Fivha isinganzwisisike inoparadzirwa nemhuka? Ngatitaurei nezveBrucellosis!

Dzimwe nguva unonzwa usina simba pasina chikonzero here? Mapfundo ako anorwadza, unonzwa fivha, unodikitira, asi zvinopera mushure memazuva mashoma zvozodzoka? Kana zviratidzo izvi zvikaramba zviripo, chingave chirwere chatisingataure zvakawanda nezvacho, asi zvakakosha kuziva nezvacho. Chimwe chezvirwere zvakadaro iBrucellosis.

Chii chinonzi Brucellosis?

Zvichitaurwa zviri nyore, brucellosis chirwere chinokonzerwa nerudzi rwebhakitiriya rinonzi Brucella . Zviratidzo zvinosanganisira fivha, kurwadziwa kwemajoini, uye kudikitira. Zvisinei, zviratidzo izvi hazviuye zvobva zvaenda zvese panguva imwe chete, uye dzimwe nguva zvinouya zvoenda nekufamba kwenguva.

Brucellosis chirwere chinokonzerwa nemhuka, zvichireva kuti chinobva kumhuka . Chinozivikanwawo nemamwe mazita akadai sekuti 'undulant fever', 'Malta fever', uye 'Mediterranean fever'.

Ndiani ane mukana mukuru wekuwana chirwere chebrucellosis?

Chirwere ichi chinonzi brucellosis chinowanikwa munyika dzakawanda pasi rose. Uri panjodzi huru yekubatwa nehutachiona hwe'Brucella' uhwu kana:

• Munhu anoshanda nemhuka , semushandi wemhuka.
• Kana uchishanda papurazi remukaka kana repurazi.
• Kana uchishanda muchitoro chenyama, panzvimbo yekuurayira nyama, kana mumwe munhu anobata nyama mbishi.
• Kana uri muvhimi kana kugadzirira nyama yemhuka dzinovhimwa.
• Kana ukashanda murabhoritari inoongorora mabhakitiriya e'Brucella'.
• Kana ukadya nyama isina kubikwa zvakanaka kana kushandisa zvigadzirwa zvemukaka zvisina kupiswa (semuenzaniso mukaka, chizi, yogati).

Izvi zvakajairika zvakadii?

Kana ukatarisa pasi rose, nyaya dzechirwere chebrucellosis dzinosvika 500,000 dzinotaurwa gore rega rega. Zvisinei, munyika dzakadai seAmerica, izvi zvishoma, nyaya dzinosvika 100-200 chete ndidzo dzinotaurwa gore rega rega. Kunyangwe pasina nhamba chaiyo yekuti zviri sei munyika medu, njodzi iyi inogona kunge iripo pakati pevaya vanobata nemhuka.

Chii chinoita kuti brucellosis iite kuvanhu?

Funga nezvazvo, bhakitiriya iyi inonzi 'Brucella' ine hunyengeri. Inopinda mumuviri wako nemuromo wako , mhino, maziso, kana ronda diki riri paganda rako . Zvadaro, inoenda kuma lymph nodes ako kana mamwe matishu uye inotanga kuwanda zvishoma nezvishoma. Kubva ipapo, bhakitiriya iyi inogona kupararira kusvika chero chikamu chemuviri wako. Inogona kutoenda kunzvimbo dzakadai semwoyo wako, chiropa, uropi, nemapfupa , uko inogona kuzvimba yotanga kukuvara.

Ndezvipi zviratidzo zveizvi?

Zvinogona kutora mavhiki maviri kusvika mana, kana kutopfuura, kuti zviratidzo zvioneke mushure mekunge wasangana nebhakitiriya reBrucella.Zviratidzo izvi zvinogona kuuya uye kupera kwemwedzi, kunyange makore. Heino zvazvinoreva:

• Kupindwa nechando.
• Kudikitira (dzimwe nguva kunogona kunhuhwirira sechakuvhuvhu).
• Kurwadziwa kwemajoini, kunyanya muhudyu mako, mumabvi, kana pasi pemusana.
• Kudzikira uremu kusingatsananguriki.
• Musoro .
• Kurwadziwa kwemudumbu.
• Kunzwa sekunge uri kurasikirwa nechido chekudya kana kuti mudumbu.
• Matambudziko epfungwa akadai sekuora mwoyo.
• Maronda elymph anokura uye anorwadza.
• Kunzwa kusagadzikana uye kusagadzikana.

Chikonzero cheizvi chii?

