Unoziva here nezvefivha iyi isinganzwisisike inobva kuzvipfuwo zvako zvepapurazi? (Q Fivha) Ngatikurukurei!

Wakambonzwa nezvechirwere ichi chinonzi Q Fever here? Pamwe kwete, handiti? Nekuti ichi hachisi chirwere chinowanzoonekwa munyika medu. Asi, kunyanya kana uri munhu anoshanda nemhuka, mhuka dzepurazi, kana kugara munzvimbo dzakadaro, zvakakosha kuti uzive zvishoma nezveizvi. Muchinyorwa chino nhasi, tichataura nezvechirwere ichi chinonzi Q fever, kuti chinokura sei, zviratidzo zvacho ndezvipi, uye kuti tingazvidzivirira sei kubva kwachiri.

Chii chinonzi Q Fever? Zvichitaurwa zviri nyore...

Chirwere cheQ fever chirwere chatinowana nekufema zvidimbu zveguruva zvine bhakitiriya rinonzi `Coxiella burnetii` kana nekudya zvigadzirwa zvinobva kumhuka dzine utachiona. Utachiona uhwu hunonyanya kuwanikwa mumiviri yemhuka dzakadai semakwai, mbudzi, nemombe. Utachiona uhwu hunogona kuungana muvhu rinogara mhuka idzi. Hunogona kutapuriranwa kuvanhu kuburikidza nezvidimbu zveguruva zvinoburitswa muvhu iroro, kana kuburikidza nemukaka, tsvina, uye kunyanya mvura inoburitswa panguva yekusununguka.

Sei ichinzi Q fever? Zita racho rinorevei?

Iyi inyayawo isinganzwisisike. Bhii 'Q' muQ fever rinomiririra 'Query' . 'Query' zvinoreva 'mubvunzo' kana 'kubvunza'. Kare, muAustralia kuma1930 uye muAmerica kuma1940, apo vanhu vakatanga kuwana fivha iyi isinganzwisisike, vanachiremba pakutanga vaisagona kuziva kuti chii chaiikonzera. Saka vaiva ne'mibvunzo' yakawanda nezvefivha iyi. Ndosaka yainzi 'Query Fever' kana kuti Q fever. Zviri nyore, handiti?

Chii chinonzi Q fivha isingaperi? Ine njodzi here?

Ehe, izvi zvinonetsa zvishoma. Izwi rekuti 'chronic' rinoreva kwenguva refu . Saka, chronic Q fever imhando yeQ fever yakakomba uye yenguva refu. Inogona kukanganisa moyo wako, mitsipa yeropa, mapfupa , nedzimwe nhengo dzinokosha. Chirwere ichi chisingaperi chinoitika muvanhu vashoma kwazvo vane hutachiona hweC. burnetii, vari pakati pe1% ne5% .

Dambudziko rimwe chete neizvi nderekuti chirwere ichi chisingaperi chinogona kukura mwedzi kana makore mushure mekunge zviratidzo zvekutanga zveQ fever zvapera. Vamwe vanhu vangasaratidza zviratidzo panguva yekutanga kwehutachiona asi gare gare vozopedzisira vava neQ fever isingaperi. Dambudziko rinowanzoitika reQ fever isingaperi hutachiona hwemukati memwoyo. Vanachiremba vanoti ``endocarditis''. Iri idambudziko rinogona kuisa hupenyu panjodzi.

Mubvunzo: Chii chinoitika kana ukaita fivha?

Fivha yeQ inogona kukonzera zviratidzo zvakasiyana-siyana. Zvisinei, zviratidzo zvinowanzoonekwa ndezvechikosoro, zvakaita sefivha nekurwadziwa kwemuviri . Bakiteriya inonzi 'C. burnetii' inogona kukanganisa mapapu ako, mwoyo, uropi, mapfupa, kana zvimwe zvikamu zvemuviri wako. Zviratidzo zvinosiyana zvichienderana nazvo. Vamwe vanhu vanonzwa kuneta kwakanyanya.uye zvimwe zviratidzo zvinogona kugara kwemwedzi yakawanda, kunyange makore. Sezvambotaurwa, fivha yeQ isingaperi inogona kutyisidzira hupenyu.

