Kodi mukudziwa malungo omwe amachokera ku mimbulu? Tiyeni tikambirane za Rocky Mountain Spotted Fever (RMSF)!

Kodi munayamba mwadzifunsapo kuti nyama yaying'ono ngati leech ingayambitse matenda otani? Lero tikambirana za matenda opatsirana ndi leech otere, omwe angakhale oopsa pang'ono, koma ngati mutalandira chithandizo choyenera, mutha kuchira mwachangu. Dzinali limatchedwa Rocky Mountain Spotted Fever . Mwina simunamvepo za dzinali, koma ndikofunikira kwambiri kudziwa za dzinali.

Kodi Rocky Mountain Spotted Fever (RMSF) ndi chiyani?

Mwachidule, uwu ndi matenda a bakiteriya. Izi zikutanthauza kuti matendawa amayamba chifukwa cha kachilombo kakang'ono komwe kamalowa m'thupi. Bakiteriya iyi imatchedwa Rickettsia rickettsii. Koma bakiteriya iyi simangobwera ndikulowa m'thupi mwathu. Ili ndi chonyamulira. Chonyamuliracho ndi leech. Si leech iliyonse, koma ngati tilumidwa ndi leech yomwe ili ndi bakiteriya iyi yotchedwa `(Rickettsia rickettsii)`, timapeza matendawa. Zili ngati udzudzu wa dengue, si udzudzu uliwonse womwe umafalitsa dengue, koma udzudzu wokhala ndi kachilombo ka dengue ndi womwe umafalitsa. Umu ndi momwe zilili.

Ngakhale matendawa amatchedwa 'Rocky Mountain', sapezeka m'mapiri okha, komanso amapezeka m'madera ena a dziko lapansi, makamaka kumpoto ndi ku South America. Matendawa sapezeka kawirikawiri ku Sri Lanka, koma ndi bwino kudziwa izi chifukwa pali matenda ena omwe amafalitsidwa ndi mimbulu komanso kwa iwo omwe amayenda kunja .

Kodi matendawa amafalikira bwanji? Kodi mimbulu imakhudzidwa bwanji?

Chabwino, tsopano tiyeni tiwone momwe leech iyi imafalitsira izi. Leech, makamaka mtundu wa leech womwe umanyamula matendawa, umanyamula mabakiteriya `(Rickettsia rickettsii)` m'thupi lake. Leech iyi ikabwera ndikudziphatika ku thupi la munthu, kapena nthawi zina nyama ngati galu, ndikuyamwa magazi, mabakiteriya amenewo amalowa m'magazi mwathu limodzi ndi malovu a leech.

Taganizirani izi ngati sirinji yaying'ono. Chimfine chikayamwa magazi, chimalowetsa tizilombo toyambitsa matenda m'thupi mwathu. Koma matendawa safalikira nthawi yomweyo chimfine chikayamwa. Nthawi zambiri, chimfine chimayenera kumangiriridwa m'thupi kwa maola angapo (mwina maola 4-6 kapena kuposerapo) kuti chiyamwe magazi kuti mabakiteriya alowe m'thupi. Ichi ndichifukwa chake tikukulimbikitsani kuchotsa chimfine nthawi yomweyo ngati muchiona chikugwirizana ndi thupi lanu.

Matendawa amapezeka kwambiri m'miyezi ya masika ndi chilimwe . Izi zikutanthauza kuti, nthawi zambiri kuyambira Marichi mpaka Seputembala. Izi zili choncho chifukwa chakuti mimbulu imakhala yofala kwambiri nthawi imeneyo. Imapezeka kwambiri m'nkhalango, m'malo okhala ndi udzu, komanso m'malo okhala ndi mitengo yambiri. Chifukwa chake ngati mukugwira ntchito kapena kuyenda panja, makamaka m'malo okhala ndi nkhalango, m'mapaki, kapena m'munda mwanu, ndikofunikira kwambiri kusamala ndi mimbulu.

Kodi zizindikiro za Rocky Mountain Spotted Fever (RMSF) ndi ziti?

Matendawa saonetsa zizindikiro zazikulu nthawi yomweyo. Nthawi zambiri amatenga masiku awiri mpaka 14 atalumidwa ndi nsabwe.Apa ndi pamene zizindikiro zimayamba kuonekera. Nthawi zambiri, zizindikiro zimawonekera mkati mwa masiku 5-7.

