Mazuva ano, tinowanzonzwa nezvemhando dzakasiyana dzefivha, handiti? Pamwe chete nezvinhu zvakaita sedengue nefuruwenza, rimwe zita rinouya mupfungwa ndi "fevha yefuruwenza". Vamwe vanhu vanotya izvi. Saka, fevha yefuruwenza iyi chii chaizvo? Ine njodzi here? Tingaingwarira sei? Nhasi, tichataura nezveizvi zvese zviri nyore, sekunge tiri kutaura neshamwari.

⚡ Interactive Clinical Tool

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Renal function (eGFR)

Measure kidney function based on creatinine value

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Zvichitaurwa zviri nyore, chii chinonzi Scrub Typhus?

Scrub typhus, kana kuti (Scrub Typhus), hachisi chirwere chinoparadzirwa nenhata. Chinoparadzirwa nekurumwa nehonye dzemhando yezvipembenene zvidiki zvekuti maziso edu haakwanise kuona. Zvipembenene izvi zvinonzi (chiggers). Chirwere ichi chinokonzerwa nebhakitiriya rinonzi Orientia tsutsugamushi. Fungidzira kuti zvipembenene izvi zvinowana sei utachiona uhwu. Kazhinji, utachiona uhwu hunotapurirwa kuzvipembenene izvi kubva paganda remhuka dzakadai semakonzo. Zvadaro, kana zvipembenene izvozvo zvikatiruma, mabhakitiriya anopinda mumuviri wedu. Zvipembenene izvi zvidiki zvekuti dzimwe nguva hatitombozvioni. Zvinowanzova zvitsvuku, yero, kana orenji muruvara.

Chirwere ichi chinonyanya kupararira kupi?

Chirwere ichi chinowanzoonekwa munyika dzeAsia, kunyanya munzvimbo dzekumaruwa dzine masango.

Nyika dzeSoutheast Asia
India
Indonezhiya
China
Japani
Nzvimbo dzekuchamhembe kweAustralia

Zvipembenene izvi zvinofarira kugara munzvimbo dzine uswa, miti mitema, hunyoro, uye mumvuri . Izvi zvinoreva kuti zvinogona kuwanikwa munzvimbo isina kutarisirwa zvakanaka mubindu rako, pamucheto wesango, mudutu remashizha ari kuora, kana pasi pegwenzi rakazara mvura. Zvipembenene izvi zvinonyanya kushanda mukupera kwechirimo nezhizha.

✨ Scrub Typhus ★ 4.6 · Clinical Pick

Clinical 10-Parameter Home Urinalysis Test Strips (100 Strips: UTI, Leukocytes, Nitrite, Protein, pH, Ketone)

Lab-grade 60-second reagent urinalysis strips testing 10 vital markers including Leukocytes & Nitrites (UTI), Protein & Blood (Kidney), Glucose, Ketones, Bilirubin, and pH.

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Ndezvipi zviratidzo zvefivha yenhata?

Ungasatombonzwa kurumwa nechirwere ichi. Hachirwadzi. Asi mushure memaawa mashoma, nzvimbo yacho inotanga kukwenya zvakanyanya uye unogona kuona mapundu matsvuku madiki. Ungasanzwa chero chinhu kwemazuva angangoita 6-10 mushure mekunge bhakitiriya yapinda mumuviri. Zviratidzo zvinotanga kuoneka kamwe kamwe mushure memazuva 10-12. Zvakakosha kuziva zviratidzo izvi nemazvo.

Chiratidzo	Tsananguro
Kupindwa nechando	Kuerekana watanga kupisa muviri zvakanyanya uye kutonhora.
Goko dema (Eschar)	Ichi ndicho chinhu chinonyanya kusiyanisa chirwere ichi. Panzvimbo pakurumwa nezvikwekwe, mushure mekunge fivha yatanga, mapundu matema, madiki, akaita semapundu anobuda.
Mapundu paganda	Panogona kunge paine mapundu matsvuku pamuviri.
Kurwadziwa kwemuviri	Musoro wakakomba, kurwadziwa kwemuviri, uye kurwadziwa kwetsandanyama.
Zvimwe zvinhu	Kuvhiringidzika, kuzvimba kwema lymph nodes, maziso matsvuku, kurutsa, manyoka, uye hutachiona hwemapapu.

Chinonyanya kukosha: Kana zviratidzo izvi zvikasarapwa nekukasika uye pasina rubatsiro rwechiremba, chirwere ichi chinogona kuipa uye chinogona kukonzera matambudziko akakomba akadai sekoma kana kutadza kushanda kwenhengo dzemuviri.

Chiremba anoona sei fivha yenhata nemazvo?

Kana uine zviratidzo izvi, kunyanya kana wakamboenda musango kana munzvimbo ine miti, enda kuna chiremba wako nekukasika . Chiremba achatanga aongorora muviri wako, kunyanya ganda dema (eschar). Pamusoro pezvo, kuongororwa ropa kuchaitwa kuti kusimbiswe chirwere, uye kutarisa ma antibodies anoitwa nemuviri kurwisa mabhakitiriya. Dambudziko rimwe chete neizvi nderekuti zviratidzo zvefevha yefuru zvakafanana zvikuru nezviratidzo zvezvirwere zvakajairika munyika medu, zvakaita se dengue, leptospirosis, uye typhoid fever. Saka, chiremba anofanira kufunga nezvezvirwere izvi zvose uye kusvika pakuongororwa. Dzimwe nguva, kana bvunzo yekutanga yeropa isingawanikwe nemazvo, zvingava zvakakosha kuita imwe bvunzo mushure mevhiki imwe kusvika nhatu. Muchiitiko chakadaro, chiremba anogona kutanga kurapwa zvichibva pazviratidzo asina kumirira mhinduro.

