Sevanhu vekuSri Lanka, patinofunga nezvezvirwere zvinotapurirwa neumhutu, dengue inokurumidza kuuya mupfungwa dzedu, handiti? Asi sedengue, kune zvimwe zvirwere pasi rose zvinotapurirwa neumhutu, asi zvinogona kuva nengozi zvishoma, uye zvinokanganisa uropi. Nhasi tichataura nezvechimwe chirwere chakadaro. Zita racho iWestern Equine Encephalitis. Kunyangwe izvi zvisingawanzoitiki munyika medu, zvakakosha zvikuru kuziva zvinhu zvakadaro.
Chii chinonzi Western Equine Encephalitis?
Zvichitaurwa zviri nyore, chirwere chinopararira nekurumwa neumhutu. Kutaura chokwadi, chirwere chiri muboka re "arboviral". Kureva kuti, chirwere chinopararira nezvipembenene zvakaita seumhutu nenhata. Hutachiona hunochikonzera hwakafanana nemamwe marudzi maviri ane njodzi efivha yeuropi, Eastern Equine Encephalitis neVenezuelan Equine Encephalitis viruses.
Chirwere ichi chinogona kubata vanhu nemabhiza . Chirwere ichi chinotapuriranwa neumhutu hune utachiona. Mhando huru yeumhutu inokonzera izvi ndi `(Culex tarsalis)`. Zvisinei, mhando yeumhutu `(Aedes)` na `(Culiseta)`, dzinozivikanwa nekuparadzira dengue, dzinogonawo kutapurirana hutachiona uhu.
Kutenderera kwechisikigo kwehutachiona uhwu kuri pakati peshiri neumhutu. Kureva kuti, umhutu hunoruma shiri ine utachiona, iyo inobva yaruma shiri ine hutano yoparadzira chirwere ichi. Vanhu nemabhiza vanongoerekana vagamuchira chirwere ichi netsaona. Kureva kuti, hatibate chirwere ichi zvakananga kubva kushiri. Zvisinei, kashoma, chirwere ichi chinogona kutapuriranwa kubva kuna amai vane pamuviri kuenda kumwana wavo kuburikidza neplacenta. Ichi hachisi chirwere chekufema.
Ndiani ari panjodzi huru?
- Kana uchigara munzvimbo ine chirwere ichi chakajairika (kunyanya kumadokero nepakati penyika dzeUnited States).
- Kana uri kuenda kunzvimbo yakadaro.
- Kana uchipedza nguva yakawanda uri panze.
Ndezvipi zviratidzo zvechirwere ichi?
Zviratidzo zvinowanzotanga kuoneka pakati pemazuva mashanu kusvika gumi nemashanu mushure mekurumwa neumhutu hune utachiona. Zviratidzo pakutanga zvakafanana nezvechikosoro.
| Zviratidzo zvekutanga | Tsananguro |
|---|---|
| Kupindwa nechando | Kupisa muviri kwakanyanya. |
| Musoro | Musoro wakanyanya. |
| Kusvotwa nekurutsa | Kurutsa nekurwadziwa mudumbu. |
| Kuda kudya | Kurasikirwa nechido chekudya. |
| Kuneta uye kushaya simba | Kunzwa kuneta zvakanyanya zvekuti haugone kuita chero chinhu. |
Kazhinji, zviratidzo izvi zvinopera uye chirwere chinorapwa. Zvisinei, dzimwe nguva chirwere chacho chinogona kunge chakakomba. Fungidzira, chii chingaitika kana hutachiona uhu hukapararira nekukurumidza muropa redu, hukayambuka chipingamupinyi chechisikigo chinodzivirira uropi (chipingamupinyi cheropa-uropi) uye hukapinda muuropi pachahwo?
Ndipo panova nengozi chirwere ichi. Kana hutachiona hwapinda muuropi, hunogona kukonzera zvirwere zvinonzi encephalitis , kunova kuzvimba kwetsinga dzeuropi, uye meningitis, kunova kuzvimba kwemembranes inofukidza uropi .
Kana sisitimu yetsinga ikakanganiswa nenzira iyi, zviratidzo zvinotevera zvinogona kuitika:
- Dzungu
- Kusakwanisa kutarisa chiedza chakajeka (photophobia)
- Dementia uye maitiro anovhiringidza
- Kurara zvakanyanya
- Kurasikirwa zvachose kwekuziva (coma)
- Kuomarara kwetsandanyama uye kurwadza kwemakumbo (spasticity)
- Kubatwa nepfari
- Migumisiro yenguva refu yakadai sekutadza kudzidza
Vana vadiki nevakwegura ndivo vari panjodzi huru yekusangana nematambudziko aya etsinga . Huwandu hwevanhu vanofa nechirwere ichi huri pakati pe3% ne7%. Pamusoro pezvo, pakati pe15% ne30% yeavo vanopora kubva muchirwere ichi vanogona kukuvara kwenguva refu kwetsinga.
