Umuriro uterwa n'udukoko! Reka twige ku ndwara ya Rocky Mountain Spotted Fever

Ese wigeze ujya gutembera mu ishyamba, mu byatsi birebire, cyangwa ukinisha itungo ryawe maze ukabona ikiremwa gito gisa n'ikinyabutabire? Hari igihe utu tunyabutabire dushobora kuba ikibazo gikomeye. Uyu munsi tugiye kuvuga ku ndwara ishobora kwanduzwa n'ikinyabutabire, kandi ishobora kuba iteje akaga gato. Yitwa Rocky Mountain Spotted Fever. Izina rishobora gusa nkaho ritajyanye na Sri Lanka, ariko ni ngombwa cyane kumenya indwara nk'izi ziterwa n'ikinyabutabire.

Indwara ya Rocky Mountain Spotted Fever ni iki?

Muri make, Rocky Mountain Spotted Fever (RMSF) ni indwara iterwa na bagiteri yitwa Rickettsia rickettsii. Ikwirakwira binyuze mu kurumwa n'udusimba. Ibimenyetso bya mbere - nko kugira umuriro, kuribwa umutwe, no gushyuha ku ruhu - bishobora gusa n'izindi ndwara zisanzwe. Ariko iyo idavuwe vuba, RMSF ishobora gushyira ubuzima mu kaga.

Iyi ndwara, RMSF, iri mu itsinda rinini ry'indwara zitwa `Spotted Fever Rickettsiosis (SFR)`.

Ese indwara ya Rocky Mountain Spotted Fever (RMSF) na Lyme ni kimwe?

Yego, nubwo byombi ari indwara ziterwa n'udukoko, Rocky Mountain Spotted Fever n'indwara ya Lyme ni indwara ebyiri zitandukanye. Indwara ya Lyme iterwa na bagiteri itandukanye na RMSF, kandi ibimenyetso biratandukanye. Umuntu ufite RMSF ntazarwara Lyme.

Ni nde ushobora kurwara indwara ya Rocky Mountain Spotted Fever (RMSF)?

Umuntu wese uri ahantu hari udukoko - nk'ibyatsi birebire, amashyamba, cyangwa amatungo yo hanze - ashobora kwandura iyi ndwara. Abarwayi ba RMSF bagaragaye muri Leta Zunze Ubumwe za Amerika, Kanada, Megizike, na Amerika y'Amajyepfo n'iyo Hagati. Nubwo abarwayi bashobora kugaragara mu gihe icyo ari cyo cyose cy'umwaka, umubare munini w'abarwayi ugaragara mu mezi y'ubushyuhe.

Ni nde uri mu kaga gakomeye kurusha abandi?

Umuntu wese ashobora kwandura RMSF ku myaka iyo ari yo yose. Ariko, bivugwa ko ikunze kugaragara ku bagabo n'abantu barengeje imyaka 40. Ufite ibyago byinshi byo kurwara RMSF ikabije niba :

• Niba uri munsi y'imyaka 10 cyangwa urengeje imyaka 70.
• Niba ufite ikibazo cyo kubura Glucose-6-phosphate dehydrogenase (G6PD).
• Niba ufite ubudahangarwa bw'umubiri budafite ubushobozi bwo kuvura.

Indwara ya Rocky Mountain Spotted Fever (RMSF) ikunze kugaragara gute?

Muri Leta Zunze Ubumwe za Amerika, abantu bagera ku 6.000 bandura RMSF bavugwa buri mwaka. Nubwo izina "Rocky Mountain", mu by'ukuri rikunze kugaragara muri leta nka Carolina y'Amajyaruguru, Tennessee, Missouri, Arkansas, na Oklahoma. RMSF ikunze kugaragara cyane mu mpeshyi, aho udukoko tuba twinshi kandi abantu bakaba bari hanze cyane.

Ni gute indwara ya Rocky Mountain Spotted Fever (RMSF) igira ingaruka ku mubiri wanjye?

Bagiteri itera RMSF, `R. rickettsii`, yinjira mu maraso yawe binyuze mu kurumwa n'udusimba. Hanyuma bagiteri yibasira imiyoboro y'amaraso yawe, uturemangingo tw'imitsi, n'uturemangingo. Ibi bishobora gutuma amaraso ava mu miyoboro y'amaraso yawe, amazi akirunda mu turemangingo twawe, kandi bikangiza imitsi yawe, imitsi, n'ingingo zawe.

Ni ibihe bimenyetso by'indwara ya Rocky Mountain Spotted Fever (RMSF)?

