Ngati tiwona kachilombo kakang'ono kapena kachilombo katalumikizidwa m'thupi lathu, sitikusamala kwambiri, sichoncho? Timangokanda ndikupita patsogolo. Koma nthawi zina, ngakhale chochitika chaching'ono ngati ichi chingakhale chiyambi cha matenda aakulu. Lero tikambirana za matenda ofalitsidwa ndi nkhupakupa omwe sanakambidwe kwambiri. Amatchedwa Human Granulocytic Anaplasmosis, kapena HGA mwachidule.
Mwachidule, kodi Anaplasmosis ndi chiyani?
Kwenikweni iyi ndi matenda a bakiteriya. Matendawa amafalikira ndi bakiteriya wotchedwa `Anaplasma phagocytophilum`, yemwe amalumidwa ndi utitiri womwe uli ndi kachilomboka (makamaka utitiri wa mtundu wa `Ixodes`). Bakiteriyayi ndi yochenjera kwambiri. Imalowa m'thupi mwathu mwachindunji ndikuukira maselo oyera amagazi omwe ali ngati chitetezo cha thupi lathu. Izi zimafooketsa chitetezo chathu cha mthupi ndipo zizindikiro zosiyanasiyana zimayamba kuonekera.
Matendawa adayamba kupezeka m'zaka za m'ma 1990. Kuyambira nthawi imeneyo, milandu yalembedwa m'madera osiyanasiyana padziko lonse lapansi, makamaka North America, Europe, ndi East Asia.
Ndani ali pachiwopsezo chachikulu chotenga matendawa?
Utitiri umene umanyamula matendawa umapezeka kwambiri m'malo okhala ndi udzu wambiri, zitsamba, ndi mitengo. Chifukwa chake, anthu otsatirawa ali pachiwopsezo chachikulu:
- Kwa iwo okhala m'madera akumidzi, makamaka iwo okhala pafupi ndi minda ndi minda.
- Kwa iwo omwe akulima.
- Kwa iwo omwe amagwira ntchito m'nkhalango (monga akuluakulu a nkhalango).
- Kwa iwo amene amapita kukasaka.
- Kwa iwo amene amakwera mapiri ndi kuyenda m'nkhalango.
- Kwa iwo amene amaweta agalu ngati ziweto (monga utitiri wa agalu ungalowe mosavuta m'nyumba).
Chofunika kwambiri ndichakuti aliyense angatenge matendawa ngati atapita kudera lomwe matendawa alipo. Choncho ndikofunikira kwambiri kusamala.
Kodi zizindikiro zake ndi ziti? Kodi mumazindikira bwanji?
Zizindikiro nthawi zambiri zimawonekera pakati pa masiku 5 ndi 14 mutalumidwa ndi utitiri womwe uli ndi kachilomboka. Si aliyense amene amadwala zizindikiro zomwezo. Anthu ena amatha kukhala ndi zizindikiro zochepa, pomwe ena amatha kukhala ndi zizindikiro zoopsa zomwe zimafuna kugonekedwa kuchipatala. Okalamba ndi anthu omwe ali ndi chitetezo chamthupi chofooka (monga omwe ali ndi matenda a shuga kapena khansa) ali ndi mwayi waukulu wokhala ndi zizindikiro zoopsa.
Pansipa pali zina mwa zizindikiro zomwe zimaonekera kwambiri.
| Chizindikiro | Zambiri |
|---|---|
| Malungo ndi kuzizira | Ichi ndi chizindikiro choyamba chodziwika bwino. Malungo adzidzidzi komanso amphamvu amatha kuchitika. |
| Mutu waukulu | Mutu womwe ndi woopsa kwambiri kuposa mutu wamba komanso wosapiririka ungachitike. |
| Kupweteka kwa thupi ndi kupweteka kwa mafupa | Thupi langa likupweteka, ngati kuti ndili ndi malungo oyambitsidwa ndi kachilombo. |
| Kusanza ndi kutsegula m'mimba | Odwala ena angavutike m'mimba, kusanza, ndi kutsegula m'mimba. |
| Zina mwazinthu | Zizindikiro monga chifuwa, ziphuphu pakhungu, chisokonezo, ndi kuchepa kwa magazi (kusowa magazi) sizimawonekeranso kawirikawiri. |
Kodi mwapeza bwanji izi, Dokotala?