Ndiani anonyanya kubatwa neQ fever?

Furuwenza yeQ inonyanya kubata vanhu vanogara mumapurazi kana kuti vanosangana nemhuka dzepapurazi . Semuenzaniso, kana uri chiremba wemhuka, munhu anobatsira pakuzvara mhuru, munhu anoshanda papurazi, papurazi, kana panzvimbo yekuurayira, uri panjodzi huru yekubatwa nechirwere ichi. Izvi zvinodaro nekuti vanhu ava vanowanzosangana nemhuka dzine utachiona nenzvimbo dzavanogara.

Mubvunzo: Ndiani ari panjodzi huru yekurwara zvakanyanya nefuruu?

Vamwe vanhu vane mukana mukuru wekuva nezvirwere zvakakomba kubva kuQ fever, kunyanya:

• Vakadzi vane pamuviri vari panjodzi yakakura yekusangana nematambudziko panguva yekuzvitakura uye panguva yekubvisa pamuviri.
• Uri panjodzi huru yekubatwa nefivha yeQ isingaperi kana uine zvinotevera:
• Kana wakambova ne `(Endocarditis)` (kuzvimba kwemukati memwoyo).
• Kana paine matambudziko nemavharuvhu emwoyo.
• Kana uine aneurysms (kuderera uye kuzvimba kwemadziro etsinga dzeropa) mutsinga dzako dzeropa.
• Kana itsvo dzisiri kushanda zvakanaka (Renal insufficiency).
• Kana uine mudziyo wakaiswa zvachose (vascular prosthesis) wekusimbisa mitsipa yeropa uye kuvandudza kufamba kweropa.
• Kana masoja emuviri wako asina simba (semuenzaniso, avo vane HIV, varwere vegomarara, avo vanotora mishonga inodzvinyirira masoja emuviri).

Q Furuwenza yakajairika zvakadii?

Fivha yeQ chirwere chisingawanzoitiki . Semuenzaniso, kunyangwe munyika yakaita seAmerica, vanhu vanosvika mazana maviri chete ndivo vanobatwa nechirwere ichi pagore. Hazviwanzoitiki muSri Lanka futi. Zvisinei, zvakakosha kuti avo vari mumapoka ane njodzi vazive.

Mubvunzo: Ndezvipi zviratidzo zvefivha?

Zviratidzo zveQ fever zvinosiyana zvichienderana nedanho rekutanga (rakanyanya) uye zvimwe zvirwere zvinogona kuitika gare gare.

Zviratidzo zveAcute Q fivha

Zviratidzo izvi zvinowanzotanga kuoneka pakati pemazuva matatu kusvika makumi matatu mushure mekunge mabhakitiriya apinda mumuviri. Kazhinji zvakafanana nezviya zvechikosoro kana furuu.

• Fivha yakanyanya
• Kuneta zvakanyanya uye kuneta
• Kutonhora
• Kudikitira
• Marwadzo emuviri, kurwadziwa kwemhasuru
• Kunzwa kwemaziso akajeka, ebhuruu (Photophobia)
• Musoro wakanyanya kuoma
• Kusvotwa nekurutsa
• Manyoka
• Kukosora
• Kurwadziwa kwechipfuva
• Kurwadziwa kwedumbu
• Mavara matsvuku pasi peganda (Purpura)
• Kutadza kufema zvakanaka (Dyspnea)

Dzimwe nguva, chirwere ichi chakakomba cheQ chinogona kukonzera zvirwere zvakaita sehutachiona hwemapapu (pneumonia), kuzvimba kweuropi kana membranes inofukidza uropi (Encephalitis kana Meningitis), kana kuzvimba kwechiropa (Hepatitis).