Iyo urumwe n'ikibuno cyanduye, ushobora gutangira kugaragaza ibimenyetso bya RMSF mu minsi ibiri cyangwa ibyumweru bibiri. Ibimenyetso bikunze kwiyongera buhoro buhoro mu minsi myinshi. Mu ntangiriro bishobora kuba birimo umuriro, kuribwa umutwe, isesemi, kuruka, no kubabara imitsi .

Icy'ingenzi kurushaho: Hari abantu bazagira ibisebe mu minsi itatu (hafi 50%). Ariko, ni ngombwa gushaka ubuvuzi udategereje ko ibisebe bigaragara.

Ibimenyetso by'ingenzi bya RMSF ni ibi bikurikira:

• Umuriro mwinshi
• Umutwe
• Gukunda kurya
• Kubabara imitsi cyangwa kubabara
• Uduheri ku ruhu - akenshi dutangirira ku maboko no ku maguru tugakwirakwira no mu bindi bice by'umubiri.
• Isesemi no kuruka
• Kubabara mu nda
• Kumva urumuri (photophobia)

Ibimenyetso bikomeye bishobora kugaragara nyuma:

• Urujijo
• Guhumeka bigoranye (dyspnea)
• Guhangayika, kubura amahoro, cyangwa guhangayika
• Indwara zo mu mutwe
• Ubumuga cyangwa intege nke mu ngingo

Indwara ya Rocky Mountain Spotted Fever (RMSF) ikwirakwira ite?

Inkende zitwara kandi zigakwirakwiza RMSF. Muri Leta Zunze Ubumwe za Amerika, inkende y'imbwa yo muri Amerika n'inkende yo mu gasozi ya Rocky Mountain ni byo bitera indwara. Mu turere tumwe na tumwe, andi moko y'inkende, nka inkende y'imbwa y'umukara, na yo ashobora gukwirakwiza RMSF.

Ese RMSF yandurira mu bantu?

Oya, Rocky Mountain Spotted Fever ntabwo yandura (ni ukuvuga ko atari indwara yandura).

Wamenya ute ko inkende yarumwe?

Iyo utabonye agahu ku mubiri wawe, rimwe na rimwe biragoye kumenya niba warumwe n'agahu. Agahu gashobora gusiga ikimenyetso aho karumwe, gashobora gusiga uduheri, cyangwa kagashira nta kimenyetso na kimwe kigaragara.

Indwara ya Rocky Mountain Spotted Fever (RMSF) ipimwa ite?

Muganga wawe azasuzuma RMSF akurikije isuzuma ry’umubiri, ibimenyetso byawe, ndetse niba warumwe n’ikibuno. Nubwo ibizamini by’amaraso n’ibipimo by’uruhu bishobora gufasha gusuzuma RMSF, ibisubizo by’ibi bizamini ntibiboneka vuba bihagije kugira ngo bitangire kuvurwa.

Niba waragiye mu gace gashobora kuba gafite udukoko mu byumweru bibiri bishize, nubwo waba utibuka ko warumwe n'udukoko cyangwa ufite udukoko ku mubiri wawe, menya neza ko wabibwiye muganga wawe. Ibi ni ingenzi cyane kugira ngo bafate icyemezo cyo kuvura RMSF.

Ni ibihe bipimo bikoreshwa mu gusuzuma RMSF?

Muganga wawe ashobora gusuzuma RMSF akoresheje ibizamini by'amaraso n'ibipimo by'uruhu, ariko ibisubizo bishobora gufata igihe kugira ngo bigaruke. Muganga wawe ashobora kuba agomba gufata icyemezo cyo kuvura RMSF mbere yuko ibisubizo by'ibizamini byawe bigaruka.

• Gupima amaraso: Hafatwa icyitegererezo cy'amaraso yawe kugira ngo harebwe bagiteri itera RMSF. Amaraso yawe akenshi ntabwo agaragara ko afite RMSF kugeza nyuma y'iminsi 7-10 urwaye. Ushobora gukenera kongera gupimwa amaraso niba indwara yawe irushijeho gukomera cyangwa umaze gukira.
• Ibipimo by'uruhu: Igikoresho cyihariye cyitwa punch gikoreshwa mu gufata agace gato k'uruhu ku gisebe kiri ku ruhu rwawe (ibi bishobora kumvikana nk'aho urimo gutobora cyangwa kumva urimo gushyuha). Hanyuma icyitegererezo cy'uruhu gipimwa ibimenyetso bya bagiteri ya R. rickettsii.

Indwara ya Rocky Mountain Spotted Fever (RMSF) ivurwa ite?

RMSF ivurwa n'imiti yica udukoko , akenshi ifatwa iminsi 7 kugeza ku 10.

