Fungidzira kuti une fivha yakanyanya kwemazuva mashoma. Fivha yacho inobva yapera yoga. Unofunga kuti uri mutano. Asi vhiki imwe chete gare gare, pasina chikonzero chakajeka, unowana fivha yakanyanya zvakare. Fivha yakadaro inouya yoenda... Hazvishamisi here? Ichi ndicho chiratidzo chikuru cheTick -Borne Relapsing Fever (TBRF) . Ichi hachisi chirwere chinowanzoitika, asi zvakakosha kuti uzive nezvacho.
Chirwere ichi chinokura sei?
Zvichitaurwa zviri nyore, chirwere ichi chinokonzerwa nerudzi rwebhakitiriya . Mabhakitiriya aya anopinda mumiviri yedu nekurumwa nerudzi rwakasiyana rwechikwekwe . Tinodaidza kuti zvikwekwe izvi kuti 'zvikwekwe zvakapfava'.
Kusiyana nezvikwekwe zvakaoma zvatinoziva, zvikwekwe izvi zvakapfava hazvigari zvakabatana nemiviri yedu kwemazuva. Zvinosveta ropa mukati menguva pfupi, maminetsi angangoita 15 kusvika 30, zvobva zvadzokera kwazvakabva. Chinhu chakakosha ndechekuti kana zvikwekwe izvi zvikaruma, hatinzwi kurwadziwa. Saka dzimwe nguva hatitombozivi kana takarumwa nechikwekwe.
Zvikwekwe izvi zvinogara mumatendere emhuka diki dzakadai sembeva neshiri. Ndosaka chirwere ichi chichinyanya kusanganiswa nedzimba dzekugara munzvimbo dzine makomo. Nekuti munzvimbo dzakadaro, mhuka dzakadai sembeva dzinovaka matendere mukati memadziro nematenga. Husiku, patinorara, zvikwekwe zviri mumatendere aya zvinobuda zvosveta ropa redu.
Kunyangwe chirwere ichi chisingawanzo kutaurwa nezvacho muSri Lanka, zvakakosha kuziva izvi kana uri kuenda kunzvimbo dzine makomo munyika dzekunze, kunyanya munyika dzakadai seUnited States, Canada, neMexico.
Ndezvipi zviratidzo zveizvi?
Zvinowanzotora vhiki imwe chete kuti zviratidzo zvionekwe mushure mekurumwa nezvikwekwe. Sezvandambotaura, chiratidzo chikuru fivha yakakwira inouya yopera.
Fivha inowanzogara kwemazuva matatu kusvika mashanu. Zvadaro, mushure memazuva mashanu kusvika manomwe pasina fivha, fivha inodzoka zvakare. Kana ikasarapwa, kutenderera uku kunoenderera mberi.
Pakupera kwefivha yega yega, tembiricha yemuviri wako inogona kukwira kamwe kamwe kusvika padanho repamusoro (zvichida kusvika pa106.7 F). Izvi zvinogona kutora maminetsi angangoita 10-30. Zvadaro fivha inodzikira kamwe kamwe, uye unogona kudikitira zvakanyanya.
Kuwedzera kune chiratidzo ichi chikuru, zvimwe zviratidzo zvakawanda zvinogona kuonekwa.
| Chiratidzo | Tsananguro |
|---|---|
| Musoro | Musoro wakanyanya. |
| Kurwadziwa kwetsandanyama nemajoini | Kurwadziwa kwemuviri nekurwadziwa kwemajoini. |
| Kutonhora uye kudedera | Dzihwa guru rinouya nefivha. |
| Kurutsa uye kurwadziwa kwemudumbu | Kusvotwa, kurutsa, uye kurwadziwa mudumbu. |
| Zvimwe zvinhu | Zviratidzo zvakaita sekukosora, pahuro, kurwadziwa kwemaziso, manyoka, mapundu paganda, uye kuvhiringidzika zvinogonawo kuonekwa. |
Kuongororwa kwechirwere kunoitwa sei?
Kana uri kuratidza zviratidzo izvi, chiremba wako achatanga akuongorora nokungwarira. Achakubvunzawo nezvekufamba kwawakaita nguva pfupi yadarika, kunyanya kunzvimbo dzine makomo nedzimba dzekare dzemapuranga uko zvikwekwe izvi zvinogona kugara.
Kuti zvisimbiswe kuti chirwere ichi chaonekwa, sampuli yeropa rako inotorwa. Ropa iri rinowanzotorwa kana uine fivha. Murabhoritari, musayendisiti anoongorora sampuli diki yeropa rako achishandisa maikorosikopu. Izvi zvinokuratidza kana mabhakitiriya anokonzera chirwere ichi, anonzi *Borrelia*, ari muropa rako. Pasi pemaikorosikopu, mabhakitiriya aya anoita sechikuruu chidiki.
Ndezvipi zviri kurapwa?
