Malungo achilendo ochokera ku nyama? Tiyeni tikambirane za 'Tularemia'!

Kodi mudamvapo za matenda otchedwa ``Tularemia''? Mwina dzinali ndi latsopano pang'ono. Koma ndi chinthu chomwe tiyenera kudziwa, chifukwa ndi matenda omwe amatha kufalikira kwa ife kuchokera ku nyama, ndipo akhoza kukhala oopsa kwambiri. Anthu ena amatchanso kuti "kalulu". Chifukwa chake, musadandaule, lero tikambirana za ``Tularemia'' m'njira yosavuta yomwe mungamvetse.

Kodi 'Tularemia' ndi chiyani? Mwachidule...

Tularemia ndi matenda omwe amayamba chifukwa cha bakiteriya wotchedwa Francisella tularensis (F. tularensis). Ndi matenda ochokera ku zoonotic. Mwachidule, amafalikira kwa anthu pokhudzana ndi nyama zomwe zili ndi kachilomboka kapena pokhudzana ndi nyama zomwe zimanyamula mabakiteriya, monga utitiri ndi nkhupakupa.

Mukakhala ndi matendawa, ma lymph nodes anu amatha kutupa kwambiri . Sikuti kokha, komanso kutengera komwe mabakiteriya adalowa m'thupi lanu, mutha kuwonanso zizindikiro zosiyanasiyana m'mapapo anu, m'maso, pakhosi, ndi m'matumbo. Taganizirani izi, nthawi zina tikamapita kokayenda m'nkhalango, ngati nyama yaying'ono ikutikanda kapena kutiluma, ngati nkhupakupa, timapeza bala, ndipo mabakiteriyawa amatha kulowa m'thupi mwathu kudzera mu bala limenelo.

Kodi tularemia imawoneka bwanji m'thupi?

Chizindikiro chachikulu cha tularemia ndi kutupa kwa ma lymph nodes, komwe kumatha kuoneka ngati ziphuphu zazikulu pathupi, monga m'khosi ndi m'khwapa. Nthawi zina, zilonda zimatha kuchitika pamene mabakiteriya alowa m'thupi. Izi zikutanthauza kuti zimawoneka ngati chilonda chaching'ono.

Ndani amene ali pachiopsezo chachikulu chotenga matenda a 'tularemia'? Ndani amene ali pachiopsezo?

Aliyense akhoza kutenga tularemia. Komabe, ntchito yanu, zosangalatsa zanu, kapena malo omwe mumakhala angakuwonjezereni chiopsezo chanu chotenga kachilomboka. Onani ngati muli m'gulu la anthu awa:

• Anthu amene amasaka kapena kugwira nyama yosaphikidwa bwino : Izi zimatha kufalikira kudzera mu nyama ya nyama.
• Anthu omwe amagwira ntchito ndi ziweto nthawi zonse, monga madokotala a ziweto ndi akuluakulu oyang'anira ziweto : ali pachiwopsezo chachikulu chifukwa chokhudzana kwambiri ndi ziweto zomwe zili ndi kachilomboka.
• Anthu okhala m'malo omwe tizilombo toluma monga nkhupakupa ndi utitiri timachuluka .
• Anthu omwe ali ndi chitetezo chamthupi chofooka : Mwachitsanzo, anthu omwe ali ndi kachilombo ka HIV, odwala khansa, kapena omwe akumwa mankhwala oletsa chitetezo chamthupi.
• Ogwira ntchito m'mafamu, ometa ubweya wa nkhosa, ndi omwe amagwira ntchito ndi mabakiteriya otchedwa `F. tularensis` m'ma laboratories : Anthu awa ali pachiwopsezo chachikulu chotenga `Pneumonic tularemia`, yomwe imakhudza mapapo.

Ngakhale kuti matendawa amafalitsidwa kwambiri m'maiko ena, makamaka m'maiko ena ku United States, aliyense akhoza kutenga matendawa kulikonse komwe kuli mabakiteriyawa. Ngakhale kuti sanadziwike kwambiri ku Sri Lanka, ndi bwino kuti tisamale.

