Ushobora kuba warabonye agakoko gato gafatanye n'umubiri wawe mu gihe ugenda mu ishyamba cyangwa ukina mu byatsi byo mu busitani bwawe. Muri icyo gihe, twibaza tuti "Oh, aka gakoko gato, nakora iki?" maze tukagajugunya gusa, si byo? Ariko se wari uzi ko utu dukoko duto dushobora kwanduza indwara tutatekerezaho, rimwe na rimwe ndetse zikanashyira ubuzima mu kaga ? Uyu munsi tugiye kuvuga ku ndwara yandurira mu dukoko ifite izina ridasanzwe, ariko ishobora guteza akaga iyo idafashwe neza, yitwa Ehrlichiosis .
Ehrlichiosis ni iki? Mu magambo make...
Mu magambo make, Ehrlichiosis ni indwara iterwa n'ubwoko bwa bagiteri . Iterwa na bagiteri `Ehrlichia chaffeensis`, `E. ewingii` cyangwa `E. muris eauclairensis`. Iyi bagiteri yinjira mu mubiri iyo isharira yanduye ikurumye . Nk'uko dengue yandurira n'umubu. Hari ubwoko bubiri bw'isharira buyitera ahanini, ari bwo `lone star tick` na `blacklegged tick`.
Iyi ndwara ishobora gutangira ari ibicurane cyangwa grippe isanzwe . Bityo dushobora kutayitaho cyane. Ariko, iyo idavuwe vuba, ishobora kuba ikomeye kandi ikangiza ubuzima . Hari igihe iyi ndwara yitwa `human monocytic ehrlichiosis (HME)`.
Ese ibi bisa n'indwara ya Lyme?
Ushobora kuba warumvise indwara ya Lyme. Nanone ni indwara iterwa n'udusimba. Nubwo indwara zombi zandurira mu dusimba, hari itandukaniro rito mu bimenyetso . Ariko icy'ingenzi ugomba kwibuka ni uko Ehrlichiosis ishobora kuba mbi kurusha indwara ya Lyme iyo idavuwe vuba .
Ese koko bagiteri ya Ehrlichia iteje akaga?
Yego, iyi ndwara ya Ehrlichia ishobora guteza akaga iyo itavuwe . Tekereza gato, abantu bagera kuri 60 ku 100 barwara iyi ndwara bazagomba kujya mu bitaro . Nanone, nk'uko raporo zibivuga, umuntu umwe ku 100 barwara iyi ndwara ashobora gupfa . Rero iyi si indwara nziza yo kuyitekerezaho gato.
Ni nde ufite amahirwe menshi yo kurwara Ehrlichiosis?
Mu by’ukuri, umuntu wese urumwe n’ikibuno ashobora kwandura iyi ndwara. Ubusanzwe ikibuno kiboneka mu bice birebire by’ubwatsi, mu mashyamba. Izi kibuno zishobora no ku mibiri y’amatungo yacu .
Ariko, hari abantu bamwe baba bafite ibyago byinshi byo kurwara indwara ikomeye kurushaho baramutse bayirwaye. Ibi ni ibi bikurikira:
- Abantu barengeje imyaka 50.
- Abantu bafite ubudahangarwa bw'umubiri budakomeye. Urugero, abantu barwaye virusi itera SIDA, abarwayi ba kanseri, cyangwa abafata imiti igabanya ubudahangarwa bw'umubiri.
- Abantu bafite indwara zidakira nka diyabete, cyangwa indwara zifata ingirangingo.
Nubwo nta makuru asobanutse neza ku ikwirakwira ry’iyi ndwara muri Sri Lanka, ikunze kugaragara mu bihugu bimwe na bimwe byo ku isi, cyane cyane mu bice bimwe na bimwe bya Amerika. Akenshi, iyi ndwara ikunze kugaragara cyane mu mezi y’impeshyi, ni ukuvuga mu mezi ya Gicurasi, Kamena, Nyakanga na Nzeri . Ibi biterwa nuko muri icyo gihe, abantu bamara igihe kinini hanze, kandi n’udukoko tuba twinshi muri icyo gihe.
Ni gute Ehrlichiosis igira ingaruka ku mibiri yacu?
Bagiteri za Ehrlichia zitera Ehrlichiosis zinjira mu maraso yacu nyuma yo kurumwa n'udukoko. Bagiteri zihita zitera uturemangingo tw'amaraso twera, ari na two dukomeye cyane mu budahangarwa bw'umubiri wacu . Tuzifate nk'abarinzi b'umubiri. Zidufasha kurwanya mikorobe no kuturinda indwara. Bagiteri zinjira kandi zikanasenya uturemangingo tw'amaraso twera. Ibi bigabanya ubushobozi bw'umubiri wacu bwo kurwanya indwara.
Ni ibihe bimenyetso bya Ehrlichiosis?
Ibimenyetso by'iyi ndwara bitangira kugaragara hagati y'iminsi 5 na 14 nyuma yo kurumwa n'udukoko. Ibimenyetso bikunze kugaragara mu buryo butunguranye . Ibimenyetso nk'umuriro n'ubukonje biza mbere.
Ibimenyetso bishobora kugaragara mu minsi ya mbere:
- Umuriro uraje.
- Umubiri uhinduka ubukonje ( wumva ubukonje ).
- Mfite umutwe .
- Umubiri urababara, imitsi irababara .
- Numva ndushye cyane .
Nyuma y'iminsi mike, ibindi bimenyetso bishobora kugaragara:
- Ibiheri ku ruhu. Ibi bishobora kugaragara nk'utudomo dutukura cyangwa utudomo duto. Ibi biheri bikunze kugaragara ku bana bato kurusha ku bantu bakuru.
- Ushobora gukorora .
- Kurwara isesemi no kuruka bishobora kubaho.
- Ushobora kubabara mu gifu .
- Ibibazo byo kwibuka no kwita ku bintu, ndetse no kwitiranya ibintu bishobora kubaho.
Icy'ingenzi: Niba ubonye kimwe cyangwa byinshi muri ibi bimenyetso, cyane cyane niba warigeze kuba ahantu hashobora kuba hari udukoko, hita ubonana na muganga.
Ni gute abaganga basuzuma iyi ndwara? (Isuzuma)
Kugira ngo amenye neza niba ufite ehrlichiosis, muganga azagusuzuma. Azakubaza ibimenyetso byawe n'amateka y'ubuzima bwawe.Ni ingenzi cyane kubibwira muganga wawe niba uherutse (mu byumweru bitatu bishize) kugenda mu ishyamba cyangwa mu byatsi birebire aho inkende zishobora kuba zihari. Nubwo waba utibuka ko warumwe n'inkende, ugomba kubibwira muganga wawe niba warigeze kuba muri ako gace. Aya makuru, hamwe n'ibipimo by'amaraso, bizafasha muganga wawe gufata icyemezo niba ukeneye kuvurwa indwara ya ehrlichiosis cyangwa utakeneye.
Ni ibihe bizamini bikorwa?
Ahanini hakorwa ibizamini by'amaraso.
- Urushinge ruto rushyirwa mu mutsi uri mu kuboko kwawe hanyuma hagafatwa ikizamini cy'amaraso.
- Laboratwari izakora ibarura ryuzuye ry'amaraso kuri iri suzuma ry'amaraso. Bazanashaka ibimenyetso bya bagiteri zitera Ehrlichiosis. Hari igihe bazagerageza no gukuza bagiteri (culture).
- Ariko, bishobora gufata ibyumweru byinshi kugira ngo iyi mikorobe ikure. Rero, mbere yuko raporo ya laboratwari isohoka, muganga wawe ashobora gufata icyemezo cyo gutangira kuvurwa hashingiwe ku bimenyetso byawe n'andi makuru . Gupima amaraso vuba bishobora kuguha igitekerezo cy'uko ushobora kuba ufite ubwandu.
Ibi bivurwa bite?
Ehrlichiosis ivurwa na antibiyotike . Iyi miti ikunze gufatwa iminsi itanu kugeza kuri irindwi. Ibi bivuze ko ugomba gufata imiti nibura indi minsi itatu nyuma yuko umuriro wawe ugabanutse burundu n'ibindi bimenyetso byawe bikagenda neza.
Ni ngombwa gutangira kuvurwa hakiri kare. Kuvura bigira akamaro cyane iyo bitangiye ibimenyetso bikimara kugaragara. Iyo bitabaye ngombwa, ehrlichiosis ishobora gutera ingorane zikomeye ndetse no kujya mu bitaro.
Ni gute wakwitwara mu rugo?