Zviratidzo zveQ fever fatigue syndrome (QFS)

Vanhu vanosvika 20% vanobatwa neQ fever vanogona kutanga kuneta nezvimwe zviratidzo zvinogara kwemwedzi yakawanda, dzimwe nguva makore, mushure mekutapukirwa kwekutanga. Izvi zvinonzi Q fever fatigue syndrome.

• Kuneta zvikuru
• Musoro
• Kudikitira
• Kurwadziwa kwemajoini
• Kurwadziwa kwetsandanyama

Zviratidzo zveFivha Isingaperi yeQ

Fivha yeQ isingaperi inotanga mwedzi, kana kutoti makore, mushure mekutapukirwa kwekutanga nebhakitiriya reC. burnetii. Inogona kukura kunyangwe usina zviratidzo panguva yekutapukirwa kwekutanga. Inowanzo bata moyo, mavharuvhu emwoyo, netsinga dzeropa, asi zviratidzo zvinogona kusiyana zvichienderana nechikamu chemuviri chakanganiswa.

• Fivha yakaderera
• Kudikitira husiku
• Kuderedza huremu
• Kuneta
• Kuoma kufema
• Kuzvimba kwemakumbo kana tsoka

Mubvunzo: Chii chinokonzera fivha?

Chikonzero chikuru chechirwere cheQ fever ibhakitiriya rinonzi Coxiella burnetii . Bakiteri iyi inogona kugara mumhuka, kunyanya mombe, makwai, nembudzi, isina zviratidzo. Mvura yemuviri yemhuka dzine chirwere ichi (senge weti, tsvina, mukaka, uye mvura yemudumbu) inogona kusvibisa ivhu ravanogara. Vanhu vanobatwa nechirwere ichi kunyanya nekufema guruva kana mhute yemvura inobva muvhu rakasviba.

Q Furuwenza inotapuriranwa sei?

Nzira huru iyo Q fever inopararira nayo ndeyekufema guruva kana utsi hwemvura hwakasvibiswa nebhakitiriya re'C. burnetii' . Izvi zvinogona kuitika kana uchigara kana kushanda munzvimbo inogara mhuka, kunyanya mhuka dzepurazi. Nekuti bhakitiriya re'C. burnetii' rinogona kufamba chinhambwe nemhepo, haufanirwe kunge wakabatana zvakananga nemhuka kuti uzvibate.

Dzimwe nzira, asi dzisinganyanyi kuitika, dzinoshandiswa kutapurirana nefivha yeQ ndeidzi:

• Kudya kana kunwa zvigadzirwa zvemukaka zvisina kupiswa (semuenzaniso mukaka, chizi, ice cream).
• Kurumwa nechikwekwe chine utachiona .
• Kubva kuna amai vane pamuviri kusvika kumwana wavo panguva yekuzvitakura kana pakusununguka .
• Kuburikidza nekuwedzerwa ropa (izvi hazviwanzoitiki).

Zvakakosha: Fivha yeQ haiwanzotapuriranwa kubva kumunhu kuenda kumunhu . Kwave nemishumo isingawanzoitiki yekuti amai vane pamuviri vanotapurirana mwana wavo.

Mubvunzo: Fivha inoonekwa sei?

Chiremba wako achaongorora fivha yeQ nekukubvunza nezvezviratidzo zvako , kuongorora nhoroondo yako yehutano , uye kuyedza ropa rako . Vanogonawo kukubvunza kana uchigara kana kushanda nemhuka.

Zvakabuda pabvunzo yeC. burnetii zvinogona kutora mavhiki akati wandei kuti zvidzoke, saka kana chiremba wako achifungidzira kuti une Q fivha, anogona kutanga kurapwa asina kumirira zvakabuda pabvunzo.

Mubvunzo: Ndedzipi bvunzo dzinoitwa pakuongorora fivha?

Kuti vaongorore fivha yeQ, chiremba wenyu achatora sampuli yeropa renyu achishandisa tsono diki. Muenzaniso uyu uchatumirwa kurabhoritari kuti vaone zviratidzo (antibodies) zvehutachiona hweC. burnetii. Vanogonawo kuedza kugadzira mabhakitiriya eC. burnetii kubva mumuenzaniso wenyu.