Kazhinji, chirwere ichi chinogona kurapwa pasina kurapwa. Zvisinei, kana chirwere ichi chikasimbiswa, chiremba wako anokupa mishonga inorwisa mabhakitiriya . Iyi inouraya mabhakitiriya anokonzera chirwere ichi. Mishonga inonyanya kushandiswa ndeye tetracycline nedoxycycline. Vakadzi vane pamuviri nevana vadiki vanowanzopihwa mimwe mishonga, yakaita se erythromycin.Mushonga unorwisa mabhakitiriya unopiwa. Vanhu vazhinji vanonzwa zviri nani mukati memazuva mashoma mushure mekutanga mushonga.
Chimwe chinhu chakakosha chekurangarira!
Heino chimwe chinhu chakakosha chekuziva: Vanhu vanopfuura hafu vanorapwa vanogona kuona kuwedzera kwenguva pfupi kwezviratidzo (fivha yakanyanya, dzihwa) mukati memaawa mashoma ekutanga mushure mekutanga kushandisa mishonga inorwisa mabhakitiriya.
Musavhunduka! Vanachiremba vanoti chirwere ichi chinonzi Jarisch-Herxheimer reaction . Chinoitika kana mabhakitiriya akaurayiwa nemishonga inorwisa mabhakitiriya, uye chepfu ikaburitswa kubva kumabhakitiriya akafa.
Kazhinji, zviratidzo izvi zvinopera zvega mukati memaawa mashoma. Chiremba wako anogona kukukumbira kuti ugare muchipatara uchitariswa kwemaawa mashoma ekutanga mushure mekutanga mushonga. Kashoma, vamwe vanhu vanogona kunetseka kufema. Kana izvi zvikaitika, zvakakosha kutsvaga mazano echiremba kana kuenda kuEmergency Department (ETU) nekukasika.
Matambudziko anogona kuitika here?
Kana mushonga wemishonga inorwisa mabhakitiriya wakakodzera, chirwere ichi chinopera zvachose mukati memazuva mashoma. Matambudziko acho haawanzoitiki.
Zvisinei, mune zvisingawanzoitiki, TBRF inogona kukuvadza tsinga dzinobatanidza maziso kana nzeve. Izvi zvinogona kukonzera kurasikirwa nekunzwa kana kuona. Zvinogonawo kukonzera kuoma kwetsandanyama dzechiso kwenguva pfupi, kunonzi Bell's palsy . Muzviitiko zvisingawanzoitiki, kuzvimba kwemoyo kunogona kuitika.
Kana ukabatwa nechirwere ichi panguva yekuzvitakura, njodzi yematambudziko akadai sekusununguka nguva isati yakwana kana kusununguka huremu hushoma inogona kuwedzera zvishoma. Saka, amai vane pamuviri vanofanira kungwarira zvikuru nezveizvi.
Ungazvidzivirira sei kubva kuchirwere ichi?
Chinhu chakanakisa chekuita ndechekudzivirira kurumwa nezvikwekwe.
- Kana uchienda kunzvimbo ine zvikwekwe, shandisa mushonga unodzinga zvipembenene kana uri panze. Unogona kushandisa mvura ine permethrin pazvipfeko, kana mushonga une DEET paganda nezvipfeko.
- Kana muchigara munzvimbo yekare yemapuranga, tarisai makonzo. Tarisai zvinhu zvakaita semakoloni enyuchi. Kana mukaona chero ipi zvayo, bvisai makonzo nematendere adzo muchibatsirwa nenyanzvi yekudzivirira zvipembenene.
Mharidzo Yekuenda Nayo Kumba
- Fivha Inokonzerwa Nezvikwekwe (TBRF) chirwere chinokonzerwa nezvikwekwe chinoita kuti fivha iuye yoenda, yozopera yozodzoka.
- Izvi zvinokonzerwa ne'zvikwekwe zvakapfava' zvinogara mumakomba emhuka dzakadai semakonzo. Njodzi iyi yakanyanya kuwanda mumakamuri ekare emapuranga (makamuri ekare) munzvimbo dzine makomo.
- Kana ukaona zviratidzo izvi, kunyanya mushure mekufamba, enda kuna chiremba wako nekukasika.
- Chirwere ichi chinogona kurapwa zvachose nemishonga inorwisa mabhakitiriya.
- Zviratidzo zvinogona kuwedzera kwenguva pfupi mumaawa mashoma ekutanga ekurapwa (Jarisch-Herxheimer reaction). Usatya izvi uye tevera mazano echiremba.
- Chinhu chakanakisa chekuita ndechekudzivirira kubatwa nechirwere ichi. Tora matanho anodiwa kuti uzvidzivirire kubva kuzvikwekwe.
Fivha, Zvikwekwe, TBRF, Fivha Inoramba Ichidzoka, Borrelia, Kurapa, Zviratidzo, Utachiona
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