Matenda oopsa opatsirana ndi makoswe: Hantavirus Pulmonary Syndrome (HPS)

Kodi munayamba mwawonapo makoswe akuyeretsa chipinda chosungiramo zinthu kapena chipinda chapamwamba m'nyumba mwanu? Mwina munawonapo ndowe za makoswe ndi mkodzo zomwe zauma ndi kusakanizidwa ndi fumbi. Ngakhale kuti nthawi zambiri timaziona ngati zinthu wamba, lero tikulankhula za matenda oopsa kwambiri, ngakhale oopsa omwe angatengedwe kuchokera kwa makoswewa. Uwu ndi Hantavirus Pulmonary Syndrome, kapena HPS mwachidule.

Kodi Hantavirus Pulmonary Syndrome (HPS) kwenikweni ndi chiyani?

Mwachidule, HPS ndi matenda osowa kwambiri, koma oopsa kwambiri omwe amayamba chifukwa cha kachilombo kotchedwa Hantavirus. Kachilombo kameneka kakalowa m'thupi mwathu, kamayamba kuwononga mapapo athu, mtima, ndi ziwalo zina.

Choopsa kwambiri pa matendawa ndichakuti amakula mofulumira kwambiri . Komanso, ngati sachiritsidwa, pali mwayi waukulu woti munthu afe. ​​Nthawi zina matendawa amatchedwanso Hantavirus Cardiopulmonary Syndrome (HCPS). Chifukwa chake ndichakuti amakhudza mtima (Cardio) ndi mapapo (Pulmonary) nthawi imodzi.

Kodi matendawa timawapeza bwanji?

Ichi ndiye chinthu chofunikira kwambiri. Matendawa amafalikira ndi makoswe omwe ali ndi kachilomboka. Koma sizikutanthauza kuti mungatenge kachilomboka pongokhudza khoswe. Amafalikira kwambiri motere:

Tangoganizirani kuti mukutsuka chipinda chakale chosungiramo zinthu, denga, kapena nyumba yakale m'nkhalango. M'malo otere, mkodzo wouma wa makoswe, ndowe , ndi malovu zimatha kusakanizidwa ndi fumbi. Mukasesa malowo, fumbi ili limawonjezeredwa mumlengalenga. Ngati mupuma fumbi laling'ono lomwe lili ndi kachilomboka , kachilomboka kamatha kulowa m'mapapo mwanu mwachindunji. Iyi ndiyo njira yayikulu yomwe matendawa amafalikira.

Kuphatikiza apo, imatha kufalikira m'njira zina zingapo:

• Ngati khoswe wogwidwa ndi kachilomboka wakuluma .
• Ngati mutakhudza malo omwe ali ndi mkodzo kapena ndowe za makoswe kenako n’kukhudza mphuno, pakamwa, kapena maso anu ndi dzanja lomwelo.
• Ngati chakudya kapena madzi oipitsidwa ndi mkodzo kapena ndowe za makoswe ameza mwangozi.

Kodi chimachitika n’chiyani kachilomboka kakalowa m’thupi?

Kachilombo ka hantavirus kakalowa m'thupi, kamayamba kuchulukana mwakachetechete, ndiko kuti, kukula. Koma pakapita kanthawi kochepa kamayamba kuukira ziwalo zathu.

1. Chimachitika ndi chiyani m'mapapo:Kachilombo kameneka kamayamba kawononga mitsempha yaing'ono yamagazi m'mapapo mwathu. Izi zimapangitsa kuti mitsempha yamagaziyo 'ituluke', kutanthauza kuti imatuluka madzi. Madzi amenewa amasonkhana mwachindunji m'matumba a mpweya (zipinda zazing'ono ngati mabaluni zomwe zimadzaza ndi mpweya tikamapuma) m'mapapo. Zili ngati kumira. N'zovuta kupuma, ndipo thupi sililandira mpweya womwe limafunikira.

2. Zomwe zimachitika pamtima: Kachilombo kameneka kamawononganso minofu ya mtima. Mitsempha yamagazi yomwe ili mumtima imafookanso ndikuyamba kutuluka madzi. Kenako mtima umalephera kupopera bwino magazi okhala ndi mpweya kupita ku thupi lonse. Vutoli likakula kwambiri, thupi limayamba kugwedezeka . Izi zikutanthauza kuti ziwalo sizilandira magazi okwanira ndipo zimayamba kulephera chimodzi ndi chimodzi. Izi ndi zoopsa kwambiri.

Kodi zizindikiro za matendawa ndi ziti?

