Kodi mukudziwa za malungo achilendo awa omwe amachokera ku ziweto zanu za pafamu? (Q Fever) Tiyeni tikambirane!

Kodi mudamvapo za matenda otchedwa Q Fever? Mwina ayi, eti? Chifukwa uwu si matenda omwe amapezeka kawirikawiri m'dziko lathu. Koma, makamaka ngati ndinu munthu amene amagwira ntchito ndi ziweto, ziweto za pafamu, kapena mumakhala m'malo otere, ndikofunikira kwambiri kudziwa pang'ono za izi. M'nkhaniyi lero, tikambirana za matenda a Q fever awa, momwe amakulira, zizindikiro zake, komanso momwe tingadzitetezere ku matendawa.

Kodi Q Fever ndi chiyani? Mwachidule...

Matenda a Q fever ndi matenda omwe timapeza popuma tinthu ta fumbi tomwe tili ndi bakiteriya yotchedwa `Coxiella burnetii` kapena podya zinthu zochokera ku nyama zomwe zili ndi kachilomboka. Bakiteriyayi imapezeka makamaka m'matupi a nyama monga nkhosa, mbuzi, ndi ng'ombe. Mabakiteriyawa amatha kusonkhana m'nthaka momwe nyamazi zimakhala. Kenako amatha kufalikira kwa anthu kudzera mu tinthu ta fumbi tomwe timatuluka m'nthaka, kapena kudzera mu mkaka, ndowe, komanso makamaka madzi omwe amatuluka panthawi yobereka.

N’chifukwa chiyani imatchedwa kuti Q fever? Dzinalo limatanthauza chiyani?

Iyinso ndi nkhani yachilendo pang'ono. Chilembo 'Q' mu Q fever chimayimira 'Query' . 'Query' imatanthauza 'funso' kapena 'kufufuza'. Kale, ku Australia m'ma 1930 kenako ku America m'ma 1940, pamene anthu anayamba kutenga malungo achilendowa, madokotala poyamba sankadziwa chomwe chimayambitsa malungowa. Choncho anali ndi 'mafunso' ambiri okhudza malungowa. Ndicho chifukwa chake ankatchedwa 'Query Fever' kapena Q fever. Zosavuta kwambiri, eti?

Kodi malungo a Q osatha ndi chiyani? Kodi ndi oopsa?

Inde, izi ndi nkhawa pang'ono. Mawu oti 'chronic' amatanthauza nthawi yayitali . Chifukwa chake, chimfine cha Q chosatha ndi mtundu woopsa kwambiri komanso wautali wa chimfine cha Q. Chingakhudze mtima wanu, mitsempha yamagazi, mafupa , ndi ziwalo zina zofunika. Matendawa osatha amapezeka mwa anthu ochepa kwambiri omwe ali ndi kachilombo ka C. burnetii, pakati pa 1% ndi 5% .

Vuto limodzi ndi izi ndilakuti vutoli losatha limatha kuchitika miyezi ingapo kapena zaka pambuyo poti zizindikiro zoyamba za Q fever zatha. Anthu ena sangasonyeze zizindikiro zilizonse panthawi yoyamba ya matendawa koma pambuyo pake amakhala ndi Q fever yosatha. Vuto lofala kwambiri la Q fever yosatha ndi matenda a mumtima. Madokotala amatcha "endocarditis". Imeneyi ndi vuto lomwe likhoza kupha munthu.

Q Chimachitika ndi chiyani mukadwala malungo?

Malungo a Q angayambitse zizindikiro zosiyanasiyana. Komabe, zizindikiro zodziwika bwino ndi za chimfine, monga malungo ndi kupweteka kwa thupi . Bakiteriya `C. burnetii` amatha kufalikira m'mapapo mwanu, mumtima, muubongo, m'mafupa, kapena ziwalo zina za thupi lanu. Zizindikiro zimasiyana malinga ndi izi. Anthu ena amatopa kwambiri.ndipo zizindikiro zina zimatha kwa miyezi ingapo, ngakhale zaka. Monga tanenera kale, malungo aakulu a Q akhoza kukhala oopsa.

Ndani amene ali ndi mwayi waukulu wopeza matenda a Q fever?

Chimfine cha Q chimakhudza kwambiri anthu okhala m'mafamu kapena omwe amalumikizana kwambiri ndi ziweto za pafamu . Mwachitsanzo, ngati ndinu dokotala wa ziweto, munthu amene amathandiza kubereka ana a ng'ombe, munthu amene amagwira ntchito pafamu, pafamu, kapena kupha nyama, muli pachiwopsezo chachikulu chotenga matendawa. Izi zili choncho chifukwa anthuwa nthawi zambiri amakumana ndi ziweto zomwe zili ndi kachilomboka komanso malo omwe amakhala.

Q Ndani ali pachiwopsezo chachikulu chodwala kwambiri ndi chimfine?

Anthu ena ali ndi mwayi waukulu wopeza matenda aakulu chifukwa cha malungo a Q, makamaka:

• Azimayi oyembekezera ali pachiwopsezo chachikulu cha mavuto panthawi ya mimba ndi kutaya mimba.
• Muli pachiwopsezo chachikulu chotenga matenda a Q fever osatha ngati muli ndi matenda awa:
• Ngati munakhalapo ndi `(Endocarditis)` (kutupa kwa mkati mwa mtima).
• Ngati pali mavuto ndi ma valve a mtima.
• Ngati muli ndi aneurysms (kufooka ndi kutukumuka kwa makoma a mitsempha yamagazi) m'mitsempha yanu yamagazi.
• Ngati impso sizikugwira ntchito bwino (Kulephera kwa impso).
• Ngati muli ndi chipangizo chokhazikika (vascular prosthesis) cholimbitsa mitsempha yamagazi ndikukweza kuyenda kwa magazi.
• Ngati chitetezo chanu cha mthupi chili chofooka (monga anthu omwe ali ndi kachilombo ka HIV, odwala khansa, omwe akumwa mankhwala oletsa chitetezo cha mthupi).

Q Kodi chimfine ndi chofala bwanji?

Matenda a Q fever ndi matenda osowa kwambiri . Mwachitsanzo, ngakhale m'dziko ngati America, milandu pafupifupi 200 yokha ndi yomwe imanenedwa pachaka. Sizinenedwa kawirikawiri ku Sri Lanka. Komabe, ndikofunikira kuti anthu omwe ali pachiwopsezo adziwe.

Q Kodi zizindikiro za malungo ndi ziti?

Zizindikiro za malungo a Q zimasiyana malinga ndi gawo loyamba (lalikulu) ndi matenda ena omwe angabwere pambuyo pake.

Zizindikiro za malungo aakulu a Q

Zizindikiro zimenezi nthawi zambiri zimayamba kuonekera pakati pa masiku atatu ndi makumi atatu kuchokera pamene mabakiteriya alowa m'thupi. Nthawi zambiri zimakhala zofanana ndi za chimfine kapena fuluwenza.

• Malungo aakulu
• Kutopa kwambiri komanso kutopa
• Kuzizira
• Kutuluka thukuta
• Kupweteka kwa thupi, kupweteka kwa minofu
• Kuzindikira kuwala ndi maso abuluu (Photophobia)
• Mutu waukulu kwambiri
• Kusanza ndi kusanza
• Kutsegula m'mimba
• Chifuwa
• Kupweteka pachifuwa
• Kupweteka m'mimba
• Madontho ofiira pansi pa khungu (Purpura)
• Kuvuta kupuma (Dyspnea)

Nthawi zina, malungo aakulu a Q angayambitse matenda monga matenda a m'mapapo (Chibayo), kutupa kwa ubongo kapena nembanemba zomwe zimaphimba ubongo (Encephalitis kapena Meningitis), kapena kutupa kwa chiwindi (Hepatitis).

Zizindikiro za Q fever fatigue syndrome (QFS)

Pafupifupi 20% ya anthu omwe ali ndi Q fever amatha kutopa ndi zizindikiro zina zomwe zimatha kwa miyezi ingapo, nthawi zina zaka, pambuyo pa matenda oyamba. Izi zimatchedwa Q fever fatigue syndrome.

• Kutopa kwambiri
• Mutu
• Kutuluka thukuta
• Kupweteka kwa mafupa
• Kupweteka kwa minofu

Zizindikiro za malungo a Q osatha

Matenda a Q fever osatha amayamba miyezi ingapo, kapena zaka zambiri, pambuyo pa matenda oyamba a bakiteriya wa C. burnetii. Amatha kufalikira ngakhale mutakhala kuti mulibe zizindikiro panthawi yoyamba ya matendawa. Nthawi zambiri amakhudza mtima, ma valve a mtima, ndi mitsempha yamagazi, koma zizindikiro zimatha kusiyana kutengera gawo la thupi lomwe lakhudzidwa.

• Malungo otsika
• Thukuta la usiku
• Kuchepetsa thupi
• Kutopa
• Kuvuta kupuma
• Kutupa kwa miyendo kapena mapazi

Q Kodi chimayambitsa malungo ndi chiyani?

Choyambitsa chachikulu cha malungo a Q ndi bakiteriya wotchedwa Coxiella burnetii . Bakiteriya iyi imatha kukhala m'zinyama, makamaka ng'ombe, nkhosa, ndi mbuzi, popanda kusonyeza zizindikiro zilizonse. Madzi a m'thupi la nyama zomwe zili ndi kachilomboka (monga mkodzo, ndowe, mkaka, ndi madzi amniotic) amatha kuipitsa nthaka yomwe amakhala. Anthu amadwala kachilomboka makamaka popuma fumbi kapena nthunzi ya madzi kuchokera ku nthaka yoipitsidwa.

Q Kodi chimfine chimafalikira bwanji?

Njira yaikulu yomwe malungo a Q amafalitsira ndi kupuma fumbi kapena nthunzi ya madzi yodetsedwa ndi mabakiteriya a `C. burnetii` . Izi zitha kuchitika ngati mukukhala kapena kugwira ntchito kudera lomwe nyama zimakhala, makamaka ziweto za pafamu. Chifukwa mabakiteriya a `C. burnetii` amatha kuyenda mtunda wautali mumlengalenga, simuyenera kukhudzana mwachindunji ndi nyama kuti muwapeze.

Njira zina, koma zosazolowereka, zomwe matenda a Q fever amafalikira ndi izi:

• Kudya kapena kumwa mkaka wosaphikidwa mu uvuni (monga mkaka, tchizi, ayisikilimu).
• Kuluma ndi nkhupakupa yodwala .
• Kuchokera kwa mayi wapakati kupita kwa mwana wake panthawi ya mimba kapena kubereka .
• Kudzera mu kuikidwa magazi (izi zimachitika kawirikawiri).

Chofunika: Nthawi zambiri malungo a Q safalikira kuchokera kwa munthu wina kupita kwa wina . Pakhala malipoti ochepa chabe akuti mayi woyembekezera amafalitsa kachilomboka kwa mwana wake.

Q Kodi malungo amapezedwa bwanji?

Dokotala wanu adzazindikira matenda a Q fever mwa kufunsa za zizindikiro zanu , kuwunikanso mbiri yanu yachipatala , ndikuyesa magazi . Angafunsenso ngati mumakhala kapena mumagwira ntchito ndi nyama.

Zotsatira za mayeso a C. burnetii zingatenge milungu ingapo kuti zibwererenso, kotero ngati dokotala wanu akukayikira kuti muli ndi malungo a Q, angayambe kulandira chithandizo osadikira zotsatira za mayeso.

Q Ndi mayeso ati a malungo omwe amachitidwa?

Kuti ayese matenda a Q fever, dokotala wanu adzatenga chitsanzo cha magazi anu pogwiritsa ntchito singano yaying'ono. Chitsanzochi chidzatumizidwa ku labu kuti akaone zizindikiro (ma antibodies) a matenda a C. burnetii. Angayesenso kupanga mabakiteriya a C. burnetii kuchokera ku chitsanzo chanu.

Mungafunike kupereka zitsanzo za magazi kangapo pakapita nthawi kuti mudziwe bwinobwino.

Q Kodi malungo amachiritsidwa bwanji ?

Matenda a Q owopsa amachiritsidwa ndi maantibayotiki . Matenda a Q osatha nthawi zambiri amachiritsidwa ndi maantibayotiki ophatikizana ndi mankhwala oletsa kutupa, koma amatha kukhala ovuta kwambiri kuchiza. Dokotala wanu adzapanga dongosolo la chithandizo kutengera vuto lanu.

Ngati mwapezeka ndi matenda a Q fever ndipo muli ndi vuto la mtima kapena mitsempha yamagazi, lankhulani ndi dokotala wanu za chithandizo choyambirira kuti muchepetse chiopsezo chanu cha matenda a Q fever osatha.

Ndi mankhwala/mankhwala ati omwe amagwiritsidwa ntchito?

Dokotala akhoza kukupatsani mankhwala otsatirawa:

• `( Doxycycline ( Doxycycline) ) `
• `(Hydroxychloroquine)`
• `(Trimethoprim-sulfamethoxazole (TMP-SMX))`
• `(Rifampin)`
• `(Fluoroquinolones)` (monga `(Ciprofloxacin)`, `(Ofloxacin)`)
• `(Clarithromycin)`

Q Kodi malungo angachiritsidwe kwathunthu?

Inde, anthu ambiri amatha kuchira kwathunthu ku chimfine cha Q choopsa pogwiritsa ntchito maantibayotiki. Komabe, ngakhale anthu ochepa omwe ali ndi chimfine cha Q choopsa, zizindikiro zimatha kupitirira kwa miyezi kapena zaka, ngakhale atachiritsidwa. Chimfine cha Q chosatha ndi chovuta kuchichiza.

Kodi ndingachepetse bwanji chiopsezo cha matenda a Q fever?

Pali zinthu zingapo zomwe mungachite kuti muchepetse chiopsezo chanu cha matenda a Q fever:

• Valani chigoba ndi magolovesi mukamagwira madzi a m'thupi la nyama, makamaka omwe amatuluka panthawi yobereka .
• Pewani kudya kapena kumwa mkaka wopanda mankhwala ophera tizilombo toyambitsa matenda .
• Kafukufuku wina akusonyeza kuti kuyeza ndi kuchiza mavuto a valavu ya mtima mwa anthu omwe apezeka ndi malungo a Q kungateteze malungo a Q osatha.
• Ngati mumagwira ntchito yoopsa kwambiri ndipo mumakhala m'dera lomwe katemera wa malungo a Q akupezeka (panopa amapezeka ku Australia kokha), funsani dokotala wanu za katemera.

Ngati mumakhala kapena kugwira ntchito pafupi ndi ziweto za pafamu, ndipo muli pachiwopsezo chachikulu cha mavuto ochokera ku Q fever (monga anthu omwe ali ndi vuto la mtima kapena mitsempha yamagazi, amayi apakati, anthu omwe ali ndi chitetezo chamthupi chofooka), lankhulani ndi dokotala wanu za momwe mungapewere Q fever.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi malungo a Q?

Zizindikiro za malungo a Q zimatha kukhala kwa nthawi yayitali , kuyambira masiku 10 mpaka 90. Komabe, anthu ambiri amachira kwathunthu . Ngati mwapatsidwa mankhwala opha maantibayotiki, muyenera kuwamwa kwa milungu iwiri kapena kuposerapo. Pafupifupi munthu m'modzi mwa anthu asanu (20%) akhoza kukhala ndi kutopa (`(Q fever fatigue syndrome)`) komwe kumatha kwa miyezi kapena zaka.

Anthu ochepa kwambiri (pakati pa 1% ndi 5%), makamaka omwe ali ndi matenda ena, amatha kudwala matenda a Q. Ngati muli ndi matenda a Q, mungafunike kulandira chithandizo kwa miyezi 18 kapena kuposerapo .

Q Kodi mavuto a malungo ndi otani?

Mavuto amatha kuchitika ndi malungo a Q komanso malungo a Q osatha. Komabe, izi ndizofala kwambiri ndipo nthawi zambiri zimakhala zoopsa kwambiri mu malungo a Q osatha. Mavutowa ndi awa:

• Mitsempha yofooka komanso yotupa (Aneurysm)
• Arterial fistula, vuto lomwe magazi amayenda molakwika
• Endocarditis
• Kutupa kwa mapapo (Fibrosis)
• Matenda ovutitsa kupuma (ARDS)
• Kulephera kwa mtima
• Matenda a Mafupa (Osteomyelitis)
• Kutaya Pathupi
• Kubadwa ndi kulemera kochepa

Q Kodi chiyembekezo cha chimfine ndi chiyani?

Nthawi zambiri, chizindikiro cha matenda a Q fever chimakhala chabwino ngati munthu walandira mankhwala opha maantibayotiki. Chiŵerengero cha imfa chifukwa cha matenda a Q fever aakulu chili pakati pa 0.5% ndi 1.5% . Anthu omwe ali ndi matenda a Q fever aakulu ali pachiwopsezo chachikulu cha mavuto ndi imfa. Chiŵerengero cha imfa chifukwa cha matenda a Q fever aakulu chili pakati pa 12% ndi 25% .

Kodi ndimadzisamalira bwanji?

Ngati mwapezeka ndi matenda a Q fever, ndikofunikira kwambiri kumwa mankhwala onse omwe mwapatsidwa panthawi yake . Funsani dokotala wanu momwe mungathanirane ndi zizindikiro zanu komanso ngati pali njira zochepetsera chiopsezo cha zizindikiro za nthawi yayitali kapena matenda a Q fever osatha.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukugwira ntchito kapena kukhala ndi ng'ombe, mbuzi, kapena nkhosa, ndipo mukuyamba kukhala ndi zizindikiro za malungo a Q, pitani kwa dokotala nthawi yomweyo . Ngati muli ndi zizindikiro za malungo a Q osatha, ndipo mukuganiza kuti mwina mudakumanapo ndi mabakiteriya a `C. burnetii` kale (ngakhale kwakhala nthawi yayitali), uzani dokotala wanu.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

• Kodi ndiyenera kumwa mankhwala pasadakhale kuti ndichepetse chiopsezo cha matenda a Q fever osatha?
• Kodi ndiyenera kuyezetsa matenda a mtima ndi mitsempha yamagazi?
• Kodi ndimamwa bwanji mankhwalawa?
• Ndiyenera kubweranso liti kudzakuonaninso?
• Kodi ndingachite chiyani kuti ndithetse zizindikiro zanga?

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Ngakhale kuti malungo a Q ndi matenda osowa, ndikofunikira kudziwa za matendawa ndikuchitapo kanthu ngati mukugwira ntchito kapena mukukhala m'malo omwe ali pachiwopsezo chachikulu. Zinthu zosavuta monga kuvala chigoba, magolovesi, komanso kupewa mkaka wosaphikidwa ndi mankhwala enaake zimatha kusintha kwambiri, makamaka mukamagwira ntchito ndi ziweto za pafamu .

Ngakhale kuti malungo aakulu a Q amakhudza anthu ochepa okha, angayambitse mavuto omwe angawononge moyo. Chifukwa chake, ngati mukuganiza kuti muli ndi malungo a Q, kapena ngati muli ndi nkhawa iliyonse, musazengereze kufunafuna upangiri wa dokotala . Kuuza dokotala wanu za mbiri yanu yaumoyo komanso mbiri yanu yantchito kudzawathandiza kumvetsetsa zoopsa zanu ndikupereka chithandizo chabwino kwambiri.

` Malungo a Q, Coxiella burnetii, matenda okhudzana ndi ziweto, zizindikiro za malungo, malungo a Q osatha, thanzi la ziweto, matenda a bakiteriya