Choyamba pali zinthu zotsatirazi:

• Kutentha kwambiri. Mwadzidzidzi, thupi langa layamba kutentha ndipo ndimayamba kutentha thupi.
• Mutu waukulu. Mungamve kupweteka kwambiri m'mutu mwanu.
• Kupweteka kwa thupi, kupweteka kwa minofu. Monga momwe zimakhalira mukakhala ndi malungo oyambitsidwa ndi kachilombo, thupi lanu limapwetekanso.
• Kusanza ndi kusanza. Mungamve kupweteka m'mimba ndi kusanza.
• Kuwawa kwam'mimba.
• Kufiira kwa maso .
• Kusowa chilakolako.

Zizindikiro zimenezi zikangobwera zokha, tingaganize kuti iyi ndi matenda wamba a kachilombo . Ndiyo ngozi yokhayo yomwe ingakhalepo. Chifukwa mwina kwachedwa kwambiri kuti tipeze matenda olondola.

Koma matendawa ali ndi khalidwe linalake. Ndi ziphuphu zomwe zimawonekera pakhungu . Ichi ndichifukwa chake amatchedwanso 'matenda ofiira'.

• Zilonda zimenezi zimayamba kuonekera mozungulira manja ndi akakolo ngati madontho ang'onoang'ono ofiira kapena madontho.
• Kenako zilonda zimenezi zimafalikira pang'onopang'ono m'manja ndi m'mapazi . Izi ndi zapadera pang'ono, chifukwa si matenda onse omwe amayambitsa zilonda m'manja ndi m'mapazi.
• Pambuyo pake, zilondazi zimayamba kufalikira m'manja ndi m'miyendo, kupita ku thunthu .
• Poyamba, madonthowa amakhala ofiira, koma patatha masiku angapo, nthawi zina amatha kukhala ofiirira ndi kutuluka magazi pang'ono. Izi zimatchedwanso `( petechiae )`.

Chofunika ndichakuti si aliyense amene amadwala matendawa. Anthu ena, makamaka okalamba komanso nthawi zina ana, sangadwale matendawa ndipo amangodwala malungo ndi zizindikiro zina. Zikatero, zimakhala zovuta kwambiri kuzindikira matendawa.

Zizindikiro zimenezi nthawi zambiri zimawonekera mkati mwa masiku awiri kapena asanu kuchokera pamene malungo ayamba. Choncho ngati muli ndi malungo, kupweteka kwa thupi, ndi zizindikiro zimenezi, makamaka ngati mwakhalapo kudera lomwe kuli mimbulu, muyenera kuonana ndi dokotala nthawi yomweyo.

Kodi tiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro zomwe ndatchula kale - kutentha thupi kwambiri, mutu, kupweteka kwa thupi , nseru, ndi ziphuphu zinazake - makamaka ngati mukukumbukira kulumidwa ndi leech kapena ngati mwakhalapo pamalo omwe leeches ingakhalepo , ndi bwino kufunafuna upangiri wa dokotala nthawi yomweyo.

Tangoganizirani, mwangobwera kumene kuchokera kosewera m'munda ndi mwana wanu, kapena mwapita kukayenda pang'ono m'nkhalango. Patatha masiku angapo, mwana wanu amadwala malungo, amadandaula za kupweteka kwa thupi, kenako amayamba kukhala ndi madontho ofiira m'manja ndi m'mapazi. Zikatero, muyenera kuonana ndi dokotala.

Kuzindikira msanga ndi kuchiza matendawa ndikofunikira kwambiri kuti munthu akhale ndi moyo wabwino, chifukwa kuchedwa kulandira chithandizo kungayambitse mavuto aakulu.

Kodi madokotala amazindikira bwanji matendawa?

Dokotala adzayang'ana makamaka zizindikiro zanu, ngati mwakhala mukudwala matenda a mimbulu, komanso kufufuzidwa thupi kuti adziwe matendawa. Ndi thandizo lalikulu ngati muli ndi ziphuphu zomwezo.

Koma n'zovuta kudziwa ngati iyi ndi Rocky Mountain Spotted Fever (RMSF) kutengera zizindikiro zokha, chifukwa zizindikiro zoyambirira zimafanana ndi matenda ena ofanana ndi chimfine.

Chifukwa chake, madokotala nthawi zambiri amalamula kuti magazi ayesedwe kangapo. Pali mayeso omwe amafufuza ma antibodies omwe thupi lathu limapanga motsutsana ndi mabakiteriyawa. Koma chifukwa ma antibodies amenewa amatenga masiku angapo kuti apangidwe, zotsatira za mayesowa zitha kukhala zoipa kumayambiriro kwa matendawa.

Nthawi zina, chitsanzo chaching'ono (kujambula khungu) chingatengedwe kuchokera ku zilonda ndikuyesedwa kuti muwone ngati pali mabakiteriya.

