Pane katsi yaunoda kumba inokuruma kana kukuruma zvishoma here? Kazhinji, tinoitora seyakajairika tokanganwa nezvazvo. Asi dzimwe nguva, mushure mechiitiko chidiki kudaro, ronda rinozvimba zvishoma, uye mushure memazuva mashoma, mapundu akaita semamota anoonekwa munzvimbo dzakadai semuhapwa nemutsipa, uye muviri unogona kunzwa fivha. Tinofunga kuti dzihwa. Asi shure kweizvi kunogona kunge kune boka remabhakitiriya anonzi `Bartonella`. Nhasi tiri kutaura nezvechirwere chinonzi `Bartonellosis` chinogona kutapuriranwa kwatiri kubva kumhuka idzi. Usazvidya mwoyo, ngatinzwisise izvi zviri nyore.
Zvichitaurwa zviri nyore, chii chinonzi Bartonellosis?
Bartonellosis haisi chirwere chimwe chete. Iboka rezvirwere zvinotapukira zvinokonzerwa nemabhakitiriya anonzi Bartonella. Pari zvino kune marudzi makumi maviri nemaviri anozivikanwa emabhakitiriya aya, ayo angangoita gumi nemashanu anogona kukonzera zvirwere muvanhu.
Chirwere ichi chakakosha kwatiri nekuti chirwere chemhuka dzinorarama nemhuka . Izvi zvinoreva kuti tinogona kuchiwana kubva kumhuka dzedu dzinorarama nemhuka kana dzimwe mhuka dziri mumba. Utachiona uhwu hunopararira kubva kumhuka imwe kuenda kune imwe uye kubva kumhuka kuenda kwatiri kuburikidza nezvipembenene zvakaita senhata, inda, kana sand flies. Zvakare, kana mhuka ine utachiona ikakuruma kana kukukwenya, hutachiona hunogona kupinda mumuviri wako, kunyangwe zvakananga.
Ndezvipi zvikonzero zveBartonellosis?
Mabhakitiriya e'Bartonella' akafanana netupukanana tunopinda mumiviri yedu. Kana twapinda mumuviri, bhakitiriya iyi inonanga zvakananga masero edu matsvuku eropa , macrophages , ayo ari masero akakosha emuviri wemuviri, uye masero e endothelial, ayo ari mukati metsinga dzedu dzeropa. Mabhakitiriya aya anokonzera zvirwere nekupinda mumasero aya uye kuvanda mukati mawo.
Chirwere chinokonzerwa nebhakitiriya reBartonella chinosiyana zvichienderana nerudzi rwacho. Kune mhando nhatu huru dzatinowanzoona uye kutaura nezvadzo.
| Zita rechirwere | Mabhakitiriya anokonzera | Nzira yekutumira |
|---|---|---|
| Chirwere cheKatsi chekukwenya | Bartonella henselae | Nekukwenya, kuruma, kana kunanzva ronda rekatsi ine chirwere (kunyanya katsi). Kupararira pakati pekatsi nenhata. |
| Chirwere cheCarrion | Bartonella bacilliformis | Nekurumwa nesandflies. Chirwere ichi chinogona kuuya muzvikamu zviviri: chakasimba uye chisingaperi. |
| Fivha yemugero | Bartonella quintana | Inda dzemuviri dzinotapuriranwa kuvanhu uye dzinowanikwa munzvimbo dzisina hutsanana hwakakwana. |
Chinonyanya kukosha ndechekuti chirwere ichi chinogona kunyanya kuipa kuvanhu vane masoja emuviri asina simba . Semuenzaniso, vanhu vane HIV/AIDS, avo vari kurapwa kenza, kana avo vakaisirwa nhengo dzemuviri vane mukana mukuru wekubatwa zvakanyanya nehutachiona hweBartonella henselae neB. quintana.
Ndezvipi zviratidzo zveBartonellosis?
Zviratidzo zvinowanzoonekwa zveBartonellosis zvinosanganisira fivha, dzihwa, kuneta, uye musoro. Zvisinei, sezvatakambokurukura, zviratidzo zvakasiyana-siyana zvichienderana nerudzi rwebhakitiriya rinokonzera chirwere ichi.
Chirwere cheKatsi chekukwenya
Iyi ndiyo mhando yeBartonellosis inonyanya kuzivikanwa. Zviratidzo zvinogona kuonekwa mazuva mashoma kana mavhiki mushure mekunge katsi yarumwa.
