Kodi mwapita ku United States, makamaka kumwera chakumadzulo kwa US, kapena ku Central kapena South America? Kapena mukukonzekera kupita kudziko lotere? Ndiye ndikofunikira kwambiri kuti mudziwe zomwe ndikunena. Tangoganizani kuti muli ndi malungo, chifuwa, ndi kupweteka kwa thupi kwa masiku angapo. Mungaganize kuti ichi ndi chimfine chofala. Komabe, ngati mwapitako kumadera amenewo, n'zotheka kuti ichi ndi matenda a bowa otchedwa 'chigwa cha chigwa' kapena Chigwa cha chigwa . Musadandaule, tiyeni tikambirane za izi mosavuta.
Kodi 'Chigwa cha Chigwa' ndi chiyani kwenikweni?
Mwachidule, Valley Fever ndi matenda a bowa omwe amakhudza mapapu anu. Amayambitsidwa ndi mtundu wa bowa wotchedwa Coccidioides (KOCK-SI-DE-OY-DIES). Bowa uwu umakhala m'nthaka. Koma osati ku Sri Lanka. Umapezeka kwambiri kum'mwera chakumadzulo kwa United States (monga California ndi Arizona), m'madera ena a boma la Washington, komanso m'nthaka ya Central ndi South America.
Ndiye izi zimalowa bwanji m'matupi mwathu? Taganizirani ngati mphepo yamphamvu ikuwomba mbali yathu, ikuyambitsa fumbi, kapena nthaka ikayamba kugwedezeka ndi kukumba, kumanga, kapena mphepo yamphamvu m'malo amenewo, tinthu tating'onoting'ono ta bowa m'nthaka timalowa mumlengalenga. Tikapuma mpweya umenewo, tinthu tating'onoting'ono timalowa m'mapapo mwathu ndikuyamba kumera kumeneko. Umu ndi momwe matendawa amachitikira.
Chofunika ndichakuti, Valley Fever si matenda omwe angafalitsidwe kuchokera kwa munthu wina kupita kwa wina. Njira yokhayo yopezera matendawa ndi kupuma mpweya wafumbi pamalo omwe bowa ali.
Dziwani zizindikiro izi.
Nthawi zambiri, bowa uyu sasonyeza zizindikiro zilizonse ngakhale atalowa m'thupi. Komabe, ngati zizindikirozo zionekera, zimafanana kwambiri ndi zizindikiro za chimfine wamba. Ichi ndichifukwa chake anthu ambiri amachisokoneza.
| Chizindikiro | Kufotokozera |
|---|---|
| Kumva kutopa kwambiri (Kutopa) | Kumva kutopa kwambiri moti simungathe kuchita chilichonse. |
| Malungo | Kumva kutentha komanso kutentha thupi. |
| Chifuwa | Kukhala ndi chifuwa chouma kapena chotupa. |
| Ziphuphu pakhungu | Ziphuphu zofiira, zofiirira, kapena zofiirira, makamaka pa miyendo, zimatha kuwoneka. M'mawu azachipatala, izi zimatchedwa erythema nodosum . |
| Kupweteka kwa mafupa ndi minofu | Kupweteka kwa thupi ndi kupweteka kwa mafupa. |
| Thukuta la usiku | Kutuluka thukuta kwambiri usiku popanda chifukwa chenicheni. |
| Kuvuta kupuma | Kumva kupuma movutikira (dyspnea) . |
Ndani ali pachiwopsezo chachikulu?
Aliyense amene amapuma bowa wa Coccidioides akhoza kutenga matendawa. Komabe, anthu ena amakhala ndi zizindikiro kapena mavuto aakulu.
- Anthu opitirira zaka 60: Pamene mukukalamba, chitetezo cha mthupi lanu chikhoza kuchepa mphamvu.
- Amayi oyembekezera: Makamaka kwa amayi omwe ali mu trimester yachitatu ya mimba.
- Anthu omwe ali ndi chitetezo chamthupi chofooka: Anthu omwe ali ndi matenda monga HIV/AIDS, omwe akulandira chithandizo cha khansa, kapena omwe akumwa mankhwala oletsa chitetezo chamthupi monga mankhwala oletsa chitetezo chamthupi ali pachiwopsezo chachikulu.
- Anthu omwe ali ndi matenda a shuga.
- Anthu amitundu ina: Kafukufuku wasonyeza kuti anthu akuda ndi aku Philippines ali pachiwopsezo chachikulu chotenga matendawa.
- Anthu Ogwira Ntchito ndi Fumbi: Anthu omwe amagwira ntchito m'malo okhala ndi fumbi, monga akatswiri ofukula zinthu zakale ndi ogwira ntchito yomanga, amakhala ndi mwayi wokumana ndi mavuto ambiri.
Kodi izi zingakhale zovuta kwambiri? Kodi mavuto ake ndi otani?
Anthu ambiri (pafupifupi 90-95 mwa 100) omwe amadwala Valley Fever sadwala kwambiri ndipo amachira okha mkati mwa milungu kapena miyezi ingapo. Komabe, anthu ochepa kwambiri amatha kukhala ndi mavuto.
- Matenda a m'mapapo kwa nthawi yayitali: Mwa anthu ena, matendawa amatha kupitirirabe m'mapapo. Izi zingayambitse zizindikiro monga chifuwa chosatha, kupweteka pachifuwa, komanso kuchepa thupi.