Niba ibimenyetso byawe bidakomeye, muganga wawe ashobora kukubwira gufata imiti igurishwa mu iduka kugira ngo ugenzure ibimenyetso byawe. Ariko, ni byiza kugisha inama muganga wawe mbere yo gufata imiti iyo ari yo yose.
Nyuma yo gutangira imiti igabanya ubukana bw'imiti, ugomba gutangira kumva umeze neza mu masaha 24 kugeza kuri 48 , cyane cyane iyo utangiye kuvurwa hakiri kare. Ariko, ntugahagarike gufata imiti mbere y'igihe cyagenwe. Kubikora bishobora gutuma ubwandu bugaruka. Niba utameze neza nyuma y'iminsi mike, ongera urebe muganga wawe.
Ni gute wakwirinda Ehrlichiosis? (Nigute wagabanya ibyago)
Uburyo bwiza bwo kwirinda iyi ndwara ni ukwirinda kurumwa n'udusimba . Hari ibintu byinshi wakora kugira ngo ubigereho:
- Guma ubwatsi bwo mu busitani bwawe bugufi , nturenze santimetero 1.5 z'uburebure.
- Niba ugenda mu mashyamba, kurikira inzira zisobanutse gusa (mu nzira zisobanutse) .
- Ifuro irimo 'DEET' , umuti wica udukoko urinda udukoko.Koresha. Cyangwa ukoreshe indi miti yica udukoko yemewe na muganga.
- Mu gihe ugiye mu ishyamba cyangwa mu byatsi birebire , ambara imyenda itwikiriye umubiri wawe uko bishoboka kose . Urugero, amapantaro maremare n'amashati y'amaboko maremare. Niba ukunda kumarana umwanya ahantu hari udukoko, ushobora kugura imyenda yihariye irinda udukoko.
- Umaze kuva hanze , suzuma umubiri wawe wose niba nta mikorobe ifite . Saba umuntu kugenzura ahantu bigoye kubona (umutwe, inyuma) niba nta mikorobe ifite.
- Baza veterineri wawe uburyo bwiza bwo kurinda amatungo yawe udukoko . Jya ugenzura buri gihe niba nta dukoko dufite, cyane cyane iyo uvuye hanze.
- Niba ubona agakoko gafatanye n'umubiri wawe, kurikiza aya mabwiriza y'uburyo bwo kukavanaho mu buryo butekanye (tuzabiganiraho mu yindi nkuru).
Bizagenda bite nindwara Ehrlichiosis? Ese nzakira?
Iyo uvuwe vuba, abantu benshi barakira neza . Bitewe n'uko urwaye, ushobora gukenera kuguma mu bitaro kugira ngo uvurwe.
Ingorane zishobora guterwa na Ehrlichiosis:
Iyo batavuwe vuba, bamwe bashobora kugira ingorane zikomeye ndetse zishobora no gushyira ubuzima bwabo mu kaga. Zimwe muri zo zirimo:
- `Disseminated intravascular coagulation (DIC):` Iyi ni indwara iteje akaga cyane aho amaraso acika mu mitsi, kandi icyarimwe, kuva amaraso bigatangira kubaho mu duce tumwe na tumwe.
- Indwara yo guhumeka nabi cyane (ARDS) cyangwa kugorwa no guhumeka: Indwara aho ibihaha bidakora neza, bigatuma guhumeka bigorana cyane.
- Kunanirwa kw'impyiko / gukomereka kw'impyiko mu buryo bukabije : Impyiko ntizishobora kuyungurura neza imyanda iva mu mubiri.
- Kuva amaraso imbere mu mubiri (Kuva amaraso mu mubiri) .
- Sepsis : Indwara ikomeye aho mikorobe zinjira mu maraso zigakwirakwira mu mubiri wose.
- Kubyimba ubwonko n'uturemangingo dutwikiriye (Meningoencephalitis) .
- Umutima unanirwa .
- Indwara zo mu mutwe .
- Leta ya koma `(Coma)` .
Izi ngorane ziteye ubwoba kumva. Ariko ibuka ko akenshi zibaho gusa iyo kuvurwa gutinze . Niyo mpamvu kuvurwa hakiri kare ari ingenzi cyane.
Ni ryari ngomba kubonana na muganga?
Niba warumwe n'ikibuno, cyangwa ukaba warigeze kuba ahantu hari ikibuno, hanyuma ukagaragaza ibimenyetso bya ehrlichiosis, nko kugira umuriro no kubabara umubiri, hita ubonana na muganga .
