Omanyi ku musujja guno ogw’ekyewuunyo oguva mu bisolo byo eby’oku faamu? (Q Omusujja) Ka twogere!

Wali owuliddeko ku bulwadde buno obuyitibwa Q Fever? Oboolyawo si bwe kiri, nedda? Kubanga buno si bulwadde obulabibwa ennyo mu ggwanga lyaffe. Naye, naddala bw’oba ​​omuntu akola n’ebisolo, ebisolo by’oku faamu, oba abeera mu mbeera ng’eyo, kikulu nnyo okukimanyaako katono ku kino. Mu kiwandiiko kino leero, tugenda kwogera ku musujja guno ogwa Q kye guli, engeri gye gukula, obubonero bwe buli, n’engeri gye tuyinza okwekuuma okuva ku musujja guno.

Omusujja gwa Q kye ki? Mu ngeri ennyangu...

Q fever bulwadde bwe tufuna nga tussa obutundutundu bw’enfuufu obulimu obuwuka obuyitibwa `Coxiella burnetii` oba nga tulya ebintu ebiva mu bisolo ebirina obulwadde buno. Obuwuuka buno businga kusangibwa mu mibiri gy’ebisolo ng’endiga, embuzi, n’ente. Obuwuuka buno busobola okukuŋŋaanyizibwa mu ttaka ebisolo bino mwe bibeera. Olwo busobola okusiigibwa abantu nga buyita mu butundutundu bw’enfuufu obufuluma mu ttaka eryo, oba okuyita mu mata, omusulo, n’okusingira ddala amazzi agafuluma nga bazaala.

Lwaki guyitibwa omusujja gwa Q? Erinnya litegeeza ki?

Eno nayo mboozi ya kyewuunyo katono. Ennukuta 'Q' mu musujja gwa Q eyimiridde ku 'Query' . ‘Okubuuza’ kitegeeza ‘okubuuza’ oba ‘okubuuza’. Edda, mu Australia mu myaka gya 1930 ate oluvannyuma mu Amerika mu myaka gya 1940, abantu bwe baatandika okufuna omusujja guno ogw’ekyewuunyo, abasawo mu kusooka tebaasobola kuzuula kiki ekiguleeta. Kale baalina ‘ebibuuzo’ bingi ku musujja guno. Y’ensonga lwaki kyayitibwa ‘Query Fever’ oba Q fever. Kyangu nnyo, nedda?

Omusujja gwa Q ogutawona kye ki? Kya bulabe?

Yee, kino kyeraliikiriza katono. Ekigambo ‘eky’olubeerera’ kitegeeza eky’ekiseera ekiwanvu . Kale, omusujja gwa Q ogutawona gwe musujja gwa Q ogw’amaanyi ennyo, ogw’ekiseera ekiwanvu. Kiyinza okukosa omutima gwo, emisuwa gyo, amagumba , n’ebitundu ebirala ebikulu. Embeera eno etawona ebeerawo mu bantu abatono ennyo ku buli kikumi abakwatibwa obuwuka bwa C. burnetii, wakati wa 1% ne 5% .

Ekizibu ekimu ku kino kiri nti embeera eno etawona esobola okukula nga wayise emyezi oba n’emyaka ng’obubonero bw’omusujja gwa Q obusooka buweddewo. Abantu abamu bayinza obutalaga bubonero bwonna mu kiseera ky’okusooka okukwatibwa naye oluvannyuma bafuna omusujja gwa Q ogutawona. Ekizibu ekisinga okuva mu musujja gwa Q ogutawona kwe kukwatibwa yinfekisoni mu bitundu by’omutima. Abasawo bakiyita ``endocarditis''. Kino kizibu ekiyinza okutta omuntu.

Q Kiki ekibaawo ng’ofunye omusujja?

Omusujja gwa Q guyinza okuleeta obubonero obw’enjawulo. Kyokka obubonero obusinga okulabika bwe buva ku musujja, gamba ng’omusujja n’okulumwa omubiri . Obuwuuka obuyitibwa `C. burnetii` esobola okusiiga amawuggwe go, omutima, obwongo, amagumba, oba ebitundu by’omubiri gwo ebirala. Obubonero bwawukana okusinziira ku bubonero. Abantu abamu bafuna obukoowu obw’amaanyi.n’obubonero obulala busobola okumala emyezi, wadde emyaka. Nga bwe kyayogeddwako emabegako, omusujja gwa Q ogutawona guyinza okutta omuntu.

