Wakambofamba musango here, muuswa hurefu, kana kutamba nechipfuyo chako wobva wasangana nechisikwa chidiki chakaita sechikwekwe? Dzimwe nguva zvisikwa izvi zvinogona kukunetsa zvikuru. Nhasi tichataura nezvechirwere chinogona kutapuriranwa nezvikwekwe, uye chinogona kuva nengozi zvishoma. Chinonzi Rocky Mountain Spotted Fever. Zita iri ringasaita serakakosha kuSri Lanka, asi zvakakosha kuziva nezvezvirwere zvinotapurirwa nezvikwekwe zvakaita seizvi.
Chii chinonzi Rocky Mountain Spotted Fever?
Zvichitaurwa zviri nyore, Rocky Mountain Spotted Fever (RMSF) chirwere chinokonzerwa nebhakitiriya rinonzi Rickettsia rickettsii. Chinopararira kuburikidza nekurumwa nezvikwekwe. Zviratidzo zvekutanga - zvakaita sefivha, musoro, uye mapundu eganda - zvinogona kufanana nezvimwe zvirwere zvakajairika. Asi kana zvikarapwa nekukasika, RMSF inogona kuisa hupenyu panjodzi.
Chirwere ichi, RMSF, chiri muboka guru rezvirwere zvinonzi `Spotted Fever Rickettsiosis (SFR)`.
Ko chirwere cheRocky Mountain Spotted Fever (RMSF) nechirwere cheLyme zvakafanana here?
Ehe, kunyangwe zvese zviri zvirwere zvinotapukira nezvikwekwe, chirwere cheRocky Mountain Spotted Fever nechirwere cheLyme zvirwere zviviri zvakasiyana. Chirwere cheLyme chinokonzerwa nebhakitiriya rakasiyana neRMSF, uye zviratidzo zvacho zvakasiyana. Munhu ane RMSF haazove nechirwere cheLyme.
Ndiani anogona kubatwa neRocky Mountain Spotted Fever (RMSF)?
Munhu wese ari munzvimbo ine zvikwekwe - zvakaita seuswa hurefu, nzvimbo dzine masango, kana mhuka dzinovaraidza dziri panze - anogona kuwana chirwere ichi. Nyaya dzeRMSF dzakataurwa muUnited States, Canada, Mexico, neSouth neCentral America. Kunyangwe nyaya idzi dzichigona kuitika chero nguva yegore, nhamba huru yenyaya idzi inoonekwa munguva yekupisa.
Ndiani ari panjodzi huru?
Munhu wese anogona kuwana RMSF pazera ripi zvaro. Zvisinei, zvinonzi inowanikwa zvakanyanya muvarume nevanhu vane makore anopfuura makumi mana. Uri panjodzi huru yekubatwa neRMSF yakanyanya kana :
- Kana uri pasi pemakore gumi kana kupfuura makumi manomwe ekuberekwa.
- Kana uine `kushaikwa kweGlucose-6-phosphate dehydrogenase (G6PD)`.
- Kana muviri wako usina simba rekudzivirira chirwere.
Chirwere cheRocky Mountain Spotted Fever (RMSF) chakajairika zvakadii?
MuUnited States, vanhu vanosvika zviuru zvitanhatu vanobatwa neRMSF gore rega rega. Pasinei nezita rekuti "Rocky Mountain," inonyanya kuitika munzvimbo dzakadai seNorth Carolina, Tennessee, Missouri, Arkansas, neOklahoma. RMSF inowanzoitika munguva yezhizha, apo zvikwekwe zvakawanda uye vanhu vari panze.
Rocky Mountain Spotted Fever (RMSF) inokanganisa sei muviri wangu?
Mabhakitiriya anokonzera RMSF, `R. rickettsii`, anopinda muropa rako kuburikidza nekurumwa nezvikwekwe. Mabhakitiriya aya anobva arwisa mitsipa yeropa, masero emhasuru, uye nyama. Izvi zvinogona kukonzera kuti ropa ribude mumitsipa yeropa rako, mvura iungane munyama yako, uye kukuvadza tsandanyama dzako, tsinga, uye nhengo dzemuviri.
