Kodi muli ndi makoswe m'nyumba mwanu? Ndiye dziwani za kachilombo koopsa aka (Lymphocytic Choriomeningitis)

Makoswe amapezeka kwambiri m'nyumba mwathu, sichoncho? Nthawi zina sitisamala kwambiri za nyama zimenezi. Koma kodi mumadziwa kuti tinyama tating'onoting'ono timeneti tingatibweretsere matenda aakulu? Lero tikambirana za matenda omwe amafalitsidwa ndi nyama monga makoswe ndipo amatha kukhudzanso mitsempha yathu. Timatcha izi kuti Lymphocytic Choriomeningitis, kapena LCM mwachidule.

Mwachidule, kodi LCM iyi ndi chiyani?

Uwu ndi matenda omwe amayamba chifukwa cha kachilombo. Kachilombo kameneka (LCM virus) ndi mtundu wa `(RNA virus)`. Nthawi zambiri kamayamba kufalikira ku nyama monga mbewa, hamsters, ndi Guinea pigs. Mbewa wamba (`Mus musculus`) yomwe timapeza m'nyumba zathu ndiyo imanyamula kachilomboka. Tangoganizirani, ngakhale kuti nyamazi zili ndi kachilomboka, nthawi zambiri zimawoneka zathanzi. Zinyama zina zimakhala ndi kachilomboka m'matupi awo m'miyoyo yawo yonse popanda kusonyeza zizindikiro za matenda. Izi zikutanthauza kuti zimatha kufalitsa matendawa bola zitakhala ndi moyo.

Kodi matendawa timawapeza bwanji?

Ichi ndi chinthu chofunika kwambiri. Kachiromboka kamapezeka mu mkodzo, malovu, ndowe, ndi zinthu zina zomwe nyama yodwala ili nazo. Tangoganizani, ngati mukuyeretsa nyumba yanu ndipo mukuchotsa ndowe za makoswe, ngati muli ndi kachikwapu kakang'ono kapena bala padzanja lanu, kachilomboka kangalowe m'thupi lanu kudzera mu zimenezo. Komanso, ngati mukhudza maso anu, mphuno, kapena pakamwa panu ndi manja anu omwe akhudza zinthu zodetsedwazi, mutha kutenga kachilomboka kudzera mu zimenezo. Ngati mwalumidwa ndi nyama, zimenezonso ndi chiopsezo. Komabe, pali gawo limodzi lomwe tiyenera kusamala kwambiri . Ngati mayi wapakati atenga matendawa, kachilomboka kangathe kufalikira kwa mwana m'mimba kudzera mu placenta. Izi ndi zoopsa kwambiri kwa mwana. Zikatero, mwana akhoza kukhala ndi mavuto monga:

• Congenital hydrocephalus: Izi zingayambitse mutu wa mwana kukula kwambiri.
• Kulephera kwa ubongo chifukwa cha kukula kwa ubongo
• Kuwonongeka kwa maso (Chorioretinitis): Retina ndi kapangidwe ka mkati mwa diso zimatha kuonongeka.
• Mutu waung'ono kwambiri (Microcephaly): Vutoli limachitika ubongo ukapanda kukula bwino m'mimba.
• Zofooka za maso

Komanso, kachilomboka kamatha kufalikira panthawi yoika ziwalo zina.

Kodi zizindikiro zake zimakhala zotani anthu akamadwala matendawa?

Anthu ambiri (pafupifupi 5% ya anthu) omwe ali pachiwopsezo cha kachilomboka sasonyeza zizindikiro zilizonse. Ngati chitetezo chanu chamthupi chili champhamvu, simungazindikire kuti mukudwala. Komabe, zingakhale zoopsa kwa anthu omwe ali ndi chitetezo chamthupi chofooka, monga amayi apakati. Ngati zizindikiro zimawonekera, nthawi zambiri zimawonekera pakati pa masiku 8 ndi 13 mutakumana ndi kachilomboka. Matendawa ndi a biphasic . Izi zikutanthauza kuti gawo loyamba la zizindikiro limawonekera, limachepa kwa masiku angapo, kenako gawo lachiwiri limayambanso. Kachilombo kameneka sikapha maselo a muubongo mwachindunji. Komabe, chitetezo chathu chamthupi chikachitapo kanthu, maselo oyera ambiri amasonkhana muubongo. Mankhwala omwe amapanga amatha kuyambitsa kutupa ndi kuwonongeka kwa ubongo ndi nembanemba zomwe zimaphimba ubongo (meninges). Nkhani yabwino ndi yakuti munthu wathanzi amatha kuchira kwathunthu kuchokera ku izi. Chiwerengero cha imfa ndi chochepera 1%. Komabe, monga matenda aliwonse omwe amakhudza dongosolo lamanjenje, anthu ena amatha kukhala ndi mavuto a nthawi yayitali (monga kugontha, nyamakazi) atachira.

Kodi mwapeza bwanji izi, Dokotala?