- Chibayo: Matenda oopsa a m'mapapo amatha kuchitika.
- Kufalikira kwa coccidioidomycosis: Ichi ndi vuto loopsa kwambiri. Pankhaniyi, bowa amatha kutuluka m'mapapo ndikufalikira kudzera m'magazi kupita ku ziwalo zina za thupi, monga mafupa, mafupa, khungu, ndi ubongo .
Ngati matendawa afalikira ku ubongo, matendawa amatchedwa `coccidioidal meningitis`. Izi zitha kukhala zoopsa kwa moyo. Zizindikiro zake ndi mutu waukulu, khosi lolimba, komanso kusintha kwa masomphenya ndi kumva.
Kodi mwapeza bwanji izi, Dokotala?
Ngati mwakhala kudera lomwe Valley Fever ndi yofala kwambiri ndipo mwakhala ndi zizindikiro zofanana ndi chimfine kwa nthawi yoposa sabata imodzi, ndikofunikira kuuza dokotala wanu. Mbiri yanu ya maulendo ndi yofunika kwambiri pozindikira matendawa.
Dokotala angakulimbikitseni mayeso angapo kuti atsimikizire matendawa:
- Kuyezetsa magazi: Iyi ndiyo njira yomwe imagwiritsidwa ntchito kwambiri. Imayang'ana ma antibodies omwe thupi lanu limapanga motsutsana ndi bowa wa Coccidioides kapena mbali zina za bowa (ma antigens) m'magazi mwanu.
- Kujambula pachifuwa X-ray kapena CT scan: Kufufuza zizindikiro za matenda m'mapapo.
- Kufufuza za bowa: Nthawi zambiri, kachidutswa kakang'ono ka minofu kamatengedwa pakhungu kapena m'mapapo ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu kuti awone ngati bowayo alipo.
Kodi imachiritsidwa bwanji?
Chithandizo chimadalira kuopsa kwa matendawa.
- Anthu ambiri safuna chithandizo: Ngati zizindikiro zanu sizili zazikulu, chitetezo cha mthupi lanu chikhoza kuwongolera matendawa chokha. Dokotala wanu adzakuuzani kuti mupumule ndikuyang'anira zizindikiro zanu.
- Mankhwala oletsa bowa: Ngati matendawa ndi oopsa, akufalikira, kapena ngati muli ndi zinthu zina zoopsa, dokotala wanu angakupatseni mankhwala oletsa bowa. Izi zingaphatikizepo mapiritsi monga Fluconazole, Itraconazole, kapena, pazochitika zoopsa kwambiri, mankhwala olowetsedwa m'mitsempha monga Amphotericin B.
Chithandizochi nthawi zambiri chimatenga miyezi itatu mpaka isanu ndi umodzi kapena kuposerapo.
Kodi muyenera kufunafuna upangiri wa dokotala nthawi yomweyo liti?
Ngati mwapezeka ndi matenda a Valley Fever, pitani ku chipinda chapafupi chadzidzidzi (ETU) ngati mukupeza zizindikiro zotsatirazi. Izi zitha kukhala zizindikiro zosonyeza kuti matendawa akufalikira.
- Magazi m'malovu
- Kuuma kwa khosi ndi mutu waukulu
- Kuvuta kwambiri kupuma
- Kusintha kwadzidzidzi kwa masomphenya kapena kumva
Kodi mungadziteteze bwanji?
Ngati mukukhala kapena kupita kudera lomwe bowa wa Coccidioides ndi wofala, n'zovuta kupewa kotheratu. Koma mutha kuchita izi kuti muchepetse chiopsezo chanu:
- Pewani malo okhala ndi fumbi: Pewani kutuluka, makamaka nthawi ya ntchito yomanga ndi nthawi yamvula ya fumbi.
- Khalani m'nyumba muli ndi mawindo otsekedwa nthawi yamvula ya fumbi.
- Ngati mukugwira ntchito m'munda kapena kukumba, valani chigoba cha N95.
- Zingakhale bwino ngati mungagwiritse ntchito fyuluta ya `HEPA` yomwe imayeretsa mpweya m'nyumba mwanu.
Uthenga Wopita Nawo Kunyumba
- Chimfine cha Valley ndi matenda a bowa omwe amapezeka m'nthaka omwe amapezeka ku United States ndi mayiko ena angapo. Sizachilendo ku Sri Lanka, koma ndikofunikira kuti omwe akuyenda kunja azidziwa.
- Matendawa safalikira kuchokera kwa munthu wina kupita kwa wina.
- Anthu ambiri omwe amatenga matendawa sapeza zizindikiro zilizonse kapena amakhala ndi zizindikiro zochepa ndipo amachira okha.
- Ngati muli ndi zizindikiro monga malungo ndi chifuwa zomwe zimapitirira kwa sabata imodzi mutabwerera kuchokera kudera lomwe lili pachiwopsezo chachikulu, onetsetsani kuti mwadziwitsa dokotala wanu.
- Ngati mukukumana ndi zizindikiro zoopsa monga mutu waukulu, kuuma kwa khosi, kapena kupuma movutikira, pitani ku Emergency Treatment Unit (ETU) nthawi yomweyo.
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