Ndezvipi zvinorapwa izvi?

Mashoko akanaka ndeekuti flea fever chirwere chinogona kurapwa zvachose nemishonga inorwisa mabhakitiriya. Chinhu chakakosha kutanga kurapwa nekukurumidza. Zvadaro unogona kupora nekukurumidza. Chiremba angangokuudzaDoxycycline inopihwa mushonga unorwisa mabhakitiriya. Uyu unopihwa nemuromo kwemazuva manomwe kana kupfuura. Dzimwe nguva unogona kupiwa netsinga (IV). Kuvana vadiki, kunyanya kana chirwere chacho chiri chipfupi, zvinokurudzirwa kutora mushonga mupfupi wemazuva mashanu. Izvi zvinoitirwa kudzivirira migumisiro yakaipa yakaita sekutsvukirira mazino kana mushonga uyu ukashandiswa kwenguva refu. Kune vakadzi vane pamuviri kana vanhu vane allergies kudoxycycline, mimwe mishonga inorwisa mabhakitiriya yakachengeteka yakaita seazithromycin inopihwa.

Matambudziko akakomba anogona kuitika kana akasarapwa

Kana chirwere ichi chikasarapwa, uchifunga kuti ifuruu chete, chinogona kukuvadza nhengo dzinokosha mumuviri.

Sisitimu yemuviri	Dambudziko rinogona kuitika
Mwoyo	Zvirwere zvakaita sekusagadzikana kwemoyo uye kuzvimba kwetsandanyama yemwoyo (myocarditis).
Sisitimu yekugaya chikafu	Kurutsa, manyoka, matambudziko echiropa, pancreatitis, uye kubuda ropa mukati memuviri.
Sisitimu yekufema	Muzviitiko zvakakomba, mvura inoungana mumapapu, zvichiita kuti zviome kufema, zvichikonzera chirwere chinotyisidzira hupenyu chinonzi Acute Respiratory Distress Syndrome (ARDS).
Itsvo	Kukuvara kweitsvo zvakanyanya (AKI) uye kutadza kushanda zvakanaka kweitsvo.
Sisitimu yetsinga	Zvirwere zvakaita se meningitis ne meningoencephalitis, zvinogona kukonzera pfari uye kuchinja maitiro.

Kana ukaona chimwe chezviratidzo izvi zvakakomba, enda kuna chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo newe.

Pane mushonga wekudzivirira fivha yenhata here? Tingazvidzivirira sei?

Kusvika pari zvino, hapana mushonga wekudzivirira fivha yenhata wakagadzirwa .

Saka, chinhu chakanakisa chekuita ndechekuzvidzivirira kubva kuchirwere ichi chisati chatanga. Kureva kuti, kudzivirira kurumwa nechikwekwe.

Kana uri kuenda kunzvimbo ine masango, ine miti yakawanda, ita zvinhu zvinotevera:

Pfeka nenzira inofukidza muviri wako wese. Pfeka mabhurugwa marefu nehembe dzine maoko marefu. Zviri nani kana ukakwanisa kuisa magumo ebhurugwa rako mumasokisi ako.
Shandisa mushonga unodzinga zvipembenene. Isa mushonga unodzinga zvipembenene une DEET paganda nezvipfeko zvisina kuvharwa.
Usagare zvakananga pahuswa kana pamakwenzi.
Paunenge uchitora vacheche nevana vadiki panze, fukidza maoko nemakumbo avo zvakanaka. Fukidza stroller yavo kana kutakura zvinhu netambo yekuchengetedza.
Usapfapfaidze mushonga unouraya zvipembenene zvakananga paganda revana. Tanga wapfapfaidza paruoko rwako, wozoisa paganda remwana wako. Bvunza chiremba usati washandisa pavana vari pasi pemakore maviri.
Kana wadzoka kubva kunze, nyika mbatya dzako dzose mumvura inopisa kwemaminitsi angangoita makumi matatu. Uyewo, geza muviri wako zvakanaka nesipo nemvura inopisa.
Kana uchigara uchienda kunzvimbo dzine masango, unogona kuchenesa mbatya dzako neshangu dzako nemvura ine Permethrin 0.5% . Izvi zvinouraya zvipembenene uye zvinoramba zvichishanda kunyangwe mushure mekusukwa kakawanda. Usazvizora paganda rako. Zvezvipfeko chete.

Mharidzo Yekuenda Nayo Kumba

Chirwere cheScrub Typhus chirwere chinokonzerwa nemabhakitiriya . Chinogona kuva chakakomba, asi chinogona kurapwa zvachose nemishonga inorwisa mabhakitiriya .
Inopararira nekuruma zvipembenene zvidiki (chiggers) zvinowanikwa munzvimbo dzakadai seuswa nemakwenzi.
Zviratidzo zvikuru ifivha, kurwadziwa kwemuviri, uye kuumbwa kweganda dema (eschar) panzvimbo yakarumwa nezvikwekwe.
Kana uine zviratidzo izvi, usavhunduka wobva waona chiremba nekukasika. Kana ukakurumidza kutanga kurapwa, zviri nani.
Chinhu chakanakisa chekuita kudzivirira chirwere ichi. Vhara muviri wako kana uchipinda munzvimbo dzine miti, uye shandisa mushonga unodzinga zvipembenene.