Ani asinga okufuna omusujja gwa Q?

Ssenyiga wa Q asinga kukwata bantu ababeera ku faamu oba abakwatagana ennyo n'ebisolo by'oku faamu . Okugeza bw’oba ​​omusawo w’ebisolo, omuntu ayambako mu kuzaala ennyana, omuntu akola ku faamu, ku ddundiro oba mu kifo awasalirwa ebisolo, oba mu bulabe bwa maanyi okukwatibwa obulwadde buno. Kino kiri bwe kityo kubanga abantu bano batera okukwatagana n’ebisolo ebirina akawuka n’obutonde bwe babeera.

Q Ani ali mu bulabe obw’amaanyi obw’okulwala ennyo ssennyiga?

Abantu abamu batera okufuna embeera ez’amaanyi okuva ku musujja gwa Q naddala:

• Abakyala ab’embuto bali mu bulabe obw’amaanyi obw’okufuna ebizibu nga bali embuto n’okuggyamu embuto.
• Oli mu bulabe bwa maanyi okufuna omusujja gwa Q ogutawona singa oba olina embeera zino wammanga:
• Bwoba nga wali olina `(Endocarditis)` (okuzimba ekitundu eky'omunda eky'omutima).
• Singa wabaawo obuzibu ku valve z’omutima.
• Bw’oba ​​olina emisuwa (okunafuwa n’okubumbulukuka kw’ebisenge by’emisuwa) mu misuwa gyo.
• Singa ekibumba tekikola bulungi (Renal insufficiency).
• Bw’oba ​​olina ekyuma ekiteekebwamu enkalakkalira (vascular prosthesis) okunyweza emisuwa n’okulongoosa entambula y’omusaayi.
• Singa abaserikale b’omubiri bo banafu (okugeza, abalina akawuka ka siriimu, abalwadde ba kookolo, abo abamira eddagala eriweweeza ku busimu bw’omubiri).

Q Ssenyiga atera kwenkana wa?

Q fever mu butuufu bulwadde obutatera kulabika nnyo . Okugeza, ne mu nsi nga Amerika, abantu nga 200 bokka be bakwatibwa buli mwaka. Tekitera kuloopebwa nnyo ne mu Sri Lanka. Naye kikulu abo abali mu bibinja eby‟akabi okubeera abamanyi.

Q Bubonero ki obulaga omusujja?

Obubonero bw’omusujja gwa Q bwawukana okusinziira ku mutendera ogusooka (acute) n’embeera endala eziyinza okubaawo oluvannyuma.

Obubonero bw’omusujja gwa Acute Q

Obubonero buno butera okutandika okulabika wakati w’ennaku 3 ne 30 ng’obuwuka buyingira mu mubiri. Zitera okufaananako n’ezo ez’omusujja oba ssennyiga.

• Omusujja ogw’amaanyi
• Obukoowu obuyitiridde n’okukoowa
• Okuwunya
• Okutuuyana
• Okulumwa omubiri, okulumwa ebinywa
• Okuwulira ekitangaala, amaaso aga bbululu (Photophobia) .
• Omutwe gulumwa nnyo
• Okuziyira n’okusiiyibwa
• Embiro
• Okukolola
• Obulumi mu kifuba
• Obulumi mu lubuto
• Amabala amamyufu wansi w’olususu (Purpura) .
• Obuzibu mu kussa (Dyspnea) .

Oluusi, omusujja guno ogw’amaanyi ogwa Q guyinza okuleeta embeera nga yinfekisoni z’amawuggwe (Pneumonia), okuzimba obwongo oba obuwuka obubikka obwongo (Encephalitis oba Meningitis), oba okuzimba ekibumba (Hepatitis).

Obubonero bw’obulwadde bw’obukoowu bw’omusujja gwa Q (QFS) .

Abantu nga 20% abafuna omusujja gwa Q bayinza okufuna obukoowu n’obubonero obulala obumala emyezi, oluusi emyaka, oluvannyuma lw’okusooka okukwatibwa. Kino kiyitibwa obulwadde bw’obukoowu bw’omusujja gwa Q.

