Tangoganizani kuti mwakhala ndi malungo aakulu kwa masiku angapo. Kenako malungowo amatha okha. Mukuganiza kuti muli bwino. Koma patatha pafupifupi sabata imodzi, popanda chifukwa chomveka, mwakhalanso ndi malungo aakulu. Mtundu uwu wa malungo umabwera ndikutha... Kodi sizodabwitsa pang'ono? Ichi ndiye chizindikiro chachikulu cha Tick-Borne Relapsing Fever (TBRF) . Imeneyi si matenda ofala kwambiri, koma ndikofunikira kwambiri kudziwa za matendawa.
Kodi matendawa amakula bwanji?
Mwachidule, matendawa amayamba chifukwa cha mtundu wa bakiteriya . Bakiteriya iyi imalowa m'thupi mwathu kudzera mu kuluma kwa mtundu wina wapadera wa nkhupakupa . Timatcha nkhupakupa izi kuti 'nkhupakupa zofewa'.
Mosiyana ndi nkhupakupa zolimba zomwe timazidziwa bwino, nkhupakupa zofewa izi sizimakhala m'thupi mwathu kwa masiku ambiri. Zimayamwa magazi pakapita nthawi yochepa, pafupifupi mphindi 15 mpaka 30, kenako zimabwerera komwe zinachokera. Chofunika kwambiri ndichakuti nkhupakupa izi zikaluma, sitimva kupweteka kulikonse. Chifukwa chake nthawi zina sitidziwa ngati talumidwa ndi nkhupakupa.
Nkhuku zimenezi zimakhala m'zisa za nyama zazing'ono monga mbewa ndi agologolo. Ndicho chifukwa chake matendawa amagwirizanitsidwa makamaka ndi nyumba zachikale m'mapiri. Chifukwa m'malo otere, nyama ngati mbewa zimamanga zisa mkati mwa makoma ndi madenga. Usiku, tikagona, nkhuku m'zisa izi zimatuluka ndikuyamwa magazi athu.
Ngakhale kuti matendawa safala kwambiri ku Sri Lanka, ndikofunikira kwambiri kudziwa izi ngati mukupita kumadera amapiri m'maiko akunja, makamaka m'maiko monga United States, Canada, ndi Mexico.
Kodi zizindikiro za izi ndi ziti?
Nthawi zambiri zimatenga pafupifupi sabata imodzi kuti zizindikiro ziwonekere munthu akaluma nkhupakupa. Chizindikiro chachikulu ndi, monga ndanenera kale, kutentha thupi kwambiri komwe kumabwera ndi kutha.
Malungo nthawi zambiri amakhala kwa masiku atatu mpaka asanu. Kenako, patatha masiku asanu mpaka asanu ndi awiri popanda malungo, malungowo amabwereranso. Ngati sanachiritsidwe, izi zimapitirira.
Kumapeto kwa nthawi iliyonse ya malungo, kutentha kwa thupi lanu kungakwere mwadzidzidzi kufika pamlingo wokwera kwambiri (mwina kufika pa 106.7 F). Izi zitha kutenga mphindi pafupifupi 10-30. Kenako malungowo amatsika mwadzidzidzi, ndipo mutha kutuluka thukuta kwambiri.
Kuwonjezera pa chizindikiro chachikulu ichi, zizindikiro zina zingapo zingaonekere.
| Chizindikiro | Kufotokozera |
|---|---|
| Mutu | Mutu waukulu. |
| Kupweteka kwa minofu ndi mafupa | Kupweteka kwa thupi ndi kupweteka kwa mafupa. |
| Kuzizira ndi kunjenjemera | Chimfine chachikulu chomwe chimabwera ndi malungo. |
| Kusanza ndi kupweteka m'mimba | Kusanza, kusanza, ndi kupweteka m'mimba. |
| Zina mwazinthu | Zizindikiro monga chifuwa, kupweteka pakhosi, kupweteka m'maso, kutsegula m'mimba, kutupa pakhungu, komanso kusokonezeka maganizo zingaonekenso. |
Kodi matenda amachitika bwanji?
Ngati mukuwonetsa zizindikiro izi, dokotala wanu adzayamba kaye wakuyang'anani mosamala. Adzakufunsaninso za maulendo aposachedwa, makamaka kumapiri ndi nyumba zakale zamatabwa komwe nkhupakupa zofewa izi zimakhala.
Kuti atsimikizire matendawa, amatengedwa chitsanzo cha magazi anu. Chitsanzo cha magazi ichi nthawi zambiri chimatengedwa mukakhala ndi malungo. Mu labotale, wasayansi amafufuza chitsanzo chaching'ono cha magazi anu pogwiritsa ntchito maikulosikopu. Izi zikuwonetsani ngati mabakiteriya omwe amayambitsa matendawa, otchedwa *Borrelia*, alipo m'magazi anu. Pogwiritsa ntchito maikulosikopu, mabakiteriyawa amaoneka ngati chokulungira chaching'ono.