Ngati muli ndi ziweto monga makoswe, kapena ngati mukukhala m'malo omwe muli makoswe, ndipo muli ndi zizindikiro zomwe takambiranazi,Onetsetsani kuti mwaonana ndi dokotala wanu. Popeza zizindikirozi zimafanana ndi matenda ena ambiri omwe amayambitsidwa ndi mavairasi, dokotala wanu angafunike kuchita mayeso angapo kuti adziwe matenda molondola.

• Kuyezetsa magazi ( Kuchuluka kwa Magazi Onse ): Izi zingasonyeze kuchepa kwa maselo oyera a magazi (leukopenia) ndi kuchepa kwa ma platelet a magazi (thrombocytopenia).
• Mayeso a Ntchito ya Chiwindi: Miyezo ya ma enzyme a chiwindi ikhoza kukwera.
• Kafukufuku wa Spinal Tap/CSF: Kuyesaku kumafufuza kuchuluka kwa maselo oyera m'magazi komanso kuchepa kwa shuga m'magazi a m'mitsempha ya ubongo.
• Mayeso a Antibody : Mayesowa amafufuza ma antibodies enieni a kachilomboka m'magazi ndi m'madzi am'mitsempha.
• Kuyesa kwa PCR: Izi zitha kuzindikira molondola kupezeka kwa zinthu za majini (polymerase chain reaction - PCR) ya kachilomboka.

Kodi mankhwala ake ndi otani?

Ngati muli ndi matenda ang'onoang'ono, dokotala wanu adzakupatsani mankhwala kunyumba. Izi zikuphatikizapo kukupatsani mankhwala oletsa zizindikiro monga malungo, mutu, ndi kusanza. Izi zimatchedwa chithandizo chothandizira . Komabe, ngati muli ndi vuto lalikulu monga meningitis kapena encephalitis, muyenera kupita kuchipatala . Nthawi zina, ngati muli ndi vuto la hydrocephalus, opaleshoni yadzidzidzi ingafunike kuti muchepetse kuthamanga kwa magazi. Pakadali pano palibe mankhwala oletsa mavairasi omwe amagwiritsidwa ntchito makamaka pa vutoli omwe amalimbikitsidwa kwa anthu. Ngakhale kuti mankhwala a ribavirin awonetsedwa kuti ndi othandiza poyesa labotale, palibe umboni woti amagwira ntchito mwa anthu.

Chofunika kwambiri: Kodi mungapulumuke bwanji izi?

Kupewa nthawi zonse kumakhala bwino kuposa kuchiza. Pali zinthu zosavuta zomwe mungachite kuti mudziteteze ku matenda oopsawa.

• Letsani mbewa kulowa m'nyumba mwanu: Tsekani mipata iliyonse m'nyumba mwanu, monga ming'alu ya makoma ndi ming'alu, komwe mbewa zingalowe.
• Ukhondo: Valani magolovesi nthawi zonse mukamatsuka malo omwe makoswe amakhala komanso komwe kuli ndowe zawo. Sambani m'manja mwanu bwino ndi sopo mukamaliza kutsuka.
• Samalirani ziweto zanu: Ngati muli ndi hamster kapena mbewa ina, sungani makhola awo aukhondo. Mukamatsuka makhola, chitani izi panja kapena pamalo opumira mpweya wabwino.
• Pewani kukhudzana ndi nyama zakuthengo: Pewani kukhudzana ndi makoswe akuthengo.
• Momwe mungakondere ziweto zanu: Pewani kupsompsona kapena kugwira khoswe kapena hamster yanu pafupi ndi nkhope yanu.

Anthu omwe ali pachiwopsezo chachikulu ayenera kupewa kugwira makoswe konse: amayi apakati, omwe akukonzekera kutenga pakati posachedwa, komanso omwe ali ndi chitetezo chamthupi chofooka chifukwa cha matenda monga khansa, kachilombo ka HIV, kapena mankhwala ena. Ndi bwino kukhala ndi munthu wina m'nyumba kuti azisamalira ziweto zanu.

Uthenga Wopita Nawo Kunyumba

• LCM ndi matenda opatsirana kudzera m'ndowe ndi mkodzo wa nyama monga makoswe.
• Ngakhale anthu ambiri saona zizindikiro, ena amatha kukhala ndi malungo, kupweteka kwa thupi, ndipo pazochitika zazikulu, malungo a muubongo amatha kuchitika.
• Izi ndi zoopsa kwambiri kwa amayi apakati , chifukwa zingayambitse mavuto aakulu kwa mwana wosabadwa.
• Kupewa ndi njira yabwino kwambiri yopewera kufalikira kwa makoswe. Ndikofunikira kulamulira makoswe m'nyumba ndikukhala aukhondo.
• Ngati zizindikiro za matendawa zayamba kuonekera mutatha kukhudzana ndi makoswe, pitani kwa dokotala mwamsanga.

Lymphocytic Choriomeningitis, LCM, malungo a makoswe, matenda opatsirana ndi mavairasi, matenda opatsirana ndi makoswe, malungo a muubongo, mimba, matenda obadwa ndi makoswe, meningitis, encephalitis