Tiyeni tidziwe bwino lomwe matenda a Scrub Typhus omwe akufalikira masiku ano.

Masiku ano, nthawi zambiri timamva za mitundu yosiyanasiyana ya malungo, sichoncho? Kuphatikiza pa zinthu monga dengue ndi fuluwenza, dzina lina lomwe limabwera m'maganizo ndi "fever". Anthu ena amaopa izi. Ndiye, kodi fever iyi ndi chiyani kwenikweni? Kodi ndi yoopsa? Kodi tingatani kuti tipewe izi? Lero, tikambirana zonsezi mosavuta, ngati kuti tikulankhula ndi mnzathu.

Mwachidule, kodi matenda a Scrub Typhus ndi chiyani?

Matenda a Scrub typhus, kapena `(Scrub Typhus),` si matenda opatsirana ndi utitiri. Amafalikira ndi kuluma kwa mphutsi za mtundu wa tizilombo tomwe ndi tating'ono kwambiri moti maso athu sangaone. Tizilomboti timatchedwa `(chiggers).` Matendawa amayamba chifukwa cha bakiteriya wotchedwa `Orientia tsutsugamushi.` Tangoganizirani momwe tizilomboti timapezera tizilomboti. Nthawi zambiri, tizilomboti timafalikira ku tizilomboti kuchokera pakhungu la nyama monga makoswe. Kenako, tizilomboti tikamatiluma, tizilomboti timalowa m'thupi mwathu. Tizilomboti ndi tating'ono kwambiri moti nthawi zina sitingathe kuwaona. Nthawi zambiri timakhala ofiira, achikasu, kapena alalanje.

Kodi matendawa amapezeka kuti kwambiri?

Matendawa amapezeka kwambiri m'maiko aku Asia, makamaka m'madera akumidzi okhala ndi nkhalango.

• Mayiko a Kumwera cha Kum'mawa kwa Asia
• India
• Indonesia
• China
• Japan
• Madera akumpoto kwa Australia

Nthata zimenezi zimakonda kukhala m'malo okhala ndi udzu, zitsamba, chinyezi, komanso mthunzi . Izi zikutanthauza kuti zimapezeka m'malo osasamalidwa bwino m'munda mwanu, m'mphepete mwa nkhalango, mu mulu wa masamba ovunda, kapena pansi pa chitsamba chomwe chili ndi madzi ambiri. Nthata zimenezi zimagwira ntchito makamaka kumapeto kwa masika ndi chilimwe.

Kodi zizindikiro za matenda a utitiri ndi ziti?

Mwina simungamve ngakhale kuluma kwa nthata iyi. Siipweteka. Koma patatha maola ochepa, malowo amayamba kuyabwa kwambiri ndipo mungaone ziphuphu zofiira pang'ono. Simungamve chilichonse kwa masiku pafupifupi 6-10 mabakiteriya atalowa m'thupi. Zizindikiro zimayamba kuonekera mwadzidzidzi patatha masiku 10-12. Ndikofunikira kwambiri kudziwa zizindikiro izi bwino.

Kodi dokotala amazindikira bwanji matenda a utitiri molondola?

Ngati muli ndi zizindikiro izi, makamaka ngati mwapita kunkhalango kapena kudera la mitengo, pitani kwa dokotala nthawi yomweyo . Dokotala adzayamba wafufuza thupi lanu, makamaka ngati pali chikanga chakuda (eschar). Kuphatikiza apo, kuyezetsa magazi kudzachitika kuti atsimikizire matendawa, ndikuwona ma antibodies omwe thupi limapanga motsutsana ndi mabakiteriya. Vuto limodzi ndi izi ndikuti zizindikiro za chimfine cha utitiri zimafanana kwambiri ndi zizindikiro za matenda omwe amapezeka m'dziko lathu, monga dengue, leptospirosis, ndi typhoid fever. Chifukwa chake, dokotalayo ayenera kuganizira za matenda onsewa ndikupeza matenda. Nthawi zina, ngati mayeso oyamba a magazi sangapezeke molondola, zingakhale zofunikira kuchita mayeso ena patatha milungu 1-3. Zikatero, dokotalayo angayambe kulandira chithandizo kutengera zizindikiro popanda kuyembekezera zotsatira.

Kodi mankhwala ochizira izi ndi otani?

Nkhani yabwino ndi yakuti chimfine ndi matenda omwe amatha kuchiritsidwa kwathunthu ndi maantibayotiki. Chofunika kwambiri ndikuyamba chithandizo mwachangu momwe mungathere. Mukatero mutha kuchira msanga. Dokotala mwina adzakuuzani.Mankhwala opha tizilombo toyambitsa matenda otchedwa doxycycline amaperekedwa. Mankhwalawa amaperekedwa pakamwa kwa masiku 7 kapena kuposerapo. Nthawi zina amatha kuperekedwa kudzera m'mitsempha (IV). Kwa ana aang'ono, makamaka ngati matendawa ndi ochepa, amalimbikitsidwa kumwa mankhwala afupiafupi a masiku 5. Izi ndi kupewa mavuto monga kudzola mano ngati mankhwalawa agwiritsidwa ntchito kwa nthawi yayitali. Kwa amayi apakati kapena anthu omwe ali ndi vuto la doxycycline, mankhwala ena otetezeka monga azithromycin amaperekedwa.