Ubuvuzi burakora neza cyane iyo utangiye kuvurwa mu minsi itanu uhereye igihe ibimenyetso byawe bitangiriye. Iyo utangiye imiti igabanya ubukana bw'indwara zandurira mu mubiri utinze, RMSF ishobora kwangiza umubiri wawe no guteza ibibazo bishobora gushyira ubuzima bwawe mu kaga.

Iyo ugize ingorane, ushobora gukenera ubundi buvuzi. Ibi bishobora kuba birimo guterwa amaraso, guhumeka hakoreshejwe ikoranabuhanga, cyangwa ubundi buryo bwo kuvura.

Ni iyihe miti ikoreshwa kuri RMSF?

Doxycycline ni yo miti yonyine ikoreshwa mu kuvura RMSF. Niba ufite ubwivumbure kuri doxycycline , muganga wawe ashobora kuguha chloramphenicol nk'ubundi buryo. Ariko, chloramphenicol iragoye kuboneka mu bihugu bimwe na bimwe, kandi ntabwo igira akamaro kuri RMSF nka doxycycline .

Ni gute wakwita ku bimenyetso bya RMSF?

Niba ibimenyetso byawe bidakomeye, ushobora kubikemura uri mu rugo ukoresheje imiti igurishwa na muganga. Ariko, ni ngombwa kubaza muganga wawe imiti itekanye yo gukoresha.

Nzakira vuba gute nyuma yo kuvurwa na RMSF?

Niba utangiye imiti igabanya ubukana bw'indwara ya RMSF ukimara gutangira, ugomba kumva umeze neza mu masaha 48. Ariko, uzakenera gufata imiti igabanya ubukana mu minsi mike. Nubwo waba wumva umeze neza, komeza gufata imiti yose uko byategetswe. Niba ibimenyetso byawe bitagenze neza, hita ubonana na muganga wawe.

Nigute nagabanya ibyago byo kurwara Rocky Mountain Spotted Fever (RMSF)?

Kwirinda kurumwa n'udukoko ni bwo buryo bwiza bwo kugabanya ibyago byo kwandura indwara ya RMSF.

• Kata ubusitani bwawe buri gihe. Ubwatsi burebure bwa santimetero 1.5 bukurura inkeri.
• Mu gihe ugenda mu mashyamba, koresha inzira zikozwemo icyuho gusa.
• Koresha imiti itera udukoko irimo ibintu birwanya udukoko (urugero, birimo DEET).
• Mu gihe ugiye mu ishyamba cyangwa ahantu hari ubwatsi burebure, ambara imyenda itwikiriye umubiri wawe uko bishoboka kose. Hari imyenda iza yavuwe mbere kugira ngo irinde udukoko.
• Suzuma umubiri wawe niba nta mikorobe umaze kugaruka uvuye hanze. Niba bishoboka, saba undi muntu kugenzura ahantu utabona (nk'umugongo wawe cyangwa umutwe wawe).
• Rinda amatungo yawe ku mibu ukoresheje uburyo bwo kuyavura butangwa na veterineri wawe. Buri gihe banza urebe niba nta mibu imaze kuba hanze.

Ni iki wakwitega uramutse urwaye indwara ya Rocky Mountain Spotted Fever (RMSF)?

Abantu benshi bakira indwara ya RMSF nta kibazo cy’igihe kirekire iyo babonye ubuvuzi hakiri kare ibimenyetso bitangiye. Hari abantu bashobora kugira ibibazo bikomeye ku buryo biba ngombwa ko bajya mu bitaro kugira ngo bavurwe.

Nubwo waba ufite ubuzima bwiza, hari igihe ibibazo by'ubuzima by'igihe kirekire bishobora kuvuka.

Ingorane zo kurwara indwara ya Rocky Mountain Spotted Fever (RMSF)

Nubwo bavura imiti igabanya ubukana bw'imiti, bamwe mu bantu barwaye RMSF bashobora kugira ibibazo bikomeye cyangwa bishobora gushyira ubuzima bwabo mu kaga, birimo:

• Indwara y'ubuhumekero bukabije (ARDS)
• Gukomereka cyane mu mpyiko
• Kubyimba kw'ibihaha
• Anemia
• Indwara z'umutima
• Kuva amaraso imbere mu mubiri
• Sepsis (indwara isa n'iyo mu maraso)
• Igice cy'ubumuga
• Kudashobora kugenzura urujya n'uruza rw'inkari (`kunanirwa kwihagarika`) cyangwa inkari (`kunanirwa kwihagarika`)
• Igisebe gisaba gucibwa ingingo
• Kwandura/kubyimba mu bwonko (encephalitis)
• Kunanirwa kw'ingingo

Icyerekezo cy'ibigo by'imari n'imigabane (RMSFs)

Amahirwe yo gukira nyuma ya RMSF ni meza iyo ivuwe hakiri kare. Muri Leta Zunze Ubumwe za Amerika, igipimo cy'impfu ziturutse kuri RMSF, nubwo haba hari uburyo bwo kuvura, kiri hagati ya 5% na 10%. Mu bihugu bimwe na bimwe, nka Megizike na Brezili, iki gipimo kiri hejuru cyane.

