Dzimwe nguva unombova nefivha, kurwadziwa kwemuviri, kana kudikitira pasina chikonzero here? Zvinhu izvi zvinopera here mushure memazuva mashoma zvozodzoka? Ungafunga kuti iyi ifivha yehutachiona yakajairika. Asi inogonawo kutapurirwa kwatiri kubva kumhuka, uye inogonawo kuva chirwere chakavanda mumuviri. Nhasi tiri kutaura nezvechirwere chakadaro. Ndiyo Brucellosis. Kunyangwe iri riri zita risinganzwisisike, zvakakosha kuziva nezvaro.
Chii chinonzi Brucellosis chaizvo?
Zvichitaurwa zviri nyore, brucellosis chirwere chinokonzerwa nebhakitiriya rinonzi `Brucella`. Chinhu chakakosha pachirwere ichi ndechekuti chinotapuriranwa kwatiri kubva kumhuka . Nokudaro, tinochidaidzawo kuti chirwere chemhuka. Chirwere ichi chinonziwo Malta fever uye Mediterranean fever.
Muchirwere ichi, zviratidzo zvakaita sefivha, kurwadziwa kwemajoini, uye kudikitira zvinogona kuuya zvoenda, zvozodzoka, uye zvinogona kugara kwemwedzi, kana kutoti makore.
Ndiani ari panjodzi huru yekubatwa nechirwere ichi?
Chirwere ichi chinowanikwa munyika dzakawanda pasi rose. Kana uri mumwe wevanotevera, uri panjodzi huru yekubatwa nechirwere ichi.
- Chiremba wemhuka kana mumwe munhu anoshanda nemhuka.
- Kana uchishanda papurazi remukaka kana repurazi.
- Kana uchishanda muchitoro chenyama, panzvimbo yekuurayira nyama, kana kuti uchibata nyama isina kubikwa.
- Kana mumwe munhu achivhima mhuka.
- Kana uchishanda murabhoritari inoita bvunzo dzebhakitiriya re'Brucella'.
- Kana ukadya nyama isina kubikwa zvakanaka kana ukadya mukaka usina kupiswa nemafuta emukaka (semuenzaniso chizi, yogati).
Kunyangwe chirwere ichi chisingawanzo kutaurwa muSri Lanka, vanhu vanosvika zviuru mazana mashanu vanoonekwa pasi rose gore rega rega. Saka, zvakakosha kuti avo vari mumapoka ane njodzi vazive izvi.
Ndezvipi zviratidzo zvechirwere ichi?
Zviratidzo zveBrucella zvinotora mavhiki maviri kusvika mana kana kupfuura kuti zvionekwe. Fungidzira kuti zvingaodza mwoyo sei kuva nezviratidzo izvi zvichiuya zvikapera kwemwedzi yakati wandei. Saka, ziva nezvezviratidzo izvi.
| Chiratidzo | Mamwe mashoko |
|---|---|
| Kupindwa nechando | Fivha inogona kuwedzera kana kuderera zuva nezuva. |
| Kudikitira | Dzimwe nguva ziya rinogona kunhuwa sechakuvhuvhu. |
| Kurwadziwa kwemajoini | Kurwadziwa, kunyanya muhudyu, mumabvi, kana pasi pemusana. |
| Kuderedza huremu | Kudzikira kwehuremu pasina chikonzero. |
| Musoro | Kurwadziwa nemusoro nguva nenguva. |
| Zvimwe zvinhu | Kurwadziwa kwedumbu, kushaya chido chekudya, kuora mwoyo, kuzvimba uye kurwadziwa kwema lymph nodes, uye kunzwa kushaya simba. |
Chirwere ichi chebrucellosis chinopararira sei kwatiri?