Kodi Tularemia ndi yofala bwanji?

Si matenda omwe amapezeka kulikonse padziko lapansi, ndi osowa kwambiri . Koma, monga ndanenera kale, akhoza kukhala oopsa kwambiri ngati atachitika, choncho ndikofunikira kwambiri kuti tidziwe izi.

Kodi matendawa amakhudza ziwalo ziti za thupi?

Matenda a tularemia angakhudze makamaka ma lymph nodes, khungu, maso, pakhosi, m'matumbo, kapena mapapo . Komabe, pakakhala zovuta kwambiri, angayambitse kutupa m'chiwalo chilichonse, kuphatikizapo ubongo ndi mtima.

Kodi mabakiteriya amenewa amagwira ntchito bwanji m'thupi?

Mwachidule, mabakiteriya a `F. tularensis` akalowa m'matupi mwathu, maselo a chitetezo chamthupi chathu "amadzaza" mabakiteriya. Kawirikawiri, maselo amenewa amawononga mabakiteriya. Komabe, mabakiteriya a `F. tularensis` ndi achinyengo kwambiri. Ndi mkati mwa maselo amenewo momwe mabakiteriya amachulukira . Pamapeto pake, maselo a chitetezo chamthupi amawonongeka, ndipo mabakiteriya ambiri amafalikira m'thupi lonse, n'kufalikira m'maselo ena.

Kuwonongeka kwa maselo kumeneku komanso momwe chitetezo chathu cha mthupi chimayankhira ku mabakiteriya amenewa ndi zomwe zimayambitsa zizindikiro m'thupi lomwe lakhudzidwa.

Kodi pali mitundu yosiyanasiyana ya Tularemia?

Inde, pali mitundu ingapo ikuluikulu ya tularemia. Izi zimagawidwa m'magulu kutengera momwe mumapezera kachilombo ka bakiteriya komanso komwe zizindikiro zake zimawonekera.

1. Ulceroglandular tularemia

Uwu ndi mtundu wofala kwambiri wa matenda a tularemia . Nthawi zambiri umapezeka chifukwa cha kuluma kwa nyama monga nkhupakupa kapena nyama yomwe ili ndi kachilomboka. Umakhudza khungu lanu ndi ma sebaceous glands. Chizindikiro chachikulu ndi kutupa kwa sebaceous gland komwe kumakhala ndi chotupa pakhungu.

2. Matenda a tularemia a m'ziphuphu

Izi zikufanana ndi mtundu womwe watchulidwa pamwambapa, koma sizimayambitsa zilonda pakhungu, koma ma ducts okha ndi omwe amatupa . Zingayambitsidwe ndi kulumidwa ndi nkhupakupa kapena kukhudzana mwachindunji ndi nyama yomwe ili ndi kachilomboka.

3. Mtundu wa matenda okhudza maso (Oculoglandular tularemia)

Matenda amtunduwu amapezeka mukalandira madzi kapena madzi a nyama m'diso lanu. Amayambitsa zizindikiro m'diso . Nthawi zambiri amakhudza diso limodzi lokha.

4. Mtundu womwe umakhudza pakhosi ndi m'mimba (Oropharyngeal tularemia)

Mtundu uwu ukhoza kupezeka mwa kudya chakudya chodetsedwa, kumwa madzi odetsedwa, kapena kuyika manja odetsedwa ndi mabakiteriya mkamwa osawatsuka. Chizindikiro chachikulu ndi kupweteka kwambiri pakhosi . Nthawi zina zizindikiro za m'mimba zimathanso kuchitika.

5. Mtundu womwe umakhudza mapapo (Pneumonic tularemia)

Uwu ndi mtundu woopsa kwambiri wa tularemia . Umayambitsa zizindikiro zofanana ndi chibayo. Pali njira ziwiri zomwe ungayambire:

• Kupuma mwachindunji kwa bakiteriya `F. tularensis`Kulowa m'mapapo.
• Kufalikira kwa matenda a F. tularensis kwina kulikonse m'thupi kupita m'mapapo .