Ungangoda kupa ropa kakawanda kuti uwane chirwere chacho.

Mubvunzo: Fivha inorapwa sei ?

Fivha yeQ inorapwa nemishonga inorwisa mabhakitiriya . Fivha yeQ isingaperi inowanzorapwa nemusanganiswa wemishonga inorwisa mabhakitiriya nemishonga inorwisa kuzvimba, asi inogona kuoma kurapa. Chiremba wako achagadzira hurongwa hwekurapa hwakasiyana zvichienderana nemamiriro ako ezvinhu.

Kana ukaonekwa uine Q fever uye uine matambudziko emwoyo kana etsinga dzeropa, taura nachiremba wako nezvekurapwa nekukurumidza kuti uderedze njodzi yako yeQ fever isingaperi.

Ndeipi mishonga/mishonga inoshandiswa?

Chiremba anogona kunyora mishonga inotevera:

• `( Doxycycline (Doxycycline) ) `
• `(Hydroxychloroquine)`
• `(Trimethoprim-sulfamethoxazole (TMP-SMX))`
• `(Rifampin)`
• `(Fluoroquinolones)` (semuenzaniso `(Ciprofloxacin)`, `(Ofloxacin)`)
• `(Clarithromycin)`

Q Fivha inogona kurapwa zvachose here?

Ehe, vanhu vazhinji vanogona kupora zvachose kubva kuchirwere cheQ chakanyanya kuburikidza nemishonga inorwisa mabhakitiriya. Zvisinei, kunyangwe muvanhu vashoma vanowana chirwere cheQ chakanyanya, zviratidzo zvinogona kuramba zviripo kwemwedzi kana kunyange makore, kunyangwe zvikarapwa. Chirwere cheQ chakanyanya kuoma kurapa.

Ndingaderedza sei njodzi yangu yekubata chirwere cheQ?

Pane zvinhu zvakati wandei zvaunogona kuita kuti uderedze njodzi yako yefivha yeQ:

• Pfeka chifukidziro nemagurovhosi paunenge uchibata mvura yemuviri wemhuka, kunyanya iyo inoburitswa panguva yekusununguka .
• Dzivisa kudya kana kunwa zvigadzirwa zvemukaka zvisina kupiswa .
• Dzimwe ongororo dzinoratidza kuti kuongorora nekurapa matambudziko evharuvhu yemwoyo muvanhu vanoonekwa vaine Q fever kunogona kudzivirira Q fever isingaperi.
• Kana uchishanda mubasa rine njodzi huru uye uchigara munzvimbo ine mushonga wekudzivirira chirwere cheQ fever (parizvino unowanikwa muAustralia chete), bvunza chiremba wako nezvekubaiwa.

Kana uchigara kana kushanda pedyo nezvipfuyo zvepapurazi, uye uri panjodzi yakakura yekuva nematambudziko anokonzerwa neQ fever (semuenzaniso, vanhu vane matambudziko evharuvhu yemwoyo kana etsinga dzeropa, vakadzi vane pamuviri, vanhu vane masoja emuviri asina simba), taura nachiremba wako nezvekudzivirira Q fever.

Chii chandinofanira kutarisira kana ndine Q fever?

Zviratidzo zveQ fever zvinogona kugara kwenguva yakareba , kubva pamazuva gumi kusvika makumi mapfumbamwe . Zvisinei, vanhu vazhinji vanopora zvachose . Kana ukanyorerwa mishonga inorwisa mabhakitiriya, uchafanira kuitora kwemavhiki maviri. Munhu mumwe chete pavanhu vashanu (20%) anogona kunzwa kuneta (`(Q fever fatigue syndrome)`) izvo zvinogara kwemwedzi kana makore.

