Malungo ofalitsidwa ndi nkhupakupa! Tiyeni tiphunzire za Malungo Ochokera ku Rocky Mountain Spotted Fever

Kodi munayamba mwayendapo m'nkhalango, mu udzu wautali, kapena kusewera ndi chiweto chanu ndipo mwakumana ndi cholengedwa chaching'ono chonga nkhupakupa? Nthawi zina zolengedwa zazing'onozi zimatha kukhala zovutitsa kwambiri. Lero tikambirana za matenda omwe amatha kufalikira ndi nkhupakupa, ndipo amatha kukhala oopsa pang'ono. Amatchedwa Rocky Mountain Spotted Fever. Dzinali silingawonekere loyenera ku Sri Lanka, koma ndikofunikira kwambiri kudziwa matenda ofalitsidwa ndi nkhupakupa ngati awa.

Kodi Rocky Mountain Spotted Fever ndi chiyani?

Mwachidule, Rocky Mountain Spotted Fever (RMSF) ndi matenda omwe amayamba chifukwa cha bakiteriya wotchedwa Rickettsia rickettsii. Amafalikira kudzera mu kulumidwa ndi nkhupakupa. Zizindikiro zoyambirira - monga kutentha thupi, mutu, ndi ziphuphu pakhungu - zitha kufanana ndi matenda ena ofala. Koma ngati sachiritsidwa mwachangu, RMSF ikhoza kukhala yoopsa.

Matendawa, RMSF, ali m'gulu lalikulu la matenda otchedwa `Spotted Fever Rickettsiosis (SFR)`.

Kodi matenda a Rocky Mountain Spotted Fever (RMSF) ndi matenda a Lyme ndi chinthu chimodzi?

Inde, ngakhale kuti zonsezi ndi matenda oyambitsidwa ndi nkhupakupa, Rocky Mountain Spotted Fever ndi Lyme disease ndi matenda awiri osiyana. Matenda a Lyme amayamba chifukwa cha mabakiteriya osiyana ndi RMSF, ndipo zizindikiro zake ndi zosiyana. Munthu amene ali ndi RMSF sadzadwala matenda a Lyme.

Ndani angadwale matenda a Rocky Mountain Spotted Fever (RMSF)?

Aliyense amene ali pamalo omwe nkhupakupa zimapezeka - monga udzu wautali, nkhalango, kapena ziweto zakunja - akhoza kutenga matendawa. Milandu ya RMSF yanenedwa ku United States, Canada, Mexico, ndi South ndi Central America. Ngakhale kuti milanduyi imatha kuchitika nthawi iliyonse pachaka, chiwerengero chachikulu cha milanduyi chimapezeka m'miyezi yotentha.

Ndani amene ali pachiwopsezo chachikulu?

Aliyense akhoza kutenga RMSF pa msinkhu uliwonse. Komabe, akuti ndi yofala kwambiri mwa amuna ndi anthu azaka zopitirira 40. Muli pachiwopsezo chachikulu chotenga RMSF yoopsa ngati :

• Ngati muli ndi zaka zosakwana 10 kapena kupitirira 70.
• Ngati muli ndi vuto la ``Glucose-6-phosphate dehydrogenase (G6PD)``.
• Ngati chitetezo chamthupi chanu chili pamavuto.

Kodi matenda a Rocky Mountain Spotted Fever (RMSF) ndi ofala bwanji?

Ku United States, milandu pafupifupi 6,000 ya RMSF imanenedwa chaka chilichonse. Ngakhale kuti dzina lakuti "Rocky Mountain," kwenikweni ndi lofala kwambiri m'maboma monga North Carolina, Tennessee, Missouri, Arkansas, ndi Oklahoma. RMSF imachitika nthawi zambiri nthawi yachilimwe, pamene nkhupakupa zimakhala zambiri ndipo anthu amakhala panja.

Kodi Rocky Mountain Spotted Fever (RMSF) imakhudza bwanji thupi langa?

Mabakiteriya omwe amayambitsa RMSF, `R. rickettsii`, amalowa m'magazi mwanu kudzera mu kuluma kwa nkhupakupa. Kenako mabakiteriyawa amaukira mitsempha yanu yamagazi, maselo a minofu, ndi minofu. Izi zingayambitse magazi kutuluka m'mitsempha yanu yamagazi, madzimadzi amasonkhana m'minofu yanu, ndikuwononga minofu yanu, mitsempha, ndi ziwalo zanu.

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

Ngati mwalumidwa ndi nkhupakupa yodwala, mungayambe kukhala ndi zizindikiro za RMSF mkati mwa masiku awiri kapena milungu iwiri. Zizindikiro nthawi zambiri zimakula pang'onopang'ono kwa masiku angapo. Poyamba zimatha kuphatikizapo kutentha thupi, mutu, nseru, kusanza, ndi kupweteka kwa minofu .

