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Входит в группу острых кишечных инфекций [7](https://www.invitro.ru/library/bolezni/35353/). \n\n**Инкубационный период** — от 1 до 7 дней (чаще 2–3 дня) [8](https://cgon.rospotrebnadzor.ru/naseleniyu/infektsionnye-i-parazitarnye-zabolevaniya/infektsii-ot-a-do-ya/bakterialnaya-dizenteriya-shigellez/).\n\n\n\n## Причины\n**Источник инфекции** — больной человек или бактерионоситель [1](https://www.fdoctor.ru/bolezn/shigellyez/)[7](https://www.invitro.ru/library/bolezni/35353/). \n\n**Механизм передачи** — фекально-оральный: бактерии передаются от заболевшего человека через пищу, воду, предметы обихода, иногда с помощью насекомых-переносчиков — мух и тараканов [7](https://www.invitro.ru/library/bolezni/35353/). \n\n**Заболеваемость** повышается в летне-осенний период, чему способствует увеличение потребления овощей и фруктов, купание в загрязнённых водоёмах [7](https://www.invitro.ru/library/bolezni/35353/).\n\n## Симптомы\n**Некоторые симптомы шигеллёза**: \n* повышение температуры тела до 38–39 °C [1](https://www.fdoctor.ru/bolezn/shigellyez/); \n* признаки общей интоксикации: озноб, выраженная слабость, ломота в мышцах, головная боль [1](https://www.fdoctor.ru/bolezn/shigellyez/); \n* тошнота, рвота [1](https://www.fdoctor.ru/bolezn/shigellyez/); \n* боли в животе — вначале тупые, затем схваткообразные, больше в нижней части живота [1](https://www.fdoctor.ru/bolezn/shigellyez/); \n* усиление болей перед дефекацией [1](https://www.fdoctor.ru/bolezn/shigellyez/); \n* тенезмы — судорожные сокращения мышц прямой кишки до дефекации и после неё [1](https://www.fdoctor.ru/bolezn/shigellyez/); \n* диарея — стул становится обильным, учащается до 10–30 раз в сутки [1](https://www.fdoctor.ru/bolezn/shigellyez/); \n* ощущение неполного опорожнения кишечника [1](https://www.fdoctor.ru/bolezn/shigellyez/). \n\n**Шигеллёз может протекать в стёртой форме** или в виде бактерионосительства: в этом случае не будет выраженных симптомов интоксикации, а диарея окажется кратковременной [1](https://www.fdoctor.ru/bolezn/shigellyez/).\n\n## Диагностика\n**Для диагностики шигеллёза используют**: \n* **Бактериологический посев** — посев кала на специальные питательные среды для выделения патогенных бактерий [13](https://priozersk-lo.cdmed.ru/diseases/infektsionnye-bolezni/laboratornaya-diagnostika-dizenterii/). \n* **Полимеразную цепную реакцию (ПЦР)** — определение фрагментов ДНК шигелл в кале [13](https://priozersk-lo.cdmed.ru/diseases/infektsionnye-bolezni/laboratornaya-diagnostika-dizenterii/). \n* **Серологическое исследование** — определение специфических антител в крови к основным видам шигелл [13](https://priozersk-lo.cdmed.ru/diseases/infektsionnye-bolezni/laboratornaya-diagnostika-dizenterii/).\n\n## Лечение\n**Лечение шигеллёза направлено на устранение причины заболевания, облегчение симптомов и предотвращение осложнений** [16](https://cyberleninka.ru/article/n/dizenteriya-shigellyoz-prichiny-simptomy-i-lechenie). Некоторые компоненты терапии: \n* **Антибактериальная терапия** — применение антибиотиков, особенно если заболевание протекает тяжело или у пациента высокий риск осложнений [16](https://cyberleninka.ru/article/n/dizenteriya-shigellyoz-prichiny-simptomy-i-lechenie). \n* **Регидратационная терапия** — восполнение потерь жидкости и электролитов [16](https://cyberleninka.ru/article/n/dizenteriya-shigellyoz-prichiny-simptomy-i-lechenie). В лёгких случаях достаточно обильного питья солевых растворов, в более тяжёлых — внутривенное введение растворов [16](https://cyberleninka.ru/article/n/dizenteriya-shigellyoz-prichiny-simptomy-i-lechenie). \n* **Диета** — во время острого периода заболевания рекомендуется щадящая диета, исключающая жирные, острые, жареные блюда, а также продукты, способствующие усилению перистальтики кишечника (молоко, свежие фрукты и овощи) [16](https://cyberleninka.ru/article/n/dizenteriya-shigellyoz-prichiny-simptomy-i-lechenie). \n* **Симптоматическая терапия** — для облегчения симптомов могут использоваться противорвотные средства, спазмолитики, энтеросорбенты [16](https://cyberleninka.ru/article/n/dizenteriya-shigellyoz-prichiny-simptomy-i-lechenie). \n\n**При появлении первых признаков шигеллёза** рекомендуется обратиться к врачу [3](https://Megapteka.ru/specials/shigellez-simptomy-i-3893). 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