Ndezvipi zviratidzo zveRocky Mountain Spotted Fever (RMSF)?
Kana ukarumwa nechikwekwe chine utachiona, unogona kutanga kuona zviratidzo zveRMSF mukati memazuva maviri kusvika kumavhiki maviri. Zviratidzo zvinowanzoonekwa zvishoma nezvishoma kwemazuva akati wandei. Pakutanga zvinogona kusanganisira fivha, musoro, kuda kurutsa, kurutsa, uye kurwadziwa kwetsandanyama .
Chinonyanya kukosha: Vamwe vanhu vanotanga mapundu mukati memazuva matatu (anenge 50%). Zvisinei, zvakakosha kutsvaga kurapwa pasina kumirira kuti mapundu abude.
Zviratidzo zvikuru zveRMSF ndeizvi:
- Fivha yakanyanya
- Musoro
- Kuda kudya
- Kurwadziwa kwetsandanyama kana kurwadziwa
- Mapundu paganda - anowanzo tanga pamaoko nemakumbo uye anopararira kune dzimwe nhengo dzemuviri.
- Kusvotwa nekurutsa
- Marwadzo emudumbu
- Kunzwa chiedza (photophobia)
Zviratidzo zvakakomba zvinogona kuitika gare gare:
- Kuvhiringidzika
- Kuoma kufema (dyspnea)
- Kuzvidya mwoyo, kusagadzikana, kana kusagadzikana
- Kubatwa nepfari
- Kushaya simba kana kusasimba kwemakumbo nemaoko
Chirwere cheRocky Mountain Spotted Fever (RMSF) chinopararira sei?
Zvikwekwe zvinotakura uye zvinoparadzira RMSF. MuUnited States, zvikwekwe zvembwa zvekuAmerica uye zvikwekwe zvehuni zveRocky Mountain ndizvo zvinonyanya kukonzera chirwere ichi. Mune dzimwe nzvimbo, mamwe marudzi ezvikwekwe, akadai sebrown dog tick, anogonawo kuparadzira RMSF.
Ko RMSF inotapurirana kubva kumunhu kuenda kumunhu here?
Kwete, Rocky Mountain Spotted Fever haitapukiri (ndiko kuti, haisi chirwere chinotapukira).
Unoziva sei kana chikwekwe charumwa?
Kana usingaone chikwekwe pamuviri wako, dzimwe nguva zvinogona kuoma kuziva kana wakarumwa nechikwekwe. Chikwekwe chinogona kusiya chiratidzo chekurumwa kwacho, chinogona kusiya mapundu, kana kuti chinogona kupera pasina zviratidzo zvachose.
Rocky Mountain Spotted Fever (RMSF) inoonekwa sei?
Chiremba wako achaongorora RMSF zvichibva pakuongororwa kwemuviri, zviratidzo zvako, uye kana wakarumwa nechikwekwe. Kunyangwe kuongororwa kweropa nekuongororwa kweganda zvichigona kubatsira kuona RMSF, mhedzisiro yekuedzwa uku haiwanikwe nekukurumidza kuti utange kurapwa.
Kana wakamboenda kunzvimbo inogona kunge iine zvikwekwe mumavhiki maviri apfuura, kunyangwe usingayeuki kurumwa nechikwekwe kana kuva nechikwekwe pamuviri wako, iva nechokwadi chekuudza chiremba wako. Izvi zvakakosha kuti vasarudze kana vachida kurapa RMSF.
Ndezvipi zviedzo zvinoshandiswa kuongorora RMSF?
Chiremba wako anogona kuona RMSF nekuongororwa ropa nekuongororwa kweganda, asi mhedzisiro yacho inogona kutora nguva kuti idzoke. Chiremba wako angangofanira kusarudza kana orapa RMSF usati wadzoka mhedzisiro yekuongororwa kwako.