Chofunika kwambiri: Anthu ena amayamba kutupa mkati mwa masiku atatu (pafupifupi 50%). Komabe, ndikofunikira kupeza chithandizo popanda kudikira kuti kutupako kuwonekere.

Zizindikiro zazikulu za RMSF ndi izi:

• Malungo aakulu
• Mutu
• Chilakolako cha chakudya
• Kupweteka kwa minofu kapena kupweteka
• Matuza pakhungu - nthawi zambiri amayamba m'manja ndi m'mapazi ndipo amafalikira mbali zina za thupi.
• Kusanza ndi kusanza
• Kuwawa kwam'mimba
• Kusamva kuwala (photophobia)

Zizindikiro zazikulu zomwe zingachitike pambuyo pake:

• Chisokonezo
• Kuvuta kupuma (kupuma movutikira)
• Nkhawa, kusakhazikika, kapena kusokonezeka maganizo
• Kugwidwa ndi khunyu
• Kufooka kapena kusakhazikika kwa miyendo

Kodi matenda a Rocky Mountain Spotted Fever (RMSF) amafalikira bwanji?

Nkhuku zimanyamula ndi kufalitsa RMSF. Ku United States, nkhuku ya ku America ya agalu ndi nkhuku ya Rocky Mountain wood ndizomwe zimayambitsa matendawa. M'madera ena, mitundu ina ya nkhuku, monga nkhuku ya brown dog, imathanso kufalitsa RMSF.

Kodi RMSF imapatsirana kuchokera kwa munthu wina kupita kwa wina?

Ayi, Rocky Mountain Spotted Fever si matenda opatsirana (ndiko kuti, si matenda opatsirana).

Kodi mumadziwa bwanji ngati nkhupakupa yalumidwa?

Ngati simukuona nkhupakupa pathupi panu, nthawi zina zimakhala zovuta kudziwa ngati mwalumidwa ndi nkhupakupa. Nkhupakupa ingasiye chizindikiro pamene yalumidwa, ingasiye ziphuphu, kapena ingatha popanda zizindikiro zilizonse.

Kodi Rocky Mountain Spotted Fever (RMSF) imapezeka bwanji?

Dokotala wanu adzazindikira RMSF kutengera mayeso akuthupi, zizindikiro zanu, komanso ngati mwalumidwa ndi nkhupakupa. Ngakhale kuti mayeso a magazi ndi mayeso a khungu angathandize kuzindikira RMSF, zotsatira za mayesowa sizipezeka mwachangu mokwanira kuti muyambe kulandira chithandizo.

Ngati mwapita kudera lomwe mwina mungakhale ndi nkhupakupa m'masabata awiri apitawa, ngakhale simukukumbukira kuti munalumidwa ndi nkhupakupa kapena kukhala ndi nkhupakupa m'thupi lanu, onetsetsani kuti mwauza dokotala wanu. Izi ndizofunikira kwambiri kuti asankhe ngati angapereke chithandizo cha RMSF.

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira RMSF?

Dokotala wanu akhoza kupeza RMSF pogwiritsa ntchito mayeso a magazi ndi mayeso a khungu, koma zotsatira zake zingatenge nthawi kuti zibwererenso. Dokotala wanu mwina adzayenera kusankha ngati angapereke chithandizo cha RMSF musanabwerenso zotsatira za mayeso anu.

• Kuyezetsa magazi: Chitsanzo cha magazi anu chimatengedwa kuti chione ngati pali mabakiteriya omwe amayambitsa RMSF. Magazi anu nthawi zambiri sapezeka kuti ali ndi RMSF mpaka patatha masiku 7-10 mutadwala. Mungafunike kuyezetsa magazi ena ngati matenda anu akuipiraipira kapena mutachira.
• Kuyesa khungu: Chida chapadera chotchedwa punch chimagwiritsidwa ntchito potenga chidutswa chaching'ono cha khungu kuchokera ku chilonda pakhungu lanu (izi zingamveke ngati kubaya kapena kumva kuyabwa pang'ono). Kenako chitsanzo cha khungu chimayesedwa ngati pali zizindikiro za mabakiteriya a R. rickettsii.

Kodi matenda a Rocky Mountain Spotted Fever (RMSF) amachiritsidwa bwanji?

RMSF imachiritsidwa ndi maantibayotiki , omwe nthawi zambiri amatengedwa kwa masiku 7 mpaka 10.

Chithandizo chimakhala chothandiza kwambiri ngati muyamba chithandizo mkati mwa masiku asanu kuchokera pamene zizindikiro zanu zayamba. Ngati muyamba mochedwa kumwa mankhwala opha majeremusi, RMSF ikhoza kuwononga thupi lanu ndikuyambitsa mavuto oopsa.

