Posachedwapa, takhala tikumva zambiri zokhudza matenda osiyanasiyana okhudzana ndi malungo, sichoncho? Kuphatikiza pa nkhawa zomwe zimafala monga dengue kapena fuluwenza, mawu ena akhala akubwera mobwerezabwereza: “Scrub Typhus.” N'zomveka kukhala ndi nkhawa, koma tiyeni tikambirane zonse pamodzi. Kodi kwenikweni ndi chiyani? Kodi ndi yoopsa? Kodi mungadziteteze bwanji? Tiyeni tikambirane mwachidule, ngati kuti tikucheza ndi mnzanu.
Mwachidule: Kodi Scrub Typhus ndi chiyani?
Ngakhale kuti dzina lake ndi lofala, matenda a Scrub Typhus safalikira ndi utitiri. Amayambitsidwa ndi kuluma kwa tizilombo toyambitsa matenda ta mphutsi, tomwe timadziwika kuti `(chigger)`. Tizilomboti ndi tating'ono kwambiri moti sitingathe kuona ndi maso. Matendawa amayamba chifukwa cha bakiteriya wotchedwa `Orientia tsutsugamushi` .
Taganizirani izi motere: mphutsi zazing'onozi zimatenga mabakiteriya kuchokera ku makoswe monga makoswe ndi mbewa. Ngati mphutsi yodwalayo ikulumani, mabakiteriyawo amalowa m'thupi lanu. Nthata izi ndi zazing'ono kwambiri ndipo nthawi zambiri zimakhala zofiira, zachikasu, kapena zalanje.
Kodi matendawa amapezeka kuti?
Matendawa amapezeka makamaka m'madera osiyanasiyana ku Asia, makamaka m'madera akumidzi kapena m'nkhalango.
- Mayiko akumwera chakum'mawa kwa Asia
- India
- Indonesia
- China
- Japan
- Kumpoto kwa Australia
Nthata zimenezi zimakula bwino m'malo okhala ndi udzu, zitsamba, chinyezi, komanso mthunzi . Izi zikutanthauza kuti mungakumane nazo m'malo osasamalidwa bwino m'bwalo lanu, m'mphepete mwa nkhalango, m'milu ya masamba ovunda, kapena m'zitsamba zonyowa. Nthawi zambiri nthata zimenezi zimakula kwambiri kumapeto kwa masika ndi chilimwe.
Kodi zizindikiro za Scrub Typhus ndi ziti?
Simungamve ngakhale kuluma kwa chigger; nthawi zambiri sikupweteka. Komabe, patatha maola angapo, malowo angayambe kuyabwa, ndipo mungaone kachiphuphu kakang'ono kofiira.
Mabakiteriya akalowa m'thupi mwanu, pamakhala nthawi yoti munthu azitha kuyamwa kwa masiku pafupifupi 6-10 pomwe mungamve bwino. Zizindikiro nthawi zambiri zimawonekera mwadzidzidzi patatha masiku 10-12 kuchokera pamene kachilomboka kalowa. Kudziwa zizindikirozi ndikofunikira kwambiri.
| Chizindikiro | Kufotokozera |
|---|---|
| Malungo | Malungo amphamvu mwadzidzidzi limodzi ndi kuzizira ndi kunjenjemera. |
| Eschar | Ichi ndi chizindikiro chodziwikiratu cha matendawa. Chigoba chaching'ono, chakuda, chonga nkhanambo chimapangika pamalo pomwe chigger imakulumani. |
| Ziphuphu | Mungathe kukhala ndi ziphuphu zofiira pakhungu panu. |
| Kupweteka kwa Thupi | Kupweteka mutu kwambiri, kupweteka thupi, ndi kupweteka minofu. |
| Zizindikiro Zina | Kusokonezeka, kutupa kwa ma lymph nodes, maso ofiira, kusanza, kutsegula m'mimba, ndi matenda a m'mapapo. |
Chofunika Kwambiri: Ngati zizindikirozi sizichiritsidwa, matendawa amatha kukhala mavuto aakulu, kuphatikizapo chikomokere kapena kulephera kwa ziwalo.
Kodi dokotala amazindikira bwanji matenda a Scrub Typhus?
Ngati muli ndi zizindikiro izi, makamaka ngati mwakhala m'madera okhala ndi nkhalango kapena zomera, pitani kwa dokotala nthawi yomweyo .
Dokotala wanu adzachita kafukufuku wa thupi, makamaka kufunafuna `eschar`. Kuphatikiza apo, angakufunseni kuti muyese magazi kuti mupeze ma antibodies omwe thupi lanu limapanga kuti limenyane ndi mabakiteriya.
Kuzindikira izi kungakhale kovuta chifukwa zizindikiro zake zimafanana ndi matenda ofala monga dengue, leptospirosis, kapena typhoid. Chifukwa cha izi, dokotala wanu ayenera kuganizira njira zingapo. Nthawi zina, ngati mayeso oyamba a magazi sakudziwika, mungafunike mayeso ena pambuyo pa milungu 1-3. Zikatero, dokotala wanu angayambe kulandira chithandizo kutengera zizindikiro zachipatala m'malo moyembekezera zotsatira za labu.
