Kodi mwadzidzidzi mwayamba kumva kupweteka kwambiri m'mimba? Kodi chopondapo chanu chilibe mtundu komanso chili ndi madzi? Kodi mukumvanso kufooka komanso kusanza? Nthawi zina ngati izi, nthawi zambiri timaganiza kuti ndi kupweteka kwa m'mimba wamba. Koma nthawi zina izi zitha kukhala zizindikiro za matenda oopsa kwambiri otchedwa Kolera . Musachite mantha mukamva dzinali. Ngati mwadziwitsidwa bwino ndikupeza chithandizo pa nthawi yake, uwu ndi matenda ochiritsika kwathunthu. Chifukwa chake lero, tikambirana za kolera m'njira yosavuta kwambiri, kutanthauza momwe imachitikira, zizindikiro, njira zopewera, ndi chithandizo.
Kodi kolera ndi chiyani kwenikweni?
Mwachidule, kolera ndi matenda a bakiteriya omwe amapezeka m'matumbo mwathu. Mabakiteriya omwe amachititsa kolera akalowa m'thupi mwathu, amayambitsa kutsegula m'mimba kwambiri komanso kopanda madzi. Izi sizili ngati kutsegula m'mimba kwachibadwa. Pakangopita maola ochepa, madzi ambiri ndi ma electrolyte , omwe ndi mchere wofunikira kuti thupi lathu ligwire ntchito, amatayika.
Kutaya madzi m'thupi kumeneku, komwe timakutcha kuti kuchepa madzi m'thupi , ndi vuto loopsa kwambiri. Ngati silinachiritsidwe pa nthawi yake, mavuto omwe amabwera chifukwa cha kuchepa madzi m'thupi kumeneku akhoza kupha.
Choncho kumbukirani, ngati muli ndi kutsegula m'mimba kwambiri, choyamba muyenera kumwa madzi ambiri, makamaka madzi monga Jeevani. Ngati vutoli ndi lalikulu, zomwe zikutanthauza kuti mukutsegula m'mimba kwambiri, kusanza, kapena kumva kufooka, pitani ku ETU (Emergency Treatment Unit) ya chipatala mosazengereza.
Matenda a kolera nthawi zambiri amafalikira m'malo opanda madzi abwino akumwa komanso ukhondo wabwino. Amathanso kupezeka chifukwa chodya nsomba zosaphikidwa bwino, makamaka nkhono. M'dziko lathu, pali chiopsezo chakuti matendawa afalikire pambuyo pa masoka achilengedwe monga kusefukira kwa madzi ndi kugumuka kwa nthaka.
Kodi zizindikiro za kolera ndi ziti?
Chizindikiro chachikulu komanso choopsa kwambiri cha kolera ndi kutsegula m'mimba kwakukulu, kofanana ndi madzi. Pali chizindikiro chapadera cha izi. Madokotala amatcha "ndowe ya madzi a mpunga." Izi zikutanthauza kuti, ndowe si yopanda utoto kwenikweni, koma ndi madzi oyera. Kutsegula m'mimba kumeneku kungayambitse kutaya madzi m'thupi komwe kungawononge moyo mkati mwa maola ochepa.
Kuwonjezera pa chizindikiro chachikulu ichi, pakhoza kukhala zizindikiro zina zingapo. Onani tebulo ili m'munsimu.
| Chizindikiro | Kufotokozera |
|---|---|
| Kutsegula m'mimba kwambiri | Kutuluka madzi mosalekeza. Kuoneka kofanana ndi "madzi a mpunga". |
| Kusanza | Zitha kuchitika makamaka kumayambiriro kwa matendawa. |
| Ludzu lopitirira muyeso | Zimayambitsidwa ndi kutayika kwakukulu kwa madzi m'thupi. |
| Kupweteka kwa minofu | Kutayika kwa mchere monga sodium ndi potaziyamu m'thupi kumapangitsa kuti mnofu wa miyendo ndi manja ukhale bulauni. |
| Kutopa ndi kufooka | Kumva ngati wopanda moyo. |
| Chizungulire | Zingachitike chifukwa cha kuchepa kwa kuthamanga kwa magazi. |
| Kuchepa kwa kukodza | Chizindikiro chachikulu cha kusowa madzi m'thupi. Mwina palibe kukodza kulikonse. |
| Kugunda kwa mtima | Mtima uyenera kugwira ntchito molimbika chifukwa cha kuchepa kwa madzi m'thupi. |
Koma palinso chinthu china chofunikira apa. Anthu ambiri omwe ali ndi kolera sasonyeza zizindikiro zilizonse . Koma akhoza kukhala ndi mabakiteriya m'chimbudzi chawo. Choncho amatha kufalitsa matendawa kwa ena.
Kodi kolera imayamba bwanji? Kodi chifukwa chake ndi chiyani?
Kolera imayamba chifukwa cha Vibrio cholerae.Bakiteriya wotchedwa. Bakiteriya iyi imakonda kukhala m'madzi ofunda pang'ono komanso amchere pang'ono.