Ngati mukukumana ndi mavuto, mungafunike chithandizo china. Izi zingaphatikizepo kuikidwa magazi, kupumira mpweya pogwiritsa ntchito makina, kapena mankhwala ena.

Ndi mankhwala ati omwe amagwiritsidwa ntchito pa RMSF?

Doxycycline ndiye mankhwala okhawo opha tizilombo omwe amalimbikitsidwa pochiza RMSF. Ngati muli ndi vuto la doxycycline , dokotala wanu angakupatseni chloramphenicol ngati njira ina. Komabe, chloramphenicol ndi yovuta kupeza m'maiko ena, ndipo siigwira ntchito bwino pa RMSF monga doxycycline .

Kodi mungatani kuti muthane ndi zizindikiro za RMSF?

Ngati zizindikiro zanu sizili zazikulu, mutha kuzithetsa kunyumba ndi mankhwala ogulitsidwa kunja kwa chipatala. Komabe, ndikofunikira kufunsa dokotala wanu mankhwala omwe ndi otetezeka kugwiritsa ntchito.

Kodi ndidzachira mofulumira bwanji nditalandira chithandizo cha RMSF?

Ngati muyamba kumwa mankhwala opha majeremusi mwamsanga zizindikiro za RMSF zikayamba, muyenera kumva bwino mkati mwa maola 48. Komabe, muyenera kumwa mankhwala opha majeremusi kwa masiku angapo. Ngakhale mutamva bwino, pitirizani kumwa mankhwala onse monga momwe mwalangizidwira. Ngati zizindikiro zanu sizikuchepa, pitani kwa dokotala nthawi yomweyo.

Kodi ndingachepetse bwanji chiopsezo cha Rocky Mountain Spotted Fever (RMSF)?

Kupewa kulumidwa ndi nkhupakupa ndiyo njira yabwino kwambiri yochepetsera chiopsezo cha RMSF.

• Dulani bwalo lanu nthawi zonse. Udzu wautali kuposa mainchesi 5 umakopa nkhupakupa.
• Mukayenda m'nkhalango, gwiritsani ntchito njira zotsukidwa bwino zokha.
• Gwiritsani ntchito mankhwala opopera tizilombo omwe ali ndi zosakaniza zoletsa nkhupakupa (monga zomwe zili ndi DEET).
• Mukapita kunkhalango kapena m'malo okhala ndi udzu wautali, valani zovala zomwe zimaphimba thupi lanu lonse momwe mungathere. Zovala zina zimabwera zitakonzedwa kale kuti zisawonongeke ndi nkhupakupa.
• Mukabwerera kuchokera panja, yang'anani thupi lanu ngati muli ndi nkhupakupa. Ngati n'kotheka, funsani wina kuti ayang'ane malo omwe simungawaone (monga msana wanu kapena khungu lanu).
• Tetezani ziweto zanu ku nkhupakupa pogwiritsa ntchito mankhwala omwe dokotala wanu wa ziweto amalangiza. Nthawi zonse yang'anani nkhupakupa zitatuluka panja.

Kodi mungayembekezere chiyani ngati mutadwala Rocky Mountain Spotted Fever (RMSF)?

Anthu ambiri amachira ku RMSF popanda mavuto a nthawi yayitali ngati atalandira chithandizo msanga zizindikiro zitayamba. Anthu ena akhoza kukhala ndi mavuto aakulu kwambiri moti amafunika kugonekedwa kuchipatala kuti akalandire chithandizo.

Ngakhale mutakhala ndi thanzi labwino, nthawi zina mavuto azaumoyo amatha kuchitika kwa nthawi yayitali.

Mavuto a Rocky Mountain Spotted Fever (RMSF)

Ngakhale atalandira mankhwala opha maantibayotiki, anthu ena omwe ali ndi RMSF amatha kukhala ndi mavuto akuluakulu kapena oopsa, kuphatikizapo:

• Matenda ovutitsa kupuma (ARDS)
• Kuvulala kwa impso koopsa
• Kutupa kwa m'mapapo
• Kuchepa kwa magazi m'thupi
• Matenda a mtima
• Kutuluka magazi mkati
• Sepsis (vuto lofanana ndi poizoni m'magazi)
• Kufooka pang'ono
• Kulephera kulamulira kutuluka kwa ndowe (`kulephera kudziletsa`) kapena mkodzo (`kulephera kudziletsa`)
• Chilonda chofuna kuduladula
• Matenda a ubongo/kutupa (encephalitis)
• Kulephera kwa ziwalo

Chiyembekezo cha ma RMSF

Mwayi wochira kuchokera ku RMSF ndi wabwino ngati wapatsidwa chithandizo msanga. Ku United States, chiwerengero cha anthu omwe amafa kuchokera ku RMSF, ngakhale atalandira chithandizo, chili pakati pa 5% ndi 10%. M'mayiko ena, monga Mexico ndi Brazil, chiwerengerochi n'chokwera kwambiri.