Nta mpamvu yo kujya kwa muganga ako kanya nyuma yo kurumwa n'udukoko, keretse niba ufite ibimenyetso. Gufata imiti yica udukoko utarinze kurwara ntibizarinda indwara ya Ehrlichiosis. Ariko, menya ibimenyetso byayo.
Kujya mu cyumba cy'ubutabazi bw'ibanzeNi mu bihe bihe wagombye kujya muri (ETU)?
Niba ufite kimwe muri ibi bikurikira, jya mu cyumba cy’ubutabazi bw’ibanze kiri hafi yawe vuba:
- Umuriro urenze dogere selisiyusi 39.4.
- Niba ukorora ukava amaraso.
- Niba bigoye cyane guhumeka.
- Niba uvuga ibidafite ishingiro, niba udashobora kwibanda ku kintu runaka, niba ugaragaza impinduka mu mitekerereze.
- Niba urwaye igifu cyane.
- Iyo habayeho icyorezo.
Ese amatungo yacu na yo arwara iyi ndwara?
Yego, imbwa zishobora kwandura Ehrlichiosis, kandi ishobora kuba ikibazo gikomeye kuri zo iyo zitavuwe . Hari igihe zishobora guhinduka indwara idakira ndetse zikanahitana. Niba ufite impungenge ku buzima bw'itungo ryawe, vugana na veterineri wawe.
Ibintu by'ingenzi tugomba kwibuka (Ubutumwa bwo kujyana mu rugo)
Twese tugomba kwibuka ko inkende atari inyamaswa zibabaza gusa zifata ku mibiri yacu zikanuma amaraso yacu, ahubwo zishobora no kwanduza indwara zikomeye nka Ehrlichiosis .
Niba utuye mu ishyamba ry’ibyatsi, fata ingamba zose zo kwirinda udukoko. Nubona udukoko ku mubiri wawe, tukureho ako kanya.
- Ntugafate ibimenyetso nk'umuriro , ububabare bw'umubiri, kuribwa umutwe cyane, no gushyuha uruhu , cyane cyane iyo uri ahantu hari udukoko.
- Shaka inama kwa muganga ako kanya . Iyo ubuvuzi butangiye hakiri kare, ushobora gukira burundu iyi ndwara.
- Fata imiti ya antibiyotike yandikiwe na muganga wawe mu gihe cyose . Ntugahagarike gufata imiti ukimara kumva umeze neza.
Wite ku buzima bwawe n'ubw'umuryango wawe! Kumenya izi ndwara bizagufasha cyane mu kwirinda izo ndwara.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 Ese Ehrlichiosis ni umuriro uterwa n'umubu?
Oya, ntabwo yandurira mu mibu nka dengue. Ni umuriro wandurira mu kurumwa n'udusimba (nk'udusimba twa Lone Star) dutwara bagiteri ya Ehrlichia. Udusimba twinjiza iyi bagiteri mu mubiri iyo ifashe ku mubiri mu gihe cy'iminsi 1-2 ikayikuramo amaraso.
💬 Ese ni akaga kugira uturemangingo tw’umweru mu maraso?
Yego! Iyo aba barwayi bapimwe (FBC), uturemangingo tw’amaraso (WBC) n’uturemangingo tw’amaraso mu maraso yabo tuba turi hasi cyane (nk’uko bimeze kuri dengue). Nanone, imisemburo y’umwijima iba iri hejuru, kandi bamwe bashobora kugira utudomo duto dutukura (uduheri) ku mibiri yabo. Bityo biragoye kubimenya vuba.
💬 Wakora iki iyo ugize umuriro nyuma y'icyumweru kimwe urumwe n'inyamaswa?
Niba ugize umuriro mwinshi, ubabara umutwe, ndetse ukababara imitsi nyuma y'ibyumweru 1-2 nyuma yo kurumwa n'ikibuno, ugomba gutangira gufata umuti urwanya udukoko (Doxycycline) ako kanya, udategereje ibisubizo by'ibizamini by'amaraso yawe. Iyo ubuvuzi butinze, iyi ishobora kuba indwara yica ishobora kwangiza impyiko no gukwirakwira mu bwonko, ikaguhitana.
Ehrlichiosis , imitezi, umuriro w'ibicurane, kwandura bagiteri, umuriro, ibisebe by'uruhu, kwirinda











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