Chirwere ichi chinoonekwa sei uye chinorapwa sei?
Kana wakamboenda kunzvimbo ine chirwere ichi uye ukaona zviratidzo zvataurwa pamusoro apa, enda kuna chiremba wako nekukasika . Zviratidzo zvechirwere ichi zvakafanana nezvimwe zvirwere zve meningitis, saka kuongororwa kwechirwere ichi kunogona kuoma zvishoma.
Kana chiremba akafungidzira kuti tsinga dzako dzakanganiswa, unogona kuendeswa kuchipatara woongororwa kakawanda.
- Kuboorwa kwemusana: Kuongorora mvura iri muuropi nemumusana (CSF).
- Kuongororwa kweCT (CT scan) inzira yekuongorora chirwere.
- Kuongororwa kweMRI inzira yekuongorora.
- Kuongororwa kwemasoja emuviri: Kunyangwe izvi zvichigona kusimbisa chirwere ichi nechokwadi, mhedzisiro yacho inogona kutora mavhiki akati wandei kuti idzoke.
Hapana mishonga chaiyo yekurwisa chirwere ichi parizvino. Saka, kurapwa kunotsigira . Kureva kuti, vanachiremba vanopa mishonga yekudzora zviratidzo zvakaita sefivha nekurwadziwa. Kana tsinga dzemuviri dzikabatwa zvakanyanya, kurapwa muchikamu chevarwere vakanyanya kurwara (ICU) kunogona kudiwa. Izvi zvinosanganisira kufefetera kwemuchina, kudzora pfari, kuchengetedza huwandu hwemvura mumuviri, uye kudzora mamiriro ane njodzi akadai sekuwedzera kwekumanikidzwa kwemumusoro.
Ungazvidzivirira sei kubva kuchirwere ichi?
Kune mushonga wekudzivirira mabhiza kubva kuchirwere ichi. Kunyangwe mushonga wekudzivirira mabhiza wakagadzirwa kuvanhu, hausi kuwanikwa zvakanyanya kuti ushandiswe pakurapa. Unoshandiswa chete kuvanhu vane njodzi huru, vakaita sevashandi vemurabhoritari.
Saka, chinhu chakanakisa chatingaita ndechekuzvidzivirira kubva kumhutu zvakanyanya sezvinobvira . Mazano aya akakosha zvakaenzana kwatiri kuti tizvidzivirire kubva kudengue.
| Nzira yekudzivirira | Zvekuita |
|---|---|
| Nguva dzekunze | Deredza nguva yaunenge uchibuda panze panguva dzemangwanani nedzemanheru (mambakwedza nekunyura kwezuva), apo umhutu hunonyanya kushanda. |
| Zvipfeko | Pfeka mabhurugwa marefu nehembe dzine maoko marefu dzinofukidza muviri zvakanaka. |
| Kuchengetedza imba | Isa mambure ekudzivirira umhutu pamasuo nemahwindo. |
| Kana uchienda kunorara | Shandisa mambure ekudzivirira umhutu. Sunga mambure zvakanaka pasi pematiresi. |
| Inodzinga umhutu | Isa mishonga inodzinga zvipembenene paganda rakashama. Idzo dzine zvinhu zvakaita seDEET nepicaridin ndidzo dzinonyanya kushanda. |
| Zvipfeko nemidziyo | Pfafadzai 0.5% (permethrin) pazvipfeko, mambure eumhutu, uye pamidziyo yekumisasa. Izvi zvinodzinga kana kuuraya umhutu. |
| Kudzivirira kubereka kweumhutu | Sezvatinoita kudzivirira kupararira kweumhutu hwedengue, chengetedza imba yako nenzvimbo zvakakupoteredza zvakachena. Dururira mvura munzvimbo dzinounganidzirwa (nzvimbo dzekugezera shiri, mabhaketi, hari dzemaruva, matayi) kanenge kamwe chete pasvondo. Chengeta matangi emvura akavharwa zvakasimba. |
Mharidzo Yekuenda Nayo Kumba
- Western Equine Encephalitis chirwere chisingawanzoitiki asi chinogona kunge chakakomba chefivha yeuropi chinoparadzirwa neumhutu.
- Zviratidzo zvinogona kubva pafivha kusvika pakupisa kwakanyanya zvekuti zvinogona kukanganisa uropi. Vana vadiki nevakwegura ndivo vari panjodzi huru.
- Sezvo pasina mushonga chaiwo weizvi, chinhu chakanakisa chekuita ndechekuzvidzivirira kubva kuchirwere ichi . Kuti izvozvo zviitike, kudzivirira umhutu kwakakosha.
- Kana ukaona zviratidzo zvinofungirwa, kunyanya kana wakamboenda kunzvimbo ine chirwere ichi, enda kuna chiremba wako nekukurumidza.
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