Munguva pfupi yapfuura, tanga tichinzwa zvakawanda nezvezvirwere zvakasiyana-siyana zvine chekuita nefivha, handiti? Pamwe chete nematambudziko akajairika akadai sedengue kana furuu, rimwe shoko rave richibuda kakawanda: “Scrub Typhus.” Zvinonzwisisika kunzwa kunetseka, asi ngatizvitsanangure pamwe chete. Chii chaizvo? Chine njodzi here? Ungazvidzivirira sei? Ngatitaurei nezvazvo zviri nyore, sekunge tiri kutaura neshamwari.
Mumashoko Ari Nyore: Chii chinonzi Scrub Typhus?
Pasinei nezita rayo rinozivikanwa, chirwere cheScrub Typhus hachiparadzirwe nenhata. Chinokonzerwa nekurumwa nehonye ine hutachiona, inozivikanwa se'chigger'. Zvipembenene izvi zvidiki zvekuti hazvionekwe nemaziso. Chirwere ichi chinokonzerwa nebhakitiriya rinonzi 'Orientia tsutsugamushi' .
Funga nezvazvo nenzira iyi: makonye aya anotora mabhakitiriya kubva kumakonzo akaita semakonzo. Kana gonye rine utachiona rikakuruma, mabhakitiriya anopinda mumuviri wako. Zvipembenene izvi zvidiki zvikuru uye zvinowanzova neruvara rutsvuku, rweyero, kana orenji.
Chirwere ichi chinowanikwa kupi?
Chirwere ichi chinowanikwa zvakanyanya munzvimbo dziri muAsia, kunyanya kumaruwa kana masango.
- Nyika dzekumaodzanyemba kwakadziva kumabvazuva kweAsia
- India
- Indonezhiya
- China
- Japani
- Kuchamhembe kweAustralia
Zvipembenene izvi zvinokura zvakanaka munzvimbo dzine uswa, huswa, hunyoro, uye dzine mumvuri . Izvi zvinoreva kuti ungangosangana nazvo munzvimbo dzisina kutarisirwa muchivanze chako, mumipendero yemasango, mumirwi yemashizha ari kuora, kana mumakwenzi ane hunyoro. Kushanda kwezvipembenene kunowanzo wedzera panguva yekupedzisira kwechirimo nemwedzi yezhizha.
Ndezvipi zviratidzo zveScrub Typhus?
Ungasatombonzwa kurumwa nechigger; kazhinji hazvirwadzi. Zvisinei, mushure memaawa mashoma, nzvimbo yacho inogona kutanga kukwenya, uye ungangoona bundu diki dzvuku.
Mushure mekunge utachiona hwapinda mumuviri wako, pane nguva yekufukidzwa kwebhakitiriya kwemazuva angangoita matanhatu kusvika gumi apo unganzwa zvakanaka. Zviratidzo zvinowanzoonekwa kamwe kamwe mushure memazuva gumi kusvika gumi nemaviri mushure mekusangana nehutachiona. Kuziva zviratidzo izvi kwakakosha.
| Chiratidzo | Tsananguro |
|---|---|
| Kupindwa nechando | Kunzwa fivha yakakwira kamwe kamwe pamwe chete nechando uye kudedera. |
| Eschar | Ichi chiratidzo chechirwere. Goko diki, dema, rakaita segwenzi rinoumbwa panzvimbo yawakarumwa ne chigger. |
| Mapundu | Unogona kutanga mapundu matsvuku mumuviri wako. |
| Marwadzo emuviri | Musoro wakakomba, kurwadziwa kwemuviri, uye kurwadziwa kwetsandanyama. |
| Zvimwe Zviratidzo | Kuvhiringidzika, kuzvimba kwema lymph nodes, maziso matsvuku, kurutsa, manyoka, uye hutachiona hwemapapu. |
Chinonyanya Kukosha: Kana zviratidzo izvi zvikasarapwa, chirwere ichi chinogona kukonzera matambudziko akakomba, kusanganisira coma kana kutadza kushanda kwenhengo dzemuviri.
Chiremba anoongorora sei chirwere cheScrub Typhus?
Kana uine zviratidzo izvi, kunyanya kana wagara munzvimbo dzine miti yakawanda kana kuti dzine huswa, shanyira chiremba wako nekukasika .
Chiremba wako achaita ongororo yemuviri, achitsvaga `eschar`. Pamusoro pezvo, vanogona kuraira kuongororwa kweropa kuti vaone masoja ekudzivirira chirwere anogadzira muviri wako kuti arwise mabhakitiriya.
Kuziva izvi kunogona kuoma nekuti zviratidzo zvakafanana nezvirwere zvakajairika zvakaita sedengue, leptospirosis, kana typhoid. Nekuda kweizvi, chiremba wako anofanira kufunga nezvemikana yakati wandei. Dzimwe nguva, kana bvunzo yekutanga yeropa isinganyatsoonekwi, ungangoda kuongororwazve mushure mevhiki imwe kusvika nhatu. Muzviitiko zvakadaro, chiremba wako anogona kutanga kurapwa zvichibva pazviratidzo zvekiriniki pane kumirira mhedzisiro yerabhoritari.