6. Typhoid tularemia

Mtundu uwu wa tularemia umadziwika ndi kutentha thupi kwambiri ndipo umakhudza ziwalo zosiyanasiyana za thupi . Umatha kukula mofanana ndi mitundu ina ya tularemia.

Kodi 'Tularemia' ndi yofanana ndi 'Lyme disease'?

Funso limene anthu ena amafunsa ndi ili. Ngakhale kuti zizindikiro zina za "Tularemia" zimafanana ndi "Lyme disease", matenda awiriwa amakhudza thupi mosiyana. "Tularemia" ndi matenda omwe angakhudze ziwalo zosiyanasiyana za thupi ndipo akhoza kupha anthu . "Lyme disease" nthawi zambiri siimayambitsa imfa, koma nthawi zina ingayambitse zizindikiro zovuta kuchiza kwa nthawi yayitali.

Kodi zizindikiro za Tularemia ndi ziti?

Zizindikiro za tularemia zimasiyana malinga ndi mtundu womwe muli nawo. Mitundu yambiri imaphatikizapo malungo ndi mitundu yosiyanasiyana ya ziphuphu pakhungu . Kuphatikiza apo, zizindikiro zinazake zimachitika kutengera komwe kachilomboka kali.

Zizindikiro za mitundu ya Ulceroglandular ndi Glandular ya zilonda za pakhungu ndi timibulu:

• Malungo.
• Ma lymph nodes akuluakulu kwambiri, otupa kwambiri .
• Chilonda chotseguka (chilonda kapena chotupa) pakhungu - izi ndi za `Ulceroglandular tularemia` yokha.

Zizindikiro za mtundu wa Oculoglandular:

• Kupweteka kwa maso.
• Kung'ambika kwa maso.
• Kuzindikira kuwala (photophobia) - kutanthauza kuti n'kovuta kuyang'ana kuwala.
• Kutupa ndi kupweteka kuzungulira makutu kapena khosi.
• Chilonda chotseguka m'diso (zilonda za cornea).

Zizindikiro za mtundu wa Oropharyngeal zomwe zimakhudza pakhosi ndi m'mero:

• Malungo.
• Kupweteka kwambiri pakhosi .
• Kutupa pakhosi, kufiira, ndi mawanga oyera.

Anthu ena angakumanenso ndi izi:

• Kusanza.
• Kutsegula m'mimba (mwina ndi magazi).
• Kupweteka m'mimba.

Zizindikiro za matenda a pneumonic omwe amakhudza mapapo:

• Malungo.
• Chifuwa.
• Kuvuta kupuma (kupuma movutikira).
• Kupweteka pachifuwa kapena kulimba.
• Kupweteka kwa minofu.
• Matumbo ofiira kapena zilonda pakhungu (erythema nodosum).
• Kutsokomola magazi (hemoptysis).

Zizindikiro za matenda a typhoid:

• Malungo aakulu.
• Kuzizira.
• Mutu (kupweteka mutu).
• Chakudyacho sichikoma.
• Kupweteka kwa minofu.
• Chikhure.
• Kupweteka m'mimba.
• Kutsegula m'mimba.
• Kusanza kapena kusanza.
• Chisokonezo.

Kodi zimatenga nthawi yayitali bwanji kuti mabakiteriya alowe m'thupi matendawa asanayambe?

Nthawi yoberekera ya tularemia, nthawi yoyambira kukhudzana ndi mabakiteriya mpaka zizindikiro zitayamba kuonekera, nthawi zambiri imakhalaMasiku atatu kapena asanu , koma anthu ena sangasonyeze zizindikiro kwa milungu iwiri.

Kodi chifukwa cha matenda a 'Tularemia' n'chiyani?

Monga ndanenera kale, imayambitsidwa ndi bakiteriya yotchedwa `Francisella tularensis` (`F. tularensis`). Bakiteriya iyi nthawi zambiri imakhala m'matupi a nyama (nyama zomwe zimanyamula matendazi zimatchedwanso "malo osungira") - makamaka akalulu, akalulu, nyama zazing'ono monga mbewa, ndi amphaka. Imathanso kufalikira ndi nkhupakupa ndi tizilombo toluma.

Pali mitundu iwiri ikuluikulu ya bakiteriya ya `F. tularensis` iyi - mtundu wa A ndi mtundu wa B. Mtundu wa A nthawi zambiri umayambitsa matenda oopsa kwambiri, ndipo umapezeka kwambiri ku America. Mtundu wa B nthawi zambiri umayambitsa zizindikiro zochepa, ndipo umapezeka ku North America ndi madera ena ambiri padziko lapansi.

Kodi matendawa amafalikira bwanji kwa ife?

Pali njira zingapo zomwe Tularemia imafalikira kwa ife:

• Kuluma chifukwa cha tizilombo toluma monga nkhupakupa, udzudzu, ndi ntchentche za nswala .
• Mwa kulumidwa ndi nyama zomwe zili ndi kachilomboka.
• Mwa kukhudza nyama zomwe zili ndi kachilomboka . Ngati mukhudza minofu kapena madzi a m'thupi la nyama yomwe ili ndi kachilomboka, mabakiteriya amatha kulowa m'thupi lanu kudzera pakhungu lanu. Muthanso kutenga mabakiteriyawa mwa kukhudza zinthu zomwe zili ndi kachilomboka ka `F. tularensis` kenako n’kukhudza nkhope yanu, maso, mphuno, kapena pakamwa panu.
• Mwa kumwa madzi omwe ali ndi kachilombo kapena kudya chakudya chomwe chili ndi kachilombo.
• Mwa kupuma madontho ang'onoang'ono (aerosol kapena nthunzi) okhala ndi mabakiteriya otchedwa `F. tularensis` . Izi zitha kuchitika, mwachitsanzo, ngati nyama yodwalayo yadulidwa ndi makina odulira udzu kapena zida za pafamu, ndipo majeremusiwo amatha kutulutsidwa mumlengalenga ndikupumidwa.

Kodi tularemia imafalikira kuchokera kwa munthu wina kupita kwa wina?

Ayi, tularemia si matenda opatsirana. Izi zikutanthauza kuti, sifalikira polankhula kapena kugwirana chanza ndi munthu amene ali ndi kachilomboka. Komabe, ndi matenda opatsirana kwambiri . Izi zikutanthauza kuti, ngakhale kachilombo kakang'ono kwambiri katalowa m'thupi, chiopsezo chotenga matendawa chimakhala chachikulu.

Kodi kudya nyama yomwe ili ndi tularemia n'kotetezeka?

Nyama ikaphikidwa bwino, mabakiteriya amafa. Komabe, ngati mukudziwa kuti nyama yadwalapo "Tularemia", si bwino kudya nyama ya nyamayo .

Kodi dokotala angadziwe bwanji matenda a tularemia?

Kuti adziwe matenda a tularemia, dokotala adzakuyesani, adzakufunsani za zizindikiro zanu, ndikuyitanitsa mayeso pamagazi anu kapena madzi ena amthupi. Kutengera ndi zizindikiro zanu, adzakuyesani mkamwa, pakhosi, m'maso, ndi pakhungu lanu kuti aone zilonda, zotupa, kapena zilonda.

Ndi mayeso ati omwe akuchitidwa pa izi?

Kuti adziwe matenda a tularemia, dokotala wanu angachite mayeso otsatirawa:

• Kuyezetsa magazi: Magazi otengedwa m'dzanja lanu adzatumizidwa ku labu kuti akayesedwe ngati ali ndi zizindikiro za tularemia ndikuwona ngati mabakiteriya a F. tularensis akukula. Chifukwa chakuti mabakiteriya a F. tularensis amakula pang'onopang'ono, mayeso oyamba a magazi angakhale abwinobwino. Chifukwa chake mungafunike kuyezetsa magazi ena milungu ingapo pambuyo pake.
• Kuyeza magazi : Ngati ziphuphu zanu zatupa kwambiri kapena pali zilonda pakhungu, dokotala wanu adzatenga chidutswa chaching'ono cha minofu ('biopsy') kuchokera pamalopo ndikuchitumiza ku labu kuti akaone ngati mabakiteriya a 'F. tularensis' alipo kapena akukula.
• Chotsukira mphuno kapena pakhosi : Dokotala adzagwiritsa ntchito chotsukira chomwe chili pa ndodo yayitali kuti atenge chitsanzo cha mamina kuchokera pamphuno kapena pakhosi panu, ndikutumiza ku labu, ndikuwona ngati pali komanso kukula kwa mabakiteriya a F. tularensis.
• Kuyesa madzi a m'mapapo / thoracentesis : Ngati muli ndi madzi ozungulira mapapo anu (pleural effusion), dokotala wanu adzatenga chitsanzo chake kudzera mu njira yotchedwa thoracentesis ndikutumiza kuti akayesedwe.

Chabwino, kodi mankhwala a matenda a 'Tularemia' ndi otani?

Tularemia imachiritsidwa ndi maantibayotiki a broadspectrum . Izi zitha kuperekedwa ngati jakisoni kapena ngati mapiritsi. Ngati muli ndi mavuto aakulu, mungafunike chithandizo china.

Ndikofunikira kwambiri kuyamba kulandira chithandizo cha tularemia mwachangu. Nthawi zina, madokotala amayamba kumwa mankhwala opha majeremusi musanayambe kupereka malipoti anu a labu chifukwa akufuna kuti aletse kukula kwa matendawa.

Kodi anthu angachire kwathunthu ku matenda awa, Tularemia?

Inde, n'zotheka. Tularemia ndi matenda ochiritsika. Mankhwala opha tizilombo amatha kupha mabakiteriya omwe amayambitsa matendawa.

Kodi mankhwala otani omwe amaperekedwa kwa Tularemia?

Mitundu ya maantibayotiki omwe amagwiritsidwa ntchito pochiza tularemia ndi awa:

• 'Streptomycin'
• `Gentamicin`
• Doxycycline (Doxycycline)
• `Azithromycin`
• 'Ciprofloxacin' kapena 'levofloxacin'

Kodi ndimadzisamalira bwanji kunyumba pamene ndikumwa mankhwala? Kodi ndimatha bwanji kuthana ndi zizindikiro za matendawa?

Ndikofunikira kumwa mankhwala onse opha majeremusi omwe dokotala wanu wakupatsani kwa nthawi yonse yomwe mwapatsidwa . Musasiye kumwa mankhwalawo mpaka dokotala wanu atakuuzani. Ngati musiya kumwa mankhwala opha majeremusi msanga, mabakiteriya ena akhoza kukhalabe m'thupi lanu ndikupangitsa kuti matendawa abwererenso.

Kuwonjezera pa mankhwala opha tizilombo toyambitsa matenda, mungathe kuthana ndi zizindikiro zina za tularemia kunyumba. Funsani dokotala wanu za mankhwala ogulitsidwa kunja kwa chipatala (OTC) kapena mankhwala ena omwe angakuthandizeni kuthana ndi zizindikiro zanu.

Kodi tingatani kuti tipewe matenda a 'Tularemia'?

Mukhoza kuchepetsa chiopsezo cha matenda a tularemia mwa kudziteteza nokha ndi ziweto zanu ku kulumidwa ndi tizilombo, kusamala mukamachita zinthu ndi nyama, komanso kuphika nyama bwino.