Kodi mankhwala ake ndi otani?
Nthawi zambiri, matendawa amatha kuchiritsidwa popanda chithandizo. Komabe, ngati matendawa atsimikizika, dokotala wanu adzakupatsani mankhwala opha mabakiteriya . Mankhwalawa amapha mabakiteriya omwe amayambitsa matendawa. Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi tetracycline ndi doxycycline. Azimayi apakati ndi ana aang'ono nthawi zambiri amapatsidwa mankhwala ena, monga erythromycin.Mankhwala opha tizilombo toyambitsa matenda amaperekedwa. Anthu ambiri amamva bwino pakatha masiku ochepa kuchokera pamene ayamba kumwa mankhwalawo.
Chinthu chapadera chokumbukira!
Nayi mfundo yapadera yoti mudziwe: Anthu opitilira theka omwe amalandira chithandizo amatha kuwona kuwonjezeka kwakanthawi kwa zizindikiro (malungo akulu, kuzizira) mkati mwa maola ochepa oyamba mutayamba kumwa maantibayotiki.
Musachite mantha! Madokotala amatcha vutoli kuti Jarisch-Herxheimer reaction . Limachitika pamene mabakiteriya aphedwa ndi maantibayotiki, ndipo poizoni amatulutsidwa kuchokera ku mabakiteriya akufawo.
Nthawi zambiri, zizindikirozi zimatha zokha patangopita maola ochepa. Dokotala wanu angakupempheni kuti mukhalebe m'chipatala kuti mukayang'aniridwe kwa maola ochepa oyamba mutayamba kumwa mankhwala. Nthawi zambiri, anthu ena amavutika kupuma. Ngati izi zitachitika, ndikofunikira kufunafuna upangiri wa dokotala kapena kupita ku Dipatimenti Yothandiza Padzidzidzi (ETU) nthawi yomweyo.
Kodi mavuto angachitike?
Ndi chithandizo choyenera cha maantibayotiki, matendawa amatha kwathunthu mkati mwa masiku ochepa. Mavuto ndi osowa.
Komabe, nthawi zina, TBRF ingawononge mitsempha yomwe imalumikiza maso kapena makutu anu. Izi zingayambitse kumva kapena kuona. Zingayambitsenso kufooka kwakanthawi kwa minofu ya nkhope, yotchedwa Bell's palsy . Nthawi zina, kutupa kwa mtima kumatha kuchitika.
Ngati mutatenga matendawa panthawi ya mimba, chiopsezo cha mavuto monga kubadwa msanga kapena kubadwa ndi kulemera kochepa chingawonjezeke pang'ono. Chifukwa chake, mayi wapakati ayenera kusamala kwambiri ndi izi.
Kodi mungadziteteze bwanji ku matendawa?
Chinthu chabwino kwambiri chomwe mungachite ndi kupewa kulumidwa ndi nkhupakupa.
- Ngati mukupita kudera komwe kumapezeka nkhupakupa, gwiritsani ntchito mankhwala ophera tizilombo mukamakhala panja. Mutha kugwiritsa ntchito mankhwala ophera tizilombo okhala ndi permethrin pa zovala, kapena mankhwala okhala ndi DEET pakhungu ndi zovala.
- Ngati mukukhala m'malo akale osungiramo matabwa, yang'anani makoswe. Yang'anani zinthu monga njuchi. Ngati muwonapo, chotsani makoswe ndi zisa zawo mothandizidwa ndi katswiri wothana ndi tizilombo.
Uthenga Wopita Nawo Kunyumba
- Matenda a Tick-Borne Relapsing Fever (TBRF) ndi matenda obadwa ndi nkhupakupa omwe amachititsa kuti malungo abwere ndi kutuluka, kenako azitha kenako n’kubwereranso.
- Izi zimachitika chifukwa cha 'nkhupakupa zofewa' zomwe zimakhala m'maenje a nyama monga makoswe. Chiwopsezochi chimakhala chachikulu makamaka m'nyumba zakale zamatabwa (nyumba zachikale) m'mapiri.
- Ngati mukukumana ndi zizindikiro izi, makamaka mutayenda, pitani kwa dokotala nthawi yomweyo.
- Matendawa amatha kuchiritsidwa kwathunthu ndi maantibayotiki.
- Zizindikiro zimatha kuwonjezeka kwakanthawi m'maola oyamba a chithandizo (Jarisch-Herxheimer reaction). Musachite mantha ndi izi ndipo tsatirani upangiri wa dokotala.
- Chinthu chabwino kwambiri chomwe mungachite ndi kupewa kutenga matendawa. Chitani zinthu zofunika kuti mudziteteze ku nkhupakupa.
Malungo, Nkhuku, TBRF, Malungo Obwereranso, Borrelia, Chithandizo, Zizindikiro, Matenda
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