- Nzvimbo yeronda: Rinotanga seruvara rutsvuku, uye mushure mevhiki imwe chete, rinokura kuita bundu diki. Harirwadzi kana kuti rinokwenya. Dzimwe nguva rinozadzwa nemvura, robva raoma, ropora mukati mevhiki imwe kusvika nhatu, zvichisiya vanga.
- Lymphadenopathy: Ichi ndicho chiratidzo chikuru chechirwere ichi. Ma lymph nodes ari pedyo neronda anozvimba. Semuenzaniso, kana paine ronda paruoko, ma lymph nodes anogona kuzvimba muhapwa, kana paine ronda pagumbo, muhudyu, kana kana paine ronda pamutsipa, ma lymph nodes anogona kuzvimba mumutsipa. Kana akabata, nzvimbo idzi dzakazvimba dzinogona kurwadza, kudziya, uye dzinogona kutotsvuka. Mune vamwe vanhu, idzi dzinogonawo kutapukirwa nehutachiona.
- Zvimwe zviratidzo: Kurwadziwa kwemuviri, kuneta, musoro, fivha, kushaya chido chekudya, pahuro panorwadza, uye kudzikira kwehuremu zvinogonawo kuitika.
Mumunhu ane hutano hwakanaka, zviratidzo izvi zvinowanzopera mukati memwedzi miviri kusvika mitatu asina kurapwa. Zvisinei, mumunhu ane masoja emuviri asina simba, mabhakitiriya anogona kupararira kumaziso, chiropa, mwoyo, uropi, chirwatata, kana kunyange mapfupa, zvichikonzera hutachiona hwakanyanya.
Chirwere cheCarrion
Izvi hazviwanzoitika muSri Lanka. Kune matanho maviri makuru ekuita izvi.
- Danho reAcute (Oroya Fever): Izvi zvinoonekwa nekukasira kutanga kwefivha yakanyanya, kutonhora, musoro wakakomba, kushaya simba, uye ganda rakachenuruka. Kuparadzwa kwemasero matsvuku eropa kunogona kukonzera anemia, izvo zvinogona kukonzera zvirwere zvakakomba zvakaita sekuoma kwekufema uye kurwadziwa kwechipfuva.
- Danho renguva refu (Verruga Peruana): Mushure medanho rekukurumidza, mapundu matsvuku-pepuru (mapundu ekuPeru) anotanga kuoneka paganda. Nekufamba kwenguva, aya anogona kuita maronda, maronda, uye kubuda ropa.
Fivha yemugero
Izvi hazviwanzoitika munyika medu. Panyaya iyi, mushure memavhiki mashanu bhakitiriya yapinda mumuviri, fivha, musoro, dzungu, uye kurwadziwa kwemuviri zvinongoerekana zvaonekwa. Chinhu chisingawanzoitiki ndechekuti fivha inogona kudzikira kwemazuva mashanu yozodzokazve.
Nzira yekuziva chirwere ichi nemazvo sei?
Nekuti zviratidzo zveBartonellosis zvakafanana nezvimwe zvirwere zvebhakitiriya, zvinonetsa kunyangwe chiremba kuzvisimbisa zvichibva pazviratidzo chete. Saka, kuongororwa kweropa kunodiwa kuti zvionekwe zvechokwadi.
Chiremba wako anogona kutora sampuro yeropa oita bvunzo dzakaita sePCR (Polymerase Chain Reaction) kana DNA Sequencing kuti aone zvidimbu zveDNA zvebhakitiriya reBartonella. Vanogonawo kuita bvunzo kuti vaone masoja emuviri anogadzira kurwisa bhakitiriya iri.
Kana chirwere chacho chakakomba, sampuli diki (biopsy) yenyama ine utachiona (semuenzaniso, lymph node yakazvimba) inogona kutorwa yoongororwa.
Ndezvipi zvirongwa zvekurapa Bartonellosis?
Mashoko akanaka ndeekuti chirwere chisina kunyanya kuipa senge Cat Scratch Disease mumunhu ane hutano chinogona kupera mumwedzi mishoma pasina mishonga inorwisa mabhakitiriya.
Zvisinei, kana zviratidzo zvako zvakanyanya, kana kuti muviri wako usina simba rekudzivirira chirwere, chiremba wako angangokupa mishonga inorwisa mabhakitiriya. Kurapa uku kunowanzogara kwemavhiki mana kusvika matanhatu. Vachakupawo mushonga wefivha nekurwadziwa.