- Kuongororwa kweropa: Muenzaniso weropa rako unotorwa kuti uone kana mabhakitiriya anokonzera RMSF aripo. Ropa rako hariwanzoonekwa kuti rine RMSF kusvika mazuva manomwe kusvika gumi mushure mekurwara. Ungangoda kuongororwazve ropa kana chirwere chako chikawedzera kana kuti wapora.
- Kuongororwa kweganda: Chishandiso chakakosha chinonzi punch chinoshandiswa kutora ganda diki kubva paronda riri paganda rako (izvi zvinogona kunzwa sekunge kubaiwa kana kunzwa kudiki kwekukwenya). Sampuro yeganda inozoongororwa zviratidzo zvebhakitiriya reR. rickettsii.
Chirwere cheRocky Mountain Spotted Fever (RMSF) chinorapwa sei?
RMSF inorapwa nemishonga inorwisa mabhakitiriya , iyo inowanzo torwa kwemazuva manomwe kusvika gumi.
Kurapa kunoshanda zvakanyanya kana ukatanga kurapwa mukati memazuva mashanu kubva pakatanga zviratidzo zvako. Kana ukatanga mishonga inorwisa mabhakitiriya kunonoka, RMSF inogona kukuvadza muviri wako uye kukonzera matambudziko anotyisidzira hupenyu hwako.
Kana ukava nematambudziko, ungangoda kurapwa kwakawedzerwa. Izvi zvinogona kusanganisira kuwedzerwa ropa, kufefetedza nemagetsi, kana mamwe marapirwo.
Ndeipi mishonga inoshandiswa paRMSF?
Doxycycline ndiyo yega mushonga unorwisa mabhakitiriya unokurudzirwa kurapa RMSF. Kana uine allergy kune doxycycline , chiremba wako anogona kukupa chloramphenicol seimwe nzira. Zvisinei, chloramphenicol yakaoma kuwana mune dzimwe nyika, uye haishande zvakanyanya kuRMSF sedoxycycline .
Nzira yekurapa zviratidzo zveRMSF sei?
Kana zviratidzo zvako zvisina kunyanya kuipa, unogona kuzvirapa uri kumba nemishonga inotengwa kunze kwemutero. Zvisinei, zvakakosha kubvunza chiremba wako kuti ndeipi mishonga yakachengeteka kushandisa.
Ndichakurumidza sei kupora mushure mekurapwa kweRMSF?
Kana ukatanga mishonga inorwisa mabhakitiriya nekukurumidza zviratidzo zvako zveRMSF zvatanga, unofanirwa kunzwa zviri nani mukati memaawa makumi mana nemasere. Zvisinei, uchafanira kutora mishonga inorwisa mabhakitiriya kwemazuva mashoma. Kunyangwe uchinzwa zviri nani, ramba uchitora mishonga yese sezvawakarairwa. Kana zviratidzo zvako zvikasavandudzika, ona chiremba wako nekukasika.
Ndingaderedza sei njodzi yeRocky Mountain Spotted Fever (RMSF)?
Kudzivisa kurumwa nezvikwekwe ndiyo nzira yakanakisisa yekuderedza njodzi yeRMSF.
- Cheka chivanze chako nguva dzose. Huswa hwakareba kupfuura masendimita mashanu hunokwezva zvikwekwe.
- Paunenge uchifamba munzvimbo dzine masango, shandisa nzira dzakacheneswa chete.
- Shandisa maspray ane zvinhu zvinodzinga zvikwekwe (semuenzaniso, zvine DEET).
- Kana uchipinda musango kana munzvimbo dzine uswa hurefu, pfeka mbatya dzinofukidza muviri wako zvakanyanya sezvinobvira. Dzimwe mbatya dzinouya dzakagadzirwa kare kuti dzidzivirire kubva kuzvikwekwe.
- Tarisa muviri wako kana usina zvikwekwe mushure mekunge wadzoka kubva panze. Kana zvichibvira, ita kuti mumwe munhu aongorore nzvimbo dzausingaone (senge musana wako kana ganda remusoro).