Niba urwaye cyane urwaye RMSF, ushobora kugira ingaruka z'igihe kirekire ndetse na nyuma yo gukira. Urugero:

• Kwangirika kw'imitsi cyangwa ubumuga
• Gutakaza ubushishozi
• Kugorwa no kuvuga
• Gutakaza ubushobozi bwo kureba neza
• Ibibazo by'imitsi, nko kugira ibibazo byo kuringaniza cyangwa isereri (vertigo)

Ese indwara ya Rocky Mountain Spotted Fever (RMSF) irakira burundu?

Ubusanzwe RMSF irakira iyo umuntu avuwe. Ariko, hari abantu bashobora gukomeza kugira ibimenyetso ndetse na nyuma yuko ubwandu bumaze kurangira, bitewe no kwangirika kw'imitsi n'ingingo.

Iyo itavuwe, amahirwe yo gupfa kubera RMSF ari hagati ya 20% na 30%.

Ese RMSF ishobora kubaho inshuro zirenze imwe?

Ntabwo bishoboka cyane ko wandura RMSF inshuro zirenze imwe. Impuguke zitekereza ko iyo umaze gufata RMSF, urushaho kugira "ubudahangarwa" kuri yo. Ibi bivuze ko umubiri wawe uzi uburyo bwo kuyirwanya, bityo ntibizongera kubaho ukundi.

Nitwara nte niba mfite RMSF?

Niba muganga wawe arimo kukuvura RMSF, menya neza ko ufata imiti yawe yose uko byategetswe. Nuhagarika gufata imiti igabanya ubukana hakiri kare, ushobora kongera kurwara.

Muganga wawe azakubwira uburyo bwiza bwo guhangana n'ibimenyetso byawe mu rugo. RMSF ishobora kwiyongera vuba. Niba ugaragaje ibimenyetso bishya cyangwa niba ibimenyetso byawe birushijeho kwiyongera, hamagara muganga wawe ako kanya.

Ni ryari wagombye kujya kwa muganga ku bijyanye n'indwara ya Rocky Mountain Spotted Fever (RMSF)?

Niba warumwe n'ikibuno, cyangwa niba warigeze kuba ahantu hari ikibuno kandi ufite ibimenyetso bya RMSF, jya kwa muganga vuba.

Nubwo waba warumwe n'ikibuno ariko nta bimenyetso ufite, ntukeneye kujya kwa muganga - gufata imiti igabanya ubukana utarinze kurwara ntibizagufasha kwirinda indwara ya RMSF.

Ni ryari nkwiye kujya mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) ?

Niba ufite kimwe muri ibi bimenyetso, jya mu cyumba cy’ubutabazi bw’ibanze kiri hafi yawe:

• Iyo umuriro uri hejuru ya selisiyusi 39.4 (103 Fahrenheit)
• Niba urimo gukorora amaraso
• Niba amaboko cyangwa ibirenge byawe byarabyimbye
• Niba urwaye igifu cyane
• Niba ufite urujijo cyangwa izindi mpinduka mu mutwe
• Iyo habayeho icyorezo
• Niba ufite ibinya cyangwa intege nke mu maguru yawe
• Niba urimo kuruka cyane

Ni ibihe bibazo ngomba kubaza muganga wanjye?

• Ni gute nkwiye gufata umuti wanjye?
• Ni ibihe bimenyetso bishya cyangwa birushaho kuba bibi ngomba kwitondera?
• Nzakira vuba gute?
• Ni ryari nkwiye kuzaza kureba?

Ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Inkeri ntizibabaza gusa - kurumwa kwazo gato bishobora kugutera indwara ikomeye. Uburyo bwiza bwo kwirinda indwara ya Rocky Mountain Spotted Fever (RMSF) ni ukwirinda kurumwa n'inkeri. Ariko, niba warumwe n'inkeri kandi ukagira ibimenyetso, jya kwa muganga wawe vuba. Kuvurwa hakiri kare ni bwo buryo bwiza bwo gukira vuba. Ite ku buzima bwawe kandi ukomeze kugira umutekano!

Inkeri , Umuriro w'amabara ya Rocky Mountain, Umuriro, Ibisebe ku ruhu, Kwandura bagiteri, Kurinda Inkeri, Imiti igabanya ubukana