Kodi timatenga bwanji kolera?
Bakiteriya imeneyi imalowa m'thupi mwathu kudzera m'madzi omwe timamwa kapena chakudya chomwe timadya.
- Kumwa madzi odetsedwa: Chifukwa chachikulu ndikumwa madzi odetsedwa ndi ndowe za munthu amene ali ndi kolera.
- Chakudya chokonzedwa ndi madzi odetsedwa: Kutsuka ndiwo zamasamba ndi zipatso ndi madzi amtunduwu kapena kuphika chakudya.
- Zakudya zam'madzi zosaphika: Mabakiteriya amenewa amapezeka m'zinyama monga oyster ndi nkhanu zomwe zimadyedwa popanda kuziphika bwino.
Bakiteriya iyi ikalowa m'mimba mwathu, imadziphatika ku makoma a matumbo athu ang'onoang'ono. Kuchokera pamenepo, bakiteriya iyi imapanga poizoni. Poizoni imeneyo imalimbikitsa maselo m'matumbo mwathu ndipo imawapangitsa kutulutsa madzi ndi mchere wambiri m'matumbo. Ndicho chifukwa chake timatsegula m'mimba kwambiri.
Kolera si matenda omwe amafalikira kuchokera kwa munthu kupita kwa munthu kudzera mu kuyetsemula kapena kutsokomola ngati chimfine. Amafalikira mwanjira ina. Izi zikutanthauza kuti, amafalikira pakati pa anthu kudzera mu madzi omwe ali ndi ndowe za wodwala.
Ndani amene ali pachiwopsezo chachikulu chotenga kolera?
Aliyense amene alibe madzi abwino komanso ukhondo akhoza kutenga kolera, koma anthu ena ali pachiwopsezo chachikulu.
- Anthu omwe ali ndi magazi a mtundu O: Kafukufuku wapeza kuti anthu omwe ali ndi magazi a mtundu O amakhala ndi zizindikiro zoopsa kwambiri ngati atatenga kolera kuposa anthu omwe ali ndi magazi ena.
- Anthu omwe ali ndi asidi wochepa m'mimba: Asidi m'mimba mwathu ndi chitetezo chomwe chimapha majeremusi ambiri omwe amalowa. Anthu omwe amamwa mankhwala a nthawi yayitali a gastritis (monga Proton Pump Inhibitors monga Omeprazole) ali ndi asidi wochepa m'mimba. Chifukwa chake, ali ndi mwayi wochepa wopulumuka mabakiteriyawa.
- Anthu omwe ali ndi matenda a H. pylori: Ichi ndi kachilombo ka bakiteriya komwe kamapezeka m'mimba.
- Anthu omwe adachitidwa opaleshoni ya m'mimba mwawo (Gastrectomy).
Kuzindikira ndi kuchiza matendawa
Kodi dokotala amazindikira bwanji matendawa?
Mukapita kuchipatala, dokotala adzakufunsani za zizindikiro zanu. Kenako, ngati mukukayikira kuti muli ndi kolera, mudzatumizidwa kuti mukayezetse kuti mudziwe ngati muli ndi cholera. Izi zitha kuzindikira kupezeka kwa mabakiteriya a `Vibrio cholerae`. Kuyezetsa magazi kungachitikenso kuti muwone ngati muli ndi madzi m'thupi komanso ngati muli ndi mchere wambiri.
Mukuchita chiyani ngati chithandizo?
Chofunika kwambiri pochiza kolera ndikusintha mwachangu madzi ndi mchere womwe watayika m'thupi.
1. Kubwezeretsa Madzi M'thupi: Ngati wodwalayo akudziwa bwino ndipo sakusanza, choyamba perekani mankhwala obwezeretsa madzi m'thupi (ORS) .Kupatsa. M'dziko lathu, timatchanso kuti "Jeevani." Lili ndi madzi, shuga, ndi mchere wokwanira womwe thupi limafunikira.
2. Madzi Olowa M'mitsempha: Ngati wodwalayo wasowa madzi ambiri m'thupi, wosadziwa kalikonse, kapena akupitiriza kusanza, sangaperekedwe madzi akumwa. Pazochitika zotere, saline (IV fluids) imaperekedwa kudzera m'mitsempha.
3. Mankhwala opha tizilombo toyambitsa matenda: Ngati dokotala aona kuti ndikofunikira, mankhwala opha tizilombo monga Doxycycline ndi Azithromycin adzaperekedwa. Mankhwalawa amatha kuchepetsa nthawi yotsegula m'mimba komanso kuchotsa mabakiteriya m'thupi.
4. Zowonjezera zinki: Kupatsa zinki ana osakwana zaka 5 kwapezeka kuti kumachepetsa kuopsa ndi nthawi ya kutsegula m'mimba.