• Akooye nnyo
• Okulumizibwa omutwe
• Okutuuyana
• Obulumi mu binywa
• Obulumi mu binywa

Obubonero bw’omusujja gwa Chronic Q

Omusujja gwa Q ogutawona gutandika emyezi, oba n’emyaka, oluvannyuma lw’okusooka okukwatibwa obuwuka bwa C. burnetii. Kiyinza okukula ne bw’oba ​​tolina bubonero bwonna mu kiseera ky’okusooka okukwatibwa. Businga kukwata ku mutima, emisuwa gy’omutima n’emisuwa, naye obubonero buyinza okwawukana okusinziira ku kitundu ky’omubiri ekikoseddwa.

• Omusujja ogw’omutindo ogwa wansi
• Entuuyo z’ekiro
• Okugejja
• Obukoowu
• Okukaluubirirwa okussa
• Okuzimba amagulu oba ebigere

Q Kiki ekivaako omusujja?

Ekisinga okuvaako omusujja gwa Q ye buwuka obuyitibwa Coxiella burnetii . Obuwuuka buno busobola okubeera mu bisolo naddala ente, endiga n’embuzi nga tebulaga bubonero bwonna. Amazzi g’omubiri gw’ebisolo ebirina obulwadde (nga omusulo, omusulo, amata, n’amazzi g’omu lubuto) gasobola okucaafuwaza ettaka lye babeeramu Abantu bakwatibwa obuwuka buno okusinga nga bassa obutundutundu bw’enfuufu oba omukka gw’amazzi okuva mu ttaka eririmu obucaafu.

Q Ssenyiga asiigibwa atya?

Engeri enkulu omusujja gwa Q gye gusaasaanyizibwamu kwe kussa enfuufu oba omukka gw’amazzi ogufuuse obucaafu ne `C. burnetii` obuwuka obuleeta endwadde . Kino kiyinza okubaawo singa obeera oba okolera mu kitundu ebisolo mwe bibeera naddala ebisolo by’oku faamu. Kubanga ekibiina kya `C. burnetii` bacteria zisobola okutambula ebanga eritali limu mu mpewo, tolina kubeera mu kukwatagana butereevu na bisolo okusobola okugifuna.

Engeri endala, naye nga tezitera kubaawo, omusujja gwa Q gye guyinza okusiigibwa ze zino:

• Okulya oba okunywa amata agatali ga pasteurized (e.g. amata, kkeeki, ice cream).
• Okuluma okuva mu nkwaso efunye akawuka .
• Okuva ku maama ow'olubuto okutuuka ku mwana we ng'ali lubuto oba ng'azaala .
• Nga bayita mu kuteekebwamu omusaayi (kino tekitera kubaawo nnyo).

Ekikulu: Omusujja gwa Q tegutera kusiigibwa okuva ku muntu okudda ku mulala . Wabaddewo amawulire agatali ga bulijjo agalaga nti obulwadde buno buva ku maama ali olubuto okutuuka ku mwana we.

Q Omusujja guzuulibwa gutya?

Omusawo ajja kuzuula omusujja gwa Q ng'abuuza ku bubonero bwo , okwetegereza ebyafaayo by'obujjanjabi bwo , n'okukebera omusaayi . Era bayinza okubuuza oba obeera oba okolera na bisolo.

Ebyava mu kukebera C. burnetii bisobola okutwala wiiki eziwera okudda, kale singa omusawo wo ateebereza nti olina omusujja gwa Q, bayinza okutandika obujjanjabi nga tebalinze bivudde mu kukeberebwa.

Q Bikebere ki ebikolebwa ku musujja?

Okukebera omusujja gwa Q, omusawo ajja kutwala omusaayi gwo ng’akozesa empiso entono. Sampuli eno ejja kusindikibwa mu laabu okunoonya obubonero (obuziyiza) obw’obulwadde bwa C. burnetii. Era bayinza okugezaako okukuza obuwuka bwa C. burnetii okuva mu sampuli yo.

Oyinza okwetaaga okuwa omusaayi emirundi egiwerako okumala ekiseera okusobola okuzuula ekituufu.

Q Omusujja gujjanjabwa gutya ?