Brucellosis inokonzerwa nemhando dzakasiyana dzebhakitiriya re'Brucella'. Dzinonyanya kukonzera chirwere ichi ndi 'B. abortus', 'B. canis', 'B. melitensis' (rudzi runonyanya kubata vanhu) uye 'B. suis'. Mhuka dzine bhakitiriya iri re'Brucella'. Izvi zvinoreva kuti mhuka idzi ndidzo dzinotakura bhakitiriya iri. Ngationei kuti mhuka idzodzo ndivanaani:

• Mombe
• Mbudzi
• Nguruve
• Mhembwe
• Mhuka dzeMhuka, Mhuka dzeMhuka - Kunyange zvazvo mhuka idzi dzisiri muSri Lanka, dzinowanikwa kune dzimwe nzvimbo dzepasi.
• Makwai
• Imbwa - Ehe, imbwa dzinogonawo kutapurira chirwere ichi, kunyanya rudzi rwe `B. canis`.
• Ngamera

Brucellosis inotapuriranwa sei?

Brucellosis inopararira kuburikidza nekubata mhuka dzine utachiona kana kuburikidza nezvigadzirwa zvemukaka zvisina kupiswa . Kune nzira dzakawanda dzekuwana chirwere ichi:

• Nekunwa mukaka usina kupiswa (mbishi) kana kudya zvigadzirwa zvemukaka zvisina kupiswa zvakaita sechizi neayisikirimu. Mukaka unobva kumhuka dzine utachiona unogona kuva nehutachiona uhwu. Zvisinei, mabhakitiriya aya anoparadzwa nemaitiro anonzi pasteurization. Saka, kunyangwe mhuka yacho iine brucellosis, zvakachengeteka kunwa mukaka wembudzi, wemombe, wemakwai, kana wengamera wakapiswa.
• Nekubata nyama kana mvura yemuviri yemhuka ine chirwere ichi. Utachiona hweBrucella hunogona kupinda mumuviri wako kuburikidza nekukwenya kudiki kana kucheka paganda rako, kana kuburikidza nemaziso ako, mhino, kana muromo.
• Nekufema bhakitiriya reBrucella. Unogona kufema zvidimbu zveBrucella zvakaburitswa mumhepo zvichibva munyama dzakaratidzwa kana ropa remhuka ine chirwere. Njodzi iyi yakakura kana ukashanda neBrucella murabhoritari, uchigadzira nyama yemhuka dzesango, uchishanda papurazi, panzvimbo yekuurayira, kana mufekitori yekurongedza nyama.
• Nekudya nyama isina kubikwa zvakanaka.

Kutapurirana kweBrucellosis kubva kumunhu kuenda kumunhu hakuwanzoitiki, asi kwave kune zviitiko zvakawanda zvakataurwa:

• Kubva kuna amai vane pamuviri kusvika kumwana ari mudumbu.
• Nekuyamwisa.
• Kubva pabonde (asi izvi hazviwanzoitiki).

Ichi chirwere chinotapuriranwa pabonde (STI) here?

Kwete, brucellosis haionekwi sechirwere chinotapuriranwa pabonde (STI). Kwave nezviitiko zvishoma kwazvo zvebrucellosis zvichipararira kuburikidza nekuita zvepabonde.

Vanachiremba vanoongorora sei izvi?

Chiremba anoongorora chirwere chebrucellosis nekubvunza nezvezviratidzo zvako uye ozoongorora ropa rako, nyama, kana zvimwe zviratidzo zvebhakitiriya reBrucella. Nekuti zviratidzo zvebrucellosis zvakafanana nezvezvimwe zvirwere, chiremba wako anogonawo kuita bvunzo kuti aone kana zvimwe zvirwere zviripo.

Nzira yakanakisisa yekusimbisa hutachiona hweBrucella ndeyekugadzira mabhakitiriya kubva mumvura kana munyama yemuviri. Zvisinei, Brucella ibhakitiriya iri kukura zvishoma nezvishoma, saka zvinogona kutora mavhiki akati wandei kuti usimbise chirwere chako. Ungangoda kuongororwa ropa kanopfuura kamwe chete kwemavhiki akati wandei kuti uone kana uine zviratidzo zveBrucella.

Ndedzipi mhando dzebvunzo dzinoitwa?