Inorapwa sei?
Mashoko akanaka ndeekuti chirwere cheScrub Typhus chinorapika zvachose nemishonga inorwisa mabhakitiriya. Danho rakakosha nderekutanga kurapwa nekukurumidza kuti munhu apore nekukurumidza.
Chiremba wako angangokupa mushonga unorwisa mabhakitiriya unonzi `doxycycline` , kazhinji kwemazuva manomwe kana kupfuura. Muzviitiko zvakakomba, unogona kupiwa netsinga (IV). Kune vana, mushonga mupfupi wemazuva mashanu unowanzo kurudzirwa kudzivirira migumisiro yakaita sekuchinja kweruvara rwemazino. Kune vakadzi vane pamuviri kana avo vane allergies ku doxycycline, mamwe maantibiotic asina njodzi akadai se`azithromycin` anoshandiswa.
Matambudziko Angangoitika eUtachiona Husina Kurapwa
Kana ikasarapwa, Scrub Typhus inogona kukonzera kukuvara kwenhengo dzemuviri:
| Sisitimu yeMuviri | Dambudziko Rinogona Kuitika |
|---|---|
| Mwoyo | Arrhythmias, myocarditis (kuzvimba kwetsandanyama yemwoyo). |
| Kugaya chikafu | Kurutsa, manyoka, matambudziko echiropa, pancreatitis, uye kubuda ropa mukati memuviri. |
| Kufema | Muzviitiko zvakakomba, chirwere cheAcute Respiratory Distress Syndrome (ARDS), chirwere chinotyisidzira hupenyu apo mvura inoungana mumapapu. |
| Itsvo | Kukuvara kweitsvo zvakanyanya (AKI) uye kutadza kushanda zvakanaka kweitsvo. |
| Sisitimu Yetsinga | Meningitis kana meningoencephalitis, izvo zvinogona kukonzera pfari uye shanduko dzehunhu. |
Kana ukaona zviratidzo zvakakomba, tsvaga rubatsiro rwechiremba nekukasika kana kushanyira dhipatimendi rekukurumidzira rechipatara chiri pedyo newe.
Ko mushonga wekudzivirira chirwere uripo here? Ungazvichengetedza sei?
Parizvino, hapana mushonga wekudzivirira chirwere cheScrub Typhus.
Saka, kudzivirira ndiyo nzira yakanakisisa. Chinangwa ndechekudzivirira kurumwa nemhuka dzinodya zvipukanana.
Kana uri kuenda kunzvimbo dzine miti kana nzvimbo dzine miti yakawanda, tora matanho aya ekudzivirira:
- Pfeka mbatya dzinodzivirira. Pfeka mabhurugwa marefu nehembe dzine maoko marefu. Kuisa mabhurugwa ako mumasokisi ako kunogona kuwedzera dziviriro.
- Shandisa mushonga unodzinga zvipembenene. Isa mushonga unodzinga zvipembenene une ` DEET` paganda nezvipfeko zvisina kuvharwa.
- Dzivisa kugara zvakananga pahuswa kana pamakwenzi.
- Kune vacheche nevana vadiki, chengetai makumbo avo akafukidzwa zvakanaka. Chengetedzai stroller yavo kana kutakura netambo yekudzivirira.
- Usapfapfaidze mushonga unodzinga ganda remwana zvakananga. Tanga wapfapfaidza mumaoko ako, wozoisa pamwana. Bvunza chiremba wevana usati washandisa mushonga unodzinga ganda remwana pavana vari pasi pemakore maviri.
- Kana wapedza kubuda panze, geza mbatya dzako nemvura inopisa (zvichida kwemaminitsi makumi matatu) wogeza nemvura inodziya nesipo.
- Kana uchigara uchienda kunzvimbo dzine masango, funga nezvekugadzirira mbatya dzako ne 0.5% permethrin . Izvi zvinouraya chiggers pazvinobatwa uye zvinoramba zvichishanda kuburikidza nekusuka kakawanda. Usazviise zvakananga paganda. Ndezvembatya ne midziyo chete.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheScrub Typhus chirwere chinokonzerwa nemabhakitiriya . Chinogona kuva chakakomba, asi chinorapika zvachose nemishonga inorwisa mabhakitiriya .
- Inopararira nekurumwa netumbuyu tudiki tunowanikwa munzvimbo dzine uswa nenzvimbo dzine makwenzi.
- Zviratidzo zvinowanzoonekwa zvinosanganisira fivha, kurwadziwa kwemuviri, uye kuonekwa kweganda dema (eschar) panzvimbo yakarumwa.
- Kana uine zviratidzo izvi, ramba wakadzikama uye bvunza chiremba nekukasika. Kurapwa nekukurumidza ndiko kwakakosha.
- Kudzivirira nguva dzose kuri nani pane kurapa: vhara ganda rako uye shandisa mushonga unouraya zvipembenene kana uri panze munzvimbo dzine njodzi.
Scrub Typhus, typhus, chiggers, Orientia tsutsugamushi, eschar, doxycycline, mazano ehutano, zviratidzo zvefivha