Kune mhando dzakasiyana dzebhakitiriya reBrucella rinokonzera chirwere ichi. Bhakitiriya iri rinonyanya kugara mumiviri yemhuka. Semuenzaniso:
- Mombe
- Mbudzi
- Nguruve
- Mhembwe
- Makwai
- Imbwa
- Ngamera
Kune nzira dzakawanda huru dzatinogona kubata nadzo chirwere ichi kubva kumhuka idzi.
| Nzira yekutumira | Zvichitaurwa zviri nyore... |
|---|---|
| Kudya mukaka usina kupiswa | Nekunwa mukaka usina kubikwa wemhuka ine chirwere ichi kana kudya chizi, ice cream, nezvimwewo zvakagadzirwa nemukaka iwoyo. Kuisa mukaka mumukaka pasteurization inzira yekupisa mukaka kuti uuraye utachiona. Mukaka wakaiswa pasteurized wakachengeteka kunwa. |
| Kubata nhengo dzemuviri kana mvura yemhuka ine chirwere ichi | Mabhakitiriya anogona kupinda mumuviri wako kuburikidza nekucheka kana ronda paganda rako, kana kuburikidza nemaziso ako, mhino, kana muromo. |
| Kufema mabhakitiriya | Nekufema zvidimbu zvebhakitiriya zvinobuda mumhepo zvinobva munyama yemhuka kana ropa rayo. Vanhu vanoshanda mumapurazi nemumachira ekuuraya mhuka vari panjodzi huru. |
| Zvokudya zvenyama zvisina kubikwa zvakanaka | Nekudya nyama isina kubikwa zvakanaka kubva kumhuka ine chirwere ichi. |
Zvakakosha, hazviwanzoitiki kuti chirwere ichi chitapurire kubva kumunhu kuenda kumunhu . Zvisinei, kwave nezviitiko zvisingawanzoitiki zvekutapurirana kubva kuna amai vane pamuviri kuenda kumwana wavo, kuburikidza nekuyamwisa kana kuburikidza nebonde. Zvisinei, izvi hazvionekwe sechirwere chinotapurirana pabonde (STI).
Chiremba anoongorora sei chirwere ichi?
Paunoenda kunoona chiremba, iye achakubvunza nezvezviratidzo zvako, kana uchishanda nemhuka, kana kuti wakanwa mukaka usina kubikwa. Nekuti zviratidzo zve brucellosis zvakafanana nezvimwe zvirwere, bvunzo dzinoverengeka dzinodiwa kuti usimbise chirwere chacho.
- Kuongororwa kweropa: Muenzaniso weropa rako unotorwa kuti utarise ma antibodies anodzivirira bhakitiriya reBrucella. Muenzaniso weropa unogona zvakare kuunganidzwa murabhoritari kuti uone kana bhakitiriya iri riripo. Zvisinei, nekuda kwekuti bhakitiriya rinokura zvishoma nezvishoma, zvinogona kutora mavhiki kuti riwane mhedzisiro.
- Kuedza zvimwe zvinwiwa zvemuviri: Kuedza zvinhu zvakaita semvura yemusana uye mvura yemumajoini kunogonawo kutsvaga mabhakitiriya.
- Kuongororwa kwenyama: Kanyama kadiki kanotorwa kubva munzvimbo yakaita semupfupa woongororwa.
- Miedzo yekufungidzira: Zvichienderana nezviratidzo zvako, bvunzo dzakadai seX-rays, CT scans, uye MRIs dzinogona kuitwa kuti utarise kukuvara kwenhengo dzakadai semapfupa, chiropa, nemoyo.
Ndezvipi zvinorapwa izvi?
Mashoko akanaka ndeekuti brucellosis inogona kurapwa zvizere nemishonga inorwisa mabhakitiriya . Asi pane musiyano mudiki.
Uchada mhando mbiri dzemishonga inorwisa mabhakitiriya pamwe chete, kwemavhiki matanhatu kusvika masere.Inopihwa kwenguva yakareba, senge. Nekuti bhakitiriya iyi inovanda mukati memasero emuviri, kurapwa kwenguva refu kunodiwa kuti iparadzwe zvachose.
Mishonga inorwisa mabhakitiriya iyo chiremba wako angakupa inogona kusanganisira:
- Doxycycline ( Doxycycline (Doxycycline) )
- Rifampin
- `Streptomycin` kana `Gentamicin`
- `Trimethoprim/sulfamethoxazole (TMP/SMX)`
- `Ciprofloxacin`
Zvakakosha: Zvakakosha kutora mushonga kwenguva yese yawakanyorerwa nachiremba, pasina kana zuva rimwe chete raunorasikirwa naro. Kana ukarega kutora mushonga pakati, kunyangwe uchinzwa zviri nani, mikana yekuti chirwere chidzoke zvakare yakanyanya.