• Ngati n'kotheka, valani zovala zophimba thupi lanu bwino mukakhala panja, makamaka m'malo a udzu wautali kapena m'nkhalango. Gwiritsani ntchito mankhwala opopera tizilombo okhala ndi DEET.
• Mukabwerera kuchokera panja, dzifufuzeni nokha ndi ziweto zanu ngati muli ndi nkhupakupa . Ndibwino kuti wina akafufuze malo omwe simungawaone mosavuta, monga mutu.
• Funsani dokotala wanu wa ziweto zomwe mungachite kuti muteteze ziweto zanu ku nkhupakupa. Amphaka omwe amapita panja amatha kutenga matenda a tularemia.
• Yang'anirani ziweto zanu zikatuluka panja. Matenda a Tularemia amatha kufalikira kudzera mu kulumidwa ndi nyama zina.
• Valani magolovesi mukamagwira nyama (zamoyo kapena zakufa) . Musakhudze nyama zakuthengo ndi manja anu opanda kanthu. Ngakhale mutavala magolovesi, sambani manja anu bwino ndi sopo ndi madzi mukagwira nyama.
• Phikani nyama bwino kwambiri pa kutentha koyenera . Nthawi zonse muzisamba m'manja, pamalo, ndi ziwiya bwino mukamaliza kukonza chakudya. Nyama zakuthengo zimatha kukhala ndi mabakiteriya omwe amayambitsa tularemia.
• Musamwe madzi osakonzedwa.
• Ngati n'kotheka, pewani kudula udzu kapena kugwiritsa ntchito makina ena pafupi ndi nyama zomwe zafa . Ngati n'kotheka, musaike nyama iliyonse pamakina. Kuvala chophimba nkhope mukamagwiritsa ntchito chodulira udzu kapena zida zaulimi kungathandize kupewa kupuma tinthu tating'onoting'ono mumlengalenga, koma kafukufuku wowonjezereka akufunika kuti atsimikizire izi.
• Ngati mukuganiza kuti mwina mwakhala mukudwala tularemia, funsani dokotala wanu ngati muyenera kumwa mankhwala opha tizilombo kuti mupewe matendawa.

Kodi chimachitika ndi chiyani ngati mutadwala tularemia? Zimatenga nthawi yayitali bwanji kuti muchire?

Anthu ambiri omwe ali ndi tularemia amachira kwathunthu . Muyenera kumwa mankhwala opha maantibayotiki kwa masiku 10 mpaka 21.

Kutengera ndi zizindikiro zanu, dokotala wanu adzakuyang'anirani mosamala kwa masiku oyamba mutangoyamba kulandira chithandizo. Ngati muyamba kumwa maantibayotiki mwamsanga zizindikiro zanu zitayamba, mungakhale ndi mavuto aakulu.

Zizindikiro za anthu ena zingabwererenso akachira (kubwereranso). Ngati zimenezo zitakuchitikirani, mungafunike kumwa mankhwala ena opha mabakiteriya.

Chithandizo cha tularemia nthawi zambiri chimatenga milungu iwiri kapena itatu. Komabe, zingatenge nthawi kuti munthu amve bwino. Nthawi zina, zilonda za pakhungu zomwe zimayambitsidwa ndi tularemia zimatha kuyambitsa zipsera zosatha.

Kodi ndingabwerere liti kuntchito/kusukulu?

Popeza tularemia si matenda opatsirana kuchokera kwa munthu wina kupita kwa wina, mukhoza kubwerera kuntchito kapena kusukulu nthawi iliyonse mukapeza bwino .

Kodi chiopsezo cha tularemia ndi chiyani?

Chiyembekezo cha matenda a tularemia ndi chabwino ngati atalandira chithandizo mwamsanga . Ngati atalandira chithandizo mwamsanga ndi maantibayotiki, chiwerengero cha imfa chifukwa cha tularemia chimakhala chochepera 1%.

Kodi ndi mavuto otani omwe angayambitse Tularemia?