Chofunika kwambiri: Ngati muli ndi vuto la kolera , musagwiritse ntchito mankhwala oletsa kutsegula m'mimba (monga mankhwala okhala ndi Loperamide) popanda upangiri wa dokotala. Kuchita zimenezi kungalepheretse mabakiteriya ndi poizoni wawo kutuluka m'thupi, zomwe zingawonjezere matendawo.
Kodi ndi liti pamene tiyenera kupita ku ETU (Emergency Treatment Unit) nthawi yomweyo?
Kutsegula m'mimba kungayambitse kutaya madzi m'thupi mwachangu kwambiri. Choncho ngati inu kapena wina m'banja mwanu ali ndi zizindikiro zotsatirazi, musataye nthawi ndipo pitani kuchipatala mwamsanga.
| Zizindikiro za kuchepa kwa madzi m'thupi kwambiri |
|---|
| - Kuzungulira thupi kwambiri (makamaka miyendo) |
| - Ludzu lochuluka lomwe silingathe kuthetsedwa ngakhale mutamwa madzi ochuluka bwanji |
| - Kukodza kumachepa kwambiri kapena kumasiya kwathunthu |
| - Chizungulire kwambiri komanso mutu wopepuka |
| - Kugunda kwa mtima kumathamanga kwambiri |
| - Kutaya chidziwitso, kugwedezeka, kapena kulankhula mopanda nzeru |
Kodi mungadziteteze bwanji ku kolera? Njira zopewera
Kolera ndi matenda omwe tingathe kuwapewa kwathunthu. Sitifunikira kuchita chilichonse chapadera kuti tipewe. Ndikokwanira kusintha zina ndi zina pa zizolowezi zathu za tsiku ndi tsiku.
Kodi ifeyo patokha tiyenera kuchita chiyani?
- Kumwa madzi oyera: Nthawi zonse imwani madzi owiritsa kapena a m'mabotolo. Ngati mukukayikira za kuyera kwa madziwo, musamwe.
- Sambani m'manja nthawi zambiri: Sambani m'manja mwanu bwino ndi sopo ndi madzi oyera. Izi ndizofunikira kwambiri musanadye, mukamakonza chakudya, komanso mukatha kugwiritsa ntchito bafa.
- Phikani chakudya bwino: Phikani nyama, nsomba, ndi ndiwo zamasamba bwino. Makamaka phikani nsomba zam'madzi (nkhono, nkhanu, squid) mpaka zitaphikidwa bwino.
- Samalani ndi zakudya zosaphika: Tsukani bwino ndi madzi oyera ndi zakudya zosaphika monga saladi. Samalani ndi zakudya izi mukamadya panja.
- Kutsuka Zipatso: Tsukani zipatso bwino musanadye. Ngati n'kotheka, chotsani khungu musanadye.
- Kusunga zimbudzi zoyera: Kugwiritsa ntchito zimbudzi zoyenera komanso kuzisunga zoyera n'kofunika kwambiri kuti matenda asafalikire.
Ngati mukupita kudera loopsa...
Ngati mukupita kudera lomwe kolera ndi yofala kwambiri kapena mukukhala kudera lomwe lili pachiwopsezo chifukwa cha mikhalidwe monga kusefukira kwa madzi, pali zinthu zina zomwe mungachite kuwonjezera pa zomwe zili pamwambapa.
- Katemera wa Kolera: Pali katemera wakumwa woteteza ku kolera. Ngati mukupita kudera lomwe lili pachiwopsezo, lankhulani ndi dokotala wanu za izi ndikupeza upangiri.
- Madzi a m'mabotolo: Nthawi zonse gwiritsani ntchito madzi a m'mabotolo. Ndi bwino kugwiritsa ntchito madzi a m'mabotolo ngakhale potsuka mano anu.
- Mapiritsi oyeretsera madzi: Sungani zinthu monga mapiritsi a chlorine pafupi. Izi zitha kuwonjezeredwa m'madzi kuti muphe majeremusi.
Uthenga Wopita Nawo Kunyumba
- Kolera ndi matenda a bakiteriya. Chizindikiro chake chachikulu komanso choopsa kwambiri ndi kutaya madzi m'thupi komwe kumachitika chifukwa cha kutsegula m'mimba kwambiri.
- Ngati muli ndi kutsegula m'mimba komwe kumafanana ndi "madzi a mpunga," kungakhale chizindikiro chachikulu cha kolera.
- Gawo loyamba la chithandizo ndikusintha madzi ndi mchere zomwe zatayika m'thupi. Zakumwa monga ORS ndizofunikira kwambiri pa izi.
- Musamwe mankhwala oletsa kutsegula m'mimba popanda upangiri wa dokotala. Zingapangitse vutoli kukhala loipa kwambiri.
- Ngati muli ndi zizindikiro zoopsa monga kusanza kwambiri, kutaya chidziwitso, komanso kuchepa kwa kukodza, pitani ku ETU ya chipatala nthawi yomweyo.
- Kolera ingapewedwe kotheratu mwa kumwa madzi owiritsa, kusamba m'manja bwino ndi sopo, ndi kuphika chakudya bwino.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu