Kodi munayamba mwapitako kukayenda m'nkhalango, kapena kusewera ndi galu wanu kapena mphaka, ndipo mwadzidzidzi munamva kudwala ndipo munakhala ndi malungo aakulu patatha masiku angapo? Kuphatikiza apo, kodi muli ndi mutu ndi kupweteka kwa thupi? Nthawi zambiri, timaganiza kuti, 'Iyi ndi malungo oyambitsidwa ndi kachilomboka.' Komabe, ngati mukukayikira pang'ono kuti mwalumidwa ndi nyama ngati nkhupakupa, izi sizingakhale chinthu chopepuka. Lero tikulankhula za matenda opatsirana ndi nkhupakupa zotere, omwe angakhale oopsa ngati sakuchiritsidwa mwachangu komanso moyenera. Imeneyo ndi Rocky Mountain Spotted Fever, kapena RMSF mwachidule.
Mwachidule, kodi Rocky Mountain Spotted Fever (RMSF) ndi chiyani?
Mafinya a Rocky Mountain Spotted Fever ndi matenda omwe amayamba chifukwa cha bakiteriya wotchedwa `(Rickettsia rickettsii)`. Monga momwe kachilombo ka dengue kamalowera m'thupi mwathu kudzera mu udzudzu, bakiteriya wa `R. rickettsii` uyu amalowa m'thupi mwathu kudzera mukulumwa kwa nkhupakupa yodwala.
Vuto lalikulu ndi izi ndilakuti masiku oyambirira, zizindikiro zake zimakhala zofanana kwambiri ndi za chimfine kapena malungo oyambitsidwa ndi kachilombo. Anthu ambiri saganiza kuti ndi vuto lalikulu chifukwa cha zinthu monga malungo, mutu, ndi kupweteka kwa thupi. Koma ngati chithandizo chachedwa, chingakhale chachikulu kwambiri.
Anthu ena amaganiza kuti izi zikufanana ndi matenda ena ofalitsidwa ndi nkhupakupa, monga matenda a Lyme. Komabe, matenda awiriwa amayamba ndi mitundu iwiri yosiyana ya mabakiteriya. Zizindikiro zakenso zimasiyana. Choncho, musasokoneze matenda awiriwa.
Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?
Ndipotu, aliyense amene ali ndi utitiri akhoza kutenga matendawa. Utitiri ukhoza kukhala m'maudzu ataliatali, m'nkhalango, komanso pa ziweto zathu zikusewera panja. Matendawa afotokozedwa m'maiko ambiri padziko lonse lapansi.
Komabe, ngati anthu ena atenga matendawa, amakhala pachiwopsezo chachikulu chotenga zizindikiro zoopsa. Tiyeni tiwone omwe ali.
| Gawo la zoopsa | Kufotokozera |
|---|---|
| Zaka | Matendawa akhoza kukhala oopsa kwa ana osakwana zaka 10 komanso akuluakulu opitirira zaka 70. |
| Anthu omwe ali ndi chitetezo chamthupi chofooka | Anthu omwe ali ndi chitetezo chamthupi chofooka chifukwa cha matenda ena (monga khansa) kapena mankhwala ali pachiwopsezo chachikulu. |
| Anthu omwe ali ndi vuto la G6PD | Imeneyi ndi matenda a majini. Anthu omwe ali ndi vuto la ``Glucose-6-phosphate dehydrogenase (G6PD)`` nawonso ali ndi mwayi waukulu wopeza matendawa. |
Kodi n’chiyani kwenikweni chimachitika matendawa akalowa m’thupi?
Tangoganizani kuti utitiri wodwala wakulumani. Malovu a utitiriwo amatenga mabakiteriya otchedwa 'R. rickettsii' m'magazi mwanu. Kuchokera pamenepo, cholinga chachikulu cha bakiteriya ndi mitsempha yathu yamagazi .
Mwachidule, mabakiteriyawa amawononga makoma a mitsempha yathu yamagazi. Monga momwe chitoliro chamadzi chimakhalira ndi mabowo ang'onoang'ono, mabakiteriyawa akawononga mitsempha yathu yamagazi, amayamba kutulutsa magazi ndi madzi m'thupi lozungulira. Izi ndi zomwe zimayambitsa zizindikiro. Kutuluka kumeneku kumatha kuwononga minofu yathu, mitsempha, ndi ziwalo zofunika kwambiri monga ubongo ndi impso.
Kodi zizindikiro zake ndi ziti? Kodi timazizindikira bwanji?
Zizindikiro zimatha kuonekera pasanathe masiku awiri kapena milungu iwiri mutaluma utitiri. Izi zitha kugawidwa m'magawo oyamba ndi pambuyo pake omwe amayamba matendawa akamakula.
| Chizindikiro | Zambiri |
|---|---|
| Zizindikiro za matenda m'masiku oyamba | |
| Malungo aakulu | Malungo amphamvu komanso mwadzidzidzi. |
| Mutu waukulu | Mutu womwe ukumva ngati ukuphulika. |
| Kusowa chilakolako cha chakudya, nseru, ndi kusanza | Mwina simungafune kudya, ndipo mungamve kupweteka m'mimba ndi kusanza. |
| Kupweteka kwa thupi | Mungamve kupweteka kwambiri, makamaka minofu. |
| Kutupa pakhungu | Patatha masiku atatu kuchokera pamene matendawa ayamba, madontho ofiira ang'onoang'ono angawonekere pakhungu. Izi nthawi zambiri zimayambira m'manja ndi m'mapazi. Kenako zimatha kufalikira thupi lonse. Komabe, si aliyense amene amadwala matendawa. |
| Zizindikiro zazikulu zomwe zingachitike panthawi yowonjezereka kwa matendawa | |
| Kusokonezeka maganizo | Kusokonezeka maganizo, kusokonezeka maganizo, kulankhula molakwika. |
| Kuvuta kupuma | Kupuma movutikira (dyspnea). |
| Kusanza, kufooka kwa miyendo | Kumva ngati thupi silili ndi moyo. |
| Kugwidwa ndi khunyu | Mkhalidwe wofanana ndi kukwanira. |
Chofunika kwambiri ndichakuti, musayembekezere kuti ziphuphu ziwonekere. Anthu ena sapeza ziphuphu, kapena zingabwere mochedwa. Ngati muli ndi zizindikiro monga malungo ndi mutu, ndipo mukukayikira kuti mwalumidwa ndi utitiri, pitani kwa dokotala nthawi yomweyo.
Kodi dokotala amazindikira bwanji matendawa?
Mukapita kwa dokotala, chinthu choyamba chimene amachita ndikukufunsani mafunso.
- Kodi zizindikiro zanu ndi ziti ndipo mwakhala nazo kwa nthawi yayitali bwanji?
- Kodi mwangoyendapo m'nkhalango, pamalo okhala ndi udzu wautali?
- Kodi pali ziweto zilizonse kunyumba?
- Kodi mwawonapo utitiri ukulendewera penapake pathupi lanu?
Kutengera ndi mayankho anu a mafunso awa, dokotala wanu adzakuyesani. Ngati zizindikiro zanu zikusonyeza kuti izi zitha kukhala RMSF, chithandizo chimayamba.
Pali mayeso a magazi ndipo nthawi zina amachitidwa biopsy ya khungu kuti atsimikizire matendawa. Komabe, zotsatira za mayesowa zingatenge masiku 7 mpaka 10 kuti zibwererenso. Chifukwa matendawa ndi oopsa kwambiri, dokotala wanu sangayembekezere zotsatira zake. Ngati zizindikiro zanu ndi zomwe mumapereka zikusonyeza kuti muli ndi RMSF, chithandizo chidzayamba nthawi yomweyo.
Kodi mankhwala ake ndi otani? Zimatenga nthawi yayitali bwanji kuti munthu achire?
Chithandizo chabwino komanso chokhacho chomwe chikulimbikitsidwa cha RMSF ndi maantibayotiki . Mankhwala opha tizilombo omwe amagwiritsidwa ntchito makamaka pa izi ndi `( Doxycycline (
- Ndikofunikira kuyamba msanga: Chithandizo chimakhala chothandiza kwambiri chikayamba mkati mwa masiku 5 oyamba kuchokera pamene zizindikiro zayamba.
- Kumaliza: Nthawi zambiri mumayenera kumwa mankhwalawa kwa masiku 7-10. Ngakhale mutamva bwino patatha masiku awiri kapena atatu, muyenera kumwa mankhwalawa kwa masiku onse omwe dokotala wakupatsani. Apo ayi, matendawa angabwererenso.
- Matenda oopsa: Ngati matendawa ndi oopsa, mungafunike kupita kuchipatala ndi kulandira chithandizo. Mungafunikenso kulandira maantibayotiki kudzera m'mitsempha ndi mankhwala ena (monga makina opumira).
Ngati muyamba kulandira chithandizo moyenera , mudzayamba kumva bwino mkati mwa maola 48.
Kodi mungadziteteze bwanji ku matendawa?
Palibe katemera wa matendawa, choncho chinthu chabwino kwambiri kuchita ndi kupewa kulumidwa ndi utitiri. Pali zinthu zingapo zomwe mungachite kuti mupewe izi.
- Sungani munda wanu ndi bwalo lanu kukhala loyera: Udzu wautali ndi zitsamba ndi malo abwino okhala utitiri. Choncho sungani udzu wanu kukhala wokonzedwa bwino.
- Khalani otetezeka mukapita kunkhalango: Ngati mukufuna kuyenda m'nkhalango kapena m'nkhalango, valani zovala zophimba thupi lanu. Valani mathalauza aatali, malaya a manja aatali, nsapato, ndi masokosi. Ndi bwino kwambiri ngati mungathe kuyika mathalauza anu m'masokisi anu.
- Gwiritsani ntchito mankhwala othamangitsa tizilombo: Gwiritsani ntchito mankhwala othamangitsa tizilombo monga utitiri. Omwe ali ndi DEET ndi abwino kwambiri. Palinso mankhwala apadera opopera omwe mungagwiritse ntchito pa zovala.
- Yang'anani thupi lanu mukatuluka panja: Mukabwerera kunyumba kuchokera kunja, makamaka m'malo okhala ndi udzu, yang'anani thupi lanu lonse ngati muli ndi utitiri. Samalani kwambiri madera monga m'khwapa, m'mimba, mutu, kumbuyo kwa makutu anu, ndi m'mimba.
- Tetezani ziweto zanu: Tetezani ziweto zanu, monga agalu ndi amphaka, ku utitiri. Funsani dokotala wa ziweto ndipo gwiritsani ntchito mankhwala ndi malamba ofunikira moyenera. Yang'anani matupi awo mutatulutsa.
Kodi ndiyenera kupita ku ETU liti?
Iyi ndi nkhani yofunika kwambiri, chifukwa kuchitapo kanthu pa nthawi yake kungapulumutse moyo.
| Udindo | Zoyenera kuchita |
|---|---|
| Ndikuganiza kuti ndalumidwa ndi utitiri, ndipo patangopita masiku ochepa ndakhala ndi zizindikiro monga malungo, mutu, ndi kupweteka kwa thupi. | Kaonaneni ndi dokotala wa banja lanu nthawi yomweyo. Musazengereze. |
| Ndinalumidwa ndi utitiri, koma palibe zizindikiro zilizonse. | Palibe chifukwa chokaonana ndi dokotala panthawiyi. Kumwa mankhwala opha maantibayotiki popanda zizindikiro sikungathandize. Komabe, dziwani ngati zizindikirozo zidzawonekera m'masabata awiri otsatira. |
| Ngati muli ndi zizindikiro zoopsazi, pitani ku chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo. | |
| |
Uthenga Wopita Nawo Kunyumba
- Mafinya a Rocky Mountain Spotted Fever (RMSF) ndi matenda opatsirana ndi mabakiteriya omwe amatha kupha munthu ngati sakuchiritsidwa mwachangu.
- Musanyengedwe ndi mfundo yakuti zizindikiro zoyambirira (malungo, mutu, kupweteka kwa thupi) zimafanana ndi chimfine chofala cha kachilombo.
- Musayembekezere kuti ziphuphu pakhungu ziwonekere. Anthu ena sangatuluke ziphuphu.
- Ngati zizindikiro zomwe zili pamwambapa zikuwonekera mutakumana ndi utitiri, pitani kwa dokotala nthawi yomweyo.
- Matendawa amatha kuchiritsidwa kwathunthu ngati chithandizo chayamba msanga.
- Njira yabwino yopewera matendawa ndi kudziteteza ku utitiri.
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