Kodi chimachiritsidwa bwanji?
Nkhani yabwino ndi yakuti matenda a Scrub Typhus amatha kuchiritsidwa ndi maantibayotiki. Gawo lofunika kwambiri ndikuyamba kulandira chithandizo mwamsanga kuti munthu achire msanga.
Dokotala wanu mwina angakulembereni mankhwala otchedwa `doxycycline` , nthawi zambiri kwa masiku 7 kapena kuposerapo. Pa milandu yoopsa, amatha kuperekedwa kudzera m'mitsempha (IV). Kwa ana, nthawi zambiri amalangizidwa kuti apereke mankhwala afupiafupi a masiku 5 kuti apewe mavuto monga kusintha kwa mtundu wa dzino. Kwa amayi apakati kapena omwe ali ndi vuto la doxycycline, mankhwala ena otetezeka monga `azithromycin` amagwiritsidwa ntchito.
Mavuto Omwe Angakhalepo Chifukwa cha Matenda Osachiritsidwa
Ngati sichichiritsidwa, matenda a Scrub Typhus akhoza kuwononga ziwalo zofunika kwambiri:
| Thupi la Thupi | Mavuto Omwe Angakhalepo |
|---|---|
| Mtima | Arrhythmias, myocarditis (kutupa kwa minofu ya mtima). |
| Kugaya chakudya | Kusanza, kutsegula m'mimba, mavuto a chiwindi, kapamba, komanso kutuluka magazi mkati. |
| Kupuma | Pa milandu yoopsa, matenda a Acute Respiratory Distress Syndrome (ARDS), omwe ndi vuto lomwe lingayambitse imfa pomwe madzi amasonkhana m'mapapo. |
| Impso | Kuvulala Kwambiri kwa Impso (AKI) ndi kulephera kwa impso. |
| Dongosolo la Mitsempha | Matenda a meningitis kapena meningoencephalitis, omwe angayambitse khunyu ndi kusintha kwa khalidwe. |
Ngati mukumva zizindikiro zilizonse zoopsa, funsani dokotala wanu nthawi yomweyo kapena pitani ku dipatimenti yadzidzidzi ya chipatala chapafupi.
Kodi pali katemera? Kodi mungakhale bwanji otetezeka?
Pakadali pano, palibe katemera woteteza matenda a Scrub Typhus.
Choncho, kupewa ndi njira yabwino kwambiri. Cholinga chake ndi kupewa kulumidwa ndi tizilombo toyambitsa matenda.
Ngati mukupita kumadera okhala ndi nkhalango kapena zomera, tsatirani malangizo awa:
- Valani zovala zodzitetezera. Valani mathalauza aatali ndi malaya a manja aatali. Kuyika mathalauza anu m'masokisi anu kungathandize kuwonjezera chitetezo.
- Gwiritsani ntchito mankhwala ophera tizilombo. Pakani mankhwala ophera tizilombo okhala ndi ` DEET` pakhungu ndi zovala zomwe zili kunja.
- Pewani kukhala pa udzu kapena tchire mwachindunji.
- Kwa makanda ndi ana aang'ono, sungani miyendo yawo yophimbidwa bwino. Tetezani stroller kapena chonyamulira chawo ndi ukonde woteteza.
- Musapopere mankhwala otha kupha ana mwachindunji pakhungu la mwana. Choyamba mupopere m'manja mwanu, kenako mupake mwanayo. Funsani dokotala wa ana musanagwiritse ntchito mankhwala otha kupha ana osakwana zaka ziwiri.
- Mukapita panja, tsukani zovala zanu ndi madzi otentha (pafupifupi mphindi 30) ndikusamba ndi sopo wofunda.
- Ngati nthawi zambiri mumayenda m'nkhalango, ganizirani zothira zovala zanu ndi zida zanu ndi 0.5% permethrin . Izi zimapha tizilombo toyambitsa matenda zikakhudzana ndi khungu ndipo zimakhalabe zothandiza posamba kangapo. Musagwiritse ntchito izi pakhungu mwachindunji. Ndi za zovala ndi zida zokha.
Uthenga Wopita Nawo Kunyumba
- Matenda a Scrub Typhus ndi matenda a bakiteriya . Akhoza kukhala oopsa, koma amatha kuchiritsidwa kwathunthu ndi maantibayotiki .
- Imafalikira ndi kulumidwa ndi tizilombo ting'onoting'ono tomwe timapezeka m'malo a udzu ndi zitsamba.
- Zizindikiro zodziwika bwino ndi monga malungo, kupweteka kwa thupi, ndi kuoneka kwa nkhanambo yakuda (eschar) pamalo olumidwa.
- Ngati muli ndi zizindikiro izi, khalani chete ndipo funsani dokotala nthawi yomweyo. Chithandizo choyambirira ndi chofunikira.
- Kupewa nthawi zonse kumakhala bwino kuposa kuchiza: kuphimba khungu lanu ndikugwiritsa ntchito mankhwala ophera tizilombo mukakhala panja m'malo oopsa.
Scrub Typhus, typhus, chiggers, Orientia tsutsugamushi, eschar, doxycycline, upangiri wa zaumoyo, zizindikiro za malungo