Mavuto a tularemia nthawi zambiri amapezeka ndi chibayo kapena typhoid fever. Ena mwa mavutowa ndi awa:

• Kuvuta kwambiri kupuma (Acute Respiratory Distress Syndrome - ARDS).
• Matenda a ubongo (meningitis kapena meningoencephalitis).
• Kutupa kwa mtima (`myocarditis`, `pericarditis` kapena `endocarditis`).
• Kutupa kwa mafupa, mafupa, kapena mafupa (osteomyelitis kapena nyamakazi).
• Kutupa kwa chiwindi (hepatitis).
• Kulephera kwa impso.
• Kutuluka magazi mkati (kutuluka magazi m'thupi).

Kodi Tularemia ingachiritsidwe popanda maantibayotiki?

Anthu ena amatha kuchira atalandira mankhwala a tularemia popanda maantibayotiki. Komabe, chiopsezo cha mavuto aakulu, kuphatikizapo kuwonongeka kwa ziwalo, n'chokwera kwambiri . Ngati sichichiritsidwa, mtundu wa A tularemia ukhoza kupha anthu pafupifupi 30%. Chifukwa chake, ngati pali kukayikira kulikonse, ndi bwino kufunafuna upangiri wa dokotala nthawi yomweyo.

Kodi ndiyenera kupita kwa dokotala liti?

Pitani kwa dokotala ngati:

• Ngati muli ndi zizindikiro za 'Tularemia'.
• Ngati mukuganiza kuti mwina mwakhala mukudwala tularemia, dokotala angakulangizeni kumwa mankhwala opha tizilombo kuti mupewe matendawa.
• Ngati zizindikiro za tularemia zikubwereranso panthawi ya chithandizo kapena pambuyo pake.

Kodi ndi liti pamene muyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) ?

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

• Ngati malungo ali pamwamba pa 103 Fahrenheit (39.4 Celsius).
• Kusokonezeka maganizo kapena kusintha kwina kwa maganizo.
• Ngati pali magazi mu kusanza kapena ndowe.
• Ngati mutsokomola magazi.
• Ngati muwona mtundu wabuluu pakhungu lanu, milomo, kapena zikhadabo (ichi ndi chizindikiro cha kusowa kwa mpweya - `hypoxia`).
• Kupweteka kwambiri m'mimba.
• Kupuma movutikira kwambiri kapena mwadzidzidzi.

Kodi ndi zinthu ziti zofunika zomwe ndiyenera kufunsa dokotala wanga?

Ndi bwino kufunsa mafunso awa mukapita kwa dokotala wanu:

• Kodi ndimwa bwanji mankhwala anga moyenera?
• Kodi ndingachite chiyani kuti ndichepetse zizindikiro zanga kunyumba?
• Ndiyenera kubweranso liti kudzakuonaninso?
• Kodi ndiyenera kupita ku chipinda chadzidzidzi liti?

Kodi tularemia yagwiritsidwa ntchito ngati chida chachilengedwe?

Popeza imatha kufalikira mofulumira kwambiri, pali nkhawa kuti bakiteriya F. tularensis, yomwe imayambitsa tularemia, ingagwiritsidwe ntchito ngati chida chachilengedwe. Komabe, palibe kufalikira kwa tularemia komwe kwanenedwa kapena kutsimikiziridwa komwe kwachitika chifukwa cha zida zamoyo .

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kotero, 'Tularemia' iyi ndi matenda osowa, koma nthawi zina oopsa omwe amafunika kusamalidwa . Ngati mukuganiza kuti mwakumanapo ndi matendawa, kapena ngati muli ndi zizindikiro, pitani kwa dokotala nthawi yomweyo . Ngati mwalandira chithandizo mwachangu, mutha kuchira kwathunthu. Chifukwa chake, chofunika kwambiri sikuchita mantha, koma kukhala odziwa bwino komanso osamala. Mwamvetsa?

Tularemia , Francisella tularensis, malungo a kalulu, malungo a ntchentche za nswala, matenda a zoonotic, lymph nodes, matenda ofalitsidwa ndi nkhupakupa, matenda a bakiteriya, matenda ofalitsidwa ndi nkhupakupa