Bvunza chiremba wako nezvemimwe mishonga yaunogona kushandisa kudzora zviratidzo zvakaita sefivha nekurwadziwa kwemajoini.
Chii chinoitika mushure mekurapwa? Pane matambudziko here?
Vanhu vazhinji vanopora zvachose mushure mekurapwa, asi vamwe vanogona kunge vaine zviratidzo zvakaita sekurwadziwa kwemajoini (arthritis) kwenguva yakareba.
Kana chirwere chisina kurapwa zvakanaka, matambudziko akakomba anogona kuitika nekufamba kwenguva.
- Arthritis inogara iripo.
- Kuzvimba kwechiropa (Hepatomegaly) kana spleen (Splenomegaly).
- Kutapukira kwemukati memwoyo (endocarditis).
- Utachiona hweuropi kana hutachiona hweuropi (Encephalitis kana Meningitis).
- Utachiona hwemusana (Spondylitis) kana mamwe mapfupa (Osteomyelitis).
- Kuzvimba kwemachende nemidziyo inobatanidzwa nayo muvarume (Epididymo-orchitis).
- Kubvisa pamuviri kwaamai vane pamuviri.
Kunyangwe matambudziko aya aine njodzi, anogona kudzivirirwa kana chirwere chikaonekwa nekukurumidza uye chikarapwa zvakakodzera . Rufu runokonzerwa nechirwere ichi haruwanzoitiki.
Chii chatinofanira kuita kuti tizvidzivirire kubva kuchirwere ichi?
Chinhu chakanakisa chekuita kudzivirira brucellosis. Pane zvinhu zvishoma zviri nyore zvaunogona kuita kuti ubatsire.
- Usambofa wakanwa mukaka usina kupiswa (mbishi). Uyewo, usadye chikafu chakagadzirwa nemukaka usina kupiswa, zvakaita sechizi neyogati.
- Kana uchishanda nemhuka (murimi, chiremba wemhuka, murairidzi wenyama), gara uchipfeka zvinhu zvekudzivirira zvakaita semagirovhosi nemagogorosi.
- Bika nyama zvakanaka woidya.
- Gara uchigeza maoko ako nesipo zvakanaka mushure mekubata nyama mbishi. Chenesawo mabhodhi ekucheka nemapanga.
Ndinofanira kuona chiremba rini? Inguva dzipi dzekuenda kuETU?
Kana uine chimwe chezviratidzo zvataurwa pamusoro apa, kunyanya kana uri munhu anosangana nemhuka, iva nechokwadi chekuona chiremba wako .
Uyewo, kana ukaona zviratidzo zvakakomba zvinotevera, enda kuEmergency Department (ETU) yechipatara chiri pedyo nekukurumidza.
- Fivha yakanyanya kupfuura 39.4 Celsius (103 Fahrenheit).
- Kurwadziwa kwakanyanya mudumbu.
- Kuvhiringidzika kana kuchinja pfungwa.
Mumamiriro ezvinhu akadaro, matambudziko akakomba anogona kudzivirirwa nekutsvaga mazano echiremba nekukurumidza pane kugara pamba.
Mharidzo Yekuenda Nayo Kumba
- Brucellosis chirwere chinotapuriranwa kubva kumhuka kuenda kuvanhu.
- Zviratidzo zvikuru ifivha inowanzo itika , kurwadziwa kwemajoini, uye kudikitira.
- Chirwere ichi chinogona kutapuriranwa nekunwa mukaka usina kubikwa zvakanaka, kudya nyama isina kubikwa zvakanaka, uye kubata mhuka dzine chirwere ichi.
- Kurapwa kunoda mishonga inorwisa mabhakitiriya kwenguva refu (mavhiki matanhatu kusvika masere), uye zvakakosha kuti munhu atore mushonga wacho kwenguva yakazara yaakanyorerwa nachiremba.
- Chirwere ichi chinogona kudzivirirwa zvachose nekutevedzera matanho ekuchengetedza (kunwa mukaka wakacheneswa, kubika nyama zvakanaka, uye kupfeka zvinhu zvekudzivirira pakubata mhuka).
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