <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ymptom<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> may be very <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>evere, and require inten<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ive-care treatment and the admini<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tration of an anti-toxin.
Laboratorijo<span class=ev>sspan>e įvyku<span class=ev>sspan>io<span class=ev>sspan> nelaimė<span class=ev>sspan> rodo, kad tok<span class=ev>sspan>ina<span class=ev>sspan> taip pat gali <span class=ev>sspan>ukelti <span class=ev>sspan>imptomu<span class=ev>sspan>, kai jo įkvepiama: tokiu atveju inkubacini<span class=ev>sspan> laikotarpi<span class=ev>sspan> gerokai <span class=ev>sspan>utrumpėja.Following laboratory accident<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, the toxin ha<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> al<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>o cau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ed <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ymptom<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> on inhalation, with a <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ub<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tantially reduced incubation period.
Bruceliozė yra infekcinė liga, kurią <span class=ev>sspan>ukelia bakterija Brucella .Brucello<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> an infection cau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ed by Brucella bacteria.
Dažniau<span class=ev>sspan>ia<span class=ev>sspan> Brucella gentie<span class=ev>sspan> bakterijų, kuriomi<span class=ev>sspan> gali už<span class=ev>sspan>ikrė<span class=ev>sspan>ti žmonė<span class=ev>sspan>, šaltini<span class=ev>sspan> yra galvijai, šuny<span class=ev>sspan>, avy<span class=ev>sspan>, ožko<span class=ev>sspan> ir kiaulė<span class=ev>sspan>.The common re<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ervoir<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> for Brucella bacteria that may infect human<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> are cattle, dog<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>heep, goat<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, and pig<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>.
Žmonė<span class=ev>sspan> už<span class=ev>sspan>ikrečia tie<span class=ev>sspan>ioginio arba netie<span class=ev>sspan>ioginio kontakto <span class=ev>sspan>u gyvūnai<span class=ev>sspan> arba užkrė<span class=ev>sspan>tai<span class=ev>sspan> gyvulinė<span class=ev>sspan> kilmė<span class=ev>sspan> produktai<span class=ev>sspan> (į<span class=ev>sspan>kaitant nepa<span class=ev>sspan>terizuotą pieną ir pieno produktu<span class=ev>sspan>) metu arba įkvėpę užkrė<span class=ev>sspan>to aerozolio.Human<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> become infected by direct or indirect contact with animal<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> or with contaminated animal product<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> (including unpa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>teuri<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ed milk and dairy product<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>) or by the inhalation of aero<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ol<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>.
Po inkubacinio laikotarpio, kuri<span class=ev>sspan> trunka 5– 60 dienų, gali ūmiai arba palaip<span class=ev>sspan>niui pa<span class=ev>sspan>ireikšti <span class=ev>sspan>imptomai.After an incubation period of five to 60 day<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ymptom<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> may appear either acutely or in<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>idiou<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ly.
Įvairū<span class=ev>sspan> <span class=ev>sspan>imptomai būna bendro pobūdžio (karščiavima<span class=ev>sspan>, <span class=ev>sspan>ilpnuma<span class=ev>sspan>, <span class=ev>sspan>ąnarių <span class=ev>sspan>kau<span class=ev>sspan>mai) arba <span class=ev>sspan>u<span class=ev>sspan>iję <span class=ev>sspan>u konkrečiai<span class=ev>sspan> organai<span class=ev>sspan> (į<span class=ev>sspan>kaitant <span class=ev>sspan>megenų arba širdie<span class=ev>sspan> vožtuvų infekciją).The variou<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ymptom<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> are both general (fever, weakne<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, joint pain) and organ-<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pecific (including infection<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> in the brain infection and heart valve<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>).
Negydoma bruceliozė gali <span class=ev>sspan>ukelti mirtį.Untreated, brucello<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> can lead to death.
Kontrolė<span class=ev>sspan> priemonė<span class=ev>sspan> yra gyvulių vakcinacija ir (arba) gyvulių tikrinima<span class=ev>sspan> ir užkrė<span class=ev>sspan>tų gyvulių <span class=ev>sspan>kerdima<span class=ev>sspan>, taip pat pieno ir pieno produktų pa<span class=ev>sspan>terizavima<span class=ev>sspan>.Control mea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ure<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> include animal vaccination and/or te<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t-and-<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>laughter of infected animal<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, a<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> well a<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> pa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>teuri<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ation of milk and dairy product<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>.
Kampilobakterijo<span class=ev>sspan> <span class=ev>sspan>ukelta infekcijaCampylobacter infection
Kampilobakteriozė yra liga, pa<span class=ev>sspan>ireiškianti viduriavimu; ją <span class=ev>sspan>ukelia bakterijo<span class=ev>sspan> Campylobacter , randamo<span class=ev>sspan> naminių paukščių, galvijų, kiaulių, laukinių paukščių ir laukinių žinduolių organizme.Campylobacterio<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> a diarrhoeal di<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e cau<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ed by Campylobacter bacteria, found in animal<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uch a<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> poultry, cattle, pig<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, wild bird<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> and wild mammal<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>.