Vanhu vashoma kwazvo (pakati pe1% ne5%), kunyanya avo vane zvimwe zvirwere, vanogona kuva nefivha yenguva refu yeQ. Kana uine fivha yenguva refu yeQ, ungangoda kurapwa kwemwedzi gumi nemisere kana kupfuura .

Mubvunzo: Ndezvipi zvinetso zvinokonzerwa nefivha?

Matambudziko anogona kuitika nefivha yeQ yakakomba uye fivha yeQ isingaperi. Zvisinei, izvi zvinowanzoitika uye zvinowanzova zvakakomba mufivha yeQ isingaperi. Matambudziko anosanganisira:

• Tsinga isina simba, yakazvimba (Aneurysm)
• Arterial fistula, chirwere chekuti ropa rinoyerera zvisiri izvo
• Kutapukira kwemwoyo
• Mavanga emapapu (Fibrosis)
• Chirwere chekufema chinokonzeresa kufema zvakanyanya (ARDS)
• Kukundikana kwemoyo
• Utachiona hweMapfupa (Osteomyelitis)
• Kubvisa pamuviri
• Kuberekwa kwakaderera

Mubvunzo: Chii chiri kutarisira furuwenza?

Kufa kwechirwere cheQ chakasimba kunowanzova kwakanaka kana ukachirapwa nemishonga inorwisa mabhakitiriya. Huwandu hwerufu rwechirwere cheQ chakasimba huri pakati pe0.5% ne1.5% . Vanhu vanorwara neQ chakasimba vari panjodzi huru yematambudziko nerufu. Huwandu hwerufu rwechirwere cheQ chakasimba huri pakati pe12% ne25% .

Ndinozvitarisira sei?

Kana ukaonekwa uine Q fever, zvakakosha kuti utore mishonga yese yawakanyorerwa nenguva . Bvunza chiremba wako kuti ungagadzirisa sei zviratidzo zvako uye kana paine nzira dzekuderedza njodzi yezviratidzo zvenguva refu kana Q fever isingaperi.

Ndinofanira kuona chiremba rini?

Kana uchishanda kana kugara nemombe, mbudzi, kana makwai, uye ukaona zviratidzo zveQ fever, enda kuna chiremba nekukasika . Kana uine zviratidzo zveQ fever isingaperi, uye uchifunga kuti ungave wakambosangana nebhakitiriya re'C. burnetii' kare (kunyangwe zvave nenguva), udza chiremba wako.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

• Ndinofanira kutora mishonga pachine nguva here kuti ndideredze njodzi yechirwere cheQ chisingaperi?
• Ndinofanira kuongororwa matambudziko emwoyo netsinga dzeropa here?
• Ndingatora sei mushonga uyu?
• Ndinofanira kuuya kuzokuonai zvakare riini?
• Ndingaitei kuti ndigadzirise zviratidzo zvangu?

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Kunyangwe chirwere cheQ fever chiri chirwere chisingawanzoitiki, zvakakosha kuti uchiziva nezvacho uye utore matanho ekudzivirira kana uchishanda kana uchigara munzvimbo ine njodzi huru. Zvinhu zviri nyore sekupfeka masiki, magirovhosi, uye kudzivirira zvigadzirwa zvemukaka zvisina kupiswa zvinogona kuita mutsauko mukuru, kunyanya pakushanda nemhuka dzepurazi .

Kunyangwe chirwere cheQ chisingaperi chichingobata vanhu vashoma chete, chinogona kukonzera matambudziko anotyisidzira hupenyu. Saka, kana uchifunga kuti ungave uine Q fever, kana kuti une zvinokunetsa nezvazvo, usazeza kutsvaga mazano echiremba . Kuudza chiremba wako nezvenhoroondo yehutano hwako uye nhoroondo yebasa kuchavabatsira kunzwisisa zvinhu zvinokukonzera njodzi uye kupa kurapwa kwakanakisa.

` Fivha yeQ, Coxiella burnetii, zvirwere zvine chekuita nemhuka, zviratidzo zvefivha, fivha yeQ isingaperi, hutano hwepurazi, hutachiona hwebhakitiriya