Zizindikiro za matendawa zimawonekera m'magawo angapo.

Gawo loyambirira (pakati pa masiku 2-8)

Zizindikiro zoyambirira zimafanana kwambiri ndi za matenda monga chimfine ndi dengue fever, ndichifukwa chake anthu ambiri saganiza kuti ndi vuto lalikulu.

Gome ili m'munsimu likuwonetsa zizindikiro zomwe zingawonekere pachiyambi ichi.

Gawo loopsa (pambuyo pa masiku 4-10)

Pakati pa masiku 4 ndi 10 kuchokera pamene zizindikiro zoyamba zayamba, matendawa amatha kukhala oopsa kwambiri. Iyi ndi nthawi yomwe amakhala pachiwopsezo chachikulu.

Makhalidwe akuluakulu a gawoli ndi awa:

• Kuvuta kwambiri kupuma: Madzi amadzaza mapapo, zomwe zimapangitsa kuti zikhale zovuta kupuma.
• Chifuwa: Chingayambe ngati chifuwa chouma kenako n’kusanduka chifuwa chokhala ndi ntchofu.
• Kulimba pachifuwa: Kumva ngati chifuwa chikukanikizidwa ndi lamba wachitsulo.
• Kugunda kwa mtima.
• Kutuluka magazi kungachitikenso m'thupi .

Ngati zizindikirozi zachitika, ndikofunikira kupita ku chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo .

Kodi dokotala amazindikira bwanji matendawa?

Mukapita kukaonana ndi dokotala, adzakufunsani mafunso angapo, makamaka okhudza zizindikiro zanu komanso ngati mwakhalapo posachedwa pamalo omwe makoswe ndi ofala. Mwachitsanzo:

• Kodi mwakumana ndi makoswe kapena ndowe zawo posachedwapa?
• Kodi mwayeretsa nyumba yakale kapena malo ngati nyumba yosungiramo zinthu?
• Kodi munachita nawo zinthu monga kukagona m'nkhalango?
• Kodi pali makoswe m'dera lomwe mumakhala kapena mumagwira ntchito?

Chidziwitsochi n'chofunika kwambiri. Popeza zizindikiro zoyambirira za matendawa zimafanana ndi matenda monga dengue ndi fuluwenza, dokotala angaganize kuti HPS ndi yochokera ku chidziwitso chomwe mwapereka.

Kenako, kuyezetsa magazi kumachitika kuti atsimikizire matendawa. Kuyezetsa kumeneku kumayang'ana ma antibodies omwe thupi limapanga motsutsana ndi kachilombo ka hantavirus. Komanso, kuyang'ana kusintha kwa kuchuluka kwa maselo oyera amagazi ndi ma platelet m'magazi kungapereke chithunzi cha matendawa.

Kodi mankhwala ochizira izi ndi otani?

Palibe mankhwala enieni a HPS omwe amati, "Imwani mankhwala awa ndipo matendawa adzachiritsidwa." Cholinga chachikulu cha chithandizo ndikupereka chithandizo ku thupi la wodwalayo, kapena 'chisamaliro chothandizira'. Izi zimachitika kuti thupi la wodwalayo likhale ndi mphamvu ndi nthawi yomwe likufunika kuti lithane ndi kachilomboka ndikupambana.

• Odwala nthawi zambiri amalandira chithandizo m'chipinda chosamalira odwala kwambiri (ICU) .
• Ngati pali vuto lopuma , chithandizo cha okosijeni chimaperekedwa .
• Ngati vutoli ndi lalikulu, adzalumikizidwa ku makina opumira (makina opumira mpweya) .
• Mankhwala obwezeretsa madzi ndi mankhwala amaperekedwa kudzera m'mitsempha kuti achepetse kuchuluka kwa madzi m'thupi ndi kuthamanga kwa magazi.
• Nthawi zina, mankhwala oletsa mavairasi otchedwa Ribavirin amaperekedwa.
• Ngati impso zalephera, dialysis ingafunike.
• Pa milandu yoopsa kwambiri, mutha kulumikizidwa ndi makina apadera otchedwa ECMO (Extracorporeal Membrane Oxygenation) kuti mtima ndi mapapo zipumule.

Kodi tingadziteteze bwanji ku matendawa?

Palibe katemera wa matendawa. Chifukwa chake, chinthu chabwino kwambiri kuchita ndikupewa matendawa asanayambe. Izi zikutanthauza kupewa makoswe ndi zinyalala zawo.

Tiyeni tiwone zomwe mungachite ndi zomwe simuyenera kuchita mu tebulo ili m'munsimu.