Ngati mukudwala kwambiri ndi RMSF, mutha kukhala ndi zotsatirapo zake kwa nthawi yayitali ngakhale mutachira. Mwachitsanzo:

• Kuwonongeka kwa mitsempha kapena ziwalo
• Kutaya kumva
• Kuvuta kulankhula
• Kutaya masomphenya
• Mavuto a mitsempha, monga mavuto a kusasinthasintha kapena chizungulire (vertigo)

Kodi matenda a Rocky Mountain Spotted Fever (RMSF) amatha kuchiritsidwa kwathunthu?

Kawirikawiri RMSF imatha ndi chithandizo. Komabe, anthu ena angapitirize kukhala ndi zizindikiro ngakhale matendawa atatha, chifukwa cha kuwonongeka kwa mitsempha ndi minofu.

Ngati sichinalandire chithandizo, mwayi woti munthu afe chifukwa cha RMSF ndi pakati pa 20% ndi 30%.

Kodi RMSF ingachitike kangapo?

N'zokayikitsa kuti mudzalandira RMSF kangapo. Akatswiri amaganiza kuti mukalandira RMSF, mumakhala ndi 'chitetezo' cha matendawa. Izi zikutanthauza kuti thupi lanu limadziwa momwe mungalimbanire nayo, kotero sizidzachitikanso.

Kodi ndimadzisamalira bwanji ngati ndili ndi RMSF?

Ngati dokotala wanu akukuthandizani ndi RMSF, onetsetsani kuti mwamwa mankhwala anu onse monga mwalangizidwira. Ngati musiya kumwa maantibayotiki msanga, mutha kudwalanso.

Dokotala wanu adzakuuzani momwe mungathanirane bwino ndi zizindikiro zanu kunyumba. RMSF imatha kuipiraipira mwachangu. Ngati muyamba zizindikiro zatsopano kapena ngati zizindikiro zanu zikuipiraipira, imbani dokotala nthawi yomweyo.

Kodi muyenera kupita kwa dokotala liti pankhani ya Rocky Mountain Spotted Fever (RMSF)?

Ngati mwalumidwa ndi nkhupakupa, kapena ngati mwakhalapo pamalo omwe pali nkhupakupa ndipo muli ndi zizindikiro za RMSF, pitani kwa dokotala nthawi yomweyo.

Ngakhale mutalumidwa ndi nkhupakupa koma mulibe zizindikiro zilizonse, simukuyenera kupita kwa dokotala - kumwa mankhwala opha tizilombo popanda kudwala sikungathandize kupewa RMSF.

Kodi ndiyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Ngati muli ndi zizindikiro izi, pitani ku chipinda chapafupi chadzidzidzi:

• Ngati malungo ali pamwamba pa 39.4 Celsius (103 Fahrenheit)
• Ngati mutsokomola magazi
• Ngati manja kapena mapazi anu atupa
• Ngati muli ndi kupweteka kwambiri m'mimba
• Ngati muli ndi chisokonezo kapena kusintha kwina kwa maganizo
• Ngati khunyu lachitika
• Ngati muli ndi dzanzi kapena kufooka m'miyendo yanu
• Ngati mukusanza kwambiri

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

• Kodi ndiyenera kumwa mankhwala anga bwanji?
• Ndi zizindikiro ziti zatsopano kapena zoipitsitsa zomwe ndiyenera kuyang'anitsitsa?
• Kodi ndidzachira mofulumira bwanji?
• Ndiyenera kubweranso liti kudzakuonaninso?

Zinthu Zofunika Kukumbukira (Uthenga Wopita Nawo Kunyumba)

Nkhuku sizimangokwiyitsa kokha - kuluma kwawo pang'ono kungakudwalitseni kwambiri. Njira yabwino yopewera Rocky Mountain Spotted Fever (RMSF) ndikupewa kulumidwa ndi nkhuku. Komabe, ngati mwalumidwa ndi nkhuku ndipo muli ndi zizindikiro, pitani kwa dokotala nthawi yomweyo. Chithandizo choyambirira ndiyo njira yabwino kwambiri yochizira msanga. Samalirani thanzi lanu ndikukhala otetezeka!

Nkhuku , Malungo a Rocky Mountain Spotted, Malungo, Ziphuphu pa Khungu, Matenda a Bakiteriya, Chitetezo ku Nkhuku, Maantibayotiki