- Dzivirirai mhuka dzenyu kubva kuzvikwekwe nemishonga inokurudzirwa nachiremba wemhuka. Garai muchitarisa kana zvikwekwe zvabuda panze.
Chii chaungatarisira kana ukabatwa neRocky Mountain Spotted Fever (RMSF)?
Vanhu vazhinji vanopora kubva kuRMSF vasina matambudziko enguva refu kana vakarapwa nekukurumidza mushure mekunge zviratidzo zvatanga. Vamwe vanhu vanogona kuva nematambudziko akakomba zvekuti vanoda kuendeswa kuchipatara kuti vanorapwa.
Kunyangwe kana uine hutano hwakanaka, dzimwe nguva matambudziko ehutano anogona kuitika kwenguva refu.
Matambudziko eRocky Mountain Spotted Fever (RMSF)
Kunyangwe nekurapwa nemishonga inorwisa mabhakitiriya, vamwe vanhu vane RMSF vanogona kuva nematambudziko akakomba kana anotyisidzira hupenyu, anosanganisira:
- Chirwere chekufema chinokonzeresa kufema zvakanyanya (ARDS)
- Kukuvara kwakanyanya kweitsvo
- Kuzvimba kwemapapu
- Kushaya ropa
- Chirwere chemwoyo
- Kubuda ropa mukati
- Sepsis (chirwere chakafanana nekuchetura ropa)
- Kuoma mitezo zvishoma
- Kusakwanisa kudzora kuyerera kwetsvina (`fecal incontinence`) kana weti (`urinary incontinence`)
- Chironda chinoda kuchekwa nhengo yemuviri
- Kutapukirwa/kuzvimba kweuropi (encephalitis)
- Kukundikana kwenhengo
Maonero eRMSFs
Mikana yekupora kubva kuRMSF yakanaka kana ikarapwa nekukurumidza. MuUnited States, huwandu hwevanhu vanofa kubva kuRMSF, kunyangwe nekurapwa, huri pakati pe5% ne10%. Mune dzimwe nyika, dzakadai seMexico neBrazil, huwandu uhwu hwakakwira zvakanyanya.
Kana uchirwara zvakanyanya neRMSF, unogona kuva nemigumisiro yenguva refu kunyangwe wapora. Semuenzaniso:
- Kukuvara kwetsinga kana kuoma mitezo
- Kurasikirwa nekunzwa
- Kuoma kutaura
- Kurasikirwa nekuona
- Matambudziko etsinga, akadai sematambudziko ekuenzanisa kana dzungu (vertigo)
Ko Rocky Mountain Spotted Fever (RMSF) inogona kurapwa zvachose here?
RMSF inowanzopera nekurapwa. Zvisinei, vamwe vanhu vanogona kuramba vaine zviratidzo kunyangwe hutachiona hwapera, nekuda kwekukuvara kwetsinga nenyama.
Kana ikasarapwa, mukana wekufa kubva kuRMSF uri pakati pe20% ne30%.
Ko RMSF inogona kuitika kanopfuura kamwe chete here?
Hazviwanzoitiki kuti uwane RMSF kanopfuura kamwe chete. Nyanzvi dzinofunga kuti kana wangowana RMSF, unowana simba rekudzivirira chirwere ichi. Izvi zvinoreva kuti muviri wako unoziva nzira yekurwisa chirwere ichi, saka hachizoitiki zvakare.
Ndingazvitarisira sei kana ndine RMSF?
Kana chiremba wako ari kukurapa RMSF, iva nechokwadi chekuti watora mishonga yako yese sezvawakarairwa. Kana ukarega kutora mishonga inorwisa mabhakitiriya nekukurumidza, unogona kurwara zvakare.
Chiremba wako achakuudza nzira yakanakisisa yekurapa zviratidzo zvako kumba. RMSF inogona kukurumidza kuipa. Kana ukava nezviratidzo zvitsva kana zviratidzo zvako zvikawedzera, fonera chiremba wako nekukasika.