Už<span class=ev>sspan>ikrė<span class=ev>sspan>ti galima ir maudanti<span class=ev>sspan> natūraliuo<span class=ev>sspan>e vanden<span class=ev>sspan> telkiniuo<span class=ev>sspan>e arba tie<span class=ev>sspan>ioginio kontakto <span class=ev>sspan>u užkrė<span class=ev>sspan>tai<span class=ev>sspan> gyvūnai<span class=ev>sspan> metu.Other ri<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>k factor<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> include <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>wimming in natural <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>urface-water<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> and direct contact with infected animal<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>.
Po inkubacinio laikotarpio, kuri<span class=ev>sspan> trunka 2– 5 diena<span class=ev>sspan> (gali trukti ir 1– 10 dienų), dažniau<span class=ev>sspan>iai pa<span class=ev>sspan>ireiškianty<span class=ev>sspan> <span class=ev>sspan>imptomai yra <span class=ev>sspan>tipru<span class=ev>sspan> pilvo <span class=ev>sspan>kau<span class=ev>sspan>ma<span class=ev>sspan>, viduriavima<span class=ev>sspan> (vandeninga<span class=ev>sspan> ir (arba) <span class=ev>sspan>u krauju) ir karščiavima<span class=ev>sspan>.After an incubation period of 2–5 day<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> (range 1–10 day<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>) common <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ymptom<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> are <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>evere abdominal pain, watery and/or bloody diarrhoea and fever.
Čikungunja karštligė --> Čikungunja karštligė – tai uodų pernešama viru<span class=ev>sspan>inė liga, kurio<span class=ev>sspan> <span class=ev>sspan>imptomai yra karščiavima<span class=ev>sspan>, <span class=ev>sspan>ąnarių <span class=ev>sspan>kau<span class=ev>sspan>ma<span class=ev>sspan>, raumenų <span class=ev>sspan>kau<span class=ev>sspan>ma<span class=ev>sspan>, galvo<span class=ev>sspan> <span class=ev>sspan>kau<span class=ev>sspan>ma<span class=ev>sspan> ir kraujavima<span class=ev>sspan> iš no<span class=ev>sspan>ie<span class=ev>sspan> ir dantenų.Chikungunya fever
Čikungunja karštligė paplitu<span class=ev>sspan>i kai kurio<span class=ev>sspan>e Afriko<span class=ev>sspan> daly<span class=ev>sspan>e, Pietryčių Azijoje ir Indijo<span class=ev>sspan> <span class=ev>sspan>ubkontinente.Chikungunya i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> pre<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ent in part<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> of Africa, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>Sspan>span class=ev>sspan>pan>outhea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t A<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ia and on the Indian <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ubcontinent.
Papra<span class=ev>sspan>tai <span class=ev>sspan>imptomai išlieka keletą dienų ir liga praeina <span class=ev>sspan>avaime, tačiau kartai<span class=ev>sspan> jie tę<span class=ev>sspan>ia<span class=ev>sspan>i ir prireikia gydymo ligoninėje.U<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ually, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ymptom<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> la<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t for a few day<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> and the di<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>elf-limiting but occa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ionally they will per<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t and re<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ult in ho<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>pitali<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ation.
Antimikrobinio gydymo prireikia retai.Antimicrobial therapy i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>eldom needed.
Po per<span class=ev>sspan>irgto<span class=ev>sspan> kampilobakteriozė<span class=ev>sspan> galimo<span class=ev>sspan> komplikacijo<span class=ev>sspan>: <span class=ev>sspan>ąnarių uždegima<span class=ev>sspan> (5– 10 proc. vi<span class=ev>sspan>ų atvejų) ir labai retai – Guillan-Barre <span class=ev>sspan>indroma<span class=ev>sspan> (laikina<span class=ev>sspan>, bet <span class=ev>sspan>unku<span class=ev>sspan> paralyžiu<span class=ev>sspan>;Campylobacter infection ha<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> been a<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ociated with complication<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uch a<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> later joint inflammation (5–10% of ca<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>) and, on rare occa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ion<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, Guillain-Barré <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>yndrome (a temporary but <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>evere paraly<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> that may be total).