Chiremba wako anogona kuita bvunzo dzinotevera kuti aone kana uine brucellosis:

• Kuongororwa kweropa: Chiremba achatora ropa kubva mutsinga iri muruoko rwako achishandisa tsono. Rabhoritari ichaongorora zviratidzo zveBrucella bacteria (antibodies, antigens, kana DNA) muropa iri, kana kuti rinogona kukura nekufamba kwenguva (culture).
• Kuedza mamwe manyuchi emuviri: Mienzaniso yemvura inobva mumuzongoza wako, mvura yemumajoini, kana dzimwe nhengo dzemuviri wako inogona kutorwa kuti ionekwe uye ikure Brucella.
• Kuongororwa kwetishu: Muenzaniso wemupfupa wako kana imwe nyama inogona kutorwa kuti ionekwe zviratidzo zveBrucella uye ikure.
• Kufungidzira: Zvichienderana nenhengo dzemuviri wako dzakabatwa, chiremba wako anogona kuraira bvunzo dzakadai seX-rays, CT scans, MRIs, bone scans, ultrasounds, kana echocardiograms. Izvi zvinotora mifananidzo yemukati memuviri wako kuti zvionekwe kana paine shanduko pamapfupa ako kana nhengo dzemuviri.

Izvi zvinorapwa sei?

Chiremba wako acharapa brucellosis nemusanganiswa wemhando mbiri dzemishonga inorwisa mabhakitiriya . Uchafanirwa kutora mishonga iyi kwemavhiki matanhatu kusvika masere. Zvichienderana nemamiriro ako ezvinhu, mamwe marapirwo (semuenzaniso, kubvisa hurwa munzvimbo dzine utachiona kana kugadzirisa matambudziko) anogonawo kudiwa.

Ndeipi mishonga inoshandiswa pakurapa brucellosis?

Mishonga inorwisa mabhakitiriya inorayirwa navanachiremba kurapa brucellosis ndeiyi:

• `(Streptomycin)` kana `(Gentamicin)`
• `(Rifampin)`
• `( Doxycycline (Doxycycline) ) `
• `(Trimethoprim/sulfamethoxazole - TMP/SMX)`
• `(Ciprofloxacin)`

Chinhu chakakosha ndechekutora mishonga iyi sezvakarairwa nachiremba wako, muchiyero chakakodzera, kwenguva yese yekurapwa. Zvikasadaro, chirwere chinogona kudzoka.

Nzira yekubata nayo zviratidzo?

Paunenge uchitora mishonga inorwisa mabhakitiriya yakanyorerwa kuti uuraye mabhakitiriya, unogona zvakare kugadzirisa zvimwe zvezviratidzo zve brucellosis, zvakaita sekurwadziwa kwemajoini nefivha, kumba. Bvunza chiremba wako kana paine mishonga inotengeswa kunze kwemutemo (OTC) kana mimwe mishonga yaunogona kushandisa pazviratidzo zvako uye kana yakachengeteka kwauri.

Izvi zvingadziviswa sei?

Unogona kuderedza njodzi yako yekubatwa nechirwere chebrucellosis nekutevedzera nzira dzekuchengetedza chikafu uye kupfeka mbatya dzekudzivirira paunenge uchishanda nemhuka. Semuenzaniso:

• Usanwe mukaka usina kupiswa, uye usadye chikafu chakagadzirwa nemukaka usina kupiswa.
• Pfekai zvipfeko zvekuchengetedza zvakakodzera pakushanda nemhuka nenyama yemhuka. Izvi zvinogona kusanganisira magirovhosi, epuroni, kana magogorosi ekuchengetedza. Vanhu vanoshanda muzvitoro zvenyama, vanachiremba vemhuka, vavhimi, varimi, vashandi vekuurawa, uye vashandi vemurabhoritari yekurapa vanofanira kungwarira zvikuru.
• Bika nyama kusvika pakupisa kwakachengeteka. Uyewo, gara uchigeza maoko ako, midziyo, uye kucheka mapuranga zvakanaka mushure mekugadzira chikafu. Nyama yemhuka inogona kunge iine bhakitiriya reBrucella.

Yeukai, kunyangwe munyika medu, vamwe vanhu vari kumaruwa vanonwa mukaka wavanenge vangodurura kumba vasina kuudziisa. Izvozvo hazvina kunaka zvachose. Zvakachengeteka kushandisa mukaka wakapiswa zvakanaka kana kuti wakaiswa pasteurized.

Chii chinoitika kana ukawana brucellosis? (Kufungidzira)

Vanhu vazhinji vane brucellosis vanopora zvachose nekurapwa nemishonga inorwisa mabhakitiriya. Asi zvinogona kutora nguva. Ungangoda kutora mishonga inorwisa mabhakitiriya kwemavhiki, kana kunyange mwedzi, kuti uve nechokwadi chekuti mabhakitiriya ese ari mumuviri wako apera.