Mavuto aakulu omwe angachitike ngati sanachiritsidwe

Ngati matendawa sanachiritsidwe, poganiza kuti ndi chimfine chabe, akhoza kuwononga ziwalo zofunika kwambiri m'thupi.

Thupi la thupi	Vuto lomwe lingakhalepo
Mtima	Matenda monga matenda a mtima ndi kutupa kwa minofu ya mtima (myocarditis).
Dongosolo la m'mimba	Kusanza, kutsegula m'mimba, mavuto a chiwindi, kapamba, komanso kutuluka magazi mkati mwa thupi.
Mapumulo	Pa milandu yoopsa, madzi amasonkhana m'mapapo, zomwe zimapangitsa kuti kupuma kukhale kovuta, zomwe zimapangitsa kuti munthu akhale ndi vuto loopsa lotchedwa `Acute Respiratory Distress Syndrome (ARDS).`
Impso	Kuvulala kwa impso (AKI) komanso kulephera kwa impso.
Dongosolo la mitsempha	Matenda monga meningitis ndi meningoencephalitis, zomwe zingayambitse khunyu ndi kusintha kwa khalidwe.

Ngati mukukumana ndi zizindikiro zoopsa izi, pitani kwa dokotala nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi.

Kodi pali katemera wa matenda a utitiri? Kodi tingadziteteze bwanji?

Mpaka pano, palibe katemera wopangidwa kuti ateteze matenda a utitiri.

Choncho, chinthu chabwino kwambiri choti muchite ndi kudziteteza ku matendawa asanayambe. Izi zikutanthauza kuti, kupewa kulumwa ndi nkhupakupa.

Ngati mukupita kudera la nkhalango komanso la mitengo, onetsetsani kuti mwachita izi:

• Valani zovala zophimba thupi lanu lonse. Valani mathalauza aatali ndi malaya a manja aatali. Ndi bwino kwambiri ngati mungathe kuyika malekezero a mathalauza anu m'masokisi anu.
• Gwiritsani ntchito mankhwala ophera tizilombo. Pakani mankhwala ophera tizilombo okhala ndi ` DEET` pakhungu ndi zovala zomwe zili kunja.
• Musamakhale pansi pa udzu kapena tchire.
• Mukatulutsa makanda ndi ana aang'ono panja, phimbani manja ndi miyendo yawo bwino. Phimbani stroller kapena chonyamulira chawo ndi ukonde wotetezera.
• Musapopere mankhwala ophera tizilombo mwachindunji pakhungu la ana. Choyamba mupopere pa dzanja lanu, kenako mupake pakhungu la mwana wanu. Funsani dokotala musanagwiritse ntchito pa ana osakwana zaka ziwiri.
• Mukabwerera kuchokera panja, nyowetsani zovala zanu zonse m'madzi otentha kwa mphindi pafupifupi 30. Komanso, sambani thupi lanu bwino ndi sopo ndi madzi otentha.
• Ngati mumayenda mobwerezabwereza kumadera okhala ndi nkhalango, mutha kusamba zovala ndi nsapato zanu pasadakhale ndi madzi okhala ndi `Permethrin` 0.5% . Izi zimapha nthata ndipo zimakhalabe zogwira ntchito ngakhale mutatsuka kangapo. Musapake izi pakhungu lanu. Zovala zokha.

Uthenga Wopita Nawo Kunyumba

• Matenda a Scrub Typhus ndi matenda a bakiteriya . Amatha kukhala oopsa, koma amatha kuchiritsidwa kwathunthu ndi maantibayotiki .
• Imafalikira poluma tizilombo ting'onoting'ono tomwe timapezeka m'malo monga udzu ndi zitsamba.
• Zizindikiro zazikulu ndi monga malungo, kupweteka kwa thupi, komanso kupangika kwa chikanga chakuda (eschar) pamalo pomwe nkhupakupayo inaluma.
• Ngati muli ndi zizindikiro izi, musachite mantha ndipo pitani kwa dokotala nthawi yomweyo. Mukayamba kulandira chithandizo mwachangu, zimakhala bwino.
• Chinthu chabwino kwambiri chomwe mungachite ndikupewa matendawa. Phimbani thupi lanu mukapita kumadera okhala ndi zitsamba, ndipo gwiritsani ntchito mankhwala ophera tizilombo.

Scrab Typhus, typhus, nthata, Orientia tsutsugamushi, eschar, doxycycline, Sri Lanka, zizindikiro za malungo