- Chirwere cheKukwenya Katsi: Mishonga inorwisa mabhakitiriya yakaita se'Azithromycin', 'Rifampin', 'Ciprofloxacin' inowanzopihwa nekuda kweizvi. Mishonga yakaita se'Penicillin' ne'Amoxicillin' haishande nekuti bhakitiriya iyi haidziviriri.
- Chirwere cheCarrion: Ichi chinorapwa nemishonga yakaita se'Ciprofloxacin' kana 'Chloramphenicol'. Kana chirwere chekushaya ropa chakanyanya, kuwedzerwa ropa kunogonawo kudiwa.
- Trench Fivha: Iyi inorapwa ne " Doxycycline"Mishonga yakaita seDoxycycline kana Gentamicin inopihwa kwemavhiki maviri kusvika mana.
Zvakakosha: Mishonga yese iyi inosarudzwa nachiremba wako. Usambofa wakatenga mishonga inorwisa mabhakitiriya kubva kupharmacy wega. Izvi zvinongowedzera kuoma kwechirwere.
Ungazvidzivirira sei kubva kuchirwere ichi?
Kuzvidzivirira kubva kuchirwere ichi hakuna kuoma. Zvakakwana kutevera matanho madiki mashoma.
- Dzivirirai mhuka dzenyu (katsi, imbwa) kubva kunhata nezvimwe zvipembenene nekuvapa kurapwa kwakakodzera panguva yakakodzera.
- Dzivisa kukwenya kana kurumwa zvakanyanya sezvinobvira paunenge uchitamba nekatsi yako. Iva nechokwadi chekugeza maoko ako nesipo zvakanaka mushure mekutamba nekatsi yako.
- Zvidzivirire kubva kuinda (kunyanya inda dzemuviri). Ramba wakachena.
- Zvidzivirire kubva kunhunzi dzemujecha munzvimbo dzadzinowanikwa. Shandisa mishonga inodzinga zvipembenene nemambure eumhutu.
- Kana uine masoja emuviri asina simba, uine chipfuwo chako, kana kuti une zvimwe zvinokunetsa, taura nachiremba wako kuti akupe mazano.
Mharidzo Yekuenda Nayo Kumba
-
Bartonellosischirwere chebhakitiriya chinogona kutapuriranwa kubva kumhuka (kunyanya katsi) uye zvipembenene zvakaita senhata neinda. - Hapana chikonzero chekunetseka nezvekurumwa nekatsi. Zvisinei, kana ronda rakazvimba, ma lymph nodes ari pedyo akazvimba, uye paine fivha, usazviregeredza.
- Kana ukaona zviratidzo zvisingawanzoitika mushure mekukwenywa, kurumwa, kana kurumwa nemhuka, iva nechokwadi chekuona chiremba wako.
- Chirwere ichi chinogona kudzivirirwa zvakanyanya nekuchengetedza mhuka dzakachena uye kurapa tupukanana twadzo.
- Kana paine chero chirwere chipi zvacho, tsvaga kurapwa chete kana wapiwa zano rechiremba.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 🧐 Chii chinokonzera kuzvimba kwema lymph nodes mumutsipa?
Pane zvikonzero zvakawanda zvinoita kuti pahuro pave nekurwadziwa. Kazhinji kacho zvinogona kukonzerwa nehutachiona hwepahuro. Asi waizviziva here kuti kana uine katsi mumba mako, dzinogonawo kukonzera kurwadziwa pahuro nekuda kwechirwere chinonzi Bartonellosis (Cat Scratch Disease) chinotapuriranwa nadzo?
💬 🐱 Katsi inogona kuwana inda pamutsipa wayo here kana ikairuma kana kuikwenya?
Ehe, zvechokwadi. Bakiteriya inonzi Bartonella inotapuriranwa kukatsi kuburikidza nenhata. Zvadaro, kana katsi ikakukwenya kana kukuruma, bhakitiriya inogona kupinda mumuviri wako yoita kuti lymph nodes dziri pedyo dzizvimbe. Ichi ndicho chikonzero chikuru chemapundu emutsipa kana muhapwa.
💬 🤒 Unoziva sei kana iri Bartonellosis kana uine fivha pamwe nekurwadziwa pahuro?
Kana uine fivha yakanyanya, kurwadziwa kwemuviri, uye katsi ikakukwenya, zvingangoita kuti iBartonellosis. Izvi hazvina basa, asi zvakanaka kuona chiremba nekukurumidza nekuti uchafanira kutora mishonga inorwisa mabhakitiriya.
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