Wanga uchinzwa kusanzwa zvakanaka kwemazuva mashoma, uine marwadzo, uye fivha here? Pamwe unoshanda nemhuka, kana kuti unodya mukaka usina kubikwa kana mukaka usina mafuta kubva kumusha. Saka zvakakosha kuti uzive nezvechirwere ichi, chinonzi Brucellosis.
Chii chinonzi Brucellosis chaizvo?
Zvichitaurwa zviri nyore, brucellosis chirwere chinokonzerwa nerudzi rwebhakitiriya rinonzi Brucella. Chinhu chakakosha ndechekuti chirwere chinotapuriranwa kubva kumhuka kuenda kuvanhu. Mukurapa, tinochidaidza kuti chirwere chemhuka. Chirwere ichi chinogona kukonzera zviratidzo zvakaita sekusagadzikana kwemuviri kwenguva refu, fivha, kurwadziwa kwemajoini, uye kudikitira zvakanyanya. Mamwe mazita echirwere ichi anosanganisira Malta fever kana Mediterranean fever.
Kunyangwe zvisingawanzoitiki muSri Lanka, vanhu vanosvika 500,000 vanobatwa nechirwere ichi pasi rose gore rega rega. Saka, zvakakosha kuziva izvi.
Ndiani ari panjodzi huru yekubatwa nechirwere ichi?
Havasi vese vanobatwa nechirwere ichi. Asi vamwe vanhu vari panjodzi yakakura zvishoma zvichienderana nebasa ravo kana mararamiro avo. Ona kana uri muchikamu ichi.
| Boka riri panjodzi | Tsananguro |
|---|---|
| Vanachiremba vemhuka nevaya vanoshanda nemhuka | Nekuda kwekusangana nemvura yemuviri kana nyama dzemhuka dzine chirwere ichi kakawanda. |
| Mapurazi emukaka nevashandi vepapurazi | Nekuda kwekubatana pedyo nemhuka dzine chirwere ichi dzakadai semombe, mbudzi, nemakwai. |
| Vashandi venyama nevanouraya mhuka | Nekuda kwekubata nyama isina kubikwa nenyama yemhuka dzine chirwere ichi. |
| Vavhimi | Nekuda kwekubata nyama nenyama yemhuka dzesango dzakadai semhara nemhembwe. |
| Vashandi verabhoritari | Pakubata mabhakitiriya eBrucella kuti aongororwe. |
| Vanhu vanodya zvigadzirwa zvemukaka zvisina kubikwa zvakanaka uye nyama isina kubikwa zvakanaka | Nekudya mukaka usina kupiswa, chizi, yogati, uye nyama isina kubikwa zvakanaka. |
Ndezvipi zviratidzo zvechirwere ichi?
Zviratidzo zveBrucella zvinowanzoonekwa mavhiki maviri kusvika mana, kana kupfuura, mushure mekunge bhakitiriya yapinda mumuviri. Zviratidzo izvi zvinogona kuuya uye kupera kwemwedzi, kunyange makore. Izvi zvinogona kuita kuti zviome kuona chirwere ichi.
| Zviratidzo zvikuru | Tsananguro |
|---|---|
| Kupindwa nechando | Fivha inogona kuwedzera zuva nezuva, uye inogona kuratidza maitiro akadai sekuwana fivha panguva imwe chete yezuva. |
| Kudikitira | Unodikitira zvakanyanya, kunyanya husiku, uye dzimwe nguva unogona kunhuwidza hwema hwakasvibira. |
| Kurwadziwa kwemajoini | Kurwadziwa kwakanyanya, kunyanya muhudyu, mumabvi, kana pasi pemusana. |
| Kuderedza huremu | Kuderedza huremu pasina chikonzero chakajeka. |
| Zvimwe zvinhu | Musoro, kurwadziwa mudumbu, kushaya chido chekudya, kuora mwoyo, kuzvimba kwematumbu, uye kusagadzikana kwepfungwa. |
Tinowana sei chirwere ichi?
Chirwere ichi chinonyanya kutapuriranwa kuburikidza nemhuka dzine utachiona kana zvigadzirwa zvinobva kwadziri. Ngationei kuti zvinoitwa sei.