Dzimwe nguva, brucellosis inogona kudzoka mushure mekunge kurapwa kwapera. Izvi zvinonyanya kuitika kana ukasatora mishonga inorwisa mabhakitiriya sezvakarairwa. Zvimwe zviratidzo, zvakaita searthritis, zvinogona kuramba zviripo mushure mekunge kurapwa kwapera. Kana brucellosis ikakonzera matambudziko, ungangoda mimwe mishonga kana kurapwa.

Ndezvipi zvinetso zvinogona kuitika nekuda kweizvi?

Brucellosis ine mukana mukuru wekuva nematambudziko kana ikasarapwa kwenguva yakareba. Matambudziko aya anosanganisira:

• Arthritis inoramba iripo.
• Chiropa chakakura (Hepatomegaly) kana chiropa chakakura (Splenomegaly).
• Chirwere chinonzi `(Chronic Hepatosplenic Suppurative Brucellosis - CHSB) . Apa ndipo panobuda matumbu mupleen nemuchiropa. Izvi zvinogona kuitika makore akawanda mushure mehutachiona hwe`Brucella`.
• Utachiona nekuzvimba kwemoyo wako `(Endocarditis)` , hutachiona hweuropi kana kufukidza uropi `(Encephalitis kana Meningitis)` , hutachiona hwemusana `(Spondylitis)` , hutachiona hwemapfupa `(Osteomyelitis)` kana hutachiona hwemusana `(Sacroiliitis)` .
• Epididymo-orchitis kuzvimba kwemachende nemidziyo yeropa muvarume.
• Kubvisa pamuviri.

Brucella muvanhu inogona kurapwa here?

Ehe, hutachiona hweBrucella muvanhu hunogona kurapwa nemishonga inorwisa mabhakitiriya. Zvisinei, mamwe matambudziko anogona kukonzera kukuvara kwenguva refu.

Chirwere cheBrucellosis chinogona kukonzera rufu here?

Kashoma kuti munhu afe nechirwere chebrucellosis. Huwandu hwevakafa nechirwere chebrucellosis huri pakati pe1% ne2% chete yezviitiko zvese.

Ndingazvichengeta sei semunhu ane brucellosis?

Kana chiremba wako akakuudza kuti une brucellosis, kunyangwe uchinzwa zvakanaka, tora mushonga wese sezvawakarairwa uye kwenguva yakazara. Kana ukarega kutora mishonga inorwisa mabhakitiriya nekukurumidza, brucellosis inogona kudzoka. Kana ukava nezviratidzo zvitsva kana kana zviratidzo zvako zvikawedzera, udza chiremba wako nekukasika.

Ndinofanira kuona chiremba rini?

Kana uine zviratidzo zve brucellosis, kunyanya kana basa rako kana zvinhu zvaunofarira zvichikuisa panjodzi yekubatwa nechirwere ichi, iva nechokwadi chekuona chiremba.

Unofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Kana uine zviratidzo izvi zvakakomba, enda kuchipatara nekukurumidza:

• Fivha yakanyanya (inopfuura 103 Fahrenheit / 39.4 Celsius).
• Kurwadziwa kwakanyanya mudumbu.
• Kuvhiringidzika kana kumwe kuchinja kwepfungwa.

Mibvunzo ipi yaunofanira kubvunza chiremba?

Paunoenda kunoona chiremba, zvakanaka kubvunza mibvunzo iyi:

• Kurapwa kunotora nguva yakareba sei?
• Ndinofanira kutora mushonga uyu sei?
• Ndingagadzirisa sei zviratidzo zvangu kumba?
• Ndinofanira kukuudzai rini rinotevera?
• Ndezvipi zviratidzo zvandinofanira kuenda kuchipatara chekurapa chirwere chepfungwa (ER)?

Mharidzo Yekupedzisira Yekuenda Kumba

Brucellosis chirwere chinotapukira nemabhakitiriya chinogona kutanga zvishoma nezvishoma, kwenguva yakareba, uye hachiwanzoitiki. Zviratidzo zvacho zvakafanana nezvimwe zvirwere zvakawanda, saka zvakakosha kuona chiremba kuti uwane kuongororwa kwakarurama uye kurapwa. Brucellosis kazhinji haisi yakanyanya kuipa. Asi inogona kukanganisa mapfupa ako nenhengo dzemukati, saka zvakakosha kunyatsoteerera zviratidzo zvako. Kana ukatanga zviratidzo zvitsva kana kuti uchinetseka nechimwe chinhu chaunacho, usazeza kutaura nachiremba wako.

` Brucellosis, zvirwere zvemhuka, hutachiona hwemabhakitiriya, fivha, kurwadziwa kwemajoini, mukaka usina kupiswa