Unofanira kuona chiremba riini nezveRocky Mountain Spotted Fever (RMSF)?
Kana wakarumwa nechikwekwe, kana kuti wakambova munzvimbo ine zvikwekwe uye uine zviratidzo zveRMSF, enda kuna chiremba nekukasika.
Kunyangwe wakarumwa nechikwekwe asi usina zviratidzo, haufanirwe kuona chiremba parizvino - kutora mishonga inorwisa mabhakitiriya usina kurwara hakubatsiri kudzivirira RMSF.
Ndinofanira kuenda kuEmergency Treatment Unit (ETU) riini?
Kana uine chimwe chezviratidzo izvi, enda kuchipatara chiri pedyo newe:
- Kana fivha iri pamusoro pe39.4 Celsius (103 Fahrenheit)
- Kana ukakosora ropa
- Kana maoko ako kana tsoka dzako dzakazvimba
- Kana muine kurwadziwa kwakanyanya mudumbu
- Kana uine kuvhiringidzika kana zvimwe shanduko dzepfungwa
- Kana zvikaitika pfari
- Kana uine kusanzwa kana kushaya simba mumakumbo ako
- Kana uchirutsa zvakanyanya
Mibvunzo ipi yandinofanira kubvunza chiremba wangu?
- Ndinofanira kutora mushonga wangu sei?
- Ndezvipi zviratidzo zvitsva kana kuti zviri kuipa zvandinofanira kutarisa?
- Ndichakurumidza sei kupora?
- Ndinofanira kuuya kuzokuonai zvakare riini?
Zvinhu Zvekurangarira (Mharidzo Yekuenda Nayo Kumba)
Zvikwekwe hazvingonetsi chete - kurumwa kwazvo kudiki kunogona kukukonzera kurwara zvakanyanya. Nzira yakanakisisa yekudzivirira Rocky Mountain Spotted Fever (RMSF) ndeyekudzivirira kurumwa nezvikwekwe. Zvisinei, kana wakarumwa nezvikwekwe uye uine zviratidzo, ona chiremba wako nekukasika. Kurapwa nekukurumidza ndiyo nzira yakanakisisa yekupora nekukurumidza. Chengetedza hutano hwako uye gara wakachengeteka!
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Fivha ine mapopoma eRocky Mountain inongowanikwa chete kune vanokwira makomo here?
Kwete. Pasinei nezita rayo (yakatanga kuwanikwa muRocky Mountains), chirwere ichi chinowanikwa muAmerica yese (kwete muSri Lanka). Ifivha ine njodzi zvikuru inokonzerwa nebhakitiriya rinonzi Rickettsia, iro rinotapuriranwa kuvanhu nezvikwekwe (kunyanya zvikwekwe pambwa).
💬 Hazvidzivisike here kuti maronda matsvuku aoneke pamuviri nefivha?
Varwere vazhinji vanowana mapundu matsvuku, akatenderera pazvanza zvavo netsoka dzavo mushure memazuva maviri kusvika mana. Zvisinei, vamwe vanhu havawani mapundu aya! Saka, kana uine fivha yakanyanya mushure mekurumwa nechikwekwe, unofanira kutsvaga kurapwa nekukasika, usingamirire kuti mapundu acho aoneke.
💬 Chii chinoitika kana ukasateerera izvi?
Kana mishonga inorwisa mabhakitiriya (Doxycycline) ikasatorwa mukati memazuva mashanu mushure mekurumwa nezvikwekwe nefivha, bhakitiriya iyi inogona kuputika mitsipa yeropa inoenda kuuropi, mwoyo, neitsvo. Inouraya zvekuti inogona kuda kugurwa makumbo uye inogona kukonzera rufu rwese mumazuva angangoita masere.
Zvikwekwe , Fivha ine Mavara muRocky Mountain, Fivha, Mapundu eganda, Utachiona hweMabhakitiriya, Dziviriro yeZvikwekwe, Mishonga Inorwisa Mabhakitiriya
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