Chofunika kwambiri ndichakuti madokotala ayambe kulandira chithandizo akangoganiza kuti matendawa ndi owopsa, osadikira zotsatira za mayeso a magazi. Chifukwa chithandizo chachangu n'chofunika kwambiri pankhaniyi.

Kodi chithandizo cha izi ndi chiyani?

Matendawa amachiritsidwa ndi maantibayotiki. Doxycycline, mankhwala opha tizilombo toyambitsa matenda, amagwiritsidwa ntchito kwambiri pa izi. Ndi oyenera akuluakulu ndi ana.

Ndikofunikira kumwa mlingo woyenera womwe dokotala wakupatsani kwa nthawi yonse. Musasiye kumwa mankhwala chifukwa chakuti malungo anu achepa patatha masiku awiri kapena atatu ndipo mukumva bwino. Muyenera kumaliza kumwa mankhwala onse.

Ngati chithandizo chayamba msanga, kutanthauza kuti, mkati mwa masiku 5 kuchokera pamene zizindikiro zayamba, anthu ambiri amachira kwathunthu mkati mwa masiku ochepa.

Nthawi zina, ngati matendawa ndi aakulu pang'ono, pangafunike kugonekedwa m'chipatala ndikupatsidwa maantibayotiki kudzera m'mitsempha (IV). Kuphatikiza apo, chisamaliro china chimaperekedwa, monga saline kuti apewe kutaya madzi m'thupi komanso mankhwala ochepetsa kutentha thupi.

Kodi chimachitika ndi chiyani ngati chithandizo sichiperekedwa? (Zovuta)

Iyi ndi nkhani yomwe tiyenera kuyang'ana kwambiri. Matenda a Rocky Mountain Spotted Fever (RMSF) ndi matenda omwe angakhale oopsa ngati sachiritsidwa.

Ngati chithandizo chachedwa kapena chosachiritsidwa, mabakiteriyawa amatha kufalikira m'thupi lonse ndikuwononga ziwalo zosiyanasiyana.

• Kuwonongeka kwa mitsempha yamagazi: Izi zingayambitse kutuluka magazi m'thupi.
• Zotsatirapo pa ubongo: Zizindikiro zazikulu monga kutupa kwa ubongo (encephalitis), khunyu, ndi chikomokere zimatha kuchitika.
• Zotsatira pa dongosolo la kupuma: Chibayo ndi kutupa kwa m'mapapo kumatha kuchitika.
• Kulephera kwa impso.
• Zotsatira pa mtima.
• Nthawi zina, magazi opita ku miyendo amasokonekera, ndipo ziwalo zimenezo zimatha kufa (gangrene). Ngati zimenezo zitachitika, ziwalo zimenezo zingafunike kuchotsedwa opaleshoni.

Ndicho chifukwa chake ndanena kale kuti ngati muli ndi zizindikiro izi, makamaka ngati mukuganiza kuti mwalumidwa ndi nsabwe, muyenera kuwona dokotala nthawi yomweyo. Ngati mumwa mankhwala panthawi yake, mutha kupewa zoopsa izi.

Kodi timadziteteza bwanji ku matenda a leeches ndi RMSF? (Kupewa)

Njira yabwino yodzitetezera ku matendawa ndi kupewa kulumidwa ndi nkhupakupa. Pali zinthu zingapo zomwe tingachite kuti tichite izi:

• Pewani malo omwe kuli mimbulu: Pewani kuyenda m'nkhalango, udzu wautali, ndi malo okhala ndi mitengo yambiri momwe mungathere. Ngati muyenera kupita kumalo otere, yesani kuyenda pakati pa misewu ndi m'malo otseguka.
• Valani zovala zodzitetezera: Valani mathalauza aatali ndi malaya a manja aatali. Ikani mathalauza anu m'masokisi anu. Valani nsapato zanu pamwamba pa masokosi anu. Valani zovala zowala kuti mimbulu iwonekere mosavuta ngati ili pa zovala zanu.
• Gwiritsani ntchito mankhwala othamangitsa tizilombo: Pakani mankhwala othamangitsa tizilombo okhala ndi mankhwala monga `(DEET)` ndi `(Permethrin)` pakhungu lanu ndi zovala zanu. Komabe, muyenera kutsatira malangizo mukamagwiritsa ntchito mankhwalawa. Funsani upangiri wa dokotala, makamaka mukamagwiritsa ntchito pa ana aang'ono. `(Permethrin)` iyenera kugwiritsidwa ntchito pazovala ndi zida monga mahema okha, osati pakhungu mwachindunji.
• Yang'anani thupi lanu mukabwerera kunyumba kuchokera panja: Mukabwerera kunyumba kuchokera pamalo omwe pali mimbulu, sinthani zovala zanu zonse ndikuyang'ana thupi lanu lonse bwino. Samalani kwambiri madera monga khungu la mutu, makutu, khosi, m'khwapa, m'mimba, ndi kumbuyo kwa mawondo. Yang'ananinso ana anu bwino.
• Tsukani zovala: Tsukani zovala zomwe mwavala panja m'madzi otentha. Ngati n'kotheka, ziumeni mu choumitsira zovala. Izi zidzapha mimbulu iliyonse yomwe ingakhalepo.
• Yang'anani ziweto zanu: Ngati muli ndi ziweto monga agalu ndi amphaka kunyumba, yang'anani ziwetozo nthawi zonse. Gwiritsani ntchito zinthu zopanda mimbulu. Chifukwa mimbulu pazinyama zimatha kubwera m'nyumba mwanu ndikukulumani.
• Yeretsani munda wanu: Dulani udzu m'munda mwanu. Chotsani masamba ouma. Izi zichepetsa malo obisalamo nsabwe.