Omusujja gwa Acute Q gujjanjabwa n'eddagala eritta obuwuka . Omusujja gwa Q ogutawona gutera okujjanjabwa n’eddagala eritta obuwuka n’ery’okuzimba, naye guyinza okuba omuzibu okugujjanjaba. Omusawo wo ajja kukola enteekateeka y’obujjanjabi entongole okusinziira ku mbeera yo.

Bw’oba ​​ozuuliddwa ng’olina omusujja gwa Q era ng’olina embeera z’omusujja gw’omutima oba emisuwa egyaliwo edda, yogerako n’omusawo wo ku bujjanjabi obw’amangu okukendeeza ku bulabe bw’okufuna omusujja gwa Q ogutawona.

Eddagala ki/obujjanjabi ki obukozesebwa?

Omusawo ayinza okumuwa eddagala lino wammanga:

• `( Doxycycline ( Ekirungo kya Doxycycline) ) `
• `(Ekirungo kya Hydroxychloroquine)`
• `(Eddagala lya Trimethoprim-sulfamethoxazole (TMP-SMX))`
• `(Rifampin)`
• `(Fluoroquinolones)` (okugeza `(Ciprofloxacin)`, `(Ofloxacin)`) Ebirungo ebiyamba okuzimba omubiri.
• `(Eddagala lya Clarithromycin)`

Q Omusujja gusobola okuwona ddala?

Yee, abantu abasinga basobola okuwona ddala omusujja gwa Q ogw’amaanyi nga bakozesa eddagala eritta obuwuka. Wabula ne mu bantu abatono abafuna omusujja gwa Q ogw’amaanyi, obubonero buno busobola okumala emyezi oba n’emyaka, ne bwe baba bajjanjabiddwa. Omusujja gwa Q ogutawona guzibu katono okujjanjaba.

Nnyinza ntya okukendeeza ku bulabe bw’okulwala omusujja gwa Q?

Waliwo ebintu ebiwerako by’oyinza okukola okukendeeza ku bulabe bw’okulwala omusujja gwa Q:

• Yambala masiki ne ggalavu ng’okwata amazzi g’omubiri gw’ebisolo naddala agafuluma ng’ozaala .
• Weewale okulya oba okunywa amata agatali ga pasteurized .
• Okunoonyereza okumu kulaga nti okukebera n’okujjanjaba ebizibu by’omusujja gw’omutima mu bantu abazuuliddwa nga balina omusujja gwa Q kiyinza okuziyiza omusujja gwa Q ogutawona.
• Bw’oba ​​okola ku mulimu ogw’akabi ennyo era ng’obeera mu kitundu awali eddagala erigema omusujja gwa Q (mu kiseera kino lisangibwa mu Australia yokka), buuza omusawo wo ku ky’okugema.

Bw’oba ​​obeera oba okolera ku bisolo by’oku faamu, era ng’oli mu bulabe obw’amaanyi obw’okufuna ebizibu ebiva ku musujja gwa Q (e.g., abantu abalina obuzibu mu vvaalu y’omutima oba emisuwa, abakyala ab’embuto, abantu abalina abaserikale b’omubiri abanafuye), yogerako n’omusawo wo ku ngeri y’okuziyiza omusujja gwa Q.

Kiki kye nsuubira singa mba nnina omusujja gwa Q?

Obubonero bw'omusujja gwa Q busobola okumala ebbanga eddene , okuva ku nnaku 10 okutuuka ku nnaku 90 . Kyokka, abantu abasinga obungi bawona ddala . Bw’oba ​​owandiikiddwa eddagala eritta obuwuka, ojja kwetaaga okulimira waakiri wiiki bbiri. Abantu nga 1 ku buli 5 (20%) ayinza okufuna okuwulira ng’akooye (`(Q fever fatigue syndrome)`) okumala emyezi oba emyaka.

Omuwendo omutono ennyo ogw’abantu (wakati wa 1% ne 5%) naddala abo abalina embeera endala ez’obujjanjabi ezisibukako, basobola okufuna omusujja gwa Q ogutawona. Bw’oba ​​olina omusujja gwa Q ogutawona, oyinza okwetaaga okujjanjabibwa okumala emyezi 18 oba okusingawo .