Pa<span class=ev>sspan>taruoju metu buvo pranešta apie 2005– 2006 m. įvyku<span class=ev>sspan>iu<span class=ev>sspan> dideliu<span class=ev>sspan> protrūkiu<span class=ev>sspan> Rejunjone, Mauricijuje, Majote ir kelio<span class=ev>sspan>e Indijo<span class=ev>sspan> val<span class=ev>sspan>tijo<span class=ev>sspan>e.The mo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t recent large outbreak<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> were reported in 2005–2006 from Réunion I<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>land, Mauritiu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, Mayotte and <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>everal Indian <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tate<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>.
Apie pirmąjį užkrato atvejį žemyninėje Europo<span class=ev>sspan> dalyje 2007 m. rugpjūčio mėn. pranešta Šiaurė<span class=ev>sspan> Rytų Italijoje. Ka<span class=ev>sspan>met kelio<span class=ev>sspan>e Europo<span class=ev>sspan> šaly<span class=ev>sspan>e užfik<span class=ev>sspan>uojama atvejų, kai užkratą įveža turi<span class=ev>sspan>tai.The fir<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t tran<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>mi<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ion within continental Europe wa<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> reported from north-ea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tern Italy in Augu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t 2007. Every year, imported ca<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> among touri<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>t<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> are identified in <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>everal European countrie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>
gali būti <span class=ev>sspan>imetriška<span class=ev>sspan> paralyžiu<span class=ev>sspan>). <span class=ev><span class=ev>Sspan>span>varbio<span class=ev>sspan> profilaktinė<span class=ev>sspan> priemonė<span class=ev>sspan> yra kampilobakterijų paplitimo tarp paukščių kontrolė, taip pat mė<span class=ev>sspan>o<span class=ev>sspan> apdorojima<span class=ev>sspan> laikanti<span class=ev>sspan> higieno<span class=ev>sspan> tai<span class=ev>sspan>yklių ir privačių geriamojo vanden<span class=ev>sspan> tiekėjų kontrolė.A<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> a prophylactic mea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ure, control of Campylobacter coloni<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ation in poultry i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> important, a<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> well a<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> hygienic proce<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ing of meat, and the protection and control of private drinking water <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>upplie<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>.
Krymo-Kongo hemoraginė karštligė yra erkių pernešama liga, kuriai būdinga<span class=ev>sspan> ūmini<span class=ev>sspan> <span class=ev>sspan>unku<span class=ev>sspan> karščiavima<span class=ev>sspan>, raumenų <span class=ev>sspan>kau<span class=ev>sspan>ma<span class=ev>sspan>, <span class=ev>sspan>vaiguly<span class=ev>sspan>, padidėję<span class=ev>sspan> jautruma<span class=ev>sspan> švie<span class=ev>sspan>ai, pilvo <span class=ev>sspan>kau<span class=ev>sspan>ma<span class=ev>sspan> ir vėmima<span class=ev>sspan>.Crimean Congo haemorrhagic fever (CCHF) i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> a tick-borne viral di<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e with <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ymptom<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uch a<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> high fever, mu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>cle pain, dizzine<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>, abnormal <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>en<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>itivity to light, abdominal pain and vomiting.
Vėliau gali pa<span class=ev>sspan>ireikšti <span class=ev>sspan>taigi nuotaikų kaita, pacienta<span class=ev>sspan> gali tapti <span class=ev>sspan>umišę<span class=ev>sspan> ir agre<span class=ev>sspan>yvu<span class=ev>sspan>.Later on, <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>harp mood <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>wing<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> may occur, and the patient may become confu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ed and aggre<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan><<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ive.
Pa<span class=ev>sspan>taruoju metu viru<span class=ev>sspan>o protrūkių buvo nu<span class=ev>sspan>tatyta Balkanuo<span class=ev>sspan>e ir šiaurė<span class=ev>sspan> rytų Turkijoje.Recently outbreak<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> have occurred in the Balkan<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> and in North-Ea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>tern Turkey.
Čikungunja karštligė - tai uodų pernešama viru<span class=ev>sspan>inė liga, kurio<span class=ev>sspan> <span class=ev>sspan>imptomai yra karščiavima<span class=ev>sspan>, <span class=ev>sspan>ąnarių <span class=ev>sspan>kau<span class=ev>sspan>ma<span class=ev>sspan>, raumenų <span class=ev>sspan>kau<span class=ev>sspan>ma<span class=ev>sspan>, galvo<span class=ev>sspan> <span class=ev>sspan>kau<span class=ev>sspan>ma<span class=ev>sspan> ir kraujavima<span class=ev>sspan> iš no<span class=ev>sspan>ie<span class=ev>sspan> ir dantenų.Chikungunya fever i<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> a mo<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>quito-borne viral di<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ea<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e with <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>ymptom<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> <<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>uch a<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan> fever, joint pain, mu<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>cle pain, headache and no<<span class=ev>sspan>pan cla<span class=ev>sspan><span class=ev>sspan>=ev><span class=ev>sspan>span class=ev>sspan>pan>e and gum bleeding.

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