- Kunwa kana kudya zvigadzirwa zvemukaka zvisina kupiswa: Utachiona uhwu hunowanikwa mumukaka usina kubikwa, chizi, uye ice cream kubva kumhuka dzine utachiona. Asi yeuka, kunwa mukaka wakapiswa hakuzokonzere chirwere ichi. Maitiro aya anouraya mabhakitiriya.
- Kubata nyama kana mvura yemuviri yemhuka ine chirwere ichi: Kana uine ganda rakachekwa kana kuti rakakwenywa, bhakitiriya rinogona kupinda mumuviri wako nepariri, kana nepamaziso ako, mhino, kana muromo.
- Kufema mabhakitiriya: Chirwere ichi chinogonawo kupararira nekufema tunhu tudiki tunobuda mumhepo kana tichishanda nenyama kana ropa remhuka ine chirwere ichi. Vanhu vanoshanda mumapurazi, mumachira ekuuraya, mumafekitori ekuisa nyama, uye muma laboratories vari panjodzi huru.
- Kudya nyama isina kubikwa zvakanaka: Panewo njodzi yekubatwa nechirwere ichi nekudya nyama yemhuka ine chirwere ichi isina kuibika zvakanaka.
Chinokosha ndechekuti kutapurirana kwechirwere ichi kubva kumunhu kuenda kumunhu hakuwanzoitiki. Kunyangwe paine zviitiko zvisingawanzoitiki zvekutapurirana kubva kuna amai vane pamuviri kuenda kumwana wavo, panguva yekuyamwisa, kana panguva yebonde, brucellosis haisi chirwere chinotapuriranwa pabonde (STI).
Chiremba, unoona sei chirwere ichi?
Paunoenda kunoona chiremba wako, iye achakubvunza nezvezviratidzo zvako, basa rako, kana wakasangana nemhuka, uye kana uchidya zvinhu zvakaita sezvigadzirwa zvemukaka zvisina kubikwa. Nekuti zviratidzo izvi zvakafanana nezvimwe zvirwere zvakawanda, mimwe miedzo ingangodiwa kuti uzive chirwere chacho nemazvo.
| Bvunzo | Uri kuitei? |
|---|---|
| Kuongororwa kweropa | Ropa rinotorwa kuti rionekwe kana paine masoja ekudzivirira chirwere akagadzirwa nemuviri kurwisa mabhakitiriya eBrucella , kana kuedza kuriita kuti mabhakitiriya ari muropa aonekwe. |
| Kuedza mamwe ma fluids emuviri | Mienzaniso yemvura yemusana neyemumajoini inotorwa yoongororwa kuti ionekwe kana paine mabhakitiriya. |
| Kuongororwa kwezvinyama | Sampuro diki yenyama, yakaita semongo wemapfupa, inotorwa yoedzwa. |
| Miedzo yemifananidzo | Miedzo yakaita seX-rays, CT scans, uye MRI scans inoshandiswa kutarisa kukuvara kwemapfupa kana nhengo dzemukati dzakadai sechiropa nespleen. |
Ndezvipi zvinorapwa izvi?
Mashoko akanaka ndeekuti brucellosis inogona kurapwa zvizere nemishonga inorwisa mabhakitiriya . Zvisinei, mushonga mumwe chete unorwisa mabhakitiriya hauna kukwana. Kazhinji, mhando mbiri kana kupfuura dzemishonga inorwisa mabhakitiriya dzinofanira kushandiswa pamwe chete.
Nguva yekurapwa yakareba zvishoma. Unofanira kutora mushonga nguva dzose kwemavhiki matanhatu kusvika masere. Usamira mushonga pakati nekuti unonzwa zviri nani. Kana ukadaro, mikana yekuti chirwere ichi chidzoke yakakura kwazvo. Saka, zvakakosha kuti utore mushonga kusvika chiremba akupa mushonga wacho.