Q Bizibu ki ebiva mu musujja?

Ebizibu bisobola okubaawo ku musujja gwa Q ogw’amaanyi n’omusujja gwa Q ogw’olubeerera. Wabula bino bitera okubeerawo era ebiseera ebisinga biba bya maanyi mu musujja gwa Q ogutawona. Ebizibu ebivaamu mulimu:

• Omusuwa ogunafuye era nga gubumbulukuka (Aneurysm) .
• Arterial fistula, embeera omusaayi mwe gukulukuta mu bukyamu
• Obulwadde bw’omutima
• Enkovu mu mawuggwe (Fibrosis) .
• Obulwadde bw’okusannyalala ennyo (ARDS) .
• Omutima okulemererwa
• Obulwadde bw’amagumba (Osteomyelitis) .
• Okuvaamu olubuto
• Obuzito obutono mu kuzaalibwa

Q Endowooza etya ku ssennyiga?

Okutwalira awamu enteekateeka y’omusujja gwa Q ogw’amaanyi nnungi singa ejjanjabwa n’eddagala eritta obuwuka. Omuwendo gw’abafa olw’omusujja gwa acute Q guli wakati wa 0.5% ne 1.5% . Abantu abafuna omusujja gwa Q ogutawona bali mu bulabe bwa maanyi obw’okufuna ebizibu n’okufa. Omuwendo gw’abafa olw’omusujja gwa Q ogutawona guli wakati wa 12% ne 25% .

Nze nneerabirira ntya?

Bw’oba ​​ozuuliddwa ng’olina omusujja gwa Q, kikulu nnyo okumira eddagala lyonna erikulagiddwa mu budde . Buuza omusawo wo engeri y’okuddukanyaamu obubonero bwo n’okumanya oba waliwo engeri y’okukendeeza ku bulabe bw’obubonero obw’ekiseera ekiwanvu oba omusujja gwa Q ogutawona.

Ddi lwe nnina okulaba omusawo?

Bw’oba ​​okola oba obeera n’ente, embuzi oba endiga, era n’ofuna obubonero bw’omusujja gwa Q, laba omusawo mu bwangu . Bw’oba ​​olina obubonero bw’omusujja gwa Q ogutawona, era ng’olowooza nti oyinza okuba nga wakwatibwa `C. burnetii` bacteria mu biseera eby’emabega (ne bwe kiba nga kimaze akaseera), buulira omusawo wo.

Bibuuzo ki bye nnina okubuuza omusawo wange?

• Nsaanidde okumira eddagala nga bukyali okukendeeza ku bulabe bw’omusujja gwa Q ogutawona?
• Nkebere okulaba oba nnina obuzibu mu mutima n’emisuwa?
• Eddagala lino ngumira ntya?
• Ddi lwe nnandizzeemu okukulaba?
• Kiki kye nnyinza okukola okusobola okuddukanya obubonero bwange?

N’ekisembayo, ebintu by’olina okujjukira (Obubaka bw’okutwala awaka) .

Wadde ng’omusujja gwa Q bulwadde obutatera kulabika, kikulu okugumanya n’okukola eby’okwekuuma singa oba okola oba ng’obeera mu mbeera ey’akabi ennyo. Ebintu ebyangu nga okwambala masiki, ggalavu, n’okwewala amata agatali ga pasteurized bisobola okuleeta enjawulo nnene naddala ng’okola n’ebisolo by’oku faamu .

Wadde ng’omusujja gwa Q ogutawona gukwata abantu batono bokka, guyinza okuleeta ebizibu ebiyinza okutta omuntu. Kale, bw’oba ​​olowooza nti oyinza okuba n’omusujja gwa Q, oba bw’oba ​​olina ekikweraliikiriza ku nsonga eno, tolwawo kunoonya magezi ga musawo . Okubuulira omusawo wo ebyafaayo by’obulamu bwo n’ebyafaayo by’emirimu gyo kijja kumuyamba okutegeera ensonga z’obulabe bwo n’okumuwa obujjanjabi obusinga obulungi.

` Omusujja gwa Q, Coxiella burnetii, endwadde ezeekuusa ku bisolo, obubonero bw’omusujja, omusujja gwa Q ogutawona, obulamu ku faamu, yinfekisoni za bakitiriya