Mukapita kukaonana ndi dokotala yemwe ali ndi zizindikirozi, adzakufunsani mafunso angapo. Makamaka, adzakufunsani ngati mwapita kunkhalango posachedwapa komanso ngati mwakhala ndi nyama ngati utitiri womwe umamatirira thupi lanu.
Kenako adzakufunsani kuti muyese magazi angapo kuti mutsimikizire matendawa.
- Kuchuluka kwa Magazi Onse: Izi zitha kusonyeza kuchepa kwa maselo oyera a m'magazi (Leukopenia) ndi kuchepa kwa ma platelet (Thrombocytopenia). Ma enzyme a chiwindi amathanso kukwera.
- Mayeso apadera: Kuti atsimikizire matendawa, mayeso apadera a magazi monga `(IFA - Indirect Immunofluorescence)` ndi `(PCR - Polymerase Chain Reaction)` amachitidwa. Izi zimatha kuzindikira mwachindunji ma antibodies okhudzana ndi mabakiteriya kapena zidutswa za majini a mabakiteriya.
- Kupaka Magazi: Dontho la magazi lingatengedwe ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu kuti muwone ngati pali mabakiteriya mkati mwa maselo oyera a magazi.
Zofunika:Musamadzipatse mankhwala opha maantibayotiki musanapite kwa dokotala. Kuchita zimenezi kungakhudze kulondola kwa mayeso a magazi.
Kufunika kwa chithandizo ndi chithandizo choyambirira
Nkhani yabwino kwambiri yokhudza matendawa ndi yakuti pali chithandizo chabwino cha matendawa . Koma pali vuto limodzi. Ndiko kuti, chithandizo chiyenera kuyambika mwachangu momwe zingathere .
- Mankhwala akuluakulu operekedwa pa izi ndi doxycycline .
- Mukayamba chithandizo mochedwa, matendawa amatha kukula kwambiri, zomwe zingabweretse mavuto monga chibayo, kulephera kwa impso, komanso mwina imfa.
- Choncho, dokotala akangoganiza kuti matendawa ndi owopsa chifukwa cha zizindikiro zanu komanso mbiri yanu, akhoza kuyamba kulandira chithandizo popanda kudikira zotsatira za magazi. Ndicho chinthu cholondola komanso chotetezeka kwambiri kuchita.
Kodi mungadziteteze bwanji ku matendawa? - Kupewa ndiye njira yabwino kwambiri!
Palibe katemera wa matendawa pakadali pano. Choncho chinthu chabwino kuchita ndi kupewa utitiri. Ganizirani izi ngati mukupita kunkhalango, kumunda, kapena ku khola.
| Zoyenera kuchita | Ndichoncho chifukwa chiyani? |
|---|---|
| Valani zovala zophimbidwa bwino. | Valani mathalauza aatali, malaya a manja aatali, nsapato, ndi masokosi. Ikani mathalauza anu m'masokisi anu. Izi zimapangitsa kuti utitiri usafike pakhungu lanu. |
| Valani zovala zowala. | Ngati utitiri wakuda ukuyenda pa zovala zowala, n'zosavuta kuwona. |
| Gwiritsani ntchito mankhwala othamangitsa tizilombo. | Pakani mankhwala othamangitsa omwe ali ndi DEET kapena permethrin pa zovala ndi pakhungu loonekera. |
| Dzifufuzeni nokha mukafika kunyumba. | Yang'anani malo monga m'khwapa, m'mimba, mutu, ndi kumbuyo kwa makutu. Ngati n'kotheka, pemphani wina kuti ayang'ane. |
| Yang'anani ziweto | Nthawi zonse yang'anani agalu ndi amphaka omwe amabwera kuchokera kusewera panja kuti aone ngati ali ndi utitiri. |
Uthenga Wopita Nawo Kunyumba
- Anaplasmosis ndi matenda opatsirana ndi utitiri omwe amatha kukhala oopsa ngati sanachiritsidwe.
- Ngati mukumva zizindikiro monga kutentha thupi kwambiri, mutu, ndi kupweteka kwa thupi mutapita kudera la nkhalango, musatenge mopepuka.
- Pitani kwa dokotala mwamsanga. Fotokozani momveka bwino za matendawo ndi malo omwe mwakhalapo.
- Ngati matendawa atapezeka msanga ndipo maantibayotiki monga ` ( Doxycycline) ` ayambitsidwa, matendawa amatha kuchiritsidwa kwathunthu.
- Ndikofunikira kwambiri kuchitapo kanthu kuti mudziteteze ku utitiri kuposa kudwala matendawa.
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