Mamwe maantibiotic anoshandiswa zvakanyanya ndeaya:
- Doxycycline ( Doxycycline )
- Rifampin
- Streptomycin kana Gentamicin
- Trimethoprim/sulfamethoxazole (TMP/SMX)
Bvunza chiremba wako nezvenzira dzekurapa zviratidzo zvakaita sefivha nekurwadziwa kwemajoini paunenge uchitora mishonga iyi inorwisa mabhakitiriya.
Chii chinoitika mushure mekurapwa? Pane matambudziko here?
Vanhu vazhinji vanopora zvachose mushure mekurapwa nemishonga inorwisa mabhakitiriya, asi zvimwe zviratidzo, kunyanya marwadzo emajoini akadai searthritis, zvinogona kuramba zviripo kwenguva yakati mushure mekurapwa.
Kana chirwere ichi chikasaonekwa kwenguva yakareba, mamwe matambudziko anogona kuitika. Izvi zvakakomba zvikuru.
- Zvirwere zveArthritis zvenguva refu.
- Kuzvimba kwechiropa (hepatomegaly) kana spleen (spleen).
- Kutapukira kwemukati memwoyo (endocarditis).
- Kutapukirwa kweuropi kana uropi (encephalitis kana meningitis).
- Utachiona hwemusana kana mamwe mapfupa (spondylitis, osteomyelitis)
- Kuzvimba kwemachende nemidziyo inobatanidzwa nayo muvarume (epididymo-orchitis).
- Kune amai vane pamuviri, pane njodzi yekubuda kwepamuviri.
Asi musazvidya moyo, kufa nechirwere ichi hakuwanzoitiki.
Ungadzivirira sei chirwere ichi?
Kune matanho akareruka, asi akakosha zvikuru atinogona kutora kuti tizvidzivirire kubva kuchirwere ichi.
| Zvekuita | Sei zvichikosha? |
|---|---|
| Dzivisa mukaka nezvinhu zvisina kupiswa. | Iyi ndiyo nzira huru inotapurirana chirwere ichi. Dzivisa kudya chero chinhu chakanyorwa kuti "mukaka usina kubikwa." |
| Pfeka mbatya dzinodzivirira kana uchishanda nemhuka. | Kupfeka magirovhosi nemagogorosi kunogona kudzivirira mabhakitiriya kuti asapinde mumuviri. |
| Bika nyama zvakanaka woidya. | Kubika nyama kusvika yasvika pakupisa kwemukati kwakakodzera kunouraya mabhakitiriya. |
| Chengeta kuchena. | Geza maoko, mapanga, mapuranga ekuchekera, nezvimwe zvinhu zvekushandisa nesipo mushure mekubata nyama mbishi. |
Unofanira kuona chiremba rini?
Kana uine chimwe chezviratidzo zvataurwa munyaya ino, kunyanya kana uri mumwe wemapoka ane njodzi ataurwa pamusoro apa, enda kuna chiremba nekukasika. Kana chirwere ichi chikaonekwa nekukurumidza, zvinova nyore kurapa nekudzivirira matambudziko.
Unofanira kuenda kuEmergency Treatment Unit (ETU) riini?
Kana uine chimwe chezviratidzo zvikuru zvinotevera, enda kuEmergency Department (ETU) yechipatara chiri pedyo nekukasika.
- Fivha yakakwira inopfuura 39.4 degrees Celsius (103 Fahrenheit).
- Mudumbu munorwadza zvakanyanya.
- Kuvhiringidzika kana kuchinja pfungwa.
Mharidzo Yekuenda Nayo Kumba
- Brucellosis chirwere chinotapuriranwa kubva kumhuka kuenda kuvanhu.
- Kugara uchidziya muviri, kurwadziwa kwemajoini, uye kudikitira zvakanyanya ndizvo zviratidzo zvikuru.
- Nzira yakanakisisa yekuzvidzivirira ndeyekusadya zvigadzirwa zvemukaka zvisina kupiswa uye nyama isina kubikwa zvakanaka.
- Izvi zvinogona kurapwa zvizere nemishonga inorwisa mabhakitiriya, asi zvakakosha kuti munhu atore mushonga wacho kwenguva yakazara yaakanyorerwa nachiremba.
- Kana uine zviratidzo, kunyanya kana uchishanda nemhuka, iva nechokwadi chekuona chiremba.
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