Kodi mungachite chiyani ngati leech yalumikizidwa ndi thupi lanu?

Ngati muwona chilonda cha m'mimba chomwe chili m'thupi lanu, musachite mantha. Chofunika ndi kuchichotsa bwino.

1. Gwiritsani ntchito ma tweezers okhala ndi nsonga zazing'ono.

2. Gwiritsani ntchito forceps kuti mugwire leech pafupi ndi khungu momwe mungathere, muyigwire pambali pa mutu wake.

3. Kokani molunjika mmwamba, pang'onopang'ono komanso mosamala, pang'onopang'ono. Musapotoze kapena kufinya. Kuchita izi kungapangitse mutu wa leech kukhala pakhungu, kapena kufalitsa majeremusi m'thupi lonse.

4. Mukachotsa leech, sambitsani malowo bwino ndi sopo ndi madzi, kenako muwatsuke ndi chinthu monga mowa.

5. Tsukani chimbudzi chomwe chachotsedwacho m'chimbudzi, kapena chiyikeni m'chidebe chokhala ndi mowa. Kapena ikani tepi ndikuyitaya m'zinyalala. Musangoiphwanya ndi manja anu.

6. Kumbukirani tsiku limene leech inachotsedwa. Ngati muyamba kukhala ndi zizindikiro monga malungo kapena kuzizira m'masabata angapo otsatira, uzani dokotala ndipo muwauze kuti munalumidwa ndi leech.

Pomaliza, uthenga wopita nawo kunyumba

Chabwino, tsopano takambirana zambiri za Rocky Mountain Spotted Fever (RMSF), sichoncho? Uwu ndi matenda omwe amafalitsidwa ndi mimbulu, ndipo ngakhale kuti ukhoza kukhala woopsa pang'ono, ukhoza kuchiritsidwa kwathunthu ngati utazindikirika ndikuchiritsidwa msanga.

• Chitetezo ku mimbulu ndicho chinthu chofunika kwambiri. Valani zovala zodzitetezera mukapita kumadera akuthengo kapena audzu, gwiritsani ntchito mankhwala ophera tizilombo, ndipo dziyesetseni nokha mukafika kunyumba.
• Ngati muli ndi ziphuphu zomwe zimayamba m'manja ndi m'mapazi ndipo zimafalikira limodzi ndi malungo, mutu, ndi kupweteka kwa thupi, makamaka ngati mukuganiza kuti mwalumidwa ndi leech, funsani upangiri wa dokotala nthawi yomweyo.
• Ngati madokotala akukayikira kuti matendawa ndi owopsa, sadzachedwa kuyamba kulandira chithandizo. Choncho ngati muli ndi zizindikiro, musachedwe kupita kwa dokotala.
• Imwani maantibayotiki monga momwe mwalangizidwira, kwa nthawi yonse.

Ngakhale kuti matendawa si ofala ku Sri Lanka, palinso matenda ena omwe amafalitsidwa ndi mimbulu. Komanso, ngati wina wapita kunja ndipo akuwonetsa zizindikirozi, ndi bwino kukayikira matendawa.

Ngati muli ndi mafunso ena okhudza izi, musazengereze kufunsa dokotala wa banja lanu. Khalani ndi thanzi labwino!

Malungo a Rocky Mountain Spotted Fever, RMSF, mimbulu, matenda obadwa ndi mimbulu, malungo, zilonda za pakhungu, matenda a bakiteriya, Rickettsia rickettsii, maantibayotiki, doxycycline ( Doxycycline ) , matenda obadwa ndi mimbulu, kupewa kuluma kwa mimbulu